Suggest treatment for severe back pain
Patient: I had anx ray done on my spine and I have lived with severe back pain and daily problems with back muscles feeling cramped beyond relief to where I cannot even hold my upper body upright..its almost like a burning pain in my muscles. I was told my x ray revealed I have mild scoliosis. My doctor wanted me to go for an mri to diagnose the cause of my severe pain and siatic like symptoms. Acquiring scoliosis later in life..I'm 29..can that be a sign of anthing else medically to be aware of to come concerning my onset of mild scoliosis? I've learned scoliosis usually appears in childhood rather than later in adulthood so this has concerned me. Doctor: hiI agree with your doctor.An MRI is a must to asess the cause of scoliosis more so having developed now at this age which may be secondary to musculo-ligamentous inflammatory condition of spinal muscles or some condition of paraspinal muscle,ilio-psoas spasm due to vertebral attachment of ligaments/tendons inflammation or infection abscess of vertebrae etc.The scoliosis may be secondary flexible tilting of spine by pull push by inflamed group of spinal/paraspinal musculature.MRI shall givr position of muscles,ligaments,vertbral joint,disc disease etc which may be causing compensatory shifting to either  sideby drag or push.The doctor shall asess your other abdominal organs like kidney,bowels etc in addition ,for inflammation,adhesions,banding with diffuse fibrosis near the spineI believe finding the cause shall make it treatable.You may be asked for fever,urinary and bowel symptoms also if any, h/o acute abdomen etcSo you may subject youself for further tests and evaluation, MRI etc for manageable condition