What causes severe pain in the lower spine?
Patient: Hi I am My name is RE. I am looking at some X rays of my spine and the clinical exam notes. The Impression is, 1) Sacralized lower lumbar transitional vertebral body showing spina bifida occulta 2) Mild convex left scoliosis ICD 9 - 756.17, 737.30, 756.15 After injury My right leg involuntarily jolted from the Glutis Maximums, Quadriceps and Ham string muscle, each time my aorta expanded and contracted near my sciatic nerve. After 18 months the chronic condition stopped by oral medication Voltaren. After stabilization chronic pain remained and instability of the lower spine. Questions, 1) Is there a physical therapy that will be helpful? 2) What diagnostic procedures will be helpful regarding further understanding of my injury and condition. 3) Can a MRI give further insight into my condition for the purpose of therapy. I look forward to your Response, RE Robert Eugene Van Wormer Doctor: Hello Robert!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!I would recommend performing a lumbar spine MRI study to examine the spine and exclude possible bulging nerves, which are causing irradiating nerve pain in the legs. It is also necessary performing a nerve conduction study and some blood lab tests: - complete blood count- PCR, sedimentation rate for inflammation- blood electrolytes- vitamin D levels for possible vitamin D deficiency. Hope to have been helpful!Kind regards!