What causes severe back pain?
Patient: I am 45 and had surgery in March 2012 for endometriosis and removal of begin cyst off my right ovary. I also had a cyst and left ovary removed in 2005. I missed my period for this month, but I have been spotting on and off for three weeks with back pain (also on and off). It seems my back pain worsens with movement (I started working with a personal trainer more than a month ago). Please advise. Doctor: I HAVE UNDERSTOOD YOUR CONCERNS, SEE YOUR INITIAL PAIN WILL BE DUE TO SPASMODIC CONTRACTION OF UTERINE SMOOTH MUSCLES BUT AS YOUR AGE PROGRESSES SEE YOUR BACH MUSCLES WEAKEN MAY GO FOR SPASM IN ADDITION YOU MAY HAVE IN COORDINATION BETWEEN BACK MUSCLE OF FRONT AND BACK... JUST NEED TO TAKE PHYSIOTHERAPY TREATMENT YOU WILL BE ALRIGHT TAKE ULTRASOUND IFT AND MOIST PACK.... FOR 15 DAYS....