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Low backache with scoliosis and osteochondrosis

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I am 36 years old. Since last April I have been suffering episodes of low back pain, which does not affect the lower limbs, but it can sometimes compromise more than one segment of the column. I have consulted a doctor in April. X-Ray showed scoliosis and osteochondrosis L5/S1. The doctor prescribed physiotherapy, which has really helped. For maybe two months after the physiotherapy the pain completely disappeared. There were then some minor episodes, but as the problem seemed solved I must confess I abandoned the exercises. I do not know whether this or inapppropriate positions during working hours or at night prompted the pain to restart. The case is that since two weeks I have been experiencing new episodes of sometimes strong pain. Usually I feel some relief when I walk. Long periods sitting or lying on bed may cause a worsening of the pain. Should I go back to the physiotherapist and resume exercises? Thank you in advance.


Category: Rheumatologist

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Category: Internal Medicine Specialist
Dr. Bimlesh Dhar Pandey is online now

Expert:  Dr. Bimlesh Dhar Pandey replied 4 Days.

Dear Sir,

Thank you for your consult at DoctorSpring.com.

I agree that physiotherapy will help in scoliosis and has to be sustained. I also feel, as per your clear history of Inflammatory back ache; requires investigation in form of MRI of SI joint and Screening MRI of Lumbar area and HLA B 27 by PCR. I would strongly suggest these two test and exercises.

Hope this helps, please feel free to discuss further.

Notes: Inflammatory back ache since 2001, undiagnosed and not investigated for SPA. With Scoliosis and osteochondrosis. Improvement on activity. Functional grade Moderate Disease activity. No Peripheral arthritis/ iritis/ Psoriasis but history of IBD/ IBS. No family history of SPA or similar illness.

Regards


Dr. Bimlesh Dhar Pandey
Category: Internal Medicine Specialist
Experience: 
Senior Residency: Rhematology, All India Institute of Medical Schiences, New Delhi, 2009
Post Graduate, Junior Residency: MD (Internal Medicine), Rajendra Institute of Medical Sciences, Jharkhand, 2006
Residency: Physiology, Institute of Medical Science, Banaras Hindu University, Varanasi, 2003
Internship: Government Medical College, Trichur, 2001
Medical School: MBBS, Calicut University, 2001
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