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  • weiqi
    Member
    Post count: 2

    Hi Dr. Corenman,

    First off, thank you for the excellent work that you do. I will make this post as concise as possible. My name is Joseph and like many who have come before me, I have chronic back pain (2 years, most specifically lumbar). It onset slowly (over the course of a week or two) and has not gone away with postural / movement corrections, physical therapy, visits to spine doctor, etc. At that time, I was a software engineer and avid weightlifter – a potential recipe for disaster (lots of sitting and lots of heavy weights). The overall impression I have gotten from these professionals is that my pain is muscle related. No major disc degeneration, red flags, etc.

    At the most basic level, I would like your take on an x-ray of my (flat) lumbar spine. This loss of lordosis was not brought up as a serious concern by any of the health professionals I have seen thus far. This baffles me, as a loss of lordosis is a) anatomically incorect and b) places you (your muscles!) at a mechanical disadvantage, yes? Is restoring this lordosis possible? Necessary?

    I also have an MRI available if you believe that may help get to the bottom of this.

    Very much yes, my pain could be entirely muscle related, but could it more specifically be due to the fact that my back muscles are at a disadvantage? That is my thinking.

    Images:
    i41.tinypic.com/avnbbp.jpg
    i43.tinypic.com/2iqy2ig.jpg

    If you feel that an e-consultation or any of the other services available through the Steadman Clinic (to those who live out of state) may be beneficial for me, by all means please point me in that direction.

    Thank you very kindly,
    Joseph

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    In general, muscles are not the source of lower back pain but are painful as the result of a disorder in the spine. These muscles spasm to reduce the load on the painful structures.

    With your age, I would suspect pars fractures, annular tears or even facet syndrome.

    If you desire, you could send your images on CD to my office. Call the 888 number for further information.

    Dr. Corenman

    weiqi
    Member
    Post count: 2

    Thanks Dr. Corenman, I will definitely get in contact with your office and have the appropriate imaging sent in! My only remark in regards to that would be that my x-ray/MRI are around a year+ old. However, very little has changed in my experience of pain since then, so I would be quite surprised to find out if there were any changes to the initial underlying cause.

    Could you briefly comment on the loss of lordosis in the lumbar spine, particularly as it may relate to a young adult (19 years)? This is something I do not know if I was born with or developed. Or, in fact, if it is a relevant concern at all in the levels in which it is present. It has always just stood out to me – and to me, it would seem relevant. Any light you may be able to shed I’m sure will help me better understand the answer to my question.

    Thankfully,
    -Joseph

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