The transverse processes that you note are not generally a painful problem. This is called a sacralization of L5 and these enlarged processes actually protect this level and prevent pain from occurring.
The general start of a program to treat lower back pain includes physical therapy and medications. I am unfamiliar with the medication you note but many different countries name the same medication with different labels.
There is a standard protocol to treat back pain. If rehabilitation is unsuccessful, imaging studies including an MRI would be called for. Injections can be helpful and finally if nothing works, a referral to someone like me would be indicated.
Dr. Corenman
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
