Hello! My name is Kseniya, I’m 24 y.o. and I suffer from low back and right hip pain since I was 21. I did not have an accident or injury, it just started out of nowhere. All x-rays and mri looked normal except for l5 transitional vertebra on the right side. One doctor says it is the reason for my pain and the other says that this segment rarely causes pain and my X-ray looks completely normal. I’m so confused because none of the PT, medications, injections, adjustments didn’t help. Some days pain is better, some worse, some days I almost don’t have pain, especially in the morning, and I also have right shoulder pain and right wrist pain and even right foot pain, I started to have it recently. I’m wondering for your opinions if all these pains can be because of this segment? And if yes, what are the options for me to get better? All possible tests were done to rule out other causes.
Thank you and have a great day!
What you have anatomically is a failure of differentiation of the L5 vertebra which only rarely causes pain and certainly would not cause pain in the wrist, shoulder and ankle. Bertolotti’s Syndrome (which is the name for the painful condition-again rare) can cause local pain (in the side of the lower back) only. Have they ruled out a mild form of Rheumatoid Arthritis or other inflammatory disorders? Did they do blood testing including WBC, ESR and CRP?