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Molly Maloof, MD

Director of Clinical Content
@DoctorBase

Back pain

I have tremendous pain on the lower right side of my back.Sometimes it seems to radiate to the front.It is most noticeable when I attempt to turn and going from a sitting position.What should I do about it?
Poster
  • Female | 64 years old
  • Complaint duration: 31 days
  • Medications: Lyrica, lisinopril, atenolol, dexitrine
  • Conditions: Fibromyalgia

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Featured Answer

2 UpVoted this answer
If the pain is as you describe as tremendous that I would recommend seeing a health care provider in the very near future. Pain in the lower back that is worse with turning or changing positions is often related to the joints in the lower back known as facet joints and sometimes the sacroiliac joint. For some people OTC NSAIDs help quite a bit for others the pain does not let up. Make sure your doctor does some x-rays of your lower back as part of your evaluation.
2 UpVoted this answer
There are questions a good health care provider would ask in a history along with a physical examination to help determine the most likely cause of your pain. At that point an appropriate treatment recommendation could be made. I would start with a reputable chiropractor and expect significant relief within just a few visits. If you don't have improvement quickly a referral for additional testing or further medical evaluation should be made.
Paul A. Hjort
1 UpVoted this answer
Since your pain is exacerbated by changes in position it is more likely musculoskeletal in nature. If this is true radiating pain then you may have nerve root compression due to disc bulge or degeneration. If the pain is referred, then you may have a (or more than 1) degenerated joint(s) in your low back causing the pain. Hip osteoarthritis can also refer into the groin and anterior thigh to your knee. See someone who can give you a physical exam and refer you for x-rays (DC or MD). Chiropractic can help with restoring proper mobility to your low back, while physical therapy can recommend exercises for you to do (if the DC does not). Your MD can prescribe you meds to help deal with the pain/inflammation if over-the-counter meds are of no help. Try to be as active as possible to help keep your high blood pressure under control.
Sorry to hear about the pain in your back that radiates to the front. While this can be caused from a problem with your kidney, it could also be caused by a problem in your spine. These types of pain are more common in people who have Fibromyalgia and there are types of chiropractic that are more effective giving relief to Fibromyalgia patients than others. Many Fibromyalgia patients find conventional chiropractic and physical therapy too rough and irritating. But as an Upper Cervical Chiropractor that does not twist or crack the spine and focuses on a gentle reset of the muscle control centers right under the skull, I see encouraging results for many Fibromyalgia suffers that could not find relief elsewhere. It's worth finding the closest Upper Cervical Chiropractor to see what they can do for your most recent back pain and the Fibromyalgia as well.
It sounds like you likely have some issues in either the facet joints in the lower back, or more likely yet, some dysfunction in the sacroiliac joint and or pelvis. occasionally your pelvis can be rocked forward or back and "stick" due to the nature of the S/I joint. This can commonly cause not only low back and buttocks pain, but pain on the front side at the area of the groin and upper leg. You should see a good Chiropractor in your area and have them take a look. Any good chiropractor will refer you out to the appropriate practitioner if they believe there are other issues that need to be addressed.
I think you should seek evaluation by spine specialist. I think your pain is most likely cause by facet pathology. Your symptoms are quite typical for facet syndrome. Physical exam with possible median branch block and MRI of the L spine will provide all the information one need to get to proper diagnosis. Lumbar facet joint syndrome usually does not require any major surgical intervention. It can be effectively addressed by blocking median branch and possible rhizotomy when physician uses laser or radio frequency to desensitize affected facet joint and stop pain. Recovery is almost immediate.
Robert Talac
First thing is to find a good chiropractor that deals with the geriatric population frequently, they will do a proper examination and health history that can help rule in or rule out disc herniation, referred pain, fractures and so on. There are many possible causes to your pain issue, finding that source is what you need rather than to just mask the symptoms with pharmaceuticals which all too often done in America.
Jeremy D. Kobler
This sounds like a job for a chiropractor. I agree that within a couple of visits you should be doing better. Oh, I think an x-ray is probably a good thing to start with. It sounds like you have a lot more than fibromyalgia going on. You need to have all the drugs you're taking re-evaluated as to their side effects with all the different conditions you have.
Robert Lawrenson
The pain you have described in your lower back will require a an examination, x-rays, and possibly lab work to diagnose the origin. So you should make an appointment with a Doctor so proper care can be initiated. Of course there are several other types of specialties to choose from, but with a musculoskeletal problem my preference is a chiropractor. This is because chiropractic has one of the best tract records for returning patients to health without the use of invasive procedures.
Definitely go to a Chiropractor. They have been successful at treating cases just like yours for over 100 years. Check out the WEB MD study millions of people over a period of years 95% success rate, decrease in cost of treating back pain by 28%, reduction in 1/3 for back surgery!