Have Low Back Pain Which Worsens With Activity With Pain In Pelvic Region. MRI Was Normal. Suggest?

Posted on Thu, 30 May 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 30 May 2013 Answered on

Thu, 20 Jun 2013 Last reviewed on

Question : Hi, I have low back pain which worsens with activity after an hour or so. I wake in the night paralysed by pain in low back and pelvic region, turning over is total agony. Physio and GP referred me for MRI. Doctors receptionist says MRI is a normal study. I am not imagining this pain.Now what?

Answered by Dr. Vaibhav Gandhi (3 hours later)

Hallo , thanks for writing to XXXXXXX
I am Dr XXXXXXX Gandhi, I am orthopaedic surgeon and spine specialist.
I have studied your case.

This kind of pain is due compression of nerve due to spinal disc bulge
Nerve compression leads to radiating pain, which gets aggravated in a particular position
Sacroilitis leads to similar pain. Acute muscle spasm aggravates symptoms.

You need methylcobalamine, muscle relaxant with analgesic by consulting doctor
Here are my suggestions to you:
Avoid lifting weights
Sit with taking support to your back
Continue spine extension exercises
Physiotherapy – SWD (Short Wave Diathermy), IFT (Interference Therapy). Please consult a physiotherapy that could help you with this.

Have you done MRI of spine, is it normal ?
If its normal you need to do some blood investigation to rule out kidney or uterine infection.

Take care

Above answer was peer-reviewed by : Dr. Vaishalee Punj