What Causes Pain On Right Lower Quadrant Of Back?

Brief Answer:
Cervicogenic headache or occipital neuralgia most possible.

Detailed Answer:
Hi,

I read your question carefully and I understand your concern, must be confusing being thrown several diagnoses at the same time and still having no remedy.

In my opinion judging by the localization of your headache and the degenerative changes found in your spine it seems like a case of cervicogenic headache. It is a headache due to compression and irritation of the first cervical nerve roots coming out of the cervical spine, due to the degenerative changes in the cervical spine.
Another cause for such distribution of pain in degenerative changes of the spine could be also occipital neuralgia due to compression of the occipital nerve due to the same mechanism.
The two can at times be difficult to distinguish, acute paroxysmal occipital neuralgia has a more paroxysmal, stabbing or lancinating character, but in chronic cases can be of a steady character and as I said difficult to distinguish from cervicogenic headache by pain alone. Tenderness on palpating over the nerve or relief by anesthetic local block of the nerve can help in occipital neuralgia diagnosis.
Treatment is similar for both. First are used over the counter pain killers, usually of the group of non steroidal anti inflammatory drugs like Ibuprofen or acetaminophen and opioids combinations. Muscle relaxants like tiocolchicoside are used as well.
Antidepressants or anticonvulsants can be of help in chronic cases especially in occipital neuralgia.
Equally (if not more) important to drugs is physical therapy with stretching and strengthening exercises, relaxation exercises. The use of a cervical collar can be used in the acute phase.
If these are ineffective local injections with steroids and anesthetics can be used and surgery as a last resort.

Regarding those other suggestions, a strained neck muscle could cause similar symptoms, treatment is similar anyway, with pain killers and muscle relaxants and if that is the case it should subside soon, so time will tell it apart.

As for the spine infection suggestion it leaves me a little perplexed because it can't be said so lightly, if that is suspected by MRI it should have been extensively investigated after to confirm it, identify the cause and receive specific treatment. I guess they didn't really believe that to be the case.

I remain at your disposal for further questions.

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Brief Answer:
Thank you as well.

Detailed Answer:
Thank you as well for choosing HCM for your health concern.
I would be happy to answer any other question you might have. If on the other hand you don't have any, I would kindly ask you to close the query.
Wishing you good health!

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