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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Lower Back And Right Leg Pain

I I have been experiencing lower back, and right leg pain stemming from the sacrum for 3 months now. Work has referred me to physical therapy and I go 2 times a week but the stretching exercises they have me doing are not helping. My pain is getting worse, especially sitting. Driving to work is almost unbearable. My x ray shows that my sacrum bends back where it connects to my L5 farther than normal. But they say it cannot be work related pain. They want to deny me workers comp and sat it s my bad posture. I deliver small heavy boxes all day and sit in the back o a vehicle for 9 to 12 hours a day. I am worried that they are misdiagnosis this to avoid paying workers comp. Any help would be great
Thu, 26 May 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thank-you for providing the brief history of you.

As per the history I understand that you are not undergoing sufficient physical therapy session. I will say underground 2 days a week is for no sure going to help you at all. You need a minimum of 5 days a week of Physical therapy.

Also, by your x-ray report mentioned by you I feel I is work related issue and you need and MRI for this.

I think this is more of a spondylolisthesis of the L5 over S1 region , it's a mere speculation but with understanding the MRI study and comparing to clinical symptoms we can come closer to conclusion

Also, as you are a delivery boy, this conditon would have made some changes in the posture and lead to abnormality in the sacral region. Also it's totally a looking the mechanism of injury is due to job profile.

Also I will advice you to undergo and MRI and also increase the number of your weekly physical therapy sessions for upto 12-16 weeks. As in my clinical practice most patients have work related injury like how you have now, and responds well to physical therapy when the proper kinematics of the spine and the injury is understood.

Regards
Jay Indravadan Patel
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Suggest Treatment For Persistent Lower Back And Right Leg Pain

hi, thank-you for providing the brief history of you. As per the history I understand that you are not undergoing sufficient physical therapy session. I will say underground 2 days a week is for no sure going to help you at all. You need a minimum of 5 days a week of Physical therapy. Also, by your x-ray report mentioned by you I feel I is work related issue and you need and MRI for this. I think this is more of a spondylolisthesis of the L5 over S1 region , it s a mere speculation but with understanding the MRI study and comparing to clinical symptoms we can come closer to conclusion Also, as you are a delivery boy, this conditon would have made some changes in the posture and lead to abnormality in the sacral region. Also it s totally a looking the mechanism of injury is due to job profile. Also I will advice you to undergo and MRI and also increase the number of your weekly physical therapy sessions for upto 12-16 weeks. As in my clinical practice most patients have work related injury like how you have now, and responds well to physical therapy when the proper kinematics of the spine and the injury is understood. Regards Jay Indravadan Patel