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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Lower Back Pain?

I have severe lower back pain.. I went to the emergency room about two weeks ago as I couldn t stand up and was feeling weak because my back was in such bad pain... It is killing me.. It s all in my lower back.. I literally can not sit down because the pressure hurts my lower back so bad. I already know I need to see a dr and have x Rays but I just enrolled in insurance and waiting for it to finalize.. Trying to see if you may know what sounds like is going on and what I can do for relief. I tried pain medication and heat to no avail.
Wed, 9 Jan 2019
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Addiction Medicine Specialist,  's  Response
Hello,

MRI. The incidence of SOME back pain is basically 100%. This includes enough back pain to prevent working but is not as severe as yours.

I cannot say in your particular case what is going on but prostate cancer invasion of the area, blood blister on the spine, fracture due to cancer, infection of the bones of the spine, fracture due to very very thin bones are all ones I have seen.

Mostly they were really obviously not the usual back pain--the infection occurred after back surgery and had pus coming out of the back for example.

And an MRI but not x rays would show the problem. the most common of which is a disk popping out from between the bones of the back and hitting the spine or the nerves and this disk does not show up on regular X-rays.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Matt Wachsman, Addiction Medicine Specialist
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What Causes Severe Lower Back Pain?

Hello, MRI. The incidence of SOME back pain is basically 100%. This includes enough back pain to prevent working but is not as severe as yours. I cannot say in your particular case what is going on but prostate cancer invasion of the area, blood blister on the spine, fracture due to cancer, infection of the bones of the spine, fracture due to very very thin bones are all ones I have seen. Mostly they were really obviously not the usual back pain--the infection occurred after back surgery and had pus coming out of the back for example. And an MRI but not x rays would show the problem. the most common of which is a disk popping out from between the bones of the back and hitting the spine or the nerves and this disk does not show up on regular X-rays. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist