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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Whom To Consult For Lumbar Instability?

Hello doctor! 2months ago xray showed that i have a lumbar instability. I visit a physical therapy doctor to treat my condition and i am using vitamins and medicines to treat my lumbar instability i also undergo physical therapy and unfortunately i still feel a lower back pain my doctor said that my flexes arw now okay so he cant figures out why i still feel pain. Now my question is which doctor should i see to treat my lumbar instability because i see that my current doctor cant help me. I also have a small lump in the lower right side of my back it is movable but its not painful which doctor should i need to see to treat my lumbar instability and the lump in my back. How serious it can be i am afraid of my condition please help me. I am counting on your help and reply thank you so much
Mon, 14 Sep 2015
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General & Family Physician,  's  Response
The probable cause is Degenerative disease of the disc or Spondylolisthesis,However there is another condition so-called “clinical” or “functional” instability, in which no defect of the body architecture of the lumbar spine, and no excessive detectable translation or rotation are shown. However, a poor trunk muscle function and/or an insufficient motor control is a factor in abnormal inter-segmental movement and LBP. Thus to help u more need to know your age, sex and occupation. It would be good to evaluate the lump which can be done by a GP. Also need to do a CRP/ESR Hb, TC,DC with a urine culture. Continue the exercises and perhaps a Diazepam 5 mgm daily at bedtime for 15 days.
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Whom To Consult For Lumbar Instability?

The probable cause is Degenerative disease of the disc or Spondylolisthesis,However there is another condition so-called “clinical” or “functional” instability, in which no defect of the body architecture of the lumbar spine, and no excessive detectable translation or rotation are shown. However, a poor trunk muscle function and/or an insufficient motor control is a factor in abnormal inter-segmental movement and LBP. Thus to help u more need to know your age, sex and occupation. It would be good to evaluate the lump which can be done by a GP. Also need to do a CRP/ESR Hb, TC,DC with a urine culture. Continue the exercises and perhaps a Diazepam 5 mgm daily at bedtime for 15 days.