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Severe Back Pain
I have back pain from last 13 yrs which is severe now from past 8yrs. Recently visited a pain management doc & was given tab myospaz & candikind plus but no relief. My X-ray dated 02July concludes 1) Normal lordosis is lost, suggestive of muscular spasm. 2) Partial Sacralization of L5 vertebra is noted ( congenital). Plz help with the treatment.
Partial sacralization is a phenomenon which happens in few individuals. We call it as lumbosacral transitional vertebra where in the transverse process of last lumbar vertebra become spatulated, enlarged and fuses with the Sacral vertebra or ilium. This process usually takes several years and during this period it can cause severe low back pain. Once the segment gets fused it may not cause much pain...It is not a dangerous problem.
Next Steps
Consult the pain physician. Injecting a local anaesthetic and small dose steroid combination under X Ray guidance at the site where the two bones are about to join (pseudo-articulation) will be the right approach to relieve pain...you will also need a good therapist who will stretch and strengthen your back after the injection.
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