Back Pain Questions and Answers

I HATE LEGAL DISCLAIMERS, but my lawyer insists...Thanks for understanding...

Please send me your questions via the CONTACT ME form provided. I will do my best to find an answer to your back pain related question.

If you would like to post an additional answer for a question asked here, please send it to me, and I will post it for you.

This is YOUR back pain questions and answers forum. Enjoy it, and use it to answer all your questions on back pain.

A: Hi Jenny, It is great to see that you are a knowledgeable and informed patient. This is a good first step. Have you considered that the pain may be ischemic? To me, it sounds like a classic case...especially the part about the conditioned effects of 1 hour sitting = 1 week pain and such. I would certainly try knowledge therapy and feel you would do well with this program if you apply yourself to it. Best, Sensei Adam Rostocki

Q: I'm 20 years old and I was in a car accident a few years ago. When I got my MRI results, they diagnosed me with mild disk disease. Is it normal for people my age to have this diagnosis after a car accident? Rachel

A: Hi Rachel, it is completely normal to have disc disease, regardless of being in a car accident or not. At 20, you are a bit younger than most patients diagnosed, but it is certainly not uncommon at your age. I was diagnosed at 16. Best, Sensei Adam Rostocki

Q: Do you have any testimonials for your book on your web site? John

A: Hi John, Only the ones on the order page. I have considered adding a page for reader feedback on the book, but it seems so many sites do this and add fake endorsements and reviews which they write themselves, so I did not want to risk being accused of such tactics... Many people have submitted positive comments in their Q&A submissions and most are published in the Q&A archives. Best, Sensei Adam Rostocki

Q: I've had a lower back operation and still have a lot of trouble with the nerve causing cramps in my whole leg at night time. I try to walk 1/2 an hour every day but have old runners. I want to buy new one's but would like to know what to buy. Please help. Kerri

A: Hi Kerri, I think sneakers are a personal matter and I do not believe there is any one brand that stands out as perfect for everyone. I recommend you try on several quality styles and see which fits you best.Sensei Adam Rostocki

Q: Dear Sensei! I have a back pain [low back] for many years, it feels like something squeezing me tremendously, it can be comparable to blood pressure- that's how it tight [squeeze me]. I tried chiropractor, physical therapy, massage. Nothing work, after the massage i feel a little better, but my ''regular'' condition get back in a short while. Even in a bed i don't feel better. This condition 24hra day with me. Hope to hear from you. What is your advise,please. Thank you very much. Stella

A: Hi Stella, Have you ever been to a physician for your condition? If so, what was the diagnostic verdict? If not, this is my advice as the best place to begin. Best, Sensei Adam Rostocki

Q: Hi there, My name is Kane. I'm from Australia. I have been getting lower back pain for the last 6-8 months. The pain isn't all that bad in my back, mainly behind my left knee. I have had an MRI done to see why I was getting this pain. I found out I have a BULGING disc that pinches my sciatic nerve, which gives me all the pain in my leg. My cousin aged 32 has just had surgery to replace a disc in his back. His condition was the same as mine, pain in behind his left knee. The operation cost around $55 000 Australian dollars. I am only 19 yrs old and there's no way I wanna have surgery done this early. My Doctor tells me to stretch and swim, and the disc should repair itself. Looking at your website, I find this information to be correct. Just wondering if there's anything else I can do to help speed up this process? As I am in a fair amount of pain every day. Thank you, Kane

A: Hi Kane, I am sure you also saw that bulging discs are rarely responsible for pain. This is one of the main focuses of my site. FYI, it is impossible for a herniated disc to pinch the sciatic nerve, since the sciatic nerve does not join the spine. Not even close... What can happen (rarely) is that a disc can pinch one of the nerve roots which eventually forms the sciatic nerve in the lower body. If your doctor told you that the disc is pinching the sciatic nerve... RUN! They obviously need a lesson in basic human anatomy... I would prefer to see the MRI report before considering the best treatment options. Best, Sensei Adam Rostocki

Q: hi, i'm 18 years old and i was diagnosed with 5 herniated disks in my lower back when i was 17, from working, and manual labour, the doctors did a C.T scan of my back and told me the news, when my doctor was telling me about this i was scared and worried that i wouldn't be able to do some of the things i do on a regular basis, i will be 19 on Sunday and i am still struggling and fighting everyday, i would love any advice you could give me, i have tried therapy, and seen quite a few doctors, i'm at a loss for what to do and am searching for anything that will help. thanking you in advance, Crystal

A: Hi Crystal, Well, maybe it would make you feel better to know that I have 12 herniations throughout my spine. Some of mine are older than you are now... 20 years + I know that fear and worry can make the situation worse, so I advise not getting hung up on the structural issues. Most herniations do not produce pain, but some may. I also advise an MRI when possible, as this is a better diagnostic test for disc conditions. Best, Sensei Adam Rostocki

Q: my name is Amin 29 years old single, so my story before one year l feel pain in my lower back, then meet a doctor and did MRI found that the disc slippery between L4&L5so the doctor advice my to do some practice and swim much as I can, so during this year never feel I am going well andI stop the exercise but still do swimming which is very comfortable with me. l hope the good health for all.Amin

A: Hi Amin, Thanks for sending in your story. Keep on swimming, it is great for your health. Best, Sensei Adam Rostocki

Q: Hello, I have mild lower back pain that is painful when I press on the area of my lower spine. I also have mild hip discomfort and pain. my main concern in a numbness tingling sensation when I touch my hips ( both feel the same) is this normal? I went to the doc and she sent me for physio but I didn't have any xrays done. Any advice? Thanks Tash

A: Hi Tash, No it is not normal to have any pain or numbness. I recommend a diagnostic MRI as the best place to begin. Best, Sensei Adam Rostocki

Q: Hello, My name is Lisa. I'm 46 years old and spend a lot of time on my feet as an OR nurse. I have pain in the middle of my left buttock which I originally thought was sciatica. I spoke with a surgeon at work who seems to think it is SI inflammation. It does not radiate, and flares sporadically, but lately the flares are more often and last for several weeks to months. I have broken my coccyx in the past and wonder could it be related to that? My family doctor is now sending me to a chiropractic neurologist for treatment. I wonder if you have any information as to the success of this type of treatment? I don't want to continue to take pain medication every time I have a flare as this only alleviates the symptoms not get rid of the problem, not to mention I can not work and take pain medication. Looking forward to hearing your opinion.Thank You. Lisa

A: Hi Lisa, I can not comment on chiropractic neurologist treatment. I can tell you that treatment without a definite diagnosis is like shooting in the dark. Most SI joint diagnoses are incorrect, statistically, not simply in my opinion... The pain may be related to a former coccyx injury, but not likely, as long a everything healed ok. I would recommend an MRI of the SI joint and coccyx prior to committing to any therapy. I would be interested in hearing how you do in the future, so please consider staying in touch. Best, Sensei Adam Rostocki

Q: I DROPPED OF TO SLEEP IN A ARM CHAIR THE NEXT MORNING I HAD A TERRIBLE BACK PAIN WHATS THE BEST THING I CAN GET FOR THE PAIN PLEASE REPLY BACK, TONY

A: Hi Tony, It depends on the source of the pain. If you fell asleep sitting up in a weird position, the pain is likely to come from some muscular issue. Some OTC pain relievers, moist heat or massage would be fine in this case. If the pain is severe or continues, go to get checked out by a physician. Best, Sensei Adam Rostocki

Q: I am a 49 year old female. I started exercising after a long break about 3 months ago. 3 weeks ago, I started experiencing shooting pains down the front of my legs into my knees. About 3 days after that, I had excruciating pain at the base of my spine, radiating into my hips, down the groin and front of legs. I have tried, anti inflammatory drugs, a Medrol Dospack, 6 depro medrol injections. My pain in less but I cannot stand for more than 5 minutes due to increased pain. I am very conscious of bowel and bladder function because it also increases pain. What are your thoughts. Andrea

A: Hi Andrea, I advise a diagnostic MRI scan of the lumbo-sacral region to see what may be going on in your spine. Feel free to contact me again if you need some help once you have the report. Best, Sensei Adam Rostocki

Q: Hi! just discovered this site and I feel will be very helpful in getting knowledge and help in coping with my problem. Had severe pain since a month which got unbearable since 2 weeks. My MRI report is: Disc desiccation is noted L4/L5 and L5/Si, there is also focal mild central bulge causing mild indentation on thecal sac. I am 28 years old woman with a 15 month old child. I have always done workouts in gyms enthusiastically but have not done exercises since 6 months and have gained a lot of weight. I slipped on floor about 3 weeks back. Help please, Sam

A: Hi Sam, The email you provided was not correct. I hope you see this...

Hi Sam, The structural issues you mention are not typically the source of symptoms. I do not have a copy of your MRI report, but if this is all it says, then in my opinion, I do not blame these findings as the source of pain. You may have a soft tissue injury or other symptomatic process occurring. Best, Sensei Adam Rostocki

Q: I am 3 months out of two level fusion surgery. I don't feel right yet and don't feel safe to return to my job as a teacher. Is it reasonable to take 4 or 5 months off? Chips

A: Hi Chips, It sounds reasonable to me, but I think this is a matter to discuss with both your doctor and your employer. I send my best, Sensei Adam Rostocki

Q: Woke up one morning with extreme lower left sided back pain which radiated down back of leg to foot. Two days later I had numbness below left knee and slight drop foot. Almost 4 months later I have yet to get a diagnosis as the doctors seemed puzzled. MRI's show mild DDD and only a slight bulge at L4-L5. Pain in now felt in both hips and low back. Had pelvic ultrasound which was neg as were all blood test inc. sed rate. I am not sure what else to do or who else to see. Can you advise? Dee

A: Hi Dee, It certainly could be regional ischemia. This is common in cases such as yours, where pain spreads and defies explanation. If this turns out to be the case, then you are VERY LUCKY to not be misdiagnosed with some scapegoat issue which would absorb the blame, leading to a number of unsuccessful treatments, which is also incredible common in the back pain industry. I lean towards widespread oxygen deprivation as the source. Best, Sensei Adam Rostocki

Q: I have dealt with lower back pain for nearly 20 years but most severely in the change of seasons. I was referred to therapy which made it worse. Then I started with chiropractic which helped tremendously. That said all chiropractors are not created equal search for one that works with and for you. Just recently I had been starting to get more severe pain. Found out l4 was broken in the past about 40-50% damaged. When I was not getting relief through normal adjustments I tried inversion, with an inversion table. World of difference. less pain and adjustments are going easier. I would recommend inversion to anyone, 3-5 minutes 1-2 times per day. no drugs no surgery YEAH!!! John

A: Hi John, While your experience is not universal, it is terrific to hear that you found something that works well for you, without the risks and side effects of drug therapies. Excellent job! Best, Sensei Adam Rostocki

Q: my son aged 22 is AS patient with prominent kyphosis.is the corrective surgery advised? Ashok

A: Hi Ashok, This is a question which can not possibly be answered from the tiny amount of information provided. Kyphosis is not necessarily painful. You did not mention if your son has pain, nor the extent of the curvature. Surgery should never even be considered unless there is severe chronic pain and/or the possibility for organ damage. Remember that kyphosis surgery is the most invasive type of spinal fusion and this procedure makes the symptoms worse, without recourse, in many patients, so it should always be an absolute last resort. I think a consultation with a neurosurgeon is the best answer to the question in this particular case. Best, Sensei Adam Rostocki

Comment: I recently had the ability to seek outside treatment for the spins and I chose to go to a well known hospital..which I will not name...buts its in Atlanta and they treat head and spinal cord and MS. I have to say that it was truly a disappointment. I chose this place because of its popularity and was very displeased with the attending physician. He was rather youthful for this field, maybe 43 years old. No bedside manners whatsoever. He had a aura of meanness. He actually insisted during a spinal injection that it could not be that painful for me while he was injecting steriods into my coccyx and pelvic area. I was so humiliated; how he be so insensitive to a patient. To suffer with pain is enough; but to actually have a physician suggest that it doesn't hurt...was too much.

I went for about 3 months and between the doctors attitude and the PTs inability to see me on time and when he did...he was too involved with making notes to really provide me with the PT I required. He was disorganized and never on time. I live in fear of not walking on day. I am a very modern woman, even called sexy all my life and to find myself here, in pain everyday but still trying to keep my sanity and beauty is in itself...tiring. But I refuse to give up. I will be doing acupuncture soon and in hopes that it will give me some relief. Shaun

A: Hi Shaun, Thanks for sending in your story. I wish you well in your upcoming acupuncture treatment. Best, Sensei Adam Rostocki

Q: My friend had to have surgery to her neck following a fall she has bolts and screws to c4/5 this was approx 11m months ago.She is experiencing a heavy type discomfort across her the back of her shoulders her surgeon says that he has never come across this before and has given her no real advice. It has become debilitating and her quality of life has been greatly reduced. Your advice would be most welcome. Lynne

A: Hi Lynne, My advice would have almost surely been not to have surgery... At this point, I do not not have any answers either. It is an unfortunate reality that surgery rarely cures pain and often makes it far worse. I can say that for the surgeon to claim they never saw anything like her symptoms is probably ludicrous, since failed back surgery syndrome is a literal epidemic and MOST patients do not find relief. I do send my best, Sensei Adam Rostocki

Q: Hi there. My name is Amy and I am 23 years old. A year ago, i was sitting on the floor and when i got up, i felt so much pain in my back, i thought i was going to pass out. I was in agony for days. My back was having uncontrollable spasms..anyway, for months after that it was hurting but then about 5 months later, the pain completely disappeared. 6 months ago, i was laying in bed and the spasms came out of nowhere!! Ever since then, i haven't had a day where it hasn't ached AT ALL! I go to physio once a week. A ct scan showed that i have a minor slip bulge (i cant remember which disc but its one of the lowest and most common), scoliosis-which isn't that bad and some degenerative changes...THAT'S WHERE IT HURTS...i have arthritis in the middle of my spine. My spine doesn't hurt-but the area just next to it ACHES..it feels like a massive knot. My physio said she thinks its inflamed and she said it's not a knot. What does an inflamed area feel like? It's an extremely sensitive area. It doesn't ache everyday...but there's definitely something there. My physio said she feels that my condition has been caused due to lack of strength- i'm very weak and small. She said that i shouldn't be in this much pain from "some degenerative changes" what do you think? I think i might get a cortisone..have you had one? I can only stand for a small amount of time and then my whole back feels tired, like i've been carrying a really heavy backpack on my back for hours. If someone rubs my back, its like "ohh wow don't stop" lol...please help! Do you know roughly how long it takes for ppl to strengthen their back? Amy

A: Hi Amy, I do not think the minor structural issues you describe are responsible for your pain, but there is no way to be certain, with such limited diagnostic info available. My recommendation to you is to get MRI studies of the affected areas. Also, you need to get involved in your care more and learn more about the conditions thought to be responsible for your pain. This is the first step towards reaching recovery. If you can get the MRIs, feel free to send me the reports for a far more detailed answer regarding your symptoms. As far as your questions, I do not recommend the cortisone shot and feel it is a temporary solution at best, and one with risks... I also do not subscribe to the physical therapists view that "weakness" has caused these issues. This is almost always laughably ridiculous and antiquated nonsense. Just being up and around is tremendous work for your body... Get the MRIs. Best, Sensei Adam Rostocki

Q: I was in an accident where a girl was on her cell and t-boned the driver side of my vehicle. I was driving at a slow pace and she was going about 25 mph. I have been having on going and chronic pain in my head, neck, shoulders, arms hands and fingers as well as my lower back, and down both legs, feet and to my toe tips. I experience tingling and numbness as well since November 2008 a year and 3 months ago. I would like to send the MRI report I have just received done on my cervical spine and lumbar spine. I have spoke with many doctors in Richmond over this time frame with not much success and decided to go to a different hospital and they did these MRI's - I just received the report/ Do you have a fax number - I am unable to scan my report.Thank you. Sincerely, Christina

A: Hi Christina, I do not use fax. It is an antiquated technology. You can simply type the report for me if you can not scan it. Best, Sensei Adam Rostocki

Q: Hi Sensei, I have a lower back pain that seems not to go. Some days i feel better but the pain is always there. I can send you an MRI to check. Where though? Doctors told me to undergo an operation, but i believe there should be an easier way to cure my problem. I am planning to take glucosamine...will that work? Thanks, Juan

A: Hi Juan, You can send the MRI report (not films) to this email. I do not think glucosamine will do a bit of good for your pain, although it may be healthy for you. Best, Sensei Adam Rostocki

Q: I have had back pain for about five years. In the past six months it has progressively gotten worse. I have been to three chiropractors, and orthopedic doctor, family doctor, and I have had decompression therapy on the DRX9000. I haven't had any relief. I have recently started a program attempting to balance any muscular imbalances that I have. I haven't noticed any significant decreases in the pain that I have. I have pain from my neck to my lower back and I also have sciatica down both legs. A couple of weeks ago, I had injections in my piriformis muscles to relive the tightness. I still have the sciatica. Everything burns really bad.

I don't know what else to do. I had an MRI about a month ago, and it didn't show any significant bulges or herniations. Sometime when I get up out of a chair I hear and feel a pop in my lower back. Sitting makes my back hurt the worst. I have had to drop out of college classes for the time being because the pain of sitting is so bad. I'm only 27, and I have been active all my life.Do you have any suggestions on what could help me heal and get rid of the pain? I have noticed that the spinous processes are very visible and stick out further in my lumbar spine around L1-L3 more than anywhere else. I don know if that has to do with anything or not. Please help. I could send pictures if I need to. Thanks. Neil

A: Hi Neil, MRI would have clearly shown if there was any abnormality with the spinal bone alignment and doctors would be sure to notice. They love looking for possible scapegoat explanations for pain! Rarely does anything go unnoticed... Given your clean MRI results, I advise that the pain is almost sure to be ischemic and I would treat it as such. Knowledge therapy is the way to go. Why would you get DRX9000 if there was no suspected spinal source? This strikes me as a VERY strange recommendation to be sure... Best, Sensei Adam Rostocki

Q: Dear Sensei, 2 months back I was sitting in a chair when something locked in my lower back, I had pain going down my left hip to the leg.Upon MRI found out herniated disc L5/S1. Doctor gave 4 days of bed rest then I was back at work(teaching kindergarten)I had 12 sessions of physio, was given Arcoxia for pain and Lyrica for nerves. I also found out I have osteoporosis just the onset (i am 42) I recovered fairly quickly but the pain does not go away completely although there is no numbness in calf or foot. I now take medication strictly on need to basis which is generally every other day. Here are my questions :is it ok to have bearable nagging pain for which I take Arcoxia or NSAIDs say every other day or does this mean that eventually I will have to have surgery as I am not getting pain free? My other question is that I used to be fairly active,now when I walk at a moderate pace for 45 minutes or do exercises for the back, I get stabbing pain in back or anterior thigh pain, even slight sharp pain while walking: should I stop walking, take bed rest or continue walking and ignore the pain walking, how can I lose weight when with my metabolism I need to diet and follow a workout to lose weight( I have put on 5 kgs)? I have started taking weight reduction medicines like xenical and reductil,do they have any adverse effect on herniated disc and osteo? Please help me the doctors are very vague in their answers. I will be in your debt forever, please help. Thanks, Memi

A: Hi Memi, I am not avoiding your direct questions, but have to start with the obvious queries of my own... First, the symptoms do not seem to match the clinical expectation for a herniated disc at that level. However, I am not entirely clear of the diagnosis. It would be helpful for you to send your MRI report or at least type the relevant part for me to see any neurological impairment which may exist. NEVER assume the disc is responsible, since in your case it does not appear to be at all...

4 days of bedrest will do nothing for a true disc concern, nor will drugs. I suspect something else is at work here...

I am not a fan of any pharmaceutical or herbal based weight loss product as a blanket statement.I will write more when I see the MRI. Best, Sensei Adam Rostocki

Q: My name is Allen I'm located in Panama City, FL. I'm 57 years old and over weight.I work as a professional pilot, flying commercially for a time share company in OH. While loading bags in my airplane a few years a go I hurt my lower back, in the past year I have had two Laser procedures done on lower back making me worst than ever before pain wise and strength.The most recent procedure I had done was just last week which was Neurostimulation Therapy which was a test before the real one was put in as an implant into my but cheek upon the leads being put into my lower back I felt immediate relief from my lower back pain and the pain in the calves of my legs, but my left leg and left foot caused a considerately a lot of pain and had me not walking very good. Upon removal I had immediate relief in my leg, but not in my left foot. my toes in my left foot feel like they could bust at any time with sharp pain coming out the ends. Any suggestions, the only thing that I can figure is upon inserting the leads into my back the doctor relieved pressure that could have pressing on my spinal cord from scar tissue. Thanks

A: Hi Allen, There are many possible explanations, ranging from the one you suggested, to contact with a nerve, to the very real possibility that the surgery is not needed at all and your body is simply reacting to it as a nocebo, rather than a placebo. I see this latter one all the time. Best, Sensei Adam Rostocki

Q: I am in my late 60s and have never had a back problem until about 5 weeks ago. I am experiencing excruciating and debilitating pain in the coccyx area. The pain seems to be focused in and around the rectum. I was in so much pain that I went to the emergency at the local hospital. They found nothing and suggested that it was hemorrhoids. I then went to a Bowen specialist who gave me some relief. In the past 5 weeks I have had only two 'easy' days. Walking does seem to have an easing effect but I am never without pain and sleeping is so disrupted. I take no drugs. Can you give me any idea as to what the cause may be? Lin

A: Hi Lin, It could be anything, but if it is centered in the rectal area, it is unlikely to be spinal. I suggest undergoing an MRI just to be sure. Best, Sensei Adam Rostocki

Q: I'm 56 years old and hurt my back approximately 25 years ago carrying a large dresser down a flight of stairs. I have had constant back pain (left side only) some groin pain (left side only) since then. I have never had leg pain. An MRI showed a disc rupture at L5-S1. I've been told I'm not a candidate for surgery. Any suggestions? I've tried everything - physical therapy, epidurals, chiropractors, spinal decompression, prolotherapy injections, and acupuncture. Kevin

A: Hi Kevin, Please send the MRI report so that I know the extent of your disc issue. This will help me to help you. Best, Sensei Adam Rostocki

Follow up: Hello Sensei, the MRI report reads as follows: At L5-S1 there is disc desiccation. There is an asymmetric disc herniation seen in the left paracentral region causing effacement of the thecal sac, in close proximity to the existing nerve root, and narrowing the left neural foramen. Thanks, Kevin

A: Hi Kevin, You do not have a rupture. You have a herniation. Furthermore, the herniation is completely minor and seemingly asymptomatic. No wonder all the treatments failed to cure you, for the disc is certainly not the source of pain. The symptoms you have (groin) do not even come close to correlating with the diagnosis anyway... For a guy 56, your spine looks terrific. You should be thrilled. I theorize that the pain is 100% ischemic and if you treat it with knowledge therapy, I am sure you will be successful if you apply yourself to the treatment. Best, Sensei Adam Rostocki

Comment: Hi, my name is Sam, I'm 21 years old. About a 3 years ago I began working at a theater in Chicago. Over the course of the summer I began to experience some acute pain in my lower back. I never fell or had any sort of blunt force to it. Over the years I developed extreme chronic pain in my left hip. Along with this my lower back pain became almost unbearable. I finally got the nerve to go to the doctor (I have a small fear of them as I've had many surgeries on my ears through out my life). He diagnosed me with Trochanteric bursitis and gave me dexpak (steroids) to stop the inflammation and hopefully stop the pain. This did absolutely nothing but make me feel very ill for the 10 days I was on it. About a week after I was off this my hip popped and causing my lower back and hip to feel like 100 hot knives stabbing me at all times. I have a very high pain tolerance and it has become absolutely unbearable. I was referred by my doctor to an orthopedic surgeon and given pain pills (something called norco I believe). The pills offered very minimal relief and for some reason I am having to wait a month before seeing the new doctor. My pain medication was out after two weeks (I was prescribed 20). I am now finding myself getting fewer and fewer hours of sleep because all I do is toss and turn. I can't seem to find a comfortable position. In the two weeks I had the pain pills I decided to go to the Mardi Gras parade downtown. I took two (more than I ever take but I new I would be walking a lot), I still felt the pain but it was dulled. I got to the parade at 11am, it started at 4:30pm (in Louisiana, waiting for the parade is just as much fun as the parade itself). I was with a group of friends who decided to walk to the other end of the parade route. I figured that it would be fine if I took two pain pills. By the time we got to the other end I could not walk back. Not only did my left hip and lower back hurt worse than ever,the pain also spread to my right hip. I was literally crippled for 2 days. My girlfriend is a physical therapist and she has been doing stretches and strengthening my back as much as she possibly can without me crying in pain for hours after (crying in front of the girlfriend isn't something I find to appealing). I am currently in grad school now and most of my classes are across campus from each other. By the last one she has to come get me from the building because I can no longer drive my car. I am one day away from seeing the orthopedic surgeon. I am praying that he can find the cause of this so I can some what alleviate the pain I'm constantly in. If you are reading this then you yourself or you know someone who has experiencing something like this. Thank you for reading and please if you have time say a little prayer for me :) Sam

A: Hi Sam, Will do. Good luck at the orthopedist! Best, Sensei Adam Rostocki

Q: I am 49 year old male. First time (approx 8-9years back) I felt lower pack pain after a jerk on two-wheeler riding but it was for few days. After few years acute back pain appeared suddenly while I was i office. I do office work mostly on computer (9am-5pm). I took medicine and it vanished for few years. But now from 7-8 months it appeared again. This time doctor took X Ray and told me that it is due to less development of a vertebra by birth at the lumber region. I took the medicine Medrol (8mg) once a day and Mahagesic MR4. Also did traction and SWD physiotherapy exercise for one week. The pain is now bearable but not eliminated. How can I get relief from this. Hem

A: Hi Hem, I recommend getting a lumbar MRI. Once you have the report, send it along and I will be happy to advise you on possible treatment options. Bets, Sensei Adam Rostocki

Q: since last more than 2 years i am suffering from left side lumbar spine foot-drop problem, since then i am using foot-drop splint, and i am using shoes to walk, coz i can't use chappals/sandals as it comes out,my toes are not having rip on it ,also my left feet up/down movement is not happening, i have done MRI SCAN,IT SAYS:

HIGHLY RECOMMENDATION OF NERVE SHEATH TUMOUR,NON-CANCEROUS,THIS IS IN L4/L5,ON ORTHOPEDIC DOCTOR SAYS THAT,IT NEEDS A TRANSFER SURGERY,AND THAT 2/3 TUMOURS ARE ON NERVE CLOSE TO SPINAL CORD,I HAVE TAKEN ANTIBIOTIC MEDICINES,USE NEUROCREAM,AYURVEDIC OIL,LASER THERAPY ETC,BUT IT DIDNT HELP,NOW I HAVE STOP USING ANY MEDICINES,I WANT TO KNOW IS THERE ANY HOEOMEOPATHIC/ADVANCED HOMEOPATHIC MEDCINES/TREATMENTS FOR THE SAME,AND ALSO SHOULD I TRY BODY MASSAGE,CHIROPRACTIC SESSION. rajendra

A: Hi Rajendra, If the symptoms are a result of a nerve sheath tumor, none of these modalities will be effective. Symptomatic tumors generally require surgical intervention in order to be successfully treated. I advise consulting with a neurosurgeon if you have not already done so. I send you my best, Sensei Adam Rostocki

Q: I have lower back pain,which they tell me is sciatic pain,left leg pain,tried physio,chiropractors,now laser therapy,all seems to be a waste of time and money,now have a strange tingling sensation in upper left side of back and middle left finger the same, i have no clue whats going on, neither does my doctor,any hints? Robert

A: Hi Robert, I recommend getting MRI performed on your lumbar and cervical spine. This way, there is no guess work as to what is going on in there. Remember, without an accurate diagnosis, treatment is nothing short of a guess... Let me know what the MRI reports say. Best, Sensei Adam Rostocki

Q: I have a 15 year old daughter who has spinal stenosis and degenerative disc disease. I was told she was born with this, yet we cannot trace this to anyone in our families. She already has had back surgery to remove the stenosis and a herniation. Every doctor I've been to seemed had never seen a child so young with so many back issues. I would love to speak to the person who commented about being diagnosed at 16 with DDD. Can you put me in contact with them or forward my Email to them. Valerie

A: Hi Valerie, You are in contact with me already. It is my site. I was diagnosed at 16, which is not common, but not exactly rare either. Most people begin to experience noticeable disc degeneration in their twenties and we all have it by 30. It is universal. It is almost never symptomatic. Best, Sensei Adam Rostocki

Q: Hi Sensei Adam Rostocki! Your website is great in helping me understand my best friend's diagnosis. I was hoping that you could point us in the right direction for treatment and to a possible solution to end her excruciating pain that she is in 24/7. She is 29 years old and diagnosed with spondylolisthesis. She also has fibromyalgia. She is unable to alleviate her pain with walking, sitting, standing, laying, pain medication, anything and everything. She's tried physical therapy, the epidural shots, and the electric current treatment. Doctors are not optimistic whatsoever. Her MRI s have shown a degression with each one that she has. It's really bringing her hopes down into depression. She's a single mom of 3 and feels she's missing too much of her children's lives. I'm trying to find a solution for her. They suggested spinal fusion, but said that it could possibly only help maybe 10% of her pain. Where should I be looking for better answers or for a doctor that is optimistic and very good at this type of procedure or diagnosis. All of her doctors that she's seen so far seem to be clueless or demeaning. Please let me know of where I should be looking. Thank you for any help that you can provide. -Stephanie

A: Hi Stephanie, Doctors are people too and each has their own approach to care which obviously has not suited your friend as of yet. I simply recommend she keep looking for a care provider who will take an active interest in her case and provide her with the treatment she is comfortable with. If you would like to provide more detailed info about her diagnosis (extent of slippage, grade of spondylolisthesis) and an MRI report, I will be happy to provide my opinion. Best, Sensei Adam Rostocki

Q: I have had lower back pain on and off for the past 8 years. I'm 27 now and each time it comes back it seems to get progressively worse. It's onset is sudden with extreme pain in the center of my back with pain radiating down my butt and leg. Is it possible that I have a herniated disc?and what can I do to help in relieving the pain? Thank you for your time. Jason

A: Hi Jason, As I write to many patients, there is no sense in guessing. Since this is a severe and recurrent problem, I recommend gettting a complete evaluation from a qualified physician, including diagnostic imaging. Once you have this info on your spine, I can advise you far better. If you can get an MRI, please send the report and I will provide my opinion. Best, Sensei Adam Rostocki

Q: hello sir, I am sunny (21 yrs old) suffering from lower backache from last 1 yr. This pain happened to me 1 yr. ago when i fell from bed and got a little jerk in the lower back region and after this i am suffering from this pain. I had gone to many doctors and had my treatment and X-ray but all in vain. In my X-ray it was stated that the X-ray is normal and only some muscle is compressed.From all this i got relief for only some days and after that it again continued but it was not cured fully. Now Sir will u please help me with your better suggestions/exercises/treatment. I shall be very much thankful to u for this kind of act. Sunny

A: Hi Sunny, X-ray is almost completely useless for diagnosing back pain. It will only detect fractures and spinal curvatures. Many back pain issues are due to soft tissue concerns. For this reason, I recommend getting an MRI, if this test is available to you. Let me know. Best, Sensei Adam Rostocki

Q: How did you heal yourself? I can't take the pain anymore!! It makes me hate everyday of my life, this is not how I want to live. If you can help in any way...? Michelle

A: Hi Michelle, My story is well detailed here:
http://www.cure-back-pain.org/chronic-lumbar-back-pain.htmland the treatment I used is detailed here:
http://www.cure-back-pain.org/alternative-medicine-for-back-pain.html
Best, Sensei Adam Rostocki

Comment: I thank you for all the information, it is good to see that there are some doctors interested in coccyx issues. In any case i wish to give you my opinion about this statement:

"If you are experiencing long lasting coccyx pain which has proven to be resistant to many treatments, it is time to consider the chance that your pain is actually psychosomatic"

--> This is what most doctors who do not find the cause about coccyx pain usually say. I was told this many times by many doctors until a dr. in Paris saw that my coccyx did not move at the dynamic X-rays, with a small spur causing a bursitis at the end of it when i sat. The inflammation could only be seen when he performed a good IRM. Unfortunately injections did not work for me. Manual treatment did not work for me either. But the fact that treatment does not work, does not make the pain psychosomatic...

Coccyx pain affects 4 times more women than men. There are few doctors specialized in coccyx pain. When women suffer coccyx pain for a while (> one year) they tend to have depression. The doctor tries injections, nerve blocks, and nothing. This makes doctors think that the pain is a consequence of depression. It is mostly the opposite: they are stressed out because of the pain. When the doctor can not find out the cause or a cure, he would rather say that it is idiopathic better than assuming that he just does not know how to solve the issue...

I only intend to give you my point of view after suffering from coccyx pain for a while... thank you for listening and i sincerely thank you for your site. Kind regards, Cristina

A: Hi Christina, Thanks for your respectful feedback. Of course not all coccyx pain is psychosomatic, as I write throughout the site, but many cases certainly are. I know this for sure, as they respond well to knowledge therapy, but not medical care. I send my best, Sensei Adam Rostocki

Q: Started in lower back and it would spasm and if I coughed hard I would basically be in severe pain and my legs would buckle from under me. When I hit a certain spot It's like a sciatic nerve and man cant move get up or anything. Has been 2 weeks and still has not gone away and have never had it this bad. The pain will move from the right to the center and then the left which is wierd. I use to get the sciatic problems in my butt years ago and could not walk but went away after I quit being a truck driver. So I am 50 now but I had a motorcycle accident in 2007 and shattered my pelvis in 3 spots and split it up the middle so they said I would need hip replacement later. Probably has something to do with it so I am hoping you might have some sort of answer for me. Thanks Brian

A: Hi Brian, Have you had a recent MRI of the area? If so, please send the report. If not, this is a good place to begin. Best, Sensei Adam Rostocki

Q: I have back pain starting from last 9 years & Actually it become worst year after year. in the beginning (first 4 years) i was complaint from lower back pain especially after sitting for long time on Computer & that time it was released by using temporary pain relief. after some the frequency of pain complaint was increased even by doing small activity like (cooking, watching TV). later on the pain was moved from lower back to upper back then neck. (currently the pain moving around all my back & neck , shoulder & both back sides. I went to many doctor & I did therapy sessions but there is no improvement (even all medicines & pain relief not helping me. Please advise me. Best regards, Faisal

A: Hi Faisal, It sounds like a classic ischemia pain syndrome to me. The diversity of symptoms is anatomically illogical and the condition has obviously been treatment-resistant. I advise knowledge therapy. Best, Sensei Adam Rostocki

Q: I was in a hit and run car accident in August 09. I have 3 herniated discs in my lower back. L1,L2,L3 with protrusion and extrusion. I went to therapy for five months and three ESI's (epidural steroid injections) Nothing has worked and I have horrible pain every day. It never goes away. I have two small children that I can't even pick up. I am only 28 years old and am having a hard time dealing with the constant pain.I cannot sit, stand, walk or lay down for extended periods of time. My back pain is affecting every part of my daily life and I feel stuck in a rut. Any suggestions to relieving the pain would be greatly appreciated Kelly

A: Hi Kelly, I would like to see the MRI report before advising you so that I may know the extent of the disc issues. You can scan and send it or simply type it in full. Best, Sensei Adam Rostocki

Q: Sir, My name is Sajesh, I am from India, I got in an accident 7 years before-I fall from vehicle- but still now i feel pain all over my body. I feel numbness,stiffness all over my body. I took my MRI and CT scan, that shows there is a compression [wedge] on L3 vertebra. There is no neurological problems. But i feel pain, especially when I sit on stool. i consulted so many doctors, no one can give the correct answer. i feel stiffness in my skin, when i do some kind of action, at that time due to severe pain i cant even talk with others. i hope your appropriate answer will send soon.

A: Hi Sajesh, If you have had a thorough exam without any other findings except this compression fracture, your symptoms are likely to be psychosomatic. They probably began as a result of the trigger mechanism enacted by the accident. I advise knowledge therapy, as the illogical nature and diversity of symptoms makes them virtually impossible to be from a structural issue. If you did not receive a full exam than this is my first advice... Best, Sensei Adam Rostocki

Q: I had a spinal fusion in 1975 when I was 18 years old for a 1st degree Spondy. I had numbness in some of my toes and leg pains. I'm fused from L4 to L5 to S1. The surgery worked for that pain, but about a year or so later I developed unstable SI joints that became as painful or worse than my spondy. Thanks to prolotherapy I have been able to control this problem. I could not live without the two prolo injections into my SI joints yearly that is required to control my problem.

I've also have a stiff neck daily most likely from my fusion. A spinal fusion to your sacrum screws up your spinal bio mechanics greatly. I think this is because of the Dura connection. The sad part I actually had a posterior sacral base and not a spondy. I guess you could of called it a hang nail because the symptoms were terrible. I could probably correct the posterior sacral base with the arthro stim adjusting devise and prolo to the L5 / S1 joint.

I'm certified in Spinology spinal adjusting and have dedicated my life to spinal care even though that is not my profession. I had to study it to survive and function.. Do you have any info on others who are fused to their sacrum? Bill

A: Hi Bill, I have written extensively about spinal fusion and the most common area treated is identical to your own... L4 to S1. Your results are far better than most, as the vast majority of patients require ongoing surgeries and multiple fusions in neighboring vertebral levels over many years. I send my best, Sensei Adam Rostocki

Q: Hi, I have been experiencing back pain for almost a year. This originally seemed to stem from a bout of pleurisy in which i saw a doctor for pain in my side. Antibiotics did not do much good and so i saw a physio who used many techniques including massage and stretching the area. This seemed to help and i was free from pain for the next four months. I then started with a severe stiffness in my mid to upper back, thoracic spine area as well as feelings of bruising in my right upper rib area and two weeks later I could not move my arm up or back which sounds like my rotator cuff. After much discomfort, lack of sleep and many visits to the doctor he eventually seemed to take me seriously and referred me to a physio to no avail. Then he sent me for a chest x ray which showed up clear. He referred me to a orthopedic specialist in the hospital who did x rays on my neck shoulder and cervical spine and all of these seem to be ok apart from normal wear and tear to my neck. The specialist said he didn't need to see me again if x-rays were satisfactory so where did that leave me? On going back to my GP he pressed areas of my neck which he said was very tense causing me immense pain. He gave me some strong anti inflammatories and some anti depressants in a small dose to act as muscle relaxants. This has taken the edge off for a few hours but i would really like some answers as to why i have this chronic pain. I enjoy sport and going to the gym but am finding it hard to get remotely motivated. I feel like a 41 year old hypochondriac as I really don't know where to go from here. I would be grateful if you have any suggestions? Thanks Joanne

A: Hi Joanne, It sounds like a classic example of an ischemic pain syndrome to me. I advise knowledge therapy and I am sure you will be fine if your devote yourself to the treatment. Best, Sensei Adam Rostocki

Q: I am a 79 year old woman & have had facet joint injections which was no help, i've had an operation for spinal stenosis which was of some help, i've now been recommended to have an injection in a ligament in my lower back, is this the same as the facet joint or a different part? Valerie

A: Hi Valerie, Facet joints are the spiny projections at the rear of the vertebral bones...the parts you can feel and sometimes see through the skin. Ligaments are soft tissues which run throughout the spinal anatomy. They are different. I do not think that any injection therapy will bring lasting relief. This has been my experience... Best, Sensei Adam Rostocki

Q: Hi, i'm hoping you may help me... I am 32 yrs old mum of 4, and for 3 weeks now my spine has been causing me alot of pain, it will get better with pain killers but never goes away. I have tingling in my hands and feet also. worried i went to see my gp, she gave me a good exam all over and said she feels its nothing but muscle pain as i'm having anxiety attacks over it being cancer! I have had no injury, i do pick my young girls up alot. No weakness in bladder or bowels. Just a pain in one area that sometimes moves to another area. Its painful to touch. I'm really worried about cancer.. please can you give me some advice? many thanks. Lianne

A: Hi Lianne, At 3 weeks , it could be anything. Why the incredible worry about cancer? Doesn't sound like it to me. This gives me a hint at your nature and leads me to believe that the pain may be related to anxiety. If it does not resolve in a few more weeks, I advise going for spinal imaging. Just keep the idea in your mind that this may all be a tension ischemia syndrome and worry will only escalate it. Best, Sensei Adam Rostocki

Q: I had spinal fusion @L5-S1 on 04/07.I still had pain so a different doctor did a lumbar discectomy L3-L4.That was in 08/08. I still had pain on the left side of my back to the knee. Then in 01/09 the 2nd doctor wanted to do a disc replacement with a possible 3 level fusion. so I went to a pain management doctor, who put in a spinal stimulator which does not work. the leads keep going up the spine. This happens 3 X times all ready. so do I go for the fusion or give the pain doc. a 4th try. Thanks, Kevin from new york.

A: Hi Kevin, I would have advised you out of surgery from the beginning, especially fusion. There is no doubt that the surgery was not needed, as the pain has not resolved. At this point, I advise you to concentrate on finding the actual source of pain, rather than resigning yourself to the whim of these doctors who obviously can not cure you. Once you know the reason for the symptoms, a cure is far easier to enact than simply taking shots in the dark. Best, Sensei Adam Rostocki

Q& A Archive 2006 to Present

Custom Search