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lower back and hip(Butt) pain?

AnonymousUserAAnonymousUser Posts: 49,000
edited 06/11/2012 - 8:26 AM in Lower Back Pain
7 Months back i fell down playing the pain started on the next day after waking up.
I had an MRI recently and this in the report:
L5-S1:Mild diffuse annular discal bulging.Small posterocentral protrusion.Thecal sac normal.Ligamentum flavum normal.Mild hypertrophy of facet joints.
Central spinal canal and nerve root canals are of adequate dimentions
paraspinal soft tissues in view normal.
screening of pelvis revealed, signals changed s/o marrow edema seen on either side of the si joints bilaterally (Rt>Lt).Both hip joints appear normal.
Mild diffuse annular bulging with a small posterocentral protrusion at L5-S1
Altered signal changes s/o bilateral scaroilitis.
Mimimal anterolisthesis at L5-S1 with suggestion of bilateral L5 spondylolysis.

Some of mu physical symptoms:

Pain started on right hip and changed to left hip from 2 months.
pain while getting up from bed.
pain while turning on bed.
stiff back(But with no pain in back,pain occours only in hip region).
Physistheraphy for 10 days reduced pain dramatically.
but resumed after another 10 days.

please some on diagonise it and suggest me some treatment.


  • Your Dr. needs to refer you to a pain management Dr. to help you with your pain. Have you got a referral to an orthopedic Dr. yet? or a Neuro Dr?
    I have problems with my facet joints also and it caused pain and cracking of my spine from the swelling(arthritis)so my pain management Dr. gave me injections and that helped with movement and some pain. I have a herniated disc at L5-S1 and annular tear. was helpful for me to understand more terms. I have an infrared platinum heating pad that helps my pain but a hot water bottle or heating pad can help also. I'm getting conservative treatment first with injections and meds. They said I wasn't a candidate for surgery but I'm going for a second opinion with another Orthopedic surgeon in a couple of weeks to see what he has to say.
    Only a Dr. can really make a diagnosis and provide treatment but I'm just sharing some of my experiences and this is in no way medical advice. I hope you'll find support here that you need. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Hey there!
    If you are not able to control the pain via conventional means (i.e. OTC medications) then you should consult a Pain Management physician. The report from your MRI is relatively normal, and would not make you a surgical candidate. A "mild annular bulge" is extremely common, as are some of the other characteristics listed. The only other suggestion I would offer is discussing a Computed Tomography (CT) scan. This would show if there is tissue damage, and while the MRI reports your paraspinal soft tissues as "normal", the MRI is not the preferred imaging for tissue determinations. Maybe you have a tear somewhere else.

    The other possibility to ask about is the Psoas Muscle (pronounced so-ahz). The Psoas Major muscle runs down the lower mid spine beginning at the 12th thoracic vertebrae connecting to all the vertebral bodies, discs and transverse processes of all the lumbar vertebrae down across the pelvis to attach on the inside of the top of the leg at the lesser trochanter. The lower portion of the psoas combines with fibers from the iliacus muscle, which sits inside the surface of the pelvis and sacrum, to become the Iliopsoas muscle as it curves over the pubic bone and inserts on the lesser trochanter. It is also one of the MOST common reasons for back pain. Any type of injury you had in the way you describe it could very easily be an injury to the Psoas, which could be the reason for your pain. The good news is that it is treatable.

    Maybe this helps, maybe it doesn't, but it is a worthy conversation to have with your physician.

    Best of luck.
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  • I, too, have had lots of trouble with L5/S1; it causes a lot of different symptoms, including the pain you're talking about, and has been ongoing with me for years. Does your pelvis ever go out of alignment? I find that things really go to h*ll with that happens, so I go to physiotherapy regularly just to keep that in check. It really exacerbate the issues with my low back.

    I, like balou, have had trouble with the psoas muscle, and it causes pain all over the place....definitely work checking into as well.

    I also have facet joint issues, so have had three rhizotomies done to "stun" the nerves, which gave me relief for a couple of months each time and allowed me to get more active again. Unfortunately, nothing has been lasting and so far I'm not a candidate for surgery...but maybe that's a good thing?!?

    Take care and good luck.

  • Do you know how to log roll when getting in and out of bed? That could make a huge difference in your ability, pain doing it and pain afterwards. I've found many people log roll improperly, so see if you can find a tutorial online or ask your doc/physical therapist/someone.

    I also have the butt pain and it stinks. Everything is difficult with that, so I truly sympathize.

    Take care,

  • Hi,
    Thanks for all the comments.
    Most of the docs get confused with symptoms that i say.
    Let me explain them chronologically:
    7 months before:Fell down playing foot ball.Got pain on right hip/butt region.
    Got physiotherapy for 10 days pain reduced,doc suggested some exercises which i neglected
    started playing foot ball two days after the pain reduced.
    got pain after two football days.
    after 4 months pain shifted to left hip with stabbing pain in one side of upper back(only at times).
    went to physiotherapy for 10 days . pain reduced.did some stretching exercises for 10 more days.Pain in right hip , upper back never came after that.
    stopped exercise did some physical work.
    pain came back on left hip.

    doc suggested complete bed rest for 10 days.Planning for that now.
    i now think that i haven't given much chance for my back to reconstruct itself so i want to take rest for a while. and check it out.

    What do you guys think?

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  • when i fractured my spine, i felt all of my muscles spasm as i landed....and for absolutely ages i had pain running from centre of my back, very low down L5 region, which ran round to my left hip, and actually felt as if my hip bone was broken...there was nothing wrong with the bone but the pain felt as if there was...a pt told me that was very common in my type of injury, and mentioned a certain muscle that runs round that way and attatches to hip...cant remember what its called, but when i had massage of this muscle which was lower back/left buttock, the pain improved for a while...i must say it felt like it hurt for years but has gone now, even though i have other problems with my back, a severely degenerate disc L5 which im waiting for a fusion on.

    I look back and cant even remember when it dissapeared but it did...all i can say is when i was suffering with it theonly time i was free of the pain was after swimming, so try going for a swim when its getting you down and see what happens!
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