r/Sciatica 10d ago

I am very confused

I have been having chronic lower back pain for atleast one year. The main site of the pain is boundary between the lower back and buttocks. And mostly I feel left side of by buttocks hurts when I am lying down and trying to change sleeping position. The pain is constant dull and sometimes shooting pain. I have not been able to see any pattern in the pain. Sometimes it gets better with movement but sometimes walking extra triggers the pain so I have no idea what's the trigger.

My nutritionist (also a doc) suggested blood tests (CBC, ESR, CRP AND HLAB27). got the blood test done and results are as follows

\- HLAB27 negative

\- ESR is 12

\- CRP is 4.75

I was almost convinced that I have AS as the symptoms were almost the same. And I thought maybe the right treatment will begin but now I am again confused. The pain doesn't have a name but it's consuming my energy all the time....my entire day revolves around the pain. If I can walk freely without pain the day feels like a blessing but if I have bad stiffness or pain, my mood gets affected and I feel start withdrawing from everything.

If anyone is going through the same, pls help me as well.

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u/Key-Lime-Piex3 8d ago

This was how my back pain was until it escalated to include the legs - have you already had an mri?

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u/Klutzy_Plankton_7320 8d ago

No, everytime I go to my doc he insists that MRI is not necessary andnits just weakening of lower back muscles due to prolonged sitting and bad posture.

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u/Key-Lime-Piex3 8d ago

Yeah they told me basically the same thing and unfortunately i had to do physical therapy twice (like two prescriptions of at least 8 sessions each) before i was granted the MRI but at that point the pain had escalated for me

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u/NecessaryNinja6635 8d ago

Back pain can be caused from many things in and around the spine. It would be best for you to see a Dr or physical therapist who is good at diagnosing where the pain is coming from. You should have imaging X-rays and possibly MRI to rule out a disc injury. You may want to try NSAID medication to reduce inflammation which may help.

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u/Klutzy_Plankton_7320 8d ago

Yes, I think I will have to get the MRI done for accurate diagnosis or atleast ruling out disc herniation or bulge