Lower Left Back Pain: When to See a Specialist - Neurosurgery

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Lower left back pain can be a complex issue, often stemming from various causes, including muscle strain, degenerative disc disease, or nerve irritation. Given your situation, where you have already consulted an orthopedic doctor and undergone X-rays, it seems you are on the right track. The orthopedic evaluation indicated that your pain is likely due to prolonged standing or sitting, leading to nerve inflammation. This is a common issue, especially in individuals with a sedentary lifestyle or those who engage in repetitive activities that strain the lower back.

Since you have already started physical therapy and noticed some improvement, it is a positive sign. Physical therapy can be very effective in managing lower back pain, particularly when it involves strengthening the core muscles, improving flexibility, and teaching proper body mechanics to reduce strain on the spine. However, if your pain persists or worsens despite these interventions, it may be prudent to seek further evaluation from a specialist.

In your case, considering the diagnosis of degenerative lumbar spondylitis without accompanying nerve involvement, it might be beneficial to consult a neurologist or a spine specialist. They can perform a more detailed neurological examination and may recommend additional imaging studies, such as an MRI, to assess the condition of your spinal discs and nerves more thoroughly. An MRI can provide insights into any potential nerve compression or other issues that might not be visible on an X-ray.

It’s also important to monitor your symptoms closely. If you experience any new symptoms, such as numbness, tingling, or weakness in your legs, or if your pain becomes more severe, these could be signs of nerve involvement that warrant immediate medical attention. In such cases, timely intervention can prevent further complications.

In summary, while physical therapy is a great first step and can lead to significant improvements, if your symptoms do not continue to improve or if you have concerns about nerve involvement, seeking a consultation with a neurologist or spine specialist would be advisable. They can provide a comprehensive evaluation and help determine the best course of action for your specific situation. Remember, managing lower back pain often requires a multifaceted approach, including physical therapy, medication for inflammation and pain relief, and lifestyle modifications to prevent recurrence.