Which Specialist to See for Pelvic and Spine Pain? - Orthopedics

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When dealing with pelvic and spine pain, especially when accompanied by symptoms such as chest tightness and dizziness, it is crucial to approach the situation systematically. Given your history of lumbar spine issues and the recent onset of sharp pain, it is advisable to consult a specialist who can accurately diagnose and treat your condition.


Recommended Specialists
1. Orthopedic Surgeon: An orthopedic surgeon specializes in the musculoskeletal system, including bones, joints, ligaments, and tendons. They can evaluate your spine and pelvis through physical examinations and imaging studies (like X-rays or MRIs) to determine if there are structural issues such as herniated discs or spinal stenosis.

2. Neurosurgeon: If your symptoms suggest nerve involvement, such as sciatica (sciatic nerve pain), a neurosurgeon can provide insights into potential nerve compression or other neurological issues. They can also perform surgeries if necessary.

3. Pain Management Specialist: If your pain is chronic and not responding to initial treatments, a pain management specialist can offer various interventions, including injections, medication management, and alternative therapies.

4. Physical Medicine and Rehabilitation (PM&R) Specialist: Also known as physiatrists, these specialists focus on restoring function and improving quality of life through non-surgical means. They can develop a comprehensive rehabilitation plan that may include physical therapy, exercises, and lifestyle modifications.

5. Chiropractor: If you are open to alternative treatments, a chiropractor can help with spinal alignment and may provide relief through manual adjustments. However, it is essential to ensure that they are aware of your previous injuries and current symptoms.


Diagnostic Approach
To determine whether you are experiencing sciatica, a herniated disc, or another condition, the following steps are typically taken:
- Medical History: A thorough review of your medical history, including any previous injuries, surgeries, or chronic conditions.

- Physical Examination: A physical exam to assess your range of motion, strength, reflexes, and any areas of tenderness.

- Imaging Studies: Depending on the findings, your doctor may recommend imaging studies such as X-rays, MRI, or CT scans to visualize the spine and pelvis.


Symptoms to Monitor
While you wait for your appointment, keep track of your symptoms, including:
- The nature of your pain (sharp, dull, throbbing)
- Any activities that exacerbate or relieve the pain
- Associated symptoms like numbness, tingling, or weakness in your legs
- Changes in bowel or bladder function, which could indicate a more serious condition

Conclusion
In summary, given your symptoms and history, starting with an orthopedic surgeon or a pain management specialist would be a prudent choice. They can guide you through the diagnostic process and develop a treatment plan tailored to your needs. If necessary, they can refer you to other specialists, such as a neurosurgeon or a PM&R specialist, based on their findings. Remember to communicate all your symptoms clearly, as this will help in reaching an accurate diagnosis and effective treatment plan.