A member asked:

Dr is out of ideas; back pain is getting worse again. had pt, 2 si injections, 2 medial blocks/denervation, chiro, ok mri. i can barely sit. help!

A doctor has provided 1 answer
Dr. George Arcos answered

Specializes in Pain Management

Discogenic: In your age group, recent studies suggest the primary cause of persistent low back pain is the lumbar disc. I suggest a high field (1.5 tesla or greater) mri. You may have primary discogenic pain or internal disc derangement , which may be manifested as annular tears on mri. In this condition, sitting is most uncomfortable , producing axial lumbar pain sharp or burning. Discography can be useful.

Answered 12/3/2013

4.7k views

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