A 20-year-old female asked:
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pain in the lower right side of my back with a small, movable lump around my hip bone. what could be causing this?

1 doctor answer
Dr. Laurence Badgley
52 years experience General Practice
SIJ: 20y female notes unilateral low back pain & movable subcutaneous mass. Absent trauma, these findings suggests sacroiliac joint, SIJ, disorder. Patient has discovered a benign cartilaginous Schmurls node overlying the discomforted dorsal aspect of her SIJ. Pain generated by a disordered SIJ radiates from low back to the hip. Is Hypermobility Syndrome involved? See comments:
Answered on Apr 9, 2016
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Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
On my Pain Syndrome board at Quora.com, I present 100 essays which discuss the diagnosis, multiple causes of, and rational therapies to treat various soft tissue disorders including low back pain and sciatica.
Oct 7, 2015
Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
If Joint Hypermobility Syndrome is suspected, then the Beighton Hypermobility Scoring System needs to be reviewed: http://hypermobility.org/help-advice/hypermobility-syndromes/beighton-score/
Oct 7, 2015
Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
Female w. inveterate back pain upon prolonged class sitting + "fatigue" should have Osteopathic evaluation. Soft tissue spasm likely & program of aquatherapy + gentle yoga might help; plus soft homogeneously-supportive mattress to forestall pain-interrupted-sleep/fatigue. Massage & topical Cannabis salve to be considered. Such symptoms in female warrant evaluation for Hypermobility Syndrome.
Oct 7, 2015

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