A 60-year-old female asked:
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lower back pain worse when lying down. worse when sitting. located almost in buttocks. does not radiate. what could it be? is ice or heat better?

1 doctor answer
Dr. Laurence Badgley
52 years experience General Practice
Pelvis joint: Female with low back pain & sciatica worse sitting/lying likely has unilateral sacroiliac joint subluxation; whereby lumbar nerves are tugged & impinged where they exit lumbar vertebra foramina. Sacroiliac joint instability is highly associated with sciatica. See comments:
Answered on Jan 26, 2020
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5 comments
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Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
Another consideration as to etiology might be pyriformis syndrome. An Osteopath might be consulted.
Oct 17, 2015
Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
As to whether heat or cold is more efficacious, whichever works is what to go with. My guess is that spastic muscles are aroused so that heat and massages might be best. Acupunture and aqua therapy might help.
Oct 17, 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 17, 2015

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