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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!

1 doctor weighed in
Dr. George Arcos
Pain Management

In brief: 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.

In brief: 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.
Dr. George Arcos
Dr. George Arcos
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