I’m 24 yo. I have lower back dull pain on right side of spine close to L4-L5. It gets worst when i bend back words or twist when standing straight. I can bend forward little pain when going deep. I have this pain for two and half month. On the beginning it was just a minor pain and I didn’t paid much attention to it. I kept training in gym and did all heavy exercises, like dead lift and squats. That’s when it got worst. I tried to swim, bot it caused pain, so i don’t do it any more. I still do body weight exercise home and try to avoid movements causing pain.
I went to a doctor and he said I have “Conflict of spinous processes” and he used X RAY to conclude that. I’m not sure if his diagnose is right. My physiotherapist said I have a good posture and strong core. I don’t know how to procedure further.
In my opinion you have now multiple level disc lesion grade 2 and spondylitis grade 1, primary cause is doing abdominal exercise from extended hip and knee ( must be both flexed to protect your back )
You Must stop heavy lifting and avoid jumping for 3 to 6 weeks , start by 1 week bed rest in hip and knee 90 degree flextion , use anti inflammatory 3 times a day
Then after one week start physical therapy program focused on back streching
For me ..you have a hyperlordosis with diminished disc space in Lower lumber discs 4-5 l5 s1..
An anteroposterior view is necessary to judge scoliosis.
Your core muscles are strong but it seems you have overloaded your lower back with weights.
I would suggest my patient to do stretching for lower back and avoid over weights.
Some anti inflammatory gels with ultrasound ..
the pain seems to be arising out of a slipped disc.Xray wont show a slipped disc and you will need an MRI for it.
Use lumbar belt,avoid strenous exercises or lifting anything heavy.
CONFLICT OF SPINOUS PROCESS DOES NOT SEEM TO BE THE CAUSE.
THERE MAY BE A NERVE IMPINGEMENT IN THE IVD. AN MRI WILL BE USEFUL.
TILL THEN,PHYSIOTHERAPY WILL BE HELPFUL.
spondylolisthesis seems to have started. you need to use lumbosacral belt and do back exercises regularly.
LASER therapy will help