I have lower back dull pain on right side of spine close to L4-L5?

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.

pain-l4-l5


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Ahmed Fawzy
5:43 am

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

Good Luck

Ayman Darrag
6:09 am

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 ..

MAHAVEER PATIL
7:08 am

hi
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.
thanks

shw12
7:32 am

HI
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.

shalini p
8:34 am

hello there
spondylolisthesis seems to have started. you need to use lumbosacral belt and do back exercises regularly.
LASER therapy will help