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What structures make up the spine? We review basic spine anatomy here...before identifying potential causes of back pain....
Click here to learn about the most common causes of back pain, and things that increase your risk of backache. We cover lower back pain and upper back pain....
Back pain symptoms may seem obvious. But do you know when symptoms of back pain are more serious or when to see a doctor? Learn what action to take & when...
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Q: Lower back pain
asked by: DoctorQuestion on February 18th, 2008
I have been suffering extreme lower left side back pain for about 4 months now, it never completely goes away. I now also get pain in my groins, like a burning pain, but this is not there all the time. Some days I can hardly wal and cannot go out. The back pain is almost like I have been "punched" hard at the very bottom of my back.


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Dr. Nikola Gjuzelov , MD
replied on February 26th, 2008
Back Pain Answer A3740
According to your symptoms of lower back pain, burning pain in the groins, and occasional difficulty walking in combination with the description of the pain (“like I've been punched hard…”), you could be experiencing compressive neuropathy. During nerve compression, the roots of the spinal nerves that exist the lumbar and sacral region of the spine are affected. Pressure on a nerve’s root can cause pain, itching, tingling, muscle weakness…etc. depending upon the type of nerve : either sensitive or motor nerves. If such pressure on the nerves lasts for too long, the condition can cause permanent nerve damage which manifests with numbness or muscle paralysis. Pressure on the spinal nerves is usually due to spondylotic changes (osteophytes and discus hernia) in the vertebral column. Less frequent, more rate reasons for nerve compression may include tumors, injuries, etc.

You can request an X-ray image and MRI to confirm any changes in the spinal vertebrae and to locate the exact place where nerve is pressed. Therapy for neuropathy will depend upon the diagnosis, degree of nerve damage and localisation. You can consult an orthopaedist for follow up.





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