Back pain: multiple causes


Q: I am 29 years old. I have endometriosis. I had 3 injections of depot lupron at age 22 they lasted 6 months each. After that I tried to be in a study for endo and I couldn't because I was told I was osteopenic. My T score is-1.41 z score is -1.39 my bone men density is 120.4 mg/ml. I had a scoliosis study and it said there is a pelvic tilt iliac crest higher than the right and 14 degree of levoscoliosis identified from L1-L5. I am in pain all throughout my back and even with exercise it doesn't get better. Does this sound like symtoms of fibromyalgia because none of the medicine I've taken for that help. I need some advice desperately.


A:    Certainly, you have factors that are contributing to cause the pain that you described throughout your back. What you need to try is not just exercise, is Physical Therapy aimed to control pain , set you up with a consistent and regular  exercise routine to strengthen and stretch your back and abs muscles and give you guidelines to modify daily living activities , habits and postures that might be causing the back pain. I advise you also make sure that you are getting enough Calcium and Vitamin D with your diet. For your information,Fibromyalgia is a widespread or global pain, it can start in one site , as in your case  in the back, but becomes generalized pain for more than 3 months of duration, it can affect individuals of any age, and more women than men, but just the 2% of the general population in US meet the criteria to be diagnosed of Fibromyalgia.  If after you try all these measures, you still are in pain, I strongly recommend you a thoroughly re-evaluation, repeating densitometry and spine imaging studies just to rule out some other possible causes of your symptoms and from there decide the best treatment options your you.

Related Q&A

Q: Hi doctor, My mom had her knee replacement surgery done 9 months ago. The doctor after the surgery said she has osteo...

Q: Hello, I am currently a 19 year old female and have been recently diagnosed with osteoporosis. I believe it is relate...

Q: Why screws removing after femour fracture...bcz doctor is telling bones not joining....remove one out of four screws

Q: My friend has a lump at the base of his neck that is not tender but gives him the appearance of a hump back. Just sho...

Q: Hi There - I'm just looking for more advice here. I have acute intermittent porphyria and Factor V Leiden mutation. I...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon