From the scan report, please explain the cause of my low back pain.

Question

Hi doctor,

I do not remember any spine trauma. I do have morning stiffness of greater than one hour with will become better with movement. I have this issue for the past seven years. My HLA-B27 is positive. Am I suffering from inflammatory spondyloarthropathy or ankylosing spondylitis? I have attached my reports. My previous history includes bilateral linear edema of SI joint. I am currently on Celebrex 200 mg a day.

Answer 1

Hi,

Welcome to icliniq.com.

The SI joints show minimal linear hyperintensity on STIR (short TI inversion recovery) sequence (attachment removed to protect patient identity).

It is mild edema and not the usual findings which are seen in inflammatory spondyloarthropathy. Probably, it is in the early stage.

The other findings include fatty changes in the T6 vertebra, and this occurs in many people. It is not a disease condition.

For further information consult a radiologist online.

Answer 2

Hi,

Welcome back to icliniq.com.

There is a misalignment between the L5 and S1 vertebrae, and the L5-S1 disc is compressed. Your low backache is due to this problem.

Please get a routine lumbar spine MRI scan done.

Revert with the reports to a radiologist online.