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Is chiropractic adjustment recommended for my spine pain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

Can you review my MRI findings?

Thank you in advance.

Answered by Dr. Atul Prakash

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have seen the MRI (attachment removed to protect patient identity), but I have no clinical information to go by and why this MRI was needed.

Grossly, I can say there is good alignment of the spine, and the discs are not showing signs of bulging or prolapse. The canal diameter is adequate, though it appears to be narrowed in the transverse axis at certain levels, but certainly no evidence of stenosis or ligament flavum thickening. The exiting nerves are free, and the foramina are clear.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Patient's Query

Thank you, doctor.

I have been having lumbar thoracic pain, which is somewhat relieved by muscle relaxers, hot showers, and stretching. Nevertheless, it has gotten so bad that I had trigger point injections and a Medrol pack, which helped to a greater or lesser degree for a few weeks. Some days, I cannot sit for more than 20 minutes at a time without discomfort, and I am worried that I cannot tolerate a long transatlantic flight. I get burning sensations near the spine after a long day at the lumbar thoracic junction. Would you recommend soft tissue massage and mild chiropractic adjustment? I will be seeing my spine specialist this week. It seems like nothing is necessitating surgery as of yet.

Answered by Dr. Atul Prakash

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

To answer your queries, I do not think that there is any need for surgery as you do not have any leg symptoms. Pain and burning sensations are confined to the back only.

Yes, manual therapy and chiropractic treatment will be of use and will help in relieving trigger spot pain, and the burning sensations can be helped by Pregabalin and Duloxetine.

I hope this helps.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At September 21, 2020
Reviewed At March 19, 2026

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

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Dr. Atul Prakash

Orthopedician and Traumatology

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

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