Pain in left thoracolumbar scoliosis of 1 degree

A Message from Ivan:

Hello. Recently took x-rays of the lower back in two projections, as the year experiencing pain in this area. The pain then goes away, then reappears. Thought going to let go sooner or later, but had to visit the hospital. In General, diagnosed him with “left-sided thoracolumbar scoliosis of I degree”.

The orthopedist Was prescribed by a neurologist. Prescribed treatment and so on. But my concern is not so much the scoliosis, many back pain. For example, if I lie on back and rotate your pelvis, you hear and feel the crunch in your lower back. Often this crunch not hurting, but, for example, when you sit at the table, and then try to get up – I hear a loud click accompanied by incredible pain. I talked about this as a neurologist and an orthopedist, but I'm told it's because of scoliosis, you need to undergo treatment. Could you advise me and tell what could be the reason?

doctor:

The Crunch in the lower back may be due to vertebral instability and/or arthrosis of the facet joints. It was also possible to assume the presence of bone tissue in the projection of the lateral corners of the vertebral bodies, but it seems that data for spondylosis when the survey is received.

Instability (displacement of vertebrae) can be caused not only scoliosis, but also the improper location of the vertebrae on the background curvature. "Crunch" usually patients describe the sound in the joints when you have arthritis. In the spine, it also occurs in arthrosis of the facet joints intervertebral joints.

One description is quite difficult to identify the cause of the disease. Ivan, I would like to see radiographs of the lumbar spine in frontal and lateral projections. It is also desirable to perform functional images (in a state of flexion and extension) to eliminate displacement of the vertebrae.

However, for exact diagnosis you can spend a lot of time, but it will not help in treatment because the approaches are similar in all diseases of the spine: taking anti-inflammatory drugs, muscle relaxants, vitamins, physiotherapy.