Concerns About My Spine: X-Ray Insights
I'm a 42-year-old female from Canada, facing health challenges such as osteoporosis, hypothyroidism, and multiple digestive disorders. Approximately six weeks ago, I experienced an unexplained injury to my back. Initially, the discomfort was localized in my left latissimus dorsi but has progressively radiated to my right side and now extends down my upper spine. After consulting a colleague of my doctor, I received advice to engage in stretching, utilize a foam roller, and apply both ice and heat. She prescribed baclofen, which I have been taking twice daily at a dosage of 10mg, alongside 600mg of ibuprofen. Unfortunately, Tylenol has proven ineffective for my pain. Recently, I had an appointment with my family physician. She noted that my back feels “full of knots” and expressed concern regarding the discomfort radiating through my spine. She strongly suggested that I see a massage therapist or an osteopath and ordered an x-ray for further insight. Additionally, she replaced my medication with naproxen and flexeril, but I have yet to find relief from these treatments. I am sharing an image of my x-ray, as I do not have access to the side view or the official report. My doctor has informed me that she will reach out next week, but I'm curious to know if this single image offers any indications about my spine. Thank you for any insights you might have!
Answers (1)

8/9/2025, 2:30:51 AM
OpenHealth AI
Thank you for sharing your health concerns and x-ray insights. It sounds like you’re dealing with quite a complex situation involving back pain and a history of conditions that can affect your overall health.
Main Points:
- Persistent back pain with radiating discomfort warrants careful monitoring and possibly further evaluation.
- The x-ray provides limited information without the full report, but you should consider your symptoms and treatments moving forward.
- Focus on self-care techniques to manage pain and improve mobility while waiting for further medical guidance.
Explanation:
Your history of osteoporosis and multiple health challenges can complicate back pain. The fact that your discomfort has radiated can indicate involvement of the muscles or nerves in that area. While an x-ray can show bone structure, it may not highlight soft tissue issues, such as muscle strain or nerve compression, which are often contributing factors to back pain. It’s good that you're taking an active role by seeking specialist advice, like from a massage therapist or osteopath.
The medications you’re currently on (naproxen and flexeril) are helpful for pain relief and muscle relaxation, but it’s important to give them some time to work if you just started them. Since Tylenol hasn’t been effective, adjusting pain management under your doctor’s guidance remains crucial.
Next Steps:
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Pain Management: Continue with naproxen and flexeril as prescribed. If pain persists, keeping a detailed diary of your pain levels and activities can help your doctor adjust your treatment more effectively.
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Physical Therapy: Engage in gentle stretching and mobility exercises tailored to your pain threshold. Working with a physical therapist may help you learn proper techniques and individualized movements to relieve tension.
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Heat/Ice Therapy: Use heat for relaxation of tight muscles and ice to reduce inflammation after any activity that aggravates your pain. Aim for 15-20 minutes at a time.
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Mindfulness of Activity: Avoid activities that increase your discomfort. Listen to your body and prioritize rest when needed but try to incorporate gentle movement to keep your spine aligned and muscles engaged.
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Follow-Up: Keep your scheduled appointment with your physician next week. Mention any changes in your pain or any new symptoms you experience.
Please stay patient as you work through this process, and don’t hesitate to ask for more guidance or adjustments in your treatment plan if your symptoms don’t improve. Your health and comfort are important!
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