OpenHealth Q&A

Get answered by medical professionals

Seeking Insight on Spinal MRI Results Related to Persistent Pain

12/16/2025, 9:40:15 PMMale25-34

Hello everyone, For the past five years, I've been struggling with increasingly severe lower back pain that has reached a level of intensity that makes walking very challenging. There are moments when I find some temporary relief by bending over and leaning against something, placing one foot forward; however, this only alleviates the discomfort for a few steps before I have to repeat it to continue moving. Despite having an MRI performed over a year ago, the specialists could not identify any issues within the scans that might explain my symptoms. Unfortunately, my condition has only deteriorated further, causing intense pain that prevents me from participating in social activities I once enjoyed. I have access to the MRI slides and would greatly appreciate it if someone could examine them to see if there’s anything noteworthy that I could discuss with my physician. I’m feeling quite hopeless at this point and sensing that my doctor may doubt my assertions since previous imaging didn’t reveal any conclusive problems. Any assistance would be immensely appreciated! Edit: I will share the MRI slides in the comments.

ArthritisCOPDInternal Medicine

Answers (1)

Cony

12/16/2025, 9:40:33 PM

OpenHealth AI

I'm sorry to hear about the persistent pain and challenges you've been facing for the past five years. It can be incredibly frustrating to deal with such discomfort, especially when previous evaluations haven't provided you with clear answers. Your situation is valid, and seeking additional insights shows your proactive approach to managing your health.

Main Points

  1. Persistent lower back pain can have various causes, even if MRIs don't show specific issues.
  2. There are steps you can take to manage your symptoms and seek further evaluation.

Explanation

Lower back pain can stem from numerous factors, including muscle strain, ligament issues, or nerve-related problems—even if imaging studies appear normal. Sometimes, pain can originate from softer tissues not seen on an MRI or be due to functional issues in the spine or surrounding muscles. The relief you feel when bending or leaning suggests a possible muscular or spinal alignment issue.

Next Steps

  1. Keep a Pain Diary: Track your pain levels, activities that exacerbate or relieve discomfort, and any other symptoms. This journal will be valuable when discussing your situation with your doctor and can help pinpoint triggers or patterns.

  2. Physical Therapy: If you haven't tried this already, a structured physical therapy program can strengthen your muscles, improve flexibility, and potentially reduce pain. A therapist can also help identify any faulty movement patterns contributing to your discomfort.

  3. Evaluate Pain Management Options: Consider discussing different pain management strategies with your physician. This could include medications, alternative therapies (like acupuncture), or even injections if appropriate.

  4. Request a Second Opinion: If you feel your concerns are not being fully addressed, seeking a second opinion from another specialist could provide new insights or different diagnostic approaches. Look for a physician who specializes in pain management or spine health.

  5. Stay Connected with Support: Maintain communication with supportive friends, family, or support groups who understand chronic pain. Expressing your feelings and sharing experiences can help diminish feelings of hopelessness.

It's understandable to feel frustrated, especially when you’re seeking answers for pain that impacts your daily life. Remember, you have the right to advocate for your health and find a treatment strategy that works for you. Please let me know if you need assistance with specific resources or guidance on any of these steps!

Related Questions

Chronic Joint Pain Since Childhood

Since I was eight years old, I’ve endured intense and persistent pain in my joints. Initially, the discomfort was primarily in my knees, characterized by a sharp sensation right beneath the kneecap. As someone on the autism spectrum, I often visualize a strange, soothing thought: the idea of removing my kneecap and using an ice cream scoop to relieve the pressure underneath it. My parents sought help from several medical professionals, all of whom attributed my symptoms to growing pains. I even underwent cancer screenings at the age of nine because doctors felt my level of discomfort was excessive for mere growing pains. At school, I frequently had to wear dual knee braces. When I turned 14, I had a CT scan, but the results were inconclusive; doctors continued to insist it was just growing pains. At 18, I had an X-ray that also revealed nothing abnormal. Now at 20, my joint pain persists and is progressively worsening. My hands now ache in addition to my knees, and on particularly bad days, the pain radiates down to my ankles, making walking and sleeping almost impossible for half the week. The discomfort has entirely hindered my ability to work. My family and I strongly suspect that I may have some form of arthritis, but I struggle to convince the medical community of this due to my young age. My father, who suffers from arthritis himself, often empathizes when I express my pain, telling me, "that sounds familiar." I have broken down in front of numerous doctors, pleading for assistance, yet I consistently leave without answers, only to be scheduled for more scans that come back normal. The medical care I have received thus far has been far from satisfactory; for instance, I was prescribed eye drops that nearly resulted in serious damage to my vision when I consulted an eye specialist. This is just one of many frustrating experiences I’ve faced. I feel completely overwhelmed and in agony, and I have no way to reach out for specialized medical help since my only means of transportation is my father, who is also afflicted by arthritis. I feel lost and in deep pain without a clear path forward.

ArthritisInternal MedicineEndocrinology
Male25-34
3 minutes ago

Seeking Guidance on Persistent Chest Discomfort After Extensive Testing

I'm a 43-year-old male, standing at 5'11" and weighing 180 pounds. My journey began around March to April of 2025 when, despite regularly hitting the gym four times a week, I was struck by severe chest pain along with frequent belching and a tight feeling in my diaphragm. At times, the pain became so intense that I feared it might be a heart attack. **Medical History:** In May 2019, I received a diagnosis of **PVS** and have since been under the care of a cardiac electrophysiologist. Upon experiencing these new symptoms, I consulted my EP, who conducted an EKG right then and set me up with a 7-day heart monitor. The results showed no irregularities. Subsequently, I was directed to a cardiologist, who carried out both a **stress test** and an **echocardiogram**, both of which yielded normal findings. Afterward, I returned to my primary care physician, who speculated that my gallbladder might be involved. An **ultrasound** was performed but revealed no issues. I then requested a **chest X-ray**, which also came back normal. My PCP then considered the possibility of a **hiatal hernia** and referred me to a gastroenterologist; unfortunately, that appointment took almost **five months** to materialize. In the meantime, my symptoms persisted, prompting me to cease weightlifting and switch my focus to **cardio and running**. Surprisingly, these activities didn’t exacerbate my symptoms, though the chest pain remained constant. When I finally saw the gastroenterologist, they suggested an **upper endoscopy**, which took another roughly three months to arrange. During this procedure, I was diagnosed with **Eosinophilic Esophagitis (EOE)**, a condition I had not previously experienced. The doctors also placed a pH monitoring device for acid reflux assessment, which indicated **no unusual acid exposure**. Following this, I began a treatment plan that included a swallowed steroid inhaler and an increased dosage of **omeprazole**. Sixty days later, I underwent another endoscopy, which showed that the EOE had largely resolved, with minimal residual symptoms. Unfortunately, my chest discomfort persisted without any improvement. It has now been about **a year** since these issues emerged, and I still have not found substantial relief. A recent chest MRI completed at a dedicated imaging center revealed no abnormalities. I entertained the idea of **costochondritis**, but again, the MRI did not support that hypothesis. The only minor relief I find comes from consciously pulling my shoulders back and expanding my chest. I continue to experience discomfort around my **diaphragm** and tenderness in the area of the **xiphoid process**. My PCP prescribed a steroid pack, which was somewhat beneficial for the pain but failed to alleviate the pressure or constant discomfort. At this juncture, I feel quite lost and uncertain about my next steps. I would greatly appreciate any insights or experiences from others who have faced similar issues. Additionally, if there are any physicians here willing to offer advice, I am open to traveling to find the answers or relief I'm desperately seeking.

FibromyalgiaThyroid DisordersInternal Medicine
Male25-34
13 minutes ago

Understanding Mild Uncomplicated Diverticular Disease

I am a 29-year-old female, standing at 5'7" and weighing 130 pounds. Recently, a CT scan revealed that I have mild diverticulitis. About a week ago, I experienced significant discomfort, particularly in the pelvic region, along with pain in my right leg and hip, and some mild discomfort on the left side. After undergoing a CT scan, which confirmed the presence of mild diverticular disease, I was surprised that no one from my medical team provided any follow-up or acknowledged the condition. My blood tests returned normal results, and I was discharged without further information. While the pain subsided after about three days, it has unfortunately reappeared four days later. Is this something I should be worried about? What does this mean for me? I had a colonoscopy around 11 months ago, which indicated no issues.

Crohn's DiseaseCOPDInternal Medicine
Male25-34
23 minutes ago

Concerns After Gallbladder Surgery (Three Weeks Post-Op) - Is It an Infection?

Profile: - Age: 35 - Gender: Female - Height: 5 feet 4 inches - Weight: 160 pounds - Ethnicity: Asian Duration of Symptoms: Last Three Weeks Location: United States Recent Medical History: Nearly three weeks have passed since my gallbladder removal surgery. Over the last few days, I've noticed a small amount of unclear fluid coming from the incision. I just observed what seems to be pus oozing from the surgical site. Although there is slight tenderness when I move or touch the area, it isn't painful. Thankfully, I haven’t experienced any fever or chills, and there’s no unpleasant odor emanating from the wound. Should I continue to clean it with soap and water, or is it necessary for me to visit the emergency room for further evaluation?

Multiple SclerosisLupusInternal Medicine
Male25-34
1 hour ago

Navigating Ear Infections While Traveling in Thailand

**Age:** 23 **Height:** 6'3" **Weight:** 88 kg **Medication Taken:** 1000mg Bactoclav - Amoxicillin with Potassium Clavulanate, along with pain relief and antihistamines. **Summary:** I’m hesitant to consult a doctor overseas only to receive a prescription for the same antibiotics available at a local pharmacy for a fraction of the price. What strategies can I employ to effectively manage this persistent ear infection? Am I being too hasty in my expectations? I have a long history of ear infections, often triggered by exposure to water or any activity impacting my ears. I regularly use a specialized oil before showering to prevent water from entering my ears. While backpacking in Thailand, I've developed a particularly severe ear infection over the last several days. Initially, a course of 500mg amoxicillin seemed effective, but significantly, just yesterday my condition took a downturn, shifting from nearly healed to painfully inflamed. Now, my ear is not only swollen but also incredibly sore. In an attempt to combat this, I’ve been taking 1000mg Bactoclav - Amoxicillin and Potassium Clavulanate, having consumed seven tablets in the last two days; unfortunately, there's been no noticeable improvement. I’m reluctant to seek medical attention, fearing I would be prescribed the same medication I could acquire from a pharmacy, albeit at a much higher cost. Yet, I’m also starting to question the efficacy of the pharmacy’s medication. I’ve only recently begun the stronger treatment since my symptoms returned. Any advice would be greatly valued! In addition, I’d like to share that just a week into my four-month journey, I feel as though my ongoing ear issues are gradually dominating my life. I am incredibly grateful for this travel opportunity, and while my health isn’t at risk in a serious way, these ear complications are becoming quite overwhelming. Could there be surgical options available? Might there be an underlying health concern that I’m unaware of? It doesn’t seem normal to be plagued by constant ringing, popping sounds, and wax buildup in my ears. Moreover, it feels excessive to have to apply products in my ears every time I shower.

ArthritisMultiple SclerosisCrohn's Disease
Male25-34
1 hour ago