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I'm new to the forum so hopefully someone can help as im getting slightly lost in the NHS medical system .
Since August last year I've been suffering from extensive back pain which is at its worst after sleeping in the morning, to the point where it's started waking me up at night. Originally when it started happening I would get the pain every other day or less but it's now becoming a daily occurrence and nothing seems to be relieving the pain now. The pain is mid and upper back primarily, if I take a deep breath in the morning I get a sharp pain in my back then as well, the main pain stays until I get up and start moving around but I can still feel a loosely through the day, not to mention it is constantly clicking. I was seeing an osteopath who was manipulating my back for about 6-7 weeks which generally provided about a days relief then would return back to how it was. I learnt that my dad has AS and was diagnosed in his mid twenties (I'm 26), I've had the blood test and tested positive for the gene, however an X-ray of my thoracic spine showed nothing and I've also had an MRI which I've posted the results summary below but again nothing conclusive there. I was referred to a rheumatologist who immediately just referred me back to the GP as he described it as a mechanical issue and that I should see a Physio which given I've seen 2 different osteopath for the best part of 2 months didn't fill me with a ream of confidence, I've also tried acupuncture which Gave some relief during the first session but nothing else since so we stopped this.
I have a foam roller at home which I've been using but am not seeng any benefit yet likewise stretching hasn't helped so far. I'm on naproxen which hasn't helped at all. I've been through 4 mattresses with different firmness ratings but nothing seems to be making a difference. I've started Pilates however this has only just started so haven't seen a result yet. Likewise I'm starting yoga this week to see if that helps to.
Hoping that someone else has an experience like this and can recommend a route forward, it's incredibly frustrating and really makes me exhausted all the time. I'm just looking for any answers and sort of pain relief.
MRI Thoracic / Lumbar spine and sacro-iliac joints
Sag T1W/T2W/STIR and Ax T2W sequences, supplemented with coronal/axial T1 W/STIR sequences through the sacroiliac joints were obtained.
The vertebral alignment is normal and there is no spinal canal stenosis.
Within the thoracic spine, there is no significant disc herniation /foraminal narrowing/neural impingement. A tiny
noncompressive left paramedian focal disc protrusion at T11/T12 is noted.
Minor end plate irregularities from T7 to T12 vertebral level are noted.
There is a small focus of STIR hyperintensity in the dorsal aspect of the inferior endplate of the T7 vertebral body.
Within the lumbar spine, loss of disc T2 signal (disc dehydration) with minor loss of disc height at L5/S1 is noted. There is a
tiny noncompressive posterocentral focal disc protrusion at L5/S1.
The remainder of the intervertebral discs are normal in height and signal and no significant disc herniation / neural
impingement is shown. End plate infraction/Schmorl's node at L1/L2 is noted
The spinal cord / conus medullaris appear normal and no bone marrow signal abnormality is shown. There is no facet
overgrowth / flaval thickening.
The sacroiliac joints appear symmetrical and no intra-articular/periarticular signal about is shown. There is no presacral
Conclusion: There are minor changes in the thoracic spine and lumbar spine (tiny noncompressive disc herniations, endplate
irregularities and disc dehydration) as described, which are more likely to be degenerative in aetiology.
There is no sacro-ililac joint abnormality.
There is a solitary dorsal end plate lesion at T7 level as described. This in isolation is of doubtful significance, particularly in
the absence of sacro-ililac joint change. However verterbal end plate / corner lesions have been described in ankylosing
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