Question
I had an MRI last week for pain in my lower back & in my bottom from sitting or walking, sitting is really painful. The MRI say's The uterus is abutting the posterior pelvic soft tissue but not the nerve roots. There is a small amount of free fluid within the cul-de-sac & posterior to the uterus.
I've had spinal fusion on C-5&6, and problems with the sciatic never which causes pain down my left leg. But this pain is different,it's in my pelvic area on the right side. The MRI shows a something on the right side of my pelvis that my doctor doesn't know what it is. I guess my question is what does the MRI writings mean and could my uterus cause this kind of pain in my back side. Thanks, Judy

Answer
Yes Judy, it can cause this pain.

It is doubtful the left leg pain with sciatic distribution is caused by the pelvic inflammation, but not the pelvic pain.

I need to know your age, if you had an ultrasound of the ovaries, blood work and a bunch of other things.

This is certainly something that I need to examine in person since you obviously have more than one thing wrong.

PID, Ovarian cyst, L5/S1 disc herniation, Scar tissue fibrosis proliferation, acute abdomen, appendicitis and on and on can be a differential diagnosis.

I really need to see you, or you need to get more tests.

This isn't something that can wait, get the lead out of your Dr's behind and get a concrete Dx. If he can't handle it, find a new one. Make sure they are an Internal Medicine Board Certified physician. Even a OBGYN should be able to handle the Uterus problem, you'll need more than one specialist for this. You have two separate problems requiring different doctors.

Let me know when you have more info, I am very interested in the outcome. Once I know what is wrong, I can give you the best options for treatment.

Thanks for asking,
Dr. Timothy K. Durnin
drs.chiroweb.com