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Transitional Segment, anyone?

Hey all. For about eight months now, I have had super intense pain in my low low back (right above the butt crack area). It feels like it's right at my spine, but sometimes it radiates out to the sides of my back. I went to my doctor and she said it was probably because I am so overweight and sent me to therapy. At physical therapy, they told me that my sacrum was twisted and gave me some exercises to do.

Well, they didn't help. The pain didn't go away in the slightest. The only time that it didn't hurt was when I would sit or lie down. I went to the chiropractor last week and he did x-rays and told me that I have a transitional segment, my L5 fused with my sacrum.

He didn't have much good news...he said that he'll need to see me a couple times a week for pain management and that I should be taking pain medication. He said that if I still live in the area in ten years, he'll still be seeing me. How lovely.

From my research, there seems to be little information about transitional segments or what can be done about them. Does anyone else have this as their primary back problem? From what I HAVE managed to find and read, it seems like this could be pretty serious...leading to herniated discs and possible nerve damage.

Any feedback would be greatly appreciated! I'll post this in a couple topics, so if you see it more than once, my apologies.


  • Hi There,
    I have this condition as well, they termed it "bertolotti syndrome" so that may give you more to research on, in my case its on the left, its painful, i also have DDD, bone spurs, the whole nine yards. my l3-l4 and l4-l5 is so bad its literally bone on bone. Knock on wood, for now my pain is being managed with medications, I haven't seen a surgeon yet, although I know I'll have to sooner rather than later. Good luck to you!
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