I'm a 22 y.o. male and have been having moderate lower back pain for the past 2 years. I'm about 6'3" and fairly athletic and have seen every doctor under the sun regarding this problem. My symptoms are localized pain on the left side that radiates into my left buttox. I have never had tingling or weakness and rarely have had any pain shooting into my left leg. More often than not, the pain is ONLY in my buttox in a specific spot, but sometimes it is accompanied by lower back pain on the left side as well. I have seen a physiotherapist and although stretching provides temporary relief, most back strengthening exercises and most sports activities make the pain worse.
My question is, could mild dextroscoliosis (convex to the right) be tied to a leg length discrepancy? My physiotherapist told me a few times that my left leg was slightly longer than the right. My test results stated the following:
MRI Lumbar Spine: convex right scoliosis. Tip of the conus medullaris terminates at the L1 vertebral body level. Soft tissues unremarkable. Spinal canal and neural foramen patent. No nerve root impingement detected.
X-Ray Lumbar Spine: There are five non-rib-bearing, lumbar type vertebral bodies and slight dextroscoliosis. The vertebral heights are preserved. The L4-L5 disc space is narrowed. There is minimal L5-S1 facet arthropathy. The pedicles are intact. Impression: Lower lumbar degenerative disc disease and minimal facet arthropathy.
MRI/X-Ray Sacroiliac Joint both completely normal.
This is not my area so I'm not sure what all of that means, but I'm curious if disc narrowing could cause my symptoms. Also, this is the first time anyone has told me that I had scoliosis but the doctor didn't even discuss it because it's so minimal. Could all of this be linked to the apparent leg length discrepancy? Should I "work through" the pain in the gym or could I do more damage? I'd appreciate any help as I just got out of school and am entering into a profession where I need to be physically fit. Thanks!