Expert: Gerald Anzalone, D.C. - 5/24/2011

Question
2 months ago I was in the tub leaning back masterbating really hard (I'm not trying to be sick/preverted but its true) and felt my lower back poke.  It wasn't that bad but sitting indian style was really hard and poked now and then.  1 month after I was given pain killers and spasm pills and they didn't work too much.  Then i did pilates flexion/knee to toe or something weird like that, laying on back with knees bent and breathing, and feet on knees, massage helped get the middle of back poke and I felt like i was 100 percent better, then started having mild spasms in my upper mid back.  2 days later I went back to the clinic and did the same routine 3 ab lower back workouts and massage, and it seemed ok but better the 1st time, then I went up the stairs running and started having pain in the lower back region with spasms around the lumbar and lumbar bone felt like it was hurting too, some home massages and alot of ib profin and good diet, w/ now, today xray showed "hips" doctor said also he did the "pro adjuster" stating back is all messed up showed a whole bunch of red white blue, 2-3 more different colors on the screen with sine waves, alittle releif after that and he suggested laser therapy, please let me know what you think is the best method too fix the problem?

Answer
In response to your question, you need to have a proper musculoskeletal evaluation of your condition. The information you provided regarding the examination findings really does not provide adequate information to arrive at a diagnosis, and I suspect that the practitioner you are seeing is using a proprietary technique which would not be considered a standard of practice.

There is some good evidence for the efficacy of laser therapy for certain musculoskeletal disorders, but lasers are still generally considered to be an experimental modality, and again, your diagnosis is uncertain or unclear.

I cannot provide you with a diagnosis over the Internet, but based on the information you have provided, it would seem reasonable to suspect a muscle strain/spasm as well as a possible disc bulge or herniation.

I recommend that you see a musculoskeletal-based chiropractor, or your primary care physician for an appropriate physical examination. Then an appropriate treatment plan can be discussed.

I hope that this helps to answer your question.