Conversation: The conversation between human and AI assistant.
[|Human|] I I have been experiencing lower back, and right leg pain stemming from the sacrum for 3 months now. Work has referred me to physical therapy and I go 2 times a week but the stretching exercises they have me doing are not helping. My pain is getting worse, especially sitting. Driving to work is almost unbearable. My x ray shows that my sacrum bends back where it connects to my L5 farther than normal. But they say it cannot be work related pain. They want to deny me workers comp and sat it s my bad posture. I deliver small heavy boxes all day and sit in the back o a vehicle for 9 to 12 hours a day. I am worried that they are misdiagnosis this to avoid paying workers comp. Any help would be great
[|AI|]  Hi, thank-you for providing the brief history of you. As per the history I understand that you are not undergoing sufficient physical therapy session. I will say underground 2 days a week is for no sure going to help you at all. You need a minimum of 5 days a week of Physical therapy. Also, by your x-ray report mentioned by you, I feel I is work related issue, and you need and MRI for this. I think this is more of a spondylolisthesis of the L5 over S1 region, it's a mere speculation but with understanding the MRI study and comparing to clinical symptoms we can come closer to conclusions, as you are a delivery boy, this condition would have made some changes in the posture and lead to abnormality in the sacral region. Also, it's totally a looking the mechanism of injury is due to job profile.Also, I will advise you to undergo and MRI and also increase the number of your weekly physical therapy sessions for up to 12-16 weeks. As in my clinical practice most patients have work related injury like how you have now, and responds well to physical therapy when the proper kinematics of the spine and the injury is understood. RegardsJay In Chat Doctor.