<human>: I am a male 21 years of age. Im 5 10, 245. I lift weigts 4 to 5 days a week. Recently i have been having alot of back pain, and i think its due to my oversize buttox. I am not fat, i have no problem running miles and i dont think its due to lifting. I do have a job where i sit in a chair all day, but i do get up and stretch. But i recently while im running my back has been hurting, or just little things have been causing pain. I have a 38 waist but around my butt is 44, so jean shopping is difficult. I just would like to know if a buttox reduction would help, and before i go to the doctor what are some question that i should ask while there.
<bot>: You appear to be physically fit from weights and exercise, but your back issue could be due to lower spine problem. Prominence of the buttocks can be the result of a lordosis which causes the buttocks to protrude. Long hours of desk work and poor work posture contributes to this. Your doctor needs to X-ray the low back to look for spinal deformity and for muscle spasm and also see if reduction of buttock size can help resolve this. Buttock reduction is a plastic surgery procedure and needs evaluation by that specialty. So your questions will be:do I have spinal deformity or muscular spasm?do I have a lordosis, and how do I correct this?