Dear Sir/Madam I am suffering from Sevier back pain while 1, bending down2, long time sitting (my nature of work is long time sitting)3, lifting the lug4, jogging5, bending to wear clothes and shoesAnd I am gaining weight in normal diet, before 2 year 62 kg and now 78 kg, because of back pain I cannot do any exercise.As per my medical report doctor suggested me for surgery. I want to know whether I can avoid it Previous treatment details and MRI report are enclosed here with it. But  after all these treatment I am having the back pain as Sevier as before. Thanks ,Jestin AbrahamKannur, Kerala
Dear patient from all your complaints I think you're suffering from spinal instability with mechanical backache. I cannot find your MRI report. There are many ways of treating back pain, but I should be aware of your MRI report. Also, kindly get radiograph of lumbosacral spine anteroposterior and lateral views. You are putting on weight which also increase stress on your spine and increases back pain. So try to control weight and reducing weight will lead to back pain relief.I cannot comment on need of surgery unless I see your MRI report., so please send it, so I can plan your treatment.