Back Pain - Help required

[Harjeet1]

I started getting back pain 4 months back. It triggered after I traveled to a place in a day and after coming back started feeling pain on lower back. I work in a Software company and work around 8 hours daily.

I got MRI done but Doctor says its minor problem will get resolved. I took Physiotherapy sessions around 30 till now. Doing core back strengthening excersices prescribed by them.
But after 4 months the problem has reduced but still its difficult to sit at work and drive my car.

I have consulted multiple doctors but no one has clarified the exact problem.
I am looking for advise to know my exact problem. Below is the high level MRI report.

Lumbar Curvature is mildly straightened.
I/V disc shows normal signal intensity.
No significant diffuse disc bulge noted.
Sagittal diameters of the thecal sac at disc levels ( in mm) as follows
L1-2    13mm
L2-3    11 mm
L3-4     10 mm
L4-5      9 mm
L5-S1    9 mm
Visualised SI joints are grossly normal.

Can you please help me out in telling the exact back problem I have and what could be the resolution and how it can be cured.Thanks in advance

[Confused7765]

Hello, I work in neurophysiology and spine surgery. It sounds from your MRI that your back pain may not be nerve related. If your doctors did not find any stenosis, foraminal narrowing, or disc herniations, then I would trust them on that. You may have a painful muscle spasm or something else going on. Most patients that we see will not need surgery if they keep their core strong to protect their spine. I would continue with physical therapy, and possible look into some type of posture correction while sitting.  I assume you sit for 8 hours a day at your job? Maybe look into buying a standing desk, this will help you maintain core strength, as it is very hard to do sitting for 8 hrs per day. Good luck.