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@pah17 The spine will shift when you lay down or change position and you mentioned you have grade 1 listhesis which is when one vertebra slides past its neighbor a little bit. That changes the spaces where nerves exit the spine and can change your pain. Another possibility may be issues with the muscles that attach the pelvis to the spine. If the pelvis is out of alignment or possibly twisted, it puts pressure on the lumbar spine and can mimic a spine issue. It is possible to have more than one issue affecting the spine at the same time.
If you look at a website http://www.mskneurology.com and look under the articles for the lower back, there is an article about a compression syndrome that describes this. That brings up another thought, have you tried physical therapy? I have done a lot of PT and it has helped me gain strength and reduce pain.
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@jenniferhunter
Thank you. My work up is moving along. See my hip MRI results below. I'll be curious to see if my PCP still wants me to follow through with Rheumo. I suspect he will cancel that referral, but maybe not. I had very pronounced pain in my inner thighs at night which prompted me to get to the doctor. I'm not sure what they will decide about pain management, because I've recently started Eliquis for AFib and NSAIDS are contraindicated. My friend who is a Cardiac PA suggests that I take 2 Xtra Strength Tylenol in the am and again in the evening. I started this morning because I'm on my feet all day at work.
It sure did make a difference in my usual discomfort, but there again I'm on Prednisone right now.
It wouldn't surprise me if there's more than one thing going on at the same time as you mentioned.
CONCLUSION:
1. Multilevel degenerative disc and facet disease most pronounced at L3-4 with a grade 1 anterolisthesis from severe facet arthropathy causing a mild-to-moderate central stenosis and moderate left lateral recess stenosis with possible compression of the descending left L4 nerve root.
2. At L4-5 there is a mild central stenosis and moderate right lateral recess stenosis with possible compression of the descending right L5 nerve root.
3. At L5-S1 there is a left lateral recess stenosis and possible compression of the descending left S1 nerve root