[18F] Experiencing chronic back and neck pain

Patient Description

An 18-year-old female reports a chronic dull ache in the middle and lower back, which she describes as a distraction and sometimes intensifies. The pain is similar to menstrual cramps but occurs at any time. It has been present for as long as she can remember. The pain is rated as a 3 on a 10-point scale and often worsens at night. Sitting in front of a computer may exacerbate the discomfort, but no specific activities have been identified as triggers. Advil and ice provide some relief. The patient also experiences stress-related symptoms similar to shin splints and occasional weakness and tingling in the legs. There is no recent history of injury, changes in bowel or bladder function, fever, or unexplained weight loss. Walking quickly is painful, requiring her to take her time. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Muscular Back Pain: This is a common condition that can be caused by poor posture, stress, or overuse. It's often characterized by a dull, aching pain that can be felt in the middle and lower back.

    • Treatment typically involves rest, over-the-counter pain relievers, and physical therapy exercises to strengthen the back muscles.
  • Sciatica: This condition occurs when the sciatic nerve, which runs from the lower back down the back of each leg, is irritated or compressed. It can cause pain, weakness, and tingling in the back and legs.

    • Treatment often includes physical therapy and pain relievers. In severe cases, surgery may be necessary.
  • Spondylolisthesis: This is a condition in which one of the bones in your spine slips forward onto the bone below it. It can cause lower back pain and numbness or weakness in one or both legs.

    • Treatment can include physical therapy, medications, or in severe cases, surgery.

Remember, it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Maintain good posture: Make sure your work station (like your desk and chair) is ergonomically set up. This means your feet should be flat on the floor and your back should be well-supported.

  2. Regular exercise: Engage in regular low-impact activities, like swimming or walking. Strengthening your core can also help support your back.

  3. Over-the-counter pain relievers: Non-prescription medications like ibuprofen (Advil) can help relieve pain and reduce inflammation.

  4. Heat and cold therapy: Applying a hot or cold pack to your back may help relieve pain.

  5. Stress management: Since you mentioned that stress seems to trigger your back pain, techniques like deep breathing, yoga, or meditation might help.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe back pain that doesn't improve with rest
  • Pain that radiates down one or both legs, especially if the pain extends below the knee
  • Weakness, numbness, or tingling in one or both legs
  • Unexplained weight loss
  • Bladder or bowel control problems

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are some common causes of chronic back pain in young adults?

Common causes of chronic back pain in young adults include muscular strain, poor posture, stress, and conditions like sciatica or spondylolisthesis. It's important to consult a healthcare professional for an accurate diagnosis.


How can poor posture contribute to back pain, and what can be done to improve it?

Poor posture can lead to muscular strain and imbalances, contributing to back pain. Improving posture involves setting up an ergonomic workspace, ensuring your chair supports your back, and keeping your feet flat on the floor. Regular exercises to strengthen core muscles can also help.


What are the symptoms of sciatica, and how is it typically treated?

Sciatica is characterized by pain, weakness, and tingling that radiates from the lower back down the leg, often caused by irritation or compression of the sciatic nerve. Treatment typically includes physical therapy, pain relievers, and in severe cases, surgery.


When should someone with back pain seek immediate medical attention?

Immediate medical attention should be sought if back pain is severe and doesn't improve with rest, radiates down the legs, is accompanied by weakness or numbness, or if there are bladder or bowel control problems or unexplained weight loss.


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