[18M] Experiencing lower back pain and a throbbing headache

Patient Description

An 18-year-old male reports severe lower back pain and a throbbing headache that has been present for approximately 4 hours. The headache pain, rated 6 out of 10, moves from the front of the forehead to the back of the crown and worsens with reading and focusing. The lower back pain, which feels like a pulled muscle or knot, has been present for about a week but has intensified today, with a severity of 7 or 8 out of 10, especially when standing up or sitting down. Additionally, the patient has a dry sore throat since this morning and has experienced chills. The patient has a history of hypothyroidism, diagnosed around the age of 13 or 14, and is currently on 100 mcg of levothyroxine taken every morning. No recent injuries, known drug allergies, or other medications were reported. The patient attends school and sporting events but has not been in known contact with anyone with a viral illness or similar symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've shared, here are some possibilities:

  • Tension Headache: These are often described as a band-like pain around the head, and can be associated with stress or strain on the eyes. The pain can be dull and throbbing, and can move around the head. It can be exacerbated by focusing or reading.

    • Treatment usually involves over-the-counter pain relievers, rest, and stress management techniques.
  • Muscle Strain or Sprain in the Lower Back: This could be due to a pulled muscle or ligament in the back. This can cause pain that worsens with movement, such as standing up or sitting down.

    • Treatment usually involves rest, over-the-counter pain relievers, and gentle stretching exercises.
  • Viral Pharyngitis: This is an infection of the throat that can cause a sore throat and chills. It can also cause a slight increase in body temperature.

    • Treatment usually involves rest, hydration, and over-the-counter pain relievers.

Please note that these are only possibilities based on the symptoms you've shared. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

Here are some suggestions that might help alleviate your symptoms:

  1. Rest and hydrate: This can help your body recover if you're fighting off an infection.
  2. Over-the-counter pain relievers: These can help manage your headache and lower back pain.
  3. Warm compress: Applying a warm compress to your lower back might help relieve muscle tension and pain.
  4. Avoid straining your eyes: If possible, try to limit activities that require intense focus or strain on your eyes.

What you should look out for

If your symptoms persist or worsen, or if you develop new symptoms such as high fever, severe headache, difficulty moving your neck, or severe back pain, you should seek medical attention immediately.

Remember, while I strive to provide accurate information, I'm not a doctor. Always 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 common causes of tension headaches and how can they be managed?

Tension headaches are often caused by stress, poor posture, or eye strain. They can be managed with over-the-counter pain relievers, stress management techniques, and ensuring proper posture and ergonomics.


How can I differentiate between a muscle strain and a more serious back injury?

A muscle strain typically involves localized pain that worsens with movement and improves with rest. A more serious injury might involve severe pain, numbness, or weakness in the legs, and would require medical evaluation.


What are the typical symptoms of viral pharyngitis and how is it treated?

Viral pharyngitis usually presents with a sore throat, chills, and sometimes a mild fever. Treatment involves rest, hydration, and over-the-counter pain relievers to alleviate symptoms.


How does hypothyroidism affect overall health and can it influence symptoms like headaches or back pain?

Hypothyroidism can lead to fatigue, muscle weakness, and joint pain, which might exacerbate symptoms like headaches or back pain. Proper management with medication like levothyroxine is crucial to minimize these effects.


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