[20F] Experiencing sharp lower back pain and frequent headaches

Patient Description

A 20-year-old female has been experiencing sharp lower back pain for almost two months, particularly when leaning backwards, with a pain severity of 6 or 7 out of 10. The pain is consistent throughout the day and is not alleviated by any specific actions. She also reports throbbing headaches with an intensity of 5 out of 10, occurring 4-5 times a week, sometimes more than once a day, with an increased frequency since the onset of back pain. Additionally, she experiences night sweats but no other symptoms. The patient is currently taking a birth control pill, Norgestimate, and has no known drug allergies. There is no recent history of injuries, recreational drug use, or changes in prescribed medications. There is no known family history of chronic headaches or musculoskeletal disorders, and the patient has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

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

  • Musculoskeletal Strain: This is a common cause of back pain, especially in young adults. It can occur due to poor posture, lifting heavy objects, or other physical activities. The pain is usually localized to the lower back and can be sharp, especially with certain movements like leaning backwards.

    • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.
  • Tension Headaches: These are the most common type of headache and can be caused by stress, anxiety, or muscle strain. They often feel like a constant ache or pressure around the head, especially at the temples or back of the head and neck.

    • Treatment usually includes over-the-counter pain relievers, stress management, and lifestyle changes.
  • Side Effects of Birth Control Pills: Some birth control pills can cause headaches and back pain as side effects.

    • If you suspect your birth control pills may be causing your symptoms, you should discuss this with your doctor. They may recommend a different type of birth control.
  • Other Conditions: While less likely, other conditions such as kidney problems, hormonal imbalances, or neurological conditions could potentially cause your symptoms.

What you can do

  1. Rest and avoid strenuous physical activity until your symptoms improve.
  2. Try over-the-counter pain relievers for your back pain and headaches.
  3. Practice good posture, especially when sitting for long periods.
  4. Stay hydrated and maintain a balanced diet.
  5. Consider stress management techniques, such as deep breathing, yoga, or meditation, to help manage your headaches.
  6. Consult with your doctor about your symptoms, especially if they persist or worsen. They may want to perform further tests or adjust your treatment plan.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe pain or pain that suddenly gets worse
  • Weakness, numbness, or tingling in one or both legs
  • Unexplained weight loss
  • Fever
  • Abdominal pain
  • Changes in bowel or bladder function

Remember, I'm an AI and this advice is based on the information you've provided me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask


What are common causes of lower back pain in young adults?

Common causes of lower back pain in young adults include musculoskeletal strain from poor posture, lifting heavy objects, or engaging in physical activities. It can also be due to stress or lack of exercise.


Can birth control pills cause headaches and back pain?

Yes, some birth control pills can cause headaches and back pain as side effects. If you suspect your birth control is causing these symptoms, it's important to discuss this with your doctor.


What are effective ways to manage tension headaches?

Effective ways to manage tension headaches include using over-the-counter pain relievers, practicing stress management techniques like deep breathing or yoga, maintaining good posture, and ensuring adequate hydration and nutrition.


When should I seek medical attention for back pain?

You should seek medical attention for back pain if you experience severe pain, sudden worsening of pain, weakness or numbness in the legs, unexplained weight loss, fever, abdominal pain, or changes in bowel or bladder function.


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