[20F] With severe back pain and neurological symptoms

What might be happening

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

• Musculoskeletal Strain: This is a common cause of back pain and can occur as a result of poor posture, lifting heavy objects, or sudden movements. The pain is usually localized to the area of injury and can be accompanied by muscle weakness and soreness.

• Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your feet, is irritated or compressed. Symptoms can include back pain, weakness, numbness, or tingling in the legs and feet.

• Kidney Conditions: Your kidneys are located towards your back, and conditions such as kidney stones or infections can cause back pain. However, these are usually accompanied by other symptoms such as changes in urination or fever, which you did not report.

• Hypoglycemia: Your history of hypoglycemia could explain your lightheadedness and weakness. Hypoglycemia, or low blood sugar, can cause a variety of symptoms including weakness, lightheadedness, and even fainting.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for a proper evaluation.

What you can do

While waiting for your appointment with your healthcare provider, here are some things you can do:

1. Rest and avoid strenuous activities that may worsen your back pain.
2. Apply a cold pack to your back for 15-20 minutes at a time, several times a day for the first 48 hours. After that, a warm pack may be more helpful.
3. Over-the-counter pain relievers such as ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) may help with the pain. However, since you mentioned that Motrin didn't help, it may be best to consult with a healthcare provider for other options.
4. Monitor your blood sugar levels closely and manage your hypoglycemia as advised by your healthcare provider.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe back pain that doesn't improve with rest
• Back pain that radiates down your legs, especially if it extends below your knee
• Weakness, numbness, or tingling in one or both legs
• Unexplained weight loss
• Bladder or bowel incontinence
• Fever or chills

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate evaluation and treatment.