[21F] Experiencing recurrent lower back pain

What might be happening

Based on the information you've provided, possible causes for your lower back pain include:

• Muscular strain: This is a common cause of lower back pain, especially in young adults. It can occur due to overuse, improper use, or trauma. It's usually not serious and often gets better with rest and pain relievers.

  • Treatment typically involves rest, heat or cold therapy, over-the-counter pain relievers, and sometimes physical therapy.

• Herniated disc: This occurs when the soft inner portion of a spinal disc pushes through a crack in the tougher outer casing. It can cause pain in the lower back, especially after standing or sitting for long periods. However, it's less common in young adults.

  • Treatment may involve physical therapy, medications, and in some cases, surgery.

• Spondylolisthesis: This is a condition in which one bone in your back slides forward over the bone below it. It's more common in older adults, but can happen at any age.

  • Treatment usually includes physical therapy and medication. Surgery may be needed in severe cases.

What you can do

1. Continue to take over-the-counter pain relievers as needed. Nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen, can be particularly effective.
2. Try to identify and avoid activities that worsen your pain.
3. Consider starting a gentle exercise program to strengthen the muscles in your back and abdomen. This can help prevent future episodes of back pain.
4. Maintain a healthy weight. Being overweight can put additional strain on your back.
5. Practice good posture when you're sitting and standing.

What you should look out for

You should seek immediate medical attention if:

• Your pain is severe or doesn't improve with rest and over-the-counter pain relievers.
• You have difficulty controlling your bowels or bladder.
• You have numbness or weakness in your legs.
• You have unexplained weight loss or a fever.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.