[21F] Experiencing worsening low back pain

Patient Description

A 21-year-old female presents with low back pain that started mildly a week ago and has progressively worsened. The pain is described as extremely achy, affecting both sides of the mid to lower back, and intensifies later in the day. It is exacerbated by both standing and sitting. The patient reports a slight increase in urinary frequency but no fever, chills, nausea, or pain during urination. No recent injuries, recreational drug use, or known family history of kidney problems are reported. The patient has a medical history of ADHD, anorexia nervosa, anxiety, and executive dysfunction, diagnosed approximately 3 years ago. Current medications include Adderall (20mg extended-release in the AM and 10mg immediate-release in the PM), Zoloft (25mg once daily), and a Vitamin D supplement. No known drug allergies.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Musculoskeletal Strain: This is the most common cause of back pain, especially in younger individuals. It can occur due to poor posture, lifting heavy objects, or sudden movements. It is usually worse with movement and better with rest.

    • Treatment typically involves rest, over-the-counter pain relievers, and physical therapy exercises.
  • Kidney Infection or Stones: Your back pain, combined with increased urinary frequency, could suggest a kidney issue. Kidney stones can cause severe pain in the back or sides, as well as changes in urinary habits. A kidney infection may also cause these symptoms, but would typically also include fever, which you did not report.

    • Treatment for kidney stones usually involves pain management and drinking lots of fluids to help pass the stone. Infections are treated with antibiotics.
  • Spinal Conditions: Conditions like herniated discs, spinal stenosis, or spondylolisthesis can cause back pain. These are less common in your age group and usually cause more specific symptoms like sciatica (pain radiating down the leg).

    • Treatment depends on the specific condition and its severity, but can range from physical therapy to surgery.

What you can do

  1. Try over-the-counter pain relievers like ibuprofen (Advil) or naproxen (Aleve) to manage your pain.
  2. Rest and avoid heavy lifting or sudden movements that could exacerbate your pain.
  3. Practice good posture when sitting and standing.
  4. Stay hydrated, especially if kidney stones are a possibility.
  5. Consult with a healthcare provider for a formal evaluation. They may want to do further testing like an X-ray or urine test.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe pain or pain that suddenly worsens
  • Pain that spreads down one or both legs
  • Weakness, numbness, or tingling in one or both legs
  • Unexplained weight loss
  • Fever, chills, or other signs of infection
  • Difficulty controlling your bladder or bowels

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

Show More

1
 Hugs
0
 Comments

Save

9 mo ago


People Also Ask


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

Common causes of low back pain in young adults include musculoskeletal strain from poor posture, heavy lifting, or sudden movements. Other causes can include kidney issues, spinal conditions, or less commonly, infections.


Can increased urinary frequency be related to back pain?

Yes, increased urinary frequency can be related to back pain if the cause is a kidney issue, such as a kidney infection or stones. However, it is important to consider other symptoms like fever or pain during urination to better understand the cause.


How can I differentiate between musculoskeletal back pain and a kidney issue?

Musculoskeletal back pain is usually related to movement and posture, and improves with rest. Kidney issues might also cause back pain but are often accompanied by urinary symptoms, such as increased frequency or pain, and sometimes fever.


What are some effective home remedies for managing back pain?

Effective home remedies for managing back pain include using over-the-counter pain relievers like ibuprofen, applying heat or cold packs, practicing good posture, staying hydrated, and avoiding activities that exacerbate the pain.

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback