[21F] Experiencing worsening low back pain

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.