[22F] Experiencing lower back pain with leg weakness

Patient Description

A 22-year-old female is reporting a full ache in the lower back with an intensity of 5 out of 10, which is worse in the morning. The pain is associated with leg weakness. The patient has a history of a mild urinary infection at the age of 16 but has been asymptomatic since then. The patient notes fluctuation in water intake and finds some relief from back pain when drinking water and sleeping on the stomach. There is no recent history of heavy lifting, injuries, or accidents.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Muscular Strain: This is a common cause of lower back pain, especially in young adults. It can occur due to overuse of the muscles, such as from heavy lifting, or due to poor posture.

    • Treatment usually involves rest, physical therapy, and over-the-counter pain relievers.
  • Kidney Infection: Given your history of urinary infection and the fact that drinking water seems to alleviate your symptoms, a kidney infection could be a possibility. These infections can cause lower back pain and can sometimes lead to more serious complications if not treated.

    • Treatment typically involves antibiotics.
  • Sciatica: This is a condition caused by irritation of the sciatic nerve, which runs from the lower back down the back of each leg. Symptoms can include lower back pain, leg weakness, and numbness in the leg or foot.

    • Treatment can include physical therapy, medications for pain relief, and in some cases, surgery.

Remember, I'm an AI and these are just possibilities. You should definitely consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Rest: Try to avoid activities that make your back pain worse.
  2. Hydrate: Continue to drink plenty of water, especially if a kidney infection is a possibility.
  3. Over-the-counter pain relievers: Non-prescription medications like ibuprofen can help with the pain.
  4. Heat or Cold: Applying a hot or cold pack to your back may help with the pain.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek medical attention immediately:

  • Severe pain that does not improve with rest
  • Pain that radiates down one or both legs, especially if the pain extends below the knee
  • Weakness, numbness, or tingling in one or both legs
  • Unexplained weight loss
  • Bladder or bowel issues
  • Fever

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


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

Common causes of lower back pain in young adults include muscular strain, poor posture, and sometimes conditions like sciatica. Muscular strain can occur from overuse or improper use of the back muscles.


How can drinking water help alleviate back pain?

Drinking water can help alleviate back pain if the pain is related to kidney issues. Staying hydrated helps the kidneys function properly and can reduce the risk of infections that might cause back pain.


What are the symptoms of a kidney infection?

Symptoms of a kidney infection can include lower back pain, fever, chills, nausea, and frequent or painful urination. It's important to seek medical attention if you suspect a kidney infection.


What is sciatica and how is it treated?

Sciatica is a condition caused by irritation of the sciatic nerve, which can lead to lower back pain, leg weakness, and numbness. Treatment options include physical therapy, pain relief medications, and sometimes surgery.


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