[22M] Experiencing lower back and buttock pain post snowboarding fall

Patient Description

A 22-year-old male reports persistent pain in the lower back and top left buttock after a snowboarding accident where he fell and bent backwards. The pain began immediately following the fall and has persisted for a few weeks, changing in location and intensity. The pain is described as constant, sometimes sharp when performing certain movements, and is rated at a severity of 6 out of 10. The pain is localized and does not radiate down the legs. It is alleviated by laying down or walking around. There are no accompanying symptoms such as numbness, tingling, weakness in the legs, or changes in bowel or bladder control. No swelling or bruising has been noted in the affected area.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following conditions:

  • Lumbar Strain/Sprain: This is a common injury that can occur when the muscles or ligaments in the lower back are stretched or torn, often due to a sudden movement or fall. The pain is usually localized in the lower back and can be sharp or dull, depending on the severity of the injury.

    • Treatment typically includes rest, applying ice or heat, over-the-counter pain relievers, and physical therapy.
  • Sciatica: This condition occurs when the sciatic nerve, which runs from the lower back down the back of each leg, is irritated or compressed. This can cause pain, numbness, or tingling in the lower back, buttocks, and legs. However, you mentioned that the pain does not radiate down your legs, which makes this less likely.

    • Treatment often involves physical therapy and pain management.
  • Disc Injury: An injury to one of the discs in the spine, such as a herniated or bulging disc, can cause pain in the lower back and buttocks. This is more likely if the pain is sharp and worsens with certain movements.

    • Treatment may include physical therapy, medication, and in some cases, surgery.

What you can do

It's important to consult with a healthcare provider for a proper diagnosis and treatment plan. In the meantime, here are some things you can do to help manage your symptoms:

  1. Rest: Avoid activities that worsen your pain, but try not to stay in bed all day. Too much rest can actually make your symptoms worse.
  2. Heat or Ice: Apply a heat pack or an ice pack to the painful area for 15-20 minutes at a time. Heat can help to relax tight muscles, while ice can help to reduce inflammation.
  3. Over-the-Counter Pain Relievers: Non-prescription medications like ibuprofen or acetaminophen can help to reduce pain and inflammation.
  4. Gentle Stretching: Gentle stretches can help to relieve tension in the lower back and buttocks. However, it's important to stop any stretch that causes pain.

What you should look out for

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

  • Severe pain that does not improve with rest
  • Pain that radiates down one or both legs
  • Weakness, numbness, or tingling in one or both legs
  • Changes in bowel or bladder function

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare provider for a proper diagnosis and treatment plan.

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1 yr ago

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People Also Ask


What are the common symptoms of a lumbar strain or sprain?

Common symptoms of a lumbar strain or sprain include localized pain in the lower back, which can be sharp or dull, stiffness, and muscle spasms. The pain often worsens with movement and improves with rest.


How can I differentiate between a lumbar strain and a disc injury?

A lumbar strain typically involves muscle or ligament injury and presents with localized pain that does not radiate. A disc injury, such as a herniated disc, may cause sharp pain that worsens with certain movements and can sometimes radiate to the buttocks or legs, although this is not always the case.


What are the recommended home treatments for lower back pain after an injury?

Home treatments for lower back pain after an injury include resting, applying heat or ice to the affected area, taking over-the-counter pain relievers like ibuprofen or acetaminophen, and performing gentle stretching exercises to relieve tension.


When should I seek medical attention for lower back pain?

You should seek medical attention for lower back pain if you experience severe pain that does not improve with rest, pain that radiates down the legs, weakness, numbness, or tingling in the legs, or any changes in bowel or bladder function.


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