[23F] With severe back pain and muscle spasms

Patient Description

A 23-year-old female presents with severe back pain described as a burning sensation, accompanied by muscle spasms that make breathing painful. The patient also reports generalized weakness and feeling feverish, although no temperature has been measured. The symptoms have been worsening over the past three days. The patient frequently lifts arms above the head and holds heavy items for work, which may exacerbate the pain. Additionally, the patient experiences joint pain in fingers, wrists, knees, and ankles during movement, along with fatigue. There is no recent history of injury, trauma, infections, or travel. The patient has asthma, diagnosed a couple of years ago, with symptoms since childhood. There are no known allergies or recent medication changes.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Muscle Strain or Overuse: Given your work involves lifting your arms and holding heavy items, it's possible that your back pain and muscle spasms are due to muscle strain or overuse. This can lead to inflammation and pain, especially if the muscles are not given adequate time to rest and recover.

    • Treatment typically involves rest, applying ice or heat to the affected area, and over-the-counter pain relievers like ibuprofen or acetaminophen.
  2. Fibromyalgia: This condition is characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. It can also cause joint pain and a feeling of being feverish.

    • Treatment often includes medications, physical therapy, and stress management techniques.
  3. Rheumatoid Arthritis or Other Inflammatory Conditions: Joint pain in multiple areas, along with a feeling of being feverish, could suggest an inflammatory condition like rheumatoid arthritis. These conditions can cause joint pain, swelling, and stiffness.

    • Treatment usually involves anti-inflammatory medications and lifestyle changes. A healthcare provider may recommend specific tests to confirm a diagnosis.
  4. Viral Infection: Sometimes, viral infections can cause body aches, joint pain, and a feverish feeling, even if you don't have other typical symptoms like a sore throat or cough.

    • These usually resolve on their own, but rest, hydration, and over-the-counter medications can help manage symptoms.

What you can do

  1. Rest and Modify Activities: Try to rest your back and avoid activities that exacerbate your pain. Consider modifying your work tasks if possible to reduce strain on your back and joints.

  2. Apply Heat or Cold: Use a heating pad or ice pack on your back to help relieve pain and reduce muscle spasms.

  3. Stay Hydrated and Nourished: Ensure you're drinking plenty of fluids and eating a balanced diet to support your body's healing process.

  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider. This can help in identifying patterns or triggers.

  5. Over-the-Counter Pain Relief: Consider taking over-the-counter pain relievers like ibuprofen or acetaminophen to help manage your pain.

What you should look out for

  • Seek Medical Attention: If your symptoms worsen, or if you experience new symptoms such as swelling, redness, or severe pain, it's important to seek medical attention.
  • Monitor for Fever: If you develop a confirmed fever (temperature over 100.4°F), or if your feeling of being feverish persists, consult a healthcare provider.
  • Persistent or Worsening Symptoms: If your symptoms do not improve with self-care measures or if they continue to interfere with your daily activities, it's important to see a healthcare provider for further evaluation.

Remember, while these suggestions can help manage your symptoms, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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People Also Ask


What are common causes of severe back pain with a burning sensation?

Severe back pain with a burning sensation can be caused by muscle strain, nerve compression, or inflammatory conditions. It is important to assess the activities that may contribute to the pain, such as repetitive movements or heavy lifting.


How can muscle strain or overuse lead to back pain and muscle spasms?

Muscle strain or overuse can lead to back pain and muscle spasms by causing small tears in the muscle fibers, leading to inflammation and pain. Rest, ice or heat application, and over-the-counter pain relievers can help alleviate symptoms.


What are the symptoms and treatment options for fibromyalgia?

Fibromyalgia is characterized by widespread musculoskeletal pain, fatigue, and tenderness in specific areas. Treatment often includes medications like pain relievers and antidepressants, physical therapy, and stress management techniques.


How can joint pain and a feverish feeling be related to rheumatoid arthritis?

Joint pain and a feverish feeling can be symptoms of rheumatoid arthritis, an autoimmune condition that causes inflammation in the joints. Treatment typically involves anti-inflammatory medications, lifestyle changes, and sometimes disease-modifying antirheumatic drugs (DMARDs).


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