[24M] With chronic lower back and hip pain
Patient Description
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Arora's Assessment
What might be happening
Based on the information you have provided, here are some possible explanations for your symptoms:
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Chronic Lower Back Pain: This can be due to various reasons, including muscle strain, ligament sprain, or issues with the spine such as herniated discs or degenerative disc disease. Given that your imaging tests were normal, it might be more related to muscular or soft tissue issues.
- Treatment: Physical therapy, exercises to strengthen the back and core muscles, and ergonomic adjustments to your sitting posture can be helpful. Over-the-counter pain relievers and anti-inflammatory medications may also provide relief.
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Hip Pain: The sharp pain on the sides of your hips could be related to bursitis, tendinitis, or muscle strain, especially considering the history of trauma from diving onto a gym floor.
- Treatment: Rest, ice, and anti-inflammatory medications can help reduce pain and inflammation. Physical therapy focusing on hip strengthening and flexibility exercises may also be beneficial.
What you can do
- Physical Therapy: Consider seeing a physical therapist who can provide you with specific exercises to strengthen your back and hip muscles, improve flexibility, and correct any posture issues.
- Ergonomic Adjustments: Make sure your workstation is set up ergonomically to reduce strain on your back and hips. Use a chair with good lumbar support and take frequent breaks to stand and stretch.
- Ice and Heat Therapy: Continue using ice to reduce inflammation and pain. You can also try heat therapy to relax and loosen tissues and stimulate blood flow to the area.
- Over-the-Counter Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.
- Diet and Nutrition: Ensure you are getting enough calcium and vitamin D to support bone health. Consider dietary changes or supplements if necessary.
- Lifestyle Changes: Reduce or quit nicotine use, as it can affect blood flow and healing. Incorporate regular physical activity into your routine to maintain overall health and mobility.
- Use MDandMe: Journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.
What you should look out for
- Worsening Symptoms: If your pain becomes more severe or starts to radiate down your legs, seek medical attention.
- New Symptoms: If you develop numbness, tingling, or weakness in your legs, or if you experience any changes in bowel or bladder function, see a doctor immediately.
- Persistent Pain: If your pain does not improve with the above measures or continues to interfere with your daily activities, consult a healthcare professional for further evaluation and management.
Remember, while this advice can help manage your symptoms, it is important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.
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3 mo ago