[25F] Experiencing progressive sharp lower back pain

What might be happening

Based on the information you've provided, possible causes for your symptoms could include:

• Lumbar Disc Herniation: This condition occurs when the soft inner portion of a disc in the spine protrudes through the outer ring. Your description of sharp pain in the lower back that worsens with bending, twisting, or lifting is characteristic of a herniated disc. Your history of fractures and the numbness you experience when lying on your side may also suggest this condition.

  • Treatment often involves physical therapy, medications for pain relief, and in some cases, surgery.

• Lumbar Radiculopathy (Sciatica): This condition is caused by compression of the nerve roots in the lower back. It can cause sharp pain, numbness, and weakness in the lower back, buttocks, and legs.

  • Treatment usually involves physical therapy, medications for pain relief, and sometimes surgery.

• Lumbar Strain/Sprain: This is a common cause of lower back pain and can occur due to overuse or injury to the muscles and ligaments in the lower back. Your description of pain that worsens with movement and improves with rest is consistent with this condition.

  • Treatment usually involves rest, physical therapy, and pain relief medications.

Please note that these are potential causes based on the symptoms you've described. It's important to seek a formal diagnosis from a healthcare professional.

What you can do

In the meantime, here are some things you can do to manage your symptoms:

1. Rest: Avoid activities that worsen your pain for a few days.
2. Heat or Cold: Apply a heat pad or an ice pack to your lower back for 15 minutes at a time.
3. Over-the-Counter Pain Relievers: Non-prescription medications like ibuprofen or acetaminophen can help reduce pain and inflammation.
4. Gentle Exercise: Once your acute pain improves, low-impact activities like walking or swimming can help strengthen your back muscles and prevent future injuries.

What you should look out for

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

• Severe pain that doesn't improve with rest
• Pain that radiates down one or both legs, especially if it extends below the knee
• Weakness, numbness, or tingling in one or both legs
• Unexplained weight loss
• Bladder or bowel control problems

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