[28F] Experiencing severe lower back pain with knee weakness

What might be happening

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

• Chronic Low Back Pain: This is a common condition, especially in adults. It can be caused by a variety of factors, including muscle or ligament strain, bulging or ruptured disks, arthritis, or skeletal irregularities. The fact that your pain has been ongoing for many years and is not associated with any specific injury or incident might suggest this diagnosis.

  • Treatment typically involves physical therapy, pain relievers, and sometimes surgery if other treatments are not effective.

• Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down the back of each leg, becomes pinched. It can cause pain in the lower back and legs, and can sometimes cause weakness or numbness in the affected leg. However, you mentioned that your pain does not radiate down your legs, which makes this less likely.

  • Treatment often involves physical therapy and pain relievers. In severe cases, surgery may be needed.

• Spondylolisthesis: This is a condition in which one bone in your back slides forward over the bone below it. It can cause lower back pain and leg pain. However, you mentioned that your pain does not radiate down your legs, which makes this less likely.

  • Treatment often involves physical therapy, pain relievers, and sometimes surgery.

Please note that these are potential explanations and not a diagnosis. Only a healthcare professional can provide a diagnosis.

What you can do

1. Schedule an appointment with a healthcare provider: They can evaluate your symptoms, perform a physical examination, and possibly order imaging tests like an X-ray or MRI to get a better understanding of what's causing your pain.

2. Physical Therapy: A physical therapist can provide exercises and stretches that strengthen your back and improve your flexibility.

3. Over-the-counter pain relievers: Non-prescription medications like ibuprofen (Advil, Motrin IB) or naproxen sodium (Aleve) can help relieve back pain.

4. Stay active: Regular physical activity can help keep your back muscles strong and flexible.

5. Practice good posture: Make sure your work station (desk, chair, computer) is ergonomically correct. Avoid heavy lifting when possible. If you must lift something heavy, use your legs and not your back.

What you should look out for

Seek immediate medical attention if you experience:

• Severe back pain that doesn't improve with rest
• Pain that radiates down your legs, especially if it extends below your knee
• Weakness, numbness, or tingling in one or both legs
• Unexplained weight loss
• Back pain accompanied by fever
• Difficulty controlling your bowels or bladder

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