[30F] Experiencing lower back pain after recent workout

Patient Description

A 30-year-old female reports experiencing dull, aching, and occasionally sharp lower back pain since waking up today. The pain was initially felt in the middle of the night. She recently started working out after a few years of inactivity, and the pain may be related to this activity. The patient felt sore for a few days after the workout but improved until the pain started again today. Her fiancé suggested that she might have slept awkwardly. The pain is present on both sides of the lower back and is slightly relieved by applying heat. She has not experienced any numbness, tingling, or weakness in her legs, nor any changes in bowel or bladder habits. There are no recent injuries or accidents reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your lower back pain:

  • Muscle Strain: Given that you recently resumed working out after a long break, it's possible that your back pain is due to a muscle strain. This can occur when muscles are overworked or used in a new way, leading to dull, aching pain that can sometimes feel sharp with certain movements. Muscle strains are common and usually improve with time and self-care.

  • Poor Sleeping Position: Your fiancé's suggestion that you might have slept awkwardly could also be a factor. Sleeping in an unusual position can sometimes lead to back pain upon waking. This type of pain is often temporary and resolves as your body adjusts.

  • Stress and Anxiety: Since you mentioned having health anxiety, it's possible that stress and anxiety are contributing to muscle tension and discomfort in your back. Stress can cause muscles to tighten, leading to pain and discomfort.

What you can do

Here are some steps you can take to help alleviate your back pain:

  1. Rest and Gentle Movement: Allow your back to rest, but also engage in gentle movements and stretches to prevent stiffness. Avoid any activities that worsen the pain.

  2. Apply Heat: Continue using a heating pad or warm compress on the affected area to help relax tense muscles and alleviate pain.

  3. Practice Good Posture: Pay attention to your posture, both when sitting and sleeping. Consider using a supportive pillow or mattress to maintain proper alignment.

  4. Manage Stress: Since stress and anxiety can contribute to muscle tension, consider practicing relaxation techniques such as deep breathing, meditation, or yoga to help manage stress.

  5. Track Your Symptoms: Use the MDandMe app to journal your symptoms, track your progress, and gain insights into any patterns or triggers. This information can be valuable for your healthcare provider.

What you should look out for

While your symptoms are likely not serious, it's important to be aware of any changes or additional symptoms that may require medical attention:

  • Severe or Worsening Pain: If your pain becomes severe or doesn't improve with self-care, consider consulting a healthcare professional.

  • Numbness or Tingling: If you experience numbness, tingling, or weakness in your legs, seek medical attention, as this could indicate nerve involvement.

  • Loss of Bladder or Bowel Control: Sudden changes in your ability to control your bladder or bowels require immediate medical evaluation.

  • Pain Following a Fall or Injury: If your back pain started after a fall or injury, it's important to get it checked out to rule out fractures or other injuries.

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

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7 d ago

People Also Ask


What are common causes of lower back pain after starting a new workout routine?

Common causes of lower back pain after starting a new workout routine include muscle strain or overuse. This happens when muscles are not accustomed to the new activity and can lead to soreness and pain.


How can sleeping positions affect back pain?

Sleeping positions can affect back pain because awkward or unsupported positions can strain muscles and ligaments in the back, leading to discomfort upon waking.


Can stress and anxiety contribute to physical pain such as back pain?

Yes, stress and anxiety can contribute to physical pain, including back pain. Stress can cause muscle tension, which may lead to discomfort and pain in the back.


When should I seek medical attention for back pain?

You should seek medical attention for back pain if it becomes severe, does not improve with self-care, is accompanied by numbness or tingling in the legs, loss of bladder or bowel control, or if it follows a fall or injury.


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