[30F] Experiencing severe lower back pain with tingling and chills
Patient Description
A 30-year-old female is reporting severe lower back pain that started just tonight, with a pain severity of 8 out of 10. The pain radiates outwards with a tingling sensation. Lying down worsens the pain, while kneeling sometimes provides relief. The patient also reports feeling 'burning up' without a fever and has experienced chills. Additionally, there is a sore throat present. The patient has a history of Alpha-gal syndrome diagnosed two years ago and a known allergy to Penicillin. Current medications include Cephalexin, Hydrocodone for pain, and multivitamins. There is no recent history of injury, weight loss, or changes in bowel or bladder control, and no saddle anesthesia is present.
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Arora's Assessment
What might be happening
Based on the information you've provided, here are a few possibilities:
- Muscle Strain or Sprain: This is a common cause of lower back pain, especially if the pain started suddenly. It can occur due to overuse, improper use, or trauma. The pain can be severe and is usually worsened by movement. Rest, over-the-counter pain relievers, and heat or cold therapy can often help.
- Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down each leg, is irritated or compressed. It typically causes pain that radiates from the lower back down the leg, and can also cause tingling or numbness. Treatment often involves physical therapy and pain relievers.
- Kidney Infection or Stones: These conditions can cause severe pain in the lower back, often accompanied by other symptoms such as fever, chills, and urinary symptoms. They require medical treatment.
Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.
What you can do
- Rest: Avoid heavy lifting and strenuous activity. Lying on your side with a pillow between your knees may help alleviate some of the pain.
- Over-the-counter pain relievers: Non-prescription medications like ibuprofen can help reduce pain and inflammation.
- Heat or Cold: Apply a hot or cold pack to the painful area for 15-20 minutes at a time. Heat can help reduce muscle tension, while cold can help reduce swelling.
- Stay Hydrated: Drink plenty of fluids, especially if you have a fever or chills.
What you should look out for
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 the pain extends below the knee
- Weakness, numbness, or tingling in one or both legs
- Unexplained weight loss
- Fever, chills, or other signs of infection
- Loss of bladder or bowel control
Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider for an accurate diagnosis.
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11 mo ago