[30F] With sharp and aching back pain post-twisting injury

What might be happening

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

• Muscle Strain or Sprain: Given that your pain started suddenly after twisting while cleaning, it's likely that you may have strained or sprained a muscle in your back. This is a common cause of back pain and can result from awkward movements or lifting heavy objects.

  • Treatment: Muscle strains and sprains typically improve with rest, ice or heat application, over-the-counter pain relievers like Tylenol (acetaminophen) or ibuprofen, and gentle stretching exercises.

• Mechanical Back Pain: This type of pain is often related to the way your spine, muscles, and ligaments work together. It can be exacerbated by certain movements and positions, such as twisting, reaching, or sitting for long periods.

  • Treatment: Similar to muscle strains, mechanical back pain can be managed with rest, pain relievers, and physical therapy exercises to strengthen the back muscles and improve posture.

• Intervertebral Disc Issues: Although your previous imaging studies were normal, it's still possible that you might have a minor disc issue that wasn't visible at the time. Disc problems can cause sharp pain and may be aggravated by certain movements.

  • Treatment: Treatment may include physical therapy, pain management, and in some cases, further imaging studies if the pain persists.

What you can do

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

1. Rest and Avoid Aggravating Activities: Try to avoid movements that worsen your pain, such as twisting, reaching, and heavy lifting. Give your back some time to heal.
2. Apply Heat or Ice: Since you mentioned that a heating pad helps a little, continue using it. You can also try alternating between heat and ice packs to reduce inflammation and relieve pain.
3. Over-the-Counter Pain Relievers: Continue taking Tylenol (acetaminophen) or ibuprofen as directed on the packaging. These can help reduce pain and inflammation.
4. Gentle Stretching and Strengthening Exercises: Once the acute pain subsides, consider doing gentle stretching and strengthening exercises to improve your back's flexibility and strength. A physical therapist can guide you on the best exercises for your condition.
5. Maintain Good Posture: Pay attention to your posture while sitting, standing, and sleeping. Use supportive chairs and mattresses to reduce strain on your back.
6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share your medical notes with your healthcare provider.

What you should look out for

While your symptoms do not appear to be life-threatening, you should seek medical attention if you experience any of the following:

• Severe or Worsening Pain: If your pain becomes severe or does not improve with home treatment.
• Numbness, Tingling, or Weakness: If you develop numbness, tingling, or weakness in your legs.
• Changes in Bowel or Bladder Function: If you notice any changes in your bowel or bladder function, such as incontinence.
• Fever or Unexplained Weight Loss: If you develop a fever or experience unexplained weight loss.

Remember, while I can provide helpful advice, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If your symptoms persist or worsen, please see a doctor.