[30M] Experiencing back ache and headache

Patient Description

A 30-year-old male reports an aching pain in the middle to lower back that radiates into the legs, which has been persistent for approximately 17 hours. The pain is described as a 6-7 on the pain scale. The patient notes that sitting exacerbates the back pain, but there are no specific activities mentioned that provide relief. There is no reported improvement or worsening of the pain at different times of the day. The patient denies any recent injuries to the back. Additionally, the patient is experiencing a headache, but no further details about the headache have been provided yet.

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Arora's Assessment

What might be happening

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

  • Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your legs, is irritated or compressed. It can cause pain in the lower back that radiates down into the legs.

    • Treatment typically involves physical therapy, pain medication, and in some cases, surgery.
  • Lumbar Herniated Disc: This condition occurs when the soft center of a spinal disc pushes through a crack in the tougher exterior casing. It can cause pain in your lower back that radiates down into your legs.

    • Treatment can include physical therapy, medications, and possibly surgery.
  • Tension Headache: This is the most common type of headache and can be caused by stress, anxiety, or muscle strain. The pain is often described as a constant ache or pressure around the head.

    • Treatment typically involves over-the-counter pain relievers, stress management, and rest.

What you can do

While you should definitely consult a doctor about your symptoms, here are some things you can do in the meantime:

  1. Try to maintain good posture, especially when sitting for long periods.
  2. Regularly stretch and strengthen your back muscles.
  3. Over-the-counter pain relievers, such as ibuprofen, might help with the pain.
  4. Rest and avoid activities that make your back pain worse.

What you should look out for

You should seek immediate medical attention if:

  • Your pain is severe or doesn't improve with rest.
  • You have numbness or weakness in your legs.
  • You experience problems with bladder or bowel control.
  • Your headache is severe, comes on suddenly, or is accompanied by fever, stiff neck, confusion, seizure, double vision, weakness, numbness, or difficulty speaking.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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10 mo ago

People Also Ask


What is sciatica and how is it treated?

Sciatica is a condition where the sciatic nerve is irritated or compressed, causing pain in the lower back that radiates down into the legs. Treatment typically involves physical therapy, pain medication, and in some cases, surgery.


What are the symptoms of a lumbar herniated disc?

Symptoms of a lumbar herniated disc include lower back pain that radiates down into the legs, numbness, tingling, or weakness in the legs. Treatment can include physical therapy, medications, and possibly surgery.


How can I relieve tension headaches at home?

To relieve tension headaches at home, you can use over-the-counter pain relievers, practice stress management techniques, and ensure you get adequate rest. Maintaining good posture and reducing muscle strain can also help.


When should I seek immediate medical attention for back pain?

You should seek immediate medical attention for back pain if it is severe, doesn't improve with rest, is accompanied by numbness or weakness in the legs, or if you experience problems with bladder or bowel control.


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