[30M] Experiencing chronic low back pain

Patient Description

A 30-year-old male has been experiencing low back pain for approximately two years. The pain is described as a tight sensation that worsens with bending over and is most severe in the mornings. Walking appears to alleviate the discomfort somewhat. The patient rates the pain as a 3 out of 10 in terms of severity. There is no history of recent injuries, other associated symptoms, or known allergies to medications. The patient's medical history is otherwise unremarkable, with no chronic illnesses or pre-existing conditions reported. Currently, the patient is taking Amiltripalene and has not mentioned any adverse reactions to this medication.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possible explanations:

  • Muscle or Ligament Strain: Repeated heavy lifting or a sudden awkward movement can strain back muscles and spinal ligaments. If you're in poor physical condition, constant strain on your back can cause painful muscle spasms.

    • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.
  • Degenerative Disc Disease: This is a condition where the discs between the vertebrae of the spinal column deteriorate or break down, leading to pain, weakness, or numbness. It often occurs with age and can cause a chronic, nagging pain, sometimes severe.

    • Treatment can involve physical therapy, medications, and in some cases, surgery.
  • Ankylosing Spondylitis: This is a type of arthritis that affects the spine. Symptoms include pain and stiffness from the neck down to the lower back. The back bones (vertebrae) may grow or fuse together, resulting in a rigid spine.

    • Treatment typically involves medication and physical therapy to manage symptoms and prevent progression of the disease.

Please note that these are only possible diagnoses. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Try to maintain good posture. Avoid slouching when sitting or standing.
  2. When lifting heavy objects, bend at your knees and hips, not your back.
  3. Maintain a healthy weight. Being overweight can strain the back muscles.
  4. Stay active. Regular physical activity can help keep your back muscles strong.
  5. Practice relaxation techniques like deep breathing, meditation, and yoga to help relieve chronic pain.

What you should look out for

If your pain is severe, doesn't improve with rest, or if you have other symptoms like numbness or weakness in a leg, or unexplained weight loss, you should seek medical attention immediately. These could be signs of a more serious condition that needs immediate treatment.

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11 mo ago

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People Also Ask


What are common causes of chronic low back pain in young adults?

Common causes of chronic low back pain in young adults include muscle or ligament strain, degenerative disc disease, and conditions like ankylosing spondylitis. Poor posture, lack of exercise, and improper lifting techniques can also contribute.


How can I differentiate between muscle strain and more serious back conditions?

Muscle strain often presents as a tight or sore feeling that improves with rest and over-the-counter pain relief. More serious conditions may involve persistent pain, numbness, or weakness in the legs, and may not improve with rest.


What lifestyle changes can help alleviate chronic low back pain?

Lifestyle changes that can help include maintaining good posture, engaging in regular physical activity, maintaining a healthy weight, and practicing relaxation techniques such as yoga or meditation.


When should I seek medical attention for low back pain?

You should seek medical attention if your pain is severe, doesn't improve with rest, or if you experience symptoms like numbness, weakness in a leg, or unexplained weight loss, as these could indicate a more serious condition.


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