[32F] Experiencing low back pain and toe numbness

Patient Description

A 32-year-old female presents with a 6-week history of low back pain, described as a dull ache rated 9 out of 10 in severity. The pain is exacerbated by bending over, and there are no known alleviating factors. Additionally, the patient reports a loss of feeling in the second and third toes that started 2 days ago. There is no associated tingling sensation, weakness, or difficulty moving the legs or feet. The patient denies any recent injuries, changes in bladder or bowel control, unexplained weight loss, or use of recreational drugs. There is a family history of spinal disorders. No other symptoms or pre-existing conditions were reported.

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Arora's Assessment

What might be happening

Based on the information you provided, some possible causes of your symptoms include:

  • Lumbar Radiculopathy: This is a condition where a nerve root in the lower spine is compressed, causing pain and numbness in the area of the body that the nerve supplies. In your case, the numbness in your second and third toes might be due to compression of the L5 nerve root.

    • Treatment typically involves physical therapy, pain management (like non-steroidal anti-inflammatory drugs), and in some cases, surgery.
  • Lumbar Disc Herniation: This is a condition where the inner gel-like material of a disc in the spine leaks out, causing pressure on nearby nerves. This can cause low back pain and numbness in the toes.

    • Treatment usually starts with conservative measures like physical therapy and medication. If these don't work, surgery may be an option.
  • Spinal Stenosis: This is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. It typically occurs in the lower back and neck.

    • Treatment options include medication, physical therapy, and in severe cases, surgery.

What you can do

It's important to seek medical attention for 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. Avoid activities that worsen your pain, such as heavy lifting or prolonged standing.
  3. Over-the-counter pain relievers may help with your back pain. However, it's important to use these medications as directed by the manufacturer.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • 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
  • Redness or swelling in your back

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis.

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10 mo ago

People Also Ask


What are the common causes of low back pain with numbness in the toes?

Common causes of low back pain with numbness in the toes include lumbar radiculopathy, lumbar disc herniation, and spinal stenosis. These conditions involve nerve compression or irritation in the lower spine.


How is lumbar radiculopathy diagnosed and treated?

Lumbar radiculopathy is diagnosed through a physical examination, medical history, and imaging tests like MRI or CT scans. Treatment often includes physical therapy, pain management with medications, and sometimes surgery if conservative treatments fail.


What lifestyle changes can help manage low back pain?

Lifestyle changes that can help manage low back pain include maintaining good posture, avoiding activities that exacerbate pain, engaging in regular low-impact exercise, and using over-the-counter pain relievers as directed.


When should I seek immediate medical attention for back pain?

You should seek immediate medical attention for back pain if you experience severe pain that doesn't improve with rest, pain radiating down the legs, weakness or numbness in the legs, unexplained weight loss, or redness and swelling in the back.


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