[33M] Experiencing severe and sharp back pain with numbness in feet

Patient Description

A 33-year-old male reports severe, sharp back pain located along the spine in the middle and lower back, with the pain extending to both ribs and into the lungs. The pain is described as a 10 in severity and worsens when lying down or sleeping. The onset was sudden and is most severe upon waking. Additionally, the patient experiences numbness and weakness in the feet, does not feel pain in the fingers (only pressure), and has poor circulation in fingers and toes. No other symptoms such as shortness of breath, chest pain, fever, or unexplained weight loss were reported. The patient has no known allergies, is not on any medications, and has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Musculoskeletal Back Pain: This is a common condition and can be caused by strain or injury to the muscles and ligaments that support the spine. This would typically present as localized pain that can be sharp or dull, and may be associated with muscle spasms.

    • Treatment usually involves physical therapy, pain relievers, and sometimes muscle relaxants.
  • Herniated Disc: This occurs when one of the discs that sit between the bones of the spine (vertebrae) is damaged and presses on the nerves. This can cause back pain and numbness or weakness in other parts of the body that the affected nerves supply.

    • Treatment can involve physical therapy, medications, and in some cases, surgery.
  • Spinal Stenosis: This is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. Spinal stenosis occurs most often in the lower back and the neck. Symptoms can include pain, numbness, muscle weakness, and problems with bladder or bowel function.

    • Treatment can include medications, physical therapy, and in some cases, surgery.
  • Peripheral Neuropathy: This is a result of damage to your peripheral nerves, often causing weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment usually focuses on managing the condition causing your neuropathy and relieving symptoms with medications and physical therapy.

Please note that these are possible diagnoses and you should seek care from a healthcare professional to receive a formal diagnosis and treatment if appropriate.

What you can do

  1. Over-the-counter pain relievers might help your back pain. Nonprescription medications that could help include aspirin, acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others), and naproxen sodium (Aleve).
  2. Rest and avoid strenuous activities for a few days. But don't rest for too long. Too much bed rest can lead to stiff joints and weak muscles — which can complicate your recovery.
  3. Apply heat or cold to the painful area. Use ice for the first 48 to 72 hours, then use heat after that. Heat may be applied with warm showers, hot compresses or a heating pad.
  4. Regular physical activity can keep your back strong and might relieve back pain during pregnancy. With your health care provider's OK, try gentle activities — such as walking or water exercise.

What you should look out for

Reasons to see a doctor more urgently:

  • If your back pain is severe and doesn't improve with rest
  • If you have back pain following an injury
  • If your back pain is accompanied by unexplained weight loss
  • If you have numbness or tingling in your legs, or you lose control over your bowels or bladder
  • If you have a history of cancer and develop persistent back pain
  • If your back pain is associated with pain or throbbing in the abdomen
  • If your back pain is accompanied by a fever

Remember, I am an AI and this advice is based on the information you provided. It's always a good idea 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 severe back pain that radiates to the ribs and lungs?

Severe back pain that radiates to the ribs and lungs can be caused by conditions such as musculoskeletal back pain, herniated discs, or spinal stenosis. These conditions can lead to nerve compression or muscle strain, resulting in pain that extends beyond the back.


How can numbness and weakness in the feet be related to back pain?

Numbness and weakness in the feet can be related to back pain if there is nerve compression or damage, such as from a herniated disc or spinal stenosis. These conditions can affect the nerves that supply the lower extremities, leading to these symptoms.


What are the treatment options for a herniated disc?

Treatment options for a herniated disc include physical therapy, pain medications, and sometimes muscle relaxants. In more severe cases, surgical intervention may be necessary to relieve nerve compression and alleviate symptoms.


When should someone with back pain seek urgent medical attention?

Urgent medical attention should be sought if back pain is severe and doesn't improve with rest, is accompanied by unexplained weight loss, numbness or tingling in the legs, loss of bowel or bladder control, or if there is a history of cancer. Additionally, if back pain follows an injury or is associated with abdominal pain or fever, it is important to see a doctor promptly.


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