[33M] Experiencing severe and sharp back pain with numbness in feet
Patient Description
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Arora's Assessment
What might be happening
Based on the information you have provided, possible diagnoses include:
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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.
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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.
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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.
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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
- 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).
- 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.
- 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.
- 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