[34F] Experiencing back pain and temperature fluctuations

Patient Description

A 34-year-old female presents with muscle soreness in the lower to middle back, rated 7 out of 10 in severity. The pain began approximately 3 hours ago and was likely triggered by a wrong landing on a trampoline the previous day. The pain worsens upon raising up and is accompanied by a cracking sound in the back. Attempts to alleviate the pain with a heating pad and Motrin have been ineffective. The patient also reports fluctuations in body temperature, ranging from 96.9°F to 98.3°F, currently at 97.9°F. She feels warm overall, with cold feet and hands. Additionally, she experiences sharp chest pain on the left side, exacerbated by inhalation, and intermittent shortness of breath. The patient suspects anxiety may be a contributing factor. Medical history includes high blood pressure diagnosed 1-2 years ago, managed with Labetalol, Valsartan, Atorvastatin, and Topiramate. She has experienced side effects from Labetalol and Atorvastatin. Over-the-counter medications include Motrin and Tylenol.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Muscle Strain or Injury: The back pain and muscle soreness you're experiencing, especially after using a trampoline, could be due to a muscle strain or minor injury. This is common after physical activities that involve jumping or sudden movements.

  2. Anxiety or Stress: The muscle twitching, feeling of knots in your stomach, and fluctuations in body temperature could be related to anxiety or stress. These symptoms can sometimes manifest physically, even if you don't feel particularly anxious.

  3. Medication Side Effects: Some of the medications you're taking, such as Labetalol and Atorvastatin, can have side effects that might contribute to symptoms like muscle twitching or changes in body temperature.

  4. Pleuritic Chest Pain: The sharp chest pain that worsens with breathing could be related to pleurisy or another condition affecting the lining of the lungs. This can sometimes occur after a respiratory infection or due to inflammation.

What you can do

Back Pain and Muscle Soreness:

  • Continue using a heating pad to help relax the muscles.
  • Consider gentle stretching exercises to alleviate tension.
  • Avoid activities that exacerbate the pain, and rest as needed.

Muscle Twitching and Temperature Fluctuations:

  • Ensure you're staying hydrated and maintaining a balanced diet to support muscle function.
  • Practice relaxation techniques, such as deep breathing or meditation, to help manage stress and anxiety.

Chest Pain:

  • Monitor the pain and seek medical attention if it worsens or is accompanied by other concerning symptoms like shortness of breath or dizziness.
  • Avoid activities that trigger the pain and try to rest.

General Advice:

  • Keep track of your symptoms using a journal or an app like MDandMe to monitor any changes and share this information with your healthcare provider.
  • Consult with your doctor about the side effects of your medications to see if adjustments are needed.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening chest pain, especially if it radiates to your arm or jaw.
  • Persistent shortness of breath or dizziness.
  • New or worsening symptoms that concern you.

Remember, while I can provide guidance based on the information you've shared, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

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1 mo ago

People Also Ask


What could be causing my back pain after using a trampoline?

Your back pain could be due to a muscle strain or minor injury from the physical activity on the trampoline. Such activities can lead to sudden movements that strain the muscles.


Can anxiety cause physical symptoms like muscle twitching and temperature fluctuations?

Yes, anxiety can manifest physically and cause symptoms like muscle twitching and fluctuations in body temperature. Stress and anxiety can affect the body's physical state even if you don't feel particularly anxious.


What are the potential side effects of Labetalol and Atorvastatin?

Labetalol and Atorvastatin can have side effects such as muscle twitching, changes in body temperature, and other symptoms. It's important to discuss any side effects with your doctor to see if medication adjustments are needed.


What should I do if I experience sharp chest pain that worsens with breathing?

If you experience sharp chest pain that worsens with breathing, it could be related to pleuritic chest pain or another condition affecting the lungs. Monitor the pain and seek medical attention if it worsens or is accompanied by shortness of breath or dizziness.


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