[34F] Experiencing upper back pain and headaches

Patient Description

A 34-year-old female has been experiencing a dull, cramp-like, pulling pain in the left upper back when lifting her head from a downward position for a few weeks. The pain is severe, rated 10/10, and is localized to one specific area without spreading. There is no associated weakness, numbness, changes in bowel or bladder control, fever, or chills. The patient has a family history of herniated discs in the upper spine but no personal history of neck injuries, trauma, or chronic illnesses. She is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, the possible causes of your symptoms could include:

  • Muscle Strain or Sprain: This is a common cause of back pain and can occur as a result of lifting heavy objects, sudden movements, or poor body mechanics. The popping sound and heat sensation you felt could be indicative of a muscle tear or sprain.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also be helpful.
  • Herniated Disc: Given your family history of herniated discs in the upper spine, this could be a possibility. A herniated disc occurs when the soft inner part of the disc protrudes through the outer ring. This can cause pain, numbness, or weakness in the neck and back.

    • Treatment may involve physical therapy, medications, and in some cases, surgery.
  • Cervical Radiculopathy: This condition occurs when a nerve root in the cervical spine becomes inflamed or damaged, resulting in a change in neurological function. Symptoms can include pain, numbness, or weakness in the neck and upper back.

    • Treatment typically involves physical therapy and medications. In severe cases, surgery may be required.

What you can do

  1. Rest: Try to avoid any activities that cause pain or discomfort. This will allow your body to heal.
  2. Over-the-counter pain relievers: Non-prescription medications such as ibuprofen or acetaminophen can help reduce pain and inflammation.
  3. Heat or Ice: Applying a heat pack or an ice pack to the affected area can help relieve pain.
  4. Gentle Exercises: Gentle stretching and strengthening exercises can help improve flexibility and strength in your back. However, it's important to do these under the guidance of a healthcare professional to avoid further injury.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe pain that does not improve with rest
  • Pain that radiates down your arms or legs
  • Weakness, numbness, or tingling in your arms or legs
  • Loss of bowel or bladder control

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional who can provide a formal diagnosis and treatment plan.

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9 mo ago


People Also Ask


What are the common causes of upper back pain when moving the head?

Common causes of upper back pain when moving the head include muscle strain or sprain, herniated discs, and cervical radiculopathy. These conditions can result from poor posture, sudden movements, or underlying spinal issues.


How can a family history of herniated discs affect my risk of developing similar issues?

A family history of herniated discs can increase your risk of developing similar issues due to genetic predispositions. It is important to monitor symptoms and seek medical advice if you experience persistent or severe pain.


What are the typical treatments for a muscle strain or sprain in the upper back?

Typical treatments for a muscle strain or sprain in the upper back include rest, ice application, compression, and elevation (RICE). Over-the-counter pain relievers like ibuprofen or acetaminophen can also help manage pain and inflammation.


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 does not improve with rest, pain that radiates down your arms or legs, weakness, numbness, or tingling in your arms or legs, or loss of bowel or bladder control.

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