[34M] With worsening back pain and spinal stenosis

What might be happening

Based on the information you've provided, your symptoms of worsening back pain in the L4-L5 region, particularly upon waking, and your history of spinal stenosis suggest the following possibilities:

• Spinal Stenosis: This condition involves the narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. It often causes back pain, which can be sharp or dull, and may worsen with certain movements like twisting. Treatment typically involves physical therapy, pain management, and in some cases, surgical intervention.

• Degenerative Disc Disease: As we age, the discs in our spine can wear down, leading to pain and discomfort, especially in the lower back. This condition can cause similar symptoms to what you're experiencing. Treatment may include physical therapy, medications, and lifestyle modifications.

• Facet Joint Arthritis: The joints in your spine can become arthritic, causing pain and stiffness, particularly in the lower back. Treatment options include physical therapy, medications, and sometimes injections to reduce inflammation.

What you can do

While it's important to consult with a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

1. Stay Active: Engage in low-impact exercises like walking or swimming to help maintain flexibility and strength in your back.

2. Practice Good Posture: Be mindful of your posture when sitting, standing, and sleeping to reduce strain on your back.

3. Apply Heat or Cold: Use a heating pad or ice pack on your back to help alleviate pain and reduce inflammation.

4. Consider Over-the-Counter Pain Relief: NSAIDs like ibuprofen or naproxen can help reduce pain and inflammation. Be sure to follow the recommended dosage instructions.

5. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider to help them better understand your condition.

What you should look out for

It's important to seek medical attention if you experience any of the following:

• Severe or worsening pain that doesn't improve with self-care measures
• Numbness, tingling, or weakness in your legs
• Loss of bladder or bowel control
• Fever or unexplained weight loss

These symptoms could indicate a more serious condition that requires prompt medical evaluation.

Remember, while these suggestions can help manage your symptoms, it's essential to consult with a healthcare professional for a comprehensive assessment and personalized treatment plan.