[35F] Experiencing severe lower left back pain

Patient Description

A 35-year-old female is reporting sharp, unbearable pain in the lower left back that has been persisting for two days. The pain is not relieved by changes in position, such as standing up, laying down, or bending over, and is consistent throughout the day. There is no improvement with any temporary measures, and the intensity of the pain is severe. The patient denies any recent injuries or accidents that could have caused the pain and reports no other accompanying symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your lower left back pain include:

  • Muscle or Ligament Strain: Repeated heavy lifting or a sudden awkward movement can strain back muscles and spinal ligaments. If you're in poor physical condition, constant strain on your back can cause painful muscle spasms.

    • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.
  • Kidney Stones or Kidney Infection: These conditions can cause pain in the lower back, usually on one side. The pain is often severe and usually begins suddenly.

    • Treatment may involve medication to relieve pain and treat the infection, or procedures to remove or break up the stones.
  • Sciatica: This condition occurs when the sciatic nerve, which runs down from your lower back to your legs, is irritated or compressed. This usually causes pain on one side of the lower back, which can be severe.

    • Treatment usually involves physical therapy and pain relievers. In severe cases, surgery may be required.
  • Herniated or Slipped Disk: This occurs when one of the disks 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 one or both legs.

    • Treatment usually involves physical therapy, medication, and in some cases, surgery.

What you can do

Given the severity of your pain, it's important to seek medical attention. In the meantime, you can try the following to alleviate your symptoms:

  1. Rest and avoid strenuous activities, especially those that may have triggered the pain.
  2. Apply a hot or cold pack to the painful area.
  3. Over-the-counter pain relievers, such as ibuprofen, can help reduce pain and inflammation.
  4. Gentle stretching exercises can help reduce pain and prevent future episodes.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Loss of bowel or bladder control
  • Severe abdominal pain
  • Fever
  • Unexplained weight loss
  • Pain that worsens at night or when resting

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of severe lower back pain on one side?

Common causes of severe lower back pain on one side include muscle or ligament strain, kidney stones or infection, sciatica, and herniated or slipped disks. Each condition has distinct characteristics and may require different treatments.


How can I differentiate between muscle strain and more serious conditions like kidney stones or a herniated disk?

Muscle strain often results from physical activity and may improve with rest and over-the-counter pain relief. Kidney stones or infections typically cause sudden, severe pain and may be accompanied by other symptoms like fever or urinary issues. A herniated disk may cause pain that radiates down the leg and is often associated with numbness or weakness.


What immediate steps can I take at home to alleviate severe lower back pain?

To alleviate severe lower back pain at home, you can rest, avoid strenuous activities, apply hot or cold packs to the affected area, take over-the-counter pain relievers like ibuprofen, and perform gentle stretching exercises.


When should I seek medical attention for lower back pain?

You should seek medical attention for lower back pain if you experience loss of bowel or bladder control, severe abdominal pain, fever, unexplained weight loss, or if the pain worsens at night or when resting.


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