[37M] Experiencing severe lower left back pain

Patient Description

A 37-year-old male reports a sudden onset of severe (10/10) dull pain in the lower left back, which began approximately 30 minutes prior to seeking advice. The pain does not appear to be affected by movement, and there are no relieving factors identified. The patient denies any recent injuries or activities that could have contributed to the pain. No additional symptoms have been reported alongside the back pain, and it does not fluctuate throughout the day. The patient has not indicated any specific area of the back where the pain is localized beyond the lower left region.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Muscle Strain: This is a common cause of back pain, especially if it's a new symptom. It can happen if you've lifted something heavy, made a sudden movement, or even from poor posture.

    • Treatment usually involves rest, over-the-counter pain relievers, and sometimes physical therapy.

  • Kidney Stones: The kidneys are located in the lower back area. If a stone forms, it can cause severe pain in the lower back, usually on one side.

    • Treatment can range from pain management and drinking lots of water to help pass the stone, to medical procedures to remove or break up larger stones.

  • Lumbar Disc Herniation: This is a condition where the soft center of a spinal disc pushes through a crack in the tougher exterior casing. It can cause severe back pain, especially if it's pressing on a nerve.

    • Treatment can involve physical therapy, medications, and in severe cases, surgery.

What you can do

Given the severity of your pain, it's important to seek medical attention as soon as possible. In the meantime, try to rest and avoid any movements that might worsen the pain. Over-the-counter pain relievers may provide some relief.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Pain that spreads down one or both legs
  • Weakness, numbness, or tingling in one or both legs
  • Unexplained weight loss
  • Fever
  • Difficulty urinating or bowel incontinence

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can evaluate your symptoms and condition in person.

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9 mo ago

People Also Ask

What are the common causes of sudden severe lower back pain?

Common causes of sudden severe lower back pain include muscle strain, kidney stones, and lumbar disc herniation. Each condition has distinct characteristics and may require different treatments.

How can I differentiate between muscle strain and kidney stones?

Muscle strain often results from physical activity or poor posture and may improve with rest and pain relievers. Kidney stones typically cause severe, one-sided pain and may be accompanied by urinary symptoms. A medical evaluation is necessary for an accurate diagnosis.

What are the treatment options for a lumbar disc herniation?

Treatment options for lumbar disc herniation include physical therapy, medications for pain relief, and in severe cases, surgical intervention to relieve pressure on the affected nerve.

When should I seek immediate medical attention for back pain?

Immediate medical attention is necessary if you experience pain spreading to the legs, weakness or numbness in the legs, unexplained weight loss, fever, or issues with urination or bowel control.

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