[38F] Experiencing lower back pain and spasms following a fall

Patient Description

A 38-year-old female presents with moderate to severe lower back pain and spasms that started 24 hours ago. The symptoms are particularly pronounced when transitioning from sitting to standing or vice versa. Relief is obtained by laying down flat and applying ice. The patient reports a fall on ice two days prior, landing on the left hip/butt area. Since the fall, the patient has been experiencing a sharp and achy pain in the lower left back, rated currently at a severity of 7 out of 10. The pain is persistent throughout the day. Additionally, there is tingling in the left leg, although no loss of bowel or bladder control or leg weakness has been noted. The patient has not mentioned any other symptoms or relevant medical history in this encounter.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Lumbar sprain or strain: This is a common cause of lower back pain and can occur as a result of a fall or sudden twisting. The pain is usually localized in the lower back and may be associated with muscle spasms.

    • Treatment typically includes rest, ice, and over-the-counter pain relievers. Physical therapy may also be recommended.
  • Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your legs, is irritated or compressed. This can cause pain in the lower back and hip, as well as tingling or numbness in the leg.

    • Treatment often involves physical therapy and pain relievers. In some cases, surgery may be necessary.
  • Fracture: Given the recent fall, it's possible that you've fractured a bone in your lower back or hip. This would typically cause severe pain and difficulty moving.

    • Treatment for a fracture would likely involve immobilization and possibly surgery.

What you can do

  1. Continue to rest and apply ice to the affected area.
  2. Over-the-counter pain relievers, such as ibuprofen, can help manage the pain.
  3. Gentle stretching exercises can help reduce muscle spasms.
  4. If your symptoms persist or worsen, seek medical attention.

What you should look out for

  • Increased pain, swelling, or bruising
  • Difficulty walking or moving
  • Numbness or weakness in your legs
  • Loss of bowel or bladder control

Please remember, while I strive to provide accurate information, I am an AI and not a doctor. You should seek care from a healthcare professional to receive a formal diagnosis and treatment if appropriate.

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11 mo ago

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People Also Ask


What are the common causes of lower back pain after a fall?

Common causes of lower back pain after a fall include lumbar sprain or strain, sciatica, and fractures. These conditions can result from the impact of the fall, leading to muscle or nerve irritation, or even bone injury.


How can I differentiate between a lumbar sprain and sciatica?

A lumbar sprain typically involves localized pain and muscle spasms in the lower back, while sciatica often includes pain that radiates from the lower back down the leg, accompanied by tingling or numbness. A healthcare professional can provide a definitive diagnosis.


What are the signs that I should seek immediate medical attention for back pain?

You should seek immediate medical attention if you experience increased pain, swelling, or bruising, difficulty walking or moving, numbness or weakness in your legs, or loss of bowel or bladder control.


What are some effective home remedies for managing lower back pain and spasms?

Effective home remedies for managing lower back pain and spasms include resting, applying ice to the affected area, taking over-the-counter pain relievers like ibuprofen, and performing gentle stretching exercises to alleviate muscle tension.


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