[38F] Experiencing upper left back pain with burning sensation

Patient Description

A 38-year-old female has been experiencing a dull pain in the upper left back for several weeks, which sometimes worsens when lying in certain positions. The pain is occasionally accompanied by a slight pain on the side and a burning sensation that started suddenly and can last for hours. The patient finds some relief by using pillows behind the back. There are no recent injuries or changes in daily activities, but the patient notes poor posture at times, especially when sleeping. Over-the-counter ibuprofen (200mg) has been used, and a doctor previously prescribed steroids and a pain patch, which provided temporary relief. The patient has a medical history of type 2 diabetes and high blood pressure, diagnosed three years ago, and is currently taking Ozempic and hydrochlorothiazide. No known drug allergies are reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Muscle Strain or Postural Pain: Given that your pain worsens with certain positions and is relieved by using pillows, it could be related to muscle strain or poor posture. This is common and can cause dull, aching pain, sometimes accompanied by a burning sensation if nerves are slightly irritated.

    • Treatment typically involves rest, posture correction, and over-the-counter pain relief. Physical therapy can also be beneficial.
  • Nerve Irritation: The burning sensation you describe could indicate irritation of a nerve in your back. This can occur due to muscle tension or inflammation.

    • Treatment may include anti-inflammatory medications, physical therapy, or other interventions as recommended by a healthcare provider.
  • Referred Pain: Sometimes, pain in the back can be referred from other areas, such as the kidneys or other internal organs, especially if you have side discomfort. However, without additional symptoms like fever or urinary changes, this is less likely.

What you can do

  1. Posture and Ergonomics: Pay attention to your posture, especially when sitting or sleeping. Consider using ergonomic furniture or supportive pillows to maintain a neutral spine position.

  2. Pain Management: Continue using over-the-counter pain relief like ibuprofen as needed, but be mindful of the recommended dosage. Applying heat or cold packs to the affected area may also help alleviate discomfort.

  3. Physical Activity: Gentle stretching and strengthening exercises can help improve posture and reduce muscle tension. Consider consulting a physical therapist for personalized exercises.

  4. Symptom Tracking: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider. This can help identify patterns or triggers for your pain.

What you should look out for

  • Seek Medical Attention: If your pain worsens, becomes severe, or is accompanied by other symptoms like fever, unexplained weight loss, or changes in bowel or bladder habits, seek medical attention promptly.

  • Monitor Symptoms: Keep an eye on any new or worsening symptoms, and consult your healthcare provider if you have concerns. They may recommend imaging tests or other evaluations to rule out more serious conditions.

Remember, while these suggestions can help manage your symptoms, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan tailored to your specific needs.

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1 mo ago

People Also Ask


What could be causing a dull pain in the upper back that worsens in certain positions?

A dull pain in the upper back that worsens in certain positions could be due to muscle strain or poor posture. It might also be related to nerve irritation if there's a burning sensation. These conditions can be exacerbated by certain positions or activities.


How can poor posture contribute to back pain, and what can be done to improve it?

Poor posture can lead to muscle strain and tension, which may cause back pain. Improving posture involves maintaining a neutral spine position, using ergonomic furniture, and being mindful of body alignment during daily activities. Supportive pillows can also help when sleeping.


What are some effective ways to manage muscle strain or nerve irritation at home?

To manage muscle strain or nerve irritation at home, you can use over-the-counter pain relief like ibuprofen, apply heat or cold packs, and perform gentle stretching and strengthening exercises. Consulting a physical therapist for personalized exercises can also be beneficial.


When should someone with back pain seek medical attention?

Medical attention should be sought if back pain worsens, becomes severe, or is accompanied by symptoms like fever, unexplained weight loss, or changes in bowel or bladder habits. These could indicate a more serious condition that requires professional evaluation.


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