[38M] Experiencing chronic lower back pain

What might be happening

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

• Muscular Strain: This is a common cause of lower back pain and can occur due to lifting heavy objects or making sudden movements. The pain is typically localized in the lower back and can be sharp when moving in certain ways.

  • Treatment usually involves rest, physical therapy, and over-the-counter pain relievers. In some cases, prescription medication may be necessary.

• Degenerative Disc Disease: This condition occurs when one or more of the discs between the vertebrae of the spinal column deteriorates or breaks down, leading to pain.

  • Treatment can include physical therapy, medications, and in some cases, surgery.

• Herniated Disc: This occurs when the soft center of a spinal disc pushes through a crack in the tougher exterior casing. Some herniated discs cause no symptoms, but others can cause severe pain, especially if the disc is pressing on a nerve.

  • Treatment can range from over-the-counter pain medications to surgery.

• Spinal Stenosis: This is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. It occurs most often in the lower back and the neck.

  • Treatment options include medication, physical therapy, and in some cases, surgery.

What you can do

You should definitely see a healthcare provider for a proper diagnosis and treatment plan. In the meantime, here are some things you can do to help manage your symptoms:

1. Rest and avoid activities that make your pain worse.
2. Apply heat or cold to the affected area. Use ice for the first 48 to 72 hours, then use heat.
3. Over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others) may help.
4. Gentle exercises and stretching can help prevent muscle stiffness and strengthen your back muscles.

What you should look out for

Seek immediate medical attention if your back pain:

• Causes new bowel or bladder problems
• Is accompanied by fever
• Follows a fall, blow to your back or other injury
• Is severe and doesn't improve with rest
• Spreads down one or both legs, especially if the pain extends below the knee
• Causes weakness, numbness or tingling in one or both legs

Please note that this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.