[38M] Experiencing severe lower back pain with leg weakness and uneven shoulders

What might be happening

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

• Muscle Strain or Ligament Sprain: This is a common cause of severe lower back pain, especially if it started after lifting a heavy object or a fall. This can also cause your back to feel "crooked" or your shoulders to appear uneven.

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

• Herniated Disc: This occurs when one of the discs that cushion the bones in your spine ruptures and the inner gel-like substance leaks out. This can cause severe pain in your lower back and weakness in your legs.

  • Treatment can range from physical therapy and medication to surgery in severe cases.

• 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 typically occurs in the lower back and the neck. Symptoms can include pain, numbness, muscle weakness, and problems with bladder or bowel function.

  • Treatment can range from medication and physical therapy to surgery in severe cases.

Please note that it's important to consult with a healthcare professional who can evaluate your symptoms and medical history to provide an accurate diagnosis.

What you can do

1. Rest: Avoid activities that cause pain or may have caused the injury. This will help the injury to heal.

2. Over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help reduce pain and inflammation.

3. Heat or Cold: Applying a heat pack or an ice pack to the affected area can help with pain and inflammation.

4. Gentle exercises: Once the acute pain improves, gentle back exercises and stretching can prevent pain from recurring. A physical therapist can help with this.

What you should look out for

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

• Severe pain that doesn't improve with rest
• Pain that radiates down one or both legs, especially if the pain extends below the knee
• Weakness, numbness or tingling in one or both legs
• Unexplained weight loss
• Redness or swelling in the back or spine
• Bladder or bowel control problems

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare professional for accurate information.