[39M] Experiencing sharp lower back pain

Patient Description

A 39-year-old male reports experiencing sharp pain in the center of the lower back, just above the pelvis, when picking things up or twisting from left to right. This pain has been present for approximately 8 to 9 months. The patient notes that lying down seems to alleviate the pain. There are no other symptoms reported, and the pain does not radiate to other parts of the body.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Muscle Strain or Sprain: This is a common cause of lower back pain, especially if the pain started after lifting heavy objects or making a sudden movement. The pain is usually localized in the lower back and may be associated with muscle spasms.

    • Treatment typically includes rest, physical therapy, and over-the-counter pain relievers.
  • Herniated or Bulging Disc: The discs in your spine can become damaged and press on the nerves. This can cause sharp, shooting pain in the lower back, especially when bending or twisting.

    • Treatment may include physical therapy, medications, and in some cases, surgery.
  • Degenerative Disc Disease: This is a condition where the discs in your spine start to break down with age. It can cause pain, weakness, or numbness.

    • Treatment typically includes physical therapy, medications, and sometimes surgery.
  • Spinal Stenosis: This is a condition where the spinal column narrows and starts pressing on the spinal cord. This can cause pain, numbness, or weakness.

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

Please note that these are possible diagnoses and you should consult with a healthcare provider for an accurate diagnosis.

What you can do

  • Rest: Avoid heavy lifting and strenuous activity as much as possible. Lying down may help relieve your pain.
  • Over-the-counter pain relievers: Non-prescription medications like ibuprofen or acetaminophen can help relieve your pain.
  • Heat or cold: Applying a hot or cold pack to your lower back may help relieve your pain.
  • Physical therapy: A physical therapist can show you exercises to help strengthen your back and improve your posture.

What you should look out for

  • Severe pain that doesn't improve with rest
  • Pain that spreads down one or both legs
  • Weakness, numbness, or tingling in one or both legs
  • Unexplained weight loss
  • Bladder or bowel problems

If you experience any of these symptoms, seek immediate medical attention.

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8 mo ago

People Also Ask


What are common causes of lower back pain when bending or twisting?

Common causes of lower back pain when bending or twisting include muscle strain or sprain, herniated or bulging discs, degenerative disc disease, and spinal stenosis. These conditions can result from improper lifting, sudden movements, or age-related changes in the spine.


How can I differentiate between a muscle strain and a herniated disc?

A muscle strain typically causes localized pain and may be associated with muscle spasms, while a herniated disc can cause sharp, shooting pain and may be accompanied by numbness or tingling if nerves are affected. A healthcare provider can perform tests to accurately diagnose the condition.


What are some effective home remedies for lower back pain relief?

Effective home remedies for lower back pain include rest, over-the-counter pain relievers like ibuprofen or acetaminophen, applying heat or cold packs to the affected area, and performing gentle stretching exercises as recommended by a physical therapist.


When should I seek medical attention for lower back pain?

You should seek medical attention for lower back pain if you experience severe pain that doesn't improve with rest, pain that spreads down one or both legs, weakness, numbness, or tingling in the legs, unexplained weight loss, or bladder or bowel problems.


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1 Comments


Madelyn#4031

8 mo ago

If it's been happening for 8-9 months it might be time to get a doctor to order you some imaging of your lower (lumbar) spine to figure out whether your spine is the issue. Unfortunately mild back pain is super common and there aren't really any specific treatments unless there's a severe anatomical issue causing it

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