[40F] Experiencing sharp mid-back pain

Patient Description

A 40-year-old female is reporting sharp mid-back pain extending towards the sides, with a severity level of 7 out of 10. The pain has been present for 2 days and is exacerbated by movements such as bending and twisting. The patient notes that the pain does not have a specific pattern throughout the day but cycles between improving and worsening. There is no radiation of pain to the lower back or down the legs, and no accompanying symptoms such as fever, chills, changes in urination, or loss of bowel or bladder control. The patient denies any recent injuries, known family history of kidney stones or gallbladder disease, substance use, pre-existing conditions, allergies, or current medication use. The patient also reports feeling generally tired but has not provided further details on this symptom.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Muscle Strain or Sprain: This is a common cause of back pain and can occur as a result of overuse, improper use, or trauma. It's usually localized, affecting just one area, and may be accompanied by muscle spasms or stiffness.

    • Treatment typically involves rest, ice, and over-the-counter pain relievers. Physical therapy and exercises to strengthen your back and improve flexibility may also be helpful.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually comes in waves. It's typically located in your back or side below your ribs.

    • Treatment can range from pain relievers and drinking lots of water to pass the stone, to medical procedures if the stone is too large.
  • Gallstones: These are hardened deposits in the gallbladder that can cause sharp, intense pain in the upper right part of your abdomen that can radiate to the back.

    • Treatment can range from a wait-and-see approach for asymptomatic gallstones to surgery for symptomatic gallstones.

Please note that these are only possibilities, and it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some steps you can take:

  1. Rest and avoid activities that make your pain worse.
  2. Apply a cold pack to the painful area for 15 minutes at a time to help reduce inflammation.
  3. Over-the-counter pain relievers can help with the pain.
  4. Gentle stretching exercises can help relieve tension and improve flexibility.

What you should look out for

Seek immediate medical attention if:

  • Your pain is severe or doesn't improve with rest.
  • You have pain after a fall or an injury.
  • Your pain is accompanied by unexplained weight loss.
  • You have difficulty controlling your bowels or bladder.
  • You have a fever, chills, or other signs of infection.

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are common causes of mid-back pain?

Common causes of mid-back pain include muscle strain or sprain, poor posture, herniated discs, kidney stones, and gallstones. It's important to consider the specific characteristics of the pain and any accompanying symptoms.


How can I differentiate between muscle strain and kidney stones?

Muscle strain typically presents as localized pain that worsens with movement and may be accompanied by stiffness or spasms. Kidney stones often cause severe, wave-like pain in the back or side below the ribs, sometimes accompanied by nausea or blood in the urine. A healthcare professional can provide a definitive diagnosis.


What are the recommended treatments for muscle strain in the back?

Treatment for muscle strain usually involves rest, applying ice to reduce inflammation, and taking over-the-counter pain relievers. Physical therapy and exercises to strengthen the back and improve flexibility can also be beneficial.


When should I seek medical attention for back pain?

You should seek medical attention for back pain if it is severe, doesn't improve with rest, follows a fall or injury, is accompanied by unexplained weight loss, or if you experience difficulty controlling your bowels or bladder, fever, or chills.


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