[42F] Experiencing dull, stabbing bone pain on left side

Patient Description

Valarie, a 42-year-old female, reports experiencing a dull, stabbing pain in the bone on her left side for approximately three weeks. The pain is intermittent, occurring off and on throughout the day, and has not been relieved by any interventions. There are no accompanying symptoms such as swelling, redness, warmth, or bruising, and there has been no recent injury or trauma to the area. She has not experienced fever or unexplained weight loss. Valarie has a family history of osteoporosis but has not undergone a bone density test herself. Her medical history includes depression since age 12, bulging discs diagnosed in her early twenties, and a floating tailbone post-second childbirth in 2009. She is currently taking Efexer ER once daily and Vitamin D3 at a dosage of 50,000 IU once a week. There are no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for the bone pain on your left side:

  • Musculoskeletal Pain: This type of pain can arise from muscles, bones, or joints and is often due to overuse, strain, or minor injuries that might not be immediately noticeable. Given that the pain is dull and comes and goes, it could be related to muscle tension or a minor strain.

  • Osteoporosis or Bone Density Issues: Since you have a family history of osteoporosis and are taking Vitamin D3, it's possible that bone density issues could be contributing to your pain. Osteoporosis can cause bones to become weak and more susceptible to pain or fractures.

  • Referred Pain from Bulging Discs: Your history of bulging discs could potentially cause referred pain, where the pain is felt in an area different from its source. This could explain the bone pain on your left side.

Typical treatments or testing might include imaging studies like X-rays or MRIs to assess bone health and rule out fractures or other issues. A bone density test could also be helpful to evaluate for osteoporosis.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis, here are some steps you can take to manage your symptoms:

  1. Rest and Gentle Exercise: Avoid activities that exacerbate the pain, but engage in gentle exercises like walking or stretching to maintain mobility and strength.

  2. Pain Relief: Over-the-counter pain relievers like acetaminophen or ibuprofen may help alleviate discomfort. However, consult with a healthcare provider before starting any new medication.

  3. Monitor Your Symptoms: Keep track of when the pain occurs, its intensity, and any activities that might trigger it. You can use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

  4. Calcium and Vitamin D: Ensure you're getting enough calcium and Vitamin D, as these are crucial for bone health. Discuss with your doctor whether your current Vitamin D3 dosage is appropriate.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Pain: If the pain becomes severe or progressively worse, it's important to see a healthcare provider.

  • New Symptoms: If you develop new symptoms such as swelling, redness, or warmth in the area, or if you experience unexplained weight loss or fever.

  • Mobility Issues: If the pain begins to interfere with your ability to move or perform daily activities.

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a thorough evaluation and personalized advice.

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1 mo ago


People Also Ask


What are the common causes of bone pain without injury?

Common causes of bone pain without injury include musculoskeletal issues such as overuse, strain, or minor injuries that may not be immediately noticeable. Other causes can include bone density issues like osteoporosis, infections, or referred pain from other conditions.


How can osteoporosis contribute to bone pain?

Osteoporosis can lead to bone pain because it causes bones to become weak and brittle, making them more susceptible to fractures and discomfort. The loss of bone density can result in pain even without a direct injury.


What is referred pain and how can bulging discs cause it?

Referred pain occurs when pain is felt in a different location from its source. Bulging discs can cause referred pain by compressing nerves that transmit pain signals to other areas of the body, such as the bones on the side of the body.


What are the recommended steps to manage intermittent bone pain?

To manage intermittent bone pain, it is recommended to rest and engage in gentle exercises, use over-the-counter pain relievers if needed, monitor symptoms, and ensure adequate intake of calcium and Vitamin D. Consulting a healthcare provider for a formal diagnosis and personalized treatment plan is also advised.


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