[42M] With chronic lower right back pain and morning numbness in the palm and fingers

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Muscle Strain or Overuse: Prolonged sitting, especially in front of a computer, can lead to muscle strain or overuse, particularly in the lower back. This can cause dull pain that worsens with prolonged sitting.

  • Treatment: Rest, physical therapy, ergonomic adjustments, and over-the-counter pain relievers can help manage symptoms.

• Sciatica: This condition occurs when the sciatic nerve is compressed, often due to a herniated disc or bone spur. It can cause lower back pain and tingling or numbness in the legs or feet.

  • Treatment: Physical therapy, medications, and sometimes surgery are used to relieve pressure on the nerve.

• Carpal Tunnel Syndrome: The tingling sensation in your palm and fingers, especially after sleep, could be due to carpal tunnel syndrome, which is caused by compression of the median nerve in the wrist.

  • Treatment: Wrist splints, ergonomic adjustments, and sometimes surgery can help alleviate symptoms.

• Poor Posture: Sitting for long periods with poor posture can lead to back pain and nerve compression, resulting in numbness and tingling.

  • Treatment: Improving posture, using ergonomic furniture, and taking regular breaks to stretch can help.

What you can do

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

1. Ergonomic Adjustments: Ensure your workstation is ergonomically friendly. Use a chair with good lumbar support, keep your feet flat on the floor, and your computer screen at eye level.
2. Regular Breaks: Take breaks every 30 minutes to stand, stretch, and walk around. This can help reduce muscle strain and improve circulation.
3. Exercise: Incorporate exercises that strengthen your back and core muscles. Gentle stretching and yoga can also be beneficial.
4. Posture: Pay attention to your posture. Sit up straight with your shoulders back and avoid slouching.
5. Wrist Support: Use a wrist splint at night to help alleviate the tingling sensation in your hands.
6. Hydration and Nutrition: Stay hydrated and maintain a balanced diet to support overall health.
7. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening pain
• Weakness in your legs or difficulty walking
• Changes in bowel or bladder function
• Unexplained weight loss or fever
• Persistent or worsening numbness and tingling

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.