[43F] Experiencing severe dizziness and low back pain

Patient Description

A 43-year-old female presents with severe dizziness described as a sensation of the room spinning, which began 1 day ago. The dizziness is exacerbated by turning her head and is not relieved by any measures. She also reports a sharp pain and burning tightness in her lower back, rated as 5 out of 10 for severity, which started 1 week ago due to an injury. Additionally, the patient has difficulty speaking. She has a history of migraines. No numbness, tingling, nausea, vomiting, sudden severe headaches, loss of consciousness, or weakness on one side of the body were reported.

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Arora's Assessment

What might be happening

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

  • Benign paroxysmal positional vertigo (BPPV): This is a common cause of vertigo, a sensation of spinning, which you described. It occurs when tiny calcium particles clump up in the inner ear. The symptoms can be triggered by specific changes in the position of your head, such as turning your head.

    • Treatment typically includes maneuvers performed by a healthcare professional to move the calcium deposits out of the canal into an inner ear chamber so they can be absorbed by the body.
  • Migraines: You have a history of migraines, and severe dizziness or vertigo can sometimes occur during a migraine attack. However, it's less common for vertigo to be the only symptom of a migraine.

    • Treatment for migraines typically includes medications to relieve symptoms and prevent future attacks.
  • Low back pain due to injury: You mentioned that your low back pain is due to an injury. This could be a muscle or ligament strain, a herniated disc, or a fracture, among other possibilities.

    • Treatment for low back pain often includes rest, physical therapy, pain relievers, and sometimes surgery.

What you can do

  1. For your dizziness, try to avoid the head positions that trigger your vertigo. If the dizziness is severe or persists, seek medical attention. A healthcare professional can perform maneuvers to help alleviate BPPV.

  2. For your migraines, continue any prescribed treatments. If your migraines have changed or worsened, or if your medication is no longer effective, consult your healthcare provider.

  3. For your low back pain, rest and avoid straining your back. Over-the-counter pain relievers may help. If your pain is severe, doesn't improve with rest, or if you have other symptoms like fever or unexplained weight loss, seek medical attention.

What you should look out for

  • If your dizziness is accompanied by a headache, double vision, difficulty speaking, or weakness or numbness in your face, arms, or legs, seek medical attention immediately as these could be signs of a stroke.

  • If your back pain is severe, doesn't improve with rest, or is accompanied by unexplained weight loss, fever, or weakness or numbness in your legs, seek medical attention.

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor and this advice is not a substitute for professional medical advice. Always seek the advice of a healthcare provider with any questions you may have regarding a medical condition.

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11 mo ago

People Also Ask


What is benign paroxysmal positional vertigo (BPPV) and how is it treated?

Benign paroxysmal positional vertigo (BPPV) is a condition that causes a sensation of spinning or vertigo, often triggered by changes in head position. It occurs when tiny calcium particles clump up in the inner ear. Treatment typically involves maneuvers performed by a healthcare professional to move these particles out of the canal into an inner ear chamber where they can be absorbed.


Can migraines cause dizziness or vertigo?

Yes, migraines can sometimes cause dizziness or vertigo, although it is less common for vertigo to be the only symptom. This is known as vestibular migraine. Treatment usually involves medications to relieve symptoms and prevent future attacks.


What are common causes of lower back pain following an injury?

Common causes of lower back pain following an injury include muscle or ligament strains, herniated discs, or fractures. Treatment often includes rest, physical therapy, pain relievers, and in some cases, surgery.


When should I seek medical attention for dizziness or back pain?

You should seek medical attention for dizziness if it is accompanied by symptoms like headache, double vision, difficulty speaking, or weakness or numbness in your face, arms, or legs, as these could be signs of a stroke. For back pain, seek medical attention if it is severe, doesn't improve with rest, or is accompanied by unexplained weight loss, fever, or weakness or numbness in your legs.


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