[43M] With chronic lower back pain and spinal abnormalities

What might be happening

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

Chronic Lower Back Pain with Radiating Symptoms

• Degenerative Disc Disease (DDD): Given your history of tears between vertebrae and fusing of the lower vertebrae, it's possible that you have degenerative disc disease. This condition can cause chronic pain, especially when standing, sitting, or lifting, and may lead to radiating pain, numbness, or tingling in the legs.
• Spinal Stenosis: The swelling and difficulty walking or balancing could be due to spinal stenosis, a condition where the spaces within your spine narrow, putting pressure on the nerves. This can cause pain, numbness, and weakness in the legs.
• Scoliosis: The sideways bend in your spine could be contributing to your pain and imbalance. Scoliosis can cause uneven stress on the spine and muscles, leading to chronic pain and difficulty with posture and movement.

Muscle Strain and Overuse

• Muscle Strain: Your long hours of standing, heavy lifting, and repetitive movements as a chef could have led to chronic muscle strain and overuse injuries. This can cause pain, swelling, and difficulty with movement.

Typical Treatments and Testing

• Imaging Studies: X-rays, MRIs, or CT scans can help identify structural issues in your spine.
• Physical Therapy: A physical therapist can design a program to strengthen your back muscles, improve flexibility, and reduce pain.
• Medications: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. In some cases, prescription medications or muscle relaxants may be necessary.
• Injections: Corticosteroid injections can reduce inflammation and pain in the affected areas.
• Surgery: In severe cases, surgical intervention may be necessary to correct structural issues or relieve nerve compression.

What you can do

For Chronic Lower Back Pain

• Consult a Doctor: It's important to see a healthcare provider to get a proper diagnosis and treatment plan. They may recommend imaging studies and refer you to a specialist if needed.
• Physical Therapy: Engage in physical therapy exercises to strengthen your back and core muscles. This can help alleviate pain and improve your mobility.
• Pain Management: Use over-the-counter pain relievers like ibuprofen or acetaminophen as needed. Be sure to follow the recommended dosage.
• Ergonomic Adjustments: Make adjustments to your work environment to reduce strain on your back. This may include using supportive footwear, taking frequent breaks, and using proper lifting techniques.
• Lifestyle Changes: Maintain a healthy weight, stay active, and avoid smoking and excessive alcohol consumption. These changes can help improve your overall health and reduce back pain.

For Radiating Pain and Numbness

• Stretching and Strengthening: Perform gentle stretching and strengthening exercises for your back and legs. A physical therapist can guide you on the best exercises for your condition.
• Heat and Cold Therapy: Apply heat or cold packs to the affected area to reduce pain and inflammation.
• Posture Correction: Practice good posture when standing, sitting, and lifting to reduce strain on your spine.

For Muscle Strain and Overuse

• Rest and Recovery: Allow your muscles to rest and recover by taking breaks and avoiding activities that exacerbate your pain.
• Massage Therapy: Consider getting a massage to relieve muscle tension and improve circulation.

What you should look out for

Given the severity and chronic nature of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or worsening pain: If your pain becomes unbearable or significantly worsens, seek medical attention immediately.
• Loss of bladder or bowel control: This could indicate a serious condition called cauda equina syndrome, which requires immediate medical intervention.
• Severe weakness or numbness: If you experience significant weakness or numbness in your legs, seek medical care promptly.
• Difficulty walking or balancing: If your ability to walk or balance continues to deteriorate, consult a healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.