[43M] With severe lower back pain and newly discovered lump

What might be happening

Based on the information you’ve provided, there are a few serious conditions that could be causing your symptoms:

1. Herniated Disc: This occurs when a disc in your spine ruptures or slips out of place, pressing on nearby nerves. This can cause severe pain that radiates from your lower back down your leg, as well as numbness and weakness. The lump you feel could be related to muscle spasms or swelling around the affected area.

2. Sciatica: This is a condition where the sciatic nerve, which runs from your lower back down to your feet, is compressed or irritated. This can cause pain, numbness, and weakness along the nerve's path. The lump might be unrelated but should still be evaluated.

3. Spinal Tumor: Although less common, a tumor in the spine can cause similar symptoms, including severe pain, weakness, and numbness. The lump you found could be a sign of a tumor or another growth that needs immediate attention.

4. Cauda Equina Syndrome: This is a rare but serious condition where the bundle of nerves at the end of the spinal cord is compressed. It can cause severe pain, weakness, numbness, and changes in bowel or bladder function. This is a medical emergency.

What you can do

Given the severity of your symptoms and the new lump you’ve discovered, it is crucial to seek immediate medical attention. Here are the steps you should take:

1. Go to the Emergency Room: Given the potential for serious conditions like a herniated disc, spinal tumor, or cauda equina syndrome, you should go to the emergency room as soon as possible. If you are unable to walk or are in severe pain, call 911 or have someone drive you to the hospital.

2. Avoid Strenuous Activities: Until you can be seen by a medical professional, avoid activities that exacerbate your pain, such as bending, lifting, or twisting.

3. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen may help manage your pain temporarily, but they are not a substitute for professional medical evaluation and treatment.

4. Document Symptoms: Keep a record of your symptoms, including when they started, their severity, and any changes. This information will be helpful for the healthcare providers who will assess you.

5. Follow-Up: After your initial evaluation, follow up with a specialist such as a neurologist or orthopedic surgeon for further assessment and treatment.

Remember, I am not a doctor, and this information is not a substitute for professional medical advice. Please seek care from a real health professional immediately to receive a formal diagnosis and appropriate treatment.