[45F] Experiencing sudden sharp back pain and spasms

Patient Description

A 45-year-old female presents with sudden onset of sharp back pain and spasms on the right side, which started approximately 30 minutes ago. The pain is described as sharp during spasms and quickly subsides. It is exacerbated by bending, twisting, and sharp inhalation. The patient reports no relief from over-the-counter medication, specifically Advil, taken 10 minutes prior. There is no history of recent injuries or unusual physical activities, except for bending over to trim her dog's nails the day before. The patient denies smoking, recent travel, or changes in physical activity. There is no known family history of musculoskeletal issues or arthritis.

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Arora's Assessment

What might be happening

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

  • Muscle Strain or Spasm: Given the sudden onset of sharp pain in your back, especially after bending over to trim your dog's nails, it's possible that you have strained a muscle or experienced a muscle spasm. This is common and can occur when muscles are overused or stretched too far.

    • Treatment typically involves rest, applying heat or cold to the affected area, and over-the-counter pain relief medications like ibuprofen (Advil) or acetaminophen (Tylenol).
  • Intercostal Muscle Strain: This involves the muscles between your ribs and can cause sharp pain, especially with movements like bending, twisting, or deep breathing.

    • Similar to muscle strain, treatment includes rest, pain relief, and avoiding activities that exacerbate the pain.
  • Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone, which can cause sharp pain in the chest and back. It is often mistaken for a heart attack but is not life-threatening.

    • Treatment involves pain management and avoiding activities that worsen the pain.

What you can do

  1. Rest: Avoid activities that trigger or worsen the pain, such as bending or twisting.
  2. Apply Heat or Cold: Use a heating pad or ice pack on the affected area for 15-20 minutes several times a day to help reduce pain and inflammation.
  3. Pain Relief: Continue taking over-the-counter pain medications like ibuprofen or acetaminophen as needed, following the package instructions.
  4. Gentle Stretching: Once the acute pain subsides, gentle stretching exercises may help improve flexibility and prevent future episodes.
  5. Use MDandMe: Consider using the MDandMe app 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 that does not improve with rest or medication
  • Difficulty breathing or chest pain that feels like pressure or tightness
  • Numbness, tingling, or weakness in your arms or legs
  • Fever or unexplained weight loss

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

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1 mo ago

People Also Ask


What are common causes of sudden sharp back pain?

Common causes of sudden sharp back pain include muscle strain or spasm, intercostal muscle strain, and costochondritis. These can occur due to overuse, improper movement, or inflammation.


How can I differentiate between a muscle strain and costochondritis?

Muscle strain typically involves pain that worsens with movement and may be relieved by rest, while costochondritis involves inflammation of the cartilage connecting the ribs to the breastbone, often causing sharp pain in the chest and back. Costochondritis pain may mimic heart attack symptoms but is not life-threatening.


What are effective home remedies for managing back pain?

Effective home remedies for managing back pain include rest, applying heat or cold to the affected area, taking over-the-counter pain medications like ibuprofen or acetaminophen, and performing gentle stretching exercises once the acute pain subsides.


When should I seek medical attention for back pain?

You should seek medical attention for back pain if you experience severe or worsening pain that does not improve with rest or medication, difficulty breathing, chest pain that feels like pressure or tightness, numbness, tingling, or weakness in your arms or legs, fever, or unexplained weight loss.


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