[45F] With sudden onset of stabbing middle back pain

What might be happening

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

• Muscle Strain or Spasm: This is a common cause of sudden back pain, especially if you have engaged in any activity that might have strained your back muscles, even if you don't recall a specific incident. Muscle strains can cause tenderness, stiffness, and spasms.

  • Treatment: Rest, applying ice or heat, and over-the-counter pain relievers like ibuprofen or acetaminophen can help. Gentle stretching and avoiding activities that worsen the pain are also recommended.

• Herniated Disc: Although less common without a specific incident, a herniated disc can cause sudden back pain and muscle spasms. This occurs when the soft material inside a disc in your spine pushes out.

  • Treatment: Rest, physical therapy, and medications to reduce pain and inflammation. In some cases, more advanced treatments like injections or surgery may be necessary.

• Facet Joint Pain: The facet joints are small stabilizing joints located between and behind adjacent vertebrae. Pain from these joints can be sharp and worsen with certain movements.

  • Treatment: Rest, physical therapy, and anti-inflammatory medications. In some cases, injections or other interventions may be needed.

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. Rest and Avoid Aggravating Activities: Give your back time to heal by avoiding activities that worsen the pain, such as bending, sitting for long periods, or stretching too much.
2. Apply Ice or Heat: Ice can help reduce inflammation and numb the pain, while heat can help relax and loosen tissues and stimulate blood flow to the area.
3. Over-the-Counter Pain Relievers: Medications like ibuprofen (Advil) or acetaminophen (Tylenol) can help reduce pain and inflammation.
4. Gentle Stretching and Strengthening Exercises: Once the acute pain subsides, gentle stretching and strengthening exercises can help improve flexibility and support your back.
5. Stay Hydrated and Maintain a Healthy Diet: Proper hydration and nutrition can support overall health and recovery.
6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical 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: If your pain becomes severe or continues to worsen despite self-care measures.
• Numbness or Tingling: If you develop numbness, tingling, or weakness in your legs or feet.
• Changes in Bowel or Bladder Function: If you experience any changes in your bowel or bladder function, such as incontinence.
• Fever or Chills: If you develop a fever or chills, which could indicate an infection.

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