[48F] Experiencing persistent lower back pain

Patient Description

A 48-year-old female is reporting persistent pain in the lower back, described as internal rather than skeletal. The pain has been present for over six months and is particularly severe at night, making it difficult to turn in bed. Massaging the lower backbone area is also painful. The patient notes that prolonged movement can alleviate the discomfort somewhat, but there is no other consistent relief. There have been no recent injuries to the back, and no other symptoms have been reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Musculoskeletal Strain: This is a common cause of back pain and can occur as a result of everyday activities, including lifting heavy objects or making sudden movements. The pain is usually localized in the lower back and may be accompanied by muscle spasms.

    • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.
  • Herniated Disc: This occurs when one of the discs that cushion the bones in your spine ruptures and the inner jelly-like substance leaks out. This can irritate nearby nerves and result in pain, numbness, or weakness in your back.

    • Treatment can range from physical therapy and medication to surgery in severe cases.
  • Kidney Infection or Stones: These conditions can cause pain in the lower back, usually on one side. Other symptoms can include fever, painful urination, and nausea.

    • Treatment typically involves antibiotics for infections and medication to help pass the stones.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that may help alleviate your back pain:

  1. Rest and avoid strenuous activities that may exacerbate your pain.
  2. Apply a hot or cold pack to the painful area.
  3. Over-the-counter pain relievers, such as ibuprofen, can help reduce pain and inflammation.
  4. Gentle exercises and stretching can help improve flexibility and strength in your back.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe back pain that doesn't improve with rest.
  • Pain that radiates down your legs, especially if it extends below your knee.
  • Weakness, numbness, or tingling in one or both legs.
  • Unexplained weight loss.
  • Bladder or bowel control problems.

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are common causes of persistent lower back pain?

Common causes of persistent lower back pain include musculoskeletal strain, herniated discs, kidney infections or stones, and sometimes more serious conditions like spinal stenosis or tumors. It's important to consult a healthcare provider for an accurate diagnosis.


How can I differentiate between musculoskeletal strain and a herniated disc?

Musculoskeletal strain often results in localized pain and muscle spasms, while a herniated disc may cause pain that radiates down the legs, numbness, or weakness. A healthcare provider can perform tests to differentiate between the two.


What are the symptoms of kidney stones or infections that could cause back pain?

Symptoms of kidney stones or infections include severe back pain, usually on one side, fever, painful urination, and nausea. If you suspect a kidney issue, it's important to seek medical attention promptly.


What are some effective home remedies for managing lower back pain?

Effective home remedies for managing lower back pain include rest, applying hot or cold packs, taking over-the-counter pain relievers like ibuprofen, and performing gentle exercises and stretches to improve flexibility and strength.


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