[48M] Experiencing recurrent lower back pain

What might be happening

Based on the information you've provided, it's possible you might be experiencing one of the following conditions:

• Muscle or Ligament Strain: Repeated heavy lifting or a sudden awkward movement can strain back muscles and spinal ligaments. If you're in poor physical condition, constant strain on your back can cause painful muscle spasms.

  • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.

• Degenerative Disc Disease: This is a condition where the discs between the vertebrae of the spinal column deteriorate or break down, leading to pain, weakness, or numbness.

  • Treatment can include physical therapy, medications for pain relief, and in some cases, surgery.

• Herniated or Bulging Discs: Discs act as cushions between the bones (vertebrae) in your spine. The soft material inside a disc can bulge or rupture and press on a nerve.

  • Treatment options include physical therapy, medications, and possibly surgery.

• Osteoarthritis: This is a common form of arthritis that can occur in the lower back. In some cases, arthritis in the spine can lead to a narrowing of the space around the spinal cord, a condition called spinal stenosis.

  • Treatment typically involves medication and physical therapy to manage symptoms, and in some cases, surgery.

Please remember that while these are common causes of lower back pain, there are many potential causes and this does not represent an exhaustive list.

What you can do

1. Continue to take over-the-counter pain relievers as needed. Nonprescription medications, such as your Advil, can help relieve your pain.
2. Use heat or cold. Both can reduce inflammation and soothe stiff, aching muscles.
3. Stay active. Bed rest can make back pain worse. Try to do light activity, such as walking and activities of daily living. Stop activity that increases pain, but don't avoid activity out of fear of pain.
4. Consider physical therapy. A physical therapist can teach you exercises to improve flexibility and strength, as well as improve your posture and reduce strain on your back.

What you should look out for

Please seek immediate medical attention if you experience:

• Severe back pain that doesn't improve with rest
• Pain that radiates down your leg or worsens with bending, lifting, standing, or walking
• Pain accompanied by unexplained weight loss
• Pain accompanied by bladder or bowel control problems

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.