[51F] Experiencing severe lower back pain and pelvic cramping

What might be happening

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

• Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your feet, is irritated or compressed. It can cause pain, burning, and discomfort in the lower back and hip, and can also cause sensations of heat in the feet. It could be related to your previous microdiscectomy surgery.

  • Treatment often involves physical therapy, pain relief medication, and in some cases, surgery.

• Arthritis: Given your family history of arthritis, it's possible that you could be experiencing symptoms of this condition. Arthritis can cause pain and discomfort in various joints, including the back and hip.

  • Treatment often involves medication, physical therapy, and lifestyle changes such as exercise and diet.

• Ovarian Cyst: The cramping in your pelvic area could be due to an ovarian cyst. These are fluid-filled sacs that can form in the ovaries. They can cause pain and discomfort in the pelvic area, similar to menstrual cramps.

  • Treatment can range from monitoring the cyst to surgical removal, depending on its size and whether it's causing symptoms.

What you can do

1. Consult with a healthcare provider: Given the severity and duration of your symptoms, it's important to seek medical attention. Your healthcare provider can perform a physical examination and may order imaging tests to help determine the cause of your symptoms.

2. Pain management: Over-the-counter pain relievers may help to manage your pain in the short term. However, it's important to use these as directed and not to rely on them for long-term pain management without consulting a healthcare provider.

3. Physical therapy: Depending on the cause of your symptoms, physical therapy may be beneficial. A physical therapist can provide exercises and stretches that may help to alleviate your pain.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe pain that doesn't improve with rest or over-the-counter pain relievers
• Loss of bowel or bladder control
• Numbness or weakness in your legs
• Fever, chills, or unexplained weight loss

Remember, while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.