[54F] Experiencing chronic burning back pain

What might be happening

Based on the information you provided, you may be experiencing:

• Lumbar Strain: This is a stretch injury to the ligaments, tendons, and/or muscles of the lower back. It is common in people your age and can occur due to overuse, improper use, or trauma. It's usually seen in people who do a lot of bending, lifting, or twisting.

  • Treatment typically involves rest, physical therapy, and pain relievers like Tylenol which you've mentioned provides some relief.

• Degenerative Disc Disease: This condition occurs when one or more of the discs between the vertebrae of the spinal column deteriorates or breaks down. It can lead to pain, weakness, or numbness. It's a natural part of aging, and over time, all people will exhibit changes in their discs consistent with this process.

  • Treatment typically involves physical therapy, medications for pain relief, and in some cases, surgery.

• Lumbar Radiculopathy: This condition occurs when a nerve root in the lower back is compressed, causing pain and loss of sensation or muscle weakness in the legs. However, you mentioned that your pain does not radiate to your legs, which makes this less likely.

  • Treatment typically involves physical therapy, medications for pain relief, and in some cases, surgery.

What you can do

• Continue taking Tylenol as needed for pain relief, but make sure not to exceed the recommended dosage.
• Try to maintain good posture when sitting and standing.
• Avoid activities that cause pain or may have caused the injury.
• Apply a hot or cold pack to the affected area.
• Engage in regular, low-impact exercises such as walking or swimming to strengthen your back muscles.
• Consider seeing a physical therapist for a personalized exercise and stretching routine.

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 one or both legs, especially if the pain extends below the knee.
• Weakness, numbness, or tingling in one or both legs.
• Unexplained weight loss.
• Back pain accompanied by fever.
• Difficulty urinating or loss of bowel or bladder control.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for an accurate diagnosis and treatment.