[57M] Experiencing constant dull lower right back pain

Patient Description

A 57-year-old male reports a constant dull pain in the lower right back, right above the buttocks, which has persisted for a month. The pain is described as deep inside, with an intensity of 7 out of 10. It is exacerbated by turning the waist, bending, and lack of movement. No activities or interventions have been identified that relieve the pain. There have been no recent injuries or accidents reported that could have contributed to the back pain. The patient also notes a possible decrease in sensation in one leg, but no other symptoms have been mentioned. No changes in bowel or bladder function have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

  • Musculoskeletal Strain: This is a common cause of lower back pain and can occur due to overuse or injury. It's characterized by a dull, aching pain that can be constant or intermittent. It can be caused by poor posture, lifting heavy objects, or sudden movements.

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

  • Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your feet, is irritated or compressed. Symptoms can include a sharp, burning pain in the lower back that radiates down one leg, and numbness or weakness in the leg or foot.

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

  • Lumbar Radiculopathy: This condition is caused by compression or inflammation of a nerve root in the lower back, which can cause pain, numbness, or weakness in the leg.

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

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, and pain that comes in waves and fluctuates in intensity.

    • Treatment can include drinking water, pain medication, and medical procedures to remove or break up the stones.

Please remember that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

  1. Try to rest and avoid activities that aggravate your pain.
  2. Over-the-counter pain relievers, such as ibuprofen, may help alleviate your pain.
  3. Gentle exercises and stretching can help improve your condition. However, if these activities increase your pain, stop them immediately.
  4. Applying a hot or cold pack to your lower back may provide some relief.

You should seek medical attention for a proper diagnosis and treatment.

What you should look out for

You should seek immediate medical attention if:

  • Your pain is severe or doesn't improve with rest.
  • You have difficulty controlling your bowels or bladder.
  • You experience severe weakness, numbness, or tingling in one or both legs.
  • You have unexplained weight loss.
  • You have a history of cancer and develop new back pain.

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis.

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9 mo ago

People Also Ask

What are common causes of lower back pain in adults?

Common causes of lower back pain in adults include musculoskeletal strain, sciatica, lumbar radiculopathy, and kidney stones. Other factors can include poor posture, lack of exercise, and age-related changes in the spine.

How can I differentiate between musculoskeletal strain and sciatica?

Musculoskeletal strain typically presents as a dull, aching pain that worsens with movement and improves with rest. Sciatica, on the other hand, often involves sharp, burning pain that radiates down the leg, along with possible numbness or weakness.

What are the symptoms of lumbar radiculopathy?

Symptoms of lumbar radiculopathy include pain, numbness, or weakness in the leg, which is caused by compression or inflammation of a nerve root in the lower back. The pain may radiate down the leg and can be accompanied by tingling sensations.

When should I seek medical attention for back pain?

You should seek medical attention for back pain if it is severe, does not improve with rest, is accompanied by bowel or bladder control issues, causes significant weakness or numbness in the legs, or if you have a history of cancer and develop new back pain.

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