[68F] Experiencing severe low back pain with right leg weakness

What might be happening

Based on the information you've provided, possible diagnoses include:

• Muscle Strain or Sprain: This is a common cause of sudden-onset low back pain, especially with movement. It can occur without a specific injury or trigger, and can cause sharp pain and muscle spasms.

  • Treatment typically involves rest, ice, and over-the-counter pain relievers like ibuprofen. Physical therapy may also be recommended.

• 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 sharp pain in the lower back and buttock area, and can also cause weakness or numbness in the leg.

  • Treatment often includes physical therapy and pain relief medications. In severe cases, surgery may be necessary.

• Spinal Stenosis: This is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. It typically causes pain in the lower back and in the legs, especially when walking.

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

• Vertebral Compression Fracture: Given your age and the sudden onset of your symptoms, a vertebral compression fracture is also a possibility. This occurs when a bone in the spine collapses, often due to osteoporosis.

  • Treatment can include pain medications, rest, and in some cases, surgery.

Please note that these are possibilities based on the information you've provided, and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

1. Continue using ice and ibuprofen as needed for pain relief. Remember not to exceed the recommended dosage of ibuprofen.
2. Try to rest and avoid activities that worsen your pain.
3. Gentle stretching exercises may help relieve tension and improve flexibility in your lower back. However, if any exercise increases your pain, stop doing it immediately.
4. Make an appointment with your healthcare provider for further evaluation. They may refer you to a specialist or order imaging tests like an X-ray or MRI to better understand the cause of your pain.

What you should look out for

Seek immediate medical attention if:

• Your pain becomes severe or unbearable
• You experience loss of bowel or bladder control
• You develop numbness or tingling in your groin area
• Your leg weakness worsens or you have difficulty walking

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.