Sudden Lower Back Pain: When to See a Specialist - Rehabilitation

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Sudden lower back pain can be alarming, especially when it limits mobility to the point where one can only crawl. Your mother's experience of sudden onset pain, coupled with a history of right arm numbness, raises several important considerations.
First, it's essential to understand that sudden lower back pain can arise from various causes, including muscle strains, herniated discs, spinal stenosis, or even more serious conditions like fractures or infections. Given that your mother has had a previous episode of similar pain, it may indicate a recurring issue, possibly related to degenerative changes in the spine or other underlying conditions.

The fact that she is experiencing significant pain and is unable to stand suggests that this is not a minor issue. It is crucial to seek medical attention promptly. In this case, both orthopedic and neurological evaluations could be beneficial. An orthopedic specialist can assess the structural integrity of the spine, looking for issues such as disc herniation or spinal alignment problems. On the other hand, a neurologist can evaluate any potential nerve involvement, especially considering her history of arm numbness, which may suggest a neurological component to her symptoms.

When deciding which specialist to see first, consider the following:
1. Severity of Symptoms: If your mother is in severe pain and unable to move, it may be best to start with an emergency room visit or an orthopedic specialist who can provide immediate care and pain management.

2. History of Symptoms: Since she has a history of right arm numbness, it may be prudent to consult a neurologist as well. This could help rule out any neurological issues that may be contributing to her current condition.

3. Diagnostic Imaging: Regardless of which specialist you choose to see first, imaging studies such as X-rays or MRI may be necessary to determine the cause of the pain. These tests can help identify any structural problems in the spine, such as herniated discs or signs of degeneration.

4. Physical Examination: A thorough physical examination by either specialist will help assess her range of motion, strength, and any neurological deficits. This can guide the appropriate treatment plan.

In the meantime, it is advisable for your mother to avoid any activities that exacerbate her pain. Applying ice to the affected area may help reduce inflammation, and over-the-counter pain medications can provide temporary relief. However, these should not replace professional medical evaluation and treatment.

In summary, given your mother's sudden onset of severe lower back pain and her history of arm numbness, it is essential to seek medical attention promptly. Both orthopedic and neurological evaluations are warranted to determine the underlying cause of her symptoms and to develop an appropriate treatment plan. If her condition worsens or if she experiences additional symptoms such as weakness, bowel or bladder dysfunction, or severe numbness, it is crucial to seek emergency medical care immediately.