Sudden Lower Back Pain: Causes and Treatment Options

Sudden lower back pain?

Hello, doctor! I woke up on the morning of July 9th and suddenly felt lower back pain.
Whenever I sit for a long time and then try to stand up, the pain is so intense that I can hardly get up.
It takes about 3 to 5 minutes for the pain to subside enough for me to stand fully.
I have difficulty bending over; the only positions that don't hurt are lying down still or standing.
I also visited an orthopedic doctor who took X-rays.
The doctor told me that I have lower back pain and mild scoliosis, and prescribed muscle relaxants.
After taking the medication, the pain decreased (but it still hurts a little).
However, now the pain has returned to the level it was before I saw the doctor! The doctor mentioned that lower back pain shouldn't occur just once, but why did the medication have no effect, and how could the pain return so quickly? Doctor, what is going on with me?

RAN, 20~29 year old female. Ask Date: 2017/07/24

Dr. Shi Guozheng reply Orthopedics

Acute low back pain is usually caused by muscle strains or improper posture, requiring rest and medication for treatment.
If it has not fully healed, there is a possibility of recurring pain, and it may be necessary to consult a physician for further evaluation.

Reply Date: 2017/07/24

More Info

Sudden lower back pain can be a distressing experience, especially when it interferes with daily activities and quality of life. Based on your description, it seems that you are experiencing significant discomfort that is exacerbated by prolonged sitting and standing, and you have already consulted with an orthopedic physician who diagnosed you with lower back pain and mild scoliosis. While muscle relaxants have provided some relief, the pain has returned, which can be frustrating and concerning.

Understanding the Causes of Sudden Lower Back Pain
1. Muscle Strain or Sprain: One of the most common causes of sudden lower back pain is a muscle strain or ligament sprain. This can occur due to awkward movements, heavy lifting, or even prolonged sitting in an improper posture. The muscles and ligaments in the lower back can become overstretched or torn, leading to pain and stiffness.

2. Herniated Disc: A herniated disc occurs when the soft material inside a spinal disc pushes out through a tear in the tougher exterior. This can compress nearby nerves, leading to pain, numbness, or weakness in the legs. Given your history of disc issues, this could be a potential cause of your pain.

3. Degenerative Disc Disease: As we age, the discs in our spine can degenerate, losing hydration and elasticity, which can lead to pain and discomfort. This condition can also contribute to the development of osteoarthritis in the spine.

4. Scoliosis: While mild scoliosis may not cause significant issues for many individuals, it can lead to uneven stress on the spine and surrounding muscles, potentially resulting in pain, especially if there are changes in posture or activity levels.

5. Other Conditions: Conditions such as spinal stenosis (narrowing of the spinal canal), osteoarthritis, or even kidney stones can also manifest as lower back pain. It’s essential to consider these possibilities, especially if the pain persists or worsens.

Treatment Options
1. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can design a tailored exercise program to strengthen the muscles supporting your spine, improve flexibility, and promote better posture. They may also use modalities such as heat, ice, or electrical stimulation to alleviate pain.

2. Medication: While muscle relaxants can help, you may also benefit from nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen to reduce inflammation and pain. Always consult your physician before starting any new medication.

3. Activity Modification: Avoiding activities that exacerbate your pain is crucial. Incorporating regular, gentle exercises such as walking or swimming can help maintain mobility without putting undue stress on your back.

4. Ergonomic Adjustments: If you spend long hours sitting, ensure that your workspace is ergonomically designed. This includes having a chair that supports your lower back, keeping your feet flat on the ground, and ensuring your computer screen is at eye level.

5. Alternative Therapies: Some individuals find relief through acupuncture, chiropractic adjustments, or massage therapy. These therapies can help alleviate muscle tension and improve circulation in the affected areas.

6. Surgical Options: If conservative treatments fail and your pain significantly impacts your quality of life, surgical options may be considered. This could include procedures to relieve nerve compression or stabilize the spine.

Conclusion
It’s essential to communicate openly with your healthcare provider about your symptoms and treatment responses. If your pain persists or worsens, consider seeking a second opinion or further diagnostic imaging, such as an MRI, to rule out any underlying conditions that may not have been identified through X-rays. Remember, managing lower back pain often requires a multifaceted approach, combining medical treatment, physical therapy, and lifestyle modifications. Your proactive engagement in your treatment plan is key to finding relief and improving your overall well-being.

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