Your Back Pain: Causes and Solutions for Orthopedic Issues

What is wrong with me?

Hello: In the past one to two years, I have been experiencing an increasing frequency of lower back pain and discomfort.
Initially, about three to four years ago, I started having occasional sharp pain in the lower back and hip, particularly when walking; the moment my foot strikes the ground, I feel a sharp pain in the lower back and hip area.
In the past one to two years, I have also found it increasingly difficult to stand for long periods, such as when washing dishes; sometimes I have to sit down to wash, otherwise the discomfort in my lower back becomes unbearable.
Additionally, the sharp pain in my lower back and hip while walking has become more frequent.
Could you please help me understand the possible causes of these symptoms? Thank you.

Raya, 30~39 year old female. Ask Date: 2017/07/31

Dr. Shi Guozheng reply Orthopedics

There may be degenerative changes in the spine, so it is necessary to visit an orthopedic clinic to identify the specific issue, as it cannot be clearly explained through description alone.

Reply Date: 2017/07/31

More Info

Understanding back pain, especially when it becomes chronic, can be quite complex. Based on your description of symptoms, it seems that you are experiencing a combination of lower back pain, discomfort in the hip area, and a sharp pain that occurs when you step down while walking. This progression of symptoms over the past few years suggests that there may be underlying orthopedic issues that need to be addressed.

Possible Causes of Your Symptoms
1. Muscle Strain or Ligament Sprain: Overuse or improper lifting techniques can lead to muscle strains or ligament sprains in the lower back. This could explain the sharp pain you feel when you step down, as the muscles and ligaments may not be able to handle the impact properly.

2. Degenerative Disc Disease: As we age, the intervertebral discs can lose hydration and elasticity, leading to degenerative changes. This can cause pain during movement, especially when standing for prolonged periods or during activities that put stress on the lower back.

3. Herniated Disc: A herniated disc occurs when the inner gel-like core of the disc protrudes through the outer layer. This can press on nearby nerves, leading to pain that radiates into the hips or legs, particularly when you are active.

4. Sciatica: If the pain radiates down your leg, it could be due to sciatica, which is caused by compression of the sciatic nerve. This often results from a herniated disc or spinal stenosis.

5. Osteoarthritis: Wear and tear on the joints can lead to osteoarthritis, which can cause pain and stiffness in the lower back and hips, particularly after periods of inactivity or prolonged standing.

6. Sacroiliac Joint Dysfunction: The sacroiliac joint connects the lower spine to the pelvis. Dysfunction in this joint can cause pain in the lower back and hips, especially during activities like walking or standing.

Recommended Solutions
1. Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles around your back and improve flexibility. A physical therapist can design a personalized exercise regimen that focuses on core strengthening, stretching, and proper body mechanics.

2. Pain Management: Over-the-counter pain relievers such as NSAIDs (e.g., ibuprofen) can help manage pain and inflammation. If the pain is severe, a healthcare provider may prescribe stronger medications or recommend corticosteroid injections.

3. Ergonomic Adjustments: Making changes to your daily activities, such as using a supportive chair while washing dishes or taking frequent breaks to stand and stretch, can alleviate some of the discomfort associated with prolonged standing or sitting.

4. Heat and Cold Therapy: Applying heat can help relax tense muscles, while cold therapy can reduce inflammation. Alternating between the two may provide relief.

5. Lifestyle Modifications: Maintaining a healthy weight, engaging in regular low-impact exercise (like walking or swimming), and practicing good posture can significantly reduce back pain over time.

6. Diagnostic Imaging: If symptoms persist despite conservative treatment, further evaluation through imaging studies such as X-rays or MRI may be warranted to assess for structural issues like herniated discs or degenerative changes.

7. Consultation with a Specialist: If your symptoms do not improve, consider consulting an orthopedic specialist or a spine specialist who can provide a more in-depth evaluation and discuss potential surgical options if necessary.

Conclusion
Chronic back pain can be debilitating, but understanding the underlying causes is the first step toward effective treatment. It’s essential to listen to your body and seek professional help when needed. A combination of physical therapy, lifestyle changes, and possibly medical intervention can help you manage your symptoms and improve your quality of life. Always consult with a healthcare professional before starting any new treatment or exercise program to ensure it is appropriate for your specific condition.

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