Pain in the lower back in certain positions?
Hello Doctor, I went to a trampoline park on March 24.
For the next two to three days, I felt fine.
However, on March 28, I went to a basketball court and attempted some dunks (just jumping about four to five times, not actually playing a game).
The following night, I started experiencing a dull pain in my lower back, slightly to the right, and in my waist, which became more pronounced during jumping (it felt okay when I was still).
Over the past few days, even while sitting in a car on bumpy roads, I felt pain, as if something inside was shifting.
Bending down also causes pain in that moment.
I'm really worried that it might be an issue with my kidneys, or is it just a muscle injury? Thank you, Doctor.
Wuwu, 10~19 year old female. Ask Date: 2019/04/02
Dr. Wang Zhaomin reply Rehabilitation
Based on the description, it appears to be a strain of the lower back muscles or other soft tissues; however, an in-person examination is necessary for an accurate diagnosis.
It is recommended to visit a qualified medical facility, such as an orthopedic or rehabilitation department, for early diagnosis and treatment.
Reply Date: 2019/04/02
More Info
Lower back pain following jumping activities, such as trampoline jumping or basketball, is a common concern, especially among active individuals. The symptoms you describe—pain on the right side of your lower back that intensifies with movement, particularly during jumping, and discomfort when sitting in a moving vehicle—suggest a possible soft tissue injury rather than a serious underlying condition like kidney issues.
Understanding the Causes
1. Muscle Strain: The most likely cause of your pain is a muscle strain. Engaging in high-impact activities like jumping can lead to overstretching or tearing of the muscles and ligaments in the lower back. This is especially true if your body is not accustomed to such activities or if proper warm-up exercises were not performed beforehand.
2. Lumbar Sprain: Similar to muscle strains, lumbar sprains involve the ligaments in the lower back. These can occur when the spine is subjected to sudden movements or excessive force, such as jumping or landing awkwardly.
3. Disc Issues: While less common, jumping can also exacerbate existing disc problems, such as herniation or bulging discs. These conditions can lead to nerve compression, resulting in pain that may radiate to other areas.
4. Core Stability: Weakness in the core muscles can contribute to lower back pain. The core muscles support the spine, and if they are not strong enough, the lower back may be subjected to undue stress during physical activities.
Solutions and Recommendations
1. Rest and Ice: Initially, it is crucial to rest and avoid activities that exacerbate the pain. Applying ice to the affected area can help reduce inflammation and alleviate pain.
2. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises can be beneficial. Focus on stretches that target the lower back, hamstrings, and hip flexors. Strengthening the core muscles through exercises like planks and bridges can provide better support for your spine.
3. Physical Therapy: If the pain persists, consider consulting a physical therapist. They can design a personalized rehabilitation program that includes specific exercises to improve flexibility, strength, and stability in the lower back.
4. Posture and Body Mechanics: Pay attention to your posture during daily activities and while exercising. Proper body mechanics can help prevent further injury. When lifting or bending, use your legs rather than your back to reduce strain.
5. Gradual Return to Activity: Once you feel better, gradually reintroduce jumping and other high-impact activities. Ensure you warm up adequately before engaging in these activities and consider incorporating low-impact exercises, such as swimming or cycling, to maintain fitness without stressing the lower back.
6. Consult a Healthcare Professional: If your symptoms do not improve or worsen, it is essential to seek medical advice. A healthcare professional can perform a thorough examination and may recommend imaging studies, such as X-rays or MRIs, to rule out more serious conditions.
Conclusion
In summary, your lower back pain is likely due to a muscle strain or sprain resulting from recent jumping activities. By resting, applying ice, and gradually incorporating stretching and strengthening exercises, you can facilitate recovery. If symptoms persist, a consultation with a healthcare provider is advisable to ensure appropriate treatment and to rule out any serious underlying issues. Remember, maintaining a strong core and practicing good body mechanics are key to preventing future injuries.
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