Lower Back Nerve Pain: When to Seek Medical Help

Lumbar radiculopathy

Recently, I have been experiencing nerve pain in my lower back, which has occurred three times (approximately every 2-3 weeks).
During these episodes, I feel restless and uncomfortable.
After the episodes, I experience low-grade fever, and shortly thereafter, I also have some gastrointestinal discomfort.
Taking pain relievers helps alleviate the symptoms.
I have consulted an orthopedic specialist, but they suggested that it seems more like a gastrointestinal issue.
I would like to ask which specialty I should see for these symptoms.
I often feel like I have a urinary tract infection, and I wonder if these recent episodes of back pain could be related to my kidneys.
Thank you for your assistance.

Lin, 20~29 year old female. Ask Date: 2020/08/06

Dr. Jiang Junyi reply Neurology

Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may cause localized inflammatory responses leading to back pain, as well as nerve root compression resulting in numbness and tingling extending to one side of the lower limb.
However, since you mentioned having a low-grade fever, it is also necessary to consider chronic infections such as tuberculosis that could lead to lumbar spine infections.
As for a urinary tract infection, it typically presents with lower urinary tract symptoms such as urgency, dysuria, and frequency.
I recommend that you visit a neurology clinic for further evaluation.
A urinalysis or other neurological examinations may be warranted.
Wishing you good health and peace.
Dr.
Jiang, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2020/08/06

More Info

When dealing with lower back nerve pain, especially when it presents with additional symptoms such as gastrointestinal discomfort and a sensation of urinary tract infection, it is crucial to approach the situation with a comprehensive understanding of potential underlying causes. Your symptoms, including the episodes of back pain occurring every 2-3 weeks, the feeling of discomfort when sitting or standing, and the associated gastrointestinal issues, suggest that a multifaceted evaluation may be necessary.

Firstly, it is essential to recognize that lower back pain can arise from various sources, including musculoskeletal issues, nerve compression, or even referred pain from internal organs. Given your history of recurrent episodes and the nature of your symptoms, it would be prudent to consult with a healthcare provider who specializes in pain management or a neurologist. These specialists can provide a more in-depth evaluation of your nerve pain and its potential causes.

The fact that you have experienced gastrointestinal discomfort alongside your back pain raises the possibility of a connection between the two. Conditions such as kidney stones or infections can indeed cause referred pain to the lower back, and they may also lead to gastrointestinal symptoms. Therefore, it would be wise to consider a visit to a urologist to rule out any renal issues, especially since you mentioned a recurrent sensation of urinary tract infections.

In addition to consulting with specialists, imaging studies such as an MRI or CT scan may be necessary to assess the condition of your spine and surrounding structures. These tests can help identify any herniated discs, spinal stenosis, or other abnormalities that could be contributing to your nerve pain.

As for the gastrointestinal symptoms, if they persist or worsen, a consultation with a gastroenterologist may be warranted. They can evaluate whether there is an underlying gastrointestinal condition that could be contributing to your discomfort.

In summary, your symptoms warrant a multidisciplinary approach. Start with a visit to a neurologist or pain management specialist for your back pain. Simultaneously, consider consulting a urologist to address any potential kidney-related issues. If gastrointestinal symptoms persist, a gastroenterologist can provide further evaluation. This comprehensive approach will help ensure that all potential causes of your symptoms are addressed, leading to a more effective treatment plan.

In the meantime, managing your pain with over-the-counter medications, practicing good posture, and engaging in gentle stretching or physical therapy may provide some relief. However, it is essential to seek medical advice to tailor a treatment plan that addresses the root causes of your symptoms. Remember, timely intervention can significantly improve your quality of life and prevent further complications.

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