Severe Lower Back Pain: Causes and Relief Strategies for Mobility Issues

Severe lower back pain that prevents movement?

Hello Doctor, I injured my lower back while playing basketball in my early twenties.
After recovering, I occasionally experienced mild back pain due to poor sitting posture, but resting would usually alleviate it.
However, two days ago, I suddenly started experiencing severe back pain that makes it almost impossible to walk.
I cannot stand up straight and need to hold onto something for support; when I do manage to stand, my body tilts to the right.
Sitting for more than 20 minutes makes it very difficult to stand up again, and lying in bed is the only position that feels comfortable.
I would like to know what might be causing this condition and what methods I can use to relieve the pain.
Currently, I am in so much pain that I cannot walk to see a doctor, so I am hoping for some advice on how to improve my situation.
Thank you, Doctor!

Hsun, 30~39 year old female. Ask Date: 2021/02/23

Dr. Li Yanheng reply Rehabilitation

It may be acute lumbar nerve compression.
It is recommended to go to the hospital for an MRI or CT scan to determine the cause and rule out more serious conditions.

Reply Date: 2021/02/23

More Info

Severe lower back pain can be debilitating and may arise from various causes, particularly if you have a history of injuries, such as the one you mentioned from playing basketball. Given your symptoms—difficulty standing straight, leaning to one side, and pain that limits your mobility—there are several potential underlying issues to consider.

Possible Causes of Your Pain
1. Muscle Strain or Sprain: This is one of the most common causes of lower back pain, especially after a sudden movement or injury. A muscle strain occurs when the muscle fibers are overstretched or torn, while a sprain involves the ligaments that connect bones to each other.

2. Herniated Disc: The discs in your spine act as cushions between the vertebrae. A herniated disc occurs when the soft material inside the disc pushes out through a tear in the tougher exterior. This can press on nearby nerves, causing pain, numbness, or weakness.

3. Sciatica: If the pain radiates down your leg, it could be sciatica, which is caused by irritation of the sciatic nerve. This often results from a herniated disc or bone spur compressing the nerve.

4. Degenerative Disc Disease: Over time, the discs can wear down, leading to pain and reduced mobility. This condition is more common as people age but can occur in younger individuals, especially those with a history of sports injuries.

5. Skeletal Issues: Conditions such as scoliosis (curvature of the spine) or other structural abnormalities can lead to pain and mobility issues.

Relief Strategies
While it is crucial to see a healthcare professional for a proper diagnosis and treatment plan, there are some immediate strategies you can employ to alleviate your pain:
1. Rest: Avoid activities that exacerbate your pain. However, prolonged bed rest is not recommended, as it can lead to stiffness and muscle weakness.

2. Ice and Heat Therapy: Applying ice packs to the affected area for 15-20 minutes can help reduce inflammation. After a couple of days, you may switch to heat therapy, such as a heating pad or warm bath, to relax tight muscles.

3. Gentle Stretching: While you may not be able to perform vigorous exercises, gentle stretching can help relieve tension. Focus on stretches that target the lower back and hamstrings, but avoid any movements that increase your pain.

4. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. Always follow the recommended dosage and consult a healthcare provider if you have any underlying health conditions.

5. Posture Awareness: Pay attention to your posture when sitting or standing. Use supportive chairs and avoid slouching, which can exacerbate back pain.

6. Physical Therapy: Once you are able to see a doctor, physical therapy may be recommended. A physical therapist can design a personalized exercise program to strengthen your back and core muscles, improve flexibility, and enhance your mobility.

When to Seek Medical Attention
If your pain persists or worsens, or if you experience symptoms such as numbness, weakness in your legs, or loss of bladder or bowel control, seek immediate medical attention. These could be signs of a more serious condition that requires prompt intervention.

Conclusion
In summary, your severe lower back pain could stem from various causes, including muscle strain, herniated discs, or degenerative conditions. While you can implement some immediate relief strategies, it is essential to consult a healthcare professional for a thorough evaluation and tailored treatment plan. Early intervention can significantly improve your recovery and help you regain mobility. Remember, taking care of your back health is crucial, especially if you have a history of injuries.

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