Discomfort in the lower back?
Hello Doctor: This morning, when I got up from lying flat on my back, I twisted and felt pain in both sides of my lower back.
I also experience pain in my lower back when I cough, and it still hurts when I get up.
What could be the reason for this?
Awei, 30~39 year old female. Ask Date: 2021/06/15
Dr. Lin Ruixiang reply Rehabilitation
Avi: Hello, it is difficult to determine the exact cause based solely on the description.
It is advisable to take the time to visit a clinic that is open for consultation.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.
Reply Date: 2021/06/15
More Info
Side waist pain, particularly when it occurs during movements like getting up from a lying position or coughing, can be attributed to several potential causes. Understanding these causes is crucial for effective rehabilitation and management of the pain.
Possible Causes of Side Waist Pain
1. Muscle Strain: One of the most common reasons for side waist pain is a muscle strain. This can occur due to sudden movements, improper lifting techniques, or even prolonged periods of inactivity followed by sudden activity. The muscles in the lower back and sides can become strained, leading to pain when moving or coughing.
2. Ligament Sprain: Similar to muscle strains, ligament sprains can occur in the lower back area. This can happen if you twist your body awkwardly or lift something heavy without proper form.
3. Herniated Disc: A herniated disc in the lumbar region can cause pain that radiates to the sides of the waist. This condition occurs when the soft material inside a spinal disc pushes out and compresses nearby nerves, leading to pain, numbness, or weakness.
4. Kidney Issues: Sometimes, pain in the side waist can be related to kidney problems, such as kidney stones or infections. This type of pain is usually accompanied by other symptoms, such as changes in urination or fever.
5. Internal Organ Issues: Conditions affecting internal organs, such as the gallbladder or pancreas, can also manifest as side waist pain. This is less common but should be considered, especially if the pain is persistent and accompanied by other symptoms.
6. Postural Issues: Poor posture while sitting, standing, or sleeping can lead to muscle imbalances and pain in the waist area. This is particularly relevant if you spend long hours in a sedentary position.
Rehabilitation Insights
1. Rest and Ice: Initially, it is essential to rest the affected area and apply ice to reduce inflammation and pain. Avoid activities that exacerbate the pain, such as heavy lifting or twisting movements.
2. Gentle Stretching: Once the acute pain subsides, gentle stretching exercises can help improve flexibility and reduce tension in the muscles. Focus on stretches that target the lower back and side muscles.
3. Strengthening Exercises: Strengthening the core muscles can provide better support for the spine and reduce the likelihood of future injuries. Exercises such as planks, bridges, and pelvic tilts can be beneficial.
4. Physical Therapy: Consulting a physical therapist can provide personalized rehabilitation strategies. They can assess your condition and develop a tailored exercise program to address your specific needs.
5. Posture Correction: Pay attention to your posture during daily activities. Ergonomic adjustments to your workspace and mindful posture can help alleviate strain on your back.
6. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, it's essential to consult with a healthcare provider before starting any medication.
7. Gradual Return to Activity: As your pain decreases, gradually return to your normal activities. Avoid rushing back into high-impact exercises until you are fully recovered.
When to Seek Medical Attention
If your side waist pain persists despite home care, worsens, or is accompanied by other concerning symptoms (such as fever, significant changes in urination, or severe weakness), it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, including imaging studies if necessary, to determine the underlying cause of your pain and recommend appropriate treatment options.
In summary, side waist pain can arise from various causes, and understanding these can guide effective rehabilitation strategies. A combination of rest, gentle stretching, strengthening exercises, and proper posture can significantly aid in recovery. If symptoms persist, consulting a healthcare professional is essential for a comprehensive evaluation and treatment plan.
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