Should You Return to the Hospital for Persistent Lower Back Pain?

Lumbar strain?

I previously had a strain in my lower back.
However, after intense exercise, I still experience pain, although it's not as severe as it was initially.
After taking a hot shower, it seems to be less of an issue.
Should I return to the original hospital for further examination?

Vic, 10~19 year old female. Ask Date: 2003/05/21

Dr. Hong Ximing reply Orthopedics

Lumbar strain is a common sports injury that typically requires rest and lumbar protection for 2 to 3 weeks for recovery.
If pain persists after intense exercise, it is important to avoid vigorous activities and possibly protect the lower back for an extended period.

Reply Date: 2003/05/21

More Info

When dealing with persistent lower back pain, especially after a history of injury, it is essential to approach the situation with caution. Given your previous experience with a back strain and the recurrence of pain after engaging in vigorous activities, it is advisable to consider a few factors before deciding whether to return to the hospital for further evaluation.

Firstly, it’s important to assess the nature and intensity of your current pain. If the pain is mild and subsides with rest or after applying heat, it may indicate that your back is recovering but still sensitive to certain activities. However, if the pain is severe, persistent, or accompanied by other symptoms such as numbness, tingling, weakness in the legs, or changes in bowel or bladder function, you should seek medical attention immediately. These could be signs of a more serious underlying condition, such as a herniated disc or nerve compression.

Secondly, consider the activities that triggered the pain. If you find that certain movements or exercises consistently lead to discomfort, it may be beneficial to modify your activity level and avoid those specific actions until you have a clearer understanding of your condition. Engaging in low-impact exercises, such as walking or swimming, can help maintain mobility without putting excessive strain on your back.

If you have already tried conservative measures such as rest, heat application, and over-the-counter pain relievers without significant improvement, it may be time to return to your healthcare provider for a thorough evaluation. A physical examination and possibly imaging studies, such as an X-ray or MRI, can help determine if there are any structural issues contributing to your pain.
Additionally, consulting a physical therapist could be beneficial. They can provide tailored exercises to strengthen your back and improve flexibility, which may help alleviate pain and prevent future injuries. A physical therapist can also educate you on proper body mechanics and posture, which are crucial for preventing strain during daily activities and exercise.

In summary, if your lower back pain persists or worsens, or if you experience any concerning symptoms, it is advisable to return to the hospital or consult a healthcare professional. Early intervention can help prevent further complications and facilitate a more effective recovery. Remember, listening to your body and seeking help when needed is key to maintaining your health and well-being.

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