Sudden Lower Back Pain: Is It a Recurrence of an Old Injury? - Traditional Chinese Medicine

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Lower back pain – it hurts suddenly?


I previously experienced lower back pain and consulted a doctor who diagnosed it as nerve inflammation.
After applying a topical ointment, I recovered and didn't think much of it afterward.
However, this morning I sneezed and suddenly felt sharp pain on the right side of my lower back.
I'm unsure if this is a recurrence of my previous injury or something else.
Could you please provide some guidance? Thank you.

Xiao Mi, 20~29 year old female. Ask Date: 2004/05/24

Dr. Yan Sumei reply Traditional Chinese Medicine


If the location of the lower back pain is the same as before, it may indicate a recurrence of a previous condition.
If it is in a different location, it could be a new issue.
Experiencing lower back pain when sneezing suggests a higher likelihood of a muscle strain, especially if improper posture or abnormal exertion was involved, which can easily lead to myofascial injuries.
In this case, applying a topical analgesic patch should help, and there is no need for excessive concern.

Reply Date: 2004/05/24

More Info


Sudden lower back pain can indeed be concerning, especially if you have a history of previous injuries or conditions. Based on your description, it seems that you experienced a sudden onset of pain in your lower back after sneezing, which may suggest a few possibilities.

Firstly, it is important to consider that sneezing can create a significant amount of pressure in the abdominal and spinal regions. This pressure can exacerbate existing conditions, such as a herniated disc or muscle strain, particularly if you have had prior issues with your back. The sudden movement and force of a sneeze can lead to muscle spasms or aggravate any underlying inflammation in the nerves or soft tissues.

Given that you previously experienced nerve inflammation, it is plausible that the current pain could be related to that past issue. Nerve inflammation, or radiculopathy, can cause pain that radiates down the leg, numbness, or weakness in the lower extremities. If the pain is localized to the right side of your lower back, it could indicate that the nerve root on that side is being irritated or compressed.

In terms of management, if the pain is severe, persistent, or accompanied by other symptoms such as numbness, tingling, or weakness in the legs, it is advisable to seek medical attention promptly. A healthcare professional may recommend imaging studies, such as an MRI or CT scan, to evaluate the condition of your spine and any potential nerve involvement. This is particularly important if there is a concern about a herniated disc or other structural issues that may require intervention.

For immediate relief, you can consider conservative measures such as rest, applying ice or heat to the affected area, and taking over-the-counter pain medications like ibuprofen or acetaminophen. Gentle stretching and mobility exercises may also help alleviate discomfort, but it is essential to avoid any movements that exacerbate the pain.

Physical therapy could be beneficial in your case, especially if you have a history of back issues. A physical therapist can provide you with tailored exercises to strengthen the muscles supporting your spine, improve flexibility, and promote proper posture, which can help prevent future episodes of pain.

In summary, while it is possible that your current pain is a recurrence of an old injury, it is crucial to assess the severity and nature of the pain. If it persists or worsens, consulting a healthcare professional for a thorough evaluation and appropriate management is recommended. Taking proactive steps to address your back health can significantly improve your quality of life and help prevent future injuries.

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