Sudden Sharp Pain in Right Side of Back While Turning in Bed - Internal Medicine

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Sudden sharp pain on the right side of the back caused by turning over?


Hello Dr.
Chen, last night when I went to bed, I was lying on my side with my left knee bent and turned to the right when I suddenly experienced a sharp, severe pain on the right side of my back that lasted for about a few minutes.
The area of pain seems to be near my kidney.
I am tall and thin, and my kidney function was checked at the end of December with blood tests showing normal levels for B.U.N.
(Blood Urea Nitrogen), Creatinine, and Uric Acid.
A few years ago, I experienced a similar situation when changing my posture while standing.
Could you please advise what this issue might be? If I need to see a doctor, which department should I visit? Thank you.

Pugongyingzi, 30~39 year old female. Ask Date: 2005/02/02

Dr. Chen Jingwen reply Internal Medicine


Hello! These symptoms are temporary and resolve on their own, especially occurring when changing positions.
They are classified as muscle cramps, not a disease, and certainly not a kidney condition.
There is no need for a medical consultation; just be mindful of your movements and maintain gentle coordination, and they should not occur frequently.
Thank you for your question!

Reply Date: 2005/02/02

More Info


The sudden sharp pain you are experiencing in the right side of your back while turning in bed could be attributed to several potential causes, and it is essential to consider both musculoskeletal and internal organ-related issues. Given the nature of your symptoms, it is advisable to approach this matter with a comprehensive understanding of possible underlying conditions.

Firstly, the pain you describe, particularly if it is sharp and occurs suddenly during movement, may suggest a musculoskeletal issue. This could include muscle strains or ligament sprains, which are common when changing positions, especially if there has been any prior injury or overexertion. The muscles and ligaments in the back can become strained due to awkward movements or poor posture, leading to acute pain. Additionally, if you have a history of back pain related to posture changes, this could indicate a recurring issue with your musculoskeletal system.

Another possibility is that the pain could be related to nerve irritation or compression. Conditions such as a herniated disc or spinal stenosis can lead to nerve root compression, which may cause sharp, shooting pains that can be exacerbated by certain movements, including turning in bed. If the pain radiates down your leg or is associated with numbness or tingling, this would further support the idea of nerve involvement.

Moreover, given your mention of the pain being localized near the area of the kidney, it is crucial to consider potential renal issues. While your recent blood tests for kidney function (B.U.N., creatinine, and uric acid) were normal, kidney stones or infections can sometimes present with sudden, sharp pain in the back. If the pain is accompanied by other symptoms such as changes in urination, fever, or nausea, it would be essential to seek immediate medical attention.

Considering the various possibilities, if the pain persists or worsens, it would be prudent to consult a healthcare professional. You may want to start with a visit to a primary care physician or a family doctor, who can perform a thorough evaluation, including a physical examination and possibly imaging studies, to determine the exact cause of your pain. Depending on the findings, they may refer you to a specialist, such as an orthopedic surgeon, a neurologist, or a nephrologist, for further evaluation and management.

In summary, the sudden sharp pain in your right side of the back while turning in bed could be due to musculoskeletal issues, nerve compression, or even renal problems. Given your history and the nature of the pain, it is advisable to seek medical attention to ensure a proper diagnosis and appropriate treatment. Early intervention can help prevent further complications and improve your quality of life.

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