Back Pain and Breathing Difficulties in Older Adults - Orthopedics

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Back pain, inability to lift heavy objects, and difficulty breathing?


Hello Director Yang, I have a question to ask.
My mother is about 60 years old.
About a month and a half ago, she started experiencing back pain due to work-related factors, which prevents her from lifting heavy objects.
Additionally, she experiences difficulty breathing when raising her arms forward, and it is also difficult for her to turn over while sleeping.
Could you please advise whether this is a muscle strain or if there might be a bone injury? Thank you.

welong, 30~39 year old female. Ask Date: 2005/02/20

Dr. Yang Zhengfan reply Orthopedics


There are many causes of back pain, and I hope you can visit an orthopedic clinic for further examination to determine the underlying cause.

Reply Date: 2005/02/20

More Info


Back pain and breathing difficulties in older adults can be concerning symptoms that warrant careful evaluation. In your mother's case, given her age and the recent onset of symptoms following work-related activities, it is essential to consider both muscular and skeletal factors, as well as potential underlying medical conditions.

Firstly, back pain can arise from various causes, including muscle strain, ligament sprain, herniated discs, or even more serious conditions like fractures or spinal stenosis. If your mother has been lifting heavy objects or engaging in activities that strain her back, a muscle strain is a plausible explanation. Muscle strains can lead to localized pain, which may also cause discomfort when attempting to move or change positions, such as turning in bed.

However, the fact that she experiences breathing difficulties when raising her arms or during certain movements raises additional concerns. Breathing difficulties can stem from several sources, including musculoskeletal issues, respiratory conditions, or even cardiovascular problems. In older adults, conditions such as chronic obstructive pulmonary disease (COPD), pneumonia, or heart-related issues can contribute to shortness of breath, especially when physical exertion is involved.

Given these symptoms, it is crucial to seek a comprehensive evaluation from a healthcare professional. A thorough physical examination, along with imaging studies such as X-rays or MRI, may be necessary to assess the condition of her spine and surrounding structures. Additionally, pulmonary function tests or cardiac evaluations may be warranted to rule out respiratory or heart-related causes of her breathing difficulties.

In the meantime, here are some general recommendations to help manage her symptoms:
1. Rest and Activity Modification: Encourage her to rest and avoid activities that exacerbate her pain. Gradually reintroducing light activities as tolerated can help maintain mobility without overstraining her back.

2. Pain Management: Over-the-counter pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), may help alleviate pain. However, it is essential to consult with a healthcare provider before starting any medication, especially considering her age and any other underlying health conditions.

3. Physical Therapy: Once the acute pain subsides, physical therapy may be beneficial. A physical therapist can design a tailored exercise program to strengthen the back muscles, improve flexibility, and enhance overall function.

4. Breathing Exercises: If breathing difficulties persist, practicing deep breathing exercises can help improve lung capacity and ease discomfort. Techniques such as pursed-lip breathing or diaphragmatic breathing may be beneficial.

5. Posture Awareness: Encourage her to maintain good posture while sitting, standing, and lifting objects. Proper ergonomics can help reduce strain on the back and improve overall comfort.

6. Follow-Up Care: Regular follow-up appointments with her healthcare provider are essential to monitor her progress and adjust her treatment plan as needed.

In conclusion, while muscle strain is a common cause of back pain, the associated breathing difficulties necessitate a thorough evaluation to rule out more serious underlying conditions. Prompt medical attention is crucial to ensure appropriate diagnosis and management, ultimately improving her quality of life.

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