Sudden Lower Back Pain Triggered by Stress - Internal Medicine

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Hello! Thank you for sharing your mother's experience with sudden lower back pain triggered by stress. Based on the symptoms you've described, it seems that her pain may be related to muscle tension and spasms, which can indeed be exacerbated by emotional stress such as anger, anxiety, or sadness.

When a person experiences intense emotions, the body undergoes a physiological response known as the "fight or flight" response. This response is mediated by the release of stress hormones, including adrenaline (epinephrine) and cortisol, from the adrenal glands. These hormones prepare the body to respond to perceived threats, leading to increased heart rate, heightened alertness, and muscle tension. In your mother's case, the sudden onset of back pain during moments of extreme emotional distress could be attributed to this muscle tension and the subsequent spasms that occur as a result.

The muscles surrounding the spine can become tight and overactive in response to stress, leading to discomfort or pain. This is often referred to as "muscle tension pain" and can manifest as a feeling of tightness or cramping in the back. The fact that your mother finds relief through massage and rest suggests that the pain is likely muscular rather than stemming from a more serious underlying condition.

In terms of medical evaluation, it would be advisable for your mother to consult with a healthcare professional who specializes in musculoskeletal issues. A primary care physician can provide an initial assessment and may refer her to a specialist such as a physical therapist, chiropractor, or orthopedic doctor if necessary. Physical therapists can help develop a tailored exercise program to strengthen the back muscles and improve flexibility, which may help prevent future episodes of pain. Additionally, they can teach relaxation techniques and stress management strategies that could be beneficial in managing her emotional responses.

If the pain persists or worsens, or if there are additional symptoms such as numbness, tingling, or weakness in the legs, it would be important to seek further evaluation to rule out any underlying conditions such as herniated discs or nerve compression.

In summary, your mother's sudden lower back pain during stressful situations is likely related to muscle tension and spasms triggered by emotional stress. Consulting with a primary care physician or a specialist in musculoskeletal health would be a good next step to ensure she receives appropriate care and guidance. Encouraging her to practice stress management techniques, such as mindfulness, deep breathing exercises, or yoga, may also help alleviate her symptoms and improve her overall well-being. Thank you for reaching out, and I hope your mother finds relief soon!