Pain below the spine?
Hello Dr.
Zhou: I have been experiencing pain in my spine for about seven to eight years, particularly near the lower back.
Sometimes, I feel that the pain in my lower back (or back pain) causes me to have diarrhea.
A few years ago, I also started to have knee pain, and in the past couple of years, I have been experiencing pain in the wrist joints, with a feeling of stiffness (all on the right side).
Recently, when I wake up in the morning, my right foot sometimes feels numb, making it difficult to walk.
Could you please explain what might be happening? How can I improve this on my own? I would appreciate a rough diagnosis to help me understand before seeking medical attention.
Thank you.
Hu, 20~29 year old female. Ask Date: 2005/06/27
Dr. Zhou Hongzhi reply Orthopedics
Your condition may be ankylosing spondylitis, and you should undergo blood tests and X-ray examinations.
Reply Date: 2005/06/27
More Info
Understanding lower spine pain can be complex, especially when it involves multiple areas of discomfort, as you've described. Your symptoms suggest a potential interplay between musculoskeletal issues and possibly nerve involvement. Let's break down the possible causes and self-improvement strategies.
Possible Causes
1. Muscle Strain and Tension: Chronic pain in the lower back can often be attributed to muscle strain or tension. This can be exacerbated by poor posture, prolonged sitting, or repetitive movements. Over time, these factors can lead to muscle imbalances and discomfort.
2. Nerve Compression: The symptoms you describe, such as lower back pain radiating to the legs (like the numbness in your right foot), may indicate nerve compression. Conditions like herniated discs or spinal stenosis can cause pressure on the nerves, leading to pain, tingling, or numbness in the extremities.
3. Joint Issues: The knee and hand joint pain you mentioned could be related to conditions like osteoarthritis or rheumatoid arthritis, which can cause systemic joint pain and stiffness. This may also be linked to your spinal issues, as the body often compensates for pain in one area by altering movement patterns, which can lead to discomfort in other joints.
4. Referred Pain: The connection between your lower back pain and gastrointestinal symptoms (like diarrhea) could suggest referred pain. Sometimes, issues with the spine can irritate nerves that also affect the digestive system.
5. Sleep Position and Mattress Quality: Poor sleep posture or an unsuitable mattress can exacerbate back pain. If your mattress is too soft or too firm, it may not provide the necessary support for your spine, leading to discomfort upon waking.
Self-Improvement Tips
1. Posture Awareness: Maintain good posture while sitting, standing, and sleeping. Use ergonomic furniture and consider a lumbar support cushion when sitting for extended periods.
2. Stretching and Strengthening Exercises: Incorporate gentle stretching and strengthening exercises into your daily routine. Focus on core strengthening exercises, as a strong core can help support your spine. Yoga or Pilates can also be beneficial for improving flexibility and strength.
3. Heat and Cold Therapy: Applying heat to the affected area can help relax tense muscles, while cold therapy can reduce inflammation. Alternate between the two as needed.
4. Regular Movement: Avoid prolonged periods of inactivity. Take breaks to stand, stretch, and walk around, especially if you have a sedentary job.
5. Weight Management: Maintaining a healthy weight can reduce the strain on your spine and joints. A balanced diet and regular exercise can help with this.
6. Sleep Hygiene: Evaluate your sleep environment. Ensure your mattress and pillows provide adequate support. Sleeping on your side with a pillow between your knees can help maintain spinal alignment.
7. Mindfulness and Stress Management: Stress can exacerbate pain perception. Techniques such as mindfulness, meditation, or deep breathing exercises can help manage stress levels.
8. Consult a Healthcare Professional: Given the complexity of your symptoms, it’s advisable to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, physical therapy, or other interventions based on their findings.
Conclusion
Your symptoms suggest a multifaceted issue involving your spine, joints, and possibly nerve pathways. While self-improvement strategies can be beneficial, it’s crucial to seek professional medical advice for a proper diagnosis and treatment plan. Early intervention can prevent further complications and improve your quality of life.
Similar Q&A
Understanding Your Back Pain: Possible Causes and Solutions
I often experience pain in my lower back, especially after walking or sitting for extended periods. Sometimes, lying down can be quite uncomfortable, and it takes a while for me to feel normal again. What could be the possible causes of this?
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, according to books and previous research reports, over ninety-five percent of patients under the age of sixty-five who complain of back pain have this issue primarily due to poor posture. The solution involves first taking medication in conjun...[Read More] Understanding Your Back Pain: Possible Causes and Solutions
Understanding Spine Pain: Causes and Connections to Kidney Health
Hello Dr. Ding, Recently, I have been experiencing sharp pain and numbness in my lower back. I cannot sit for long periods, stand for too long, or walk too much. The pain is located near my spine, and I am unsure if there is an issue with my vertebrae. I appreciate your help. ...
Dr. Ding Xianwei reply Neurosurgery
Lower back pain is usually caused by improper posture, and it can be alleviated by adjusting your posture and taking pain relief medication. Please lie flat with your knees bent, and avoid bending at the waist when picking things up. When getting up, getting out of bed, or lying ...[Read More] Understanding Spine Pain: Causes and Connections to Kidney Health
Preventing Back Pain: Tips for Healthy Spine and Posture
I have recently been experiencing soreness in my lumbar spine, and my back becomes painful if I don't lean against something for a while. I think this might be due to sitting at my computer desk frequently over the past couple of years, and my posture is incorrect (hunched b...
Dr. Zhang Shilie reply Orthopedics
Hello, Miss Zhen: There are many causes of lower back pain, but about ninety percent are due to soft tissue disorders (i.e., issues outside the vertebrae), such as prolonged sitting or poor posture in heavy labor. These symptoms can often be improved by changing positions, rehabi...[Read More] Preventing Back Pain: Tips for Healthy Spine and Posture
Understanding Morning Lower Back Pain: Causes and Treatment Options
Hello, I've been experiencing pain on both sides of my lower back when I wake up in the past few days. The pain is not very noticeable when I'm standing or moving around, or when I press on my lower back. However, I do feel pain when I bend down to pick something up, an...
Dr. Lai Yanting reply Rehabilitation
Dear Allen: Your issue may be caused by a muscle strain (though further evaluation is needed to confirm this). Common causes include improper posture or overuse of the back muscles. It is advisable for you to consult a rehabilitation specialist for an examination to understand th...[Read More] Understanding Morning Lower Back Pain: Causes and Treatment Options
Related FAQ
(Orthopedics)
Spine(Orthopedics)
Lower Back Pain(Neurology)
Lower Back Pain(Internal Medicine)
Lower Back Pain(Rehabilitation)
Pelvic Pain(Orthopedics)
Low Back Pain(Urology)
Lower Back Pain(Family Medicine)
Ankle Pain(Orthopedics)
Spondylolisthesis(Orthopedics)