Seeking Help for My Mother's Severe Kidney and Back Pain

Q: Seeking Help for My Mother's Severe Kidney and Back Pain

Ms. <br>Li： Hello! Generally speaking, for patients with lower back pain, if kidney issues are ruled out after examination, we usually consider skeletal or muscular disorders. <br>Therefore, further tests such as X-rays of the spine may be conducted. <br>Regarding your mother’s c

I am here to help, as I cannot bear to see my mother in so much pain?

Hello Doctor: I would like to ask you, in the past week, my mother has been experiencing severe pain in her kidneys and both sides of her lower back.
The pain is so intense that she can't sit or stand comfortably, and she has to lift her buttocks to alleviate some of the discomfort.
She has already visited Chi Mei Medical Center, National Cheng Kung University Hospital, and a general practitioner, Dr.
Chen Jianlin, for examinations.
Blood tests and urinalysis have been conducted (results are pending), and the doctors have stated that her kidneys are fine, yet she continues to experience pain.
What should we do next? Where else can we find a doctor for further examination and treatment? (In her early thirties, my mother often experienced heavy bleeding during her menstrual periods and later underwent a hysterectomy.) I would appreciate any help you can provide to alleviate her suffering.
Thank you!

Ms. Li, 20~29 year old female. Ask Date: 2006/04/04

Dr. Yao Quan reply Internal Medicine

Ms.
Li: Hello! Generally speaking, for patients with lower back pain, if kidney issues are ruled out after examination, we usually consider skeletal or muscular disorders.
Therefore, further tests such as X-rays of the spine may be conducted.
Regarding your mother’s condition, you can take her back to Chi Mei Medical Center, National Cheng Kung University, or consult Dr.
Chen again.
If you return to Chi Mei or National Cheng Kung University, you can see the original physician or consult an orthopedic surgeon, neurosurgeon, or rehabilitation specialist.
Sincerely, Dr.
Yao Quan, Nephrology Department, Taoyuan General Hospital.
95-4-6

Reply Date: 2006/04/04

More Info

I'm sorry to hear about your mother's severe kidney and back pain. It sounds like a very distressing situation for both of you. Given the complexity of her symptoms and the fact that her kidney function tests have come back normal, it’s essential to explore other potential causes for her pain.

Firstly, it’s important to understand that kidney pain is often felt in the lower back, and it can be challenging to differentiate between kidney-related pain and musculoskeletal pain. Since her kidney tests have returned normal, we should consider other possibilities, such as musculoskeletal issues, nerve compression, or even referred pain from other organs.

1. Musculoskeletal Issues: Conditions such as muscle strain, ligament sprain, or even degenerative disc disease could be contributing to her pain. Given her history of significant menstrual bleeding and subsequent hysterectomy, it’s possible that her body has undergone changes that could affect her musculoskeletal health. A thorough physical examination by an orthopedic specialist or a physical therapist could help identify any musculoskeletal issues.

2. Nerve Compression: Conditions like spinal stenosis or herniated discs can cause nerve compression, leading to pain that may radiate to the back and sides. An MRI of the lumbar spine could be beneficial to rule out any spinal issues. If there are signs of nerve compression, a referral to a neurosurgeon or orthopedic spine specialist may be warranted.

3. Referred Pain: Sometimes, pain can be referred from other organs, such as the gastrointestinal tract or even from pelvic organs. Given her history of gynecological issues, it might be worthwhile to consult a gynecologist to rule out any complications or conditions that could be causing referred pain.

4. Physical Therapy: Regardless of the underlying cause, physical therapy can be an effective treatment for managing pain. A physical therapist can design a tailored exercise program that focuses on strengthening the core and back muscles, improving flexibility, and addressing any postural issues that may be contributing to her pain.

5. Pain Management: If her pain is severe and not responding to over-the-counter medications, discussing pain management options with her doctor is crucial. This could include prescription medications, nerve blocks, or other interventional pain management techniques.

6. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, chiropractic care, or massage therapy. While these should not replace conventional medical treatment, they can be used as complementary approaches to manage pain.

7. Follow-Up Care: Since her symptoms have persisted despite normal kidney function tests, it’s essential to follow up with her healthcare providers. Keeping a detailed diary of her symptoms, including when they occur and any associated factors (like activity level, diet, or stress), can provide valuable information for her doctors.

In conclusion, while her kidney function appears normal, there are several avenues to explore regarding her pain. A multidisciplinary approach involving specialists in orthopedics, neurology, gynecology, and pain management may be necessary to identify the root cause of her discomfort and develop an effective treatment plan. Please ensure that she continues to communicate openly with her healthcare providers about her symptoms and any changes in her condition. Your support and advocacy for her health are invaluable during this challenging time.

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