Chronic Lower Back Pain: Causes, Treatments, and When to See a Doctor - Orthopedics

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Chronic lower back pain is a common issue that can significantly impact daily life. Understanding its causes, treatments, and when to seek medical attention is crucial for effective management. Based on your description, it seems you are experiencing persistent pain, particularly on the left side of your lower back, which has worsened after a massage. This could indicate several underlying issues, including muscle strain, tendon injury, or even issues related to the spine itself.


Causes of Chronic Lower Back Pain
1. Muscle Strain or Ligament Sprain: Overexertion, improper lifting, or sudden awkward movements can lead to muscle strains or ligament sprains. These injuries can cause localized pain and discomfort.

2. Herniated Discs: A herniated disc occurs when the soft material inside a disc in the spine pushes out, potentially pressing on nearby nerves. This can lead to pain that radiates down the leg, numbness, or weakness.

3. Degenerative Disc Disease: As we age, the discs in our spine can degenerate, leading to pain and reduced mobility. This condition can be exacerbated by activities like prolonged sitting or heavy lifting.

4. Skeletal Irregularities: Conditions such as scoliosis or other spinal deformities can lead to chronic pain due to uneven stress on the spine.

5. Underlying Medical Conditions: Conditions such as arthritis, infections, or tumors can also cause chronic back pain.


Treatment Options
1. Medications: Over-the-counter pain relievers like ibuprofen can help reduce inflammation and alleviate pain. However, they should be used as directed and not relied upon long-term without consulting a healthcare provider.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles supporting your back, improve flexibility, and promote better posture. A physical therapist can design a personalized exercise program tailored to your needs.

3. Massage Therapy: While you mentioned that a recent massage exacerbated your pain, therapeutic massage can be beneficial for some individuals. It’s essential to communicate with the therapist about your pain levels and any specific areas of discomfort.

4. Heat and Cold Therapy: Applying heat can help relax tense muscles, while cold packs can reduce inflammation. Alternating between the two may provide relief.

5. Lifestyle Modifications: Maintaining a healthy weight, practicing good posture, and avoiding prolonged sitting can help manage and prevent back pain.


When to See a Doctor
You should consider seeking medical attention if:
- The pain persists for more than a few weeks.

- You experience severe pain that doesn’t improve with rest or over-the-counter medications.

- You have accompanying symptoms such as numbness, tingling, or weakness in your legs.

- You notice changes in bowel or bladder function.


Recommended Specialists
Given your symptoms and history, it would be advisable to consult with a physiatrist (a specialist in physical medicine and rehabilitation) or an orthopedic doctor who specializes in spine issues. They can perform a thorough evaluation, which may include physical examinations and imaging studies (like X-rays or MRI) to determine the exact cause of your pain.


Conclusion
Chronic lower back pain can stem from various causes, and understanding these can help you make informed decisions about your treatment. While medications like ibuprofen can provide temporary relief, it’s essential to address the underlying issues through physical therapy and lifestyle changes. If your pain persists or worsens, don’t hesitate to seek professional medical advice. In your case, considering your location in Hsinchu, look for reputable hospitals or clinics that specialize in orthopedics or rehabilitation medicine. Remember, early intervention can lead to better outcomes and improved quality of life.