Lower Back Pain: Is It Related to Kidney Issues? - Neurology

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Lower back pain is common?


Hello, doctor: Recently, I've been experiencing frequent soreness in my lower back, and I'm unsure if it's related to my kidneys.
The soreness is located slightly to the right of my spine and a bit above my left thigh.
I have consulted a traditional Chinese medicine practitioner, who mentioned that it is due to "kidney channel inflammation" (in Taiwanese, he explained that it refers to inflammation of the nerves near the kidneys), but he said it is not related to the kidneys and attributed it to my work being too exhausting (as I have to stand for 9 to 10 hours a day and often bend over).
He prescribed me medication and applied a topical ointment, but after more than two weeks, there has been no improvement.
I would like to ask the doctor what might be going on.
If I were to see a Western doctor, which specialty should I consult? Does Western medication contain steroids? Please help me with this.
Thank you.

Dan Dan, 20~29 year old female. Ask Date: 2006/07/02

Dr. Ye Boshou reply Neurology


Hello: Is the pain localized to a specific point? Could it be related to changes in posture? If it is primarily caused by tendonitis or fatigue, you may try using warm compresses, resting, and rehabilitation exercises.
In such cases, symptoms should not require corticosteroids, but you may want to consult a rehabilitation specialist or a neurologist to identify the underlying cause for proper management.

Reply Date: 2006/07/02

More Info


Lower back pain can be a common complaint, and it can arise from various causes, including muscular strain, spinal issues, or even organ-related problems. In your case, you are experiencing pain localized near the spine and the upper thigh area, which raises questions about its origin and whether it could be related to kidney issues.

Firstly, it's important to understand that while kidney problems can sometimes manifest as back pain, the pain is typically felt in the lower back, often on one side, and may be accompanied by other symptoms such as changes in urination, blood in the urine, or fever. Given that your pain is described as being near the spine and the upper thigh, it is more likely related to musculoskeletal issues rather than a direct kidney problem.
Your description of working long hours while standing and bending frequently suggests that your pain may be due to muscle strain or overuse. Prolonged standing and repetitive movements can lead to muscle fatigue and strain, particularly in the lower back and hip regions. This is consistent with the diagnosis you received from the traditional Chinese medicine practitioner, who indicated that the pain is related to inflammation of the nerves near the kidney area rather than the kidney itself.

If your symptoms have persisted for over two weeks without improvement, it may be beneficial to consult a Western medicine physician, specifically a primary care doctor or an orthopedic specialist. They can perform a thorough evaluation, which may include a physical examination and possibly imaging studies such as X-rays or MRI, to rule out any structural issues with the spine or surrounding muscles.

Regarding your concern about medications, it is important to clarify that not all Western medications contain steroids. The treatment for musculoskeletal pain typically involves non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, which help reduce inflammation and relieve pain. If your doctor deems it necessary, they may prescribe muscle relaxants or physical therapy to aid in recovery.
In addition to medical treatment, consider implementing some lifestyle changes to alleviate your symptoms. This includes practicing good posture while standing and sitting, taking regular breaks to stretch and move around, and engaging in exercises that strengthen your core and back muscles. Physical therapy can also be beneficial in teaching you proper body mechanics and exercises tailored to your specific needs.

In summary, while kidney issues can sometimes cause back pain, your symptoms are more likely related to musculoskeletal strain due to your work conditions. Consulting a Western medicine physician will provide you with a clearer diagnosis and appropriate treatment options. Meanwhile, focus on self-care strategies to manage your pain and prevent further injury.

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