Unexplained Back Pain and Mysterious Injuries - Rehabilitation

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Lower back pain with unexplained ankle sprain?


Hello, Doctor.
I would like to ask about my lower back, which has been feeling very sore whenever I sit down.
However, when I stand up or lie down, the pain goes away! A few days ago, when I woke up, I noticed that my foot was inexplicably sprained; it hurts a lot when I touch the floor.
Today, I also discovered that my right palm experiences a pulling pain whenever I apply a little pressure to it.
Doctor, could you please tell me what might be wrong with me? Should I go to the hospital for an examination? Thank you.

A-Jia, 20~29 year old female. Ask Date: 2007/07/06

Dr. Jian Jincheng reply Rehabilitation


Please visit the rehabilitation department or orthopedic clinic for medical attention.

Reply Date: 2007/07/06

More Info


Hello! Thank you for reaching out with your concerns regarding your unexplained back pain and other mysterious injuries. Based on your description, it sounds like you are experiencing a combination of musculoskeletal issues that could be related to several factors, including posture, overuse, or even underlying conditions.

Firstly, the back pain you experience when sitting but not when standing or lying down could be indicative of several things. One common cause is muscle strain or tension, which can occur due to prolonged sitting, especially if your posture is poor or if you are sitting for extended periods without breaks. This type of pain is often alleviated by changing positions, as you have noticed. Another possibility is that you may have a condition known as lumbar disc degeneration or herniation, which can cause pain that is exacerbated by certain positions.
The sudden pain in your foot upon waking could be due to a variety of reasons, including a sprain, strain, or even a condition known as plantar fasciitis, which is inflammation of the tissue that runs along the bottom of your foot. If you have been sleeping in a position that puts pressure on your foot or if you have recently increased your physical activity, this could also contribute to the pain you are experiencing.

As for the pain in your right hand when applying pressure, this could be related to a strain or overuse injury, particularly if you have been using your hands more than usual for activities such as typing, lifting, or other repetitive motions. Conditions like tendinitis or carpal tunnel syndrome could also be potential causes, especially if you notice symptoms like tingling or numbness in addition to pain.

Given the range of symptoms you are experiencing, it would be advisable to seek medical attention. A healthcare provider can perform a thorough examination, which may include physical assessments and possibly imaging studies (like X-rays or MRIs) to rule out any serious underlying conditions. They can also provide you with a proper diagnosis and treatment plan tailored to your specific needs.

In the meantime, here are some general recommendations that may help alleviate your symptoms:
1. Posture Awareness: Pay attention to your sitting posture. Ensure that your back is supported, and consider using ergonomic furniture if possible. Take regular breaks to stand and stretch.

2. Rest and Ice: For your foot and hand pain, rest the affected areas and apply ice to reduce inflammation. Avoid activities that exacerbate the pain.

3. Gentle Stretching: Incorporate gentle stretching exercises for your back, foot, and hand. This can help improve flexibility and reduce tension in the muscles.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help manage your pain, but consult with a healthcare provider before starting any medication.

5. Physical Therapy: If your symptoms persist, a physical therapist can provide targeted exercises and treatments to help strengthen the affected areas and improve your overall function.

In conclusion, while your symptoms may seem mysterious, they are not uncommon, and many people experience similar issues. Seeking medical advice is the best course of action to ensure that you receive appropriate care and to rule out any serious conditions. Take care, and I hope you find relief soon!

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