Back Pain After Weight Loss: When to Seek Medical Help - Rehabilitation

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Back pain


Hello, I responded to the issue on December 19, but I may have had a problem with my URL and did not receive a reply.
I only saw the response from December 20 today.
I started experiencing these aches and pains after losing weight.
If this is an issue related to internal organs, which department should I consult and what kind of examinations should I undergo? I began losing weight in September and by December 15, my weight decreased from 92 kg to 79.6 kg.
I started experiencing lower back pain in October, which progressed to pain throughout my back in November.
By December, the pain in my back and shoulders has intensified, making me very uncomfortable.
Please advise, thank you.

RAY, 30~39 year old female. Ask Date: 2008/12/26

Dr. Lai Yanting reply Rehabilitation


Hello: I recommend that you first visit a family medicine physician for a comprehensive evaluation and some physical examinations to determine the exact cause of your pain.
Do not overlook any warning signs from your body.
If a referral to a specialist is necessary, the family medicine physician can assist in arranging that.
Thank you for your inquiry.

Reply Date: 2008/12/26

More Info


Hello,
Thank you for reaching out regarding your concerns about back pain following your weight loss journey. It’s important to understand that significant weight loss can lead to various physical changes in the body, and sometimes these changes can manifest as pain or discomfort, particularly in the back and shoulders.

Firstly, it’s essential to consider the potential causes of your back pain. Weight loss can alter your body mechanics, especially if the weight loss was rapid or if it involved changes in your activity level. For instance, if you have increased your physical activity significantly to aid in weight loss, this could lead to muscle strain or overuse injuries, particularly in the back and shoulder areas. Additionally, if your weight loss has resulted in a change in posture or body alignment, this could also contribute to discomfort.

Given that your back pain began in October and has progressively worsened, it is advisable to seek medical attention. Here are some steps you can take:
1. Consult a Primary Care Physician: Start by visiting your primary care doctor. They can perform a thorough evaluation, including a physical examination and a review of your medical history. They may also ask about your weight loss methods, any new exercises you’ve started, and your daily activities.

2. Referral to a Specialist: Depending on your primary care physician's findings, they may refer you to a specialist. If they suspect that your pain is related to musculoskeletal issues, you might be referred to an orthopedic specialist or a physical medicine and rehabilitation (PM&R) physician. If there are concerns about internal organ issues, a referral to a gastroenterologist or another relevant specialist may be necessary.

3. Diagnostic Imaging: Your doctor may recommend imaging studies such as X-rays or MRI scans to rule out any structural issues in your spine or surrounding tissues. This is particularly important if there are signs of nerve involvement or if the pain is severe and persistent.

4. Physical Therapy: Regardless of the underlying cause, physical therapy can be beneficial. A physical therapist can help you strengthen the muscles that support your back, improve your posture, and teach you proper body mechanics to prevent further injury.

5. Pain Management: If your pain is significant, your doctor may recommend pain management strategies, which could include medications, topical treatments, or other modalities.

6. Monitor Symptoms: Keep track of your symptoms, including when they occur, their intensity, and any activities that exacerbate or relieve the pain. This information can be valuable for your healthcare provider in determining the best course of action.

In summary, while weight loss can lead to discomfort due to changes in body mechanics and muscle strain, it’s crucial to seek medical advice to rule out any serious underlying conditions. Early intervention can help prevent further complications and improve your quality of life. Please don’t hesitate to reach out to a healthcare professional to discuss your symptoms in detail.

Take care, and I hope you find relief soon!

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