Lower Back Pain: Causes, Symptoms, and Solutions

Low back pain?

Hello, doctor.
I would like to ask you a question: On the morning of February 8th, when I got up and bent down to wash my face, I suddenly felt pain in both sides of my lower back, with the left side being more painful than the right.
I also felt weak and unable to bend down.
Later that evening, I found it difficult to stand up straight, and bending forward or backward caused pain.
I even felt like I had no strength to hold a small baby (about 22 pounds).
When sitting on my bed (a soft pocket spring mattress), I felt a tight, sore sensation from my lower back to my buttocks.
What could this be?
Additionally, I have another issue: a few months ago, I fell and used my right hand to brace myself, which caused my elbow to be unable to straighten at the time.
After treatment, it improved, but I often feel pain around my right scapula, and sometimes I experience weakness at certain angles, making it difficult to lift my arm, especially in the morning when my right shoulder is often painful.
How can I improve this? Thank you for your response.

dawn, 50~59 year old female. Ask Date: 2009/02/09

Dr. Shi Qiming reply Orthopedics

Lower back and shoulder pain is usually caused by improper use or poor posture, and it typically takes about 2 to 4 weeks to heal.
It is recommended to apply cold compresses for the first 3 days, followed by heat therapy (5 minutes each time, 5 times a day).
Additionally, muscle relaxants and rehabilitation can help reduce the intensity and duration of the pain.
You may also visit our orthopedic and rehabilitation outpatient clinics for further treatment.

Reply Date: 2009/02/09

More Info

Lower back pain is a common issue that can arise from various causes, and understanding these causes, symptoms, and potential solutions is crucial for effective management. Based on the information provided, it seems that your symptoms may be linked to a combination of muscle strain, possible nerve involvement, and previous injuries.

Causes of Lower Back Pain
1. Muscle Strain: The sudden onset of pain when bending over to wash your face suggests a possible muscle strain. This can occur when the muscles in the lower back are overstretched or torn, often due to improper lifting, sudden movements, or even prolonged sitting in a poor posture.

2. Nerve Compression: The pain radiating from the lower back to the buttocks and legs may indicate nerve compression, possibly from a herniated disc or spinal stenosis. This can lead to symptoms such as weakness, numbness, or tingling in the legs.

3. Previous Injuries: Your history of falling and using your right hand for support could have led to compensatory movements that strain the back and shoulder muscles. Chronic pain in the shoulder area, especially after an injury, can be a sign of muscle imbalances or joint issues.

Symptoms
Your symptoms include:
- Pain on both sides of the lower back, with the left side being more painful.

- Difficulty bending and standing straight.

- A feeling of weakness when lifting or carrying objects, such as a child.

- Pain that radiates down to the buttocks and possibly into the legs.

- Shoulder pain and weakness, particularly after an injury.

Solutions and Management
1. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can design a personalized exercise program that focuses on strengthening the core muscles, improving flexibility, and correcting posture. This can help alleviate pain and prevent future injuries.

2. Home Exercises: At home, gentle stretching and strengthening exercises can be helpful. For instance, lying on your back and gently pulling your knees to your chest can relieve tension in the lower back. Additionally, pelvic tilts and bridges can strengthen the lower back and abdominal muscles.

3. Heat and Cold Therapy: Applying heat to the affected area can help relax tight muscles, while cold packs can reduce inflammation and numb sharp pain. Alternating between heat and cold can provide relief.

4. Ergonomic Adjustments: If you spend a lot of time sitting, ensure that your chair supports your lower back. Consider using a lumbar roll or cushion to maintain the natural curve of your spine. Avoid sitting on soft beds or couches that do not provide adequate support.

5. Medication: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication.

6. Gradual Return to Activity: Avoid activities that exacerbate your pain, but try to gradually return to normal activities as tolerated. This includes light walking, which can promote circulation and healing.

7. Consult a Specialist: If your symptoms persist or worsen, it may be beneficial to consult a specialist, such as an orthopedic doctor or a neurologist, who can provide further evaluation and possibly imaging studies like an MRI to assess for any underlying issues.

Conclusion
Lower back pain can stem from various causes, including muscle strain, nerve compression, and previous injuries. A comprehensive approach that includes physical therapy, home exercises, ergonomic adjustments, and possibly medication can help alleviate symptoms. If pain persists, seeking further medical evaluation is essential to rule out more serious conditions. Remember, early intervention is key to preventing chronic pain and improving your quality of life.

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