Back Pain: Causes and When to See a Doctor - Family Medicine

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Back pain can arise from a variety of causes, ranging from muscular issues to more serious underlying conditions. In your mother's case, the localized pain in the left back area, particularly near the bra strap, accompanied by redness, suggests a few potential causes that should be considered.

1. Muscle Strain or Sprain: One of the most common causes of back pain is muscle strain or sprain. This can occur due to overexertion, poor posture, or sudden movements. If your mother has been engaging in activities that require lifting, bending, or twisting, this could lead to muscle fatigue and pain. The redness could indicate inflammation in the affected area.

2. Skin Conditions: The presence of redness without any trauma could also suggest a dermatological issue, such as shingles (herpes zoster), which can cause localized pain and a rash. If the pain is accompanied by a burning sensation or if blisters develop, this could be a sign of shingles, and she should seek medical attention promptly.

3. Nerve Issues: Conditions such as a herniated disc or sciatica can cause localized pain that may radiate to other areas. If the pain is severe or if there are symptoms like numbness or tingling in the legs, it would be wise to consult a physician.

4. Infection or Inflammatory Conditions: In rare cases, back pain can be a sign of an infection (such as a kidney infection) or inflammatory conditions (like ankylosing spondylitis). If the pain is persistent, worsening, or accompanied by fever, chills, or other systemic symptoms, it is crucial to seek medical evaluation.

Given these possibilities, it is advisable for your mother to see a healthcare professional. The first step would typically be to consult a primary care physician or a family doctor. They can perform a thorough examination, take a detailed history, and potentially order imaging studies (like X-rays or MRI) if necessary. Depending on the findings, they may refer her to a specialist, such as an orthopedic doctor or a neurologist, for further evaluation and treatment.

In summary, while back pain can often be benign and related to muscle strain, the presence of redness and localized pain warrants a medical evaluation to rule out more serious conditions. Early intervention can lead to better outcomes and prevent the pain from becoming chronic. Encourage your mother to seek medical attention soon, especially if her symptoms persist or worsen.