Radiating pain
Strained muscles cause localized pain (at the site of the injury), but the pain can sometimes radiate to your buttocks. However, if you find that your pain runs from your buttocks and down through your leg, you might be dealing with sciatica or even a herniated disc in your lumbar spine. Dr.
Back pain accompanied by sensations of numbness, tingling or weakness could be a sign of nerve irritation or damage. This is especially true if the pain persists after taking over-the-counter (OTC) pain relievers. Nerve pain is serious and can result in permanent damage or disability if left untreated.
Inflammatory back pain (IBP) is a condition of pain localized to the axial spine and sacroiliac joints that is chronic and is differentiated from mechanical back pain by a set of key diagnostic features.
The key characteristics of inflammatory back pain are: Early onset (typically under 45 years old) Localized pain in the lower back and/or buttocks. Chronic pain, meaning pain that lasts longer than 3 months.
Inflammatory pain would more likely be of insidious onset and of longer duration (i.e. more than three months) whereas mechanical pain tends to be more acute and can often be linked to an injury.
“Red flags” include pain that lasts more than 6 weeks; pain in persons younger than 18 years or older than 50 years; pain that radiates below the knee; a history of major trauma; constitutional symptoms; atypical pain (eg, that which occurs at night or that is unrelenting); the presence of a severe or rapidly ...
You should see a doctor if your pain does not improve after a few weeks or if any of the following symptoms happen with your back pain: Numbness and tingling. Severe back pain that does not improve with medication (see Treatment section). Back pain after a fall or injury.
Some symptoms (often called "red flag" symptoms) may suggest that the back pain has a more serious cause. These include fever, recent trauma, weight loss, a history of cancer and neurological symptoms, such as numbness, weakness or incontinence (involuntary loss of urine or stool).
Your spinal disc is at the bottom of your back, so if you have pain in your lower back, you may assume it is a slipped disc. Furthermore, the feeling of pain will differ between the two. Muscle pain will feel like post-workout soreness, while disc pain will feel debilitating and tingly.
Electromyography (EMG) measures the electrical impulses produced by the nerves and how the muscles respond to them. This test can confirm pressure on the nerves caused by herniated disks or narrowing of the spinal canal (spinal stenosis).
Strains and sprains: Back strains and sprains are the most common cause of back pain. You can injure muscles, tendons or ligaments by lifting something too heavy or not lifting safely. Some people strain their back by sneezing, coughing, twisting or bending over.
A common cause of back pain is an injury like a pulled muscle (strain). Sometimes, medical conditions like a slipped disc, sciatica (a trapped nerve) or ankylosing spondylitis can cause back pain. Very rarely, back pain can be a sign of a serious problem such as a broken bone, cancer or an infection.
Acute (short-term) back pain lasts a few days to a few weeks. It usually resolves on its own within a few days with self-care and there is no long-term loss of function. Chronic back pain is pain that continues for 12 weeks or longer, even after an initial injury or underlying cause of back pain has been treated.
Call 911 or emergency medical help or have someone drive you to the emergency room if your back pain: Occurs after a trauma, such as a car crash, bad fall or sports injury. Causes new bowel or bladder control problems. Occurs with a fever.
If your symptoms don't go away after a week or two, you should see a doctor. Extreme pain. The severity of back pain can vary greatly, but if you experience sharp, shock-like pain that radiates from your lower back or neck, don't hesitate to talk to a doctor. Sudden back pain.
The bottom line is that not all pain is able to be detected on an x-ray or MRI. That does not mean that there is nothing there that needs to be treated or diagnosed. In fact, it means that it is possibly a precursor to something going really wrong and then eventually needing surgery because it eventually winds up torn.
Back pain can range from a muscle aching to a shooting, burning or stabbing sensation. Also, the pain can radiate down a leg. Bending, twisting, lifting, standing or walking can make it worse.
Sciatica refers to pain that travels along the path of the sciatic nerve. The sciatic nerve travels from the lower back through the hips and buttocks and down each leg. Sciatica most often occurs when a herniated disk or an overgrowth of bone puts pressure on part of the nerve.
Common medications such as Ibuprofen or Tylenol help to relieve the inflamed area in these mild cases. You can also use anti-inflammatory topical creams that will help reduce inflammation and relieve some of the mild pain symptoms in your back. Taking too much of these medications can be problematic, however.
Pain in inflammatory back pain is more often localized to the lumbar spine and may be associated with buttock pain that alternates from one side to another; though, it is patient characteristics, chronicity, and pain progression that set IBP apart from other causes.