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Understanding Right Mid-Back Pain: Potential Causes and Considerations

6/15/2025, 10:01:01 AMMale25-34

I want to share some important details regarding my situation: - I am a 22-year-old female. - I have a mild case of scoliosis that curves to the right. - My sitting posture resembles that of L from Death Note for prolonged periods. - I am sexually active and frequently experience symptoms similar to urinary tract infections after intercourse, such as a strong urge to urinate, a burning sensation while urinating, and frequent, small amounts of urine output. - I've been leading a rather inactive lifestyle, but I'm ready to make a change. - Recently, I commenced the Couch to 5K program, running for 8 minutes and walking for 20 minutes on alternate days, alternating between running for a minute and walking for a minute and a half. - On the second day of this program, I began experiencing pain that worsened after my run on the third day. I can best describe it as a piercing stinging sensation radiating from my back to my front. - This pain coincided with my menstrual cycle, and I was also dealing with the aforementioned urinary symptoms. - After researching online, I grew concerned about possible kidney issues. A visit to the doctor yielded a recommendation for a full abdominal ultrasound, which fortunately returned normal results. I am left wondering whether this pain could be linked to my scoliosis or poor posture, or if it stems from improper running techniques. Both medical professionals indicated that such discomfort is commonly associated with kidney issues. Should I seek another opinion or consider simpler explanations? If my scoliosis is a contributing factor, would it be advisable for me to halt my running routine? Additionally, what alternative forms of exercise could I pursue safely?

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

6/15/2025, 10:01:33 AM

OpenHealth AI

It sounds like you're dealing with a combination of back pain and urinary symptoms, which can understandably be concerning, especially given your recent lifestyle changes with the Couch to 5K program. Let's break down your situation to address your pain, potential causes, and next steps.

Main Points:

  1. Your back pain likely relates to your scoliosis or posture, not kidney issues since your ultrasound was normal.
  2. Poor running techniques and sitting posture might exacerbate discomfort.
  3. Alternatives to running can help maintain fitness while protecting your back.

Explanation:

  • Scoliosis and Posture: Mild scoliosis can contribute to muscle imbalances and strain, particularly if your posture while sitting is poor. The way you're sitting (like the character L) can lead to increased tension in the back muscles, potentially causing pain during physical activity.
  • Running Technique: Beginning a new exercise program can sometimes lead to discomfort, especially if your body isn’t used to that intensity. Improper running form or insufficient warm-up can lead to pain, especially in the back.
  • Urinary Symptoms: The symptoms you're experiencing after intercourse may not be directly related to your back pain, but they do warrant attention. They might indicate a urinary tract irritation or mild infection.

Next Steps:

  1. Evaluate Running Form: Focus on proper running techniques. Ensure your posture is upright and not hunched. Gradually build your running endurance and include warm-up and cool-down exercises.
  2. Take a Break if Needed: If the pain continues, consider pausing your running routine. In the meantime, you could engage in low-impact exercises like swimming, cycling, or yoga, which can improve strength and flexibility without stressing your back.
  3. Organize a Posture Assessment: Assess your sitting posture and make adjustments. Aim to keep your spine aligned and back supported by changing your sitting arrangement or using a chair that promotes good posture.
  4. Strengthening Exercises: Incorporate core strengthening and back exercises into your routine, as these can provide better support for your back and reduce discomfort.
  5. Monitor Symptoms: Keep track of both your back pain and urinary symptoms. If symptoms worsen or new ones arise, consider consulting a healthcare professional to discuss further evaluation or treatment options.

If you find that the pain continues despite these changes or if you have additional concerns, seeking a second opinion, particularly from a physical therapist or a specialist in musculoskeletal conditions, might provide more insight. Remember to listen to your body, and be cautious during your physical activities.

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