OpenHealth Q&A

Get answered by medical professionals

Understanding the Potential Causes of Acute Lower Back Pain

6/18/2025, 8:20:24 AMMale25-34

I am a 19-year-old male, weighing 170 pounds and standing 6 feet 2 inches tall. I don't smoke or drink and have no prior health issues. My job involves lifting and moving heavy baggage and boxes. Recently, while handling an especially weighty bag, I experienced a sudden, intense pain in my lower back as I twisted my body. The discomfort was significant enough to be quite noticeable, especially when I tried bending or shifting positions. Although it wasn’t absolutely excruciating, I found myself needing to maintain an upright posture to avoid aggravating the pain, which persisted throughout the day. Upon waking today, the situation has deteriorated; the sharp ache in my lower back is now consistent and nearly intolerable with any movement. I felt compelled to call in sick to work, and I am seeking insight into what might be the underlying cause of this sharp pain. Given my recent heavy lifting and the sudden onset of this injury, I’m eager to understand possible explanations for this condition and how I might relieve the pain or prevent it from worsening in the future.

ArthritisCOPDInternal Medicine

Answers (1)

Cony

6/18/2025, 8:20:47 AM

OpenHealth AI

It sounds like you’re experiencing acute lower back pain likely related to your recent heavy lifting and twisting motion. This type of pain can result from muscle strains or ligament sprains, especially after doing physical work that involves lifting and twisting.

Understanding Your Condition: Acute lower back pain may stem from various causes, including:

  1. Muscle Strain: Lifting heavy objects can overexert your muscles, leading to inflammation or tears.
  2. Ligament Sprain: Similar to muscle strain but involves the ligaments that connect bones.
  3. Disc injury or herniation: Although less common in younger individuals, it can still occur and lead to pain after sudden movements.
  4. Poor lifting technique: This can also contribute to injury and pain.

Given that your pain has increased and affects your ability to move, it’s important to take proactive steps for relief and recovery.

Immediate Action Steps:

  1. Rest: Try to avoid any heavy lifting or activities that aggravate the pain. Allow your back to rest.
  2. Ice Therapy: Apply an ice pack to the affected area for 15-20 minutes every 2-3 hours. This can help reduce inflammation and numb the pain.
  3. Over-the-Counter Pain Relief: Consider taking nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (if you don't have any contraindications), as this can help reduce pain and swelling.
  4. Gentle Movement: After a day or two, engage in gentle movements or stretches. Activities like walking can help keep your muscles engaged without straining them.
  5. Apply Heat: After the initial pain subsides (typically after 48 hours), applying heat can promote blood flow and healing. Use a heating pad or warm towel for 15-20 minutes.

Long-Term Prevention:

  1. Strengthening Exercises: Strengthen your core muscles with exercises designed for back support. Neutralize the risk during your lifting tasks by incorporating regular exercise.
  2. Proper Lifting Techniques: Always squat down to lift, keeping your back straight and using your legs. Ensure you have a good stance and grip before lifting.
  3. Posture Awareness: Pay attention to your posture, whether lifting or sitting, to minimize tension on your back.

If your pain doesn't improve within a few days, or if you experience symptoms like numbness, weakness in your legs, or bladder issues, consider speaking with a healthcare professional for a thorough evaluation.

Remember, your comfort and safety while working and performing daily activities are paramount. Take care, and I wish you a smooth recovery!

Related Questions

Are My Tonsils Causing Trouble?

Greetings! I truly appreciate you taking a moment to engage with my post. I’m a 30-year-old male with no significant medical history, currently undergoing assessment for benign prostatic hyperplasia and overactive bladder, for which my physician has prescribed Tamsulosin to be taken daily. I do not smoke. Throughout my life, I have experienced recurring cases of sore throats. Today, I noticed the discomfort again and decided to check if my tonsils appear swollen. Could this be an instance of viral tonsillitis? I haven’t developed a fever. Additionally, I would welcome some guidance regarding the option of a tonsillectomy, as these sore throats occur approximately every three to four months and have been impacting my overall well-being. Thank you!

ArthritisInternal MedicineRheumatology
Male25-34
9 minutes ago

Concerns About Intermittent RUQ Pain, Fatty Stools, and Elevated Liver Enzymes – Could This Indicate a Liver or Gallbladder Issue?

**Age:** 25 **Gender:** Female **Current Medications:** None (Previous use of Hydroxychloroquine for malaria prevention in December) **Pre-existing Conditions:** Gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), history of cytomegalovirus-type mononucleosis (2020) --- Hello everyone, I am seeking some feedback while I await further medical testing. Since contracting a CMV-type mononucleosis infection in 2020, I have struggled with various health concerns. Though I seemed to recover, I subsequently experienced gastrointestinal issues. Initially, I had elevated levels of direct bilirubin. After undergoing a colonoscopy, an abdominal CT scan, and an ultrasound—none of which revealed any abnormalities—I was diagnosed with GERD and IBS. My concerns predominantly center on gastrointestinal symptoms, but in January 2025, I began experiencing an alarming new symptom. **Details of the Incident:** - I experienced two instances of pain in the right upper quadrant (RUQ) on the same day. - The first occurred in the afternoon while I was seated, commencing as a mild pressure under my right ribs that intensified into a severe, sharp pain that also radiated toward my chest and right shoulder. This episode lasted under ten minutes, leaving me feeling utterly exhausted. - Concerned, I visited the emergency room where they ruled out a heart attack and other critical conditions. - Later that evening, around 6 PM during dinner, I suffered another episode identical to the first. - A follow-up visit to the ER involved blood tests, which indicated increased liver enzymes (ALT and AST). - An abdominal ultrasound, however, showed no signs of issues in the liver, pancreas, or gallbladder. - The physician doubted gallstones were the cause since the specific enzyme levels didn’t suggest that. - I mentioned my prior consumption of Hydroxychloroquine for malaria prevention while abroad, which can be hepatotoxic, leading them to consider a possible drug-induced liver injury (DILI). **What Followed:** - Within a few days, I was symptom-free, and my liver enzyme levels began to normalize. - For a while, I had no additional problems. **Current Symptoms:** - Since that time, I have experienced intermittent RUQ pain, frequently coinciding with my menstrual cycle but also occurring sporadically. - The nature of the pain varies; occasionally it’s sharp, other times it’s more of a tender sensation beneath the ribs, or simply a feeling of pressure. - I have also encountered fatty stools, which have intensified recently; I’m uncertain whether this is due to my IBS or another factor. - Furthermore, I’ve noted lower back pain, mostly in the evening, that feels as if something is lodged in my lower back on the right side. - Sleep quality has diminished, and I’ve been grappling with health anxiety, exacerbated by my online research on these symptoms. **Next Steps:** - I have a liver panel blood test and more imaging studies scheduled shortly. --- Could these ongoing symptoms still be related to the DILI, or is it possible there are undetected issues with my gallbladder or pancreas from the initial imaging? Have others experienced anything similar? I would greatly appreciate any insights as I wait for my upcoming tests. Thank you very much for your help!

ArthritisCrohn's DiseaseThyroid Disorders
Male25-34
40 minutes ago

Could This Be Shingles?

I'm a 28-year-old male, standing at 180 cm tall and weighing 95 kg. While I’m not sure if this detail matters, I do use a vape and am currently not on any medication. Approximately two days ago, I noticed some rash-like patches appearing on my skin. These are present on both sides of my body, with the right arm and hand being the most affected areas. Additionally, I have some rash on the left side of my torso, just beneath the armpits, and on my left thigh near the groin region. At this point, I’m not feeling any pain, only some itchiness. Interestingly, I ate chicken about 20 minutes before the rashes developed.

FibromyalgiaCrohn's DiseaseCOPD
Male25-34
50 minutes ago

Concerns Regarding Blood in Stool

Greetings, I'm a 23-year-old male, and I find myself uncertain about whether I'm overreacting. Occasionally, during bowel movements, I notice some bleeding. Typically, it subsides after a few wipes (around 4-5) but it has raised concerns for me. Could this be a sign of a burst blood vessel, or should I be worried about something more severe?

ArthritisCrohn's DiseaseInternal Medicine
Male25-34
50 minutes ago

The Impact of Masturbation on Ankylosing Spondylitis

A 26-year-old male weighing 93 kilograms is seeking insights on whether masturbation negatively influences bone health in individuals with ankylosing spondylitis (AS). He reports feeling an increase in joint pain following the act of masturbation. Typically, he engages in this activity around two to three times monthly. Could this behavior be contributing to the discomfort experienced?

ArthritisMultiple SclerosisLupus
Male25-34
1 hour ago