OpenHealth Q&A

Get answered by medical professionals

Concerns About My Back Pain

8/2/2025, 1:40:29 AMMale25-34

I am a 14-year-old assigned female at birth, standing at 5'4" and weighing approximately 140 pounds, and I've recently been experiencing significant discomfort in my back. Whether I’m sitting, lying down, standing, or walking, the pain is intense. Adjusting my posture seems to exacerbate the discomfort rather than alleviate it. The only position that offers any relief is when I lie on a slight incline. Although I've been using a generic version of acetaminophen, which helps to some extent, it’s not completely effective. I've refrained from visiting a healthcare professional, making this post my last attempt to seek guidance. While staying hydrated provides minimal benefit, I’ve noticed I have some difficulty walking in a straight line, which I suspect might be linked to low iron levels. Specifically, the pain is localized in my lower to mid-back and tends to worsen with physical activity. I also wonder if the strain could be exacerbated by having a larger chest. I would appreciate any advice on this matter.

NeurologyBack PainMuscle Pain

Answers (1)

Cony

8/2/2025, 1:40:48 AM

OpenHealth AI

I'm sorry to hear about the significant discomfort you're experiencing in your back. Back pain, especially in your age group, can stem from various causes, and it's important to address the symptoms you're facing, including the difficulty walking straight, as this could point to an underlying issue.

Key Points

  • Your pain seems to be affecting your daily life significantly and worsens with activity.
  • The relief you find when lying on an incline suggests a potential issue with posture or muscle strain.
  • Your concerns about low iron levels are valid, as they can contribute to fatigue and possibly affect muscle strength.

Explanation

Back pain in adolescents can result from poor posture, muscle strains, or even structural issues like scoliosis. Given that you experience relief when lying on an incline, it may point toward an issue with how your back is supporting your weight during various activities. Your larger chest can also affect posture, leading to muscle strain. The difficulty walking in a straight line could be related to muscle imbalances or nerve-related issues, but this requires careful evaluation by a professional.

Next Steps

  1. Daily Monitoring: Keep a journal of your symptoms. Note when the pain occurs, its intensity, and any other related symptoms. This will be helpful in understanding your condition better.

  2. Posture Check: Pay attention to your posture when sitting, standing, and walking. Try to maintain an upright posture, especially when you're at school or sitting at a desk. This can help alleviate some strain on your back.

  3. Gentle Stretching: Engage in light stretching exercises that focus on your back and chest muscles. For example, simple back stretches, such as reaching towards your toes while standing, can relieve tension. Avoid any movements that significantly increase your pain.

  4. Hydration & Nutrition: Continue to stay hydrated and ensure you're consuming a balanced diet with adequate iron. Foods rich in iron include leafy greens, beans, and lean meats. If you suspect low iron levels are affecting you, consider discussing this with a healthcare provider.

  5. Consider a Supportive Device: A supportive backpack that distributes weight evenly and is worn correctly can help alleviate stress on your back during school hours.

Since the pain is significant and impacting your ability to walk straight, I encourage you to see a healthcare professional. They can provide a thorough evaluation and possibly conduct investigations, such as physical exams or postural assessments, to determine the exact cause of your pain. Early intervention can prevent potential long-term issues. You've taken a great first step by reaching out for advice, and I hope these tips will help you find some relief.

Related Questions

Discomfort in Lower Back on the Right Side

Hello! I'm a 30-year-old male, and while I’m not certain of my exact height and weight, I know I’m not categorized as overweight. I experience pain when bending at certain angles, lifting objects, or when resting on my right arm while lying down. The discomfort is particularly noticeable during activities that require hip twisting, such as swimming in the freestyle or butterfly strokes, as well as when performing side crunches. This issue doesn't seem to resolve after a day or two. The pain is localized in what seems to be the lumbar region, as I discovered through some online research regarding lower back anatomy. I appreciate any advice or insights you can provide. Thank you!

Back PainNeck PainJoint Pain
Male25-34
6 hours ago

21-Year-Old Woman Experiencing Severe Back Pain Seeks Relief Options

For nearly four years now, I have been battling chronic back pain that started after giving birth. Generally, this discomfort has been mild and manageable. However, things took a turn last Friday when I experienced a significant increase in pain, specifically around my left shoulder blade and directly beneath it. The pain has a dull quality to it but becomes stabbing when I engage in movement. Now, a week later, I find myself in a similar situation—on Friday once more. The discomfort has spread throughout my upper back, with the most intense pain located along my spine, particularly in the center, and additionally around my shoulder blades. Certain movements, especially twisting or bending, intensify the pain to a level that I would rate around 6 to 7 out of 10 at its worst. While I am seated, the pain reduces to a dull ache, feeling more like a 3 or 4 out of 10. Throughout this week, I have been proactive in trying various approaches to alleviate my pain, but minimal relief has been achieved. I have been regularly taking ibuprofen, consciously keeping my intake within the recommended daily allowance. Nevertheless, I am becoming increasingly anxious about the potential impact on my stomach, kidneys, and liver due to prolonged use. While ibuprofen dulls the pain slightly, it doesn't completely eliminate it. In addition, I have explored alternatives such as lidocaine, massaging my back, using walls for support, stretching, lying flat on the floor, enjoying warm baths and showers, applying heat pads, and attempting to maintain proper posture. I even considered a back brace but have been advised that it might be more detrimental than helpful, so I've refrained from using one. Despite these efforts, none have proven effective in providing sufficient relief. The massage and heat provide temporary comfort but the pain resurfaces shortly after, typically within 10 to 20 minutes. I don't believe my condition is dire enough to warrant a visit to a doctor, as I suspect I've simply strained my back muscles. Still, I am curious about alternative methods to manage my pain. Additionally, I seek guidance on how long I can continue taking ibuprofen without risking harm to my body. I always ensure to take it with food and consume it with 6 to 8 ounces of water. I am aware that acetaminophen might be another avenue to explore; however, to be honest, it has not been particularly effective for my pain in the past. In summary, I've been struggling with back pain for the past week, and I need advice on the limitations of ibuprofen use and any alternative pain relief options available. I am 21 years old, standing at 5'0" and weighing approximately 150 lbs. Currently, I am not on any medication, although I do occasionally take Pepcid as prescribed by my doctor. I appreciate any advice you may offer. Thank you in advance!

Pain ManagementBack PainNeck Pain
Male25-34
7 hours ago

Interpreting High CRP and Sed Rate Results

Hello! This is my first entry in a community like this, so I welcome any guidance you might have. I’m a 27-year-old female, weighing 170 lbs and standing at 5'4". My test results show a CRP level of 38.7 and a Sed Rate of 38. For the past three to four weeks, I have been experiencing severe discomfort characterized by intermittent intense aches and cramps affecting my knees, hips, calves, and the insides of my arms. Alongside these pains, I also have full-body chills and sweating, which contribute to an overall sense of misery. The sensations are so overwhelming that they often bring me to tears, lasting several hours. I hesitated to visit urgent care because I had an appointment scheduled with my primary care physician. I saw him yesterday, and after reviewing my situation, he ordered some lab tests, which revealed these abnormalities. I reached out to the clinic this morning to discuss my results with the nurse but have not yet received a response. I am curious whether there might be a connection between these lab results and the symptoms I’ve been experiencing. Also, would it be unreasonable or an overreaction to go to the emergency room considering how excruciating the pain has become?

Joint PainMuscle PainChronic Pain
Male25-34
10 hours ago

Teenager Struggling with Chronic Migraines

Profile: - Age: 13 - Gender: Male - Height: 5’ 5” - Weight: 152 lbs - Medications: Sumatriptan on an as-needed basis, Nerivo device My son, now 13, has been suffering from migraines for the past two years. Last year, his condition escalated to the point where he was experiencing headaches three to four times each week, prompting me to consult a headache specialist. The frequency of his migraines significantly impacted his academic performance and social interactions; they often flare up particularly on school days. His primary triggers include fatigue, as he requires 10 to 11 hours of sleep each night, and sensory overload from his school environment, such as bright lights and noise. Under the care of the headache specialist, he was prescribed sumatriptan for acute episodes, and he has been using it about twice weekly throughout the final months of the last school year. Additionally, he has tested the Nerivo device, which appears to provide some relief. The specialist also suggested that he might be a suitable candidate for amitriptyline as a preventative measure. Interestingly, during summer break, he experiences far fewer migraines since he can sidestep his usual triggers. Now, with the new school year imminent, I'm contemplating starting him on amitriptyline. My concern, however, revolves around the potential side effects associated with this medication, which have left me quite apprehensive. I would appreciate hearing about others' experiences with it and any crucial considerations I should keep in mind. Additional Notes: - He underwent a head CT scan early in the process of his headaches; the results were normal. - He is very sociable, enjoys sports, and performs well academically. - There is a family history of migraines, although none have shown the severity or frequency that he endures.

HeadacheMuscle PainChronic Pain
Male25-34
11 hours ago

Understanding Achilles Tendon Concerns: Early Signs or Serious Issue?

Hello everyone, I appreciate all the feedback I receive. I’m a 30-year-old male, standing at 185 cm and weighing 70 kg, leading an overall healthy lifestyle without any medications, drugs, or allergies. My diet is nutritious, albeit somewhat repetitive with limited variety. I take daily supplements that include a multivitamin, fish liver oil, creatine, protein powder, and, at times, electrolytes. Recently, I resumed jogging and exercise after nearly a decade of minimal physical activity. Initially, I experienced shin splints, but those improved quickly through rest and ice. However, following a particularly tough jog, especially after spending the previous day on my feet, I noticed a sharp pain in the middle portion of my left Achilles tendon the following day. This discomfort made walking difficult, accompanied by swelling on the inside of the tendon. I applied ice several times and prioritized rest. The pain subsided the next day, but I still observed some swelling. Notably, when I put weight on my foot, my ankle tended to roll slightly inward, although I'm unsure if this was a preexisting condition or a result of the injury. I continued with ice and rest. By the third day, the situation hadn’t changed much. On the fourth day, after some light walking and squatting while tidying up, I sensed a slight discomfort in the tendon again. To avoid exacerbating the issue, I decided to take it easy. There wasn’t any visible swelling, but my ankle still rolled inward when bearing weight. I’ve done some reading on the subject, particularly an article that describes how patients typically experience a gradual buildup of pain over several months, with recovery times ranging from 3 to 12 months. Did I manage to catch this early, or should I be cautious for an extended period and adhere to a careful rehabilitation regimen even in the absence of pain? Alternatively, could this not be Achilles tendinitis at all?

Back PainJoint PainMuscle Pain
Male25-34
19 hours ago