Seeking Guidance on Persistent Back Pain
Age: 22 Two years ago, I experienced a Strep A infection, which later resulted in debilitating lower back pain that has progressively intensified. I'm uncertain about the next steps to take. An MRI scan didn’t reveal any underlying issues, but those around me are starting to believe my pain might be psychological. However, this situation is significantly impacting my daily life and activities.
Answers (1)

8/5/2025, 8:50:44 AM
OpenHealth AI
It's understandable to feel frustrated with ongoing back pain, especially when previous medical evaluations haven't provided clarity. While it's good news that an MRI didn't show any serious issues, it's important to remember that persistent pain can have multiple underlying causes, including muscle strain, posture issues, or even stress and anxiety. Your concerns about the pain affecting your daily life are valid, and addressing this situation should be a priority.
Explanation
Persistent back pain, especially after a significant illness like your Strep A infection, can indeed be multifaceted. If an MRI hasn’t revealed any specific structural problems, it may suggest that your pain could be related to muscular or soft tissue issues, which can sometimes arise following illness. Additionally, psychological factors such as stress or stress responses to chronic pain can also play a role, but that does not mean your pain is any less real or valid.
Next Steps
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Monitor Your Pain: Keep a daily log of your pain (where it's located, its intensity, and what triggers or eases it). This can help clarify patterns and may assist any healthcare provider you choose to see in understanding your symptoms better.
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Practice Gentle Movement: Engage in light exercises or stretching to improve flexibility and strengthen back muscles. Activities like yoga, swimming, or guided physical therapy can be beneficial. Aim for at least 20-30 minutes of movement daily, focusing on gentle stretches.
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Posture Awareness: Pay attention to your posture throughout the day, whether sitting, standing, or lifting objects. Ergonomically supportive seating and office setup can help reduce strain on your back.
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Stress Management Techniques: Since your pain is impacting your life, consider practicing mindfulness, meditation, or relaxation techniques that can help you manage any stress or anxiety surrounding your pain.
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Seek Support: Talk to friends or family about your experience, and seek support from those who can provide understanding. If possible, consider consulting a healthcare provider who specializes in pain management, rehabilitation, or even a psychologist if you feel it could be helpful.
These steps aim to empower you to take control of your situation while allowing for adjustments should your circumstances change. If your pain continues to be intense or worsens, or if you notice new symptoms, it’s crucial to seek further evaluation. Remember, you are not alone in this, and finding the right resources and strategies can significantly improve your quality of life.
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