OpenHealth Q&A

Get answered by medical professionals

Seeking Help for Chronic Back Pain at 19

8/16/2025, 1:20:32 AMMale25-34

At the age of 19, I was diagnosed with a herniated disc in my lower back roughly a year ago. The physicians mentioned that I might have been dealing with this issue for a longer period, noting significant wear in the surrounding discs. Here’s a summary of the treatments I’ve undergone so far: - Steroid injections - Six months of physical therapy, during which I remained dedicated and also practiced my exercises at home; although I noticed minimal improvement, it wasn’t sufficient. - Spinal decompression therapy - Cupping therapy - Chiropractic treatment Recently, my chiropractor informed me that my condition has deteriorated, indicating heightened inflammation and that he’s unable to provide further assistance. I sought opinions from two surgeons regarding possible surgical options; however, they both advised against it due to my age. They cautioned that if I undergo surgery now, there’s a significant chance I may eventually require extensive spinal fusion. Earlier today, I applied ice to my back for half an hour, but instead of feeling cold afterward, my lower back became increasingly warm. Right now, I feel utterly out of options. I’ve tried all the suggested treatments, yet my pain remains intolerable, affecting my daily life drastically. If anyone has advice or suggestions, I would greatly appreciate your input!

ArthritisCOPDInternal Medicine

Answers (1)

Cony

8/16/2025, 1:20:56 AM

OpenHealth AI

I'm sorry to hear about your struggles with chronic back pain at such a young age. It sounds incredibly frustrating to have tried various treatments without finding relief. Let's focus on what you can do next to improve your situation and manage your pain effectively.

Main Points:

  1. Understanding the Condition: Chronic back pain from a herniated disc and issues with surrounding discs can be complex and often requires a tailored approach to manage symptoms.
  2. Next Steps: It's crucial to consider additional self-management strategies and possibly revisit some forms of treatment that may have been overlooked.

Explanation:

A herniated disc can cause pain due to nerve compression or inflammation around the area. The treatments you've already tried, while common, sometimes do not provide the relief everyone hopes for. The fact that your condition has worsened is concerning, and it's understandable that you're feeling out of options.

It's essential to approach this issue from various angles, including pain management strategies, potentially seeking a second opinion on treatment approaches, and exploring lifestyle modifications.

Next Steps:

  1. Pain Management: Talk to your doctor about medications that can help manage pain and inflammation, such as NSAIDs (like ibuprofen) or other pain relief options. Be sure this aligns with any medications you're currently taking.

  2. Physical Therapy Alternatives: Consider revisiting physical therapy with a focus on specific techniques such as:

    • Aquatic therapy: Exercising in water can reduce strain on your back while allowing for effective movement.
    • Manual therapy: A physical therapist skilled in this technique can help relieve muscle tension and improve mobility.
  3. Mind-Body Techniques: Explore options such as yoga or mindfulness-based approaches. These can help not only with physical flexibility and strength but also with mental coping strategies for managing chronic pain.

  4. Lifestyle Adjustments: Implement ergonomic changes to your workspace and daily activities to minimize strain on your back. Using proper posture and support can sometimes make a significant difference.

  5. Consider a Pain Specialist: If your current approach isn't yielding results, working with a pain management specialist might introduce you to new treatments or therapies, including options like nerve blocks or more specialized forms of physical therapy.

  6. Alternative Therapies: If you haven't already, consider acupuncture or other holistic approaches, as some people find them helpful for chronic pain issues.

  7. Support Resources: Connect with chronic pain support groups or online communities where you can share experiences and find encouragement. It can be helpful to talk to others who understand what you're going through.

Tracking how these changes affect your pain and functionality over time can be beneficial, so keep a diary of your experiences. Remember, you're not alone in this journey, and finding the right combination of treatments may take some time. Please reach out if you need further guidance or details on any of these suggestions!

Related Questions

Understanding Calcified Lymph Nodes

Greetings, I'm a 21-year-old female, and recently underwent an ultrasound examination of my breasts. The doctor identified calcified lymph nodes in both armpits. However, I was reassured and informed that there was no cause for concern, attributing it to a prior infection. Should I pursue this matter further? I understand that such calcification can sometimes indicate cancer, though typically this is linked to more advanced stages of the disease, such as stage 4. I believe if I were facing a severe illness, I would likely be experiencing some noticeable symptoms. Nevertheless, what course of action would you recommend? Additional context: I have a diagnosed fibroadema which I'm currently keeping an eye on. I do smoke and consume alcohol occasionally, but overall, my health is good.

FibromyalgiaThyroid DisordersInternal Medicine
Male25-34
26 seconds ago

What Could These Growths in My Mouth Indicate?

F22. I'm a smoker and tend to drink alcohol at least weekly. For the past week, I’ve noticed painful lesions on the upper part of my mouth and my gums. They appear white with reddish edges. I have an appointment with my dentist and am currently using mouth rinses, along with herpes medication and topical ointments. Additionally, I have some sores on my lips, leading to the conclusion that I might be experiencing a herpes outbreak. However, I’ve never previously experienced herpes symptoms. I conducted blood tests that revealed my immune system is quite weak; all signs suggest it could indeed be herpes, but I've never encountered such symptoms before and am uncertain about their nature. I'm concerned this might indicate a more serious health issue.

Multiple SclerosisCOPDRheumatology
Male25-34
31 seconds ago

Is It Too Late for Conservative Treatment?

I'm a 30-year-old woman working in marketing, spending the majority of my time in front of a computer, and I primarily use my right hand. I deal with several health issues including Crohn’s disease, hypothyroidism, and POTS. My current medications are Skyrizi, Synthroid, Metoprolol, and Slynd. Recently, I've been experiencing discomfort primarily in the last month, although it has lingered for a few months now. I live in the United States. I consulted an upper extremity surgeon due to persistent numbness affecting my right fourth and fifth fingers, as well as my palm and the back of my hand. Having previously undergone surgery for cubital tunnel syndrome on my left side after a nerve injury, I was somewhat familiar with what I was dealing with. That surgical procedure involved a submuscular transposition, which I have no regrets about. Before seeking medical advice, I utilized tips I learned previously and invested in an ergonomic mouse and an elbow pad. During my last visit, my doctor provided me with a night splint and advised that I use a brace during the day for additional support. However, the nighttime splinting hasn't been effective; I consistently wake up to find it removed, with no memory of doing so. After a brief examination, the surgeon recommended an EMG. He indicated it was likely cubital tunnel syndrome but wanted further confirmation of its severity. During his assessment, he noted a slight weakness in my hand, which I concurred with, recalling a recent incident where I dropped a salt shaker multiple times just a week before our meeting. I had the EMG done recently, and the results showed that both the median and radial nerves were functioning well, but there were no sensory signals detected from my ulnar nerve at the cubital tunnel. Fortunately, the nerve appeared normal both above and below the elbow, and there was no indication that my muscles had been compromised during the tests. The EMG specialist remarked, "there's a complete block at your elbow," after multiple nerve conduction studies in that area. He also observed that my elbows hyperextend, which he suggested could be contributing to my issues, though he didn't believe there was any weakness in my hands. I pressed for further explanation regarding my condition and he clarified that without addressing the compression, my situation would likely deteriorate, but he also noted that he wasn’t a surgeon. This raises a question: Is it possible for me to recover fully and experience no symptoms in the future, or have I missed the opportunity for successful conservative treatment? I want to avoid rushing into surgery, yet I am not keen on prolonging my current struggles only to end up in the same place a few months down the road. I am seeking guidance on how to approach my upcoming appointment and what key points to consider.

Crohn's DiseaseThyroid DisordersCOPD
Male25-34
10 minutes ago

Seeking Advice: Unusual Nasal Congestion

I am a 42-year-old woman seeking advice for a peculiar issue I’ve encountered. After utilizing a nasal spray for over two decades (not Afrin specifically, but a similar product), I am now undergoing withdrawal. Following a gradual tapering phase, I am now entering the fourth week without any spray. Currently, I rely on saline and ectoin sprays due to the extreme sensitivity of my nasal passages, which seem to worsen with the use of steroids and antihistamines. My concern revolves around a peculiar congestion that is primarily localized at the base of my nostrils, with no discomfort felt in my sinuses or deeper inside my nose. My ENT remarked that my nasal health appears to be improving and was quite surprised when I mentioned this specific congestion issue. I proposed that heightened sensitivity in the nerves at the base of my nostrils might be a factor, to which she acknowledged the possibility but lacked certainty. Interestingly, my nasal condition seems to improve somewhat during the night and morning hours, with the most significant congestion manifesting in the afternoons. There is an absence of mucus, just a collection of damp boogers. Has anyone else experienced such a distinct type of congestion? I struggle to find information that matches my symptoms. I am aware that I have rhinitis medicamentosa, but I wish to comprehend whether it’s common to experience this sensation solely at the lower part of the nostrils.

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
10 minutes ago

Exploring Alternatives to Knee Replacement for My 66-Year-Old Father

At 66 years of age, my father stands at 165 cm (5'5") and weighs approximately 74 kg (163 lbs). He has endured persistent knee pain for over a year. Recently, we consulted with an orthopedic surgeon who examined his X-ray results and concluded that there is no cartilage remaining in his knee. He recommended knee replacement surgery as the sole option, dismissing the effectiveness of knee injections entirely. However, I have reservations about his recommendation. The specialist appeared quite eager to expedite the surgery, even suggesting it could proceed while my father is still taking aspirin. This raised some red flags for me, especially since my father's ophthalmologist recommended postponing cataract surgery until he stops taking aspirin and receives clearance from his neurologist, given that he had a stroke earlier this year. To provide context, here’s a summary of my father’s medications and health status: **Morning Medications:** - B12 2500 mcg - Telmisartan 40 mg - Diclofenac Sodium 75 mg - Janumet (50 mg Sitagliptin / 500 mg Metformin HCl) - Discontinued as his blood sugar is currently stable - Esomeprazole 20 mg - Eye drops: Bromfenac Ophthalmic Solution 0.09% **Afternoon Medications:** - Neuro vitamin capsule (containing: Alpha Lipoic Acid 100 mg, Vitamin B1 10 mg, Vitamin B6 3 mg, Methylcobalamin 1000 mcg) - Panadol Joint (Paracetamol 665 mg) - Clopidogrel Bisulfate 75 mg - Glucovance 500 mg / 5 mg - Aspimed 75 mg (Aspirin) - 2 tablets **Dinner Medications:** - Atorvastatin 20 mg (reduced from 80 mg following a cholesterol assessment and neurologist's advice) - Amlodipine 5 mg - Glucophage 500 mg - Diclofenac Sodium 75 mg - Eye drops: Bromfenac Ophthalmic Solution 0.09% His kidney function remains stable, as verified through monthly checks, and both his blood sugar and cholesterol levels are currently managed (the neurologist aims for blood sugar levels below 130, which may occasionally vary based on diet). My primary concerns include: 1. Could knee replacement truly be the only viable solution at this point? I’ve encountered various opinions online and am curious whether more conservative treatments such as weight loss, physical therapy, or knee injections might provide at least temporary relief. 2. Given my father's recent stroke, I'm apprehensive about hastening into a significant procedure like knee replacement, particularly due to his ongoing use of aspirin and clopidogrel. 3. The financial implications of surgery and subsequent rehabilitation would be substantial, making it essential to investigate any alternative methods to alleviate his discomfort and enhance his mobility. Has anyone experienced a comparable situation? Are there known success stories associated with injections or non-surgical methods when substantial cartilage deterioration is present? Or is surgery genuinely the only feasible option at this stage? I would greatly appreciate any insights or personal experiences that could shed light on this matter.

ArthritisMultiple SclerosisInternal Medicine
Male25-34
39 minutes ago