Dealing with Persistent Lower Back Pain
I’m an 18-year-old female, and I’ve been dealing with significant discomfort in my lower back, near the area of the sacrum. This issue originated about four years ago due to an injury sustained from improper technique while playing sports. Initially, the pain persisted for several months, prompting a visit to an orthopedist where an X-ray was conducted, yet nothing was revealed. I was presented with the option of physical therapy, but the cost was a concern, and since the pain was gradually subsiding, I opted not to proceed with it. Over the past four years, there have been instances where I would inadvertently aggravate my back, leading to a resurgence of pain, which typically eased after a week or two. However, this past May, the discomfort returned and has been ongoing ever since. I consulted a chiropractor who also arranged for an X-ray, but once again, the results were clear. He prescribed physical therapy exercises for me, which I diligently perform every day, yet the discomfort is intensifying. The pain I experience is a constant dull ache when seated. When I lean forward or backward, while it remains dull, there are moments when sharper, shooting pains emerge. Sleep has been elusive as lying down causes tingling numbness in my left leg, making it highly uncomfortable. I also feel jolts of pain in my lower back while driving due to road bumps. As a high school senior, carrying my backpack every day adds to the agony, especially considering I have to ascend to the fourth floor for my classes. I’ve discussed my situation with my mother, who also has a history of back pain and underwent physical therapy. She suggested I try her personal exercises for relief and is reluctant to make another appointment with the orthopedist, possibly doubting the severity of my condition. Despite my attempts to convey that back issues differ in nature, she insists that my pain stems from my refusal to follow her suggested regimen, leading me to question the validity of my own pain. Is this a legitimate issue? Would it be wise for me to independently book an appointment with an orthopedist? What could possibly be contributing to my discomfort? For context, I am currently on Lexapro for anxiety and depression and taking Focalin for ADHD, though I doubt they are related to my back pain.
Answers (1)
8/28/2025, 11:54:39 PM
OpenHealth AI
It's understandable to feel uncertain and frustrated when dealing with persistent back pain, especially given your age and the impact it has on your daily life. Your pain is legitimate, and it's good that you’re seeking to understand and address it proactively.
Explanation:
Persistent lower back pain, particularly when it involves sharp pains and tingling in the leg, can result from a variety of causes, including muscle strain, ligament injury, nerve compression, or issues related to posture and biomechanics. Given your history of sports injury and the recurring nature of your pain, it's possible that muscular or structural factors are contributing to your discomfort. It's not uncommon for individuals to question the severity of their pain, but it's essential to listen to your body and seek appropriate help.
Next Steps:
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Document Your Symptoms: Keep a detailed pain diary that notes when the pain occurs, its intensity (using a scale of 1-10), and any activities that exacerbate or relieve it. Include notes on sleep quality and how your activities impact the pain.
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Reassess Physical Activity: While your mother’s exercises may help some, it’s important to ensure they are suitable for your specific condition. Consider modifying activities that seem to exacerbate your pain, such as carrying a heavy backpack.
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Independent Orthopedic Consultation: Given the ongoing intensity of your pain, it is advisable to book an appointment with an orthopedist. Explain your history, current symptoms, and how this pain is affecting your life. This professional can provide a fresh perspective and may recommend further diagnostics, such as an MRI, if needed.
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Explore Alternative Therapies: Look into options that may be more financially accessible if traditional physical therapy is out of reach. This can include guided online exercises, yoga, or pilates that focus on core and back strength, as well as stretching. Just make sure any new program takes your pain and restrictions into account.
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Consider Lifestyle Adjustments: Pay attention to your posture while sitting, especially during long periods (like studying), and take regular breaks to stand and stretch. This can help alleviate some discomfort.
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Practice Stress Management: Since you are on medication for anxiety and depression, consider integrating relaxation techniques such as mindfulness or gentle yoga to help manage stress, which might indirectly help with pain perception.
It's completely valid to seek help for your pain, and understanding your body's signals is vital. Don’t hesitate to advocate for your health and pursue the care you deserve. Let me know if you have any questions or need more support regarding your situation.
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