OpenHealth Q&A

Get answered by medical professionals

Discomfort in Lower Back with Bruising

9/9/2025, 12:50:20 PMMale25-34

I’m a 28-year-old male, standing at 5 feet 10 inches tall and weighing 105 kg. Over the last five days, I’ve experienced some unusual sensations in my lower back—likely due to overexertion from work and my gym routine. The area right above my buttocks feels particularly tight and uncomfortable. My girlfriend, who has a fascination with skin care, noticed a sizeable bruise on my back when she was inspecting it and took a photo. I haven’t experienced any falls or direct impacts that could have caused this bruise, and its location corresponds exactly with where I am feeling discomfort. I’m seeking advice on what steps I should take to address this issue.

ArthritisFibromyalgiaInternal Medicine

Answers (1)

Cony

9/9/2025, 12:50:39 PM

OpenHealth AI

It sounds like you are dealing with discomfort in your lower back and an unusual bruise that may be causing you some concern. This discomfort could be related to overexertion, which is common, but the presence of a bruise without any known trauma is worth paying attention to.

Explanation

Bruising can sometimes occur from minor internal bleeding due to muscle strain, especially if you’ve been pushing your body hard at work or the gym. Muscle fatigue or strain can manifest as tightness, pain, or discomfort in the back. Over time, if the muscles are overworked or improperly used, they can lead to sensations like you're describing. While it's good to be cautious, many lower back issues due to overexertion resolve with proper care.

Next Steps

  1. Rest and Recovery:

    • Avoid strenuous activities that could further strain your back. Allow your body to heal for a few days.
  2. Ice Therapy:

    • Apply an ice pack wrapped in a cloth to the bruised area for 15-20 minutes every hour to help reduce swelling and relieve pain. This can be especially helpful in the first 48 hours after noticing the bruise.
  3. Gentle Stretching:

    • Once the initial pain subsides, engage in gentle stretches for your lower back. Focus on movements that stretch your hamstrings and lower back muscles, which may alleviate tightness.
  4. Over-the-Counter Pain Relief:

    • Consider taking over-the-counter medications like ibuprofen or acetaminophen to help with pain and inflammation, as per the recommended dosage.
  5. Observe:

    • Monitor the bruise and your symptoms. Look out for any changes such as increasing size of the bruise, worsening pain, or development of new symptoms (e.g., numbness, weakness, or changes in bowel or bladder function).

If your discomfort worsens or the bruise doesn’t improve in a week, it might be beneficial to investigate further for underlying causes. Keep track of your symptoms and any changes over the coming days. If you have any further concerns or if changes occur, don’t hesitate to reach back.

Related Questions

Concerns About Herniated Cervical Disc

Greetings, I'm a 28-year-old woman seeking insight regarding my symptoms. I've recently visited an orthopedic urgent care facility where they performed an X-ray. The assessment showed everything within normal limits, except for my neck being slightly straighter than usual, potentially caused by muscle tension. I was prescribed Meloxicam 15 mg and methocarbamol 500 mg, with a recommendation to initiate physical therapy, followed by a re-evaluation in five weeks. My primary issue is persistent neck pain, which I believe started over a year ago but has escalated into a daily affliction that significantly impacts my quality of life. For as long as I can remember, I’ve experienced a burning sensation in my upper back and shoulder, particularly after extended periods of standing. Additionally, my right arm has begun to suffer from numbness and pain, reaching down to my thumb. This discomfort often arises at night yet can occur during the day as well. My right hand also feels weak and tires easily. Moreover, I experience neck pain when I bend my head down. I shared these symptoms with the physician's assistant, who then provided the recommendations mentioned earlier. I inquired about the necessity of an MRI to ensure proper diagnosis and treatment, but he indicated that such imaging would only be considered if surgical intervention was on the table. I’m unsure if this approach is appropriate, as it raises some concerns for me. Financially, we are struggling and I’m anxious about how we’ll afford ongoing medical visits and therapy. Additionally, I’d like to mention some unusual symptoms that might or might not correlate with a herniated disc. At times, when I rise from a seated position on the floor after playing with my children, I experience lightheadedness and must pause until it passes. This isn’t a frequent occurrence, but it has registered enough for me to take notice. Another issue relates to my bladder: I often find it challenging to initiate urination, requiring considerable focus to begin. When I do manage to go, the output can be minimal. Yet, upon standing, I still feel the need to urinate. I’m quite familiar with urinary tract infections and can confirm that these symptoms don't align with that condition, as there is no accompanying pain or urgency. Could these symptoms be connected? I apologize for the lengthy message, but I appreciate any insights you could provide.

ArthritisCrohn's DiseaseThyroid Disorders
Male25-34
34 seconds ago

Understanding My Dad's Condition: What Lies Ahead?

At 77 years old, my father has been courageously fighting against stage IV prostate cancer for the past two years, a situation that has sadly progressed to affect his bones. Lately, he has been frequently hospitalized due to the intense abdominal pain he has been experiencing. A recent CT scan revealed a troubling 2.1 x 2cm lesion in segment VII of his liver, and tests also indicated significant mixed lytic and sclerotic lesions in his lumbar spine and pelvic region. Although his oncologist reassured my mother by stating that there’s nothing to be alarmed about, I suspect he may have downplayed the reality to spare her feelings, especially since my own research doesn't seem to provide much optimism. I would truly appreciate a candid opinion on his prognosis, no matter how difficult it may be to hear.

ArthritisMultiple SclerosisCrohn's Disease
Male25-34
20 minutes ago

Is the Tingling in My Feet a Concern After Starting Topiramate?

I recently began taking Topiramate, sometimes referred to as Topamax, to manage my migraines. Over the last few days, I have been experiencing significant tingling sensations in the soles of my feet, especially in my heels. This sensation is distinct from the typical pins and needles, as I do not experience any numbness, just an uncomfortable prickling feeling. Initially, I was prescribed 25 mg each night for a week, and I’ve now increased my dosage to 50 mg nightly. It's been under a week at this higher dose. My doctor suggested that I reach out to the clinic when I am nearing the end of my current medication supply to assess whether an increase in dosage is necessary. I suspect I might need an adjustment since I'm still enduring migraines rather frequently, although the intensity has notably decreased from what I experienced previously. I am a 31-year-old female with a medical history that includes ME/CFS, fibromyalgia, orthostatic hypotension, ADHD, migraines, IBS, depression, and anxiety. My medication regimen currently consists of Venlafaxine at 225 mg per day, Midodrine at 7.5 mg per day, Topiramate at 50 mg per day, along with Naproxen 1 g and Omeprazole 20 mg on an as-needed basis for pain relief, and Sumatriptan at 50 mg for migraine episodes. I am wondering whether the tingling in my feet will diminish as I become accustomed to Topiramate. Should I be worried about this sensation? I understand that it’s a known side effect of this medication, but it has become quite bothersome for me, and I’m trying to manage my concerns without overreacting if it’s not something serious to address.

Multiple SclerosisFibromyalgiaCrohn's Disease
Male25-34
30 minutes ago

Understanding Diffuse T Wave Changes

Subject: 19 years old, Female, 5’5", weight 135 lbs. Currently, I’m not taking any medications, although I previously used Seroquel in doses ranging from 25 to 100 mg to assist with sleep. Last November, I underwent an ECG, which revealed diffuse T wave inversions across all leads, excluding leads I, aVR, and V1. I have had an echocardiogram that confirmed there are no structural issues with my heart. Additionally, I wore a Holter monitor for 72 hours that recorded a sinus rhythm with a mean heart rate of 80 bpm, showing nonspecific T wave alterations throughout the monitoring period. A stress test was also administered, which indicated no ischemic changes during exertion. Over the past year, I have had four ECGs, all yielding similar results, the latest being conducted just last week. I am aware that T wave alterations can sometimes be benign variations. Notably, I had an ECG back in 2021 that showed no ST segment changes. At present, I do not experience chest pain or shortness of breath; however, I occasionally feel palpitations—about one to three times every five days, each lasting less than a second. I have been advised to check my electrolyte levels; however, my cardiologist remains skeptical that this could be related to any electrolyte imbalance. He has scheduled a follow-up echo and ECG for a year from now, explaining that these tests may provide insight into potential structural changes that could indicate future cardiomyopathy. I do not have a family history of this condition and I previously vaped, but I stopped approximately ten months ago. If anyone has advice on further steps or insights into my situation, I welcome your input!

Thyroid DisordersCOPDInternal Medicine
Male25-34
50 minutes ago

Concerns About Multiple Myeloma: Should I Be Alarmed?

At 21 years old, I've been diagnosed with anxiety and Gastroesophageal Reflux Disease (GERD). I recently completed a lab test on June 23rd, so the results are still fresh. My protein levels were slightly elevated at 8.7, but not to a concerning degree. Currently, I’m dealing with a persistent back sprain that seems resistant to healing. My anxiety about multiple myeloma primarily stems from experiencing discomfort in my hips and throughout my body. While I don’t consider myself extremely active, I do make an effort to stay moving, although the discomfort doesn’t actively hinder me. I would rate the sensation around a 0.1 out of 10; it's barely noticeable, more of an irritation rather than actual pain. However, if I push myself too hard, the discomfort in my hip and leg becomes apparent. I also have wondered if I might be facing sciatica, but I am unsure. Notably, my lab results came back normal, including my calcium levels. I'm curious if anything could change so drastically since my last test.

Crohn's DiseaseCOPDInternal Medicine
Male25-34
50 minutes ago