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Hello, I Have A Question In Regards To My Lower

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Posted on Tue, 22 Sep 2020
Question: Hello,

I have a question in regards to my lower back pain. I have had a lower back pain in my lower-left area of my back for around 3-4 years now. The pain is sortof in the "background" as to say. The pain is of moderate intensity, and during these 3-4 years the pain has not gotten worse, but at the same time it has not really got better either. The pain is located only in the lower-left region of my back. The lower right region is completely fine as I dont feel any pain at all over there.

My health profile:

I am 29 years old
Weight 115 Kg, I am a male, computer engineer by profession. I exercise 3-4 times a week at the gym, I lift weights and for cardio I do some jogging.
I am an otherwise healthy man, I dont take any medications nor have I had any other medical complications before.


I will try to give you as much information as possible of the triggers of the lower back pain so that you can give me your opinion on this matter.

My back pain does not really hinder my daily life routine; I can still do daily tasks as walk, lift stuff, excercise etc. However, there are some trigger points that produce a moderate but sharp sensation of pain in my lower-left region of my lower back. They are as follows:

*) If i lie in bed with my entire body, and I arch my stomach/pelvis upwards, I feel a mloderate but sharp sensation of pain in my lower-left region of my back. My lower right region of the back is completely fine however.

*) Morever, if I lie in bed with my entire body and i arch my upper body forwards (sort of like a situp) I also feel the sensation of pain in my lower left region of my back.

*) If I am standing straight with my both feet on the ground I dont feel any sensation of pain. If I however lift my left leg upwards whilst my right leg is still on the ground, I feel the sensation of pain in my lower-left region of my back. The sensation is light in intensity, but I still "feel" something. However, If I lift my right leg upwards whilst maintaining my left leg on the ground, I dont feel any sensation at all in my lower back.


As mentioned previously the pain does not really interfere with my life directly in a way that is hindering me with my daily routines. I can still function and operate normally, however this sensation is still always "in the background" if you understand what I mean.

I have noticed that when I exercise, such as taking a 1 hour power-walk outside or when I come back home from a gym session the pain sensation is improved by around 70%. The pain sensation is very much reduced when my body is warm. Conversely when my body is not warm, for example directly when I wake up from sleep, the sensations are more pronounced.

The reason I am writing to you in regards to this issue because I am curious of why this sensation is always there. I have had this pain for around 3-4 years, and it has not gotten worse or anything but I am curious. Upon googling on the symptoms/causes of chronic lower back pain, I got little worried when I read that lower back pain can be a result of "spinal cord tumor cancer". When I read that I got a little anxious and worried and told my self instead of speculating Its best to contact a physician, which is why I am writing to you. I want to add also that I do not have any other symptoms such as numbness/tingeling/consitpation/urinationProblems/fevers etc. I am completely fine in that aspect.


With my entire situation explained in detail above, do you think that I should be worried about this thing called "spinal cord tumor"? Does my situation indicate something serious?

What do you think the cause of the sensation that I have is a result of?

I look forward your response,

Thanks!
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Follow up: Dr. Nishad BN (0 minute later)
Hello,

I have a question in regards to my lower back pain. I have had a lower back pain in my lower-left area of my back for around 3-4 years now. The pain is sortof in the "background" as to say. The pain is of moderate intensity, and during these 3-4 years the pain has not gotten worse, but at the same time it has not really got better either. The pain is located only in the lower-left region of my back. The lower right region is completely fine as I dont feel any pain at all over there.

My health profile:

I am 29 years old
Weight 115 Kg, I am a male, computer engineer by profession. I exercise 3-4 times a week at the gym, I lift weights and for cardio I do some jogging.
I am an otherwise healthy man, I dont take any medications nor have I had any other medical complications before.


I will try to give you as much information as possible of the triggers of the lower back pain so that you can give me your opinion on this matter.

My back pain does not really hinder my daily life routine; I can still do daily tasks as walk, lift stuff, excercise etc. However, there are some trigger points that produce a moderate but sharp sensation of pain in my lower-left region of my lower back. They are as follows:

*) If i lie in bed with my entire body, and I arch my stomach/pelvis upwards, I feel a mloderate but sharp sensation of pain in my lower-left region of my back. My lower right region of the back is completely fine however.

*) Morever, if I lie in bed with my entire body and i arch my upper body forwards (sort of like a situp) I also feel the sensation of pain in my lower left region of my back.

*) If I am standing straight with my both feet on the ground I dont feel any sensation of pain. If I however lift my left leg upwards whilst my right leg is still on the ground, I feel the sensation of pain in my lower-left region of my back. The sensation is light in intensity, but I still "feel" something. However, If I lift my right leg upwards whilst maintaining my left leg on the ground, I dont feel any sensation at all in my lower back.


As mentioned previously the pain does not really interfere with my life directly in a way that is hindering me with my daily routines. I can still function and operate normally, however this sensation is still always "in the background" if you understand what I mean.

I have noticed that when I exercise, such as taking a 1 hour power-walk outside or when I come back home from a gym session the pain sensation is improved by around 70%. The pain sensation is very much reduced when my body is warm. Conversely when my body is not warm, for example directly when I wake up from sleep, the sensations are more pronounced.

The reason I am writing to you in regards to this issue because I am curious of why this sensation is always there. I have had this pain for around 3-4 years, and it has not gotten worse or anything but I am curious. Upon googling on the symptoms/causes of chronic lower back pain, I got little worried when I read that lower back pain can be a result of "spinal cord tumor cancer". When I read that I got a little anxious and worried and told my self instead of speculating Its best to contact a physician, which is why I am writing to you. I want to add also that I do not have any other symptoms such as numbness/tingeling/consitpation/urinationProblems/fevers etc. I am completely fine in that aspect.


With my entire situation explained in detail above, do you think that I should be worried about this thing called "spinal cord tumor"? Does my situation indicate something serious?

What do you think the cause of the sensation that I have is a result of?

I look forward your response,

Thanks!
doctor
Answered by Dr. Nishad BN (6 hours later)
Brief Answer:
Herniated intervertebral disc can give such symptoms.

Detailed Answer:
Hi Sir

Thank you for asking ask a doctor service.

I have gone through your query with diligence. Lower back muscles are so sensitive and can go for spasm so easily when irritated. Intervertebral disc can get injured or herniated when doing improper exercises or weight lifting. This can give irritation to lower back muscles usually towards the respective nerve which innervates.
X Ray followed by MRI of Lumbosacral spine will be helpful to get exact information about this.
I would suggest NSAIDS like Ibuprofen and muscle relaxants like Thiocolchicoside for short period like 5 to 7 days for such case to stop spasm - pain and pain - spasm viscious circle. After that if pain persist then can go for physiotherapy like TENS. Then you can start back muscles strengthening exercises also.
From your symptoms it can be a mild issue and nothing to worry. For severe cases there will be pain and numbness radiating to legs.
Better to do MRI of lumbosacral spine to get the exact picture.
Let me know if anything not clear.
I am happy to help.
Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Nishad BN (0 minute later)
Brief Answer:
Herniated intervertebral disc can give such symptoms.

Detailed Answer:
Hi Sir

Thank you for asking ask a doctor service.

I have gone through your query with diligence. Lower back muscles are so sensitive and can go for spasm so easily when irritated. Intervertebral disc can get injured or herniated when doing improper exercises or weight lifting. This can give irritation to lower back muscles usually towards the respective nerve which innervates.
X Ray followed by MRI of Lumbosacral spine will be helpful to get exact information about this.
I would suggest NSAIDS like Ibuprofen and muscle relaxants like Thiocolchicoside for short period like 5 to 7 days for such case to stop spasm - pain and pain - spasm viscious circle. After that if pain persist then can go for physiotherapy like TENS. Then you can start back muscles strengthening exercises also.
From your symptoms it can be a mild issue and nothing to worry. For severe cases there will be pain and numbness radiating to legs.
Better to do MRI of lumbosacral spine to get the exact picture.
Let me know if anything not clear.
I am happy to help.
Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Nishad BN (1 hour later)
Please focus on my target issue. As in regards to my target worry, do you think the explained symptoms i gave you is and indication of spinal tumor? Or that is unlikely?

Please elaborate further
default
Follow up: Dr. Nishad BN (0 minute later)
Please focus on my target issue. As in regards to my target worry, do you think the explained symptoms i gave you is and indication of spinal tumor? Or that is unlikely?

Please elaborate further
doctor
Answered by Dr. Nishad BN (13 minutes later)
Brief Answer:
Spine tumor is most unlikely.

Detailed Answer:
Welcome again.

Thank you for your follow-up query.

Spine tumor is most unlikely from the symptoms you mentioned. This is usual for lumbosacral disc issues. This is a common complaint among this age group involved in physical activities. I usually get this type of complaints and after x ray there will be signs of disc issues in most cases
A plane x ray Lumbosacral spine will helpful to rule out spine tumor. If there is any signs then can go for CT or MRI.
For spine tumors there will be progressive increase in pain and there will be pain and numbness spreading to legs. Also for tumor there will be malaise, loss of weight and increase in ESR in blood routine investigation.
Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Nishad BN (0 minute later)
Brief Answer:
Spine tumor is most unlikely.

Detailed Answer:
Welcome again.

Thank you for your follow-up query.

Spine tumor is most unlikely from the symptoms you mentioned. This is usual for lumbosacral disc issues. This is a common complaint among this age group involved in physical activities. I usually get this type of complaints and after x ray there will be signs of disc issues in most cases
A plane x ray Lumbosacral spine will helpful to rule out spine tumor. If there is any signs then can go for CT or MRI.
For spine tumors there will be progressive increase in pain and there will be pain and numbness spreading to legs. Also for tumor there will be malaise, loss of weight and increase in ESR in blood routine investigation.
Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Nishad BN (3 days later)
Thanks for your elaboration Doctor, I have a few final questions so I get an even clearer picture.

So if I understood you correctly, spinal tumors always come with additional symptoms such as numbness/progressive pain/ malaise etc, and the fact that I dont have any of these symptoms it is ample indication that the causes for my back pain is bening, correct?

Lastly, if I understood you correctly also, you mentioned that spinal tumors have a progression in terms of symptoms/pain, so this means that the fact that my symptoms has >not< gotten worse for 4+ years that this is most likely benign and is not the cause of a tumor correct? Or, is there tumors that can stay for 4+ years without causing progression in symptoms?

Looking forward to your clarification on those 2 final points,
Thanks,
default
Follow up: Dr. Nishad BN (0 minute later)
Thanks for your elaboration Doctor, I have a few final questions so I get an even clearer picture.

So if I understood you correctly, spinal tumors always come with additional symptoms such as numbness/progressive pain/ malaise etc, and the fact that I dont have any of these symptoms it is ample indication that the causes for my back pain is bening, correct?

Lastly, if I understood you correctly also, you mentioned that spinal tumors have a progression in terms of symptoms/pain, so this means that the fact that my symptoms has >not< gotten worse for 4+ years that this is most likely benign and is not the cause of a tumor correct? Or, is there tumors that can stay for 4+ years without causing progression in symptoms?

Looking forward to your clarification on those 2 final points,
Thanks,
doctor
Answered by Dr. Nishad BN (6 hours later)
Brief Answer:
Malignancy chance is rare in your case.

Detailed Answer:
Welcome again.

Thank you for your follow-up query.
Malignancy is rare in your case. As you have this for 4 years it is most likely benign. But better take an X Ray of LS spine which gives a clear picture of the condition.
If malignant then it will be progressing and worsening of symptoms. Malignant tumors both metastatic and primary ones usually have progressive nature only. Also primary malignant tumor of spine is very rare.
Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Nishad BN (0 minute later)
Brief Answer:
Malignancy chance is rare in your case.

Detailed Answer:
Welcome again.

Thank you for your follow-up query.
Malignancy is rare in your case. As you have this for 4 years it is most likely benign. But better take an X Ray of LS spine which gives a clear picture of the condition.
If malignant then it will be progressing and worsening of symptoms. Malignant tumors both metastatic and primary ones usually have progressive nature only. Also primary malignant tumor of spine is very rare.
Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5482 Questions

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Hello, I Have A Question In Regards To My Lower

Hello, I have a question in regards to my lower back pain. I have had a lower back pain in my lower-left area of my back for around 3-4 years now. The pain is sortof in the "background" as to say. The pain is of moderate intensity, and during these 3-4 years the pain has not gotten worse, but at the same time it has not really got better either. The pain is located only in the lower-left region of my back. The lower right region is completely fine as I dont feel any pain at all over there. My health profile: I am 29 years old Weight 115 Kg, I am a male, computer engineer by profession. I exercise 3-4 times a week at the gym, I lift weights and for cardio I do some jogging. I am an otherwise healthy man, I dont take any medications nor have I had any other medical complications before. I will try to give you as much information as possible of the triggers of the lower back pain so that you can give me your opinion on this matter. My back pain does not really hinder my daily life routine; I can still do daily tasks as walk, lift stuff, excercise etc. However, there are some trigger points that produce a moderate but sharp sensation of pain in my lower-left region of my lower back. They are as follows: *) If i lie in bed with my entire body, and I arch my stomach/pelvis upwards, I feel a mloderate but sharp sensation of pain in my lower-left region of my back. My lower right region of the back is completely fine however. *) Morever, if I lie in bed with my entire body and i arch my upper body forwards (sort of like a situp) I also feel the sensation of pain in my lower left region of my back. *) If I am standing straight with my both feet on the ground I dont feel any sensation of pain. If I however lift my left leg upwards whilst my right leg is still on the ground, I feel the sensation of pain in my lower-left region of my back. The sensation is light in intensity, but I still "feel" something. However, If I lift my right leg upwards whilst maintaining my left leg on the ground, I dont feel any sensation at all in my lower back. As mentioned previously the pain does not really interfere with my life directly in a way that is hindering me with my daily routines. I can still function and operate normally, however this sensation is still always "in the background" if you understand what I mean. I have noticed that when I exercise, such as taking a 1 hour power-walk outside or when I come back home from a gym session the pain sensation is improved by around 70%. The pain sensation is very much reduced when my body is warm. Conversely when my body is not warm, for example directly when I wake up from sleep, the sensations are more pronounced. The reason I am writing to you in regards to this issue because I am curious of why this sensation is always there. I have had this pain for around 3-4 years, and it has not gotten worse or anything but I am curious. Upon googling on the symptoms/causes of chronic lower back pain, I got little worried when I read that lower back pain can be a result of "spinal cord tumor cancer". When I read that I got a little anxious and worried and told my self instead of speculating Its best to contact a physician, which is why I am writing to you. I want to add also that I do not have any other symptoms such as numbness/tingeling/consitpation/urinationProblems/fevers etc. I am completely fine in that aspect. With my entire situation explained in detail above, do you think that I should be worried about this thing called "spinal cord tumor"? Does my situation indicate something serious? What do you think the cause of the sensation that I have is a result of? I look forward your response, Thanks!