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What Causes Severe Lower Back Pain?
Question: Hi,
This is 3rd time in 3 months that I am having the following pain description.
Last night while sleeping I woke up with severe pain in the lower back (near the hip), I realised that I was arching my back a little too much which triggered the pain.Â
I don't have pain when I lie on side, but feel pain when I am lying on my back. The pain is really bad when I try to stand from sitting positing and try to sit from standing position and pain when i try to walk in brisk pace.Â
It feels uneasy when I am sitting, but not very painful.Â
The first this happened 3 months ago (I can't pin point what triggered it but it was after waking up). I went to the physio who suggested that it could be disc but in 2 days time it completely resolved itself (My stomach was also bloated that time, i thought it could have because I had some gassy food).
The second time was last week again after i woke up, resolved itself in 2 days, again that time as well my stomach was bloated and i was burping the entire time. Please see the attached image, the line is where the spine is and circle is where i have the pain (It appears that the circle is where the hip bone is).Â
I have acid reflux problems and as a result, i don't take medicines unless it is necessity as it upset my stomach
I am 36 old male and 4 years ago i had an attack of cervical spondylitisÂ
This is 3rd time in 3 months that I am having the following pain description.
Last night while sleeping I woke up with severe pain in the lower back (near the hip), I realised that I was arching my back a little too much which triggered the pain.Â
I don't have pain when I lie on side, but feel pain when I am lying on my back. The pain is really bad when I try to stand from sitting positing and try to sit from standing position and pain when i try to walk in brisk pace.Â
It feels uneasy when I am sitting, but not very painful.Â
The first this happened 3 months ago (I can't pin point what triggered it but it was after waking up). I went to the physio who suggested that it could be disc but in 2 days time it completely resolved itself (My stomach was also bloated that time, i thought it could have because I had some gassy food).
The second time was last week again after i woke up, resolved itself in 2 days, again that time as well my stomach was bloated and i was burping the entire time. Please see the attached image, the line is where the spine is and circle is where i have the pain (It appears that the circle is where the hip bone is).Â
I have acid reflux problems and as a result, i don't take medicines unless it is necessity as it upset my stomach
I am 36 old male and 4 years ago i had an attack of cervical spondylitisÂ
Brief Answer:
Pain due to spasm caused by Multiple reasons.
Detailed Answer:
Hi , I am Dr Gopal Goel Orthopedic Surgeon.
Since I cannot find any pic attached to your query I will go by your description.
This kind of back pain ,occurring at night , during change of posture , and walking at brisk pace- is due to muscular spasm. The cause of muscular spasm has to be found.
the muscular spasm could commonly be because of slipped disc ,lumbar spondylosis( like cervical spondylosis), or sacroilitis. I would suggest x ray of L S Spine and better still would be MRI to find the cause of spasm.
I would start mild pain killers , muscle relaxants and Spinal Extension exercises to build up your muscles. Since these are repeated attacks , lasting only about 2 days, I would , in my practice,give exercises for long term use and the pain persists after few months then go for MRI.
Thanx for the question .Please feel free to ask any other question.
Pain due to spasm caused by Multiple reasons.
Detailed Answer:
Hi , I am Dr Gopal Goel Orthopedic Surgeon.
Since I cannot find any pic attached to your query I will go by your description.
This kind of back pain ,occurring at night , during change of posture , and walking at brisk pace- is due to muscular spasm. The cause of muscular spasm has to be found.
the muscular spasm could commonly be because of slipped disc ,lumbar spondylosis( like cervical spondylosis), or sacroilitis. I would suggest x ray of L S Spine and better still would be MRI to find the cause of spasm.
I would start mild pain killers , muscle relaxants and Spinal Extension exercises to build up your muscles. Since these are repeated attacks , lasting only about 2 days, I would , in my practice,give exercises for long term use and the pain persists after few months then go for MRI.
Thanx for the question .Please feel free to ask any other question.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
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