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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Upper Lumbar Region?

About 1.5 weeks ago I hurt my back, although I felt no pain until the next morning. I was lifting weights, and I think what happened is during a shoulder press I leaned too far back. I have a pain in my upper lumbar/lower thoracic (can t tell) region. It is 100% pain free until I either hyperextend my back fully or round it fully. When I hyperextend my back, I feel a bruise like pain, similar to when I bruised my tailbone up (although not nearly as painful). I have the bruise feeling when I press on the disc as well. I cannot tell if it is a disc or muscular injury. It hasn t gotten much better over the time I ve had it. The pain isn t bad at all, I can still lift normally (but I m taking it light just incase), but I m scared it s a disc injury. I have no numbness/tingles/any nerve related symptoms. Just wondering if this sounds like a muscle strain of some sort, I don t want to mess with my back! If I had a disc injury, would I know?
Mon, 1 Sep 2014
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  User's Response
Hi, thanks for posting your concern in the HCM.
Considering your quick recovery, I think it was a mechanical back pain, without any underlying disc prooblem. As your muscle guarding of the local paraspinal muscles are relaxed now, You are pain free. The absence of radicular symptoms and absence of tingling and numbness also point to the same.
However, to be confirmed that you do not have a spinal injury or post traumatic disc prolapse ,you should consult a local orthopaedic surgeon, and have an MRI of LS Spine done.
Now, as you are pain free I would also suggest you to perform some abdominal muscle strengthening exercises. Please also avoid prolonged sitting in a fixed posture.
For any further questions, please write back.
Regards,
Dr. Kaushik.
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What Causes Pain In The Upper Lumbar Region?

Hi, thanks for posting your concern in the HCM. Considering your quick recovery, I think it was a mechanical back pain, without any underlying disc prooblem. As your muscle guarding of the local paraspinal muscles are relaxed now, You are pain free. The absence of radicular symptoms and absence of tingling and numbness also point to the same. However, to be confirmed that you do not have a spinal injury or post traumatic disc prolapse ,you should consult a local orthopaedic surgeon, and have an MRI of LS Spine done. Now, as you are pain free I would also suggest you to perform some abdominal muscle strengthening exercises. Please also avoid prolonged sitting in a fixed posture. For any further questions, please write back. Regards, Dr. Kaushik.