Is this your symptom?
- Pain or discomfort in the upper, mid or lower back
- Minor muscle strain from overuse and back injury are included
Symptoms of Back Pain
- Strained back muscles cause most of these symptoms:
- The pain is in the middle or lower back
- The pain is made worse by bending
- The muscles near the spine are tender to the touch
- The muscles may be tight (in spasm)
Causes of Back Pain
- Strained Back Muscles. New backaches are often from strained back muscles (muscle overuse). The pain is mostly in the lower back and near the center. There are 200 muscles in the back that allow us to stand upright.
- Work Triggers. Carrying something too heavy or lifting from an awkward position can cause back pain. Bending too far backward or sideways can cause back pain. Digging in the garden for too long causes overuse of back muscles.
- Poor posture can be the problem. Examples are sitting too long in one position, such as at a laptop or desk.
- Exercise and Sports. New exercises or changes in an exercise routine can cause back pain. This is also called muscle overuse. Training for sports event, such as gymnastics or dance, may overuse certain muscles and joints.
- Back Packs. Heavy backpacks or laptop bags worn over one shoulder have become a common cause. They also can cause shoulder and neck pains.
- Kidney Infection (serious). Pain is on one side in the middle of the back. Other symptoms are fever and pain when passing urine.
- Kidney Stone (serious). Pain is on one side of the mid-back and shoots into the lower belly. The pain is severe. The urine has blood in it.
- Sciatic Nerve Pain (serious). Sciatica is pain caused by a pinched nerve in the lower back. Sciatica causes a burning pain in one buttock. The pain shoots down the back of the leg on that side. The worst pain can be in the lower leg and foot. Leg weakness, numbness or tingling can also occur. A ruptured disk causes the pressure on the nerve. Sciatica is common in adults.
- Ankylosing Spondylitis is a type of arthritis that causes the spine to get very stiff from the neck down to the bottom of the spine. It starts in people in their late teens and 20's.
- Arthritis is the pain, swelling and stiffness in a joint. There are many types of arthritis. It can affect the spine as well as limb joints.
- Spondylosis. The bones, discs and ligaments in the spine can weaken as we age. The discs in the spine get thinner and the spaces between the vertebrae get narrower. Little pieces of bone may form at the edges of the bones that make up the spine. This can cause pain for some people.
- Spinal Stenosis (serious). Sometimes back pain is linked with pain in the legs which starts after you walk for a few minutes. It tends to get better quickly when you sit down. This is known as spinal stenosis and is due to the bony channel that your spinal cord sits in being too narrow. You can be born with this or it can develop over time.
- Osteoporosis is thinning of the bones. Most people get this to some degree as they get older. It is more common in people who have been on long-term steroids or are immobile. The bones of the spine can collapse causing pain and the spine to become curved. The person may not be able to stand up straight.
- Infection (serious) in the bone (osteomyelitis) can cause severe pain and may also cause a fever.
- Tumors (serious) can start in the spine or spread from a tumor somewhere else in the body.
Pain Scale
- Mild: you feel some pain, but it doesn't keep you from any normal activities. Work, activities and sleep are not changed.
- Moderate: the pain keeps you from doing some normal activities. It may wake you up from sleep.
- Severe: the pain is very bad. It keeps you from doing all normal activities.
When to Call for Back Pain
Call 911 Now
Go to ER Now
Call Doctor or Seek Care Now
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Contact Doctor Within 24 Hours
Contact Doctor During Office Hours
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Self Care at Home
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Call 911 Now
- Pain starts after major injury (such as a car crash, contact sports or a fall from a height). Caution: do not move until a spinal board is put on.
- Severe abdominal pain or a tearing feeling in the abdomen or chest
- You think you have a life-threatening emergency
Go to ER Now
- Loss of bladder or bowel control
- Can't pass urine or can only pass a few drops
- New loss of feeling in the genital area, around your anus or in your legs
- Can't walk or can barely walk
Call Doctor or Seek Care Now
- Severe pain
- Fever and sudden pain in lower back and side (flank)
- Pregnant and pain does not go away with rest
- Weakness, tingling or loss of feeling in the legs or feet
- Blood in urine
- Fever and pain or burning when passing urine
- You feel weak or very sick
- You think you need to be seen, and the problem is urgent
Contact Doctor Within 24 Hours
- Fever or chills; feeling hot or shivery
- Rash or blisters in same area as pain
- Weak immune system. Examples are: diabetes, sickle cell disease, HIV, cancer, organ transplant, taking oral steroids, kidney problems.
- Pain does not let you walk normally or prevents you from working
- You think you need to be seen, but the problem is not urgent
Contact Doctor During Office Hours
- Age is greater than 50 yrs old
- Have a history of cancer
- Pain shoots into the buttock or back of the thigh
- Long term use of steroids (many months or years)
- Back pain from overuse (exercise or work) lasts more than 2 weeks
- Back pain happens often
- Back pain keeps you from working or other activities
- You have other questions or concerns
Self Care at Home
- Strained back muscles (from exercise or work) lasts less than 2 weeks
- Mild back pain
Care Advice for Stomach Pain
What You Should Know About Stomach Pain:
- Mild stomach pain can be caused by something simple. It could be from gas pains or eating too much.
- Sometimes, stomach pain signals the start of a viral infection. This will lead to vomiting or loose stools.
- Watching your child for 2 hours will help tell you the cause.
- Here is some care advice that should help.
Lie Down:
- Have your child lie down and rest until feeling better.
Clear Fluids:
- Offer clear fluids only (such as water, flat soft drinks or half-strength Gatorade).
- For mild pain, offer a regular diet.
Prepare for Vomiting:
- Keep a vomiting pan handy.
- Younger children often talk about stomach pain when they have nausea. Nausea is the sick stomach feeling that comes before they throw up.
Pass a Stool:
- Have your child sit on the toilet and try to pass a stool.
- This may help if the pain is from constipation or diarrhea.
- Note: for constipation, moving a warm wet cotton ball on the anus may help.
Do Not Give Medicines:
- Any drug (like ibuprofen) could upset the stomach and make the pain worse.
- Do not give any pain medicines or laxatives for stomach cramps.
- For fever higher than 102° F (39° C), acetaminophen (such as Tylenol) can be given.
What to Expect:
- With harmless causes, the pain is most often better or gone in 2 hours.
- With stomach flu, belly cramps may happen before each bout of vomiting or diarrhea. These cramps may come and go for a few days.
- With serious causes (such as appendicitis), the pain worsens and becomes constant.
Call Your Doctor If:
- Pain becomes severe
- Constant pain lasts more than 2 hours
- Mild pain that comes and goes lasts more than 24 hours
- You think your child needs to be seen
- Your child becomes worse
Extra Help - Worried Stomach:
- Help your child talk about events that trigger the stomach pain. Talk to your child about how to cope with these the next time around.
- Help your child worry less about things she can't control.
- To treat the pain, help your child get very relaxed. Lying down in a quiet place and taking slow deep breaths may help. Make the belly go up and down with each breath. Then try to relax all the muscles in the body. Think about something pleasant. Listening to audios that teach how to relax might also help.
- Make sure your child gets enough sleep.
- Make sure that your child doesn't miss any school because of stomach pains. Stressed children tend to want to stay home when the going gets rough.
- Caution: your child should see her doctor for an exam. Do this before concluding frequent stomach pains are from worrying too much.

