Symptoms

Back pain is variable in the way it presents. The symptoms may not be actual pain but may be a dull ache or vague discomfort that only comes on at certain times. It may be a sensation of pinching, pulling or burning, or even sharp pain. It can be localized or over the entire back. There is frequently, but not always, associated stiffness and difficulty with movement. 

Leg symptoms

When leg symptoms occur they may or may not be significant.  It is common to have radiation into the upper leg or even groin. When it goes past the knee, especially if there is associated numbness or tingling, it may be of more concern.

Varying levels of pain

An episode of low back pain that comes on suddenly may not initially be severe and only increase in severity after a few minutes rest. On the first day, pain may be mild to severe, but frequently after a night’s rest, it is common for pain and stiffness to increase. In fact, it is frequently the next day that symptoms are the worst, with gradual improvement thereafter.

Even after symptoms have improved, there may be times when they suddenly increase for no apparent reason. This is common and, in and of itself, should not be a basis for concern. As the recovery progresses, the more severe stiffness and limited motion improves first, with the pain gradually improving thereafter. Remember to practice good posture and to keep moving throughout your recovery.

It is common that some stiffness and discomfort will persist for weeks afterward, even though there has been a return to normal activity. There are usually identifiable activities that increase symptoms; however, in this time period flares can occur without any obvious reason.

Fear and avoidance

Fear of pain and loss of function is common with back injuries. It occurs in varying degrees in most people. This fear, if not recognized and acknowledged, can be a factor that will delay recovery. This is especially true if the individual stops doing things because of fear that the activity will trigger the pain. 

Research shows that it's important that a person with back pain remain active.  Inactivity may actually decrease the body’s natural healing ability and promote stiffness. Inactivity within a very short period of time can lead to deconditioning that can become a vicious cycle leading to chronic problems. Pain does not represent harm. It must be acknowledged and accommodated for, but cannot rule the treatment of back conditions.

To better understand back pain symptoms and treatments, contact your primary care doctor. Call Park Nicollet Health Directions, 952-993-5500, if you need help locating a doctor,