Because your severe lower back pain has persisted beyond 2 weeks, is sharp, worsening, and limiting daily activities, it is unlikely to be a simple muscle sprain. A nerve-related cause such as a disc problem must be ruled out with proper medical evaluation, ideally an MRI. Early diagnosis and correct treatment greatly improve recovery and prevent chronic pain.
Hello,
I think Your pain is not a simple muscle sprain.
Because it’s severe, sharp, and lasting over 2 weeks, it likely involves nerve compression (such as a slipped disc or sciatica).
See an orthopedic doctor/neurologist soon You may need an MRI and proper treatment Avoid bending, lifting, and long sitting
Dont delay the treatment
Thank you
Hi Dilrash,
Your Symptoms: - Severe sharp lower back pain lasting over 2 weeks - Not relieved by warm compress or painkillers - Difficulty sitting, walking, or sleeping - Feels like nerve or deep ache
What You Should Do: 1. Get an Ultrasound (USG) done immediately – to rule out kidney stones. 2. Avoid self-medication – improper treatment can worsen it. 3. Consult a urologist or physician soon – nerve or spine issues may also need checking. 4. Rest, but don’t stay completely immobile – gentle movement if possible.
This could be kidney stones or a nerve issue. Act fast.
— Dr. Nikhil Chauhan (Urologist)
Hello Dilrash I’m really sorry you’re still in so much pain after two weeks. Since your lower back pain is severe, not improving with rest, painkillers, or warm compresses, and it’s affecting your ability to sit, walk, or sleep, this is more than a simple muscle sprain.
What This Could Mean - Nerve Involvement (like Sciatica): Sharp, persistent pain that makes movement difficult often points to nerve irritation or compression, possibly from a slipped disc or nerve root irritation. - Other Causes: Less commonly, infection, inflammation, or other spinal issues.
What You Should Do Next - See a Doctor Soon: You need an in-person evaluation, possibly with imaging (like an MRI or X-ray), to check for nerve compression or other serious causes. - Red Flag Symptoms: If you have any of these, seek medical help immediately: - Numbness or tingling in your legs or groin - Weakness in your legs or feet - Loss of bladder or bowel control - Fever or unexplained weight loss
What You Can Do at Home (Until You See a Doctor) - Continue gentle heat if it helps, but avoid heavy activity. - Try to rest in a comfortable position (like lying on your side with a pillow between your knees). - Avoid sitting or standing for long periods.
Rx- Diclofenac gel - apply on affected area thrice a day Tab Zerodol MR - one tablet at morning, one tablet at night for 5 days .
Thank you
Experiencing severe, persistent lower back pain that limits your movement and impairs your daily activities definitely warrants a closer look, especially since it’s persisted for more than two weeks. While initial self-care measures like warm compresses and painkillers are often helpful for minor sprains or strains, the continuing presence of sharp pain means it’s time to consider a more thorough evaluation. Persistent or severe back pain can have various underlying causes, including muscle or ligament strain, herniated disc, sciatica, or more rarely, a spinal infection or condition like spinal stenosis. The fact that it feels like nerve pain, which can include sensations like burning, shooting, or tingling, raises the possibility of nerve root irritation or compression, often associated with disc problems. Since the pain is affecting your ability to sit, walk, or sleep, I recommend seeing a healthcare professional, preferably a doctor or a physiotherapist, who can assess your situation. They might perform a physical examination, checking for range of motion, reflexes, and possibly ask for imaging tests such as an X-ray or MRI to better understand what’s going on. In the meantime, continuing with gentle movement as tolerated, avoiding heavy lifting, and maintaining a comfortable posture can help ease strain. Using heat or ice therapy might provide temporary relief, and swap painkillers for non-steroidal anti-inflammatory drugs (NSAIDs) if they are not already. If at any point you experience symptoms like severe weakness, loss of bowel or bladder control, or a significant increase in pain, seek immediate medical attention, as these can indicate serious conditions requiring urgent care. Managing back pain often involves a combination of rest and activity modification, physical therapy and, sometimes other interventions depending on the underlying cause. Your healthcare provider can give personalized recommendations based on their findings.
Hello Dilrash, thank you for sharing your concern. You should get done an MRI of Lumbosacral Spine. This will help find out the abnormality in your lower back, and we will manage accordingly. Review with the report.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Medicine
