What causes pain in back spreading to lower back and groin with chills and tenderness?
Patient: when I was picking up my daughter early this week, I felt something pop or snap in my lower left back, which caused a lot of pain. Within a day or so the pain was down to a dull ache but that aching has spread to my entire lower bain and groin area. I also have chills and tenderness and bad fatigue but with no fever. I was getting over a cold when this happened, but I'm not sure if I feel awful because of the cold or if something internally is wrong now. Doctor: Hi, thanks for posting your concern in the HCM. From the history, I think PIVD should be ruled out. You can have a Xray of Dorsal and LS spine to rule out any bony abnormality and change in disk space.  If the radiating pain persists you will also need MRI of the affected region of the spine. For the time being you can have analgesics ( tab paracetamol 500 mg sos, at least 6 hr interval should be maintained), a muscle relaxant (Cyclobenzaprine 15 mg or Thiocolchicoside 4 mg twice daily) and rest.These are for symptomatic relief. For definitive management you should have the imaging done and consult your local Orthopaedic surgeon. Requirement of conservative management or surgery will be decided by him. For any further query please write back to us. Regards. Dr. Kaushik