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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain And Twitching Sensation In The Lower Back?

I ve had pelvic discomfort on my right side for a couple of weeks with achy lower back..the pain is a twitching pain that comes and goes in my lower right side. There has been some cramping and gassiness as well with a couple days with headache. I also had a genital herpes breakout during this time..not sure if this is related. And strangely achey hands..bowel movements have been somewhat normal..some relief when I go.
Mon, 3 Sep 2018
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General & Family Physician,  's  Response
Hi,

The pain caused in the lower back can have many causes and is very indicative of the cause of a good physical examination.

According to what you propose to me, I am heading towards a urinary infection or renal lithiasis.

I would recommend that you do a urine test and an abdominopelvic echogram.

It would also be important to know if that pain is accompanied by other symptoms such as fever, nausea, rashes, in addition to a headache you mentioned, and if it is related to postural changes.

Many questions would be more indicative without the need to request laboratory exams. Among the causes of that pain you mention, as I said, there are several:

Urinary infections, urolithiasis (most likely according to your symptoms). In addition, acute lumbago due to muscle contractures, sciatic nerve irritation, spinal pathologies such as herniated discs, among others, aforementioned herpes also.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Pain And Twitching Sensation In The Lower Back?

Hi, The pain caused in the lower back can have many causes and is very indicative of the cause of a good physical examination. According to what you propose to me, I am heading towards a urinary infection or renal lithiasis. I would recommend that you do a urine test and an abdominopelvic echogram. It would also be important to know if that pain is accompanied by other symptoms such as fever, nausea, rashes, in addition to a headache you mentioned, and if it is related to postural changes. Many questions would be more indicative without the need to request laboratory exams. Among the causes of that pain you mention, as I said, there are several: Urinary infections, urolithiasis (most likely according to your symptoms). In addition, acute lumbago due to muscle contractures, sciatic nerve irritation, spinal pathologies such as herniated discs, among others, aforementioned herpes also. Hope I have answered your query. Let me know if I can assist you further.