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I am going to add a message to this post from back in December... I am dealing with exactly the same thing I posted about here.  Yesterday, for the 4th time since the summer of 2021, I did it again.  My chronic back pain turned acute.

In December I woke up one morning and was in agony.  The type of agony that when I move it's excruciating pain.  Sneezing, same thing.  All in the same area lower back area where my chronic pain has been.  This time I didn't just wake up not knwing what happened.  I was doing a workout yesterday afternoon and was near completion.  I decided to do some reasonably light dead lifts (with dumbbells) and I immediately felt a problem.  I got through yesterday fine - even went for a run after that - but today is way worse.

Here is an e-mail I sent to my GI back in December:

On Monday morning (Dec. 12) I woke up with my lower back in excruciating pain.  Any movement whatsoever and I was wincing in agony.  This lower back area is the same in which I have had long-term chronic pain (mostly night pain).  My MRIs have shown some problems with my Lumbar spine.
On Tuesday morning I went to the ER and got a Toridol shot.  I had done this in the past and it either worked or the pain mysteriously went away on its own.  By Wednesday, the pain had mostly disappeared.  Today is Thursday and I seem back to near normal.
I am not sure if this is related to my GI issues.  I know that I have heard other GI patients say that a pouch leakage caused for them the type of back pain I described.  I just thought I should reach out and let you know.  The roughly 48 hours that I suffered was intense and I think this was the third time in about 18 months that I've been through the same.
I have been taking the max doses of Ibuprofen to make sure the inflammation goes and stays down.  I am due for my next Simponi dose today (and will take tonight).  I have a prescription for oral Toridol if needed.  I am still stiff and the back feels a bit strange but 80-90% better than it was on Monday and Tuesday.
I don't remember injuring my back in anyway this time or previously.  I assume this is a systemic issue as opposed to a mechanical one.
Here's the response I got from my GI's office at the time:
Dr. XXX got your email and wanted me to let you know that she reviewed the MRI from earlier this year and she does not believe that the spine issues discussed on the report relate to your colitis. She suggests that you follow up with your GP regarding this back pain. She also mentioned that the Toradol medication can be bad for inflammatory bowel disease, but sometimes it needs to be considered if the back pain is quite significant.
The only difference this time is that I know I strained it, or at least caused my current condition.  It felt like I pulled a muscle right away.  The last times this happened I couldn't pinpoint what I had done exactly to cause the condition.
Why am I posting this here?   As my agony is at its worst right now (hopefully!), I am debating with myself whether to (a) go to the hospital to see a doctor and either get a Toridol shot or a Toridol prescription (or both), (b) take Ibuprophen or Tylenol at home on my own, or (c) suck it up and wait to see how it goes.
I am not certain whether the Toridol shots worked magic in the past or my symptoms just went away on their own.  Hard to know with my strange body.
I guess the other option is to wait at least a couple of days to see if the pain comes down on its own.
This has become a regular thing it seems...  In the meantime, I am suffering badly!  Not sure if I should be proactive and get it treated right away or wait and see if it goes away on its own...
Last edited by capper
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