Helping Others Smile FoundationSmile Patient Toolkit
All symptom guides

Skin, pain & body changes

Back pain

Pain can affect the lower or upper back and sometimes the legs.

Get emergency help now if…

  • Get emergency help for new difficulty passing urine or loss of bladder/bowel control, numbness around the genitals/bottom, weakness or numbness in both legs, chest pain or pain after a serious accident.
United States · Call 911India · Call 112Elsewhere: call your local emergency number.

Contact a clinician today if…

  • Contact a clinician today for sudden severe or rapidly worsening pain, fever, feeling very unwell or a history of cancer with new pain.

Arrange a visit / follow-up

  • Arrange a visit for persistent mild pain, night pain or interference with daily life.

If symptoms worsen, your care plan gives an earlier deadline, or you are unsure, contact a clinician sooner. If you cannot reach your team, use urgent care; use emergency care for severe symptoms. Many conditions share symptoms. Possible causes are examples, not a diagnosis. Missing a listed warning sign does not mean it is safe to wait.

What could be behind this symptom?

Several conditions can cause the same symptom. These examples cannot confirm or rule out a diagnosis. A clinician may need your history, an examination, or tests.

Possible causes include muscle strain, disc or nerve problems, fracture or infection.

What to tell your care team

Use paper or your own notebook. Do not send personal medical details through this website.

  1. Note the start, injury and leg symptoms. Bring medicines and previous reports.

Do not delay urgent care to fill in notes. Avoid changing prescription medicines based on this guide.

Adults, with extra care for some situations

For adults 18 and older. Children need advice from a pediatric care team. These pages do not assess your individual symptoms.

These guides are written for adults. Children need age-specific advice. Contact a clinician earlier if you are pregnant, gave birth in the last year, have weakened immunity, or have a serious ongoing condition. Tell them about recent surgery and any new medicines.

Pregnant or gave birth within the past year? Get medical care immediately for a severe or lasting headache, vision change, fainting, fever, chest pain, trouble breathing, severe belly pain, heavy bleeding, or a painful swollen leg. Tell the team about the pregnancy. For other new symptoms, contact your maternity team for tailored advice.

Pregnant or gave birth in the past year?

Sources behind this original guide

Official references support this educational guide. Sources may open an external site in another language; the full English, Spanish, and Hindi guide is on this website.

Sources checked: · Medical and language review confirmed by the foundation · v1.0