Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have a lower back pain. It seems as though once a month, the shape of my lower spine changes. Instead of curving towards my pelvis, it points sharply straight down causing acute pain. Usually the pain will subside after a couple of days, but it s been almost a week. I am the mom of 3 year old twins. I did have a c-section but no specific traumatic back event. I am still breast feeding and don t want to contaminate the milk with drugs or X-rays. Any suggestions?
[|AI|]  Hello! I understand your concern. In my opinion the changes in the curvature of your spine may be caused by muscular spasms of the muscles in this region. The muscular spasms may be caused by a lumbar spine lesion, infectious, inflammatory etc. Even straining physical activity can cause muscular spasms usually because of a disc displacement. I would recommend you a full blood work to rule out infection and inflammation and a X-ray of the lumbar spine. I assure that it has no effect on breastfeeding. If the problem persists a lumbar CT scan would be necessary to examine better the lumbar spine. I would also recommend avoiding of straining physical activity, cold packs on your back and massage in this region to have pain relief and release muscular contractions. Acetaminophen or ibuprofen would cause pain relief and are safe in breastfeeding. Hope to have been helpful! Best wishes