Back and Neck Injury/lower back: spasm like pain


Hello Dr,

I am male / 41 Yrs / otherwise healthy / bmi 27 / height 6.2

Since the last 9-12 months I seem to get a spasm like pain / cramps after I wake up from bed.

The pain is mainly in the lower back, goes away after I stretch but the first stretch is painful. Also it seems to be more intense after I wake up or get up after lying down straight on my back. If I sleep with my back on top the pain does not seem to be there or is very dull.

Once I stretch it pains and then it's gone. Sprays, rubs etc don't seem to help but if I do light exercises like squats or toe touch it seems to become less intense.

What us this? Muscular or something to do with my back / spine which requires further investigation.

Please advise.

Hi Mike,

Sounds muscular, but it could be some arthritis. Typically arthritic pain will be worse in the morning and will loosen up during the day. It is also possible the disc is somewhat involved. So, it could be 1 or all 3 in combination.

What you could do is try lying down with a pillow under your knees to take some of the pressure off the back. Also, you could see if it is related to your mattress. You may need a firmer mattress and you could try putting down some blankets and try sleeping on the floor for a night to see if that helps. If it does, you could look into a new, firmer mattress or put a half inch plywood underneath. Likewise, if it makes it worse, it could be that your mattress is too firm.

That said, it can never hurt to have it looked into.

Kind Regards,

Dr. Steve

Back and Neck Injury

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Dr. Steve Ornstein


I can answer questions regarding neck and back pain treatment and general musculoskeletal conditions. Acute, chronic and degenerative conditions using various methods; exercise, rehabilitation, traction. Pain relief methods and professional quality products via website at which can be used at home.


Graduated Chiropractic College in 1987, working in numerous clinics within two states using a variety of manual and physiological therapies. Involved in martial arts for 20 years.

Chiropractor Sherman College, Certified in Physiological Therapeutics from National Chiropractic College, Certified Peer Review Consultant from New York Chiropractic College, Studied with Dr. Cox using Flexion Distraction Technique, Studied with Dr. Leahy using Active Release Technique. Myofascial Release with Dr. Rockwell - Parker Chiropractic College. Certified in Modic Antibiotic Spinal Therapy.

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