[CASE] Acute Low Back Pain Happening Twice Within 3 Days

The patient is a woman in her 50s, who is a caregiver.
 
3 days ago when she tried to change the posture of a heavy person on the bed, she hurt her left low back. She feels pain when she walks and bend her back backward.
 
1st Treatment
When I checked her pulse, I thought this was a typical acute low back pain because her pulse was very tight. So I gave her the treatment for acute low back pain, removing tender spots on her low back and buttocks and attached a very short needle with sticker on her low back. She felt pain when she got up, so I added an adjustment of her rib cage. When I had her stand up and check her back, she felt much better, so I fished the first treatment.
 
2nd Treatment (2 days later)
Yesterday, when she moved the heavy person again, she felt pain in her right low back.  Today she feels pain in the center with bending backward and in each side with bending sideways.
 
Since she had pain on both sides of her low back and also the center of the low back, I chose to treat both sides of her low back with normal low back pain treatment. After the treatment, her low back was not improved at all. I added some needles to remove tender spots found when she stood up, but her low back pain didn’t change.
 
I thought she might have had another acute low back pain on her right side and asked her to lie on her side and gave the treatment for acute low back pain. When she stood up and checked her low back, her low back was not completely better, but was improved. I stopped treatment here to avoid too much amount of treatment.
 
3rd Treatment (2 days later)
2 days after the last treatment, her low back pain was much better. Only when she bend her back to the left, she felt pain on her left buttock. She was standing all day but didn’t do the work to move the heavy person. I treated her left low back and buttock and when she stood up, she still felt some pain with bending side way, so I found painful spots on her left buttock and removed them with a touch-up needle. I asked her to check her back again and this time she felt better. Since she felt much better on her low back, I finished the treatment for her acute low back pain.
 
At the second treatment, I couldn’t recognize another acute low back pain was happening on the other side at the beginning because I had no idea that 2 acute low back pain happening within a few days. I learned that I should carefully check the patient’s condition without preconceptions.