Back Swelling: Causes and When to Seek Orthopedic Care - Orthopedics

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Swelling on the left side of the spine?


Hello Doctor, I recently discovered a swelling in the middle of my left back.
Today, I went to see a family physician at the hospital, and after an X-ray, the doctor mentioned that the swelling is caused by spinal curvature and suggested that I see an orthopedic specialist for further evaluation.
My question is, does having an X-ray mean that it is unlikely to be an internal organ issue, or should I still consider getting an ultrasound? The swelling has actually been present for about 1 to 2 months.
I am quite worried and concerned that it might be caused by other internal organs, so I would appreciate your help in clarifying this.
Thank you very much.

Yang Yang, 30~39 year old female. Ask Date: 2016/03/21

Dr. Hong Ximing reply Orthopedics


There is swelling in the middle of the left back.
Since the X-ray can identify spinal curvature, it would be advisable to consult an orthopedic physician for a detailed examination.
Whether an ultrasound examination is necessary should be determined by the treating physician.

Reply Date: 2016/03/21

More Info


Back swelling can be a concerning symptom, and it’s understandable that you are worried about its underlying causes. Based on your description, it seems that you have already taken a proactive step by visiting your primary care physician and undergoing an X-ray examination. The doctor’s assessment that the swelling is related to spinal curvature is a good starting point, but it’s important to consider other potential causes as well.

X-rays are useful for visualizing bone structures and can help identify issues such as fractures, dislocations, or significant spinal deformities. However, they do not provide detailed information about soft tissues, organs, or internal structures. Therefore, while the X-ray may indicate that there are no immediate bone-related issues, it does not completely rule out the possibility of other conditions, including those involving internal organs or soft tissue abnormalities.

Given that the swelling has persisted for 1 to 2 months, it is advisable to follow up with an orthopedic specialist as recommended. An orthopedic doctor can perform a more thorough evaluation, which may include a physical examination and a review of your medical history. They might also suggest further imaging studies, such as an MRI or a CT scan, which can provide more detailed information about the soft tissues, spinal structures, and any potential nerve involvement.

As for your concern about whether the swelling could be related to internal organ issues, it’s worth noting that swelling in the back area is often musculoskeletal in nature, especially if it is localized and associated with pain or discomfort. However, if there are accompanying symptoms such as fever, unexplained weight loss, changes in bowel or bladder habits, or any other systemic symptoms, it would be prudent to inform your healthcare provider. In such cases, additional imaging studies like an ultrasound or even blood tests may be warranted to rule out any underlying conditions.

In summary, while the X-ray results are reassuring regarding bone integrity, they do not eliminate the need for further evaluation. Consulting with an orthopedic specialist is a wise decision, and they can guide you on the next steps, including whether additional imaging like an ultrasound is necessary. It’s important to address your concerns and ensure that any underlying issues are identified and managed appropriately. Remember to communicate openly with your healthcare providers about your symptoms and any changes you notice, as this information is crucial for accurate diagnosis and treatment.

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