Back Discomfort: Causes and Solutions for Spine Issues - Orthopedics

Share to:

Discomfort in the back?


1.
There is a sound when moving the spine and scapula, and there is localized pain in the scapula.
2.
There is a sensation of creaking in the left hip and spine when sitting down.
3.
There is a frequent burning sensation along the entire spine.
I am unsure if these symptoms indicate a disease or if a certain condition is about to occur.
Please help me resolve this concern.
Thank you.

LKK, 50~59 year old female. Ask Date: 2002/09/04

Dr. Li Wenlin reply Orthopedics


Hello: In response to your question: Based on your description, these symptoms are more likely related to sounds caused by muscle and fascia friction.
The presence of sound is not a major concern; however, if there is pain or a burning sensation, those symptoms are more clinically significant.
Considering your symptoms and age, early degenerative spondylitis is a plausible assumption.
It is advisable to avoid excessive use of your lower back, prolonged standing or sitting, sitting on low benches, and lifting heavy objects, among other activities.
Overall, your current symptoms are still mild, and maintenance is crucial.
If your symptoms do not improve or worsen, such as affecting your lower limbs or causing frequent cramps, it is recommended that you visit an orthopedic clinic for a detailed evaluation.
Wishing you health and happiness.

Reply Date: 2002/09/04

More Info


Back discomfort can stem from a variety of causes, and understanding these can help in finding effective solutions. Based on your symptoms, which include sounds during movement in the spine and shoulder blades, localized pain in the shoulder blades, a sensation of "crunching" in the left hip and spine when sitting, and a persistent burning sensation along the spine, it is crucial to consider several potential underlying issues.

1. Musculoskeletal Issues: The sounds you hear when moving your shoulder blades and spine could be due to a variety of musculoskeletal issues. These sounds, often referred to as "crepitus," can occur when tendons or ligaments snap over bony prominences or when gas bubbles in the joint fluid collapse. While these sounds are often benign, they can sometimes indicate underlying joint dysfunction or instability, particularly if accompanied by pain.

2. Shoulder Blade Pain: The localized pain in your shoulder blades could be related to muscle strain, poor posture, or even referred pain from the neck or upper back. Conditions such as scapular dyskinesis, where the shoulder blade does not move properly, can lead to discomfort and pain in that area. Additionally, tightness in the upper trapezius or rhomboid muscles can contribute to this discomfort.

3. Hip and Spine Sensation: The "crunching" sensation in your left hip and spine when sitting may suggest issues with the hip joint or the lumbar spine. Conditions like hip impingement or lumbar disc degeneration could lead to such sensations. If the sensation is accompanied by pain, it may indicate inflammation or irritation in the surrounding structures.

4. Burning Sensation: A burning sensation along the spine can be indicative of nerve irritation or inflammation. Conditions such as radiculopathy, where a nerve root is compressed or irritated, can lead to such symptoms. Additionally, conditions like fibromyalgia or myofascial pain syndrome can cause widespread pain and discomfort, including burning sensations.


Solutions and Recommendations:
1. Medical Evaluation: It is essential to consult a healthcare professional, such as an orthopedic specialist or a physical therapist, for a thorough evaluation. They may recommend imaging studies like X-rays or MRIs to assess the structural integrity of your spine and hips.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can develop a tailored exercise program that focuses on strengthening the muscles around your spine and shoulders, improving flexibility, and correcting posture. This can alleviate pain and improve function.

3. Pain Management: Depending on the severity of your symptoms, your doctor may recommend pain management strategies, including non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections to reduce inflammation and pain.

4. Posture and Ergonomics: Assessing your posture during daily activities, especially if you sit for prolonged periods, is crucial. Ergonomic adjustments to your workspace can help reduce strain on your spine and shoulders.

5. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, chiropractic care, or massage therapy. These treatments can help alleviate muscle tension and improve overall mobility.

6. Lifestyle Modifications: Incorporating regular physical activity, maintaining a healthy weight, and practicing good body mechanics during activities can significantly impact your spinal health.

In conclusion, while your symptoms may indicate various underlying issues, a comprehensive evaluation by a healthcare professional is essential for an accurate diagnosis and effective treatment plan. By addressing the root causes of your discomfort, you can work towards achieving better spinal health and overall well-being.

Similar Q&A

Understanding Your Back Pain: Possible Causes and Solutions

I often experience pain in my lower back, especially after walking or sitting for extended periods. Sometimes, lying down can be quite uncomfortable, and it takes a while for me to feel normal again. What could be the possible causes of this?


Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, according to books and previous research reports, over ninety-five percent of patients under the age of sixty-five who complain of back pain have this issue primarily due to poor posture. The solution involves first taking medication in conjun...

[Read More] Understanding Your Back Pain: Possible Causes and Solutions


Managing Lumbar Spine Pain: Tips for Relief and Prevention

I have recently noticed some discomfort in my lumbar spine while sitting, accompanied by pain when I press on it with my fingers. The pain is less noticeable when I stand straight, but it becomes quite pronounced when I bend forward. I often sit for long periods due to work and t...


Dr. Shen Boquan reply Orthopedics
Hello, everyone: Lower back pain is a common issue that many people encounter. Statistics show that 90% of individuals will experience this discomfort at some point in their lives, primarily due to inflammation and pain in the muscles, tendons, or ligaments, which are soft tissue...

[Read More] Managing Lumbar Spine Pain: Tips for Relief and Prevention


Understanding Spine Issues: Causes of Back Pain and Numbness

Dear Doctor, I am currently studying for my graduate entrance exams, which requires me to sit for long periods. I am unsure if my incorrect sitting posture is causing me to frequently experience lower back pain and discomfort. Additionally, sometimes after sitting for too long, ...


Dr. Lin Junliang reply Orthopedics
According to the user's complaint, the cause of lower back pain may be due to poor posture combined with a lack of back exercises. However, it is important to rule out any underlying internal issues. It is recommended to visit a clinic for further examination to exclude othe...

[Read More] Understanding Spine Issues: Causes of Back Pain and Numbness


Understanding the Connection Between Back Pain and Muscle Tension Issues

Hello Doctor, I have the following questions, but I'm unsure how to clarify where the issues lie, so I would like to ask about possible causes. 1. In recent months, I sometimes wake up with pain in my lumbar spine. 2. I have noticed that in crowded places or when speaking...


Dr. Shi Guozheng reply Orthopedics
Prolonged use of computers or typing can easily lead to shoulder and neck pain. Additionally, improper sitting posture can cause spinal pain as well as lower back and upper back discomfort. To alleviate these issues, it is important to maintain proper posture while sitting and to...

[Read More] Understanding the Connection Between Back Pain and Muscle Tension Issues


Related FAQ

Back Pain

(Orthopedics)

Scoliosis

(Orthopedics)

Spondylolisthesis

(Orthopedics)

Back Pain

(Family Medicine)

Kyphosis

(Orthopedics)

Lower Back Pain

(Neurology)

Back Pain

(Rehabilitation)

Cervical Spine

(Orthopedics)

Pelvic Pain

(Orthopedics)

Lower Back Pain

(Internal Medicine)