Lumbar Spine Issues: Causes, Symptoms, and Treatments

Lumbar spine issues

I visited the doctor in April this year due to lower back pain.
The doctor took X-rays and mentioned that there was an angular deformity in the bone, possibly from an old injury.
I would like to ask if bones do not heal on their own after an injury that occurred several years ago.
The doctor prescribed muscle relaxants and pain relievers, stating that if there was no pain, I didn't need to return for a follow-up.
Since then, I have been experiencing a slight heaviness in my back, which is tolerable, but I do feel mild soreness.
During my menstrual period, I also experience leg soreness and mild back pain.
Recently, I have occasionally felt a tingling sensation in my left chest.
I am unsure what this could be.
Could you please let me know if this is related to my back pain? What could be causing the tingling in my left chest? Thank you, doctor, for your hard work.

Lin, 30~39 year old female. Ask Date: 2016/06/22

Dr. Zhang Junwei reply Neurosurgery

The numbness in the left chest is unrelated to the back pain.
Reducing heavy lifting, getting more rest, and engaging in rehabilitation should help improve the condition!

Reply Date: 2016/06/22

More Info

Understanding lumbar spine issues can be quite complex, especially when considering the interplay of past injuries, current symptoms, and potential underlying conditions. Based on your description, it seems you have a history of lumbar discomfort that has persisted over time, possibly exacerbated by a previous injury. Let’s break down the potential causes, symptoms, and treatments related to your situation.

Causes of Lumbar Spine Issues
1. Old Injuries: When you mention a previous fall, it’s important to recognize that injuries to the lumbar spine can lead to chronic issues. Fractures or trauma can result in structural changes, such as bone spurs or misalignments, which may not heal perfectly. This can lead to ongoing discomfort or pain.

2. Degenerative Changes: Over time, the lumbar spine can undergo degenerative changes due to wear and tear. This includes conditions like degenerative disc disease, where the discs lose hydration and elasticity, leading to pain and reduced mobility.

3. Muscle Strain: Chronic back pain can also stem from muscle strain or ligament sprains, often exacerbated by poor posture, heavy lifting, or prolonged sitting.

4. Nerve Compression: Conditions such as herniated discs or spinal stenosis can lead to nerve compression, resulting in pain that radiates to other areas, including the legs or chest.

Symptoms
Your symptoms of a heavy sensation in the back, mild pain, and occasional chest numbness can be interconnected. The lumbar spine is closely related to the overall musculoskeletal system, and issues in the lower back can sometimes manifest as discomfort in other areas, including the chest.
- Back Pain: This is often localized but can radiate depending on the underlying cause. The heaviness you feel may indicate muscle fatigue or strain.

- Chest Numbness: While this could be related to anxiety or muscle tension, it’s crucial to consider that it may also indicate a more serious condition, such as referred pain from the spine or even cardiac issues.

Treatments
1. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the muscles around your spine, improve flexibility, and alleviate pain.

2. Medications: As prescribed, muscle relaxants and pain relievers can help manage your symptoms. However, it’s essential to use these as part of a broader treatment plan.

3. Lifestyle Modifications: Incorporating ergonomic adjustments in your daily activities, maintaining a healthy weight, and practicing good posture can significantly impact your spinal health.

4. Regular Monitoring: Since you have a history of back issues, regular follow-ups with your healthcare provider are essential. If your symptoms worsen or new symptoms arise, such as persistent chest numbness, it’s crucial to seek immediate medical attention.

5. Imaging Studies: If your symptoms persist, further imaging studies, such as an MRI, may be warranted to assess the condition of your spine and rule out any serious underlying issues.

Conclusion
In summary, while old injuries can lead to chronic issues in the lumbar spine, it’s essential to approach your symptoms holistically. The connection between your back pain and the occasional chest numbness should not be overlooked, and it’s advisable to discuss these symptoms with your healthcare provider for a thorough evaluation. Early intervention and a comprehensive treatment plan can help manage your symptoms effectively and improve your quality of life. Always prioritize open communication with your healthcare team to ensure you receive the best care tailored to your needs.

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