How to Assess Past Spinal Injuries: Tests to Alleviate Your Concerns

What tests can I undergo to alleviate my concerns about a previous spinal injury?

Hello, Doctor.
I have a question I would like to ask you.
Many years ago, when I was a child (I don't remember the exact time, perhaps around ten years ago), I was standing on a chair, and the chair tipped over, causing the leg to hit my spine.
At that time, I remember it was a significant impact, and one of my vertebrae was displaced.
I did not experience any neurological symptoms at the moment, but when I tried to stand up, I felt a blockage in my lower back that prevented me from standing properly.
Later, my parents took me to a traditional Chinese medicine clinic, where they helped realign the displaced bone, and the issue was resolved.
However, since then, I have always felt that if I stand for a while, my lower back tends to become sore.
I often worry about this incident (recently, I had issues with erectile dysfunction, and after consulting a urologist, they said it should not be related to my spine, and it has since improved, but I still worry that my previous injury was not properly addressed).
I am also hesitant to engage in weight training due to concerns about my past injury.
What tests should I undergo to fully understand if there are any issues with my spine that could alleviate my concerns? I apologize, Doctor, for the multiple submissions due to internet delays.
Thank you for your understanding.
Wishing you all the best.

Wang Jingcheng, 20~29 year old female. Ask Date: 2016/07/01

Dr. Lai Zhaokang reply Neurosurgery

Hello, to assess the situation, you can start with a basic X-ray.
However, for advanced evaluation, an MRI (Magnetic Resonance Imaging) may be necessary, although it might not meet the criteria for insurance coverage.
Every injury leaves a trace, but after so many years, it should theoretically have healed.
If you do not have any neurological symptoms, there is actually no need to worry too much; just have a conversation with your physician during the outpatient visit.
Changhua Hospital cares about you.
// Dr.
Lai Chao-Kang

Reply Date: 2016/07/01

More Info

To assess past spinal injuries and alleviate your concerns, it is essential to undergo a comprehensive evaluation that includes both clinical assessments and imaging studies. Given your history of a significant injury to your spine, it is understandable that you have lingering worries about potential long-term effects. Here’s a structured approach to help you address these concerns:

1. Clinical Evaluation
- Medical History: Start by discussing your complete medical history with a healthcare provider. This includes details about the injury, any symptoms you experienced at the time, and any ongoing issues you have faced since then, such as the discomfort you feel when standing for extended periods.

- Physical Examination: A thorough physical examination will help assess your current spinal health. The doctor will evaluate your range of motion, muscle strength, reflexes, and any areas of tenderness or discomfort. They may also check for signs of nerve involvement, such as numbness or weakness in your limbs.

2. Imaging Studies
- X-rays: An initial step often involves taking X-rays of your spine. This can help identify any structural abnormalities, such as misalignments or previous fractures that may not have healed properly.

- MRI (Magnetic Resonance Imaging): If there are concerns about soft tissue injuries, disc herniation, or nerve compression, an MRI is highly recommended. It provides detailed images of the spinal cord, nerves, and surrounding soft tissues, allowing for a comprehensive assessment of any potential damage.

- CT Scan: In some cases, a CT scan may be used to provide a more detailed view of the bony structures of the spine, especially if there are concerns about complex fractures.

3. Functional Assessments
- Physical Therapy Evaluation: A physical therapist can assess your functional abilities and limitations. They can also provide exercises tailored to strengthen your back and improve flexibility, which may help alleviate discomfort.

- Posture and Gait Analysis: Evaluating your posture and gait can provide insights into how your spine is functioning and whether any compensatory mechanisms are in place due to past injuries.

4. Addressing Psychological Concerns
- Counseling or Support Groups: If your worries about the injury are affecting your quality of life, consider speaking with a mental health professional. They can help you develop coping strategies and address any anxiety related to your past injury.

5. Follow-Up and Monitoring
- Regular Check-Ups: Depending on the findings from your evaluations, your doctor may recommend regular follow-ups to monitor your spinal health and adjust any treatment plans as necessary.

Conclusion
While it is natural to have concerns about past injuries, especially those involving the spine, a structured approach involving clinical evaluations and imaging studies can help clarify your current spinal health. By working closely with healthcare professionals, you can gain a better understanding of your condition and take proactive steps toward maintaining your spinal health. Remember, early intervention and appropriate management can significantly improve your quality of life and reduce the risk of future complications. If you have specific activities or exercises in mind, such as weight training, be sure to discuss these with your healthcare provider to ensure they are safe for your condition.

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