Lower Back Pain After Heavy Lifting and Sports - Rehabilitation

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Lumbar issues?


I moved a lot of items weighing 58 kilograms on Saturday, and after playing baseball on Sunday, I experienced soreness in my left leg the next day.
I'm unsure if it's necessary to undergo rehabilitation for my lower back.

Zhenyu, 10~19 year old female. Ask Date: 2016/08/22

Dr. Li Weiqiang reply Rehabilitation


Dear Zhenyu,
Hello, on Saturday I moved many items weighing 58 kilograms, and after pitching on Sunday, I experienced soreness the next day, particularly in my left leg.
I need to determine whether this is due to overuse leading to a strain or a herniated disc in my lumbar region, as the treatment methods differ.

Wishing you safety and health,
Dr.
Li Weiqiang
Department of Rehabilitation, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2016/08/22

More Info


Lower back pain after heavy lifting and sports activities is a common issue that many individuals experience, especially if they have not properly conditioned their bodies for such physical exertion. Based on your description, it seems that you have engaged in strenuous activities, including lifting a heavy object (58 kg) and playing basketball, which may have contributed to your discomfort.


Understanding Your Symptoms
1. Muscle Strain: The most likely cause of your lower back pain is a muscle strain. When you lift heavy objects or engage in high-impact sports without adequate warm-up or conditioning, the muscles in your back can become overstretched or torn. This can lead to pain, stiffness, and discomfort that may radiate down to your legs, causing the "acid" feeling you described.

2. Disc Issues: While less common, it is also possible that your activities could have exacerbated any underlying disc issues, such as a herniated disc or degenerative changes, especially if you have a history of back problems. However, without specific neurological symptoms (like numbness, tingling, or weakness in the legs), this is less likely.

3. Postural Factors: Poor lifting techniques or improper posture during sports can also contribute to back pain. It is crucial to use your legs for lifting rather than your back and to maintain a neutral spine during physical activities.


Recommendations for Recovery
1. Rest and Ice: Initially, it is important to rest and avoid activities that exacerbate your pain. Applying ice to the affected area can help reduce inflammation and numb the pain.

2. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore flexibility and strength to your back. Focus on core strengthening exercises, as a strong core supports the spine and reduces the risk of future injuries.

3. Physical Therapy: If your pain persists or worsens, consider consulting a physical therapist. They can provide a tailored rehabilitation program that includes specific exercises to strengthen your back and improve your flexibility. They can also teach you proper lifting techniques and postural awareness to prevent future injuries.

4. Gradual Return to Activity: When you feel ready, gradually return to your normal activities. Start with low-impact exercises and slowly increase the intensity as your strength and comfort improve.

5. Medication: Over-the-counter anti-inflammatory medications (like ibuprofen) can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication.


Prevention Strategies
1. Warm-Up: Always perform a proper warm-up before engaging in sports or heavy lifting. This can include dynamic stretches and light aerobic activity to prepare your muscles.

2. Strength Training: Incorporate strength training into your routine to build muscle strength, particularly in your core, back, and legs. This will help support your spine and reduce the risk of injury.

3. Ergonomics: Pay attention to your lifting techniques. Use your legs for lifting, keep the object close to your body, and avoid twisting your torso while lifting.

4. Listen to Your Body: If you experience pain during an activity, stop and assess the situation. Pushing through pain can lead to more severe injuries.


Conclusion
In summary, your symptoms are likely due to muscle strain from heavy lifting and sports activities. Implementing rest, ice, gentle stretching, and possibly physical therapy can aid in your recovery. Always prioritize proper techniques and conditioning to prevent future injuries. If your symptoms persist or worsen, seeking medical advice is essential to rule out any serious underlying conditions.

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