Pelvic and Spine Pain After a Minor Accident - Orthopedics

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Pain near the pelvis connected to the spine?


Hello Doctor, I was in a minor car accident in September where I rolled on the ground twice but was fine.
I landed on my left hand and left pelvis (the areas I can touch).
A month and a half later, I started feeling some discomfort (similar to pain) at the junction of my spine and pelvis.
However, when I experience the pain, I tend to lean slightly forward, and I hear a "pop" sound, after which the discomfort alleviates significantly.
How should I handle this? If I need to go to the hospital, should I see an orthopedic specialist or a spine specialist?

Jia Jia, 0~9 year old female. Ask Date: 2016/11/26

Dr. Shi Guozheng reply Orthopedics


It may be due to a contusion, so you can see an orthopedic specialist.

Reply Date: 2016/11/26

More Info


After a minor car accident, it is not uncommon to experience discomfort or pain in the pelvic and spinal regions. The symptoms you describe, particularly the discomfort in the area where the spine connects to the pelvis, could be indicative of several underlying issues, including soft tissue injuries, minor fractures, or joint dysfunction.

Firstly, it is essential to understand that the pelvis and spine are interconnected structures. The pelvis serves as the base of the spine and plays a crucial role in weight-bearing and movement. When you experience pain in this area, it could be due to a variety of factors, including muscle strain, ligament sprain, or even joint misalignment. The "popping" sound you hear when you lean forward could be related to the movement of joints or tendons around the pelvis and spine, which can sometimes occur when there is tightness or dysfunction in the surrounding muscles or ligaments.

Given that you have been experiencing discomfort for over a month and that it is affecting your daily activities, it is advisable to seek medical attention. When deciding whether to see an orthopedic specialist or a spine specialist, consider the following:
1. Orthopedic Specialist: This type of doctor focuses on the musculoskeletal system, which includes bones, joints, ligaments, tendons, and muscles. If your pain is primarily related to the pelvic area or if you suspect a fracture or soft tissue injury, an orthopedic specialist would be a suitable choice.

2. Spine Specialist: If your pain is more related to the spinal column or if you are experiencing neurological symptoms (such as numbness or tingling in your legs), a spine specialist may be more appropriate. They can provide a more focused assessment of spinal issues and recommend specific treatments.

In either case, it is crucial to have a thorough evaluation, which may include physical examinations, imaging studies (like X-rays or MRIs), and possibly other diagnostic tests to determine the exact cause of your pain.
In the meantime, here are some self-care measures you can consider to help alleviate your discomfort:
- Rest: Avoid activities that exacerbate your pain. Give your body time to heal.

- Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. Use ice packs for 15-20 minutes several times a day.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. However, consult with a pharmacist or healthcare provider to ensure they are appropriate for you.

- Gentle Stretching: If you can do so without pain, gentle stretching of the lower back and pelvic area may help relieve tension. However, avoid any movements that increase your pain.

- Physical Therapy: Once you have seen a doctor, they may recommend physical therapy to strengthen the muscles around your pelvis and spine, improve flexibility, and enhance overall function.

If your symptoms persist or worsen, it is crucial to follow up with a healthcare provider. Early intervention can prevent further complications and help you return to your normal activities more quickly. Remember, listening to your body and seeking appropriate care is essential for recovery.

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