Potential Aftereffects of Sports Injuries: When to Seek Help - Neurosurgery

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I fell while playing ball, landing on my lower back first?


Hello, doctor.
Recently, while playing basketball, I lost my balance while going for a rebound and fell directly onto my lower back, landing on my buttocks near the spine.
I had an X-ray done the same day, and the bones were fine.
I then received acupuncture treatment from a traditional Chinese medicine practitioner for the next three days.
Yesterday, I noticed that when lying down and pressing on the injured area, my face would twitch a bit.
In the morning, I experienced persistent dry heaving and a lack of appetite.
I also have tenderness on the side of my neck where I hit it, and pressing there makes me feel nauseous.
Additionally, I had a headache the day before yesterday.
Could this be some kind of aftereffect? Which specialist should I see?

Yuan, 20~29 year old female. Ask Date: 2017/01/16

Dr. Lai Zhaokang reply Neurosurgery


Hello: Based on what you described, there may be some facial twitching.
Additionally, you experience persistent dry heaving and a lack of appetite upon waking up.
Pressing on the back of your neck on the affected side also induces nausea.
You also had a headache two days ago...
It is advisable to consult a neurosurgeon for evaluation.
Best wishes, Dr.
Lai Chao-Kang.

Reply Date: 2017/01/16

More Info


It sounds like you've experienced a significant injury while playing basketball, and your symptoms are concerning. Based on your description, you may be dealing with a combination of musculoskeletal issues and potential neurological symptoms. Let's break down your situation and discuss the appropriate steps to take.


Understanding Your Symptoms
1. Back and Neck Pain: The impact you described when landing on your back could lead to various injuries, including muscle strains, ligament sprains, or even more serious conditions like a herniated disc. The fact that you feel pain when pressing on your neck and that it triggers nausea could indicate that there is some irritation or compression affecting nearby structures, possibly involving the cervical spine.

2. Nausea and Vomiting: The nausea and dry heaving you are experiencing, especially in conjunction with neck pain, could suggest a few things. It might be related to the pain itself, as severe pain can sometimes trigger a sympathetic nervous system response, leading to gastrointestinal symptoms. Alternatively, if there is any involvement of the cervical spine or brain (e.g., concussion), this could also explain your symptoms.

3. Headaches: The headaches you mentioned could be tension-type headaches due to muscle strain or even a sign of a concussion, especially if you experienced a jolt or impact to the head during your fall.


When to Seek Help
Given your symptoms, it is crucial to seek medical attention. Here are the steps you should consider:
1. Consult a Physician: Start by seeing a primary care physician or an orthopedic specialist. They can perform a thorough examination and may recommend imaging studies, such as an MRI, to assess for any soft tissue injuries or spinal issues that X-rays might not reveal.

2. Neurological Evaluation: Given your symptoms of nausea, vomiting, and headaches, it may also be wise to consult a neurologist. They can evaluate for any potential concussion or other neurological issues that may have arisen from the impact.

3. Physical Therapy: If musculoskeletal injuries are confirmed, physical therapy may be beneficial. A physical therapist can help you with exercises to strengthen the area, improve flexibility, and reduce pain.


Recovery and Prognosis
The recovery time for injuries like yours can vary widely depending on the severity of the injury. Minor strains may heal within a few weeks, while more severe injuries could take months. It's essential to follow your healthcare provider's recommendations regarding rest, rehabilitation, and any necessary follow-up appointments.


Prevention of Future Injuries
Once you recover, consider implementing preventive measures to avoid future injuries:
- Warm-Up and Cool Down: Always perform a proper warm-up before engaging in sports and a cool-down afterward to help prevent injuries.

- Strength Training: Focus on strengthening your core and back muscles, as a strong core can help stabilize your spine and reduce the risk of injury.

- Proper Technique: Ensure that you are using proper techniques during sports activities to minimize the risk of falls and injuries.


Managing Anxiety About Your Injury
It's natural to feel anxious about injuries and their potential long-term effects. Here are some strategies to help manage your anxiety:
- Stay Informed: Understanding your injury and the recovery process can help alleviate fears. Ask your healthcare provider questions about your condition and prognosis.

- Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help reduce anxiety and improve your overall well-being.

- Focus on Recovery: Concentrate on what you can do to aid your recovery rather than worrying about what might happen in the future.

In summary, your symptoms warrant a thorough evaluation by a healthcare professional. Early intervention can help prevent complications and facilitate a smoother recovery. Don't hesitate to seek help, and take care of yourself during this healing process.

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