Chronic Back Pain After a Fall: Long-Term Effects and Recovery

I fell down the stairs, and my lower back pain hasn't improved?

About 3.4 years ago, I fell down the stairs.
I went to see a doctor immediately, but I don't remember much of what he said.
He prescribed painkillers, which helped a bit at that time, but my condition worsened afterward.
I didn't seek further medical attention because my mother thought it was just a problem with my bones.
However, I believe it's not just that.
Before I used to dance, stretching my back would cause severe pain, and activities like lifting heavy objects, menstruation, and standing for long periods (sometimes accompanied by stomach pain) would also lead to back pain.
I didn't experience any of these issues before my fall.
Recently, I've found myself increasingly preferring to lie in bed because it feels comfortable, but the longer I stay lying down, the more sore my back becomes when I get up.
It takes a while for the soreness to go away.
What could be causing my back pain, and will my back ever get better?

Ye Xin, 10~19 year old female. Ask Date: 2017/05/19

Dr. Shi Guozheng reply Orthopedics

It is possible that the vertebrae are fractured, so it is best to consult a physician for an X-ray examination to clarify the situation.

Reply Date: 2017/05/19

More Info

Chronic back pain following a fall can be a complex issue that often requires a multifaceted approach to diagnosis and treatment. Your experience of developing persistent pain after a fall, coupled with the symptoms you describe, suggests that there may be underlying issues that need to be addressed.
Firstly, it’s important to understand that back pain can arise from various sources, including muscle strain, ligament sprain, herniated discs, or even fractures. Given that you experienced acute pain immediately after your fall, it’s possible that you sustained an injury that has not fully healed or has led to compensatory changes in your body mechanics. Over time, these changes can lead to chronic pain, which may be exacerbated by activities such as lifting heavy objects or prolonged standing.

The fact that you find relief while lying down but experience discomfort upon standing suggests that your pain may be related to muscle tension or spinal alignment issues. When you lie down, the pressure on your spine is reduced, which can alleviate pain temporarily. However, prolonged inactivity can lead to stiffness and muscle weakness, making it difficult to resume normal activities without discomfort.

Your mention of experiencing pain during menstruation and after standing for long periods raises the possibility of a connection between your back pain and other bodily functions. Hormonal changes during menstruation can lead to increased sensitivity to pain, and the additional strain on your back from standing can exacerbate existing issues.
To address your chronic back pain, consider the following steps:
1. Consult a Healthcare Professional: Since your pain has persisted for several years, it would be wise to consult a healthcare provider, such as a physical therapist or orthopedic specialist. They can conduct a thorough evaluation, including imaging studies if necessary, to determine the exact cause of your pain.

2. Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles supporting your spine, improve flexibility, and enhance your overall posture. A physical therapist can tailor exercises to your specific needs and monitor your progress.

3. Pain Management: Depending on the severity of your pain, your healthcare provider may recommend pain management strategies, including medications, injections, or alternative therapies such as acupuncture or chiropractic care.

4. Lifestyle Modifications: Incorporating regular physical activity, maintaining a healthy weight, and practicing good ergonomics can significantly impact your back health. Avoiding prolonged periods of inactivity and incorporating gentle stretching or yoga can also be beneficial.

5. Mind-Body Techniques: Chronic pain can often be exacerbated by stress and anxiety. Techniques such as mindfulness, meditation, or cognitive-behavioral therapy can help you manage the psychological aspects of chronic pain.

6. Education: Understanding your condition and the mechanics of your body can empower you to make informed decisions about your treatment and lifestyle.
In conclusion, while it is possible for your back pain to improve with appropriate treatment and lifestyle changes, it is essential to seek professional guidance to address the underlying issues effectively. Chronic pain can be challenging, but with the right approach, many individuals find significant relief and can return to their normal activities. Remember, recovery is often a gradual process, and patience is key.

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