Spinal Injuries and Wrist Ligament Issues After Diving - Orthopedics

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Spinal injury & wrist bones


Hello, Doctor.
Five days ago, during a swimming lesson, I hit the water surface with my chest and abdomen while diving (similar to a U shape).
At that moment, I felt some pain in my chest and spine.
Although it has gradually improved over the past few days, I still experience pain in my spine when I lean back excessively (straightening up).

1.
Should I get an X-ray?
2.
Is there a possibility that the vertebral arch could be fractured?
3.
What is the normal appearance of the ulnar styloid process in the wrist? I visited a chiropractor, and the doctor mentioned that the ligaments in both of my wrists are already lax, causing the protrusion to be more pronounced than in normal individuals.
I can press it down, but it bounces back afterward.
(183 cm, 67 kg)
4.
Is it possible that this bone condition is congenital?
5.
What methods can tighten the ligaments?
6.
Does having such lax ligaments make me more prone to injuries?

ppp, 10~19 year old female. Ask Date: 2017/05/28

Dr. Shi Guozheng reply Orthopedics


Your symptoms may require you to see an orthopedic physician for an examination, and an X-ray may be necessary.
The wrist issues also need to be evaluated by a doctor.

Reply Date: 2017/05/28

More Info


Understanding spinal injuries and wrist ligament issues after diving is crucial, especially considering the potential for serious complications. Based on your description of the incident, it seems you experienced a significant impact when diving, which could lead to various injuries, particularly in the spinal region and wrist.

1. Need for X-ray: Given that you experienced immediate pain in your chest and spine after the impact, it is advisable to get an X-ray. While many spinal injuries may heal on their own, an X-ray can help rule out fractures, dislocations, or other serious injuries. If you experience persistent pain, numbness, or weakness in your limbs, it is even more critical to seek medical attention.

2. Risk of vertebral arch fracture: The vertebral arch, which forms the posterior part of the vertebra, can indeed sustain injuries from high-impact activities like diving. If you are experiencing pain when arching your back, it could indicate strain or injury to the surrounding muscles or ligaments. However, without imaging studies, it is difficult to determine if there is an actual fracture. If you have any concerns about the integrity of your spine, it is best to consult with a healthcare professional.

3. Normal wrist anatomy: The ulnar styloid process, located at the wrist's distal end, is a normal anatomical feature. If your doctor mentioned that your wrist ligaments are lax, it may indicate a condition known as ligamentous laxity, which can be congenital or acquired. This condition can lead to a more pronounced appearance of the ulnar styloid, especially if the ligaments are not providing adequate support.

4. Strengthening ligaments: To improve ligament tightness, consider engaging in targeted strength training exercises. Physical therapy can be beneficial in this regard, as a trained therapist can provide exercises that focus on strengthening the muscles around the wrist and improving overall stability. Additionally, proprioceptive training can help enhance the coordination and strength of the ligaments.

5. Increased injury risk: Yes, if your ligaments are lax, you may be at a higher risk for injuries, particularly sprains or strains. Lax ligaments can lead to joint instability, making it easier to sustain injuries during activities that involve twisting or heavy lifting. It is essential to be cautious and possibly modify activities that could exacerbate the condition.

In summary, after a diving incident, it is prudent to monitor your symptoms closely. If pain persists or worsens, seek medical evaluation, including imaging if necessary. For wrist issues, consider physical therapy to strengthen the surrounding muscles and ligaments, which can help mitigate the risk of future injuries. Always listen to your body, and do not hesitate to consult a healthcare professional if you have concerns about your recovery or any ongoing symptoms.

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