Should You Seek Medical Attention After a Stair Fall Injury? - Orthopedics

Share to:

Fell down the stairs?


Hello, Doctor.
This morning, I accidentally fell down the stairs (about 3 or 4 steps) and hit my spine (approximately 5 centimeters above the pelvis).
The area where I hit my spine is about 5 to 7 centimeters in size, slightly red and bruised, and a bit painful.
Currently, I have no other symptoms and can move normally, including bending over.
Since I am abroad and it's not convenient to seek medical attention, I would like to know if I need to go to the hospital in this situation, or if I can just observe it since there are no other symptoms.
Thank you.

vivian, 20~29 year old female. Ask Date: 2018/02/02

Dr. Shi Guozheng reply Orthopedics


If the pain persists and affects the lower back, it is advisable to suspect a spinal fracture and go to the hospital for an X-ray to observe the condition.

Reply Date: 2018/02/02

More Info


After experiencing a fall from a staircase, especially one that involves a significant impact to the spine or pelvis, it is essential to carefully assess your condition and determine whether medical attention is necessary. Based on your description of the injury—specifically, the presence of redness, bruising, and pain in the area around the spine, along with the absence of other symptoms—it is understandable to feel uncertain about the next steps.

In general, when it comes to injuries sustained from falls, particularly those involving the spine or pelvis, there are several factors to consider. First, while you may currently be able to move and bend without significant difficulty, it is crucial to remember that some injuries, particularly those related to soft tissue or even minor fractures, may not present immediate, severe symptoms. Pain and discomfort can sometimes develop or worsen over time, especially if there is underlying damage that is not immediately apparent.

Here are some key points to consider regarding your situation:
1. Symptoms to Monitor: While you currently do not have other symptoms, it is important to monitor for any changes. Symptoms such as increased pain, swelling, numbness, tingling, weakness in the legs, or changes in bowel or bladder function could indicate a more serious injury that requires immediate medical evaluation.

2. Potential for Delayed Symptoms: Injuries to the spine can sometimes lead to delayed symptoms, including pain that may radiate down the legs or changes in sensation. If you notice any of these symptoms developing, it would be prudent to seek medical attention.

3. Rest and Observation: If your pain remains manageable and you do not develop any concerning symptoms, resting and observing your condition for a few days may be appropriate. However, it is advisable to avoid any activities that could exacerbate the injury, such as heavy lifting or strenuous exercise.

4. When to Seek Help: If you experience any worsening of your symptoms or if new symptoms arise, it is essential to seek medical attention. Given that you are currently abroad and may find it inconvenient to visit a hospital, consider consulting with a local healthcare provider or an urgent care facility if your condition changes.

5. Imaging and Evaluation: If you decide to seek medical attention, a healthcare provider may recommend imaging studies, such as X-rays or an MRI, to assess for any fractures or soft tissue injuries that may not be visible through a physical examination alone.

6. Pain Management: In the meantime, over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage discomfort. However, be sure to follow the recommended dosages and consult a pharmacist if you have any concerns about interactions with other medications you may be taking.

In conclusion, while it may be tempting to wait and see, it is crucial to remain vigilant about your symptoms following a fall. If you notice any changes or if your pain worsens, do not hesitate to seek medical attention. Your health and well-being should always be the priority, and it is better to err on the side of caution when it comes to potential spinal injuries.

Similar Q&A

Should You Seek Medical Attention After a Fall from Height?

I went to school to pick something up, but the door was locked. After I got what I needed, I couldn't open the door, so I had to jump down. I intended to prepare myself before jumping, but I lost my footing and fell. My body hit the ground first, and then I fell backward, hi...


Dr. Lai Zhaokang reply Neurosurgery
Hello, if there is a change in consciousness, seizures, or limb weakness following a head injury, immediate medical attention is required. If the symptoms are limited to dizziness and nausea, you can observe for 2-3 days. If there is no improvement, you should seek medical care. ...

[Read More] Should You Seek Medical Attention After a Fall from Height?


Should You Seek Medical Attention After a Ladder Fall?

Hello, doctor: Today, while cleaning the air conditioner filter, I accidentally fell from the ladder and hit the back of my head on the ground. About six hours later, I experienced mild dizziness, a loss of appetite, and although I haven't vomited, I have intermittent feelin...


Dr. Zhang Junwei reply Neurosurgery
Currently, there is no need for examination, but if symptoms worsen, an outpatient check-up is recommended!

[Read More] Should You Seek Medical Attention After a Ladder Fall?


Should My Child See an Orthopedist After a Stair Fall?

My daughter is in the first year of junior high school. A couple of days ago, she went to a friend's house and accidentally slipped on the stairs due to her slippery socks, falling from a height of about two to three steps. I would like to ask the doctor if she needs to see ...


Dr. Shen Boquan reply Orthopedics
Hello, if you have fallen and sustained an injury, the extent of the damage may vary depending on the force of impact and the area affected. The duration of rest needed can also differ. If there is no pain or if the condition gradually improves, that is a good sign. However, if t...

[Read More] Should My Child See an Orthopedist After a Stair Fall?


Understanding Spinal Injuries: When to Seek Medical Attention

Hello, doctor: I slipped and fell while going down the stairs, resulting in a spinal injury. Even though I was wearing a thick coat in winter, I still sustained abrasions. After the injury, I experienced tinnitus and mild vomiting, and since then, I have been unable to bend over....


Dr. Shi Guozheng reply Orthopedics
First, we need to check for persistent lower back pain. Second, we should look for any numbness or weakness in the lower extremities. Third, we need to see if the legs can be straightened or lifted. If none of these symptoms are present, then there is likely no significant injury...

[Read More] Understanding Spinal Injuries: When to Seek Medical Attention


Related FAQ

Ankle Injury

(Orthopedics)

Dislocation

(Orthopedics)

Car Accident Injury

(Orthopedics)

Fall

(Orthopedics)

Postoperative

(Orthopedics)

Post-Tibial Fracture Surgery

(Orthopedics)

Ankle Fracture Recovery

(Orthopedics)

Leg Fracture

(Orthopedics)

Toe Fractures

(Orthopedics)

Post-Clavicle Fracture Surgery

(Orthopedics)