Lower back injury
Hello, when I was 13 years old, I had a severe fall that injured my back.
I was misdiagnosed until this year when I was diagnosed with internal injuries at the Veterans General Hospital.
My symptoms include lower back pain and discomfort after standing or sitting for extended periods, with a particular sharp pain on the left side of my lower back after taking a hot shower.
I would like to know what methods can help improve my condition, as I currently work in a lathe operation that requires prolonged standing.
I would appreciate your guidance, doctor.
Rong, 20~29 year old female. Ask Date: 2018/07/04
Dr. Shen Boquan reply Orthopedics
Hello, if there is no bone injury, it is recommended to start with conservative treatment (medication combined with physical therapy).
Thank you for your inquiry.
Reply Date: 2018/07/04
More Info
Managing lower back injuries, especially those stemming from past trauma, can be challenging but is crucial for improving your quality of life and functionality. Given your history of a back injury at a young age and the subsequent diagnosis of internal injuries, it’s essential to approach your recovery with a comprehensive plan that includes pain relief, rehabilitation, and preventive measures.
Pain Relief Strategies
1. Heat Therapy: Applying heat to the affected area can help alleviate pain and stiffness. You can use a heating pad, hot water bottle, or take warm baths. Heat increases blood flow and relaxes tight muscles, which can be particularly beneficial after prolonged periods of standing or sitting.
2. Cold Therapy: If you experience swelling or acute pain, cold packs can be effective. Applying ice wrapped in a cloth to the lower back for 15-20 minutes can reduce inflammation and numb sharp pain.
3. Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. Always consult with a healthcare provider before starting any medication, especially considering your medical history.
Rehabilitation Exercises
1. Stretching: Gentle stretching exercises can improve flexibility and reduce tension in the lower back. Focus on stretches that target the hamstrings, hip flexors, and lower back muscles. For example, the child’s pose and cat-cow stretches can be beneficial.
2. Strengthening Exercises: Strengthening the core muscles is vital for supporting the lower back. Exercises like planks, bridges, and pelvic tilts can help build strength in the abdominal and lower back muscles. Start slowly and gradually increase the intensity as your strength improves.
3. Posture Training: Since you work in a job that requires prolonged standing, maintaining proper posture is crucial. Ensure that you stand with your weight evenly distributed on both feet, keep your shoulders back, and avoid slouching. Consider using supportive footwear and, if possible, anti-fatigue mats to reduce strain on your back.
4. Physical Therapy: If your pain persists, consider consulting a physical therapist. They can provide personalized rehabilitation programs, manual therapy, and modalities like ultrasound or electrical stimulation to aid recovery.
Lifestyle Modifications
1. Ergonomic Adjustments: If your job requires long hours of standing, evaluate your workspace for ergonomic improvements. Adjust your workstation to ensure it promotes good posture and reduces strain on your back.
2. Regular Breaks: Take frequent breaks to sit down, stretch, or walk around. This can help alleviate pressure on your lower back and prevent stiffness.
3. Weight Management: Maintaining a healthy weight can reduce the strain on your back. If applicable, consider a balanced diet and regular exercise to support overall health.
Preventive Measures
1. Avoid Heavy Lifting: If your job involves lifting, use proper techniques. Bend at the knees, keep the load close to your body, and avoid twisting while lifting.
2. Stay Active: Regular physical activity can strengthen your back and improve overall health. Aim for low-impact exercises like walking, swimming, or cycling.
3. Mindfulness and Relaxation Techniques: Stress can contribute to muscle tension and pain. Techniques such as yoga, meditation, or deep breathing exercises can help manage stress and promote relaxation.
Conclusion
Recovery from lower back injuries requires a multifaceted approach that includes pain management, rehabilitation exercises, lifestyle modifications, and preventive strategies. Given your history and current symptoms, it’s essential to listen to your body and consult healthcare professionals for tailored advice. If your symptoms persist or worsen, seek medical attention to rule out any underlying issues that may require more intensive treatment. Remember, consistency in your rehabilitation efforts is key to achieving long-term relief and improving your quality of life.
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