Post-Accident Recovery: Can I Still Train with Spinal Issues? - Orthopedics

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Continuation #140530 Questions Regarding Exercise


I was in a car accident and sustained a C5 injury, which caused muscle atrophy in my left arm, making it almost functionless.
I'm uncertain if my spine was injured; some doctors believe I have scoliosis based on visual inspection.
However, during a health check, the imaging results indicated no issues.
My left calf experienced severe pain for a while, but I didn't consult a doctor because I was overwhelmed with other matters.
At one point, I suspected it might be a herniated disc, but I left it untreated, and it resolved on its own after two years.
Given this situation, should I avoid activities like deep squats, as shown in this link https://tw.appledaily.com/new/realtime/20161217/1014293/, and can I still perform training postures similar to those used by kendo and baseball players? Thank you.

Nìngmíng, 20~29 year old female. Ask Date: 2018/10/15

Dr. Li Yongheng reply Orthopedics


Hello, if there is a C5 brachial plexus injury, the training postures you mentioned for simple squats, kendo, and baseball players can still be continued.
However, if there are cervical spine issues, high-intensity training is not recommended.
Thank you.

Reply Date: 2018/10/15

More Info


After a car accident, especially one that involves spinal injuries, it is crucial to approach recovery with caution and a well-informed strategy. Given your history of a C5 injury and muscle atrophy in your left arm, along with concerns about potential spinal issues, it is essential to prioritize your health and safety when considering any form of training or physical activity.

First and foremost, it is important to consult with a healthcare professional who specializes in spinal injuries, such as a neurologist or an orthopedic surgeon. They can perform a thorough evaluation, including imaging studies like X-rays or MRIs, to determine the extent of any spinal damage and to assess your overall spinal health. This is particularly important since you mentioned that some doctors have suggested the possibility of scoliosis based on visual inspection, while others have indicated no significant issues during imaging.

Once you have a clear understanding of your spinal condition, you can make more informed decisions about training. If there are no significant restrictions from your healthcare provider, you may consider engaging in low-impact exercises that promote strength and flexibility without putting undue stress on your spine. Activities such as swimming, stationary cycling, or gentle yoga can be beneficial. These exercises can help improve muscle strength, enhance flexibility, and support overall recovery without exacerbating any existing conditions.

Regarding specific activities like deep squats or martial arts training, it is vital to approach these with caution. Deep squats can place significant stress on the spine, especially if there are underlying issues such as disc herniation or spinal instability. If you have not been cleared by your healthcare provider to perform such movements, it is advisable to avoid them until you receive a comprehensive evaluation and a tailored rehabilitation plan.

Incorporating strength training can be beneficial, but it should be done under the guidance of a physical therapist or a certified trainer who understands your medical history and can modify exercises to suit your needs. They can help you develop a program that focuses on strengthening the muscles around your spine, improving your posture, and enhancing your overall functional capacity.

Additionally, consider integrating core stabilization exercises into your routine. A strong core can provide better support for your spine and may help alleviate some discomfort associated with spinal issues. Exercises such as planks, bridges, and pelvic tilts can be effective in building core strength without putting excessive strain on your back.

Lastly, always listen to your body. If you experience pain, discomfort, or any unusual symptoms during or after exercise, it is crucial to stop and consult your healthcare provider. Recovery from spinal injuries can be a gradual process, and it is essential to be patient and allow your body the time it needs to heal.

In summary, while it may be possible to engage in training and physical activities post-accident, it is imperative to do so with caution and under the guidance of healthcare professionals. Prioritize a thorough evaluation of your spinal health, consider low-impact exercises, and focus on building strength and stability in a safe manner. Your health and safety should always come first.

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