The lumbar spine feels unusual?
Hello Dr.
Chang,
I apologize for the lengthy message.
This morning, after using the restroom, I suddenly felt something unusual in my lumbar spine (it wasn't painful).
After struggling to finish, I noticed that walking felt strange (again, not painful, just an odd sensation).
Later in the afternoon, while sitting in a chair, I turned and felt an even stranger sensation in my lower back, which made me involuntarily shout (still not painful).
At that moment, I felt so anxious that I wanted to stand up, but then I started feeling increasingly dizzy.
After taking just a few steps, I suddenly felt weak and lost consciousness for about ten seconds (this was mainly reported by my husband).
After lying down in bed, I felt a bit better, but I have to move my legs slowly because my lower back still feels inexplicably strange—it's not painful, but uncomfortable.
This has never happened before; it's the first time.
(I called the hospital, and they initially assessed that I don't urgently need to go to the emergency room.)
I would like to ask the doctor what might be happening to me.
Is this a herniated disc or a dislocation? (But I don't feel any pain...) What direction or keywords should I use to find a doctor? Thank you very much, doctor.
Xue Li, 20~29 year old female. Ask Date: 2019/03/18
Dr. Zhang Junwei reply Neurosurgery
I recommend that you schedule an appointment with a neurosurgery clinic for an examination; it will be safer and give you peace of mind.
Reply Date: 2019/03/18
More Info
Hello, thank you for sharing your concerns regarding the unusual sensations you are experiencing in your spine and the accompanying symptoms. Based on your description, it seems that you are encountering a combination of sensory disturbances and possibly some autonomic responses, which can be quite concerning.
Firstly, the sensations you describe—feeling "weird" or "not right" in your spine without pain—could be indicative of several underlying issues. It is important to note that the absence of pain does not rule out a serious condition. The spine is a complex structure, and various factors can contribute to the sensations you are experiencing.
1. Nerve Compression or Irritation: The spine houses the spinal cord and numerous nerve roots that can be affected by conditions such as herniated discs, spinal stenosis, or degenerative disc disease. Even if you are not experiencing pain, these conditions can lead to abnormal sensations, tingling, or a feeling of weakness in the legs. The fact that you felt dizzy and faint after the episode could suggest that there was some transient disruption in your nervous system, possibly related to the spinal nerves.
2. Autonomic Nervous System Response: The autonomic nervous system controls involuntary bodily functions, including heart rate and blood pressure. The sensation of dizziness and feeling faint could indicate a vasovagal response, which can occur due to anxiety or sudden changes in posture. This response can sometimes be triggered by unusual sensations in the body, including those originating from the spine.
3. Muscle Spasms or Tension: Sometimes, unusual sensations can be attributed to muscle spasms or tension in the back. This can occur after sudden movements or awkward positions, leading to a feeling of discomfort or instability without actual pain.
4. Psychosomatic Factors: Stress and anxiety can manifest physically, leading to sensations that may not have a clear physiological cause. If you were feeling anxious or stressed prior to these episodes, it could contribute to the sensations you are experiencing.
Given these possibilities, it is advisable to seek medical attention, especially since this is a new occurrence for you. Here are some steps you can take:
- Consult a Neurologist: Since you are experiencing unusual sensations and some autonomic symptoms, a neurologist would be well-equipped to evaluate your condition. They may perform a neurological examination and possibly recommend imaging studies, such as an MRI of the spine, to rule out any structural issues.
- Physical Examination: A thorough physical examination can help identify any signs of nerve involvement or muscle dysfunction. The doctor may assess your reflexes, strength, and sensory responses.
- Consider a Comprehensive Approach: If the neurologist does not find any significant neurological issues, you may want to consider consulting a physical therapist or a chiropractor who specializes in spinal health. They can help assess your posture, spinal alignment, and muscle tension.
- Monitor Symptoms: Keep a detailed record of your symptoms, including when they occur, their duration, and any associated factors (such as stress or physical activity). This information can be valuable for your healthcare provider.
In summary, while the absence of pain is a positive sign, the unusual sensations and accompanying symptoms warrant further evaluation. It is essential to address these concerns promptly to ensure that any underlying issues are identified and managed appropriately. Please do not hesitate to seek medical advice, as early intervention can often lead to better outcomes. Wishing you the best in your health journey!
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