Cold Sensitivity, Sweating Issues, and Back Pain in Young Adults

Since childhood, I have been sensitive to cold and have difficulty sweating. Recently, I have been experiencing lower back pain and have scoliosis?

Since I can remember, I have been someone who has difficulty sweating.
Even when exercising on hot summer days, my skin only becomes slightly damp; after raking leaves in long sleeves and pants for half a day in the heat, only the waistband of my clothing feels moist.
I admit that I don't drink much water, but it shouldn't be this hard to sweat.
Sometimes I feel overheated but still can't sweat to cool down, relying instead on external methods to dissipate heat.
I am more sensitive to cold than others; even in summer, while others sleep with air conditioning, I don’t need it.
However, in autumn, I tend to wear more layers, and in winter, my hands and feet can be cold.
My menstrual periods are not painful; until around the age of 20, I would feel discomfort in my abdomen on the first day, but now I only experience lower back soreness without abdominal pain during my periods.

I know this is related to exercise, and I don't enjoy it.
Since my twenties, I have become increasingly sedentary, spending my time sleeping, working, and using my phone.
I stand for eight hours at work, and after work, I sit or lie down while using my phone before sleeping.
I once visited a neurology clinic because I injured my back while lifting heavy objects incorrectly at work.
The pain was severe, and the doctor only adjusted my spine, recommending rehabilitation, heat therapy, and electrical stimulation.
However, since I still have to lift things at work, my back hasn’t improved.
I later researched online and became concerned about possible scoliosis or pelvic tilt affecting my back's recovery.
When I lie flat and raise one leg to a 90-degree angle with my back, I can't fully extend my leg and it bends, feeling very tight.
Additionally, when I lie flat and raise one bent leg, my thigh cannot touch my chest.
When I squat and bring my thighs close to my chest, my lower back hurts significantly, making it impossible to press tightly.
To summarize my questions:
1.
Is it okay for me to brew a small bag of American ginseng tea since I am sensitive to cold? Can American ginseng help improve my cold intolerance?
2.
I have had blood tests at the hospital that showed no thyroid issues, but my mother has hyperthyroidism.
Is my risk of developing hypothyroidism higher?
3.
Can my lower back issues be improved with plank exercises and the prone double leg lift to address pelvic tilt and other symptoms?
4.
At 25 years old, before my injury, I had difficulty using my legs when squatting and lifting heavy objects.
A practitioner I consulted said that my lumbar spine curves inward, which makes my lower back sore and affects my ability to use my legs when lifting.
Is this assessment correct from a traditional Chinese medicine perspective?
Thank you, doctor, for taking the time to read my questions.
I sincerely hope you can provide me with answers.
Thank you.

Pa Leng De Nu Ren, 20~29 year old female. Ask Date: 2019/12/01

Dr. He Yujun reply Traditional Chinese Medicine

1.
In Traditional Chinese Medicine, being sensitive to both heat and cold is considered a sign of Qi deficiency.
As long as you do not have a sore throat, fever, or inflammation in other parts of your body, it is acceptable to drink a little American ginseng tea.

2.
Thyroid diseases come in various forms.
Current research suggests that if it is caused by an autoimmune disease, there may be a higher likelihood of genetic predisposition; however, it still depends on environmental factors, so there is no need for excessive concern.
3.
Pelvic misalignment is often caused by poor posture rather than external forces.
Paying attention to proper posture in daily activities is more beneficial than merely engaging in exercises.
If you experience chronic lower back pain, consider whether your constitution is relatively weak, as this may lead to muscle and ligament weakness.
Over time, this can result in minor pelvic misalignments, which may require medication for adjustment.
4.
The normal physiological curvature of the lumbar spine certainly has an impact, but it is essential to consider other diagnostic factors as well.

Reply Date: 2019/12/01

More Info

Your concerns about cold sensitivity, difficulty sweating, and back pain are quite complex and multifaceted. Let's break down your questions and provide a comprehensive understanding of your situation.

1. Cold Sensitivity and Ginseng: Your purchase of ginseng to help with your cold sensitivity is a common approach in traditional medicine. Ginseng is believed to have adaptogenic properties, which may help the body adapt to stressors, including temperature changes. However, scientific evidence supporting ginseng's effectiveness for cold sensitivity is limited. It's essential to maintain a balanced diet and consider other lifestyle changes, such as staying hydrated and engaging in regular physical activity, which can improve your overall health and potentially help with your sensitivity to cold.

2. Thyroid Concerns: Given your family history of hyperthyroidism (your mother’s condition), it’s understandable to be concerned about your thyroid health. While having a family history can increase your risk for thyroid disorders, it does not guarantee that you will develop one. Regular check-ups and blood tests can help monitor your thyroid function. If you experience symptoms such as fatigue, weight changes, or mood fluctuations, it would be wise to consult with an endocrinologist for a thorough evaluation.

3. Improving Back Pain and Posture: Regarding your back pain and concerns about pelvic alignment, exercises like planks and the two-headed raise can indeed strengthen your core and back muscles, which may help alleviate some pain and improve posture. However, it’s crucial to perform these exercises with proper form to avoid exacerbating your condition. Consulting a physical therapist could provide you with a tailored exercise program that addresses your specific needs, including flexibility and strength training.

4. Muscle Tightness and Movement Limitations: Your difficulty in straightening your leg and the pain when squatting could indicate muscle tightness or potential mobility issues. Regular stretching and mobility exercises can help improve flexibility. Additionally, if you have concerns about scoliosis or pelvic tilt, a physical therapist can assess your posture and recommend specific exercises to address these issues.

5. Lifestyle Factors: Your current lifestyle, which includes prolonged periods of inactivity and poor hydration, can significantly impact your overall health. Incorporating regular physical activity, even light exercises or stretching, can enhance circulation, improve muscle tone, and potentially alleviate some of your symptoms. Aim for at least 150 minutes of moderate aerobic activity each week, along with strength training exercises on two or more days.

6. Psychological Factors: It’s also worth considering the psychological aspects of your symptoms. Stress and anxiety can manifest physically, leading to muscle tension and pain. Mindfulness practices, such as yoga or meditation, can help manage stress and improve your overall well-being.

In summary, while ginseng may offer some benefits, it should not replace a holistic approach to your health. Regular check-ups, a balanced diet, hydration, physical activity, and possibly consulting with healthcare professionals like a physical therapist or endocrinologist can provide you with a comprehensive strategy to address your concerns. Remember, it’s essential to listen to your body and seek professional advice tailored to your unique situation.

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