Strains and Fractures: When to Seek Orthopedic Advice

Inquire about the possibility of a strain or fracture?

Hello, Doctor.
While I was mopping the floor, I accidentally slipped a bit, but I didn't fall; I just twisted my body and spread my legs.
I'm not sure if this could have caused a strain in my lower back or a fracture.
Currently, I don't feel any discomfort when turning or bending over, except for a slight soreness in my tailbone, which I wonder if it might be from exercising too long yesterday without proper stretching.
Recently, my father had a minor car accident where he slightly brushed against someone, and he was diagnosed with a dislocated coccyx and some psychological issues, which resulted in a significant compensation amount.
This is a side note, but it makes me worry about how easily the coccyx can dislocate.
Am I at risk of a fracture or dislocation? I'm really unsure, so I thought I would reach out to you first.
Since I don't have any significant discomfort, I'm not sure if it would be appropriate to see an orthopedic doctor.
I plan to observe for a couple of days, and if nothing happens, I might just take my brother's advice that it’s probably just a strain and not something to worry too much about.
Lastly, I would like to ask you about the joints in my arms or thighs where they connect to my body; sometimes when I move them, they make sounds.
Is this a normal phenomenon? Although there is no pain, it feels a bit concerning.
I apologize for the lengthy questions and appreciate your response!

P, 10~19 year old female. Ask Date: 2020/04/26

Dr. Shi Guozheng reply Orthopedics

It is normal to hear sounds; a strain is possible, but it is not easy for a bone to dislocate.

Reply Date: 2020/04/26

More Info

When it comes to understanding strains and fractures, particularly in the context of your recent experience while cleaning, it's important to consider several factors before deciding whether to seek orthopedic advice. Based on your description, it seems that you experienced a sudden movement that could potentially lead to a strain or even a fracture, but you are currently not experiencing significant discomfort aside from mild soreness in your tailbone area.

Understanding Strains and Fractures
Strains occur when muscles or tendons are stretched or torn, often due to sudden movements or overexertion. Symptoms typically include pain, swelling, and limited range of motion. Fractures, on the other hand, involve a break in the bone and can result from trauma, such as a fall or a sudden impact. Symptoms of a fracture may include severe pain, swelling, bruising, and an inability to use the affected limb.

When to Seek Orthopedic Advice
Given that you are currently experiencing only mild discomfort when bending at the tailbone, it may not be necessary to seek immediate orthopedic consultation. However, there are specific signs that warrant a visit to an orthopedic specialist:
1. Severe Pain: If you experience sharp or severe pain that does not improve with rest or over-the-counter pain medication.

2. Swelling or Bruising: Significant swelling or bruising around the area of concern can indicate a more serious injury.

3. Inability to Move: If you find it difficult to move your leg or back without pain, this could suggest a more serious issue.

4. Persistent Symptoms: If your symptoms persist or worsen over the next few days, it would be wise to consult a healthcare professional.

5. Deformity: Any visible deformity or abnormal positioning of the limb should be evaluated immediately.

Tailbone Concerns
Regarding your concerns about the tailbone (coccyx) and its susceptibility to injury, it is indeed possible to sustain a coccyx injury from sudden movements or falls. However, the coccyx is generally resilient, and injuries often result from direct trauma rather than minor strains. If you are only experiencing mild soreness, it may be related to muscle strain rather than a fracture.

Joint Sounds
You also mentioned experiencing sounds in your joints, such as popping or cracking when moving your arms or legs. This phenomenon, known as crepitus, is common and can occur for various reasons, including:
- Gas Bubbles: The release of gas bubbles in the synovial fluid of the joints can create popping sounds.

- Tendon Movement: Tendons may snap over bony prominences during movement, causing a sound.

- Cartilage Wear: In some cases, it may indicate wear and tear of the cartilage, especially if accompanied by pain or swelling.

If these sounds are not associated with pain or discomfort, they are generally considered normal. However, if you begin to experience pain or if the sounds become more pronounced, it would be prudent to consult an orthopedic specialist.

Conclusion
In summary, while your current symptoms do not seem to indicate a serious injury, it is wise to monitor your condition over the next few days. If any concerning symptoms arise, do not hesitate to seek medical advice. Understanding your body and recognizing when to seek help is crucial in preventing further injury and ensuring proper recovery. If you have any lingering doubts or if your symptoms change, consulting with an orthopedic professional can provide peace of mind and appropriate care.

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