Minor Injuries: Do Slips Cause Serious Back Issues? - Family Medicine

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Hello, Doctor:
I was cleaning the floor at home when it was wet, and while stepping on a mat, I slipped slightly but did not fall.
Currently, I don't feel any unusual pain when bending or twisting, just a slight soreness when bending.
I would like to know if such a minor slip could still cause a back strain, even though I am still young.
I'm not very clear on the symptoms of a back strain.
My family suggested I buy some pain relief ointment, but I am more concerned about whether this slip could have caused any bone displacement, dislocation, or fracture.

In the past, a family member was in a minor car accident, and although they initially said they only had abrasions, a month later they reported a spinal dislocation and depression.
Even the mediator later said we encountered someone trying to scam us.
However, I am unsure if bones can easily dislocate like that.
Since I am currently in Tokyo and there is a sense of danger due to the pandemic, I would prefer not to go to a large hospital unless absolutely necessary.
I hope you can provide me with answers and advice on whether I should just apply ointment, or if I should use ice or heat therapy.
Thank you.

amanda, 20~29 year old female. Ask Date: 2020/04/30

Dr. Xiao Yongxun reply Family Medicine


Dear Ms.
Amanda:
1.
Theoretically, at the age of 20, the likelihood of sustaining a fracture or a spinal dislocation from a minor slip while walking is low, unless there are underlying conditions such as osteoporosis, chondrodysplasia, or congenital fibrous dysplasia.
However, muscle strains or discomfort are possible.
Clinically, it is recommended to apply ice to the injured area for 48 to 72 hours to reduce inflammation and prevent swelling; thereafter, heat therapy can be used to improve blood circulation and promote recovery of the affected area.
If you wish to use topical analgesic patches, that is also acceptable.

2.
If you continue to experience issues or if the localized condition does not improve, it is advisable to consult with your family physician or visit an orthopedic clinic for further evaluation.

Reply Date: 2020/04/30

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the minor slip you experienced while cleaning your floor. It’s understandable to feel anxious about potential injuries, especially given your previous experiences with family members and their health issues. Let’s address your concerns step by step.

Firstly, it’s important to clarify that while slips can lead to injuries, not every slip results in significant harm. In your case, since you did not fall but merely experienced a momentary slip, the likelihood of a serious injury such as a fracture or dislocation is relatively low, especially if you are not experiencing severe pain or significant limitations in movement. However, it is still possible to experience minor strains or sprains in the muscles or ligaments surrounding the lower back, which could explain the mild soreness you mentioned when bending.

The symptoms of a muscle strain can vary, but they often include localized pain, stiffness, and sometimes swelling. In your case, the "soreness" you feel when bending could indicate a mild strain, which is common after sudden movements or awkward positions, even if they don’t result in a fall. Given your young age and presumably good health, your body is generally resilient and capable of healing from minor injuries effectively.

Regarding your concerns about serious injuries like bone displacement or fractures, it is important to note that such injuries typically present with more pronounced symptoms, including severe pain, inability to move the affected area, swelling, and sometimes visible deformity. If you are not experiencing these symptoms, it is unlikely that you have sustained a serious injury.

In terms of management, here are some recommendations:
1. Rest: Give your body time to recover. Avoid any activities that exacerbate the soreness.

2. Ice Therapy: Applying ice to the affected area can help reduce any swelling and alleviate pain. Ice should be applied for 15-20 minutes every hour as needed, especially in the first 48 hours after the incident.

3. Heat Therapy: After the initial 48 hours, if you still feel soreness, you may switch to heat therapy. Applying heat can help relax and loosen tissues and stimulate blood flow to the area.

4. Over-the-Counter Pain Relief: If you feel discomfort, using over-the-counter pain relief medications such as acetaminophen or ibuprofen can be beneficial. These medications can help reduce pain and inflammation.

5. Gentle Stretching: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore flexibility and strength to the back muscles. However, avoid any movements that cause pain.

6. Monitor Symptoms: Keep an eye on your symptoms. If you notice any worsening of pain, new symptoms (like numbness or tingling), or if you develop significant limitations in movement, it would be prudent to seek medical attention.

Lastly, regarding your concerns about visiting a hospital during the pandemic, it’s understandable to be cautious. However, if your symptoms worsen or if you have any doubts about your condition, it’s always better to consult a healthcare professional. Many clinics also offer telehealth services, which can be a safer alternative for initial consultations.

In conclusion, while your slip may have caused some mild discomfort, it is unlikely to result in serious injury. With appropriate self-care, you should be able to manage your symptoms effectively. If you have any further concerns or if your condition changes, please do not hesitate to seek medical advice.

Take care, and I wish you a speedy recovery!
Best regards.

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