Numbness and Burning Sensation in the Back

Q: Numbness and Burning Sensation in the Back

Hello： Based on your description, it may be necessary to consider cervical spine disorders, primarily symptoms occurring at the C5-C6 vertebrae. <br>External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation c

Numbness and burning sensation in the back?

Hello, doctor.
This morning when I went to work, I felt numbness and a burning sensation in my back, which extended up to my shoulders, with more pronounced numbness on the right shoulder.
Could this be related to the fact that I've been sweating a lot lately? I've been working in the basement frequently, where it's quite stuffy, and I've been sweating particularly a lot, especially on my back.

Mr. Tu, 30~39 year old female. Ask Date: 2020/07/09

Dr. Jiang Junyi reply Neurology

Hello: Based on your description, it may be necessary to consider cervical spine disorders, primarily symptoms occurring at the C5-C6 vertebrae.
External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation can lead to cervical instability, dislocation, and cervical disc herniation.
When cervical nerve root pathology occurs, typical discomfort symptoms include pain in the shoulder or arm, as well as numbness, tingling, and weakness in the palm and fingers.

Treatment can be divided into pharmacological therapy: When nerves are compressed, an inflammatory response occurs, leading to symptoms such as pain, numbness, and weakness.
Non-steroidal anti-inflammatory drugs (NSAIDs) are used for treatment as they have both anti-inflammatory and analgesic effects, which can reduce the inflammatory response and alleviate pain.

Physical therapy includes:
1.
Heat therapy: Primarily increases local blood circulation and improves muscle ischemia.
2.
Shortwave and ultrasound therapy: Mainly promotes blood circulation in deeper tissues.
3.
Transcutaneous electrical nerve stimulation (TENS) and medium-frequency vector interference current: Can provide local pain relief and alleviate tension discomfort in the neck and shoulders.
4.
Cervical traction: Commonly used for degenerative cervical arthritis, disc herniation (cervical osteophytes), with associated nerve root compression, and cervical injuries without fractures or joint instability, but with nerve compression.
Cervical traction can be utilized for rehabilitation, and X-ray examination is required beforehand to confirm joint stability.
Cervical collars: Used to prevent cervical instability and avoid more severe nerve tissue damage, suitable for injuries such as sports injuries, car accidents, or falls that cause excessive flexion or extension of the cervical spine.

I recommend consulting with a neurologist or rehabilitation specialist to discuss examination and treatment options.
Wishing you good health and peace.

Dr.
Jiang, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2020/07/09

More Info

The sensations of numbness and burning in the back, particularly when they extend to the shoulders, can be indicative of several underlying issues. While it may be tempting to attribute these sensations to external factors such as excessive sweating or environmental conditions, it is essential to consider the possibility of neurological or musculoskeletal causes.

Firstly, the burning sensation and numbness you are experiencing could be related to nerve compression or irritation. Conditions such as a herniated disc or bulging disc in the cervical or thoracic spine can lead to pressure on the spinal cord or nerve roots, resulting in symptoms like numbness, tingling, and burning sensations. The fact that you mentioned the right shoulder is more affected could suggest that a specific nerve root is being compressed, possibly due to a cervical spine issue.

Additionally, poor posture, especially if you are working in a confined space like a basement, can contribute to muscle tension and nerve irritation. If you are sitting for prolonged periods or in awkward positions, this can lead to muscle strain and exacerbate any existing spinal issues. The combination of sweating and a humid environment may also lead to discomfort, but it is unlikely to be the primary cause of neurological symptoms.

Another consideration is the possibility of peripheral neuropathy, which can be caused by various factors, including diabetes, vitamin deficiencies, or other systemic conditions. If you have any underlying health conditions, such as autoimmune diseases or metabolic disorders, these could also contribute to your symptoms.

To address your concerns, it is advisable to take the following steps:
1. Posture and Ergonomics: Evaluate your work environment and posture. Ensure that your workstation is ergonomically designed to minimize strain on your back and neck. Take regular breaks to stretch and move around.

2. Hydration and Temperature Control: Since you mentioned sweating a lot, ensure you stay hydrated, as dehydration can exacerbate muscle cramps and discomfort. If possible, try to regulate the temperature in your workspace to avoid excessive sweating.

3. Consult a Healthcare Professional: Given the persistence and nature of your symptoms, it would be prudent to consult a healthcare professional, such as a neurologist or orthopedic specialist. They may recommend imaging studies, such as an MRI, to assess for any structural issues in the spine or other potential causes of your symptoms.

4. Physical Therapy: If nerve compression or musculoskeletal issues are identified, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the muscles supporting your spine, improve flexibility, and alleviate nerve compression.

5. Monitor Symptoms: Keep track of your symptoms, noting any changes or patterns. This information can be valuable for your healthcare provider in determining the underlying cause and appropriate treatment.

In conclusion, while environmental factors like sweating and humidity can contribute to discomfort, the symptoms you describe warrant further investigation to rule out any serious underlying conditions. Early intervention can lead to better outcomes and help prevent the progression of any potential issues.

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