Right Side Lower Back Numbness: Causes and Treatment Options

Numbness in the right lower abdomen (right side of the navel)?

Hello, doctor.
I have been experiencing numbness in my right lower back for five days.
It goes away for a while when I scratch it, but the numb sensation comes back intermittently.
I realized that the day before the numbness started, I had a massage after work, which made me wonder if I might have compressed my spine.
(It’s also possible that my prolonged sitting and poor posture contributed to this.) Although it hasn’t directly affected my daily life yet, it is quite bothersome.
Could you please advise me on where to seek medical attention? Should I go to a physical therapy clinic or see a neurologist? Additionally, are there any movements or exercises I can do to alleviate this discomfort?

TT, 20~29 year old female. Ask Date: 2020/07/22

Dr. Jiang Junyi reply Neurology

Hello, based on your description, your symptoms may be related to a lumbar disc herniation.
Symptoms often worsen with coughing or sneezing, which can exacerbate nerve root pain.
A disc protruding posteriorly or posterolaterally can compress the nerve roots, leading to clinical symptoms.
Diagnosis includes a clinical neurological examination, electromyography (EMG), somatosensory evoked potentials, lumbar X-rays, and possibly MRI.
Treatment for disc herniation is determined based on the severity of pain and the extent of nerve root or spinal cord compression.
Most symptoms are temporary and respond well to conservative treatments (such as medication and physical therapy).
If symptoms persist after 6 to 12 weeks of treatment, surgical intervention may need to be considered.
It is advisable to consult a neurologist or a rehabilitation physician to discuss evaluation and treatment options.
Wishing you good health and well-being.
Dr.
Jiang, Neurology Department, cares about you.

Reply Date: 2020/07/22

More Info

Understanding the causes and treatment options for right side lower back numbness is essential for addressing your discomfort. Based on your description, it seems that your symptoms may be related to a combination of factors, including poor posture, prolonged sitting, and possibly muscle strain or nerve compression.

Possible Causes
1. Nerve Compression: The numbness you are experiencing could be due to compression of the nerves in the lumbar region of your spine. This can occur from herniated discs, bone spurs, or other spinal issues that may press on the nerves. Given that you mentioned a recent massage, it’s possible that certain movements or pressure during the massage may have exacerbated an existing condition.

2. Muscle Strain: Poor posture, especially from prolonged sitting, can lead to muscle imbalances and strain. This strain can sometimes mimic nerve-related symptoms, leading to feelings of numbness or tingling.

3. Sciatica: If the numbness radiates down your leg, it could be indicative of sciatica, which is caused by irritation or compression of the sciatic nerve. This condition often results from herniated discs or spinal stenosis.

4. Referred Pain: Sometimes, issues in the lower back can cause referred sensations in other areas, including numbness in the lower back or legs.

Recommended Actions
1. Consult a Healthcare Professional: Given that your symptoms have persisted for five days, it would be wise to consult a healthcare professional. You can start with a visit to a physical therapist who specializes in musculoskeletal issues. They can assess your posture, movement patterns, and any underlying conditions. If necessary, they may refer you to a neurologist or orthopedic specialist for further evaluation.

2. Physical Therapy: Engaging in physical therapy can help address muscle imbalances, improve posture, and strengthen the core and back muscles. A physical therapist can provide tailored exercises to alleviate your symptoms and prevent future occurrences.

3. Posture Correction: Focus on maintaining good posture while sitting. Ensure your workstation is ergonomically set up to support your back. Use a chair that provides lumbar support, and try to keep your feet flat on the ground with your knees at a 90-degree angle.

4. Stretching and Strengthening Exercises: Incorporate gentle stretching and strengthening exercises into your routine. Stretching the hip flexors, hamstrings, and lower back can help relieve tension. Strengthening the core and back muscles can provide better support for your spine.

5. Heat and Cold Therapy: Applying heat or cold packs to the affected area can help alleviate discomfort. Heat can relax tight muscles, while cold can reduce inflammation.

6. Avoid Prolonged Sitting: Take regular breaks to stand, stretch, and move around. This can help reduce the strain on your back and improve circulation.

7. Mindfulness of Activities: Be mindful of your movements, especially when lifting or bending. Use proper techniques, such as bending at the knees rather than the waist, to avoid unnecessary strain on your back.

Conclusion
While the numbness you are experiencing may not currently interfere significantly with your daily life, it is essential to address it proactively to prevent potential complications. Consulting with a healthcare professional, engaging in physical therapy, and making lifestyle adjustments can significantly improve your symptoms and overall spinal health. Remember, early intervention is key to preventing chronic issues, so don’t hesitate to seek help.

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