Deadlift Injury: Back Pain and Recovery Tips - Rehabilitation

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Deadlift. Lower back pain, seeking consultation, but have some questions?


On January 28th, I went to the gym to perform deadlifts.
I usually lift 100 kg, but on that day, my form was unstable for a moment, and I seemed to have strained something.
The rehabilitation department was closed that day, so I rested at home for two days and did some light self-massage.
I pressed on a very painful spot near my lower left back next to the spine, which caused significant pain in my left leg.
On February 1st, I visited the rehabilitation department at Renai Hospital.
The doctor took X-rays and diagnosed a strain, noted scoliosis, and identified an additional vertebra.
After prescribing medication and an injection, my visit concluded.

My question is, I am showing signs of recovery, but I still have difficulty bending.
I can slowly bend while sitting, but when I try to stand up, my back hurts.
There has been improvement, but my leg still hurts, and now it occasionally feels slightly numb.
I'm uncertain about this numbness.
In the morning, my leg still experiences pain, which feels like tightness from not stretching enough.
I also cannot run, as both my heel and back hurt, but I have noticed an increase in my bending range.
Is there anything I should be cautious about, or is there additional information that the doctor may not have provided that could be helpful?

Lin, 20~29 year old female. Ask Date: 2021/02/02

Dr. Wang Zhaomin reply Rehabilitation


Based on the description, it is possible that there is a muscle strain, but it may also be accompanied by conditions such as nerve compression.
If there is lower back pain, medication and rehabilitation therapy may be administered, along with rest and the use of supportive devices.
A proper assessment can only be made through an in-person examination; online consultations cannot replace an actual visit.
Please go to an orthopedic or rehabilitation clinic for an accurate diagnosis and to receive appropriate medication or rehabilitation treatment.

Reply Date: 2021/02/02

More Info


It sounds like you have been dealing with a challenging recovery process following your deadlift injury. Based on your description, it appears that you may have sustained a muscle strain in your lower back, potentially exacerbated by an underlying spinal condition such as scoliosis or an additional vertebra. Here’s a comprehensive overview of your situation and some recovery tips.


Understanding Your Injury
1. Muscle Strain: When you mentioned that you felt a sharp pain after lifting, it is likely that you strained the muscles in your lower back. Muscle strains occur when the muscle fibers are overstretched or torn, which can happen during heavy lifting, especially if proper form is not maintained.

2. Spinal Issues: The mention of scoliosis and an extra vertebra could complicate your recovery. Scoliosis can lead to uneven stress on the spine and surrounding muscles, making them more susceptible to injury. The presence of an additional vertebra might also affect your spinal mechanics.

3. Nerve Involvement: The pain radiating down your left leg and the sensation of numbness could indicate nerve involvement, possibly due to irritation or compression of the nerves exiting the spine. This is often referred to as sciatica, which can occur when a herniated disc or tight muscles compress the sciatic nerve.


Recovery Tips
1. Rest and Activity Modification: Initially, it is crucial to rest and avoid activities that exacerbate your pain. However, complete bed rest is not recommended as it can lead to stiffness. Gradually reintroduce light activities as tolerated.

2. Physical Therapy: Since you have already seen a rehabilitation specialist, continuing physical therapy is essential. A physical therapist can provide targeted exercises to strengthen your core and back muscles, improve flexibility, and enhance your posture, which is vital for preventing future injuries.

3. Pain Management: Continue with any prescribed medications for pain relief. Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) can also help reduce inflammation and pain. If you experience significant discomfort, consult your doctor about possible injections or alternative pain management strategies.

4. Stretching and Strengthening: Incorporate gentle stretching exercises to improve flexibility in your lower back and legs. Strengthening exercises for your core, hips, and back can help support your spine and reduce the risk of re-injury. Focus on exercises that promote stability and balance.

5. Posture Awareness: Pay attention to your posture during daily activities and while exercising. Proper alignment can alleviate undue stress on your back. Consider using ergonomic furniture or supports if you sit for extended periods.

6. Gradual Return to Activity: As you start to feel better, gradually return to your regular workout routine. Start with lighter weights and focus on form to prevent re-injury. Avoid high-impact activities until you have fully recovered.

7. Monitor Symptoms: Keep track of your symptoms. If you notice any worsening pain, increased numbness, or new symptoms, contact your healthcare provider promptly. This could indicate a need for further evaluation or a change in your treatment plan.

8. Lifestyle Modifications: Maintain a healthy weight, as excess weight can put additional strain on your back. Incorporate a balanced diet rich in anti-inflammatory foods, such as fruits, vegetables, and omega-3 fatty acids, to support your recovery.


Conclusion
In summary, while it seems you are on the path to recovery, it is essential to remain vigilant about your symptoms and adhere to a structured rehabilitation program. Regular follow-ups with your healthcare provider and physical therapist will help ensure that you are progressing appropriately. Remember, recovery from a back injury can take time, and patience is key. If you have any concerns or if your symptoms change, do not hesitate to seek further medical advice.

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