Spinal Burning Sensation: Causes and Treatment Options - Neurology

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Burning sensation in the spine?


Hello doctor, I have been feeling unwell for the past few days.
Last night, I experienced a burning sensation in my left leg, starting from my hip and extending down to my thigh and calf (mainly concentrated in the hip and thigh).
When I woke up this morning, the burning sensation in my left leg was not as pronounced, but instead, I felt a burning sensation in a segment of my spine just above the shoulder line (I'm not sure if it's thoracic or cervical).
Occasionally, I also feel a bit of warmth in my left upper arm and shoulder.
I looked online, and most sources suggest it could be a herniated disc, but I'm only 18 years old.
I've been sitting for long periods due to exams over the past few months, but I've never experienced any back pain, neck stiffness, or discomfort before, and I haven't engaged in any intense physical activity.
This sudden onset of nerve compression and burning sensation in two different areas has made me extremely anxious.
Based on my symptoms, could it really be a herniated disc? If so, is there a way to recover from it?

Ms. Chen, 10~19 year old female. Ask Date: 2021/07/08

Dr. Jiang Junyi reply Neurology


Hello, Miss:
The symptoms you mentioned may suggest the possibility of nerve root compression.
Pain caused by a herniated disc can have several sources.
One of them is mechanical pain, which can occur during daily activities.
The theory is that when the annulus fibrosus is damaged, the nucleus pulposus may leak through the rupture into the damaged fibrous layer.
The nucleus pulposus, which originally lacks blood supply, may then trigger a localized inflammatory response, resulting in lower back pain.

I recommend that you increase your intake of B vitamins and remind yourself to get up every half hour to perform stretching exercises to avoid exacerbating symptoms due to nerve compression and muscle tightness.
It would be advisable to visit a neurology clinic for further examination and follow-up (imaging and nerve conduction studies may be needed to assist in diagnosis).
Please ensure to practice self-protection, maintain cleanliness and disinfection, and adhere to new pandemic prevention measures before and after your medical visits.
Thank you for your inquiry.
If you have any related questions, feel free to discuss further! Wishing you good health and peace.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares for you.

Reply Date: 2021/07/08

More Info


The burning sensation you are experiencing in your spine and legs can indeed be concerning, especially at such a young age. While many online resources may suggest that these symptoms are indicative of a herniated disc, it is essential to consider a broader range of potential causes, particularly given your age and the context of your symptoms.

Firstly, the burning sensation you described, which radiates from your lower back to your legs and then shifts to your upper back and shoulder area, could be related to nerve irritation or compression. This is often seen in conditions such as sciatica, where the sciatic nerve is affected, leading to sensations of burning, tingling, or numbness in the legs. However, given that you have not experienced any prior back pain or discomfort, it may be less likely that a herniated disc is the sole cause.

Another possibility is that your symptoms could be related to prolonged periods of sitting, especially during exam preparation. Sitting for extended periods can lead to muscle tension and postural issues, which may irritate the nerves in the spine. This irritation can manifest as burning sensations or discomfort in various areas of the body. Additionally, if you have been under significant stress due to exams, this could contribute to muscle tension and exacerbate your symptoms.

It is also worth considering other factors, such as vitamin deficiencies (especially B vitamins), which can lead to neurological symptoms, or even autoimmune conditions that can cause nerve-related symptoms. Given the complexity of the nervous system and the various potential causes of your symptoms, it is crucial to seek a thorough evaluation from a healthcare professional.

In terms of treatment, if your symptoms are indeed related to nerve irritation or compression, there are several options available. Conservative management typically includes physical therapy, which can help strengthen the muscles supporting your spine and improve your posture. Stretching exercises and ergonomic adjustments to your study environment can also alleviate pressure on the nerves. Additionally, incorporating regular breaks during long study sessions to stand, stretch, and move around can be beneficial.

If your symptoms persist or worsen, further diagnostic imaging, such as an MRI, may be necessary to rule out structural issues like a herniated disc or other spinal abnormalities. In some cases, medications to manage pain and inflammation may be prescribed, and in rare instances, surgical intervention may be considered if conservative treatments fail.

In summary, while a herniated disc is one potential cause of your symptoms, it is essential to consider other factors, especially given your age and the context of your symptoms. A comprehensive evaluation by a healthcare professional is crucial to determine the underlying cause and appropriate treatment plan. Remember to take care of your body, maintain good posture, and listen to your symptoms as you navigate your studies.

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