Burning Sensation in the Spine: Causes and Solutions - Neurology

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Burning sensation in the spine?


Hello Doctor, I haven't been feeling well for the past few days.
Last night, I experienced a burning sensation in my left leg, starting from my hip down to my thigh and calf (mainly concentrated in the hip and thigh).
This morning, the burning sensation in my left leg was less pronounced, but I started to feel a burning sensation in a section 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 researched 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.
Suddenly, in the past two days, I've felt pressure on my nerves and burning sensations in two different areas, which is making me extremely anxious.
Based on this, do you think my symptoms are really due to a herniated disc? If so, is there a way to recover from it?

Ms. Chen, 10~19 year old female. Ask Date: 2021/07/09

Dr. Jiang Junyi reply Neurology


Hello Ms.
Chen: The symptoms you mentioned may suggest the possibility of nerve root compression.
If your symptoms persist and progress, it may be necessary to consider some autoimmune diseases.
Pain caused by a herniated disc can have several sources, one of which is mechanical pain that can occur during daily activities.
The theory is that when the annulus fibrosus is damaged, the nucleus pulposus tissue may leak through the rupture into the damaged fibrous layer, potentially leading to a localized inflammatory response in the previously avascular nucleus, resulting in lower back pain.
I recommend that you increase your intake of B vitamins and remind yourself to stand up and stretch every half hour to avoid exacerbating symptoms due to nerve compression and muscle tightness.
It is advisable to visit a neurology clinic for further examination (imaging and nerve conduction studies may be needed to assist in diagnosis).
Please ensure self-protection, cleanliness, and disinfection before and after your medical visits, and adhere to new pandemic prevention measures.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares about you.

Reply Date: 2021/07/09

More Info


Burning sensations in the spine, particularly when they radiate down the limbs, can be concerning and may indicate a variety of underlying issues. Given your age and the symptoms you've described, it's understandable that you're feeling anxious about the possibility of a herniated disc or other serious conditions. However, let's explore the potential causes and solutions for your symptoms.


Potential Causes
1. Nerve Compression: The burning sensation you feel could be due to nerve compression, which can occur from poor posture, especially if you've been sitting for long periods while studying. This can lead to conditions such as cervical radiculopathy or thoracic outlet syndrome, where nerves in the neck or upper back are compressed, leading to sensations of burning or tingling.

2. Muscle Strain: Prolonged sitting can also lead to muscle strain in the back and shoulders. Tight muscles can irritate nearby nerves, causing discomfort that may feel like burning. This is particularly common in individuals who maintain poor posture while seated.

3. Referred Pain: Sometimes, pain or burning sensations can be referred from other areas. For instance, issues with the shoulder or upper back can manifest as sensations in the arm or neck.

4. Disc Issues: While herniated discs are more common in older adults, they can occur in younger individuals, especially if there is a history of trauma or significant physical strain. However, the absence of prior back pain or significant physical activity makes this less likely in your case.

5. Other Conditions: Conditions such as fibromyalgia, multiple sclerosis, or even vitamin deficiencies (like B12) can cause burning sensations. However, these are less common in your age group without other accompanying symptoms.


Solutions and Recommendations
1. Posture Correction: Ensure that your study area is ergonomically sound. Your chair should support your lower back, and your computer screen should be at eye level to prevent strain on your neck and shoulders. Take frequent breaks to stand, stretch, and change positions.

2. Physical Therapy: If your symptoms persist, consider consulting a physical therapist. They can provide exercises to strengthen your back and neck muscles, improve your posture, and alleviate nerve compression.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help manage discomfort. However, consult with a healthcare professional before starting any medication.

4. Diagnostic Imaging: If symptoms do not improve with conservative measures, it may be beneficial to undergo imaging studies, such as an MRI, to assess for any structural issues like a herniated disc or other abnormalities.

5. Stress Management: Since you mentioned that you are preparing for exams, stress can exacerbate physical symptoms. Techniques such as mindfulness, meditation, or yoga can help reduce anxiety and improve your overall well-being.

6. Consult a Specialist: If your symptoms continue or worsen, it may be wise to consult a neurologist or orthopedic specialist. They can provide a more comprehensive evaluation and determine if further testing is necessary.


Conclusion
While your symptoms could potentially indicate nerve involvement, it is essential to approach this with a comprehensive evaluation rather than jumping to conclusions about serious conditions like herniated discs. Many cases of burning sensations in the spine can be managed effectively with lifestyle changes, physical therapy, and proper ergonomic practices. Always consult with a healthcare professional for personalized advice and treatment options tailored to your specific situation. Remember, early intervention often leads to better outcomes, so don’t hesitate to seek help if your symptoms persist.

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