Burning sensation in the spine
Hello doctor, I haven't been feeling well for the past few days.
Last night, I felt 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, I no longer felt the burning sensation in my left leg, but instead, I experienced 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, nor have I 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 very anxious.
Based on this, do you think my symptoms are indeed due to a herniated disc? If so, is there a way to recover from it?
Ms. Chen, 10~19 year old female. Ask Date: 2021/07/13
Dr. Jiang Junyi reply Neurology
Dear Ms.
Chen,
The symptoms you mentioned may indicate 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 can leak through the tear into the damaged fibrous layer.
The previously avascular nucleus pulposus may then trigger a localized inflammatory response, resulting in lower back pain.
Additionally, dehydration and nerve inflammation can also produce similar symptoms.
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 caused by nerve compression and muscle tightness.
It is advisable for you 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 preventive measures before and after your medical visits.
Thank you for your inquiry, and feel free to discuss any related questions further!
Wishing you good health and peace,
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Medical Center
Reply Date: 2021/07/13
More Info
The burning sensation you are experiencing in your spine and legs can be concerning, especially at your young age of 18. While it is understandable to jump to conclusions about conditions like a herniated disc, it is essential to consider a broader range of potential causes and treatments.
Possible Causes
1. Nerve Compression: The symptoms you describe, particularly the burning sensation radiating from your lower back to your legs and then to your upper back, could indicate nerve compression. This can occur due to poor posture, especially if you've been sitting for long periods while studying. Prolonged sitting can lead to muscle tension and misalignment, which may irritate or compress nearby nerves.
2. Cervical or Thoracic Radiculopathy: Given that you mentioned sensations in both your lower and upper body, it's possible that you could be experiencing radiculopathy, which occurs when a nerve root in the neck or back is compressed or irritated. This can lead to symptoms such as burning, tingling, or weakness in the areas supplied by the affected nerve.
3. Muscle Strain: Sometimes, muscle strain can mimic nerve-related symptoms. If you've been sitting in a fixed position for extended periods, the muscles in your back and neck may become strained, leading to discomfort and sensations that feel like burning.
4. Other Conditions: Other potential causes could include conditions like fibromyalgia, multiple sclerosis, or even vitamin deficiencies (like B12) that can lead to nerve-related symptoms. However, these are less likely given your age and the sudden onset of symptoms.
Recommended Actions
1. Posture Correction: Since you mentioned that you have been studying a lot, it would be beneficial to evaluate your posture while sitting. Ensure that your workstation is ergonomically set up to support your back and neck. Taking regular breaks to stretch and move around can also help alleviate muscle tension.
2. Physical Therapy: Consulting a physical therapist could be advantageous. They can provide you with exercises to strengthen your back and neck muscles, improve your posture, and reduce nerve compression.
3. Diagnostic Imaging: If symptoms persist or worsen, it may be prudent to seek further evaluation from a healthcare provider. They might recommend imaging studies such as an MRI or CT scan to assess for any structural issues, including herniated discs or other abnormalities.
4. Medication: Over-the-counter pain relief medications, such as NSAIDs (e.g., ibuprofen), can help manage inflammation and discomfort. However, it is essential to consult with a healthcare provider before starting any medication.
5. Stress Management: Since you are preparing for exams, stress may also contribute to muscle tension and exacerbate your symptoms. Techniques such as mindfulness, yoga, or deep breathing exercises can help manage stress levels.
Conclusion
While your symptoms could potentially be related to a herniated disc or nerve compression, it is crucial to approach this with a comprehensive perspective. Given your age and the absence of prior symptoms, it is more likely that your discomfort stems from muscle strain or poor posture rather than a severe underlying condition. However, if your symptoms continue or worsen, seeking medical advice for a thorough evaluation is essential. Early intervention can lead to better outcomes and help you return to your normal activities without discomfort.
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