Post-Cycle Crash Back Pain: Recovery and Treatment Options - Rehabilitation

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Lower back pain after a motorcycle accident?


Hello, doctor.
About a month and a half ago, I fell and hit a roadside sign.
I had a large bruise on the right side of my hip, which has faded significantly, but there is still a little left.
However, the area near my lower back feels numb, as if I have no sensation.
After some time, it seems to feel a bit better.
I had an X-ray, and the doctor said there were no fractures and nothing serious.
I was scheduled for an electromyography (EMG) test, but I couldn't go due to work commitments.

Previously, there was a noticeable dent in my lower back from the impact, but it has since returned to normal.
However, after standing for about 1 to 2 hours at work, I experience significant soreness and a tingling sensation in my lumbar region.
Bending slightly after standing for a long time also causes some pain.
I'm contemplating whether I should undergo further examination or treatment, as it seems to be improving slowly over time.
However, I feel that a month and a half is a long time for recovery.
I cannot lift heavy objects and have stopped my usual weight training.
I would like to ask if I should go ahead with the EMG test, or if this could be due to muscle strain or severe bruising (as I still experience some pain in my hip and lower back) that will improve with time.
Is there a possibility of long-term complications?

Lin, 20~29 year old female. Ask Date: 2021/08/16

Dr. Li Yanheng reply Rehabilitation


It is recommended to undergo electromyography (EMG) testing to confirm the presence of any peripheral nerve damage.

Reply Date: 2021/08/16

More Info


It sounds like you have been experiencing significant discomfort and symptoms following your accident, and it's understandable to be concerned about your recovery and the potential for long-term issues. Based on your description, it seems you may be dealing with a combination of soft tissue injuries, possibly including muscle strains or contusions, and nerve involvement, given the numbness and tingling sensations you mentioned.

Firstly, it's important to recognize that bruising and soft tissue injuries can take time to heal. The fact that you had a large bruise on your right hip that has since improved is a positive sign, but lingering symptoms such as numbness and pain in the lower back and hip area can indicate that the injury may have affected the underlying muscles, ligaments, or even nerves in that region.

The numbness you are experiencing could be due to several factors. It might be related to inflammation or swelling in the area surrounding the injury, which can compress nearby nerves. Additionally, if there was any trauma to the lower back, it could have affected the spinal nerves, leading to sensations of tingling or numbness. The fact that you feel better after some time suggests that there may be a component of nerve irritation that could improve with time and proper care.

Regarding your question about whether to proceed with the electromyography (EMG) test, it could be beneficial, especially if your symptoms persist or worsen. An EMG can help assess the electrical activity of your muscles and the health of the nerves that control them. This information can be crucial in determining whether there is any nerve damage or dysfunction that needs to be addressed. If you are experiencing persistent numbness or weakness, it would be wise to follow through with this test.

In terms of treatment, since you mentioned that heavy lifting and your usual weight training have been affected, it may be advisable to consider physical therapy. A physical therapist can help you with targeted exercises to strengthen the muscles around your lower back and hips, improve flexibility, and reduce pain. They can also provide modalities such as ultrasound or electrical stimulation to help with pain management and recovery.

Additionally, you should monitor your symptoms closely. If you notice any worsening of your condition, such as increased pain, changes in sensation, or difficulty with mobility, it would be prudent to seek further evaluation from a healthcare provider. They may recommend imaging studies, such as an MRI, to assess for any underlying issues that may not have been visible on X-rays.

Lastly, while it is common for soft tissue injuries to take time to heal, it is essential to remain proactive about your recovery. Avoid activities that exacerbate your symptoms, and consider incorporating gentle stretching and strengthening exercises as tolerated. Staying active within your limits can promote healing and prevent stiffness.
In summary, while it seems you are on the path to recovery, it is crucial to address any lingering symptoms with appropriate medical evaluation and treatment. Don't hesitate to seek further care if you feel it is necessary, and consider physical therapy to aid in your recovery process. Your health and well-being should always come first, and taking these steps can help ensure a more complete recovery.

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