Spinal Issues: Should You See a Doctor for Back Pain? - Orthopedics

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My spine?


I have a noticeable hunchback, and when I try to straighten up or lean back, I hear several cracking sounds from the middle of my spine between my shoulder blades.
Sometimes, there are fine, compressed or friction-like noises, and the frequency is quite high.
Occasionally, my entire left arm and back feel sore.
After researching, I feel that this might be quite serious, but as a high school student (172 cm, 61 kg), I think it seems a bit early for spinal issues at my age.
Could you please tell me what might be happening with my spine and if I should see a doctor?

Song Moumou, 10~19 year old female. Ask Date: 2021/09/11

Dr. Wang Jiacheng reply Orthopedics


You should see an orthopedic doctor to examine your thoracic spine to check for any bone issues or if it's just a matter of posture.
The English term for this condition is spinal kyphosis, which you can look up online for more information.

Reply Date: 2021/09/11

More Info


It sounds like you're experiencing some concerning symptoms related to your spine and posture, particularly with the popping sounds in your back and the discomfort radiating to your left arm. As a high school student, it's understandable to feel that spine issues might be too early for your age, but it's important to recognize that spinal problems can occur at any age, especially with poor posture or repetitive strain.

The popping or cracking sounds you hear when you try to straighten your back or arch it could be due to several factors. One common reason for these sounds is the movement of gas bubbles in the synovial fluid of the joints, which is generally harmless. However, if these sounds are accompanied by pain or discomfort, it could indicate underlying issues such as muscle tightness, joint dysfunction, or even spinal misalignment.

Given your symptoms, including the frequent popping sounds and the discomfort radiating to your arm, it would be wise to consult a healthcare professional. A visit to a doctor, particularly one specializing in orthopedics or physical medicine and rehabilitation, can provide you with a thorough evaluation. They may recommend imaging studies, such as X-rays or an MRI, to assess the condition of your spine and rule out any serious issues like herniated discs or spinal stenosis.

In addition to seeking medical advice, there are several steps you can take to help manage your symptoms and improve your posture:
1. Posture Awareness: Being mindful of your posture throughout the day can significantly impact your spinal health. Try to maintain a neutral spine position when sitting or standing, and avoid slouching.

2. Strengthening Exercises: Engaging in exercises that strengthen your core and back muscles can help support your spine. Activities like yoga or Pilates can improve flexibility and strengthen the muscles that support your spine.

3. Stretching: Regular stretching can alleviate tightness in the muscles around your spine, which may help reduce discomfort. Focus on stretches that target the chest, shoulders, and back.

4. Ergonomic Adjustments: If you spend long hours studying or using a computer, ensure that your workspace is ergonomically friendly. Your chair should support your lower back, and your computer screen should be at eye level to prevent straining your neck.

5. Physical Therapy: If your doctor recommends it, physical therapy can be beneficial. A physical therapist can provide personalized exercises and treatments to address your specific issues.

6. Avoid Heavy Lifting: Be cautious with activities that involve heavy lifting or straining, as these can exacerbate spinal issues.

In conclusion, while it may feel premature to be dealing with spinal issues at your age, it's crucial to listen to your body. The symptoms you're experiencing warrant a professional evaluation to ensure that any potential problems are addressed early on. Taking proactive steps now can help prevent more significant issues in the future and promote a healthier spine as you continue to grow. Don't hesitate to reach out to a healthcare provider to discuss your concerns and explore the best course of action for your situation.

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