Questions regarding spinal consultation specialties?
Hello, Doctor: I'm not sure if this is the right place to ask, but since it concerns bones, I chose the orthopedic department.
I am tall and thin, and my bones are quite prominent, which causes my coccyx to protrude.
There is also a noticeable line on the skin of my back (similar to a bruise or the color of healed scabs); I'm uncertain if there is any scoliosis issue.
My buttocks lack muscle, making it uncomfortable to sit for long periods.
Overall, I do not feel pain, but I have some differences compared to others.
I have been hesitant about whether to seek medical attention; if I do, should I see an orthopedic specialist, a rehabilitation specialist, or a physical therapist? Thank you for your response.
Filo, 20~29 year old female. Ask Date: 2021/09/18
Dr. Shi Guozheng reply Orthopedics
You can visit an orthopedic specialist for an evaluation or to get an X-ray of your spine to find out.
Reply Date: 2021/09/18
More Info
When it comes to spine and bone concerns, choosing the right specialist is crucial for effective diagnosis and treatment. Based on your description, it seems you have some noticeable physical characteristics, such as a protruding tailbone and a visible spinal mark, which may indicate underlying issues that warrant further evaluation. Here’s a breakdown of the specialists you might consider and what they can offer:
1. Orthopedic Surgeon: This specialist focuses on the musculoskeletal system, which includes bones, joints, ligaments, tendons, and muscles. If you suspect that your spine or tailbone issues are due to structural problems, an orthopedic surgeon would be a good choice. They can perform imaging studies (like X-rays or MRIs) to assess any abnormalities and recommend surgical or non-surgical interventions if necessary.
2. Physiatrist (Rehabilitation Specialist): If your primary concern is functional improvement and pain management rather than surgical intervention, a physiatrist might be the right choice. They specialize in rehabilitation and can help develop a comprehensive treatment plan that may include physical therapy, medications, and other non-invasive treatments to improve your quality of life.
3. Physical Therapist: If you are not experiencing significant pain but are concerned about your posture or physical function, a physical therapist can help. They can assess your movement patterns and provide exercises to strengthen your muscles, improve flexibility, and enhance overall function. This might be particularly beneficial if you experience discomfort from prolonged sitting.
4. Chiropractor: If you are looking for alternative treatments, a chiropractor may offer spinal manipulation and other techniques aimed at improving spinal alignment and function. However, it’s essential to ensure that any chiropractor you choose is licensed and has a good reputation.
5. Rheumatologist: If there is a suspicion of an underlying inflammatory condition affecting your bones or joints, a rheumatologist could be consulted. They specialize in autoimmune and inflammatory diseases that can impact the musculoskeletal system.
Given that you mentioned not feeling significant pain but having some discomfort due to prolonged sitting, it might be wise to start with a physiatrist or physical therapist. They can provide a thorough assessment and recommend appropriate exercises or therapies to address your concerns without jumping straight into more invasive options.
If, during your evaluation, it becomes clear that there are structural issues that need to be addressed, you can then be referred to an orthopedic surgeon for further evaluation and treatment.
In summary, the choice of specialist depends on your specific symptoms and concerns. If you are unsure, starting with a physiatrist or physical therapist can provide a good foundation for understanding your condition and determining the best course of action. They can help you navigate your options and refer you to other specialists if necessary. Remember, early intervention can often lead to better outcomes, so it’s advisable not to delay seeking help if you have concerns about your spine or bone health.
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