There is an area on the left side of the back with reduced tactile sensation?
Hello Doctor, recently due to changes in my job responsibilities, I often need to lift packages weighing up to 10 kilograms and stand for long periods.
After about two weeks of work, I started to feel a patch of skin on the left side of my back, near the spine, that feels numb when touched, making it difficult to perceive the sensation clearly.
Occasionally, there is a slight tingling pain.
Since this area overlaps with where my undergarments sit, I have consistently experienced a different sensation compared to the surrounding skin.
This feeling has persisted for nearly two weeks, and I am still unable to identify the issue.
I would appreciate your advice, thank you.
Lily, 20~29 year old female. Ask Date: 2022/01/31
Dr. Lai Zhaokang reply Neurosurgery
Hello: It is speculated that 1.
the weight-bearing has caused deep muscle fascia injury and inflammation in the area, and 2.
cervical nerve involvement should also be ruled out.
It is advisable to rest more, reduce weight-bearing, apply heat to the affected area, and use anti-inflammatory and analgesic ointments.
Observe for one week.
If there is no improvement, please seek medical attention for evaluation and examination, and obtain medication.
Wishing you well.
// Dr.
Lai Chao-Kang, Chief of Spine Surgery, Changhua Hospital.
Reply Date: 2022/01/31
More Info
Numbness and tingling sensations, especially in the context of recent changes in physical activity or work, can often be indicative of nerve-related issues. In your case, the symptoms you describe—localized numbness and occasional tingling or sharp pain in the left side of your back near the spine—could be attributed to several potential causes.
Firstly, the nature of your work, which involves lifting packages and prolonged standing, may have led to physical strain or injury. This can result in compression or irritation of the nerves that exit the spinal column. The spine is composed of vertebrae that protect the spinal cord, and between these vertebrae are intervertebral discs that can sometimes herniate or bulge. If a disc bulges or herniates, it can press on nearby nerves, leading to symptoms such as numbness, tingling, or pain in the areas served by those nerves.
The specific area you mentioned, near the spine, suggests that it could be related to the thoracic or lumbar region of the spine. If the nerves in this area are compressed, it can lead to sensory changes in the skin, including the altered sensation you are experiencing. Additionally, repetitive movements or poor posture while lifting can exacerbate these issues, leading to muscle tension and further nerve irritation.
Another possibility is that the sensation you are feeling could be related to a condition known as "thoracic outlet syndrome," where nerves or blood vessels are compressed in the area between the collarbone and the first rib. This can occur due to repetitive overhead activities or poor posture, and it can lead to similar symptoms of numbness and tingling.
Given that your symptoms have persisted for nearly two weeks, it is advisable to take a few steps:
1. Rest and Modify Activities: Allow your body some time to recover by reducing the frequency and intensity of activities that may exacerbate your symptoms. Avoid heavy lifting and prolonged standing if possible.
2. Posture Awareness: Pay attention to your posture while standing or lifting. Ensure that you are using proper techniques to minimize strain on your back.
3. Physical Therapy: Consider consulting a physical therapist who can provide exercises to strengthen the muscles around your spine and improve flexibility. They can also teach you proper lifting techniques to prevent further injury.
4. Medical Evaluation: If the numbness and tingling persist or worsen, it would be prudent to seek a medical evaluation. A healthcare provider may recommend imaging studies, such as an MRI or X-rays, to assess the condition of your spine and rule out any serious underlying issues.
5. Pain Management: Over-the-counter pain relief medications, such as NSAIDs (e.g., ibuprofen), may help alleviate discomfort. However, consult with a healthcare provider before starting any new medication.
In summary, while your symptoms may be related to nerve compression or irritation due to your recent work activities, it is essential to monitor your condition closely. If symptoms persist, a thorough evaluation by a healthcare professional is necessary to determine the exact cause and appropriate treatment. Early intervention can often lead to better outcomes and prevent chronic issues.
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