Sacral Spine Issues After a Car Accident: What to Do?

Issues with the sacral vertebrae after a car accident?

In late December of last year, I was involved in a car accident and sustained a mild spinal contusion.
X-rays at that time showed no abnormalities, so I used ice and heat therapy to reduce pressure during recovery.
A month later, I was no longer in pain, but to this day, there is a noticeable protrusion in the lumbar region.
I consulted a traditional Chinese medicine practitioner who suggested that it might be related to tightness in the piriformis muscle.
However, after performing some stretching and relaxation exercises, the protrusion remains.
Yesterday, while doing sit-ups, I clearly felt the protrusion, and last night the area became painful.
I also feel discomfort when lying flat to sleep.
I would like to know if this could be a herniated disc? Should I see an orthopedic specialist or a rehabilitation physician? Or is it possible that there is no significant issue, and what should I do? Is there a chance for it to heal (to not protrude)?

Jiang, 20~29 year old female. Ask Date: 2022/03/17

Dr. Li Yanheng reply Rehabilitation

The description suggests a possible misalignment of the lumbar vertebrae.
It is recommended to follow up with a rehabilitation specialist for assessment and adjustment.

Reply Date: 2022/03/17

More Info

After a car accident, experiencing issues with the sacral spine can be concerning, especially if you have noticed a protrusion in the sacral area and are experiencing discomfort. Given your history of a spinal contusion and the subsequent symptoms, it is essential to approach this situation with a comprehensive understanding of potential underlying issues and appropriate management strategies.

Firstly, the protrusion you are observing in the sacral area could be related to several factors, including muscle tightness, postural changes, or even the possibility of a herniated disc. The fact that you have experienced pain during specific movements, such as doing sit-ups, suggests that there may be some mechanical stress on the spine or surrounding soft tissues. The pain you feel when lying flat could indicate that certain positions exacerbate the discomfort, possibly due to pressure on the affected area.

The recommendation to see either an orthopedic specialist or a rehabilitation physician (physiatrist) is prudent. An orthopedic doctor can provide a thorough evaluation of your spine through imaging studies, such as MRI, which can help determine if there is any disc herniation or other structural issues contributing to your symptoms. On the other hand, a rehabilitation physician can assess your functional abilities and develop a tailored rehabilitation program that may include physical therapy, exercises to strengthen the core and pelvic muscles, and strategies to improve flexibility and posture.

In terms of management, here are some strategies you might consider:
1. Physical Therapy: Engaging in a physical therapy program can help address muscle imbalances, improve flexibility, and strengthen the muscles supporting your spine. A physical therapist can guide you through specific exercises that target the pelvic and lower back areas, which may alleviate some of the discomfort you are experiencing.

2. Posture and Ergonomics: Pay attention to your posture during daily activities. Poor posture can exacerbate spinal issues. Ergonomic adjustments in your workspace or during activities can help reduce strain on your spine.

3. Pain Management: If you are experiencing significant pain, over-the-counter anti-inflammatory medications (like ibuprofen) may provide relief. However, consult with a healthcare provider before starting any medication regimen.

4. Stretching and Strengthening: Incorporate gentle stretching and strengthening exercises into your routine. Focus on the muscles surrounding the sacral area, including the glutes, hamstrings, and lower back muscles. This can help alleviate tightness and improve overall spinal stability.

5. Mind-Body Techniques: Consider practices such as yoga or Pilates, which emphasize core strength, flexibility, and body awareness. These practices can help improve your posture and reduce tension in the lower back and pelvic region.

6. Regular Follow-ups: Keep in touch with your healthcare providers to monitor your condition. If symptoms persist or worsen, further evaluation may be necessary.

Regarding the potential for the protrusion to resolve, it is possible that with appropriate management, the symptoms can improve, and the appearance of the protrusion may diminish. However, this largely depends on the underlying cause and your adherence to a rehabilitation program.

In conclusion, while it is encouraging that you are no longer experiencing pain from the initial injury, the new symptoms warrant further investigation. Seeking the advice of a specialist and engaging in a structured rehabilitation program can significantly enhance your recovery and overall quality of life. Remember, early intervention is key in managing spinal issues effectively.

Similar Q&A

Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident

Dear Dr. Zhan, I am currently working in Southeast Asia and had a car accident two weeks ago, resulting in ruptures of my liver and spleen. I underwent transarterial embolization (TAE) treatment and am currently stable with no major issues with my liver and spleen. However, my b...

Dr. Zhan Xian reply Orthopedics
Hello Mr. Bruce, whether surgical treatment for the pelvis is necessary mainly depends on the stability of the pelvic fracture. Since we only have a written report without imaging, it is difficult to assess the extent of the pubic symphysis separation and whether there is any dis...

Understanding Lower Back Pain: When to Seek Neurosurgical Advice

Hello Doctor: Seven years ago, I had a minor impact on my lower back during a car accident. At that time, the pain was not significant, and I did not go to the hospital for an examination. Since then, I have experienced significant pain in my lower back (near the pelvis) especial...

Dr. Ding Xianwei reply Neurosurgery
Since you have not been examined in person, I can only provide general advice based on common experience. Generally speaking, your lower back pain seems to be more like simple low back pain, which is often caused by prolonged standing or sitting, lifting heavy objects, and poor p...

Managing Sacral Fractures: Healing and Treatment Options After an Accident

Hello: Due to a car accident, I have a fracture of the fifth sacral vertebra. The fifth sacral vertebra is protruding inward (not aligned with the coccyx, with a curvature and elevation) and has two fissures. Should I wait for these two fissures to heal naturally before addressin...

Dr. Shi Guozheng reply Orthopedics
Typically, it will heal naturally without the need for chiropractic adjustments, as exercises do not aid in the healing process or in the reduction.

Managing Post-Car Accident Symptoms: Effective Treatments for Pain Relief

I was involved in a car accident in mid-July last year when I was stopped at a red light and was rear-ended. At that moment, my knees hit the trunk of the car, resulting in a blunt injury to my lower back. The next day, my knees were bruised, and after some examinations and medic...

Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. Lower back pain and leg numbness are suspected to be related to lumbar spine conditions. 2. There is a herniation at the fifth lumbar intervertebral disc, and water-cooled radiofrequency treatment could be considered. However, it is recommended to seek medical attention...