Musculoskeletal and joint issues?
Yesterday, while doing stretching exercises, I noticed that leaning my upper body back caused some pressure.
I initially thought it was due to not exercising for a long time, but after the workout, when I tried to massage the area for relief, I found that pressing on a specific spot in the middle of my spine was painful, while not pressing did not cause any pain.
In this situation, should I see a doctor, or should I wait a few days to see if the pain persists when pressed? If I do see a doctor, will it be treated with medication, or are there other treatment options with fewer side effects?
I recently watched a video on a health program that demonstrated rehabilitation exercises and pelvic and joint assessments.
I noticed a significant difference in the range of motion between my left and right sides.
Particularly when I stand, one leg tends to unconsciously extend outward, and I find it uncomfortable to maintain a proper stance, which leads to poor posture.
Later, I consulted an orthopedic doctor about my concerns.
Since I wasn't sure how to explain my issues clearly, I demonstrated my standing posture and how one leg extends outward while crossing my legs.
I explained that when I press my right leg against my left thigh, it feels fine (with my weight on my knee), but pressing my left leg against my right leg feels noticeably restricted and can bruise my right thigh (with my weight on the ball of my foot).
I wanted to understand the reason behind the difference in range of motion between my sides and how to improve it, but the doctor asked why I was crossing my legs, stating that it is bad for the body and advised me not to do it.
He did not address my posture issue and then pressed on my lower back, asking if it hurt.
I confirmed that it did, and he prescribed Lyrica (for pain relief and inflammation) and Myoflex (for pain caused by spinal and muscle issues) before sending me on my way.
The consultation cost several hundred dollars, and I recalled a situation I had seen online where a patient asked a doctor about pain when pressing on a spot, and the doctor replied, "Why are you pressing there?"
Given that I don't have extra money to experiment with different doctors, I want to know if I should see a doctor for the pain that occurs only when pressed and not otherwise.
Are there treatment options besides medication? Many medications have frightening side effects that seem worse than my musculoskeletal issues, making me hesitant to take them.
Additionally, regarding the problem of one leg extending outward while standing, is there a way to understand the underlying issue so that I can find a solution?
Mr. Chen, 30~39 year old female. Ask Date: 2022/03/27
Dr. You Dianqi reply Orthopedics
Hello! Thank you for your inquiry.
If your condition does not improve after medication treatment, it is recommended to return for a follow-up appointment with your attending physician or to consult with a rehabilitation specialist.
Thank you.
Reply Date: 2022/03/27
More Info
When it comes to joint and spine pain, particularly after engaging in stretching exercises, it’s essential to understand when to seek medical advice. Based on your description, it seems that you are experiencing localized pain in your spine after a specific movement, which could indicate a potential issue that warrants further evaluation.
When to Seek Medical Advice
1. Persistent Pain: If you notice that the pain persists for more than a few days, especially if it worsens with certain movements or pressure, it is advisable to consult a healthcare professional. Pain that is localized and exacerbated by specific movements can sometimes indicate underlying issues such as muscle strain, ligament injury, or even more serious conditions like herniated discs.
2. Neurological Symptoms: If you experience any numbness, tingling, or weakness in your limbs, this could indicate nerve involvement and should be evaluated promptly.
3. Impact on Daily Activities: If the pain is affecting your ability to perform daily activities, such as standing, walking, or sitting comfortably, it’s a good idea to seek medical advice sooner rather than later.
4. Changes in Posture or Gait: You mentioned that one leg tends to extend outward involuntarily, which could indicate an imbalance or weakness in your muscles. This could lead to further complications if not addressed.
Treatment Options
If you decide to see a doctor, there are several treatment options available beyond medication:
1. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can assess your posture, muscle strength, and flexibility, and develop a tailored exercise program to address your specific issues. They can also teach you proper body mechanics to prevent further injury.
2. Chiropractic Care: Some individuals find relief through chiropractic adjustments, which can help realign the spine and improve mobility. However, it’s important to choose a qualified chiropractor and discuss your symptoms thoroughly.
3. Massage Therapy: Therapeutic massage can help relieve muscle tension and improve circulation, which may alleviate some of your discomfort.
4. Alternative Therapies: Techniques such as acupuncture or yoga can also be effective in managing pain and improving flexibility. These methods focus on holistic approaches to pain management.
5. Lifestyle Modifications: Incorporating regular low-impact exercises, such as swimming or walking, can strengthen your muscles and improve overall flexibility. Additionally, being mindful of your posture while standing or sitting can help alleviate discomfort.
Understanding Your Symptoms
Regarding the difference in flexibility and the tendency of one leg to extend outward, this could be due to a variety of factors, including muscle imbalances, joint stiffness, or even previous injuries. A thorough evaluation by a physical therapist or orthopedic specialist can help identify the root cause of these issues. They may perform specific tests to assess your range of motion, strength, and alignment.
Conclusion
In summary, while it may be tempting to wait and see if the pain resolves on its own, it’s often better to seek medical advice, especially if the pain persists or worsens. There are numerous treatment options available that do not involve medication and can effectively address your symptoms. A proactive approach can lead to better outcomes and improved quality of life. Remember, your health is paramount, and addressing these issues early can prevent further complications down the line.
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