Back Pain: Is Your Spine Misaligned? - Orthopedics

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There is a painful spot when pressing on a specific vertebra in the back?


Hello doctor, I have been experiencing pain in the segment of my spine where my bra strap sits, and it seems to be more prominent.
It also hurts when I bend my back.
This issue has been ongoing for about three months.
I noticed the problem when sitting on the MRT, as that point on my back comes into contact with the backrest, and one day it started to hurt significantly.
The pain has been progressively worsening.
Recently, I have tried stretching by reaching my hands up and bending forward to stretch my back.
When I bend and sway side to side, I also feel soreness in the muscles on the left side near that point on my spine when I sway to the right.
I usually sit for long periods, stand for extended times at work, and frequently bend over.
Could this be a spinal misalignment? What treatment options are available, and which department should I consult? Thank you, doctor.

Ni, 20~29 year old female. Ask Date: 2022/12/28

Dr. Shen Boquan reply Orthopedics


Hello, there are many causes of lower back pain.
Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Factors such as sports injuries, excessive fatigue, poor posture, or high stress can all contribute to discomfort.
If the pain significantly affects your daily life, moderate use of anti-inflammatory and analgesic medications or rehabilitation can be helpful.
If you experience symptoms of nerve compression, such as numbness in the toes or the top of the foot, and conservative treatment does not improve your condition, surgical intervention should be considered.
You likely do not have issues with bone density or joint degeneration.
Engaging in moderate exercise can help maintain muscle and joint flexibility.
If you need to assess for spinal issues, you can consult an orthopedic or neurosurgeon.
For rehabilitation treatment, please see a physiatrist.
Wishing you good health.
Sincerely, Shen Baiquan.

Reply Date: 2022/12/28

More Info


Hello! Thank you for reaching out with your concerns about your back pain. Based on your description, it seems that you are experiencing localized pain in your spine, particularly around the area where your bra fastens, which has been ongoing for about three months. You also mentioned that the pain worsens with certain movements, such as bending and sitting for prolonged periods, and that you have noticed a trend of increasing discomfort.

From a medical perspective, your symptoms could be indicative of several underlying issues, including muscle strain, spinal misalignment, or even disc-related problems. The fact that you feel pain when pressing on the area and that it worsens with specific movements suggests that there may be irritation or inflammation in the muscles or ligaments surrounding the spine. Additionally, prolonged sitting, especially in a position that may not provide adequate lumbar support, can contribute to muscle fatigue and discomfort.

Potential Causes:
1. Muscle Strain: This is one of the most common causes of back pain. It can occur from overuse, poor posture, or sudden movements that strain the muscles.

2. Spinal Misalignment: If your spine is misaligned, it can lead to uneven pressure on the vertebrae and surrounding muscles, causing pain. This misalignment can be exacerbated by poor posture while sitting or standing.

3. Disc Issues: While less likely given your description, conditions such as a herniated disc can also cause localized pain and may require further investigation.

4. Postural Issues: Spending long hours in a seated position, especially without proper back support, can lead to muscle imbalances and pain.

Recommended Actions:
1. Consult a Specialist: Given your symptoms, it would be advisable to see a healthcare professional who specializes in musculoskeletal issues. You might consider visiting an orthopedic doctor or a physical therapist. They can perform a physical examination and may recommend imaging studies, such as X-rays or an MRI, to assess for any structural issues.


2. Physical Therapy: A physical therapist can help you with exercises to strengthen the muscles supporting your spine, improve flexibility, and correct any postural issues. They may also use modalities such as heat, ice, or electrical stimulation to alleviate pain.

3. Posture Correction: Pay attention to your posture while sitting and standing. Ensure that your workstation is ergonomically set up to reduce strain on your back. When sitting, use a chair that supports your lower back, and take regular breaks to stand and stretch.

4. Stretching and Strengthening Exercises: Continue with gentle stretching exercises, but ensure they are done correctly to avoid further strain. Strengthening exercises for your core and back muscles can also provide support to your spine.

5. Pain Management: Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation, but consult with a healthcare provider before starting any medication.

6. Lifestyle Modifications: Incorporate regular physical activity into your routine, focusing on low-impact exercises like walking, swimming, or cycling, which can help maintain spinal health without excessive strain.

In summary, while your symptoms may suggest spinal misalignment or muscle strain, a thorough evaluation by a healthcare professional is essential to determine the exact cause and appropriate treatment plan. Taking proactive steps to address your posture, engage in physical therapy, and manage pain can significantly improve your condition. Don't hesitate to seek help, as early intervention can lead to better outcomes. Wishing you a speedy recovery!

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