Spine Pain: When to See an Orthopedic or Rehab Specialist - Orthopedics

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Hello, Doctor Shi: I have been busy with my studies lately and haven't been able to see a doctor.
However, I recently noticed that my spine seems to be following me when I walk, and I feel a slight pain with each step.
The pain is only on the left side; the right side does not hurt.
But as soon as I stop walking, the pain disappears.
What could be the reason for this? Is it serious? Do I need to see a doctor immediately? Should I make an appointment with an orthopedic specialist or a rehabilitation specialist? Thank you!

Lizi, 10~19 year old female. Ask Date: 2003/12/22

Dr. Shi Guozheng reply Orthopedics


Prolonged sitting while rushing to complete assignments can lead to lower back pain, which is often related to poor posture.
Clinically, this may be caused by a strain of the tendons or muscles.
Usually, simply taking a break or reducing sitting time will lead to improvement; if not, then it is advisable to see a physician.

Reply Date: 2003/12/22

More Info


Hello! It sounds like you are experiencing some concerning symptoms related to your spine, specifically localized pain on the left side that occurs with movement but subsides when you are at rest. This type of pain can be indicative of several underlying issues, and it's important to understand when to seek medical attention and which type of specialist to consult.


Understanding Your Symptoms
The pain you describe could be related to a variety of conditions, including muscle strain, ligament injury, or even issues related to the spine itself, such as a herniated disc or spinal stenosis. The fact that the pain occurs during movement and resolves at rest suggests that it may be mechanical in nature, potentially involving the muscles or ligaments around the spine.

When to See a Specialist
You should consider seeing a specialist if:
1. Pain Persists or Worsens: If the pain does not improve with rest or over-the-counter pain relief, it is advisable to seek medical attention.

2. Functional Limitations: If the pain is affecting your ability to perform daily activities or participate in your studies, it’s important to get evaluated.

3. Neurological Symptoms: If you experience numbness, tingling, or weakness in your legs, this could indicate nerve involvement, which requires prompt evaluation.

4. Duration: If the pain has been persistent for more than a few weeks, it’s wise to consult a healthcare provider.


Choosing Between Orthopedic and Rehab Specialists
- Orthopedic Specialist: If you suspect that your pain may be due to a structural issue with your spine (like a herniated disc or degenerative changes), an orthopedic surgeon specializing in spine conditions would be appropriate. They can perform diagnostic imaging (like X-rays or MRIs) and determine if there are any structural abnormalities that need surgical intervention or other treatments.

- Rehabilitation Specialist: If your pain is more related to muscle strain or overuse, a rehabilitation specialist (physiatrist) can help. They focus on non-surgical management of musculoskeletal pain and can provide physical therapy, pain management techniques, and rehabilitation exercises tailored to your condition.


Conclusion
Given your symptoms, it would be prudent to schedule an appointment with either an orthopedic specialist or a rehabilitation specialist. If you are unsure, starting with a rehabilitation specialist might be beneficial, as they can assess your condition and refer you to an orthopedic surgeon if necessary.
In the meantime, consider practicing good posture, taking regular breaks from prolonged sitting, and engaging in gentle stretching exercises to alleviate some discomfort. However, avoid any activities that exacerbate your pain until you have been evaluated by a healthcare professional.

Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help!

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