Pain Between Vertebrae: When to Seek X-Ray Evaluation - Orthopedics

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Pain between the vertebrae?


Last month, due to work-related circumstances, I fell from a height of about one story.
Since then, I have been experiencing soreness in the area above my coccyx, specifically in three to four segments of my vertebrae where they connect.
The pain is particularly severe in colder weather, and my appetite has not been as good as it was before the injury.
Should I get an X-ray, and is there a possibility of long-term complications? Note: There was no swelling or obvious external injury at the time of the accident, so I did not seek medical attention.

Xu, 30~39 year old female. Ask Date: 2001/03/13

Dr. Shi Qiming reply Orthopedics


Mr.
Hsu: Falling from a height can lead to spinal fractures and calcaneal fractures.
In less severe cases, it may result in severe pain in the lower back, while in more severe cases, nerve compression can lead to paralysis.
Based on Mr.
Hsu's account of falling from the first floor, there is a significant possibility of spinal injury.
It is recommended to seek a detailed examination at the orthopedic outpatient clinic as soon as possible, including X-rays and CT scans.
Dr.
Wang, Orthopedic Specialist, replied on March 14, 2001.

Reply Date: 2001/03/13

More Info


Based on your description of the injury and the symptoms you are experiencing, it is advisable to seek an X-ray evaluation. Here are several reasons why this is important:
1. Nature of the Injury: Falling from a height, even if it is just one floor, can lead to various injuries, including fractures or soft tissue damage that may not be immediately apparent. The fact that you are experiencing persistent pain in the area of the vertebrae suggests that there may be an underlying issue that needs to be assessed.

2. Symptoms: You mentioned experiencing pain between the vertebrae, particularly in colder weather, and a decrease in appetite since the injury. While decreased appetite can be attributed to various factors, including pain and stress, it is essential to consider that pain in the spine can sometimes indicate more serious conditions, such as a fracture, herniated disc, or other spinal issues.

3. X-ray Evaluation: An X-ray can help identify any fractures or misalignments in the vertebrae. It is a non-invasive procedure that provides valuable information about the structural integrity of your spine. If there are no fractures, the X-ray can also help rule out other potential causes of your pain, allowing for a more accurate diagnosis.

4. Potential Complications: If there is a fracture or significant soft tissue injury, failing to address it could lead to complications such as chronic pain, reduced mobility, or even nerve damage. Early intervention is crucial in preventing long-term issues.

5. When to Seek Medical Attention: Given that you have persistent pain and other symptoms following a fall, it is advisable to consult with a healthcare professional. They can perform a physical examination and determine whether an X-ray or further imaging (such as an MRI) is necessary based on your specific symptoms and medical history.

6. Follow-Up Care: If the X-ray reveals any abnormalities, your doctor may recommend treatment options ranging from physical therapy to medication for pain management. In some cases, if there are significant injuries, further interventions may be necessary.

In summary, it is essential to take your symptoms seriously, especially following a fall. Seeking an X-ray evaluation will provide clarity on your condition and help guide appropriate treatment to prevent any potential long-term complications. Please consult with a healthcare provider as soon as possible to discuss your symptoms and the need for imaging studies.

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