Spinal Injuries: Symptoms, Treatment, and When to See a Specialist

Q: Spinal Injuries: Symptoms, Treatment, and When to See a Specialist

Dear netizen： The area referred to as the groin and the waist is the inguinal region, where pain caused by a contusion typically does not lead to neurological symptoms. <br>Since the majority of lower limb nerves are supplied by the posterior sciatic nerve, symptoms such as fever

Spinal cord injury

Due to a fall before May, I sustained an injury in the area between my groin and lower back, which has been painful for 1-2 days.
I did not see a doctor at that time, but the pain subsided.
However, the injured area has suddenly started to hurt again in the past few days.
I visited the orthopedic department at Taipei Hospital, where the doctor prescribed anti-inflammatory medication but did not take X-rays.
I mentioned that my left side (arms and legs) experiences numbness, but the doctor simply stated it was inflammation.
I am concerned about possible nerve compression.
Additionally, I had a fever two days ago and experienced nausea.

1.
Is it possible that the injured area is compressing a nerve affecting the brain?
2.
Is it normal for the pain to persist after taking medication for two days?
3.
What is the full name of the bone in that area, as it seems there are many nerves there?
4.
Should I see a neurologist? Thank you, doctor.

Tòng, 20~29 year old female. Ask Date: 2004/09/02

Dr. Wang Zikang reply Orthopedics

Dear netizen: The area referred to as the groin and the waist is the inguinal region, where pain caused by a contusion typically does not lead to neurological symptoms.
Since the majority of lower limb nerves are supplied by the posterior sciatic nerve, symptoms such as fever and vomiting are likely unrelated to the contusion.

1.
The inguinal region is not associated with cranial nerves.

2.
It is normal to experience pain two days after a contusion; recovery may take more than two weeks.

3.
The inguinal region has few nerves, primarily the femoral nerve passing through it.

4.
There is no need for excessive concern at this time; if there is no improvement after two weeks, you may visit an orthopedic outpatient clinic for evaluation.

Sincerely,
Dr.
Wang Tzu-Kang, Chief of Orthopedics, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/09/02

More Info

Understanding spinal injuries is crucial for effective treatment and management. Based on your description, it seems you are experiencing recurrent pain in the area between your groin and lower back, which has been exacerbated by a previous fall. This area is likely related to the lumbar spine and possibly the sacroiliac joint, which connects the lower spine to the pelvis.
1. Symptoms and Potential Complications: The symptoms you describe, including pain, numbness, and tingling in your left side, could indicate nerve involvement. Inflammation in the lumbar region can lead to nerve compression, which may cause sensations of numbness or tingling in the extremities. The fact that you experienced fever and nausea could suggest a more systemic issue, possibly an infection or inflammation that could affect the spinal area. While it is less common for a localized injury to directly impact the brain, severe inflammation or infection in the spinal region can lead to complications that might affect neurological function.

2. Treatment and Medication: It is not uncommon for pain to persist even after starting anti-inflammatory medications. These medications can take time to reduce inflammation and alleviate pain. If you have been taking the prescribed medication for two days without improvement, it may be worth discussing this with your physician. They might consider adjusting your treatment plan or exploring further diagnostic tests, such as imaging studies (X-rays, MRI) to assess for any structural issues or nerve compression.

3. Anatomy of the Affected Area: The area you are referring to is likely the lumbar spine, which consists of five vertebrae (L1-L5) and is surrounded by numerous nerves that branch out to the lower extremities. The sacroiliac joint, located at the junction of the spine and pelvis, is also significant in this context, as it can be a source of pain and discomfort. The nerves in this region, particularly the sciatic nerve, can be affected by inflammation or injury, leading to the symptoms you are experiencing.

4. When to See a Specialist: Given your symptoms, especially the numbness and tingling in your limbs, it would be prudent to consult a neurologist or a spine specialist. They can perform a thorough evaluation, which may include neurological examinations and imaging studies to determine if there is any nerve compression or other underlying issues that need to be addressed. If you experience worsening symptoms, such as increased pain, loss of bladder or bowel control, or significant weakness in your legs, you should seek immediate medical attention.

In summary, while inflammation from your injury may be the primary cause of your symptoms, the presence of neurological symptoms warrants further investigation. It is essential to communicate openly with your healthcare provider about your concerns and the persistence of your symptoms. Early intervention can prevent complications and lead to more effective management of your condition.

Similar Q&A

Which Specialist to See After a Spine Injury: A Guide for Patients

Three months ago, while sitting in a chair, I accidentally bumped my spine (the impact point was approximately at the junction of the thoracic and lumbar regions) while changing my position. Since then, I have been experiencing numbness and pain in my legs (primarily in the right...

Dr. Ye Qianyu reply Family Medicine
Hello! For acute issues, it is recommended that you see an orthopedic specialist, preferably one who deals with spinal problems. The sensation loss in your right foot corresponds to the lumbar or even sacral regions. It is advisable to provide a complete description of your sympt...

Understanding Post-Trauma Neurological Symptoms: When to See a Specialist

Hello doctor, I have a question. I was in a car accident in the past, and the physician issued a report stating: head trauma, cerebral edema, subarachnoid hemorrhage, and atlantoaxial dislocation without associated nerve root paralysis. It has been quite some time since the accid...

Dr. Qiu Yushu reply Neurosurgery
Please visit the neurosurgery outpatient clinic. Dr. Yu-Shu Chiu.

Neck Pain: When to See a Specialist for Diagnosis and Treatment

I started experiencing neck pain three to four days ago, and it's so severe that I can't turn my head side to side or look down. Yesterday, I went to a traditional Chinese medicine clinic for a massage and received a topical ointment, but today the pain has worsened. Th...

Dr. Ye Qianyu reply Family Medicine
Thank you for your inquiry! I recommend that you consult a neurosurgeon for diagnosis and treatment.

Could I Have Injured My Spine? Understanding Symptoms and Next Steps

Hello, I would like to ask about an issue I have. Recently, I went trampoline jumping, and now whenever I move my body up and down (like when I ride over a bump) or carry heavy objects, I feel a tight sensation. Could this indicate a spinal injury? Should I see an orthopedic spec...

Dr. Chen Bochen reply Orthopedics
Hello, based on your symptom description, it could be a vertebral arch dissociation, which is a common spinal injury in young males. It is recommended that you seek medical attention, either from an orthopedic specialist or a rehabilitation physician.