Managing Back Pain: Insights on Scoliosis and Muscle Strain Recovery

Q: Managing Back Pain: Insights on Scoliosis and Muscle Strain Recovery

Hello： It is best to come to the clinic for an examination, as there are many causes of lower back pain. <br>Thank you!

Low back pain

Hello Dr.
Chiu,
I have a 15-degree scoliosis of the spine and have been experiencing lower back pain and upper back pain for some time.
Sometimes, even a sneeze can cause such intense pain that I have to squat down.
However, these episodes do not happen frequently.
I usually sleep on my stomach, and when I lie on my back, I need to place a small pillow under the curve of my spine; otherwise, the pain is unbearable.
Recently, due to finals and physical education tests, I had to do shuttle runs.
After just a few rounds, it felt like I strained my back.
I stood all day and couldn't sit down.
After class, I went to the emergency department at the Tri-Service General Hospital.
The doctor diagnosed me with a muscle strain located in the upper left side of my buttocks, but I also feel pain on the right side, although it is less severe.
The doctor prescribed me Lifenac enteric-coated tablets, Betamethasone tablets, and Anwei tablets for three days.
During those three days of medication, I felt okay.
However, after stopping the medication, although the pain is not as intense, I still experience soreness, which occurs more frequently than before the strain—almost daily, at any time and place.
I can no longer lift heavy objects and have difficulty bending over.
The painful areas are the two spots above my buttocks and the area where my spine curves.

What can I do to improve this condition? Thank you!

Kary, 10~19 year old female. Ask Date: 2005/06/29

Dr. Qiu Yushu reply Neurosurgery

Hello: It is best to come to the clinic for an examination, as there are many causes of lower back pain.
Thank you!

Reply Date: 2005/06/29

More Info

Managing back pain, especially in the context of scoliosis and muscle strain recovery, requires a multifaceted approach that combines medical treatment, physical therapy, and lifestyle modifications. Given your history of scoliosis and recent muscle strain, it’s essential to address both the structural and functional aspects of your condition.

Understanding Your Condition
Scoliosis, characterized by an abnormal lateral curvature of the spine, can lead to uneven distribution of weight and stress on the muscles and ligaments surrounding the spine. This can result in chronic back pain, especially during physical activities or after prolonged periods of certain postures, such as sleeping on your stomach. The acute muscle strain you experienced during your physical education activities likely exacerbated your existing back pain, leading to discomfort in the upper gluteal region and along the spine.

Immediate Management
1. Rest and Medication: Initially, it’s crucial to allow your muscles to recover. Continuing with the medications prescribed by your doctor, such as anti-inflammatory drugs (like the ones you mentioned: 利菲炎膜衣錠 and 倍鬆錠), can help manage pain and inflammation. However, it’s important to follow your doctor’s guidance regarding the duration and dosage of these medications.

2. Ice and Heat Therapy: Applying ice packs to the affected area can reduce inflammation and numb the pain, especially in the first 48 hours after the injury. After this period, switching to heat therapy can help relax and loosen tissues and stimulate blood flow to the area.

Rehabilitation Strategies
1. Physical Therapy: Engaging in a structured physical therapy program is highly beneficial. A physical therapist can design a personalized exercise regimen that focuses on strengthening the core and back muscles, improving flexibility, and correcting posture. This is particularly important for individuals with scoliosis, as strengthening the muscles around the spine can help support the structure and alleviate pain.

2. Stretching and Strengthening Exercises: Gentle stretching exercises can help relieve tension in the muscles. Focus on stretches that target the lower back, hips, and glutes. Strengthening exercises should emphasize the core muscles, as a strong core provides better support for the spine. Exercises like planks, bridges, and pelvic tilts can be effective.

3. Postural Awareness: Since you mentioned discomfort while sleeping, consider adjusting your sleeping position. While sleeping on your stomach can exacerbate back pain, sleeping on your side with a pillow between your knees or on your back with a pillow under your knees can help maintain spinal alignment.

Long-term Management
1. Regular Exercise: Incorporating low-impact aerobic exercises, such as swimming or walking, can improve overall fitness without putting excessive strain on your back. Consistency is key; aim for at least 30 minutes of activity most days of the week.

2. Ergonomic Adjustments: If you spend long hours sitting (e.g., during classes), ensure that your workspace is ergonomically friendly. Use chairs that provide good lumbar support and maintain a posture that keeps your spine aligned.

3. Mind-Body Techniques: Techniques such as yoga or Pilates can enhance flexibility, strength, and body awareness, which can be particularly beneficial for managing scoliosis-related discomfort.

4. Regular Follow-ups: Keep in touch with your healthcare provider to monitor your condition. If pain persists or worsens, further evaluation may be necessary to rule out any underlying issues.

Conclusion
Managing back pain associated with scoliosis and muscle strain is a gradual process that requires patience and commitment. By combining medical treatment with physical therapy, exercise, and lifestyle adjustments, you can significantly improve your symptoms and enhance your quality of life. Always consult with your healthcare provider before starting any new treatment or exercise program to ensure it is safe and appropriate for your specific condition.

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