the Connection Between Head Injuries and Lower Back Pain - Neurology

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Brain issues and lower back pain?


Hello Dr.
Yeh,
I would like to ask two questions.
I have previously experienced a head injury and often have nosebleeds.
I have consulted a traditional Chinese medicine practitioner who mentioned that my brain may have sustained damage and that my tongue appears to be deviating, which could be a sign of a stroke.
Should I undergo further examinations of my head?
Additionally, I have a reduced disc space in one segment of my spine.
When I bend over, I feel a pulling sensation in my thigh, and I frequently experience lower back pain.
What can I do to alleviate this pain in my daily life, and what treatments should I consider?
Thank you for your response! Wishing you good health.

wawa, 20~29 year old female. Ask Date: 2006/03/04

Dr. Ye Boshou reply Neurology


1.
If there are signs of a stroke, please first consult a neurologist.
2.
It is advisable to engage in more back exercises and apply heat therapy.
If there is no improvement, further evaluation by a neurologist or a rehabilitation specialist is still necessary.

Reply Date: 2006/03/04

More Info


It sounds like you've been through quite a lot with your head injury and the subsequent symptoms you're experiencing. Let's break down your concerns regarding the connection between head injuries and lower back pain, as well as the other symptoms you've mentioned.

Firstly, head injuries can indeed have a wide range of effects on the body, and while they primarily affect the brain and skull, they can also lead to secondary issues in other areas, including the spine. The nervous system is interconnected, and trauma to one part of the body can sometimes lead to symptoms in another area. For example, if your head injury has resulted in any neurological issues, it could potentially affect your posture or the way you move, which might contribute to lower back pain.

Your mention of frequent nosebleeds and a tilted tongue raises some concerns. Frequent nosebleeds can be caused by various factors, including trauma, dry air, or underlying health issues. The tilted tongue could indicate neurological involvement, which is concerning, especially if a healthcare professional has suggested that it could be a sign of a stroke. Given these symptoms, it is crucial to seek further evaluation from a neurologist or a healthcare provider who can conduct appropriate imaging studies, such as a CT scan or MRI, to assess for any potential brain injury or other neurological conditions.

Regarding your lower back pain and the sensation of tightness in your thighs when bending, this could be related to several factors. The narrowing of the intervertebral space you mentioned could indicate degenerative changes in the spine, such as disc degeneration or herniation, which can lead to nerve compression and pain. Additionally, poor posture or compensatory movements due to your head injury could also contribute to your back pain.

To manage your lower back pain, consider the following strategies:
1. Physical Therapy: Engaging in physical therapy can help strengthen the muscles supporting your spine, improve flexibility, and correct any postural issues. A physical therapist can design a personalized exercise program tailored to your needs.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate pain. However, consult with a healthcare provider before starting any medication, especially if you have other health conditions or are taking other medications.

3. Ergonomics: Pay attention to your posture, especially when sitting or standing for long periods. Use ergonomic furniture and take regular breaks to stretch and move around.

4. Heat and Cold Therapy: Applying heat or cold packs to the affected area can help reduce pain and inflammation. Heat can relax tight muscles, while cold can numb sharp pain and reduce swelling.

5. Mindfulness and Relaxation Techniques: Stress can exacerbate pain, so practices such as yoga, meditation, or deep-breathing exercises may help manage both your physical and emotional well-being.

6. Regular Exercise: Engage in low-impact activities like walking, swimming, or cycling to maintain overall fitness without putting too much strain on your back.

7. Consultation with Specialists: If your symptoms persist or worsen, it may be beneficial to consult with a spine specialist or a neurologist for further evaluation and treatment options.

In summary, your symptoms warrant further investigation, especially considering the potential neurological implications of your head injury. It’s essential to address both your head and back issues comprehensively to ensure you receive the appropriate care and treatment. Please do not hesitate to seek medical attention to clarify your condition and receive the necessary interventions. Wishing you a speedy recovery and good health!

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