Paralysis
Hello Doctor: A while ago, I was doing weight training and accidentally injured my lower back.
After treatment, it was diagnosed as a muscle strain, and I have improved significantly with medication, although I still occasionally feel something unusual.
Recently, when I wake up, I feel a tingling sensation in the left kidney area, and there is a sense of pressure in my abdomen that feels internal.
Strangely, after returning from a trip to Hong Kong, my waist size suddenly increased by more than an inch.
I would like to ask if there is something wrong with my body.
Xiao Yangyang, 20~29 year old female. Ask Date: 2006/07/17
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your questions.
1.
Inappropriate weight training may lead to muscle and ligament strains; it can even result in intervertebral disc disorders or joint diseases.
Therefore, it is essential to have a health assessment, a comprehensive training plan, and warm-up exercises before engaging in such activities.
2.
Kidney issues often present with symptoms such as hematuria, flank pain, proteinuria, edema, and anemia.
There may also be other manifestations like weight loss and hypertension.
It is advisable to discuss your symptoms with your primary care physician or directly consult a nephrologist.
3.
Additionally, the waist circumference standards in Taiwan recommend that men should have a waist measurement of less than 90 cm and women less than 80 cm.
An increased waist circumference is most commonly associated with obesity, but other causes such as ascites or internal bleeding can occasionally be observed.
Please discuss this with your primary care physician as well.
Reply Date: 2006/07/17
More Info
Hello! Thank you for your question regarding muscle strain and nerve sensations following weight training. It sounds like you've been through quite a bit with your recent back injury and the subsequent sensations you're experiencing. Let's break down your concerns and provide some insights based on medical knowledge.
Firstly, it's important to understand that muscle strains are common injuries, especially among those who engage in weight training or other physical activities. A muscle strain occurs when the muscle fibers are overstretched or torn, which can lead to pain, swelling, and sometimes a feeling of weakness in the affected area. In your case, it seems you have already received treatment for your lower back strain, which is a positive step towards recovery.
The "weird" sensations you describe in your left kidney area upon waking could be attributed to several factors. After a muscle strain, it's not uncommon to experience lingering sensations such as tingling or numbness, especially if the injury has affected nearby nerves or if there is muscle tightness that could be putting pressure on those nerves. The abdominal area is rich in nerves, and any irritation or inflammation in the surrounding muscles can lead to unusual sensations.
Additionally, the sudden increase in your waist size after returning from your trip could be related to several factors. It could be due to dietary changes while traveling, such as increased salt intake, which can lead to water retention and bloating. This is particularly common when consuming processed foods or dining out, as these often contain higher levels of sodium. Furthermore, if you were less active during your trip, this could also contribute to temporary weight gain or bloating.
However, if the sensations persist or worsen, or if you experience additional symptoms such as severe pain, changes in bowel or urinary habits, or any other concerning signs, it would be wise to consult a healthcare professional. They may recommend imaging studies, such as an MRI or ultrasound, to evaluate the structures in your abdomen and back more thoroughly.
In terms of recovery from your muscle strain, here are some general recommendations:
1. Rest and Recovery: Allow your body adequate time to heal. Avoid activities that exacerbate the pain or strain.
2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around your lower back and improve flexibility, which may prevent future injuries.
3. Gentle Stretching and Strengthening: Once the acute pain has subsided, gentle stretching and strengthening exercises can help restore function and prevent stiffness.
4. Hydration and Nutrition: Ensure you are well-hydrated and maintain a balanced diet to support muscle recovery. Adequate protein intake is crucial for muscle repair.
5. Monitor Symptoms: Keep track of any changes in your symptoms, especially if they become more severe or if new symptoms arise.
6. Consult a Specialist: If you continue to experience unusual sensations or if your waist size does not return to normal, consider consulting a specialist, such as a sports medicine physician or a neurologist, for further evaluation.
In summary, while muscle strains can lead to lingering sensations, they often resolve with proper care and attention. The increase in waist size may be related to dietary changes or fluid retention, especially after travel. Always listen to your body, and don't hesitate to seek medical advice if you're concerned about your symptoms. Wishing you a smooth recovery and good health!
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