Should I See an Orthopedic Specialist for My Post-Accident Back Pain?

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I would like to ask about an accident I had a year and a half ago where I injured my head and coccyx.
At that time, everyone was more focused on my head injury, and the lumbar region was not given much attention.
I underwent a minor surgery afterward, but I sometimes feel discomfort in my lumbar spine, experiencing stiffness and soreness.
Now, I have to use a small blanket when I sleep (my bed is made of straw mat).
Recently, I noticed that when lying flat and doing bicycle exercises, there is a popping sound coming from my left leg when I pedal, and it is quite loud.
Should I go for further examination, such as an X-ray? Should I see an orthopedic specialist? Thank you!

none, 20~29 year old female. Ask Date: 2006/07/27

Dr. Shi Qiming reply Orthopedics

Hello, there is still a distance between the lumbar vertebrae and the coccyx, which may not necessarily be related.
The lower back pain and discomfort could be associated with regular fatigue.
It is recommended that you visit an orthopedic clinic for further examination and treatment.
Thank you!

Reply Date: 2006/07/27

More Info

Based on your description of the post-accident back pain and the symptoms you are experiencing, it is advisable to consult an orthopedic specialist. Your history of a car accident, particularly the impact on your head and tailbone, raises concerns that should not be overlooked, especially since you are experiencing discomfort and stiffness in your lumbar region.

After a traumatic event like a car accident, it is common for individuals to experience delayed symptoms related to soft tissue injuries, spinal alignment issues, or even undetected fractures. The fact that you have undergone a small surgery on your lumbar spine suggests that there may have been pre-existing conditions that could have been exacerbated by the accident. The stiffness and pain you describe, particularly when lying down or performing certain movements, could indicate underlying issues such as muscle strain, ligament sprain, or even disc-related problems.

The sound you hear when pedaling with your left foot could be related to several factors. It might be due to joint movement, such as crepitus, which can occur when there is a change in the joint surfaces or when gas bubbles in the synovial fluid collapse. However, it could also indicate a more serious issue, such as cartilage wear or ligament instability, especially if accompanied by pain or discomfort.

Here are some steps you should consider:
1. Consult an Orthopedic Specialist: An orthopedic doctor specializes in musculoskeletal issues, including the spine. They can perform a thorough examination, review your medical history, and determine if further imaging studies, such as X-rays or MRIs, are necessary to assess the condition of your spine and surrounding structures.

2. Imaging Studies: If your orthopedic specialist deems it necessary, they may recommend imaging studies to evaluate the integrity of your spine, check for any fractures, and assess the condition of the discs and joints. This is particularly important given your history of trauma.

3. Physical Therapy: Depending on the findings, your doctor may recommend physical therapy to help strengthen the muscles around your spine, improve flexibility, and alleviate pain. A physical therapist can provide tailored exercises that can help you regain function and reduce discomfort.

4. Pain Management: If you are experiencing significant pain, your doctor may discuss pain management options, which could include medications, injections, or alternative therapies.

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, changes in mobility, or new symptoms. This information will be valuable for your healthcare provider in determining the best course of action.

In conclusion, given your history of a car accident and the ongoing symptoms you are experiencing, it is prudent to seek an evaluation from an orthopedic specialist. They will be able to provide a comprehensive assessment and guide you toward the appropriate treatment options to help manage your pain and improve your quality of life. Don't hesitate to reach out for help; addressing these issues early can lead to better outcomes and prevent further complications.

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