Spine Issues: Recovery After Injury and Treatment Options - Orthopedics

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Spinal issues


Hello: I was in a car accident where I suffered a herniated disc.
I was taken to the hospital, but there were no available beds, so I went to see a folk healer who pushed my spine back into place and applied some ointment.
I continued to apply the ointment for about one to two months, thinking I was healed.
However, I have been dancing for performances for the past two months, and now I cannot stand for long periods; my lower back easily becomes sore, and on days when my back hurts, I feel very fatigued.
Could this be because I didn't properly treat my injury at that time? Additionally, I have also strained my knee, and it causes pain in my ankle, making it difficult to wear high-heeled shoes, as I can only wear them for a short time before experiencing pain.
Should I go to the hospital for a spinal examination? Do I need to have my spine corrected?

Grace, 20~29 year old female. Ask Date: 2006/08/10

Dr. Wang Shouji reply Orthopedics


Grace: You did not mention where the spinal disc herniation occurred.
Generally, significant trauma is required to cause spinal misalignment, and it often accompanies neurological symptoms, even paralysis.
With appropriate treatment and rehabilitation, most patients recover within 1-2 months.
If not, I recommend visiting an orthopedic department for further evaluation.
Wishing you a speedy recovery.

Reply Date: 2006/08/10

More Info


It sounds like you've been through quite a lot with your spine and other injuries. Let's break down your concerns regarding your spine issues, recovery after injury, and treatment options.

First, it's important to understand that spinal injuries, especially those involving herniated discs or misalignments, can lead to chronic pain and discomfort if not properly treated. When you mentioned that your spine was pushed back into place by a folk healer, it's crucial to recognize that while some traditional methods may provide temporary relief, they often lack the comprehensive assessment and follow-up care that medical professionals provide. Without proper imaging, such as X-rays or MRIs, it can be challenging to determine the extent of the injury and whether any underlying issues remain.

Given your history of back pain that worsens with prolonged standing and dancing, it’s possible that the initial injury was not fully resolved. Chronic pain can develop when the spine is not adequately supported or when the muscles surrounding it are weak. This can lead to a cycle of pain and fatigue, making it difficult to engage in activities you enjoy, like dancing.

Regarding your ankle pain and previous strains, it's essential to address these issues as well. Ankle injuries can lead to instability and chronic pain if not rehabilitated properly. If you experience pain when wearing high heels, it may indicate that your ankle lacks the necessary strength or flexibility to support that type of footwear.
Here are some recommendations for your situation:
1. Consult a Specialist: It would be wise to see a spine specialist or an orthopedic doctor who can evaluate your spine and ankle. They may recommend imaging studies to assess any structural issues that could be contributing to your pain.

2. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can develop a tailored exercise program to strengthen the muscles around your spine and ankle, improve flexibility, and enhance overall stability. This can help alleviate pain and prevent future injuries.

3. Pain Management: Depending on the severity of your pain, your doctor may suggest pain management strategies, which could include medications, injections, or alternative therapies like acupuncture or chiropractic care.

4. Activity Modification: While you enjoy dancing, it may be necessary to modify your activities to avoid exacerbating your pain. Consider low-impact exercises that are easier on your spine and joints, such as swimming or cycling.

5. Ergonomics and Posture: Pay attention to your posture, especially when standing or sitting for extended periods. Ergonomic adjustments in your workspace or daily activities can help reduce strain on your back.

6. Footwear Choices: Since high heels exacerbate your ankle pain, consider wearing supportive shoes that provide better stability and cushioning. This can help reduce discomfort and prevent further injury.

7. Regular Follow-ups: After your initial evaluation, ensure you have regular follow-ups with your healthcare provider to monitor your progress and make necessary adjustments to your treatment plan.

In summary, while it’s possible that your initial injury was not fully addressed, there are effective treatment options available to help you manage your pain and improve your quality of life. Seeking professional medical advice and engaging in a structured rehabilitation program can significantly enhance your recovery and allow you to return to the activities you love.

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