Back Pain: Causes, Exercises, and Treatment Options - Orthopedics

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Lower back pain and discomfort?


I have been sitting with poor posture for a long time (about four to five months), and carrying my backpack on one side has led to the following issues: 1.
The muscles on the left side of my back (on the same side as my left arm) are stiff, and when I sit up straight, I feel tightness in those muscles.
When I press on them, I can clearly feel that the left side is harder than the right side.
2.
When I inhale and my chest rises, I experience pain in the left side of my back, and I also feel pain when exerting the left side of my back (I'm not sure if this pain is muscular, as touching the muscles does not cause pain).
3.
At the lower end of my spine, I feel pain when I intentionally exert my lower back, and after sitting for too long, my buttocks feel strange.
Additionally, when lying flat on my bed and performing a forward kick with my left leg, I hear a "pop" sound coming from my pelvic area, and I'm unsure if there is an issue with my pelvis.
4.
When I sit up straight for too long (about half an hour without back support), I experience pain in the muscles of my lower left back, but the pain diminishes after a few days.
What exercises would be suitable for me? What condition (medical term) might this be? Should I see an orthopedic specialist or a rehabilitation specialist?

Jeffrey, 10~19 year old female. Ask Date: 2006/08/21

Dr. Wang Shouji reply Orthopedics


Jeffrey: 1.
Poor posture often leads to muscle fatigue, soreness, and stiffness.
2.
It is likely also an issue with the soft tissues of the muscles.
3.
If there is a sound, it is unclear whether it is accompanied by pain, and a physical examination is necessary.
4.
It is likely also an issue with the soft tissues of the muscles.
Generally, it is recommended to first identify the problem and consult either an orthopedic specialist or a rehabilitation physician.
Wishing you a speedy recovery.

Reply Date: 2006/08/21

More Info


Back pain can arise from various causes, and your symptoms suggest a combination of muscular tension and possible postural issues. Given your description, it seems that your prolonged periods of incorrect sitting posture and uneven weight distribution from carrying a backpack on one side may have contributed to muscle stiffness and discomfort in your back and pelvis.


Understanding Your Symptoms
1. Muscle Tightness and Pain: The tightness in your left back muscles compared to the right could indicate muscle imbalances. When one side of the body is used more than the other, it can lead to overuse and tightness in those muscles, while the opposite side may become weaker and less engaged.

2. Pain During Breathing: The pain you feel when inhaling deeply could be related to the muscles around your rib cage and back. If these muscles are tight or strained, they may not function properly during deep breathing, leading to discomfort.

3. Lumbar Pain: The pain at the lower back when exerting yourself or sitting for long periods suggests that the lumbar spine may be under stress, possibly due to poor posture or muscle fatigue.

4. Sounds from the Pelvis: The "popping" sound from your pelvis when performing certain movements could be due to normal joint movement or could indicate tightness in the surrounding muscles or ligaments.


Recommended Exercises
To address your symptoms, consider incorporating the following exercises into your routine:
1. Stretching: Focus on stretching the tight muscles in your back, particularly the left side. Gentle stretches like the cat-cow stretch, child’s pose, and side bends can help alleviate tension.

2. Strengthening: Strengthening exercises for your core and back muscles can help improve posture and support your spine. Planks, bridges, and bird-dogs are excellent choices.

3. Postural Exercises: Incorporate exercises that promote good posture, such as wall angels and seated rows with resistance bands. These can help balance the strength between your left and right sides.

4. Aerobic Activities: Low-impact aerobic exercises like walking, swimming, or cycling can improve overall fitness without putting too much strain on your back.

5. Yoga or Pilates: Both practices emphasize body awareness, flexibility, and core strength, which can be beneficial for your condition.


Treatment Options
Given your symptoms, it would be advisable to consult with a healthcare professional. You may consider seeing a physical therapist or a rehabilitation specialist first. They can provide a thorough assessment of your posture, muscle imbalances, and movement patterns. A physical therapist can develop a personalized exercise program tailored to your needs and help you learn proper body mechanics to prevent further injury.

If your symptoms persist despite conservative management, or if you experience severe pain, numbness, or weakness, it may be necessary to consult an orthopedic specialist for further evaluation. They can assess for any underlying structural issues in your spine or pelvis that may require more specialized treatment.


Conclusion
In summary, your symptoms appear to be related to muscle tightness and postural imbalances due to prolonged incorrect sitting and uneven weight distribution. Incorporating stretching and strengthening exercises, focusing on posture, and seeking professional guidance from a physical therapist can help alleviate your discomfort. If symptoms persist or worsen, consider further evaluation by an orthopedic specialist. Remember to listen to your body and avoid any movements that exacerbate your pain.

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