Can Long-Term Spinal Issues from Sports Injuries Be Treated? - Orthopedics

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Chronic illness


Hello Dr.
Wang: When I was 18 years old, I suffered a sports injury that left me unable to walk for two weeks.
However, I did not undergo active rehabilitation at that time, and now my spine (from the cervical to the lumbar region) cannot bend.
Is it still possible to treat this condition after twenty years?

A-Ming, 30~39 year old female. Ask Date: 2007/03/27

Dr. Wang Shouji reply Orthopedics


A-Ming needs to assess the extent of the injury.
However, it is rare for an injury to have such a wide impact (from the cervical spine to the lumbar spine).
It is important to consider whether it is caused by a disease.
It is recommended to visit a hospital's orthopedic department for diagnosis and treatment.
Wishing you a speedy recovery.

Reply Date: 2007/03/27

More Info


Long-term spinal issues resulting from sports injuries can indeed be treated, but the approach and potential outcomes depend on various factors, including the severity of the injury, the specific spinal condition, and the individual's overall health and commitment to rehabilitation. Given your history of a significant injury at the age of 18, which resulted in a two-week period of immobility, it is understandable that you are experiencing limitations in spinal flexibility and mobility now, two decades later.

Firstly, it is essential to recognize that the spine is a complex structure composed of vertebrae, discs, ligaments, and muscles. When an injury occurs, especially one that leads to immobilization, there can be a cascade of effects, including muscle atrophy, joint stiffness, and changes in the way the body compensates for the injury. Over time, these changes can lead to chronic pain, reduced range of motion, and other functional limitations.

In your case, since you have been living with these issues for 20 years, it is crucial to undergo a thorough evaluation by a healthcare professional, preferably a specialist in physical medicine and rehabilitation or an orthopedic spine specialist. They can assess your current spinal condition through physical examinations and imaging studies, such as X-rays or MRIs, to determine the extent of any structural changes or damage.

Once a comprehensive assessment is completed, a tailored treatment plan can be developed. Here are some common approaches that may be considered:
1. Physical Therapy: Engaging in a structured physical therapy program can help improve flexibility, strength, and overall function. A physical therapist can design a program that focuses on stretching and strengthening the muscles surrounding the spine, which may help alleviate pain and improve mobility.

2. Pain Management: If you are experiencing chronic pain, various pain management strategies can be employed. This may include medications (such as NSAIDs or muscle relaxants), injections (like epidural steroid injections), or alternative therapies (such as acupuncture or chiropractic care).

3. Exercise: Regular, low-impact exercise can be beneficial for spinal health. Activities such as swimming, walking, or cycling can help maintain cardiovascular fitness without putting excessive strain on the spine. Additionally, specific exercises focusing on core stability can provide support to the spine.

4. Surgical Options: In some cases, if conservative treatments do not yield satisfactory results, surgical intervention may be considered. This could involve procedures to decompress nerves, stabilize the spine, or correct structural deformities. However, surgery is typically viewed as a last resort after other options have been exhausted.

5. Lifestyle Modifications: Maintaining a healthy weight, practicing good posture, and avoiding activities that exacerbate your condition can also play a significant role in managing long-term spinal issues.

6. Alternative Therapies: Some individuals find relief through complementary therapies such as yoga, Pilates, or tai chi, which focus on flexibility, balance, and core strength.

It is important to approach your treatment with realistic expectations. While significant improvements can often be made, complete restoration of function may not be achievable, especially after such a long duration of limited mobility. However, with dedication to a rehabilitation program and the right support, many individuals experience meaningful improvements in their quality of life.

In conclusion, while long-term spinal issues from sports injuries can be challenging to treat, they are not insurmountable. A multidisciplinary approach involving medical professionals, physical therapists, and possibly other specialists can provide you with the best chance for improvement. It is never too late to seek help and work towards enhancing your spinal health and overall well-being.

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