Should I See an Orthopedist for My Back and Side Pain?

I'm not sure if I need to see an orthopedic specialist?

Doctor, I have a longer upper body, so when I sit, I tend to slouch.
Initially, my spine and lower back feel a bit sore, probably because I've been in the same position for too long without moving.
When I try to stand up straight or change positions, it hurts a lot, and I can't get up quickly without experiencing pain; I have to slouch.
Gradually, the pain starts to extend to the side near my kidneys, and after a while, it shifts to another area.
I'm not quite sure what that area is, but it's on the left side of my abdomen, close to my thigh, and it often feels sore.
Sometimes, when I lean forward, it also hurts.
When I'm in pain, I apply an anti-inflammatory ointment, which makes me feel more comfortable because my hands are cold.
I find that placing my cold hands on the painful areas provides significant relief (it feels similar to an ice pack).
However, I'm still worried that there might be an underlying issue causing this discomfort.
The soreness is quite uncomfortable, but it doesn't significantly impact my daily life.
Should I get my body checked? Would I need to see an orthopedic specialist? Also, does constipation affect lower back pain? Thank you.

Hong Chen, 20~29 year old female. Ask Date: 2007/04/08

Dr. Wang Shouji reply Orthopedics

Poor posture is a risk factor for back pain.
Kidney, urinary tract, and gynecological issues can also present with symptoms of back pain.
You may want to consult an orthopedic specialist to determine if there are any structural problems.
Constipation rarely affects back pain.
Wishing you a speedy recovery.

Reply Date: 2007/04/08

More Info

Based on your description, it sounds like you are experiencing a combination of musculoskeletal pain and possibly nerve-related discomfort. Given your symptoms, it would be advisable to see an orthopedist or a physical therapist who specializes in spinal and musculoskeletal issues.
Your pain seems to stem from prolonged poor posture, particularly if you have a tendency to slouch while sitting. This can lead to muscle strain and discomfort in the back and sides, as well as potentially affecting the alignment of your spine. When you sit for extended periods without changing positions, certain muscles can become overworked while others may weaken, leading to imbalances that can cause pain.
The fact that your pain radiates to the sides and even into the abdominal area suggests that there may be some involvement of the muscles or nerves in that region. The discomfort you feel when trying to stand up straight could indicate tightness in the muscles of your back and possibly your hip flexors, which can become tight from prolonged sitting.
Using anti-inflammatory ointments can provide temporary relief, but it is essential to address the underlying issues. Here are some recommendations:
1. Posture Correction: Focus on maintaining a neutral spine while sitting. Consider using ergonomic furniture or cushions that promote better posture. Regularly remind yourself to sit up straight and take breaks to stand and stretch.

2. Stretching and Strengthening Exercises: Incorporate exercises that strengthen your core and back muscles. Stretching the hip flexors, hamstrings, and back muscles can also help alleviate tightness. Simple stretches like the cat-cow stretch, child's pose, and seated forward bends can be beneficial.

3. Physical Therapy: A physical therapist can provide a tailored exercise program to address your specific issues. They can also teach you proper body mechanics and posture techniques to prevent further discomfort.

4. Pain Management: While topical treatments can help, consider discussing other pain management strategies with your healthcare provider. This may include oral medications, heat therapy, or other modalities.

5. Hydration and Diet: Ensure you are drinking enough water and consuming a balanced diet. Dehydration can contribute to muscle cramps and discomfort.
Regarding your question about constipation, yes, it can potentially contribute to lower back pain. The pressure from the intestines can affect the surrounding muscles and nerves, leading to discomfort. If you are experiencing chronic constipation, addressing that issue may also help alleviate some of your back pain.

In summary, it would be wise to consult with an orthopedist or a physical therapist who can evaluate your condition more thoroughly. They can provide a proper diagnosis and recommend a treatment plan tailored to your needs. Early intervention can prevent further complications and help you return to a more comfortable and active lifestyle.

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