Lower Back Pain After Injury: Recovery and Stretching Tips - Rehabilitation

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Lower back pain


A month ago, I experienced lower back pain due to a car accident.
Initially, an X-ray taken in the emergency room indicated compression fractures of the first to third lumbar vertebrae.
However, after five days of rest, a follow-up appointment revealed that the bones were not significantly damaged, and only some muscle inflammation and soreness were present.
Since then, I have not sought further medical treatment and have only worn a supportive brace for protection, which I have now stopped using as I feel I am gradually improving.
I do not experience any discomfort during activities, but sitting for long periods or maintaining the same position for too long leads to a feeling of tightness or soreness in my back, though the pain is not severe.
Could this tightness be due to a lack of exercise after the injury? I have learned yoga and would like to know if I can perform gentle stretching to aid in my recovery.

cai, 20~29 year old female. Ask Date: 2008/01/22

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
Here are my responses and suggestions:
1.
The diagnosis you received in the emergency room differs significantly from the diagnosis made five days later.
If there are three consecutive compression fractures, you should still experience pain, especially during movement.

2.
Prolonged immobility can indeed lead to muscle tightness.
It is advisable to start with heat therapy followed by gentle stretching exercises.
I recommend seeking physical therapy for deep heat treatment and electrical stimulation, and then consulting a physician for guidance on therapeutic exercises.
Finally, I wish you safety and happiness!

Reply Date: 2008/01/22

More Info


Lower back pain following an injury, such as a car accident, can be a common issue, especially when there has been a diagnosis of compression fractures in the vertebrae. It’s encouraging to hear that your follow-up examination indicated that the bones are not severely damaged and that you are experiencing gradual improvement. However, the tightness and discomfort you feel after prolonged sitting or maintaining the same position are likely related to muscle tension and stiffness, which can occur when the body is recovering from an injury.

When the body experiences trauma, such as a car accident, it often goes into a protective mode. This can lead to muscle guarding, where the muscles around the injured area tighten to protect it. Additionally, if you have been less active during your recovery, your muscles may become weaker and less flexible, contributing to the tightness and discomfort you are experiencing.

To address your concerns, here are some recovery and stretching tips that may help alleviate your lower back pain:
1. Gentle Stretching: Since you have a background in yoga, incorporating gentle stretching into your routine can be beneficial. Focus on stretches that target the lower back, hips, and hamstrings. Poses such as Child’s Pose, Cat-Cow, and gentle seated forward bends can help relieve tension. Always listen to your body and avoid any movements that cause pain.

2. Strengthening Exercises: Once you feel comfortable with stretching, consider adding light strengthening exercises to your routine. Strengthening the core muscles can provide better support for your lower back. Exercises like pelvic tilts, bridges, and modified planks can be effective. Start slowly and gradually increase the intensity as your strength improves.

3. Posture Awareness: Pay attention to your posture, especially when sitting for extended periods. Use ergonomic chairs if possible, and take regular breaks to stand up, stretch, and move around. This can help reduce muscle stiffness and improve circulation.

4. Heat Therapy: Applying heat to the lower back can help relax tight muscles and alleviate discomfort. You can use a heating pad or take warm baths to soothe the area.

5. Physical Therapy: If your symptoms persist or worsen, consider consulting a physical therapist. They can provide personalized exercises and treatments tailored to your specific needs, helping you recover more effectively.

6. Mindfulness and Relaxation Techniques: Since anxiety about your injury can contribute to muscle tension, practicing mindfulness, deep breathing, or meditation can help you relax and reduce stress. This can be particularly helpful if you find yourself worrying about your recovery.

7. Gradual Return to Activity: As you feel better, gradually reintroduce physical activities that you enjoy. This can help improve your overall fitness and reduce the risk of future injuries. However, be cautious and avoid high-impact activities until you are fully recovered.

In summary, your lower back pain is likely related to muscle tension and stiffness resulting from the injury and reduced activity levels. Gentle stretching, strengthening exercises, and proper posture can aid in your recovery. Always consult a healthcare professional before starting any new exercise regimen, especially following an injury, to ensure that it is safe and appropriate for your condition. With time and appropriate care, you can expect to see improvement in your symptoms and regain your strength and flexibility.

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