Lower Back Numbness: Causes and Solutions for Posture Issues - Orthopedics

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Recently, I've been experiencing some numbness in my lower back?


Due to long hours of standing at work, I have recently developed some issues, specifically numbness in my lower back and a bit in the left side of my buttocks (only that specific spot is numb, not the entire area).
Sometimes after playing basketball, my lower back is sore to the point that even brushing my teeth is painful.
Could this be caused by my slight kyphosis? If it is kyphosis, would wearing a posture correction brace be effective? Does kyphosis affect the feet? I also noticed that my legs seem to be of different lengths (my left leg appears to be longer).

Shíkuài qián, 10~19 year old female. Ask Date: 2010/03/19

Dr. Shi Guozheng reply Orthopedics


If the spine is deformed, such as in cases of scoliosis or kyphosis, it can increase the load on the back muscles, making them more susceptible to soreness.
Overworking can also lead to pain.
Poor posture can cause discomfort as well; if there is a discrepancy in leg length, it may indicate the presence of lumbar scoliosis.

Reply Date: 2010/03/19

More Info


Lower back numbness and pain can be quite concerning, especially when it interferes with daily activities. Based on your description, it seems that your symptoms may be related to a combination of poor posture, specifically your tendency towards kyphosis (hunchback), and possibly other musculoskeletal issues.


Causes of Lower Back Numbness
1. Postural Issues: Kyphosis can lead to an imbalance in the spine and surrounding muscles. When the spine is not aligned properly, it can cause strain on the muscles and ligaments in the lower back. This strain can lead to muscle fatigue, spasms, and even nerve compression, which may explain the numbness you feel in your lower back and buttock area.

2. Muscle Imbalance: Poor posture often leads to certain muscle groups becoming overactive while others become weak. In your case, the muscles in your lower back may be overworked due to compensating for the weak muscles in your core and upper back, leading to discomfort and numbness.

3. Nerve Compression: If the alignment of your spine is significantly altered, it can lead to nerve compression. This is particularly true if there is any disc degeneration or herniation, which can occur in individuals with poor posture over time.

4. Leg Length Discrepancy: You mentioned that you suspect you have one leg longer than the other. A leg length discrepancy can lead to an uneven distribution of weight and stress on the spine, which can exacerbate lower back pain and numbness.


Solutions and Treatment Options
1. Posture Correction: Using a posture correction device can be beneficial. These devices are designed to help realign your spine and encourage proper posture. However, it is essential to use them correctly and not rely solely on them, as they can lead to muscle dependency if used excessively without strengthening the underlying muscles.

2. Physical Therapy: Consulting with a physical therapist can provide you with a tailored exercise program to strengthen your core and back muscles, improve flexibility, and address any muscle imbalances. They can also teach you proper body mechanics and posture correction techniques.

3. Strengthening Exercises: Focus on exercises that strengthen your core, back, and gluteal muscles. This can include planks, bridges, and specific back extension exercises. Strengthening these areas can help support your spine better and alleviate some of the strain on your lower back.

4. Stretching: Incorporate stretching into your routine to improve flexibility in your hamstrings, hip flexors, and lower back. Tight muscles can contribute to poor posture and discomfort.

5. Ergonomic Adjustments: If your work requires long periods of standing, consider using anti-fatigue mats and ensuring that your workstation is ergonomically designed to reduce strain on your back.

6. Consult a Specialist: If your symptoms persist or worsen, it may be beneficial to consult with a healthcare professional, such as an orthopedic specialist or a chiropractor, who can assess your spine and posture more thoroughly. They may recommend imaging studies to rule out any underlying conditions.

7. Leg Length Discrepancy Assessment: If you suspect a leg length discrepancy, a healthcare professional can assess this and may recommend orthotics or specific exercises to help balance your posture and alleviate discomfort.

In summary, addressing your lower back numbness involves a multifaceted approach that includes correcting your posture, strengthening your muscles, and possibly using supportive devices. It is crucial to seek professional guidance to ensure that you are following a safe and effective treatment plan tailored to your specific needs.

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