Spinal Injuries: Risks from Massage Therapy - Orthopedics

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Spinal issues


Hello: Yesterday, during a massage, I felt that the massage therapist may have pressed on my spine.
Since I have previously seen reports about paralysis caused by massage, I would like to ask: 1.
If a massage causes paralysis or other injuries to the spine, will the symptoms appear immediately? Is it possible for the spine to be injured but for paralysis or other symptoms to manifest after some time? 2.
How can I determine if my spine is injured?

Xiao Shen, 30~39 year old female. Ask Date: 2010/04/10

Dr. Ye Qingnian reply Orthopedics


Hello Sir: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: Massage of the spine can lead to paralysis, with cervical spine injuries being the most common.
This is especially true when there is a sudden forceful twist of the neck.
Other areas such as the thoracic and lumbar spine are less likely to be injured with manual massage; however, it is important not to stand on the back while doing so.
Symptoms of spinal injury include numbness and weakness.
If cervical spine massage causes discomfort or pain, please consult a physician to determine if a cervical collar is necessary to prevent further injury.
Finally, I wish you safety and happiness!

Reply Date: 2010/04/10

More Info


When it comes to spinal injuries and the potential risks associated with massage therapy, it's essential to approach the topic with caution and a clear understanding of the anatomy and physiology involved. Your concerns about the possibility of sustaining a spinal injury during a massage are valid, especially given the serious consequences that can arise from such injuries.


1. Immediate vs. Delayed Symptoms of Spinal Injury
If a massage therapist applies excessive pressure directly on the spine, there is a risk of injury, particularly if there are pre-existing conditions such as herniated discs, spinal stenosis, or other structural abnormalities. However, the manifestation of symptoms can vary significantly from person to person.
- Immediate Symptoms: In some cases, if a spinal injury occurs, symptoms may present immediately. These can include sharp pain, numbness, tingling, or weakness in the limbs. If the spinal cord is affected, there could be more severe symptoms, such as loss of motor function or sensation.

- Delayed Symptoms: It is also possible for symptoms to develop over time. For instance, if there is a minor injury or strain, you might not feel significant pain or discomfort right away. Instead, symptoms could gradually worsen over days or weeks. This delayed response can occur due to inflammation or the gradual onset of muscle spasms and nerve irritation.


2. How to Assess for Spinal Injury
Determining whether a spinal injury has occurred can be complex. Here are some steps and considerations:
- Self-Assessment: Pay attention to any new symptoms following the massage. Common signs of a spinal injury include:
- Persistent pain in the back or neck
- Numbness or tingling in the arms or legs
- Weakness in the limbs
- Difficulty walking or maintaining balance
- Changes in bowel or bladder control
- Consult a Healthcare Professional: If you experience any concerning symptoms, it is crucial to seek medical attention. A healthcare provider may perform a physical examination and order imaging studies, such as X-rays or MRIs, to assess the condition of your spine.

- Neurological Examination: A thorough neurological examination can help determine if there is any nerve involvement. This may include testing reflexes, muscle strength, and sensory responses.


Conclusion
While massage therapy can be beneficial for many individuals, it is essential to communicate openly with your therapist about any pre-existing conditions or concerns. If you have a history of spinal issues or if you experience any unusual symptoms after a massage, it is advisable to consult a healthcare professional promptly.

In summary, while the risk of paralysis or severe injury from a massage is relatively low, it is not nonexistent, particularly for individuals with underlying spinal conditions. Being vigilant about your body’s responses and seeking timely medical advice can help mitigate risks and ensure your spinal health is maintained. Always prioritize safety and communicate your concerns with your massage therapist to ensure a safe and effective treatment experience.

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