the Connection Between Back Pain and Muscle Tension Issues - Orthopedics

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Spinal pain


Hello Doctor, I have the following questions, but I'm unsure how to clarify where the issues lie, so I would like to ask about possible causes.

1.
In recent months, I sometimes wake up with pain in my lumbar spine.

2.
I have noticed that in crowded places or when speaking with unfamiliar people, I occasionally experience stiffness in my neck muscles, and my head tends to tilt slightly towards the person I'm talking to (feeling tense overall), even though I don't feel particularly anxious.

3.
Since my work is primarily information-based, I spend a lot of time on the computer, and sometimes I experience blurred vision, seeing shadows, and then I feel dizzy and have a slight headache.

I wonder if there is a connection among these three issues, and I hope to receive some answers.
Thank you.

long, 20~29 year old female. Ask Date: 2010/10/14

Dr. Shi Guozheng reply Orthopedics


Prolonged use of computers or typing can easily lead to shoulder and neck pain.
Additionally, improper sitting posture can cause spinal pain as well as lower back and upper back discomfort.
To alleviate these issues, it is important to maintain proper posture while sitting and to take breaks every hour of computer use to stand up and move around for a few minutes.
Blurred vision is also a result of extended periods of looking at a computer screen.

Reply Date: 2010/10/14

More Info


Understanding the connection between back pain and muscle tension issues can be quite complex, especially when multiple symptoms are involved. Based on your description, it seems that you are experiencing a combination of back pain, muscle tension, and visual disturbances, which may indeed be interconnected. Let’s break down the potential causes and relationships between these symptoms.

1. Back Pain: The pain you experience in your lower back upon waking could be attributed to several factors. Poor sleeping posture, an unsupportive mattress, or prolonged periods of inactivity can lead to muscle stiffness and discomfort. Additionally, if you have any underlying conditions such as degenerative disc disease or muscle strain, these could exacerbate your pain. It’s essential to evaluate your sleeping environment and habits to identify any contributing factors.

2. Muscle Tension and Stress Response: The muscle stiffness you feel in social situations may be a physical manifestation of stress or anxiety, even if you do not consciously feel anxious. This is often referred to as a "fight or flight" response, where your body tenses up in response to perceived threats, which can include social interactions. This tension can lead to discomfort in the neck and shoulders, contributing to headaches and further exacerbating back pain. Practicing relaxation techniques, such as deep breathing or mindfulness, may help alleviate this tension.

3. Visual Disturbances and Headaches: The symptoms of blurred vision and headaches, especially after long hours of computer use, suggest that you may be experiencing digital eye strain, also known as computer vision syndrome. This condition can lead to discomfort, headaches, and visual disturbances due to prolonged screen time without adequate breaks. It’s crucial to follow the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. Additionally, ensure that your workstation is ergonomically set up to reduce strain on your neck and back.

4. Interconnectedness of Symptoms: The relationship between these symptoms can be cyclical. For example, muscle tension can lead to back pain, which may cause you to alter your posture, further exacerbating muscle tension. Similarly, visual strain can lead to headaches, which may increase your overall discomfort and stress levels, creating a feedback loop that perpetuates your symptoms.


Recommendations:
- Ergonomics: Ensure your workspace is ergonomically friendly. Adjust your chair, desk, and monitor height to promote good posture.

- Exercise: Incorporate regular physical activity into your routine. Stretching, yoga, or pilates can help alleviate muscle tension and improve flexibility.

- Sleep Hygiene: Evaluate your sleeping arrangements. A supportive mattress and pillow can significantly impact your back health.

- Stress Management: Engage in relaxation techniques such as meditation, deep breathing exercises, or progressive muscle relaxation to help manage stress and reduce muscle tension.

- Professional Evaluation: If your symptoms persist, consider consulting a healthcare professional, such as a physical therapist or a chiropractor, who can provide a thorough assessment and tailored treatment plan.

In conclusion, while your symptoms may seem disparate, they are likely interconnected through physical and psychological mechanisms. Addressing each aspect holistically can lead to improved overall well-being and symptom relief.

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