Back pain with tenderness when pressing on the spine?
Hello, doctor.
I previously noticed that when I lean forward, my upper body tilts back, causing pain in my back.
Later, it changed to pain when bending over, similar to muscle soreness after exercise (but I hadn't exercised during that time).
This has persisted for over a month.
Today, I discovered that when I press down hard on a specific vertebra with my fingers, it hurts.
Could you please tell me what symptoms this might indicate? If I go to the hospital, should I see an orthopedic specialist? Thank you for taking the time to answer, doctor.
chao, 30~39 year old female. Ask Date: 2011/10/31
Dr. Wang Shouji reply Orthopedics
Hello: Based on your age and the symptoms you described, they may be related to muscle or soft tissue fatigue or inflammation.
If you are concerned, please visit a hospital and consult with an orthopedic specialist.
Wishing you a speedy recovery.
Reply Date: 2011/10/31
More Info
Back pain can be a complex issue, often influenced by various factors, including spinal pressure, posture, and even emotional stress. Based on your description, it seems you are experiencing discomfort that worsens with certain movements, such as bending or arching your back. This could indicate a few potential underlying issues related to your spine or surrounding musculature.
Firstly, the pain you feel when pressing on a specific vertebra could suggest localized inflammation or irritation of the structures around that area. This might be due to muscle strain, ligamentous injury, or even a more serious condition like a herniated disc or spinal stenosis, which can cause pressure on the spinal nerves. Given that you mentioned the pain feels similar to muscle soreness after exercise, it could be a sign of muscle fatigue or strain, especially if you have been maintaining poor posture or engaging in activities that put undue stress on your back.
In terms of the relationship between your symptoms and spinal pressure, it is essential to understand that the spine is designed to bear weight and provide support. However, when there is excessive pressure on the spinal discs or vertebrae—due to factors like poor posture, repetitive strain, or even stress—it can lead to pain. Stress, in particular, can cause muscle tension, which may exacerbate any existing back pain. This is often referred to as psychosomatic pain, where emotional factors manifest as physical symptoms.
To address your symptoms, it is advisable to consult with a healthcare professional, preferably an orthopedic specialist or a physical therapist. They can perform a thorough evaluation, which may include physical examinations and imaging studies like X-rays or MRIs, to determine the exact cause of your pain. Depending on the findings, treatment options may include:
1. Physical Therapy: A physical therapist can design a personalized exercise program to strengthen the muscles supporting your spine, improve flexibility, and correct posture.
2. Pain Management: Over-the-counter pain relievers, such as non-steroidal anti-inflammatory drugs (NSAIDs), can help reduce inflammation and alleviate pain. In some cases, your doctor may recommend stronger medications or injections.
3. Posture Correction: Learning proper body mechanics and ergonomics can significantly reduce strain on your back. This includes maintaining a neutral spine position while sitting, standing, and lifting.
4. Stress Management: Since stress can contribute to muscle tension and pain, incorporating stress-reduction techniques such as mindfulness, yoga, or meditation may be beneficial.
5. Lifestyle Modifications: Engaging in regular physical activity, maintaining a healthy weight, and avoiding prolonged periods of inactivity can help support spinal health.
In conclusion, while your symptoms may be related to spinal pressure, it is crucial to seek a professional evaluation to identify the underlying cause. Early intervention can lead to better outcomes and help you manage your pain effectively. If you decide to visit a hospital, starting with an orthopedic department would be appropriate, as they specialize in musculoskeletal issues, including those related to the spine.
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