Should I See an Orthopedist After a Deep Tissue Massage? - Orthopedics

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Please ask about spine issues again?


Hello: Thank you for your response.
I had a Thai massage the day before yesterday, and the massage therapist applied a lot of pressure on my back.
I heard cracking sounds from my bones, and although I specifically reminded the therapist not to touch my spine before the massage, I am still worried that my spine may have been injured.
Currently, I do not have any symptoms of numbness or paralysis in my limbs, but I am concerned that these symptoms may appear later.
Should I see an orthopedic doctor now? If I go now, what tests should be conducted to determine if there is any injury to my spine? Thank you.

Ma Ke, 30~39 year old female. Ask Date: 2012/09/28

Dr. Li Wenhong reply Orthopedics


Hello Mark: At your age, you should not have osteoporosis.
If there is no significant pain or limitation in movement after the massage, there is no need to worry, and you do not need to see a doctor for now.
Dr.
Li Wen-Hong, Orthopedics, Changhua Hospital.

Reply Date: 2012/09/28

More Info


After receiving a deep tissue massage, especially one that involved significant pressure on the back, it is understandable to have concerns about potential injuries, particularly to the spine. The sound you heard during the massage, often described as a "cracking" or "popping" noise, can be alarming, but it is not always indicative of injury. This sound can occur due to the release of gas bubbles in the joints or the movement of tendons and ligaments. However, your concern about the possibility of spinal injury is valid, especially if you have a history of back issues or if the massage was particularly aggressive.


When to See an Orthopedist
1. Symptoms to Monitor: While you currently do not experience symptoms such as numbness, tingling, or weakness in your limbs, it is crucial to monitor for any changes. If you start to experience any of these symptoms, or if you develop pain that worsens over time, it would be prudent to seek medical attention immediately.

2. Timing of the Visit: If you remain symptom-free but are still concerned about potential injury, it may be beneficial to consult an orthopedist for peace of mind. It’s better to address concerns early rather than waiting for symptoms to develop.


Recommended Evaluations
If you decide to see an orthopedist, here are some common evaluations and tests that may be performed to assess spinal health:
1. Physical Examination: The doctor will likely begin with a thorough physical examination, assessing your range of motion, strength, and reflexes. They will also check for any areas of tenderness or abnormal curvature in your spine.

2. Imaging Tests: Depending on the findings from the physical examination, the orthopedist may recommend imaging tests such as:
- X-rays: These can help visualize the alignment of the vertebrae and identify any fractures or dislocations.

- MRI or CT Scan: These imaging modalities provide a more detailed view of the soft tissues, including discs, nerves, and ligaments, and can help identify any potential injuries that X-rays might miss.

3. Neurological Assessment: If there are any signs of nerve involvement, such as weakness or sensory changes, a more detailed neurological assessment may be warranted.


Conclusion
In summary, while it is not always necessary to see an orthopedist immediately after a deep tissue massage, it is essential to remain vigilant about any developing symptoms. If you experience any concerning signs or if your anxiety about potential injury persists, seeking a professional evaluation can provide reassurance and help rule out any serious issues. Remember, early intervention is key in managing any potential injuries effectively. If you do visit an orthopedist, be prepared to discuss your symptoms, the nature of the massage, and any previous back issues you may have had. This information will assist the physician in making an informed assessment of your condition.

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