Lumbar Injuries: Causes, Symptoms, and Treatments

Lumbar spine injury

The orthopedic doctor prescribed me appetite stimulants, B12, anti-inflammatory pain relievers, and muscle relaxants.
Now, when I sit, my legs feel numb.
In middle school, I occasionally experienced sudden leg weakness that caused me to fall, and I have previously fallen before.
I also accidentally slipped while going down the stairs.
Could this be related to my previous falls?

Ying, 10~19 year old female. Ask Date: 2013/10/15

Dr. Shi Guozheng reply Orthopedics

Sciatica may not be directly related, but it is often caused by a herniated intervertebral disc in the lumbar spine that compresses the sciatic nerve.
Typically, the intervertebral discs in the lumbar spine lose hydration and elasticity due to aging.
When subjected to significant pressure, the nucleus pulposus of the lumbar disc can protrude into the neural foramen of the spine, thereby compressing the nerve and causing pain.
The symptoms typically manifest as pain in the buttocks that radiates down the back of the thigh and calf, extending to the foot and the sole, often accompanied by numbness.
In more severe cases, there may be weakness in the foot or foot drop.
In the most severe instances, it can lead to urinary incontinence.

Reply Date: 2013/10/15

More Info

Understanding lumbar injuries is crucial, especially when considering the potential long-term effects they can have on mobility and overall quality of life. Lumbar injuries can arise from various causes, including acute trauma, such as falls or accidents, and chronic conditions resulting from repetitive strain or degenerative changes in the spine.

Causes of Lumbar Injuries
1. Acute Trauma: Falls, like the one you experienced, can lead to immediate injuries such as fractures, sprains, or strains in the lumbar region. The impact can cause damage to the vertebrae, intervertebral discs, and surrounding soft tissues.

2. Chronic Conditions: Over time, repetitive activities or poor posture can lead to conditions such as herniated discs, degenerative disc disease, or spinal stenosis. These conditions can cause chronic pain and discomfort, often exacerbated by activities that put additional strain on the lumbar spine.

3. Previous Injuries: Past injuries, such as the falls you mentioned during middle school, can have lingering effects. They may lead to structural changes in the spine or compensatory movements that place additional stress on the lumbar region, potentially causing pain or weakness in the legs and arms.

Symptoms of Lumbar Injuries
Symptoms can vary widely depending on the nature and severity of the injury. Common symptoms include:
- Localized Pain: Pain in the lower back that may radiate to the buttocks or thighs.

- Numbness or Tingling: This can occur in the legs or feet, often indicating nerve involvement.

- Weakness: Difficulty in moving the legs or performing daily activities can be a sign of nerve compression or damage.

- Muscle Spasms: Involuntary contractions of the back muscles can occur in response to injury or strain.

Treatments for Lumbar Injuries
1. Medications: Over-the-counter pain relievers such as NSAIDs (e.g., ibuprofen) can help reduce inflammation and alleviate pain. Muscle relaxants may also be prescribed to relieve muscle spasms. If you are experiencing gastrointestinal discomfort from medications, it may be beneficial to discuss alternatives with your healthcare provider.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles supporting the spine, improve flexibility, and promote better posture. A physical therapist can design a personalized exercise program tailored to your specific needs and limitations.

3. Rest and Activity Modification: It's essential to balance rest with gentle activity. Avoiding movements that exacerbate pain while gradually reintroducing activity can aid recovery.

4. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation and pain, particularly if conservative treatments are ineffective.

5. Surgery: While often a last resort, surgical options may be considered for severe cases, such as significant herniated discs or spinal stenosis that do not respond to other treatments.

Conclusion
Given your history of falls and current symptoms, it is essential to consult with a healthcare professional who can perform a thorough evaluation, including imaging studies if necessary, to determine the exact cause of your symptoms. They can provide a comprehensive treatment plan tailored to your specific condition. Remember, early intervention can often lead to better outcomes and prevent further complications. If you experience worsening symptoms, such as increased weakness or loss of bowel or bladder control, seek immediate medical attention.

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