Poor Posture and Its Impact on Nerve Health: Your Symptoms

Poor posture while sitting?

Hello, doctor! I have been riding a motorcycle for a long time, which has caused inflammation in the thick muscle between my anus and coccyx.
This inflammation has recurred twice, and since the second occurrence, I have started to experience pain radiating to both sides of my groin, along with sharp pain upon pressure.
The left side is more painful.
I haven't fallen, and I have been taking anti-inflammatory and pain relief medication for over three months.
However, the pain worsens when I stop the medication.
An X-ray indicated that my bones should be straight but are slightly curved.
After inquiring about my condition, the rehabilitation doctor only asked if I wanted rehabilitation and then let me go.
The rehabilitation card states "727.00 synovitis and tenosynovitis, unspecified." I am unsure whether I should proceed with rehabilitation or consult another doctor.
After all, I have seen some people who did not improve after rehabilitation, and I am a bit worried.
Thank you, doctor.

Mr. Chen, 30~39 year old female. Ask Date: 2015/02/11

Dr. Gao Chunde reply Neurology

If the source of the problem is related to sitting posture, it is advisable to consult a rehabilitation physician to learn the correct way to sit, as correcting this is fundamental to treatment.
If there is no improvement after correction, further investigation is necessary to determine if there are other underlying causes contributing to the persistent inflammatory pain, such as consulting an orthopedic or neurologist to revise the treatment plan.

Reply Date: 2015/02/11

More Info

Poor posture can significantly impact nerve health and contribute to a variety of symptoms, especially in individuals who have experienced repetitive strain or injury. In your case, the discomfort you are experiencing in the area around your tailbone and groin could be linked to several factors, including inflammation, nerve irritation, and muscle imbalances.

First, let's address the inflammation you mentioned. The term "synovitis and tenosynovitis" refers to inflammation of the synovial membrane and the tendon sheath, respectively. This condition can occur due to repetitive strain or overuse, particularly in areas that are subjected to prolonged pressure or awkward positioning, such as when riding a motorcycle. The inflammation can lead to pain and discomfort, which may radiate to surrounding areas, including the groin.

The pain you are experiencing, particularly on the left side, could also be indicative of nerve involvement. The nerves that innervate the pelvic region and lower limbs can become compressed or irritated due to inflammation or muscle tightness. This can lead to symptoms such as sharp pain, tingling, or numbness. It’s essential to consider that poor posture while riding can exacerbate these issues by placing undue stress on the spine and surrounding musculature.

Regarding your concern about rehabilitation, physical therapy can be beneficial in addressing both the inflammation and any underlying muscular imbalances. A physical therapist can assess your posture, movement patterns, and strength to develop a tailored rehabilitation program. This program may include exercises to strengthen the muscles around the pelvis and lower back, improve flexibility, and correct any postural deviations. Additionally, modalities such as ultrasound or electrical stimulation may be used to reduce inflammation and pain.

It’s also crucial to consider the potential need for further evaluation. If your symptoms persist despite conservative treatment, it may be worthwhile to consult with a specialist, such as an orthopedic surgeon or a neurologist. They can perform a more comprehensive assessment, including imaging studies like MRI, to rule out any structural issues that may be contributing to your pain.

In summary, your symptoms are likely multifactorial, involving inflammation, potential nerve irritation, and the impact of poor posture. Engaging in a structured rehabilitation program under the guidance of a qualified physical therapist can help alleviate your symptoms and improve your overall function. If necessary, seeking further evaluation from a specialist can provide additional insights and treatment options. Remember, addressing the root cause of your symptoms is key to achieving long-term relief and preventing recurrence.

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