Spinal Numbness After Weight Training: When to Seek Help - Orthopedics

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Experiencing spinal numbness the day after weight training?


Hello Doctor, during my high school entrance physical examination, I was found to have mild scoliosis (15-20 degrees).
I often experience back pain and had difficulty standing up straight for two weeks after running a half marathon (21 km).
Recently, I started strength training to strengthen my abdominal and back muscles to support my spine.
However, after my workout the night before last, I have been feeling some numbness in my spine, and certain positions cause sharp pain in my spine, but the pain subsides when I correct my posture.
I would like to ask you, what might be happening to me? Do I need to see a doctor? Thank you.

Jie, 20~29 year old female. Ask Date: 2015/11/06

Dr. Wang Shouji reply Orthopedics


Hello: If there is only numbness in the back spine, it should not be a major concern.
However, if there is treatment extending to other areas such as the lower limbs, further follow-up examinations are necessary.
Thank you!

Reply Date: 2015/11/06

More Info


It sounds like you're experiencing some concerning symptoms following your weight training, particularly with your history of mild scoliosis and previous back pain. It's great that you're taking steps to strengthen your core and back muscles, as this can help provide better support for your spine. However, the numbness and pain you're describing could indicate that something is not quite right, and it's important to address these symptoms appropriately.

Firstly, the numbness in your spine and the sharp pain you feel in certain positions could be related to a few factors. Given your history of scoliosis, it's possible that your spine is under additional stress during weight training, especially if your form is not optimal. Poor posture or improper lifting techniques can lead to muscle strain, nerve compression, or even exacerbate existing spinal issues. The fact that adjusting your posture alleviates the pain suggests that your symptoms may be related to mechanical issues rather than a more serious underlying condition.

It's also worth noting that weight training, particularly when starting out or increasing intensity, can lead to muscle soreness and discomfort. This is often referred to as delayed onset muscle soreness (DOMS), which typically occurs 24 to 48 hours after exercise. However, numbness and sharp pain are not typical symptoms of DOMS and should be taken seriously.

Here are some recommendations for you:
1. Evaluate Your Technique: Ensure that you are using proper form during your weight training exercises. Consider working with a certified trainer who can provide guidance on your technique, especially for exercises that put strain on your back.

2. Start Gradually: If you're new to weight training or returning after a break, it's crucial to start with lighter weights and gradually increase the load as your strength improves. This will help your body adapt without overwhelming your muscles and spine.

3. Incorporate Flexibility and Mobility Work: Stretching and mobility exercises can help improve your range of motion and reduce tension in your muscles. This is particularly important for your back and hips, as tightness in these areas can contribute to discomfort and pain.

4. Listen to Your Body: If you experience persistent numbness, pain, or any other concerning symptoms, it's essential to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include imaging studies like an MRI, to rule out any serious conditions such as herniated discs or nerve impingement.

5. Consider Physical Therapy: A physical therapist can provide tailored exercises and treatments to help strengthen your back and core while addressing any specific issues related to your scoliosis. They can also teach you strategies to manage pain and prevent future injuries.

6. Rest and Recovery: Ensure you are allowing adequate recovery time between workouts. Overtraining can lead to injuries, especially if your body is not given enough time to heal.

In summary, while it’s commendable that you are taking steps to strengthen your back and core, the symptoms you are experiencing warrant further investigation. If the numbness and pain persist, or if they worsen, it is advisable to consult with a healthcare provider to ensure that there are no underlying issues that need to be addressed. Taking proactive steps now can help you avoid more significant problems in the future and allow you to continue your weight training safely.

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