Spine Issues: Causes of Back Pain and Numbness - Orthopedics

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Hello Annie,
Thank you for reaching out with your concerns regarding back pain and numbness. Based on your description, it seems that your symptoms may be related to prolonged sitting, poor posture, and possibly previous injuries from ice skating. Let’s break down the potential causes and solutions for your situation.


Causes of Back Pain and Numbness
1. Poor Posture: Sitting for extended periods, especially in a non-ergonomic position, can lead to muscle strain and discomfort in the lower back. Poor posture can cause the spine to be misaligned, leading to increased pressure on the intervertebral discs and surrounding muscles.

2. Muscle Strain: If your sitting posture is not supportive, the muscles in your back may become strained. This can lead to muscle fatigue and pain, particularly in the lower back and around the spine.

3. Nerve Compression: The numbness in your thighs could indicate nerve compression, possibly due to prolonged pressure on the sciatic nerve or other nerves in the lumbar region. This can happen if the lumbar spine is not properly aligned or if there is a herniated disc.

4. Previous Injuries: Your history of falling while ice skating could have contributed to underlying issues in your spine or pelvis. Even if you felt fine afterward, such injuries can sometimes lead to chronic pain or discomfort later on.

5. Intervertebral Disc Issues: If you have had any previous injuries, there is a possibility that they could have affected your intervertebral discs, leading to conditions such as a herniated disc or degenerative disc disease, which can cause pain and numbness.


Recommendations for Relief
1. Posture Correction: Ensure that your workspace is ergonomically designed. Your chair should support your lower back, and your feet should rest flat on the floor. Consider using a lumbar roll or cushion to maintain the natural curve of your spine.

2. Regular Breaks: Take frequent breaks to stand, stretch, and walk around. This will help alleviate pressure on your spine and improve circulation, reducing the risk of muscle fatigue and nerve compression.

3. Strengthening Exercises: Engage in exercises that strengthen your core and back muscles. A strong core can provide better support for your spine and reduce the likelihood of pain. Activities like yoga or Pilates can be beneficial.

4. Stretching: Incorporate stretching into your daily routine, focusing on the lower back, hips, and legs. This can help relieve tension and improve flexibility.

5. Physical Therapy: If your symptoms persist, consider consulting a physical therapist. They can provide a tailored exercise program and manual therapy to address your specific issues.

6. Consult a Specialist: If you continue to experience significant pain or numbness, it may be wise to consult a spine specialist or orthopedic doctor. They can perform a thorough evaluation, including imaging studies if necessary, to rule out any serious underlying conditions.


Conclusion
While it is common to experience back pain and numbness due to prolonged sitting and poor posture, it is essential to address these issues proactively. By making ergonomic adjustments, incorporating regular movement, and possibly seeking professional guidance, you can significantly improve your symptoms. If your pain or numbness worsens or does not improve with these strategies, please seek medical attention to ensure there are no serious underlying conditions.

Take care, and I hope you find relief soon!
Best wishes,
Doctor Q&A Teams