Treatment FAQ

how to tell if back injury needs treatment

by Wayne Watsica Published 3 years ago Updated 2 years ago
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If your back pain is accompanied by any of the following symptoms, head to your closest emergency room because you could be dealing with a more serious condition or injury: Sudden spike in pain, discomfort, weakness or numbness Loss of bladder function High fever Severe stomach pain Unexplainable weight loss

8 Signs That it's Time to Call a Doctor for Your Back Pain
  1. You've Been in Pain for Over a Week. ...
  2. Your Pain Extends to Other Body Parts. ...
  3. You Have Numbness, Tingling or Weakness. ...
  4. You Have Pain After an Accident. ...
  5. Your Pain is Worse at Certain Times or in Certain Positions. ...
  6. You're Having Problems with Your Bowels or Urination.

Full Answer

How do I know if I have an injured my back?

Signs you may have injured your back include: pain or tenderness (sore to touch) pain that worsens with movement, coughing, sneezing or laughing. stiffness or difficulty moving. difficulty standing up straight. muscles in spasm on either side of the spine. bruising. swelling. pain that radiates down ...

How to get help for back pain?

Apr 06, 2020 · Symptoms. A broken back will hurt. The pain in the back will come on suddenly and get worse when the person moves. The pain might be moderate or severe. Sometimes, a spinal fracture can also ...

When should you worry about back pain?

Apr 04, 2018 · Severe pain at the site of the fracture is the main symptom of a broken back injury. If back pain is made worse when you move, that’s also a …

What do doctors look for when evaluating low back pain?

Jul 03, 2019 · 1. Sharp pain rather than a dull ache: This could indicate a torn muscle or ligament, or a problem with an internal organ in the back or side. 2. Radiating pain: This pain "moves" or shoots to the glutes or legs, which could indicate a nerve compression condition. Radiating pain could be a sign of nerve damage.

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When should you seek treatment for a back injury?

If your back pain is from a recent strain or mild injury, your primary care doctor can probably help. But if the pain is severe, ongoing, or accompanied by other symptoms such as numbness or tingling in your arms or legs, it may be time to see a back doctor.Jul 12, 2021

How do you know if your back injury is serious?

What are the symptoms of serious back injury?difficulty breathing or shortness of breath.problems with urinating or passing stool (poo)numbness or pins and needles to the arms, legs, hands or feet.fever.paralysis.blood in the urine.

How can you tell if back pain is muscular or something else?

Pain that gets worse when you move, especially when bending or stretching. Difficulty standing up straight. Swelling or bruising in a specific area. Sharp or achy pain, usually limited to the lower back and buttocks area.Sep 14, 2021

What happens if you leave a back injury untreated?

Leaving moderate to severe arthritis untreated can cause spinal problems such as: Spinal stenosis – the narrowing of the spinal canal from disc bulges, ligament growth, facet joint growth, etc. Radiculoplathy – severe nerve pain in the neck/back, arms, hip, legs, and/or thighs.Apr 17, 2017

What does a slipped disc in back feel like?

What does a slipped disc feel like? A slipped disc can cause sharp and severe back pain, which worsens when you're active. It might feel better when you're lying down. However, small motions like coughing or sneezing may cause the pain to return.Nov 16, 2018

What does a torn back muscle feel like?

Symptoms to expect from a pulled lower back muscle—or any type of lower back strain—typically include: Dull, achy low back pain. Strained muscles usually feel sore, tight, or achy. Pain that feels hot, tingling, or electric is more likely caused by an irritated nerve root, not a pulled muscle.

What are the 3 categories of back pain?

Three common classifications of back pain include:Axial pain. Also called mechanical pain, axial pain is confined to one spot or region. ... Referred pain. Often characterized as dull and achy, referred pain tends to move around and vary in intensity. ... Radicular pain.

Can I live with a herniated disc?

Living with a herniated disc Most people who have a herniated disc are better in about 4 weeks. Sometimes it takes longer. If you still have pain or numbness after 4 to 6 weeks, or if you feel worse, talk with your doctor. Sometimes it takes surgery to relieve pain.Jan 13, 2020

Will a herniated disc fix itself?

The good news is that in most cases — 90% of the time — pain caused by a herniated disc will go away on its own within six months. Initially, your doctor will likely recommend that you take an over-the-counter pain reliever and limit activities that cause pain or discomfort.Sep 1, 2020

Is it hard to walk with a herniated disc?

Many people experience disc herniation with no pain or symptoms. However, a slipped disc can also cause significant pain, weakness and difficulty walking or standing.

What are the symptoms of serious back injury?

Severe back injuries include fractures (a break in a bone), wounds, extensive bruising and damage to your spinal cord and internal organs. Any of t...

What are the signs of a back injury?

Signs you may have injured your back include: pain or tenderness (sore to touch) pain that worsens with movement, coughing, sneezing or laughing st...

What causes back injuries?

You can injure your back doing sport, working around the house or in the garden, from a sudden jolt in a car accident, or from a sudden movement, b...

When should I see my doctor?

Apart from the signs of a serious back injury, you should see your doctor if: your problems have not improved at all within a few days your problem...

How are back injuries treated?

Your doctor will examine you to check whether the nerves from your spinal cord are working properly. Make sure you tell them if you have any proble...

Can back injuries be prevented?

A key way to prevent back injuries is to lift and carry safely. If you are picking up a heavy load, lift with your legs, not your back.

What to do if your back hurts?

Massage. If your back pain is caused by tense or overworked muscles, massage might help. Yoga. There are several types of yoga, a broad discipline that involves practicing specific postures or poses, breathing exercises, and relaxation techniques.

What tests can be done to determine if you have back pain?

If there is reason to suspect that a specific condition is causing your back pain, your doctor might order one or more tests: X-ray. These images show the alignment of your bones and whether you have arthritis or broken bones.

What is the best treatment for pain in the leg?

Cortisone injections. If other measures don't relieve your pain, and if your pain radiates down your leg, your doctor may inject cortisone — a strong anti-inflammatory drug — plus a numbing medication into the space around your spinal cord (epidural space).

How long does cortisone pain last?

A cortisone injection helps decrease inflammation around the nerve roots, but the pain relief usually lasts only a month or two. Radiofrequency neurotomy. In this procedure, a fine needle is inserted through your skin so the tip is near the area causing your pain.

How long does it take for back pain to go away?

Most back pain gets better within a month of home treatment. However, everyone is different, and back pain is a complex condition. For many, the pain doesn't go away for a few months, but only a few have persistent, severe pain.

What can you do to find out if you have a herniated disk?

MRI or CT scans. These scans generate images that can reveal herniated disks or problems with bones, muscles, tissue, tendons, nerves, ligaments and blood vessels. Blood tests. These can help determine whether you have an infection or other condition that might be causing your pain. Bone scan.

What can a physical therapist do to help you?

A physical therapist can teach you exercises to increase your flexibility, strengthen your back and abdominal muscles, and improve your posture. Regular use of these techniques can help keep pain from returning.

How to diagnose a broken back?

Diagnosis. A doctor will diagnose a broken back after performing a physical examination and conducting imaging tests. During the physical exam, the doctor will examine the person from head to toe, including the head, abdomen, pelvis, limbs, and spine. The doctor will make the final diagnosis based on the results of imaging tests.

What does it mean when you have a broken back?

Broken back: Treatment and recovery time. If someone has a broken back, it means that one or more of the bones that make up the spine has broken. Doctors may also refer to a broken back as a spinal fracture. A broken back can happen for several reasons, such as an automobile accident or a weakening of the backbone.

What is spinal fracture?

a fall from a significant height. a sporting accident. a violent act, such as a severe assault or gunshot wound. People with health conditions that weaken the bones, such as osteoporosis, tumors, or cancer, are susceptible to spinal fractures.

How long does it take for a fractured spine to heal?

Spinal fractures that do not require surgery can take 6–12 weeks to heal. Recovery after back surgery can take longer. During the recovery period, a person may need to wear a back brace and follow an exercise program.

Why do doctors call a broken back a spinal fracture?

A broken back can happen for several reasons, such as an automobile accident or a weakening of the backbone. The symptoms, treatments, and recovery time for a broken back depend on the cause, location, and severity of the fracture.

How long does it take for a back to heal?

In most cases, doctors will recommend the person wear a back brace. This will keep the spine supported while the vertebrae heal. Healing can take 6–12 weeks. Usually, the person will also need to follow an individualized exercise program designed to help them build up their activity and motion slowly.

Where do most spinal fractures occur?

Most spinal fractures occur in the thoracic or lumbar spine. Doctors may divide spinal fractures into mechanism types, such as flexion, extension, and rotation. However, not all spinal fractures fit neatly into each subdivision. Generally, the types of fractures include:

What does it mean when your back is broken?

A “broken back” is another term to describe a spinal fracture — a break in one or more vertebrae, the 33 bones that form your backbone and protect your spinal cord. A broken back injury can be worrying, but it doesn’t necessarily mean that there’s damage to the spinal cord.

What causes a broken back?

A bad fall is the most common cause of a broken back. A traumatic injury from a car accident or other collision may also result in a spinal fracture. But other conditions, such as osteoporosis (weak or brittle bones) and spinal tumors, can also lead to vertebral fractures. A bacterial or fungal infection of the vertebrae may weaken ...

How does spinal fusion help with burst fracture?

Fusion requires instrumentation to join two or more vertebrae into a single bony structure. This helps keep the spine stable and reduces pain. Spinal fusion does reduce the flexibility and range of motion.

What does it mean when your back hurts when you move?

Severe pain at the site of the fracture is the main symptom of a broken back injury. If back pain is made worse when you move, that’s also a sign that a vertebra may have been broken. If, however, the broken bone compresses the spinal cord’s other nerves, there may be numbness as well as pain.

What are some examples of spine fractures?

Your spine is meant to bend or flex forward, but certain types of fractures can restrict your spine’s ability to bend. Two examples are compression fractures and axial burst fractures.

What causes a fractured vertebra?

A fracture-dislocation is also typically caused by a violent trauma, such as a car accident. This type of injury includes a fracture of the bone, as well as damage to soft tissue nearby and, in many cases, the spinal cord. In addition to a break, the affected vertebra also moves out of its position.

What is an extension injury?

An extension injury refers to the forced, abnormal extension or pulling of bones in the vertebrae. A Chance fracture is a type of extension fracture that commonly occurs in a car accident. The upper body is jerked forward, while the lower body is kept in place with a seat belt around the waist.

What is the best treatment for low back pain?

Physical therapy, medication, injectable anesthetics, or a combination of treatments usually can control symptoms. Degenerative disc disease, which can cause whole spine pain, and lumbar arthritis, which usually causes low-back pain, commonly develop with age and are considered wear-and-tear conditions.

How common is back pain?

Back pain is so common, in fact, that many patients shrug off symptoms that might indicate a medical emergency. Approximately 80% of adults will experience back pain in their lives, so it’s important to be able to identify the severity of your symptoms and track how long the pain lasts.

What causes pain in the lower back and upper legs?

Sacroiliitis is an inflammation of the joints that connect your spine and pelvis. This condition can cause pain in the low back, glutes, and upper legs. Ankylosing spondylitis is an inflammatory arthritis that causes patients’ spines to become inflexible, resulting in a continual hunched forward position and spine pain.

How long does it take for back pain to go away after ice?

If back pain can be associated with a specific activity, such as lifting or twisting wrong, and the pain goes away within 72 hours after resting and applying ice, it’s usually nothing to worry about. However, if pain creeps on gradually, appears suddenly, or doesn't go away, you might have a more serious condition.

Can aortic dissection cause back pain?

Similarly, aortic dissection – the tearing of an inner layer of tissue in the aorta, the main vessel carrying blood from the heart to the rest of the body – sometimes causes back pain and can be fatal if not immediately treated.

Does Batson's plexus spread to the spine?

Batson’s plexus, a network of veins that connect the venous system and spine, might (for unknown reasons) direct spreading cancer cells to the spine. For example, prostate cancer has been known to spread to the spine. Related reading : Prostate Cancer Awareness Guide.

Can fibroids cause back pain?

In women, uterine fibroids and endometriosis are notorious for causing core pain that can radiate into the back. Rarely, we discover that a patient with sudden, severe back pain has experienced a ruptured aneurysm, which is a weakening and tearing of part of a blood vessel.

How to tell if you have chronic back pain or acute back pain?

It can be hard to tell the difference between acute back pain and chronic back pain, but timeframe is the biggest indicator. The most common symptom of acute back pain is a shooting, burning or aching pain that comes on suddenly.

What are the symptoms of back pain?

If your back pain is accompanied by any of the following symptoms, head to your closest emergency room because you could be dealing with a more serious condition or injury: Sudden spike in pain, discomfort, weakness or numbness. Loss of bladder function. High fever.

Why does my back hurt so bad?

What causes chronic back pain? Chronic pain can be triggered by a new injury, but underlying conditions are usually the real cause. Muscle deconditioning (where your back lacks strength and stability) is one of the most common contributors.

What does it mean when you have a burning pain that doesn't go away?

Regular tightness or stiffness, especially after laying, sitting or standing for long periods. Trouble sleeping.

What are the different types of back pain?

At a high level, most cases of back pain fall into one of two categories: acute or chronic. (You may also hear about subacute back pain, which falls between acute and chronic, though it’s less common.)

What do you learn about chronic pain?

As part of your care, you’ll learn about what chronic pain is and how the brain processes it. You’ll also focus on body mechanics such as proper lifting, standing and sleeping – all the things that can contribute to back pain but you probably don’t think about.

What does it mean when your back hurts?

If your back pain is acute, it probably means your pain came along suddenly. Things like stress, strenuous exercise, an awkward movement or lifting something wrong can all contribute to acute back pain.

What to do for a fractured spine?

Pain management for cancer that has spread to the spine may include medications and radiation therapy . Foot Drop.

Why does my back hurt?

Immune suppression could lead your doctor to suspect an infection as the cause of your back pain. A history of osteoporosis or chronic steroid use could lead your doctor to suspect a fracture as the cause of your pain.

What to expect when a doctor performs a surgical decompression?

What to expect: In order to relieve the pressure that is damaging nerves and preserve nerve function , "Your doctor will perform a procedure called a surgical decompression," says Guyer. Medical history of cancer, suppressed immune system, osteoporosis, or chronic steroid use.

What to expect when taking IV drugs?

People who have prolonged use of IV drugs are more susceptible to infection. What to expect: Your doctor will mostly likely order blood work to rule out infection. If an infection is found, you'll take antibiotics in addition to pain medication.

What to do if your foot drops?

What to expect: The first thing your doctor must do is figure out the underlying cause of the foot drop. For example, if your doctor suspects a herniated disc, they may suggest treatments such as physical therapy and steroid injections. Night Pain.

What to expect after a physical exam?

What to expect: After an evaluation of your symptoms and a physical exam, your primary care doctor may order blood work and imaging tests to help determine a diagnosis. When you're over 70, there's an increased risk for infection, tumors, and abdominal causes of back pain.

What happens if you fall down a few steps?

Even falling down a few steps when you're older can cause a fracture. What to expect: Your doctor will probably take an X-ray ...

How long does it take for low back pain to go away?

While these episodes can be extremely painful and cause significant disruption in one's life, most episodes of low back pain will get better with time (about 2 to 12 weeks) and non-surgical care. Many patients with low back pain wonder if they will need back surgery and if and when they should consult a spine surgeon ...

What kind of doctor treats low back pain?

Physiatrists are specialized in treating musculoskeletal disorders, and many specialize in just spine care. The role of a physiatrist in treating low back pain is often much the same as a cardiologist's role in cardiac care, or neurologist's role in treating neurological disorders. Most patients with cardiac or neurological problems do not need surgery but do need specialized care if their condition is complicated or does not improve with general care. Many physiatrists work together with spine surgeons either in a spine center or within the local medical community.

What is spine surgeon?

A spine surgeon who be either an orthopedic spine surgeon or a neurosurgeon that specializes in spine surgery.

Can you see a spine surgeon for a aortic aneurysm?

See Abdominal Aortic Aneurysm Treatment. Important factors that patients may want to consider prior to seeing a spine surgeon for their low back pain include: Level of low back pain and/or leg pain. If the pain is not alleviated by non-surgical treatments and has continued for a few weeks or months, it may be time to see a spine surgeon.

Can a physiatrist advise on spine surgery?

Most physiatrists are also able to advise a patient as to when it would be appropriate to consider spine surgery and seek a consultation with a spine surgeon. advertisement.

Do you need to see a spine surgeon for low back pain?

If the low back pain starts to get better early, the patient may usually resume normal activities in a gradual fashion and it will not be necessary to see a spine surgeon. Physical therapy and exercise along with back care education are most often recommended.

Is back surgery more invasive than lumbar surgery?

Some types of back surgery are much less invasive than others (e.g. a microdiscectomy is minimally invasive and does not change the anatomy of the spine, whereas most types of lumbar spine fusion surgeries are more invasive and do change the anatomy of the spine).

How long does back pain last?

Whether your back pain is muscle- or disc-related, if it lasts longer than 48 to 72 hours and is not responding to rest, ice, or anti-inflammatories, see a doctor. It’s important to root out the cause of your pain to make sure it’s not serious—and to ensure it doesn’t continue to interfere with your daily life and the activities you love.

What are the different types of back pain?

More often, patients describe pain that comes on gradually over time and won’t go away; or pain that occurred in connection with a specific movement. Naturally, they want to know, “Is my back pain muscle- or disc-related?” But there are actually three broad types of back pain: 1 Muscle pain 2 Joint pain 3 Disc pain

How to help a muscle strain?

Physical therapy, yoga, or a home exercise program recommended by a chiropractor are extremely beneficial for muscle and core strengthening, and for posture, all of which will help ward off future muscle strains. Muscle pain usually subsides with a combination of exercise, time, and (sometimes) anti-inflammatories.

What causes a numbness in the lower back?

Lower back disc pain symptoms include: Radiating pain that extends into the hip, buttocks, thigh, or down the leg. Tingling, numbness in the thigh, legs, or feet. Weakness in the leg.

How to treat joint pain?

The treatment for joint pain is similar to muscle pain—strengthening exercises, anti-inflammatories, occasional ice compresses, and rest. A chiropractor can be especially helpful for mobilizing joints in a way that promotes healing.

Can back pain be muscle related?

But diagnosing the source of a patient’s pain isn’t always a straightforward exercise. It could be muscle, joint, or disc-related; in some cases, it may even arise from issues unrelated to the back. So how can you tell if your back pain is muscle- or disc-related, ...

Can lower back discs cause pain?

Lower back disc pain is a third possibility. Disc-related pain presents a more significant problem than muscle or joint pain, and could, in some cases, require further intervention from medical professionals to solve it. Disc problems sometimes put pressure on the nerves that travel through the spine and could be the cause of a number of issues. Lower back disc pain symptoms include:

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Diagnosis

  • Your doctor will examine your back and assess your ability to sit, stand, walk and lift your legs. Your doctor might also ask you to rate your pain on a scale of zero to 10 and talk to you about how well you're functioning with your pain. These assessments help determine where the pain comes from, how much you can move before pain forces you to sto...
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Treatment

  • Most back pain gets better within a month of home treatment. However, everyone is different, and back pain is a complex condition. For many, the pain doesn't go away for a few months, but only a few have persistent, severe pain. Over-the-counter pain relievers and the use of heat might be all you need. Bed rest isn't recommended. Continue your activities as much as you can tolerate. Tr…
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Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
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Alternative Medicine

  • A number of alternative treatments might ease symptoms of back pain. Always discuss the benefits and risks with your doctor before starting a new alternative therapy. 1. Chiropractic care.A chiropractor manipulates your spine to ease your pain. 2. Acupuncture.A practitioner of acupuncture inserts thin sterilized needles into the skin at specific points on the body. A growin…
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Preparing For Your Appointment

  • If your back pain persists despite home treatment, see your doctor. Here's some information to help you get ready for your appointment.
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