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Lower back pain and twisted torso

I am currently suffering from severe lower back pain and "twisted torso" i.e. I cant stand up straight.

This occured after a session at the gym. I am 46 and have recently increased my weight to 120lb dumb bells.

About 3 years ago I was diagnosed with 2 herniated discs and after rest and some core workout this went away (or so I thought).

If I am seated for any length of time I find I cant stand but if I stretch and massage the painful area my posture is better but still twisted.

Please help.
Poster
  • Male | 47 years old
  • Complaint duration: 7 days
  • Ethnicity: Caucasian / White
  • Height: 74
  • Weight: 233lbs
  • Medications: Proxen 500mg
  • Conditions: Herniated disc +3 years ago

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Featured Answer

4 UpVoted this answer Shawn Leatherman, BA, BS, DC Chiropractor, Mary Esther
First, since you have a previous diagnosis of herniated disc, lets discuss herniated discs and the symptoms resulting from them. When spinal discs are damaged by injury, disease or the normal wear and tear associated with aging, they may bulge out of place (herniate) or break open (rupture). A herniated disc alone may not cause discomfort. Pain occurs when pressure is put on the nerve roots or spinal cord. Depending on the location of the herniated disc, symptoms will occur in the area of the body affected by the nerve.

Some symptoms may include:

Pain

Numbness

Weakness

Tingling ("pins and needles" sensation)

Symptoms may vary greatly, depending on the position of the herniated disc. A herniated disc in the neck may cause symptoms in the shoulders, arms or chest. A herniated disc in the lower back may cause sciatica, with leg pain and other nerve-related symptoms. A herniated disc in the lower back may be felt in the buttock and down the back of the leg to the ankle or foot. There may be low back pain, but usually not as severe as leg pain. Other symptoms of a herniated disc may include severe deep muscle pain and muscle spasms. Low back pain that does not involve numbness, tingling and/or weakness, or pain in a leg is not usually due to disc herniation pressing on the nerve root.

Weakness in both legs and the loss of bladder and/or bowel control are symptoms of a specific and severe type of nerve root compression called cauda equina syndrome. This is a serious problem that requires immediate medical help.

Degeneration of the disc (disc disease), aging or injury to the spine are common causes of herniated discs. Disc disease may result from tiny tears or cracks in the outer capsule of the disc.

Disc disease may develop as part of the normal aging process. Herniated discs can affect people of all ages, but they are most common in people between 35 and 45 years old who perform heavy manual labor or drive motor vehicles for long periods of time.

Now to address the muscle spasms in the low back that you are suffering from. Injury to the spine can occur from sudden heavy strain or increased pressure to the lower back. Repeated activities such as poor lifting habits, prolonged exposure to vibration or sports-related injuries may stress the lower back.

The patient feels a sudden pain in the lower back while twisting, pushing or pulling. At first, it may be possible to continue the exercise. But after two to three hours, bleeding in the muscles stretches the torn muscle and tendons.

The spasm that results causes severe back pain that gets worse with any movement of the back. The patient usually prefers to lie still, curled up with the knees bent and the spine arched forward.

Spasms happen often when a muscle is swollen and tender (inflamed) or strained. Any great force can tear the muscles and tendons of the lower back. This occurs commonly in sports like weight lifting, football, basketball, baseball or golf that require pushing or pulling or sudden twisting of the back.

The risk of back spasm goes up if you have:

A pelvis that tips forward more than normal causing a sway or hyper lordosis

Any back weakness such as arthritis, spondylolysis, spondylolisthesis, disk rupture, spinal stenosis, or a tumor

Tight hamstrings, the tendons that run down the back of the legs

Weak or inflexible muscles along the spine

Weak stomach muscles

As soon as possible after the injury, you may be treat the area with rest, ice and compression. Over the counter anti-imflammatories and anti spasmodics work well for spasm and inflammation.

Chiropractic care would involve the treatment of the soft tissue spasm and inflammation with Laser and or Ultrasound, soft tissue massage with topical analgesics, manipulation and if warranted non-surgical spinal decompression. Please book an appointment with a Chiropractor as soon as possible. He or she will complete a thorough examination that may include x-rays, cat scans, or MRI’s.
2 UpVoted this answer
This torsion of the torso is the body's way of protecting an intervertebral disc from further damage. It is commonly called "tortipelvis". This is an antalgic posture, meaning the body is pulling away from pain. It is, however a very painful condition. That said, pain killers and muscle relaxers are not advised as the pain and spasm are natures design to keep one from going too far and causing irreversible damage to nerves. You are in a disc-lock. Imagine two vertebrae with a disc between as an Oreo cookie. Now imagine twisting the cookies in opposite directions. Imagine the distortion of the cream between, that cream represents what is happening to your disc. I advise you visit an experienced chiropractor, get standing X-rays that day and get the area adjusted. Many feel instantaneously better,but this does not mean care is over. Discs, once injured leave us vulnerable to re-injury and degeneration. The alignment above and below the disc is critical to preserve and optimize the space you have left for life.
2 UpVoted this answer Jason W. Blackketter, DC Chiropractor, Bentonville
Herniated discs are the effect of an unstable and Mis-aligned spine over time that has beared weight or injury that the spine and discs were unable to handle.

Although stretching and massage and strengthening your core are all good things to do to relieve some of those effects, the only true way to resolve this is to have the cause properly corrected. We see many similar cases in which posture is altered from a subluxation in the upper cervical spine. The upper cervical spine is the area where the head and neck meet. Once the head is tilted or mis-aligned even a small amount to the neck, the. The rest of the body must compensate and make changes in effort to balance the head. This always results in posture changes such as head tilt, one shoulder higher than the other, one hip higher than the other, one leg shorter than the other. Many times we see rotation of the upper body and/or lower body as a result. To properly correct this, one of the if not the most important things you can do is have the upper cervical spine examined by a specialist and specifically adjusted to its proper position to re-align and center the head so that will undo the compensation of the body in response.

Does that make sense? I would be happy to explain this over the phone to you if need be, but at this point the best you can do is have the cause of your problem corrected first and then we can discuss stretching, strengthening, massage, possibly traction, posture positions, etc to help your spine and discs to be in a more comfortable position and relieve the continual stress that is being put on them to make them worse.

Feel free to contact me and we can further discuss some solutions as well as find you a specialist that can help you somewhere in your area. DrArnone@Live.com 314-283-2248

All my best,

Dr Robert Arnone

St Louis, MO
Robert Arnone
1 UpVoted this answer Mark Allen Young, DC Cert. Acu. Chiropractor, Omaha
Unfortunately herniated discs don't go away, they just lie dormant. For this reason it is important for you to keep the stabiizing muscles of your back as strong as possible - the swiss ball is great for this and there are a myriad of exercises - both with and without wieights - that can be done on it. But this is for when you're feeling better. For now your best bet is to find a chiropractor who can help mobilize the area and take pressure off the discs and relieve the protective muscle spasm going-on. Spinal decompression may help but has not been shown to be more effective than regular adjustive techniques used by most chiropractors (and it's pricey). Kinesiology taping can help with the muscle spasm - ask if they do that too. For home care, an inversion table may be of some use, just don't hang completely vertical to start, only about 45* is good to start and for not more than 5 minutes.
1 UpVoted this answer
Your muscles are splinting due to protection of your low back ad possible a bit of a strain from higher intensity gym workouts. I have a lot of experience with the gym myself and certainly when you kick it up a notch you need to recruit more of your core muscles and the discs do come under more of a load. Just a note: herniated discs don't ever go away. They flare up and flare down. We are talking about millimeters here, if they are touching a nerve or are in a flared up state you are symptomatic, certain things like rest, stretching, chiropractic and decompression can help to reduce the flare up and keep it stabilized. The only way to get rid of the herniation Is surgery - and even then the problem is usually not fixed and does reoccur. When you sit you put your pelvis under tension and your low back muscles stretch out, when you stand they reflexively contract and spasm which is why sitting to standing causes more pain. use lots of ice, stretch your hip flexors - lunging stretches, stretch your hamstrings regularly as well - this should be a daily routine, men have tight lower bodies and this is a huge factor explaining the higher incidence of LBP in men. See a chiropractor, try some decompression therapy and laser with it as well. Ice only, no heat and don't bother with meds - studies, and clinical evidence show they just don't work for severe low back pain.

I hope this helps.

if you have more questions feel free to email me through the links on this page.

Dr. Chris
Chris D. Senko
1 UpVoted this answer
The 'twisted torso' is likely an antalgic posture due to an injured (inflamed disc) and likely a sprain/strain injury to postural muscles. Depending on how severe the antalgia it may be managed initially by a chiropractor to restore proper motion to the affected joints/disc, however if severe meds may help calm it down enough so a chiropractor can be more effective. Usually an MD will prescribe a combination of anti-inflammatories, muscle relaxers, and/or pain killers.

Your spine should still be evaluated and treated periodically as well as you continuing to work on core strength/stability. This can help prevent future recurrences.

If I can help in any way please don't hesitate to contact me. Best of luck.
1 UpVoted this answer
he disc herniation's may or may not be the cause of your pain. The best thing that you have done is strengthen your core to better support your spine. You didn't mention any pain in the legs so Best guess is that it is a pelvic shift causing your pain which responds well with chiropractic, stretching and later some massage. Over time if left unchecked, your abnormal posture will start to aggravate your discs. Hope this helps. Let me know if we can help. 8109822700

Yours in health,

Dr. McMath
Bradley McMath
Sounds like you need a little more of the same that helped you in the first place. Rest and exercise. This time, however, I'd add some chiropractic care. Chiropractic adjustment can help take some pressure off the those troublesome discs, while improving your alignment. This will improve your overall function, eliminating your pain. Make sure you follow up your care with rehabilitation aimed at improving your lower back and core stability, as well as stretches that are going to improve your range of motion.
Your initial description of "twisted torso", age and history of weight lifting screamed "disc issue" to me. Reading that you were diagnosed 3 years ago with herniated discs was then no surprise. I see this all the time. I agree with previous excellent posts about disc issues. I would also recommend a good chiropractic exam and work up, and possible MRI to more fully assess the condition of your discs. I find that athletic people often assume that workouts and strengthening will fix these things, and if pain goes away, so does the problem. Not necessarily so. Horsepower in a vehicle is critical, but if you have a transmission issue, adding more horsepower won't get you down the road. Exercise is critical to good health, but so is proper function. You need both horsepower and a good transmission. If you have underlying spinal/neuromuscular dysfunction, your body will try to do what you are asking of it, but at a price of compensation and abnormal neuromuscular coupling patterns. Eventually, your body reaches the point where it cannot cope, and things like discs/facets (joints) fail and become sources of intense pain. Eventually, you may do more damage by continuing to exercise from a position of dysfunction. I would recommend seeing a good chiropractor and getting a proper diagnostic workup.

The good news is this is among the most common issues we chiropractors see. So, if you're going to pick a problem, it was smart of you to pick a well-known one! Best of luck to you and keep active!
Jeffrey Henry
Certainly the history of disc herniations needs to be revisited. In three years there may likely be changes so this should be thoroughly investigated first. A twisting happens either due to a antalgic posture (posture pattern caused by steering away from pain) and or imbalance of the cerebellar system (the main part of your which orchestrates posture and non-volitional muscle contractions). All of the above can be accurately investigated with the same type of specialist...Chiropractic Neurologist. Go to the doctor locator tab on at this site:

https://www.acnb.org

Your muscular compensations will only get you by for so long. I advise that you pursue the underlying cause now so you can continue a lifetime of unrestricted fitness to the level you desire.