Patient's question:
Patient: Female, 30 years old. After a skiing accident last year, she noticed pain in the middle of her spine. The main issue is that she cannot bend her back forward, and when she bends for a long time, it feels like her spine becomes stiff and unable to move, causing severe pain.History of Treatment and Effects:
1. She has had X-rays taken at multiple hospitals, all of which concluded that there were no problems with the bones and diagnosed it as bursitis.
2. She was prescribed topical ointments, but her skin is sensitive, so she couldn’t use them for long. She also took oral medications, but they had no effect.
3. Currently, the bone pain is worse than last year, and it occasionally occurs even when she doesn’t bend her back.
Question:
Is this case bursitis? How should it be treated correctly? If it doesn’t heal over a long period, what are the potential adverse consequences? Thank you.
Doctor's answer:
Hello, the patient's condition is primarily considered to be supraspinous ligamentitis. Due to the weakness of the ligaments on the surface of the spine, it is easy to cause injury under external force or prolonged sitting, leading to supraspinous ligamentitis. If left untreated, it may result in chronic pain symptoms. It is recommended to take oral celecoxib capsules, ibuprofen tablets, and other anti-inflammatory and blood-activating medications. Avoid prolonged sitting, prolonged bending and (looking down) movements, and heavy physical labor. Participate in various outdoor activities and physical exercises appropriately, and persist in doing waist and back muscle exercises every day.