It hurts a lot?
Dr.
Lin: I married in Taiwan two years ago after coming from mainland China, where brides are not allowed to work.
As a result, I spend more than 6 hours a day sitting and weaving.
About a year and a half ago, I started to notice stiffness in my body when I woke up in the morning.
I thought it was due to poor posture while sitting and didn't pay much attention to it.
However, in the past two days, I have been experiencing unusual pain in my right buttock, which I can't determine if it's muscle-related or something else.
The pain is so severe that I can't walk or stand normally, and getting up from lying down is especially painful.
I can hardly find a position that alleviates the pain.
I looked online for information but am unsure whether I should seek help from an orthopedic specialist or a nephrologist, as I had acute nephritis when I was very young and have always had frequent urination (though it hasn't significantly affected my daily life).
Additionally, my younger brother, who is currently 27 years old, has been suffering from ankylosing spondylitis, so I am also concerned that this might be a hereditary condition in our family.
I would appreciate your guidance.
Thank you.
Ke Ke, 20~29 year old female. Ask Date: 2004/07/25
Dr. Lin Xiaoyi reply Orthopedics
Ms.
Cocoa: Hello! Ankylosing spondylitis has a genetic predisposition (such as HLA-B27).
If you are concerned, you can visit a nearby hospital with an allergy, immunology, and rheumatology department.
Best wishes! CY/Dr.
Lin Hsiao-Yi TEL: 2875-7521 Fax: 2871-7195
Reply Date: 2004/07/25
More Info
Understanding the pain you are experiencing is crucial, especially given your background and family history. It seems that your symptoms could be multifaceted, involving both physical and emotional components.
Firstly, let's address the physical aspect of your pain. You mentioned experiencing stiffness upon waking and significant pain in your right buttock that affects your mobility. This could be related to several conditions, including muscle strain, sciatica, or even issues related to your spine, especially considering your brother's diagnosis of ankylosing spondylitis, which is a type of inflammatory arthritis that primarily affects the spine and can lead to chronic pain and stiffness. Given your family history, it is wise to consider the possibility of a hereditary condition, particularly if there are other symptoms that align with inflammatory issues.
The fact that you have a history of acute nephritis and frequent urination could also be relevant. While these symptoms may not seem directly related to your current pain, they could indicate underlying systemic issues that might need to be evaluated by a healthcare professional. It would be advisable to consult with a physician who can conduct a thorough examination, including imaging studies like X-rays or MRIs, to rule out any structural problems in your spine or pelvis.
In terms of managing your pain, it is essential to consider both physical and psychological approaches. Physical therapy could be beneficial in addressing muscle imbalances and improving your posture, especially if you spend long hours in a seated position. A physical therapist can provide exercises tailored to your condition and help you develop strategies to alleviate pain during daily activities.
On the emotional side, your experience of moving to a new country and the stress associated with adapting to a new environment can also contribute to physical symptoms. Emotional stress can manifest as physical pain, and it is not uncommon for individuals to experience increased muscle tension and discomfort during times of emotional strain. Engaging in stress-reduction techniques such as mindfulness, yoga, or meditation may help alleviate some of the tension you are experiencing.
Moreover, it is crucial to address any feelings of isolation or anxiety that may arise from your family dynamics. The transition to a new culture and the challenges of family relationships can be overwhelming. Seeking support from a mental health professional could provide you with tools to cope with these feelings and improve your overall well-being.
In summary, your pain may stem from a combination of physical and emotional factors. It is essential to consult with a healthcare provider who can assess your symptoms comprehensively. They may recommend a multidisciplinary approach that includes medical evaluation, physical therapy, and psychological support. By addressing both the physical and emotional aspects of your pain, you can work towards finding relief and improving your quality of life. Remember, you are not alone in this journey, and seeking help is a vital step towards healing.
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