Back pain, Orthopedics FAQ

Understanding Morning Mid-Back Pain: Causes and Solutions

Mid-back pain? For the past six months, I have only experienced soreness in my mid-back and upper abdomen while lying in bed during the early morning hours. However, all symptoms disappear upon getting up.

Dr. Chen Bochen Reply:
Hello, pain originating from the stomach and gallbladder is more likely to present with simultaneous pain in the abdomen and back. It is recommended that you consult a gastroenterologist for an examination.

Understanding Elevated Alkaline Phosphatase: Causes and Concerns

Alkaline phosphatase The normal range for alkaline phosphatase is 25-130 U/L, and my level is 132 U/L. My liver function tests, including GOT, GPT, CEA, and CA 19-9, are all normal. I underwent dental implants in March and April of this year, and the procedure is not yet complete...

Dr. Shi Guozheng Reply:
A slight elevation in alkaline phosphatase levels is not a concern; it may return to normal after rechecking in three months. If there are significant symptoms from a herniated disc, treatment is necessary; however, if there is no severe pain, conservative management is sufficien...

Understanding Upper Back Pain: Causes, Symptoms, and Relief Strategies

Lower back pain and upper back pain? Hello Dr. Chen, I have been experiencing this issue for over a month now. When I lie down to sleep, whether on my side or on my back, after about 5-6 hours, I wake up due to pain in the middle of my upper back, making it impossible to continue...

Dr. Chen Bochen Reply:
Hello, it is recommended that you find a nearby physician for an examination. An X-ray should be taken, and if necessary, an MRI should be performed to check for any nerve damage.

Understanding Upper Back Pain: Causes and Solutions for Better Sleep

Lower back pain and upper back pain? Hello Dr. Chen, I have been experiencing this issue for over a month now. When I lie down to sleep, whether on my side or flat, after about 5-6 hours, I wake up due to severe pain in the middle of my upper back, making it impossible to continu...

Understanding Disc Herniation: Symptoms, Nerve Compression, and Diagnosis

Herniated disc Hello Doctor, I initially experienced lower back pain that often radiated down to the soles of my feet. Recently, I've been experiencing numbness and pain in my feet after standing for a short period. During my military service physical examination, I underwen...

Dr. Chen Bochen Reply:
Most intervertebral disc diseases in young people can be improved through rehabilitation and exercise therapy. If there are significant neurological compression symptoms due to a herniated disc, minimally invasive endoscopic spine surgery can be considered, while avoiding the use...

Understanding Lumbar Pain: Exercises and Recovery Tips for Fasciitis

Lower back pain I would like to consult a physician regarding my lower back pain, which has persisted for about a month. It is particularly noticeable when I wake up, and occasionally occurs after prolonged sitting or sneezing, but not every time. Currently, I do not experience d...

Dr. Chen Bochen Reply:
1. You can jog for about 20-30 minutes, but your core needs to rest, so avoid doing planks. 2. Electrical stimulation is not recommended; you can do cat-cow stretches and take warm baths. 3. You can use a knee cushion, but do not place a towel under it.

Sudden Tailbone Pain: Should You See a Doctor for Occasional Discomfort?

Pain in the buttocks or coccyx that occurs suddenly, resembling the sensation of being kicked, and subsides within a few minutes may not necessarily require immediate medical attention. However, if the pain persists, worsens, or is accompanied by other symptoms such as swelling, ...

Dr. Chen Yongxue Reply:
Hello, based on your letter, this symptom is different from vertebral arch dissociation. It is advisable to visit the orthopedic outpatient clinic when symptoms occur. Thank you.

Understanding Toe Pain and Its Connection to Back Issues

Toe and back issues? Hello Doctor, for the past month, I have been experiencing intermittent pain in the third toe of my right foot (sometimes extending to the fourth and fifth toes as well as the ball of my foot). However, there is no visible difference compared to my left foot....

Dr. Chen Yongxue Reply:
Hello, if there is a noticeable tender point, it is likely due to soft tissue inflammation. The probability is high that the back pain is unrelated to the legs. Please consult an orthopedic clinic for examination. Thank you.

Morning Back Pain: Causes, Solutions, and When to Seek Help

Waking up in the morning with such severe lower back pain that I can't sit up? I wake up every morning with extreme pain in the middle of my lower back, making it impossible to sit up. Even when I manage to stand, I can't straighten my back and need to pause for a long ...

Dr. Chen Bochen Reply:
Based on your symptoms, it appears to be spondylolisthesis or instability. I recommend that you brisk walk or jog for 20 minutes every morning and evening, and perform bridge exercises regularly. Passive rehabilitation alone will not resolve the issue; actively strengthening your...

Understanding Lower Back Pain: Insights on Disc Issues and Recovery

Lumbar issues? Hello, Doctor! I apologize for bothering you. I am very worried (wondering if my life will be ruined by myself 😭, as I have heard different opinions from three doctors, I would like to ask for your perspective.) Here’s the situation: About three years ago, while ...

Dr. Wang Shouji Reply:
Hello, after reviewing your description, if there is no radiating pain or numbness in the lower limbs, surgery for a herniated disc may not be necessary. It is important to be mindful of bending and lifting heavy objects, and to perform warm-up exercises to strengthen the core mu...

Understanding and Managing Mid-Back Pain and Discomfort

Back problems Hello, doctor! Recently, I've been experiencing a tingling and numb sensation in my mid-back, and sometimes there's a burning sensation. My shoulders and neck often feel stiff and sore. This used to happen occasionally, but now it occurs almost every two t...

Dr. Wang Jiacheng Reply:
It could be due to prolonged activity or maintaining the same posture for too long, or it may be related to cervical osteophytes. If the pain shows no signs of relief, it is necessary to see a physician.

Post-Accident Ankle Pain: Understanding Your Symptoms and Recovery

After the car accident, my ankle feels strange when I walk? Hello Doctor: I was in a car accident on January 6th of this year, resulting in bruises on my arms and legs. Subsequently, I experienced nausea, dizziness, and sensations of tingling and electric shock in my limbs, along...

Dr. Chen Yongxue Reply:
Hello! It is recommended to visit an orthopedic specialist for an examination. Thank you!

Managing Acute Compression Fractures of the Lumbar Spine: A Patient's Guide

Acute compression fracture of the first lumbar vertebra? About six months ago, I was hit on the head by a fallen tree trunk. After taking only pain relief and anti-inflammatory medication, I experienced persistent lower back pain for three months. After examination, I was diagnos...

Dr. Chen Bochen Reply:
Hello Mr. Lin, if follow-up X-rays show that the compression fracture has healed three months after the injury and you do not experience any pain during movement, you can gradually discontinue the use of the back brace and return to normal activities. However, it is important to ...

Does Prolonged Sitting Affect Height Growth in Adolescents?

Does prolonged sitting affect height growth? Hello, doctor. I used to hardly exercise during elementary, middle, and even high school, often sitting in a chair reading or using the computer. As a result, my height is only 164 cm now. I would like to ask if sitting for long period...

Dr. Shi Guozheng Reply:
Sitting for long periods is not good either; it's best to get up and move around for a bit every hour. Otherwise, it can lead to symptoms of lower back pain.

Understanding Facet Joint Thickening: Is It Related to Bone Spurs?

I went to the rehabilitation department for an X-ray, and the doctor said I have thickening of the facet joints. Is this a bone spur? I recently visited a rehabilitation department for X-rays due to lower back pain, and the results showed only a mild muscle strain. However, the d...

Dr. Shi Guozheng Reply:
Thickening does not equal bone spurs, and having bone spurs does not necessarily mean there will be pain. Human bones tend to develop bone spurs as they age.

Managing Pain from Spinal Hemangiomas: Treatment Options and Advice

Vertebral hemangioma My boyfriend has been experiencing sudden lower back pain at night, which affects his sleep. Sometimes the pain starts in the afternoon or evening, and it has been a problem for many years. A few years ago, the pain was so severe that he couldn't walk an...

Dr. Chen Yongxue Reply:
Hello, if your symptoms significantly interfere with your daily life, it is advisable to seek further treatment. However, it is important to confirm whether the pain is caused by vascular issues (which is not common). Please visit the outpatient clinic for further physical examin...

Chronic Lower Back Pain: Seeking Solutions for Lasting Relief

Issues with the lower back? About two years ago, I fell in the bathroom and felt pain in my lower back, so I went to a nearby hospital. They said there was no injury, but one of my vertebrae had slightly collapsed. They suggested it was an old injury, so I shouldn't worry an...

Dr. Shen Boquan Reply:
Hello, there are many causes of lower back pain. Statistics show that 90% of cases are due to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress can all lead to discomfort. If the pain significan...

Understanding Back Pain: Is Your Spine Misaligned?

There is a painful spot when pressing on a specific vertebra in the back? Hello doctor, I have been experiencing pain in the segment of my spine where my bra strap sits, and it seems to be more prominent. It also hurts when I bend my back. This issue has been ongoing for about th...

Dr. Shen Boquan Reply:
Hello, there are many causes of lower back pain. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Factors such as sports injuries, excessive fatigue, poor posture, or high stress can all contribute to discomfo...

Managing Degenerative Arthritis of the Spine: Treatment Options for Young Adults

Spinal degenerative arthritis After undergoing an MRI, I was diagnosed with degenerative arthritis of the spine, specifically at the L4 and L5 levels. The physician I consulted mentioned that the intervertebral discs have lost most of their hydration and appear dark. I have tried...

Dr. Wang Shouji Reply:
Hello, if lying down without any weight does not alleviate your back pain, in addition to degenerative spinal arthritis, it is important to consider your daily spinal activity, such as prolonged sitting or heavy lifting. Generally speaking, surgery is not typically recommended fo...

Could My Symptoms Indicate a Potential Spinal Fracture?

Is there a high possibility that my symptoms indicate a spinal fracture? Hello Dr. Lee: I am 19 years old and have ankylosing spondylitis. Previously, I only experienced pain in my buttocks, and I am currently taking Salazopyrin to stabilize my condition. However, in the past six...

Dr. Li Wenhong Reply:
Hello: Typically, fractures of the vertebral arch caused by acute trauma present with significant pain symptoms. Since you did not experience acute back pain after your motorcycle accident 1.5 months ago, it is unlikely that you have a vertebral arch fracture. Commonly, vertebral...

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