Back pain, Orthopedics FAQ - Page 20

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Understanding Mid-Back Pain: Causes and Solutions for Spine Discomfort

Spinal column of the back Hello, I have been experiencing pain in the middle of my back, specifically along the spine, which only hurts when I press on it. Could this be caused by poor posture, or is there another reason? Additionally, sometimes during the day, I feel stiffness i...


Dr. Shi Qiming Reply:
Hello: Regarding your lower back pain, considering your age, if there is no severe trauma, treatment should focus on potential causes such as improper use and poor posture. Additionally, if you are experiencing stiffness in your back, the possibility of ankylosing spondylitis sho...

[Read More] Understanding Mid-Back Pain: Causes and Solutions for Spine Discomfort


Understanding Sciatica vs. Pseudo-Sciatica: Key Differences and Symptoms

Pseudoscatic pain Hello Dr. Wang, I have been experiencing musculoskeletal pain for the past month. I consulted a doctor who suspected a herniated disc in the lumbar region that is compressing a nerve. However, I recently came across an article online about pseudoscatic pain, wh...


Dr. Wang Shouji Reply:
Xiao Zhou: Generally speaking, sciatica may not always present with symptoms in the lower back, but rather with radiating pain and numbness from the buttocks down to the feet. The symptoms vary depending on the affected nerve root distribution. Based on your symptoms, a clinical ...

[Read More] Understanding Sciatica vs. Pseudo-Sciatica: Key Differences and Symptoms


Understanding Foot Numbness: Causes and Connections to Thyroid Issues

Tingling in the soles of the feet? I have been experiencing numbness in my feet for the past 3 to 4 days, but the sensation disappears when I apply pressure to them. I have been diagnosed with hyperthyroidism and have been on medication for nearly two years. Could you explain why...


Dr. Shi Qiming Reply:
Hello: Lower back pain is usually caused by prolonged standing and poor posture. If accompanied by traumatic spinal injuries, it may present neurological symptoms such as numbness, tingling, or weakness in the lower limbs, indicating nerve compression. Generally, these symptoms c...

[Read More] Understanding Foot Numbness: Causes and Connections to Thyroid Issues


Understanding Your Back Pain: Is It Sciatica or Something Else?

After seeing an orthopedic specialist for a long time, the old problem still persists? I would like to ask! When I bend over to look in the mirror, my lower back starts to ache immediately, and it becomes quite painful. However, once I stand up, I feel more comfortable. Sometimes...


Dr. Hong Ximing Reply:
A-Le: Experiencing soreness when bending over indicates that the lower back is under significant pressure. If this persists over time and extends to both legs, it may suggest nerve compression, which requires a CT scan or MRI to check for a herniated disc. I recommend that you ge...

[Read More] Understanding Your Back Pain: Is It Sciatica or Something Else?


Understanding Chest and Shoulder Blade Pain: Causes and Concerns

Chest pain and shoulder blade pain? My girlfriend (29 years old) started experiencing a sensation of tightness and pain around 3 PM yesterday (November 9th) in the area near her shoulder blades, close to the spine. She also began to feel chest pain, similar to the sensation of ha...


Dr. Wang Shouji Reply:
Hello, Aboogi: I apologize for the delayed response due to a busy schedule, and I appreciate your understanding. The pain you described could range from simple upper back pain (caused by muscle or spinal issues) to gastrointestinal or cardiac problems. Given your age, the likelih...

[Read More] Understanding Chest and Shoulder Blade Pain: Causes and Concerns


Understanding Spinal Arthritis: Symptoms, Treatment, and Dietary Tips

Intervertebral disc inflammation? Recently, I underwent a second MRI at Tungs' Taichung MetroHarbor Hospital in Hsinchu County, which revealed a mild protrusion of the L4-L5 intervertebral disc, but there was no evidence of nerve compression. I have been experiencing numbnes...


Dr. Wang Shouji Reply:
Hello Xiao Hu, I apologize for the delayed response due to business commitments, and I appreciate your understanding. The intervertebral discs are part of the spinal joints, which is why it is referred to as degenerative spinal arthritis. The treatment for this condition is simi...

[Read More] Understanding Spinal Arthritis: Symptoms, Treatment, and Dietary Tips


Understanding Lower Back Pain: Is It Sciatica?

Lower back pain? Hello, recently after sitting for about 30 minutes to an hour, I experience soreness (sometimes quite painful) in the area just above my buttocks in the lower back. Could this indicate a problem with my sciatic nerve?


Dr. Shi Qiming Reply:
Hello: Please visit our orthopedic outpatient clinic for further examination and treatment. Thank you!

[Read More] Understanding Lower Back Pain: Is It Sciatica?


Post-Surgery Recovery Tips for Herniated Disc Patients: Can Memory Foam Help?

Postoperative recovery after a herniated disc surgery..? I underwent a laminectomy on the 27th of last month and have been resting at home. I have to wear a back brace whenever I get up. The nurse advised me to sleep on a firm mattress upon discharge. Would it be feasible to add ...


Dr. Shi Qiming Reply:
Hello: After spinal disc removal surgery, a back brace is needed for protection for about three months. There is no strict requirement for a firm mattress; you do not need to worry as long as the mattress is not too soft or too hard. Thank you!

[Read More] Post-Surgery Recovery Tips for Herniated Disc Patients: Can Memory Foam Help?


Knee Injury and Its Unexpected Impact on Lower Back Pain

Knee impact can cause pain in the lumbar spine? I practiced extreme sports last night and accidentally bumped my knee. I was wearing a knee brace, but it still hurts a little. However, when I woke up the next morning, my lumbar spine started to hurt a bit, and I have difficulty b...


Dr. Chu Baijun Reply:
Hello, injuries to various parts of the body due to sports accidents are commonly seen in clinical practice, but the nature and location of the injuries can vary. It is relatively unlikely for knee injuries to directly cause lower back pain. The ankylosing spondylitis mentioned i...

[Read More] Knee Injury and Its Unexpected Impact on Lower Back Pain


Effective Strategies to Prevent Further Degeneration of Aging Spine

What methods should be used to prevent further deterioration of spinal aging? Hello Dr. Chen, I have severe degeneration in my lumbar spine at levels L4 and L5. What methods should I use to protect my spine? What should I eat and what exercises can I do to promote regeneration a...


Dr. Chen Xingyuan Reply:
Dear Readers, The aging of joints is a natural phenomenon, similar to how machines or tires wear out over time. The degree and speed of joint aging are influenced by factors such as age, physical condition, usage patterns, and the presence of injuries, with only the usage patter...

[Read More] Effective Strategies to Prevent Further Degeneration of Aging Spine


Managing Scoliosis: Treatment, Exercises, and Nutritional Tips

Scoliosis Hello Dr. Chu, I have developed scoliosis over the past two to three years. I have undergone rehabilitation at the hospital, received general massage therapy, and tried folk remedies. 1. Should I continue rehabilitation and treatment indefinitely? (Due to my work and...


Dr. Chu Baijun Reply:
Hello: The presence of symptoms and the need for treatment of scoliosis are significantly related to the degree of curvature. Strengthening the back muscles is indeed a common recommendation for patients with back pain, and it is not limited to the muscle groups around the curvat...

[Read More] Managing Scoliosis: Treatment, Exercises, and Nutritional Tips


Understanding Coccyx Pain: Causes and Treatment Options for Relief

The tip of the coccyx often feels a bit sore? Hello, I am currently 32 years old and often experience slight soreness at the coccygeal tip (the last segment near the anus), and prolonged sitting tends to cause lower back pain. Due to my job, I need to sit for long periods in the ...


Dr. Shi Guozheng Reply:
Coccyx tilting inward does not necessarily cause pain symptoms; it typically leads to pain due to localized tissue inflammation or conditions such as fractures or bruises. Prolonged driving, sitting for long periods in an office, or cycling can contribute to this situation. Weste...

[Read More] Understanding Coccyx Pain: Causes and Treatment Options for Relief


Understanding Chronic Lower Back Discomfort: Is It Sciatica?

Lower back pain? Hello! My lower back easily feels sore, and it previously developed into lower back pain. After a visit to the orthopedic doctor, I was told it was just a minor case of myofascial inflammation. After taking medication, my back feels more comfortable, but it still...


Dr. Zhou Hongzhi Reply:
1. Do you enjoy vigorous exercise? 2. Muscle strains are a common issue; if not properly rested, muscles can undergo fibrosis, leading to soreness. 3. Further examination should be conducted to check for any intervertebral disc problems.

[Read More] Understanding Chronic Lower Back Discomfort: Is It Sciatica?


Understanding Scoliosis: Risks, Symptoms, and Treatment Options

Spine I have an S-shaped scoliosis, and sometimes when I sleep or lie down for a while, even when sneezing while lying down, I feel a movement in my coccyx area, followed by a popping sound. It feels like all my nerves tighten up, and the pain is so intense that I can't move...


Dr. Shi Guozheng Reply:
Scoliosis typically does not cause lower back pain; however, coccydynia may occur due to compression. It is generally not considered dangerous. Dancing is unlikely to result in paralysis or other issues. It does not lead to snoring.

[Read More] Understanding Scoliosis: Risks, Symptoms, and Treatment Options


Understanding Ankylosing Spondylitis: Surgical Options and Recovery Insights

Ankylosing Spondylitis I have been suffering from ankylosing spondylitis since I was in the ninth grade, and now at nearly 35 years old, both my spine and cervical spine have severely calcified and curved, with a curvature of 50 degrees. I am considering surgery to address 1) the...


Dr. Wang Zikang Reply:
Dear Sir/Madam, Ankylosing spondylitis commonly occurs in young males and leads to persistent spinal changes resulting in spinal fusion, kyphosis, and scoliosis. The necessity for surgery depends on the severity of the curvature. Although it is considered a high-risk procedure, ...

[Read More] Understanding Ankylosing Spondylitis: Surgical Options and Recovery Insights


Chronic Back Pain: When the Cause Remains a Mystery

Pain with no identifiable cause? Hello, my husband has been experiencing lower back pain for nearly three years. He has seen doctors at Veterans General Hospital and Shin Kong Hospital, and he has undergone rehabilitation at a different hospital for a year and a half, but his con...


Dr. Shi Qiming Reply:
Hello: Your condition has undergone various treatments and long-term therapy without improvement. A detailed examination such as MRI and nuclear medicine tests should be conducted. Only after accurate assessments can effective treatment be initiated. Please visit our orthopedic o...

[Read More] Chronic Back Pain: When the Cause Remains a Mystery


Understanding Chronic Pain: Neck, Back, and Joint Issues Explained

Soreness issues? Hello Doctor: When I was a child, I slipped and fell, and since then I have been experiencing frequent neck, back, and lower back pain. Sometimes, after walking too much or standing for too long, I experience severe pain from my buttocks down to my knees. Even si...


Dr. Lin Yijun Reply:
Hello Kay, You have sustained an injury, and given your symptoms of soreness, it is suspected that you may have a lumbar disc herniation causing nerve root compression. You mentioned that the X-ray showed "too dense spinal intervals," which could be indicative of a her...

[Read More] Understanding Chronic Pain: Neck, Back, and Joint Issues Explained


Understanding Calf Pain and Weakness: Causes and Solutions

What are the causes of calf pain and weakness? Dear Dr. Shi, My husband is 166 cm tall and weighs only 50 kg. He has often experienced lower back pain in previous years, which has affected his entire thigh and calf, causing soreness and weakness. Last year (June 3, 2004), he und...


Dr. Shi Guozheng Reply:
This may be sciatica, and you could consider visiting an orthopedic specialist. An MRI can help determine whether it is a disc issue or if there are other causes of spinal stenosis. Such examinations are available at regional hospitals or medical centers, so you may want to call ...

[Read More] Understanding Calf Pain and Weakness: Causes and Solutions


Is Foot and Lower Back Pain Normal After Long Walks?

I'm sorry, but I need more information or content Doctor: Hello! If you experience soreness, pain, or numbness in the soles of your feet after walking for a long time, and also feel discomfort in the lower back area around the kidneys, is this normal?


Dr. Shi Guozheng Reply:
Symptoms may occur due to overexertion, but they should improve after rest. If they do not improve, there may be an underlying issue, and it is advisable to consult a physician to determine the specific problem.

[Read More] Is Foot and Lower Back Pain Normal After Long Walks?


Understanding Chronic Lower Back Pain: Causes and Treatment Options

My back injury? I previously injured my lower back while playing basketball, but it never fully healed. The injury occurred during my second year of college. I had it checked out, and it didn't hurt anymore, so I didn't pay much attention to it. Throughout my third year...


Dr. Li Wenlin Reply:
Hello: In response to your question, over ninety percent of back injuries, especially in patients under the age of sixty-five, are caused by poor posture leading to muscle and tendon inflammation. I recommend that you find a nearby hospital with a full range of specialties and co...

[Read More] Understanding Chronic Lower Back Pain: Causes and Treatment Options


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