Back pain, Orthopedics FAQ

Understanding Severe Back Pain and Its Possible Connections

Joint pain Hello, doctor: About a week ago, I suddenly experienced severe pain in my back, specifically in the middle of my spine. The pain is intense and persists even when I am not moving. I feel that my breathing is affected, and I also experience some palpitations and frequen...

Dr. Shi Guozheng Reply:
Based on your description, it could be inflammation of the tendons or fascia near the spine, but other possibilities cannot be ruled out. It is best to consult a physician or undergo some X-ray examinations. The bruising on your body may be related to blood coagulation function, ...

Understanding Long-Term Spine Pain: Causes, Treatments, and Exercises

Chronic spinal pain Dr. Hsu: Hello, I started experiencing spinal pain at the end of January. I don't feel it when standing, but it is particularly noticeable when pressing on the vertebrae and bending forward. The doctor said it is likely myofascial inflammation and unrelat...

Dr. Xu Zhijun Reply:
Hello: Most cases of low back pain are due to poor posture and improper use of the lumbar region, leading to muscle spasms and pain in the surrounding muscles. Initially, X-rays may not show any significant bone changes, but if inflammation persists for too long, it can gradually...

Understanding Lower Back Pain: Causes and Solutions for Morning Discomfort

Lumbar pain Hello Director Shih: I often experience pain and soreness from my lumbar spine down to the soles of my feet, especially in the morning when I wake up. It feels particularly uncomfortable. Could you please provide me with some insights? Thank you!

Dr. Shi Guozheng Reply:
I am unsure whether your pain is accompanied by any numbness, and whether symptoms worsen when you cough or exert pressure on your abdomen. How long have you been experiencing this pain? Is there any muscle weakness or atrophy? Are you able to walk, and can you lift your legs? Th...

Understanding Lower Back Pain: Causes, Symptoms, and Diagnosis

I'm sorry, but I need specific content to translate. Please Dr. Sun: Good morning! Hello! I am currently experiencing slight pain in my lower back, just below my navel, and I feel some discomfort when bending over. Additionally, when I squat down, I also feel a tight, painfu...

Dr. Sun Ruisheng Reply:
Based on your description, it is highly likely that you have a lumbar muscle strain or lumbar vertebral dislocation. I recommend that you visit a medical facility to consult with an orthopedic specialist for diagnosis and treatment.

Understanding Chronic Lower Back Pain: Causes and Solutions

Lower back pain? I have been experiencing lower back pain for the past two years. I am studying computer science, and two years ago, after sitting for a long time while using the computer, I started to feel pain in my lower back that night. At that time, I was studying abroad, an...

Dr. Xie Tianjie Reply:
Hello: There are many differential diagnoses for lower back pain. If you have persistent back pain and morning stiffness, it is recommended to visit a hospital for a detailed examination and treatment. Additionally, a negative HLA-B27 test does not completely rule out ankylosing ...

Understanding Scoliosis: Long-Term Effects and Pregnancy Considerations

Regarding scoliosis (spiral form) Dear Doctor: I have a friend who has congenital scoliosis. I only know that it is spiral in shape, and he mentioned that his sternum has not been deformed due to the scoliosis. He underwent surgery around the age of 12-13. He did not specify whic...

Dr. Shi Guozheng Reply:
After spinal scoliosis surgery, it is important to assess the degree of deformity correction. If the angle is already small, there is likely to be minimal future impact. However, if the angle remains significant, there may be a risk of lower back pain or further deterioration. A ...

Is It Just a Hand Issue? Understanding Back Pain and Nerve Symptoms

Is it really just a hand issue? Doctor: Hello! I started experiencing back pain last year, with pain along the spine that becomes more pronounced when bending over. After an X-ray, the doctor diagnosed me with myofascial pain syndrome. Recently, I've noticed that I feel numb...

Dr. Sun Ruisheng Reply:
Hello! I started experiencing back pain at the end of last year, with pain along the spine that becomes more pronounced when bending over. After an X-ray, the doctor diagnosed me with myofascial pain syndrome, indicating that there are no skeletal abnormalities visible on the X-r...

Managing Osteoporotic Spine Fractures in Elderly Patients: Recovery and Rehabilitation Tips

Compression fracture Your father suffered a vertebral compression fracture two months ago. At 83 years old, he has a sensitive constitution and high blood pressure, and the doctor recommended against surgery, advising home care instead. He can move his limbs, but due to prolonged...

Dr. Shi Guozheng Reply:
An 83-year-old patient with a vertebral compression fracture may have this condition due to osteoporosis and falls. Typically, after a compression fracture, bed rest is recommended for about two weeks. Once back or lumbar pain improves, it is important to start rehabilitation pro...

Is Lumbar Arch Fracture Congenital or Caused by Injury?

Is vertebral arch fracture truly congenital? Hello, Director Shi. I usually have a habit of exercising, and due to my work, I often lift heavy objects. Recently, my lower back pain has worsened. I initially thought it was sciatica, but after going to the hospital for an X-ray, I ...

Dr. Shi Guozheng Reply:
Vertebral arch fractures can be caused by injury or may be congenital, and they are not related to genetics. Surgical treatment involves bone grafting and stabilization, which can resolve the pain and is considered a curative procedure. If the surgery is unsuccessful, the pain ma...

Knee Pain and Numbness: Understanding Symptoms and Seeking Help

Knee pain Hello, Dr. Zhou. I am a soldier who has just started my service. My question is that I often feel pain on the inner side of my knee after doing jumping jacks, and sometimes I experience a tingling sensation from my buttocks down to my thighs. Additionally, when I squat ...

Dr. Zhou Lizhi Reply:
Young individuals who have just enlisted often experience various symptoms due to an increase in physical training compared to their usual activity levels. Here are the answers to your questions: 1. Pain on the inner side of the knee ligaments after jumping jacks may occur due ...

Understanding Spine Pain: When to See an Orthopedic or Rehab Specialist

I'm sorry, but I need specific content to translate. Please provide the text you would like me to translate into English? Hello, Doctor Shi: I have been busy with my studies lately and haven't been able to see a doctor. However, I recently noticed that my spine seems to...

Dr. Shi Guozheng Reply:
Prolonged sitting while rushing to complete assignments can lead to lower back pain, which is often related to poor posture. Clinically, this may be caused by a strain of the tendons or muscles. Usually, simply taking a break or reducing sitting time will lead to improvement; if ...

Understanding Lower Back Pain: Causes and Solutions for Relief

Lower back pain? Dr. Zhou: Good evening! Hello! I am currently experiencing slight pain in my lower back, approximately below my navel. There is also a mild pain when I bend over, and a tight, painful sensation when I squat, although it feels somewhat relieving. I haven't ex...

Dr. Zhou Lizhi Reply:
Hello, A-Tong: Based on your description, you have a history of trauma that has resulted in a back injury. More than 90% of back injuries are due to muscle strains, characterized by localized pain and a specific tender point. However, according to your account, you need to squat ...

Understanding Spine Pain: When to Consider Medication or Electrotherapy

Could you please provide the content you would like me to translate? I have been experiencing intermittent back pain again recently, and I'm not sure what treatment options are available. Should I take medication? I've heard people mention therapies like electrical stim...

Dr. Shi Guozheng Reply:
Back pain may be due to issues with ligaments, muscles, nerves, or bones. It is important to consult a physician for a proper diagnosis to determine the underlying cause before administering medication or other treatment methods. As for electrical therapy, it may refer to one of ...

Understanding Shoulder and Spine Pain in Teens: Causes and Solutions

I occasionally experience pain in my shoulders and spine? Hello, Doctor Shi: I am a 14-year-old student in the ninth grade. My backpack is heavy, which is manageable, but I often experience unexplained pain in my shoulders and spine. I have seen a doctor and have taken medication...

Dr. Shi Guozheng Reply:
It may be caused by poor posture. Typically, students spend long hours studying, sitting at their desks for extended periods. If their posture is not correct, it can easily lead to back pain or shoulder pain.

Understanding Spinal Nerve Compression and Skin Conditions in Young Adults

Spinal nerve compression & skin diseases!! Hello, Doctor! As the title suggests, my boyfriend is experiencing knee pain due to spinal cord compression affecting the nerves, making it difficult for him to squat or stand for long periods. His condition has worsened, and now he ...

Dr. Luo Zhongwei Reply:
Dear Guangguang: Your boyfriend's issue is purely related to the knee joint. It may be chondromalacia, and he needs to visit an orthopedic clinic for differential diagnosis to identify the exact cause. As for the hand issue, it is likely due to a superficial nerve being seve...

Should You Return to the Hospital for Persistent Lower Back Pain?

Lumbar strain? I previously had a strain in my lower back. However, after intense exercise, I still experience pain, although it's not as severe as it was initially. After taking a hot shower, it seems to be less of an issue. Should I return to the original hospital for furt...

Dr. Hong Ximing Reply:
Lumbar strain is a common sports injury that typically requires rest and lumbar protection for 2 to 3 weeks for recovery. If pain persists after intense exercise, it is important to avoid vigorous activities and possibly protect the lower back for an extended period.

Understanding Coccyx Gaps: Causes and Treatment for Back Pain

Is there a gap in the coccyx? I would like to ask the doctor: After bending over for a few minutes, playing basketball, or lifting objects, I experience lower back pain. Once, after playing basketball, when I got home and tried to take off my shoes, I realized... I couldn't ...

Dr. Shi Guozheng Reply:
Based on your description, it sounds like an acute injury to the back muscles, possibly a strain of the muscles or tendons. This typically occurs during physical activities, bending, or lifting heavy objects. This is a protective mechanism of the lumbar spine, which may prevent b...

Understanding Post-Fracture Recovery: Back Pain and Wrist Mobility Issues

Hello, I would like to ask about issues related to fractures after recovery? Hello Dr. Hsieh, I have a problem with lower back pain. After an examination at Taichung Lin Shin Hospital, it was found that I have cartilage degeneration. Does this count as a type of herniated disc? A...

Dr. Xie Tianjie Reply:
Lower back pain is a common condition among modern individuals, often stemming from poor posture, improper lifting, and trauma. Symptoms of a herniated disc include lower back pain and numbness or weakness in the lower extremities, which require thorough examination. After a left...

When to Remove Surgical Rods After Fracture Surgery?

When should the metal rod be removed after a fracture surgery? Dr. Chen: Hello. My older sister is 52 years old. Three years ago, she suffered an open fracture of the right tibia and fibula, which led to osteomyelitis. She underwent surgery and had a metal rod implanted (from jus...

Dr. Chen Xingyuan Reply:
Dear Ms. Chen, The complication of fracture with osteomyelitis is quite a troublesome issue, as osteomyelitis is difficult to control and can affect the healing of the bone. Whether the steel pin can be removed depends on confirming if the fracture has healed, which can be deter...

Understanding Scoliosis: Impact on Pregnancy and Long-Term Health

Scoliosis 1. Will scoliosis affect the ability to have children? 2. If I seek treatment at a traditional Chinese medicine clinic, how much time should I expect to spend? 3. Will there be any long-term effects as I age?

Dr. Luo Zhongwei Reply:
Scoliosis only affects the spinal column above the pelvis, so it does not impact the labor process during childbirth. Correction of scoliosis through traditional Chinese medicine is absolutely ineffective, so there is no need to waste time on it. In older age, back pain is often ...

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