Back pain, Orthopedics FAQ - Page 8

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Understanding Tailbone Injuries: Symptoms, Treatment, and Recovery

Fell and hit the coccyx on the stairs? Hello Dr. Wang: When I was in junior high school, I slipped and fell, hitting my tailbone against two steps of the staircase. At that moment, I experienced severe pain in my coccyx, but I have not seen a doctor since then. In high school, I ...


Dr. Wang Shouji Reply:
Hello: First, if it is an old injury, it is important to confirm whether the bone has been deformed or bent due to the contusion. You should first determine where the protrusion is located and whether it is fixed or disappears with spinal movement. Generally speaking, if there is...

[Read More] Understanding Tailbone Injuries: Symptoms, Treatment, and Recovery


Understanding Right Upper Back Pain: Causes, Symptoms, and Solutions

Right upper back pain, spinal pain, most severe in the morning, better or absent in the evening? Hello Doctor: A few months ago, I experienced pain in my right shoulder and the area behind it. I thought it was a strain from doing housework (as a single parent), and it improved wh...


Dr. Shi Guozheng Reply:
It could be myofascial pain syndrome, and you can consult either an orthopedic specialist or a rehabilitation physician.

[Read More] Understanding Right Upper Back Pain: Causes, Symptoms, and Solutions


Can Bone Cement Treatment Improve Spinal Slippage in Elderly Patients?

Inquiry about bone cement treatment? Hello, doctor. My mother is 73 years old and previously reported back pain. After a diagnosis, it was determined that she has a spondylolisthesis at the L4-L5 level, leading to surgery for stabilization. However, her pain has not improved over...


Dr. Cai Shanglin Reply:
If the bone screw has become loose, it is necessary to determine whether the pain is caused by lumbar instability or if there are other vertebral fractures in order to decide the next steps for management.

[Read More] Can Bone Cement Treatment Improve Spinal Slippage in Elderly Patients?


Understanding T11 Vertebral Fractures: Treatment Options and Recovery

Fracture of the eleventh thoracic vertebra? Hello, I fell backward from a chair a month ago. At that time, I had X-rays and an ultrasound, and the diagnosis was a muscle strain. I was able to walk, so I continued doing household chores and going out for a month, but the back pain...


Dr. Li Yongheng Reply:
Hello, if you have a fracture of the eleventh thoracic vertebra for one month and are experiencing unbearable pain, you may consider a vertebroplasty procedure. This surgery is performed under local anesthesia and carries relatively low risks. The most significant complication is...

[Read More] Understanding T11 Vertebral Fractures: Treatment Options and Recovery


Managing Lower Back Injuries: Tips for Pain Relief and Recovery

Lower back injury Hello, when I was 13 years old, I had a severe fall that injured my back. I was misdiagnosed until this year when I was diagnosed with internal injuries at the Veterans General Hospital. My symptoms include lower back pain and discomfort after standing or sittin...


Dr. Shen Boquan Reply:
Hello, if there is no bone injury, it is recommended to start with conservative treatment (medication combined with physical therapy). Thank you for your inquiry.

[Read More] Managing Lower Back Injuries: Tips for Pain Relief and Recovery


Understanding Back Pain, Chest Discomfort, and Urinary Issues: A Comprehensive Guide

Low back pain, chest pain, urinary issues? Hello, Doctor: Here’s the situation. Previously, I experienced weakness in my feet and lower back pain, so I consulted a doctor and had an X-ray done. The doctor mentioned that my spine was compressing a nerve and recommended physical th...


Dr. Shi Guozheng Reply:
It is possible that a lumbar strain may require a visit to an orthopedic specialist, as issues with urination may be related to lower back pain.

[Read More] Understanding Back Pain, Chest Discomfort, and Urinary Issues: A Comprehensive Guide


Understanding Spondylolisthesis and Nerve Root Issues in Adolescents

Spondylolisthesis with radiculopathy? Hello, Doctor. I was diagnosed with L5 spondylolysis combined with spondylolisthesis in my sophomore year of high school, and it is currently within 25%. 1. Initially, I experienced significant lower back pain (with lumbar discomfort and occa...


Dr. Li Yongheng Reply:
Hello, you have L5 spondylolysis with spondylolisthesis. Although you are currently not experiencing pain, there is still a possibility that lower back pain may recur due to bending and lifting heavy objects. The results from your military service physical examination indicate ra...

[Read More] Understanding Spondylolisthesis and Nerve Root Issues in Adolescents


Foot Pain Confusion: Which Specialist Should You See?

If you have foot pain but are unsure which specialist to see, you may want to consider visiting a podiatrist, who specializes in foot and ankle conditions. Alternatively, an orthopedic surgeon with a focus on the Hello, doctor. I would like to ask about my foot pain. Sometimes my...


Dr. Chen Yongxue Reply:
Hello, you can go to the orthopedic outpatient clinic for further examination. Thank you.

[Read More] Foot Pain Confusion: Which Specialist Should You See?


Understanding Lower Back Pain: When to See a Doctor

Lumbar pain I have recently been experiencing some pain from my lower back to my hips, especially noticeable when I get up from bed. I also feel some unexplained pain and weakness in my legs when I cough. I'm not sure if this is due to overexertion or if I might have an inju...


Dr. Shi Guozheng Reply:
If the pain persists without improvement, it is necessary to consult a physician.

[Read More] Understanding Lower Back Pain: When to See a Doctor


Understanding Intermittent Lower Left Back Pain: Causes and When to Seek Help

Back muscle pain Hello, doctor! For the past few days, I've been experiencing pain in the lower middle area of my left back (around the spot where we feel soreness after bending over to clean for a while and then standing up straight). However, the pain is not constant; it o...


Dr. Shi Guozheng Reply:
It could be myofascial pain syndrome in the back, and you can see an orthopedic specialist.

[Read More] Understanding Intermittent Lower Left Back Pain: Causes and When to Seek Help


Understanding Compression Fractures: Are They Congenital or Tumor-Related?

Congenital spinal development issues? Compression fractures? Hello, Doctor. I am a 28-year-old male. Recently, I experienced chest and back pain for several months, which led me to visit a hospital and consult a neurologist. The doctor ordered an X-ray of my lumbar spine, and dur...


Dr. Li Yongheng Reply:
Hello, your spine may have developed naturally, so there is no need to worry too much. However, there is indeed a possibility of a tumor causing a vertebral fracture. Therefore, it is still recommended that you undergo an MRI examination.

[Read More] Understanding Compression Fractures: Are They Congenital or Tumor-Related?


Preventive Vertebroplasty: Is It Right for Your Osteoporosis Risk?

Preventive bone cement injection Dear Dr. Lee, My mother is currently 68 years old. Recently, she underwent a bone density test, which revealed an average lumbar spine bone density value of -3.2 (T score). Aside from mild hypertension, she does not have any other medical conditi...


Dr. Li Yongheng Reply:
Hello, I do not recommend performing prophylactic vertebroplasty. This procedure is still considered invasive and carries risks, such as infection and cement leakage leading to nerve compression. Denosumab (Prolia) is commonly used in clinical practice and is effective for treati...

[Read More] Preventive Vertebroplasty: Is It Right for Your Osteoporosis Risk?


Understanding Lateral Leaning of the Lower Back While Standing

When standing, there is an issue with lateral leaning of the lower back? In the past, I remember my waist being symmetrical when standing, but now it tends to tilt to one side. However, when I sit, the degree of tilt decreases, and when I lie down, my body appears normal. Previou...


Dr. Shi Guozheng Reply:
If a patient has a herniated lumbar disc, undergoing rehabilitation and medication treatment for a period of time may lead to improvement. If there is no improvement, surgical intervention should be considered, and the patient should consult a physician for further management opt...

[Read More] Understanding Lateral Leaning of the Lower Back While Standing


Understanding Shoulder and Back Pain: Possible Causes and Solutions

Shoulder, back, and chest pain? Dear Doctor, Hello, I am a user who consulted you previously. Thank you very much for taking the time to respond; I truly appreciate it. (Reference #130694) To summarize my symptoms, about seven to eight months ago, I noticed a cough and slight...


Dr. Li Yongheng Reply:
Hello: Based on your symptoms, the most likely diagnosis is myofascial pain syndrome. Other possible diagnoses include suprascapular nerve entrapment or nerve compression symptoms caused by a cervical disc herniation. It is recommended that you visit a neurology clinic for furthe...

[Read More] Understanding Shoulder and Back Pain: Possible Causes and Solutions


Understanding Ankylosing Spondylitis: Symptoms and Insights

Ankylosing Spondylitis Three weeks ago, I experienced pain in my lower back whenever I leaned forward or backward (it wasn't unbearable pain). After stretching a few times, the pain subsided. However, after sitting for a long time, leaning forward or backward would still cau...


Dr. Shi Guozheng Reply:
Ankylosing spondylitis can cause long-term chronic lower back pain, with stiffness that makes bending difficult. If the pain lasts only for a week, the likelihood of ankylosing spondylitis is lower. Additionally, ankylosing spondylitis is associated with X-ray changes, where the ...

[Read More] Understanding Ankylosing Spondylitis: Symptoms and Insights


Managing Degenerative Arthritis: Effective Treatments and Exercises

Degenerative arthritis of the spine Hello doctor, I have had this condition since I was in the ninth grade after an injury, but every time I go to a different hospital, I receive different answers. Most of the time, they only take X-rays and I’m not sure if I can request more in-...


Dr. Li Yongheng Reply:
Hello, chronic back pain is usually due to inflammation of the back muscles, with a minority caused by intervertebral disc injuries or diseases of the vertebrae themselves. At the age of 20, degenerative arthritis of the spine is quite rare. Currently, using a Roman chair to stre...

[Read More] Managing Degenerative Arthritis: Effective Treatments and Exercises


Understanding Left Chest and Back Pain: Causes and Concerns

Shoulder, back, and chest pain? Hello Doctor, about six months ago, I started experiencing a dull pain in the left side of my chest when I inhale. Initially, I thought it was just psychological and didn't pay much attention to it, but over time, it hasn't improved and t...


Dr. Li Yongheng Reply:
Hello, if you have been experiencing shoulder, back, and chest pain for six months, which fluctuates in intensity, it is usually due to poor posture or work-related intercostal muscle strain or inflammation. However, it is still recommended that you consult a pulmonologist and un...

[Read More] Understanding Left Chest and Back Pain: Causes and Concerns


Understanding Recurring Lumbar Pain: Seeking Expert Advice on Diagnosis and Treatment

I would like to inquire about lumbar pain issues? Hello Dr. Lee: For the past two years, I have been experiencing recurrent lumbar pain. When the pain becomes severe, I visit a doctor, but the usual diagnosis is either a muscle strain or advice to pay attention to the spaces in...


Dr. Li Yongheng Reply:
Hello, based on your X-ray, there is mild degeneration of the lumbar spine, with no signs of scoliosis or pelvic tilt. Your chronic back pain may be due to long-term work and poor sitting and standing posture, leading to myofascial pain syndrome. It is recommended that you contin...

[Read More] Understanding Recurring Lumbar Pain: Seeking Expert Advice on Diagnosis and Treatment


Understanding Chronic Lower Back Pain: Causes and Treatment Options

Lower back pain when bending over..? Hello, Vice Dean Li. I would like to ask you about a situation. Three years ago, I injured my lower back while lifting heavy objects. After treatment, I improved, but a few months ago, I started experiencing lower back pain when bending over, ...


Dr. Li Yongheng Reply:
Hello, based on your symptoms, the lower back pain could be due to a herniated disc, while the pain in the left foot's sole is likely plantar fasciitis. A herniated disc typically requires an MRI for diagnosis. I recommend that you schedule an appointment with a rehabilitati...

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


Effective Remedies for Lumbar Degeneration: Tips for Young Patients

Lumbar degeneration Hello, doctor. I recently went to the hospital for an X-ray due to lower back pain, and it was found that I have degeneration of the L5 lumbar vertebra. What remedies are available? I am still quite young. Should I take any supplements, perform specific rehabi...


Dr. Li Yongheng Reply:
Hello, lower back pain in a 28-year-old is mostly caused by poor posture, and lumbar degeneration is relatively uncommon. There are no specific supplements or injections available for treating lumbar degeneration. Strengthening the core muscles can help reinforce the back muscles...

[Read More] Effective Remedies for Lumbar Degeneration: Tips for Young Patients


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