Back, Orthopedics FAQ - Page 13

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Understanding Lower Back Pain from Prolonged Standing and Heavy Lifting

Lower back pain from prolonged standing? Due to work reasons, I often need to stand for 6 to 8 hours at a time, and sometimes I have to lift heavy objects. Recently, I have been experiencing frequent lower back pain, even after standing for a short period. I feel pain when pressi...


Dr. Chen Bochen Reply:
1. Prolonged standing or sitting can easily lead to functional pain in the lumbar spine. Treatment primarily includes exercise (such as jogging or aerobic activities for at least 20 minutes) and physical therapy (including heat therapy and massage). 2. You can make an appointme...

[Read More] Understanding Lower Back Pain from Prolonged Standing and Heavy Lifting


Two Months of Treatment for Lower Back Pain: Seeking Answers and Solutions

Lumbar sports injury has not improved after two months of treatment? Dear Doctor, I experienced core training at home on September 21st, and possibly due to poor posture or prolonged support time during the "plank exercise," I felt discomfort and pain in my lower back ...


Dr. Chen Yongxue Reply:
Q1. What could be the reasons for experiencing thigh pain in addition to lower back pain? There are many potential causes, ranging from a one-time injury to overuse in daily activities. Q2. How long does it take to see results from medication treatment? Medication can only addr...

[Read More] Two Months of Treatment for Lower Back Pain: Seeking Answers and Solutions


Understanding Leg Length Discrepancy: Measurement Errors and Solutions

Measurement errors in leg length discrepancy and inability to stand for prolonged periods? Hello Doctor: I would like to ask, during my first visit to Hospital 804 for an X-ray, the measurement of my right leg was 2.15 cm longer than my left leg, but during my second visit to Vet...


Dr. Zhan Xian Reply:
Hello, scanometry of the lower extremities is primarily used to assess leg length and deformities. There may be some variations in measurements due to different hospitals, software, and physicians. If your leg length discrepancy is between 1-2 centimeters, you can initially use s...

[Read More] Understanding Leg Length Discrepancy: Measurement Errors and Solutions


Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained

I am unsure whether the pain is in the muscles or the bones? Hello, doctor. 1. Is it normal to hear popping or cracking sounds when rotating the head during stretching exercises? 2. There is a muscle located two finger widths behind the upper right shoulder that becomes sore a...


Dr. Wang Shouji Reply:
Hello, 1. Joint sounds during movement are usually not a concern if there are no accompanying symptoms such as pain. 2. Shoulder issues may be caused by muscle stiffness or poor circulation, and it is advisable to visit a hospital to check for potential cervical spine issues. 3. ...

[Read More] Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained


Post-Surgery Care and Concerns After Lumbar Fusion: A Guide

What are the issues after lumbar fusion surgery? Currently, my doctor said I can go jogging and do some stretching, but I should avoid bending over and lifting heavy objects. His responses were quite brief, probably because he is too busy to provide detailed information. My lumba...


Dr. Wang Shouji Reply:
Hello, after spinal fusion, it is important to check if the fusion has been completed. If the fusion is successful, engaging in some core muscle training should not pose significant issues. If sitting in a chair is uncomfortable, feel free to change it. Lumbar fusion will inevita...

[Read More] Post-Surgery Care and Concerns After Lumbar Fusion: A Guide


Understanding Lumbar Vertebra Fractures: Causes, Symptoms, and Treatment Options

Fracture of the fifth lumbar vertebra? I have recently experienced unexplained pain in my lower back and legs. An X-ray examination at the hospital initially indicated a fracture of the fifth lumbar vertebra. A follow-up MRI is scheduled. As I am currently serving in the military...


Dr. Chen Bochen Reply:
Hello, if there is no significant trauma, a fracture of the fifth lumbar vertebra usually refers to a spondylolysis, which is a condition of incomplete congenital development. Generally, as long as there are good exercise habits and avoidance of prolonged sitting and heavy liftin...

[Read More] Understanding Lumbar Vertebra Fractures: Causes, Symptoms, and Treatment Options


Understanding Growth Pain and Scoliosis in Adolescents: Height Concerns

Height / Scoliosis / Growing Pains I got my first period in fifth grade when I was 148 cm tall. I graduated from elementary school at 152 cm, with my father at 173 cm and my mother at 170 cm. Based on genetic height, I should be around 164 cm, but now in ninth grade, I am only 15...


Dr. Chen Yongxue Reply:
Hello, height is generally related to factors such as genetics, nutrition, sleep, exercise, and hormonal levels. Typically, a person's height will fall between the heights of their parents, but there are many exceptions. Nutrition, sleep, and exercise are aspects we can acti...

[Read More] Understanding Growth Pain and Scoliosis in Adolescents: Height Concerns


Severe Pain from Hip to Calf: Is It Sciatica or Something Else?

Pain from the buttocks to the calves that makes it impossible to walk? Hello Dr. Chen, my mother was initially diagnosed with spinal degeneration and bone spurs compressing the nerves. She initially experienced pain in her lower back and legs, but now she is in pain while lying d...


Dr. Chen Bochen Reply:
Hello, based on your symptom description, it is possible that you have a herniated disc causing nerve compression, leading to sciatica. Please visit an orthopedic or neurosurgery outpatient clinic. The physician will arrange for X-rays or MRI based on your condition. If you exper...

[Read More] Severe Pain from Hip to Calf: Is It Sciatica or Something Else?


Managing Spondylolysis and Spondylolisthesis: Key Questions Answered

How should lumbar spondylolysis with spondylolisthesis be managed? Hello Doctor, I previously visited for lower back pain, and the doctor mentioned that I have a lumbosacral fifth vertebra arch dissociation. During my recent follow-up, the doctor indicated that I have signs of sp...


Dr. Wang Shouji Reply:
Hello, strengthening the core muscles is essential. If there is significant low back pain and lower limb numbness, and it progresses to a grade II spondylolisthesis, the likelihood of requiring surgical reduction and fixation is high. The success rate for repair after progressing...

[Read More] Managing Spondylolysis and Spondylolisthesis: Key Questions Answered


Does Pelvic Rotation Cause Uneven Walking? Understanding the Impact

Does pelvic rotation cause a feeling of walking with a tilt? Dear Doctor: I have always had a habit of exercising, but due to the pandemic, I was unable to exercise for over two months starting from May 16. With long hours of sitting at work, I have been experiencing tightness in...


Dr. Wang Shouji Reply:
Hello, if there is asymmetry in the length of the lower limbs, it can lead to unequal exertion on both sides. However, the underlying cause needs to be further investigated. If this issue did not exist before but has now developed, it may require a period of rest and rehabilitati...

[Read More] Does Pelvic Rotation Cause Uneven Walking? Understanding the Impact


Understanding Lumbar Compression Fractures: Symptoms, Care, and Recovery Tips

Lumbar vertebral fracture Hello doctor, the patient has a compression fracture of the second lumbar vertebra and has been resting for 6 weeks. However, he experiences mild soreness in the right thigh and hip while walking. What could be the reason for this? Is it appropriate to w...


Dr. Chen Bochen Reply:
Hello. 1. Spinal fractures can sometimes be accompanied by partial nerve compression, leading to leg pain, but they may also result from contusions of the thigh or hip at the time of the spinal injury. 2. A back brace typically needs to be worn for 2-3 months; it does not need to...

[Read More] Understanding Lumbar Compression Fractures: Symptoms, Care, and Recovery Tips


Shoulder Blade Pain When Lying Flat: Causes and Solutions

Pain near the scapula while lying flat? Last Saturday, my husband accidentally fell backward while exercising. Instinctively, he used his hands to brace himself during the fall. Later that night, he noticed pain along the left side of his back near the scapula when lying flat, bu...


Dr. Zhan Xian Reply:
Please go to the orthopedic outpatient clinic for an examination.

[Read More] Shoulder Blade Pain When Lying Flat: Causes and Solutions


Managing Cosmetic Concerns After Clavicle Fracture Healing

Clavicular nonunion with a prominent callus? Hello, Dr. You. About two years ago, I had a closed fracture of the distal end of my right clavicle due to a car accident. The doctor recommended conservative treatment, using a figure-eight shoulder strap and a triangular bandage for ...


Dr. You Dianqi Reply:
Hello: Once a bone has healed, it is generally advised not to move it again. Regarding your symptoms, I personally recommend a more thorough evaluation to clarify whether they are related to the healing of the clavicle fracture but with shortening. Any advice I provide from behin...

[Read More] Managing Cosmetic Concerns After Clavicle Fracture Healing


Understanding Pain Between Lower Back and Hips: Causes and Solutions

Pain between the lower back and the buttocks? Hello, doctor. About a month ago, I started experiencing soreness in my buttocks and legs after sitting for 20 minutes, but standing is fine. I consulted a rehabilitation specialist, and the doctor asked me to bend and lift my legs, w...


Dr. Chen Bochen Reply:
Hello: The most common spinal issue among young people is "functional spinal problems," which essentially means improper usage, often due to prolonged sitting and lack of exercise. The best treatment is to stay active; after sitting for 30 minutes, you should get up and...

[Read More] Understanding Pain Between Lower Back and Hips: Causes and Solutions


Understanding Knee Injuries: Signs of Possible Ligament Damage

Knee problems Hello doctor, I would like to ask about my condition. Two weeks ago, I had a car accident and fell. Besides abrasions, most of my injuries are bruises. My left knee hurts both in the front and back when I walk. The doctor mentioned that it might be a ligament injury...


Dr. Shi Guozheng Reply:
If walking does not cause severe pain or instability, it is unlikely to be a ligament injury, and further observation is recommended.

[Read More] Understanding Knee Injuries: Signs of Possible Ligament Damage


Post-Surgery Arm Sling Use: Managing Shoulder and Neck Discomfort

Postoperative use of a sling can lead to shoulder and neck discomfort? Hello Doctor, I had a car accident on October 7th and sustained a fracture of my left clavicle. I was taken to the hospital that day and received a self-paid plate fixation. I am currently resting at home. I w...


Dr. Wang Shouji Reply:
Hello, if you experience back pain from using a triangular bandage arm sling for an extended period, you may not need to wear it if your left arm is supported. It is also acceptable not to use it while sleeping. Mild pain at the surgical site is normal, but if you experience seve...

[Read More] Post-Surgery Arm Sling Use: Managing Shoulder and Neck Discomfort


Managing Supraspinous Ligament Inflammation: Rehabilitation and Treatment Options

Supraspinous ligamentitis (strain) Hello Dr. Wang, I have been experiencing lower back pain for over three to four months. I have undergone a series of related examinations, including MRI and ultrasound, which ruled out conditions such as HIV, ankylosing spondylitis, and metastat...


Dr. Wang Shouji Reply:
Hello, if the more serious issues mentioned above are ruled out, please pay attention to your posture by keeping your head up and chest out. Strengthening your abdominal and back muscles, along with applying heat, should help alleviate the discomfort. In the long term, it is impo...

[Read More] Managing Supraspinous Ligament Inflammation: Rehabilitation and Treatment Options


Understanding Lower Back Swelling: Causes of Pain and Discomfort

Slight swelling in the lower back with lumbar pain and discomfort? One day in mid-August, I noticed a swollen area near the spine in my lower back that felt somewhat soft to the touch. There was no sensation when I pressed on it, but I experienced lower back pain. I went to a cli...


Dr. Chen Yongxue Reply:
Hello, if you have any questions, it is advisable to visit the outpatient clinic for further examination. Thank you.

[Read More] Understanding Lower Back Swelling: Causes of Pain and Discomfort


Relieving Sciatica Pain: Effective Strategies for Immediate Relief

Restlessness Hello, doctor. I have sciatica. I started feeling some pain in early September, so I began doing back stretching exercises for rehabilitation. However, recently the pain has intensified, affecting my buttocks and the back of my thighs. I have been taking the pain med...


Dr. Wang Shouji Reply:
Hello, if pain medications and rehabilitation do not alleviate the symptoms, further examination is necessary. It is often due to a herniated disc or severe compression, which may require surgical decompression. Changhua Hospital cares about your health. Wang Shou-ji.

[Read More] Relieving Sciatica Pain: Effective Strategies for Immediate Relief


Understanding Upper Right Back Pain: Causes and Solutions

Upper right back pain? Hello, doctor. I experience sharp pain in my upper right back when I breathe deeply, lie down, or stretch vigorously. This has been happening for almost a year. I have had a chest X-ray that showed no issues. I regularly play basketball, volleyball, and do ...


Dr. Wang Shouji Reply:
Hello, based on your symptoms, it is more likely that you have fasciitis, which typically presents with localized tenderness. If you have any doubts, it is advisable to seek medical consultation for confirmation. Changhua Hospital cares about your health. Dr. Wang Shou-ji.

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


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