Back, Orthopedics FAQ

Understanding Side Rib Pain: Causes and When to Seek Help

Pain or discomfort in the side of the waist near the ribs? Hello, doctor: I do not have a fracture, but when I lie flat and then get up, I experience pain in my side and lower ribs. Coughing or sneezing also causes pain in my side and lower ribs, and I feel pain all over my body....

Dr. You Dianqi Reply:
Hello, from your article, it seems that increasing intra-abdominal pressure, such as during a sneeze, causes discomfort in the lateral lower back. It may be necessary to examine the structures within the spine, such as intervertebral discs and other potential issues. I recommend ...

Understanding Lower Back Pain: Causes and Solutions for Discomfort

Discomfort in the lower back? Hello doctor: This morning, I experienced pain in my lower back when I tried to get up from a lying position. The pain worsens when I cough or sneeze, and I still feel pain when I get up. What could be the cause?

Dr. Cai Shanglin 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 levels can all contribute to d...

Understanding Full-Body Tension and Pain: A Guide to Relief

Generalized muscle tension and soreness? Hello: In recent years, I have frequently experienced shoulder and neck pain, as well as pain in my buttocks (unsure if it's sciatica or piriformis syndrome), ankle pain, and knee pain. I have been trying to exercise, but after just a...

Dr. Chen Bochen Reply:
Hello, most of these issues are due to 1. cumulative damage from long-term poor posture, and 2. physical dysfunction caused by prolonged labor and lack of exercise. Therefore, it is advisable to consult a physician who can help you gradually adjust your condition, ideally with a ...

Sudden Sharp Pain When Stretching: Causes and Prevention Tips

Sometimes, stretching or yawning can cause sudden severe back pain? Background: I usually play volleyball and exercise daily. Issue: After stretching, I experience severe pain on the inner side of my shoulder blade (approximately below the rhomboid muscle) on my non-dominant si...

Dr. Chen Bochen Reply:
Chronic inflammation of the multifidus tendon and supraspinous ligament requires adequate warm-up. Post-exercise cool-down should focus on heat therapy for the painful areas. During non-acute phases, massage can be beneficial, along with strengthening through light jogging and ba...

Understanding Wrist Ligament Injury: Recovery, Treatment, and Care Tips

Wrist ligament laxity? On June 1, I injured my wrist when an external force bent my left palm towards the back of my hand. Initially, for the first two days, I only felt slight discomfort and was able to hold a 9-kilogram child while bathing. However, I later noticed some swellin...

Dr. Shi Guozheng Reply:
1. Ligament injuries typically take about six weeks to heal, regardless of whether injections are administered. 2. Supplementing with nutrients does not provide any benefit. 3. Try to avoid moving the painful joint as much as possible. 4. Not applicable. 5. Effective trea...

Understanding Lower Back Pain: Causes and Solutions for Discomfort

There are issues with the bones in the lower back and spine? The pain in the lower back, pain throughout the body, and pain in the spine, along with severe pain in the lower back when coughing or sneezing, could be attributed to several potential causes. These may include muscle ...

Dr. Chen Bochen Reply:
Muscle strains and intervertebral disc degeneration with herniation are both possible.

Understanding Lower Back Pain: Causes and Solutions for Relief

Problems with the lower back and spine? Lower back pain, pain in the lumbar region, pain in the back, and generalized body pain, along with severe pain in the lower back when coughing or sneezing, can be caused by several factors. Possible reasons include muscle strain, herniated...

Dr. Shi Guozheng Reply:
It is usually due to overuse of the lower back or strains and sprains. Additionally, improper sitting posture, prolonged standing, and heavy lifting can contribute to the issue. It's also important to check for symptoms of a cold, as a cold can also cause generalized body ac...

Effective Solutions for Lower Back Pain and Discomfort

Lumbar issues? Hello doctor: I have strained my lower back, and now my whole body hurts. My lower back is very sore and painful, and I also have back pain. Coughing and sneezing make my lower back hurt a lot. What should I do?

Dr. Wang Shouji Reply:
Hello, for a soft tissue strain in the lower back, if the symptoms are significant and it has occurred within the last three days, apply ice to the painful area. If it has been more than three days, you may switch to heat therapy along with medication treatment. Changhua Hospital...

Understanding Rib Pain: Causes, Symptoms, and Treatment Options

Rib pain issues? Hello, doctor. Recently, I have been experiencing pain in my left rib area, just below the chest, extending to the sides and back. The pain started after I had a cold and cough for a week. It becomes very painful whenever I cough or sneeze. I returned to the clin...

Dr. Chen Bochen Reply:
Rib fractures typically occur due to a clear impact, unless there are conditions such as metastatic cancer or severe osteoporosis, which may cause fractures from coughing or minor bumps. Rib pain caused by coughing is mostly due to "costochondritis," which usually impro...

How to Determine if Your Orthopedic Brace Fits Properly

How can you determine if a brace for a compression fracture fits properly? Thank you for your prompt response. However, the brace was provided by the company personnel, and they indicated on-site that it didn't seem to fit well. When they asked how it felt off, we couldn...

Dr. Shi Guozheng Reply:
When you first start wearing a brace, it can be uncomfortable and may take some time to adjust. If it still doesn't fit properly, it's important to modify the brace. The company that manufactures the brace will have a better understanding of the necessary adjustments. I...

Post-Surgery Concerns: Understanding Pain and Mobility After Tibia Surgery

Postoperative care for tibia and fibula fractures? Hello Doctor! A few months ago, I underwent surgery to remove a tibial tumor, and artificial bone was used to fill the area. Recently, I've been experiencing back pain, so I followed some rehabilitation exercises I found onl...

Dr. You Dianqi Reply:
From your response, I noticed that there are concerns about the possibility of the bone plate screws shifting. This issue may require imaging to provide a more informed response. As for your questions about whether you can kneel and similar inquiries, it largely depends on the co...

How to Ensure Your Custom Back Brace is Effective for Lumbar Support

Lumbar vertebrae compression fracture brace? How can one determine if a custom-made brace is appropriate and stabilizes the spine without having worn it? My 53-year-old sister has only hypertension and no other medical conditions. On May 4th of this year, she was involved in a he...

Dr. Shi Guozheng Reply:
You can ask the company that manufactures protective gear to assess and customize it as closely as possible to fit your body shape.

Understanding Spondylolisthesis: Symptoms, Treatment, and Recovery

Spondylolisthesis Hello, Doctor. I would like to ask about the issue of spondylolisthesis. I was diagnosed with grade 1 spondylolisthesis last month. Initially, I experienced lower back pain and numbness in my left thigh extending to my foot. The pain subsided with rest, but it w...

Dr. Chen Yongxue Reply:
Spondylolisthesis can potentially worsen, and strengthening the core muscles cannot completely prevent the deterioration or the timing for surgery. The progression of the condition varies depending on the underlying cause, rate of deterioration, and changes in symptoms. It is adv...

Understanding Lumbar Spine Injuries: When to Seek Medical Advice

Lumbar spine injury? Hello Dr. Wang, about two years ago while I was doing laundry, I squatted under the showerhead and when I stood up, my lumbar spine hit the water pipe where the shower switch is located. At that time, I had a significant bruise. After it healed, I noticed tha...

Dr. Wang Shouji Reply:
Hello, it is advisable to first assess the condition of the illness before proceeding with the next steps in treatment. Changhua Hospital cares about your health. Wang Shou-ji.

Understanding Right Foot Nerve Issues and Persistent Lower Body Tension

Abnormal nerve sensation in the right foot (toes) and overall tightness in the right lower extremity? I underwent spinal scoliosis correction surgery at the age of 16 (in 2005). Before the correction, I had an S-shaped curvature when viewed from the back, with an angle of approxi...

Dr. Chen Yongxue Reply:
Hello, based on what you described, the symptoms seem quite severe. However, please consider whether it could simply be a case of myofascial inflammation. The reasons are as follows: 1. MRI shows only mild compression of the nerve (L5-S1). 2. There has been no improvement after s...

Understanding Coccydynia: When to Seek Further Evaluation

Coccyx contusion About 7 to 8 years ago, I fell off a table and landed on my buttocks. At that time, I experienced severe pain when standing up or sitting down for a while, but after visiting an orthopedic doctor and taking muscle relaxants, the pain significantly eased. After a ...

Dr. Chen Bochen Reply:
1. The injury from 7-8 years ago is not significantly related to the current pain. 2. Young people often experience lower back pain, which is usually associated with poor posture habits. It is recommended to avoid prolonged sitting and to maintain a regular exercise routine. ...

Understanding Joint Adhesions: Risks and Recovery After Knee Surgery

Joint adhesion Hello doctor, I had a femur fracture about a year and a half ago and I always thought it was due to the internal fixation being stuck, which is why my rehabilitation has been stagnant and I could only maintain the angle. Three days ago, I had the internal fixation ...

Dr. Chen Bochen Reply:
After the removal of the metal screws and arthroscopic surgery, it is important to actively engage in rehabilitation within three months. Aim for at least three sessions per week, and also perform exercises at home to maximize your chances of improvement.

Post-Surgery Challenges After Car Accident: Orthopedic Insights

Post-operative issues following a car accident? Dear Doctor, I apologize for bothering you with some questions. I previously inquired about post-surgery issues following a car accident and will consult the hospital again, but I still have some doubts and would like to hear differ...

Dr. You Dianqi Reply:
Hello: 1. In my personal opinion, the reason for the incomplete reduction of the greater tuberosity, where the rotator cuff attaches, may lead to functional limitations that cannot be fully restored. However, there are many reasons for the malposition, such as various difficult...

Persistent Hand Numbness After Surgery: Causes and Solutions

Numbness in the hand after surgery for a fracture of the metacarpal bones? Hello Dr. Shen! My family member suffered a fracture in the left hand and wrist last October. The doctor recommended surgery for a quicker recovery, so we decided to proceed with the operation and used sel...

Dr. Shen Boquan Reply:
Hello, it seems you may have a metacarpal fracture. Metacarpal fractures are typically treated with surgery on the dorsal side, where a steel plate is implanted. Generally, this procedure does not significantly damage the digital nerves, although it may affect the superficial ner...

Understanding Radial Nerve Palsy After Proximal Humerus Fracture Surgery

Fracture of the left proximal humerus and humeral shaft, left radial nerve palsy? Hello, Doctor. I was in a car accident on April 10, and the diagnosis indicated that I underwent minimally invasive surgery with self-paid bone graft and titanium alloy intramedullary nail. When I w...

Dr. Chen Bochen Reply:
Hello Doctor, I was in a car accident on April 10th, and the diagnosis indicated that I underwent minimally invasive surgery with self-paid bone graft and titanium alloy humeral intramedullary nail. Upon discharge on April 15th, the doctor mentioned that my radial nerve palsy was...

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