Understanding Sciatica: Burning Pain from Knee to Buttocks in Teens
Sharp pain from the back of the knee to the buttock? Hello, I have a 17-year-old female patient who has been experiencing a burning and stabbing pain extending from the back of her left knee to her buttock for the past month. She has never had similar symptoms before. The pain is...
Dr. Wang Shouji Reply:
Hello, sciatica and inflammation of the gluteal muscles can both cause symptoms of sciatica. If there is any injury to the spine or the gluteal region, it may lead to such symptoms. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Sciatica: Burning Pain from Knee to Buttocks in Teens
Can You Work in Freezing Conditions After Spine Surgery?
Is it safe to work in sub-zero environments within six months after surgery? Hello Doctor: I have a herniated disc issue at the L4-L5 level. I was hesitant to undergo surgery for a long time due to my fear of surgical failure leading to lower body paralysis, which caused me to de...
Dr. Cai Shanglin Reply:
Hello, dear online friend. I'm not sure if you underwent microsurgery or endoscopic surgery, but both typically involve smaller incisions and quicker recovery. Post-operative weight-bearing is more relevant than temperature, but it's still important to maintain warmth. ...[Read More] Can You Work in Freezing Conditions After Spine Surgery?
Understanding Sports Injuries: Knee Pain and Muscle Strain Explained
Sports injuries? Muscle strains? Hello, doctor. I exercised for about an hour yesterday morning, but when I woke up today, I noticed a significant swelling sensation behind my left knee (in the popliteal fossa) whenever I bend it slightly. Additionally, the back of my left leg (f...
Dr. Wang Shouji Reply:
Hello, if there is no significant impact or twisting of the neck, the chances of a major issue should be low. In this situation, you should first apply ice. If you still experience pain during movement, you need to seek medical evaluation. Changhua Hospital cares about your healt...[Read More] Understanding Sports Injuries: Knee Pain and Muscle Strain Explained
Understanding Sports Injuries: Knee Pain and Muscle Strain Solutions
Sports injuries? Muscle strains? Hello, Doctor. I exercised for about an hour yesterday morning, but when I woke up today, I noticed that the area behind my left knee (the popliteal fossa) feels particularly swollen whenever I bend it slightly. Additionally, the back of my left l...
Dr. Wang Shouji Reply:
Hello, if there is no significant impact or twisting of the neck, the chances of a major issue should be minimal. In this situation, you should first apply ice. If you still experience pain while moving, you need to seek medical evaluation. Changhua Hospital cares about your heal...[Read More] Understanding Sports Injuries: Knee Pain and Muscle Strain Solutions
Understanding Sudden Joint Pain: Causes and When to Seek Help
Bone pain Hello Doctor: In mid-March, I have been experiencing sudden, brief episodes of aching or tingling pain in my ankles, calves, arms, knees, and collarbones. However, after some rubbing, the pain subsides quickly. It seems to occur randomly in different areas. What could b...
Dr. Shi Guozheng Reply:
Muscle soreness or joint pain can be evaluated by an orthopedic specialist, and lower back pain can also be addressed by orthopedics.[Read More] Understanding Sudden Joint Pain: Causes and When to Seek Help
Understanding Shoulder Issues: When to Seek Medical Advice
Shoulder problems This year in my senior year of high school, I've been experiencing a loose sensation in my right shoulder. I'm not entirely sure what it is, but sometimes when I move my shoulder slightly, it makes a cracking sound, like bones popping. For instance, if...
Dr. Li Wenhong Reply:
Hello: Many joints make sounds during movement. If there is no pain or limitation in movement, you can observe it for now. However, if you find it bothersome and notice asymmetry in your shoulders, it is advisable to consult a physician. Dr. Li Wen-Hong, Orthopedics, Changhua Hos...[Read More] Understanding Shoulder Issues: When to Seek Medical Advice
Treatment Options for Coccyx Fracture in Seniors: Rehab vs Surgery
Fracture of the first coccygeal vertebra (coccyx) - what treatment is recommended? Hello, doctor. My mother is in her 70s and generally mobile, but recently she fell backward while standing at home in the morning (suspected due to low blood pressure and dizziness; her blood press...
Dr. Chen Bochen Reply:
1. The fracture of the first lumbar vertebra seen on X-ray may not necessarily be an acute fracture; it could also be an old injury or a chronic deformity due to osteoporosis. 2. To determine whether the fracture was caused by the recent fall, an MRI is needed, which can also ass...[Read More] Treatment Options for Coccyx Fracture in Seniors: Rehab vs Surgery
Understanding Inflammation in the L4-L5 Lumbar Spine: Symptoms and Insights
Inflammation of the lumbar spine at the L4-L5 level? Hello Doctor, I experienced unusual pain in my lower back after lifting water in early November last year, which became severe by the evening. Initially, I thought it was a muscle strain, but after two months of no improvement,...
Dr. Wang Shouji Reply:
Hello, considering your age and history of strains, if you have no prior history of lower back pain, the likelihood of ankylosing spondylitis is low. A strain of the lower back muscles and soft tissues can lead to chronic back pain and stiffness if not fully recovered, as the bac...[Read More] Understanding Inflammation in the L4-L5 Lumbar Spine: Symptoms and Insights
Understanding Sacralization of the Lumbar Spine: Causes and Solutions for Chronic Pain
Lumbarization of the sacrum? Hello Doctor, I have been experiencing lower back pain for 11 years. It started as a dull ache and has progressed to severe pain. Lying flat, bending over, and standing for long periods are very painful (the pain radiates to my buttocks). Sometimes th...
Dr. Wang Shouji Reply:
Hello, it seems you may have a lumbar spine issue combined with sciatica. I recommend consulting with an orthopedic specialist, a neurosurgeon, or a spine surgeon. Wishing you the best.[Read More] Understanding Sacralization of the Lumbar Spine: Causes and Solutions for Chronic Pain
Understanding Thumb Joint Stiffness: Causes and Solutions for Relief
Thumb joint Hello Doctor: I would like to ask for your advice. My younger sister, who is 54 years old, has been experiencing stiffness in the first joint of her left thumb upon waking up in the morning. When she bends it, it feels as if there are only bones, with no ligaments, as...
Dr. Chen Bochen Reply:
Degenerative joint issues tend to be stiffer and less mobile in the morning, and this is particularly noticeable during unstable weather. It is recommended to soak in warm water before bed and apply anti-inflammatory ointment.[Read More] Understanding Thumb Joint Stiffness: Causes and Solutions for Relief
Managing Pain After Pelvic Fracture: When to Seek Medical Advice
Pelvic fracture Hello Doctor, my mother has been hospitalized for a month due to a left pelvic fracture. She underwent skeletal traction treatment for four weeks and has been discharged for over ten days. The doctor advised her not to bear weight, so she mostly remains in bed and...
Dr. Shi Guozheng Reply:
Pelvic fractures typically show initial callus formation around six weeks post-injury, at which point the fracture site gains a certain degree of stability, leading to a gradual reduction in pain rather than an abrupt decrease. Therefore, there is no need to rush for an earlier f...[Read More] Managing Pain After Pelvic Fracture: When to Seek Medical Advice
Post-Pelvic Fracture: Understanding Leg Pain and Discomfort
Post-pelvic fracture, there may be symptoms of lower limb soreness and cramping? Hello doctor, about four months ago I was in a car accident and sustained a pelvic fracture (lower right side of the pelvis). The doctor said there was no bleeding and minimal displacement, so surger...
Dr. Shi Guozheng Reply:
Prolonged inactivity may lead to lower back pain, and it is advisable to consult a physician for evaluation.[Read More] Post-Pelvic Fracture: Understanding Leg Pain and Discomfort
Managing Persistent Back Pain After Tuberculosis Treatment: Insights and Solutions
The MRI shows a slight herniation between the lumbar vertebrae L1 and L5, causing pain and discomfort at night while sleeping? I was treated for tuberculosis from December 6, 2019, to June 5, 2020, for a duration of six months. During this time, I have been experiencing lower bac...
Dr. Cai Shanglin Reply:
Hello, Teacher Lin. If you have been experiencing long-term discomfort due to lower back pain and suspect a spinal infection, an MRI can help determine the cause of your back pain, which can be quite complex. Most conservative treatments (non-surgical methods such as medication a...[Read More] Managing Persistent Back Pain After Tuberculosis Treatment: Insights and Solutions
Understanding Lower Back Pain: Causes and Solutions for Relief
Lower back pain? Hello, Dr. Tsai. Recently, whenever I lie down, both sides of my lower back easily feel sore (the right side more often). My right leg has also been experiencing occasional weakness while walking.
Dr. Cai Shanglin Reply:
Hello, the causes of lower back pain are numerous and complex. In most young individuals, it is often due to discomfort in soft tissues such as muscles, tendons, and ligaments. Paying attention to posture and engaging in appropriate exercise, along with conservative treatments (n...[Read More] Understanding Lower Back Pain: Causes and Solutions for Relief
Best Supplements for Knee Health: Expert Advice for Different Age Groups
Knee health supplements Hello Dr. Chen, Q1: For a 50-year-old woman experiencing occasional knee pain when going up and down stairs, would you recommend taking Yigukan EX capsules or Tingly UC-II key mini tablets combined with Tingly Calcium Power tablets? Which of these ingredi...
Dr. Chen Bochen Reply:
1. There are many joint health products available on the market, but most lack medical evidence. Currently, the supplements with some medical backing are the original Glucosamine and Chondroitin products, as well as Glucosamine Sulfate, which have shown some therapeutic effects f...[Read More] Best Supplements for Knee Health: Expert Advice for Different Age Groups
Post-Operative Care and Daily Living Tips After Total En Bloc Spondylectomy
What are the care considerations after a total vertebral body resection and spinal fusion surgery? I have a giant cell tumor on my lumbar vertebra L3, and the most suitable treatment is a Total En Bloc Spondylectomy (TES). I later found a physician at National Taiwan University H...
Dr. Chen Bochen Reply:
During your hospitalization, a consultation with the rehabilitation department will take place. Physical and occupational therapists will guide you on how to overcome daily challenges. The professional therapists will tailor their instruction based on your current condition. At t...[Read More] Post-Operative Care and Daily Living Tips After Total En Bloc Spondylectomy
Understanding Knee Discomfort: Causes, Concerns, and Care Tips
Knee problems Hello Doctor: I have three questions. 1. My left knee has been uncomfortable for two days, but it’s not painful to the point where I can describe the sensation. There is a spot on the outer upper side of my left knee that hurts when pressed, but the appearance of ...
Dr. Shi Guozheng Reply:
1. It could be tendonitis near the knee, and the noise might indicate a problem with the patella. 2. Bone cancer typically causes localized swelling and significant pain, such as in the knee or hip. If it has metastasized to the bones, back pain would indicate advanced stages, ...[Read More] Understanding Knee Discomfort: Causes, Concerns, and Care Tips
Understanding Persistent Right Lower Back Pain: Causes and Relief
Right lower back pain? Previously, I experienced a sharp pain in my right lower back whenever I bent over, but that sensation eventually went away. After that, I had a few days of soreness in my right lower back, which I thought was related to my menstrual period. However, for th...
Dr. Shi Guozheng Reply:
Lower back pain may be due to a muscle strain in the lumbar region or other issues related to the lower back. It could also be associated with the kidneys or ureters, such as kidney stones. In any case, if the symptoms do not improve, it is essential to seek medical attention.[Read More] Understanding Persistent Right Lower Back Pain: Causes and Relief
Ankle Fracture: Surgery or Conservative Treatment? Your Recovery Guide
Ankle fracture Last Saturday, I sprained my ankle and first went for acupuncture at a traditional Chinese medicine clinic. The next day, I went to the local hospital's emergency department for an X-ray, which confirmed two bone fractures that required a removable cast for st...
Dr. Chen Bochen Reply:
Hello, the need for surgery should be determined based on the "degree of displacement" observed in the X-ray and whether the joint is symmetrical. If the displacement is greater than 2-5 mm or if there is asymmetry in the ankle joint, surgery is recommended. If surgery ...[Read More] Ankle Fracture: Surgery or Conservative Treatment? Your Recovery Guide
Understanding Back Pressure Therapy: Safety and Recovery Tips
Pressure applied to the upper back? 1. The popping sound you heard during the pressure application is likely due to the release of gas bubbles in the synovial fluid of the joints, a phenomenon known as cavitation. This is common during spinal manipulation and is generally not a c...
Dr. Chen Bochen Reply:
Hello: 1. The sounds from the bones are usually produced by the formation of gas bubbles within small joints. 2. If there is an injury to the spine, symptoms may include numbness, tingling, or weakness. If these symptoms are absent, it is advisable to monitor the situation carefu...[Read More] Understanding Back Pressure Therapy: Safety and Recovery Tips