Understanding Lower Back Pain and Lumps: Possible Causes and Concerns
Lower back pain (pain on both sides of the lower back), with two elongated masses measuring 1.5 cm on the right side of the lower lumbar region and one elongated mass measuring 1 cm on the left side of the lower lumbar region? Hello doctor, I have recently noticed pain in my lowe...
Dr. Zhan Xian Reply:
Hello, based on your description, a diagnosis cannot be made. It is recommended to visit the orthopedic outpatient department at the original hospital.[Read More] Understanding Lower Back Pain and Lumps: Possible Causes and Concerns
Is My Pain Sciatica? Understanding Symptoms and Seeking Relief
I would like to ask the doctor if my symptoms are indicative of sciatica? On the evening of January 20th, after singing, I suddenly felt pain in my lower back while walking home, thinking I had strained my back. When I got up on January 21st, the pain in my lower back was so seve...
Dr. Ye Qingnian Reply:
Hello, it is recommended to visit an orthopedic outpatient clinic. After a diagnosis by the physician, please have the attending physician provide an explanation.[Read More] Is My Pain Sciatica? Understanding Symptoms and Seeking Relief
Understanding Shoulder Stiffness After Clavicle Surgery: Is It Normal?
After clavicle surgery, there is shoulder stiffness? Hello Doctor, I hope you don't mind me asking. After my clavicle fracture surgery on December 2nd last year, I have been using a triangular bandage for support. On January 6th of this year, I returned for a follow-up and t...
Dr. Shi Guozheng Reply:
Shoulder stiffness after clavicle fracture surgery is a normal phenomenon. You can start performing movements to mobilize the shoulder joint. Initially, you can do forward and backward swings. After six weeks, you can begin overhead movements. It is only after twelve weeks that y...[Read More] Understanding Shoulder Stiffness After Clavicle Surgery: Is It Normal?
Persistent Lower Back Pain After Menstruation: Causes and Solutions
Persistent lower back pain after menstruation? In mid-December, I experienced lower back pain for the first time during my menstrual period, which I had not experienced before. After my period ended, the back pain eased, but the pain on the right side of my lower back has persist...
Dr. Chen Yongxue Reply:
Hello, the levels of female hormones do indeed affect the function of the musculoskeletal system. However, based on your description, the pain is located in the right lower back, which is mostly related to muscle inflammation and is often associated with overuse from work or dail...[Read More] Persistent Lower Back Pain After Menstruation: Causes and Solutions
Understanding Disc Thinning and Anterior Pelvic Tilt: Causes and Solutions
Disc degeneration and anterior pelvic tilt? Hello Doctor, I would like to ask about the following questions: 1. Recently, I noticed that my lower back hurts after walking for a while, so I went to a large hospital to check for scoliosis. I had an X-ray taken, and the doctor told...
Dr. Chen Yongxue Reply:
Hello, a herniated disc can cause narrowing of the intervertebral space on X-rays. However, if there are no neurological symptoms, there is no need to worry too much. Personally, I do not recommend heavy lifting or weight training, as this can place unnecessary pressure on the sp...[Read More] Understanding Disc Thinning and Anterior Pelvic Tilt: Causes and Solutions
Long-Term Neck Extension: Impact on Bones and Nerves in the Workplace
Prolonged neck extension? Due to work requirements, I need to maintain a prolonged neck extension (approximately 2.5 hours at a time, with a 30-minute break, totaling 8 hours a day). While it can be quite uncomfortable, I can still lower my neck to rest (averaging about 45 minute...
Dr. Wang Shouji Reply:
Hello, the neck connects the skull above and the thoracic cavity below. Prolonged forward bending and backward tilting can exert pressure on the cervical spine, leading to muscle fatigue and pain in the neck. Over time, this may result in degenerative cervical spondylosis, increa...[Read More] Long-Term Neck Extension: Impact on Bones and Nerves in the Workplace
Understanding Neck and Spine Issues: Addressing Unusual Sounds While Walking
Cervical and spinal issues? I had an X-ray after a car accident, and the bones were fine. However, I hear a popping sound when I walk. The sound disappears when I walk with a hunched posture at a certain angle, but it returns when I walk upright. I've undergone rehabilitatio...
Dr. Chen Yongxue Reply:
Hello, the sounds coming from your joints are not considered a disease. As long as there are no accompanying symptoms, you can disregard it. If you still have concerns, please visit an orthopedic clinic for further evaluation. Thank you.[Read More] Understanding Neck and Spine Issues: Addressing Unusual Sounds While Walking
Understanding Scoliosis: When Surgery is Necessary and What to Expect
Scoliosis, post-spinal surgery? Hello Dr. You: I am 19 years old, male, and I have discovered that I have approximately 40 degrees of scoliosis in my thoracic spine. I did some research online and found that curves greater than 40 degrees typically require surgical intervention. ...
Dr. You Dianqi Reply:
Hello: If your condition is indeed as significant as you mentioned, it is advisable to visit a trusted medical facility for a comprehensive evaluation. Generally, it is necessary to assess whether your cardiopulmonary function is affected by the scoliosis, as well as to evaluate ...[Read More] Understanding Scoliosis: When Surgery is Necessary and What to Expect
Managing Clavicle Fractures: Recovery, Complications, and Next Steps
Clavicle fracture I fractured my clavicle in a car accident at the end of April. The doctor performed surgery the next day to insert a steel plate, which I paid for out of pocket. After the surgery, I asked the doctor if I needed to use a sling, but he said it wasn't necessa...
Dr. Li Yongheng Reply:
Hello, if the metal pin is broken and the fracture has healed, even if there is deformity in the bone, there is no need for another surgery. However, if the fracture has not healed, a second surgery may be necessary. It is recommended that you visit another hospital to consult wi...[Read More] Managing Clavicle Fractures: Recovery, Complications, and Next Steps
Understanding Creaking Sounds After Hip Replacement: Causes and Solutions
After hip replacement, a clicking sound may occur during movement, and there may often be a sensation of misalignment without the ability to exert force? Hello, doctor. I had a hip replacement 10 years ago (made of metal). Since last year, I've been experiencing a clicking s...
Dr. Chen Yongxue Reply:
Hello, after ten years post artificial hip joint surgery, the noise may be due to bone proliferation or wear of the metal joint. Metal artificial hip joints were once very popular, but subsequent issues arose, primarily due to wear occurring at a greater extent than expected. Cur...[Read More] Understanding Creaking Sounds After Hip Replacement: Causes and Solutions
Impact of Not Using a Cast for a Fifth Metatarsal Fracture
Fifth metatarsal fracture without casting? I rolled my right ankle while walking without paying attention to the elevation changes. I went to an orthopedic doctor for an X-ray, and the doctor said there is a fracture with a crack in the fifth metatarsal. The orthopedic doctor men...
Dr. Zhan Xian Reply:
Hello Ms. Tsai, without an X-ray, we cannot assess whether a cast is needed for the fracture. If your symptoms improve, a follow-up X-ray is generally recommended in one month. It is advisable to supplement with calcium, as fracture healing typically takes about two months. Wishi...[Read More] Impact of Not Using a Cast for a Fifth Metatarsal Fracture
Understanding Neck Bone Issues: Causes of Unusual Sensations and Movements
Cervical spine issues 1. When swallowing, there is a strange sensation in the neck, as if the cervical vertebrae are moving, but there is no pain. This sensation disappears when the head is lifted to certain angles. What could be the cause? 2. During sit-ups, when reaching a cer...
Dr. Wang Shouji Reply:
Hello: 1. The sensation of something moving in the neck while swallowing is mostly related to the hyoid bone; if there is no discomfort, it is generally not a concern. 2. If there is no pain or external injury, it is likely not related to any serious issue. If you have any questi...[Read More] Understanding Neck Bone Issues: Causes of Unusual Sensations and Movements
Understanding Painful Upper Back Lumps: Causes and When to Seek Help
A painful lump in the upper back? Waking up in the middle of the night with sudden back pain, I found a small hard lump on my upper back that is painful to touch. After researching online, I came across information suggesting it could be a posterior protrusion of the thoracic ver...
Dr. Chen Yongxue Reply:
Hello, you should first see an orthopedic specialist for further examination. Thank you.[Read More] Understanding Painful Upper Back Lumps: Causes and When to Seek Help
Should You Choose a Hard or Soft Neck Brace for Injury Recovery?
Should a cervical collar be hard or soft? I experienced pain in my cervical spine after being hit by an elbow, but I'm also feeling pain in areas that weren't directly impacted, such as my thoracic spine and upper back. The outpatient physician said there are no issues ...
Dr. Li Yongheng Reply:
Hello, I sustained an injury to my cervical spine from an elbow impact, but the outpatient physician stated that there are no fractures. The impact has caused cervical tendinitis, which not only results in neck pain but also radiates to the upper back, causing discomfort in the t...[Read More] Should You Choose a Hard or Soft Neck Brace for Injury Recovery?
Understanding Neck Bone Tumors and Their Potential Symptoms
Occipital bone tumor and cervical spine issues? I have a genetic predisposition to multiple osteomas, with various sizes of bone tumors throughout my body. I previously had a large osteoma on my foot examined, but since it does not compress any nerves, the doctor advised against ...
Dr. Chen Yongxue Reply:
You have multiple osteomas, which are generally more common in the limbs. If, as you mentioned, there are occurrences in the cervical spine, it would be advisable to conduct further imaging studies to determine if there is indeed any compression. Otherwise, relying on subjective ...[Read More] Understanding Neck Bone Tumors and Their Potential Symptoms
Neck Pain After Elbow Impact: When to See an Orthopedic or Neurosurgeon?
The cervical spine was struck by an elbow? Hello, doctor. On July 23, I was hit in the neck by an elbow, and it hurts a lot. I currently cannot tilt my head back to wash my hair without pain, and resting my head on a pillow also causes discomfort; I can only keep my head down, an...
Dr. Li Yongheng Reply:
Hello, you can go to the orthopedic or neurosurgery outpatient clinic for an X-ray examination. Based on the X-ray results, the physician will provide you with appropriate recommendations. Wishing you a speedy recovery.[Read More] Neck Pain After Elbow Impact: When to See an Orthopedic or Neurosurgeon?
Understanding Neck Bumps: When to Seek Help and Self-Correction Tips
Neck issues? Hello, doctor. Recently, I noticed a protrusion at the back of my neck (it feels like a bony prominence). After researching online, I found that it is common to have protrusions in the neck area. Is this normal? Additionally, I feel that the protrusion has been becom...
Dr. Li Yongheng Reply:
Hello, it is normal for the neck to have protrusions. However, if you feel that the protruding area is becoming more pronounced, it is advisable to visit an orthopedic clinic for an X-ray examination for safety.[Read More] Understanding Neck Bumps: When to Seek Help and Self-Correction Tips
Understanding Coccydynia: Recovery Tips After a Tailbone Fracture
Coccygeal fracture Hello, I fell down the stairs yesterday and saw an orthopedic doctor today. The doctor said I have a coccyx fracture and that no special treatment is needed; it should heal on its own in about two months. I would like to know what actions I should avoid during ...
Dr. Li Yongheng Reply:
1. Coccygeal fractures typically heal within 6 to 8 weeks. 2. It is advisable to avoid bending at the waist, squatting, and lifting heavy objects. 3. Currently, there are no specific rehabilitation, exercises, dietary supplements, or medications that can expedite recovery.[Read More] Understanding Coccydynia: Recovery Tips After a Tailbone Fracture
Managing Lumbar Spondylolisthesis: When to Consider Surgery?
I would like to inquire about the issue of vertebral arch dissociation combined with lumbar spondylolisthesis? Hello, doctor. Four years ago, I visited a doctor due to lower back pain, and I was told that I had a fracture of the lamina in the fourth and fifth lumbar vertebrae. Re...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, I recommend waiting until the symptoms become more severe before considering spinal fusion surgery. The effectiveness of spinal rehabilitation is limited; it is essential to avoid bending and lifting heavy objects while working. Additionally, contro...[Read More] Managing Lumbar Spondylolisthesis: When to Consider Surgery?
Total Hip Replacement for Osteoporotic Patients: A Stepwise Approach?
Hip joint replacement in patients with osteoporosis? Father (70 y/o, severe osteoporosis): After a femoral neck fracture, he has undergone two surgeries: the first was an open reduction, but the fixation implant protruded, causing a defect in the lateral acetabulum; the second wa...
Dr. Li Yongheng Reply:
Hello, generally speaking, for a femoral neck fracture without displacement, the National Health Insurance regulations in Taiwan only cover open reduction and internal fixation with bone screws. As long as the position of the screws is appropriate, the patient uses a walker, and ...[Read More] Total Hip Replacement for Osteoporotic Patients: A Stepwise Approach?