Back, Orthopedics FAQ - Page 32

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Can Cracking Sounds in Your Spine Lead to Paralysis?

Does a "crack" sound from the spine lead to paralysis? I have been experiencing chronic back pain, and my doctor informed me that there is degeneration in my spine that cannot be treated. Recently, I discovered that when my back hurts, lying on a hard bed with my knees ...


Dr. Chen Yongxue Reply:
Hello, this sound is something many people experience. In clinical practice, the main concern is the possibility of spondylolisthesis, which can be diagnosed through X-ray examinations in an orthopedic outpatient setting. Generally speaking, spondylolisthesis does not lead to par...

[Read More] Can Cracking Sounds in Your Spine Lead to Paralysis?


Understanding Deep Itching Sensation in the Back and Rib Area

Pressure on the spine and ribs can cause a deep itching sensation? Hello Dr. Shi, I have a question I would like to ask. After experiencing bronchitis, I noticed that whenever I sit in a chair or lie down, if my back bone under the right shoulder or the side bone of my right br...


Dr. Shi Guozheng Reply:
You will need to follow up with the pulmonology department in three months. Your current tests are normal, and regular monitoring is all that is required.

[Read More] Understanding Deep Itching Sensation in the Back and Rib Area


Chronic Back Pain After a Fall: Understanding Long-Term Effects and Recovery

I fell down the stairs, and my lower back pain hasn't improved? About 3.4 years ago, I fell down the stairs. I went to see a doctor immediately, but I don't remember much of what he said. He prescribed painkillers, which helped a bit at that time, but my condition worse...


Dr. Shi Guozheng Reply:
It is possible that the vertebrae are fractured, so it is best to consult a physician for an X-ray examination to clarify the situation.

[Read More] Chronic Back Pain After a Fall: Understanding Long-Term Effects and Recovery


Recovering from Multiple Fractures After a Car Accident: A Patient's Journey

Multiple fractures from a car accident? I was in a car accident on March 15 of this year, resulting in a left thigh hip joint fracture, anterior and posterior pelvic fractures with displacement, and a right clavicle fracture. I underwent surgery at Cheng Kung University Hospital ...


Dr. Li Yongheng Reply:
Drop foot is a more challenging issue. If there has been no gradual improvement within 3 to 6 months from the date of injury, then there may be limited potential for further progress. It is currently recommended to increase the intake of B vitamins and to consult a hospital to ev...

[Read More] Recovering from Multiple Fractures After a Car Accident: A Patient's Journey


Can Elbow Joint Stiffness from Old Injury Be Treated Effectively?

Inability to fully extend the elbow joint? Actually, this issue is not about me; I want to understand if my mother's condition can be treated. Here’s the situation: I heard my mom say that when she was pregnant with my sister, she fell and fractured her right wrist, which re...


Dr. Xie Hongjia Reply:
Hello, Yoyo: It is not possible to determine the reason for the inability to fully extend the elbow and the resulting inflammation. It is recommended to visit a hospital for further examination. The Hualien Hospital of the Ministry of Health and Welfare cares about you.

[Read More] Can Elbow Joint Stiffness from Old Injury Be Treated Effectively?


Knee Pain and Swelling After Intense Exercise: What You Need to Know

After intense exercise, the knee may become swollen and painful, making it difficult to straighten and exert force? Hello Doctor, I have a habit of playing softball by the riverside. This Sunday (May 5th), after finishing the game, everything was fine until I got back to my car. ...


Dr. Cai Shanglin Reply:
Swelling in the knee joint and inability to fully extend it may be due to synovitis with effusion. It is recommended to perform an ultrasound next time for confirmation (as X-rays may not reveal the issue). Regarding exercise, it is important to warm up before activities, wear ap...

[Read More] Knee Pain and Swelling After Intense Exercise: What You Need to Know


Struggling with Knee Pain: Seeking Solutions for Weakness and Discomfort

Inability to bear weight on the knee? I have been experiencing knee pain in both legs for two years. I have consulted many doctors (orthopedics, rehabilitation, rheumatology, and neurology) at major hospitals. Some doctors indicated that I have patellar malalignment, while others...


Dr. Shi Guozheng Reply:
It could be a spinal issue compressing the nerves, leading to weakness in both knees. Typically, if it were degenerative arthritis of the knee, there would usually be pain and some degenerative changes in the knee joint. Medication treatment can also provide improvement. If sympt...

[Read More] Struggling with Knee Pain: Seeking Solutions for Weakness and Discomfort


Understanding Lumbar Pain: Causes, Treatment, and When to Seek Help

Lumbar pain and lower back pain? Initially, I sought treatment for lumbar pain at the rehabilitation department, where it was suggested that prolonged sitting was the cause. After a period of rehabilitation, there was some improvement; however, since stopping rehabilitation, the ...


Dr. Cai Shanglin Reply:
There are many causes of lower back pain; it is recommended to visit an orthopedic clinic or hospital for further examination.

[Read More] Understanding Lumbar Pain: Causes, Treatment, and When to Seek Help


Understanding Limb Length Discrepancy: Surgical Options and Risks

Leg length discrepancy? Hello, Doctor. I don't know why, but since childhood, my left knee has been growing outward. I had surgery to correct it during my freshman year, but the leg length discrepancy did not improve. As a result, my pelvis is also tilted, causing a lot of i...


Dr. Shi Guozheng Reply:
It is a limb lengthening surgery, but first, a scanogram X-ray is required to determine the difference in length between the two legs before deciding whether surgery is necessary. The procedure carries certain risks.

[Read More] Understanding Limb Length Discrepancy: Surgical Options and Risks


Understanding Neck and Back Pain: Causes and Relief Strategies

Neck and back pain? I'm sorry! It has been almost a week, and whenever I sit, I experience soreness and discomfort in my shoulders, neck, and lower back (mid-back and tailbone). Lying down provides some relief, but I still feel soreness. I have tried stretching exercises, us...


Dr. Shi Guozheng Reply:
It could be fascia inflammation; if it doesn't improve, you should see a doctor.

[Read More] Understanding Neck and Back Pain: Causes and Relief Strategies


Understanding Scoliosis: Symptoms, Diagnosis, and Military Concerns

Scoliosis Hello, doctor. I am a college student who is about to enlist in the military, born in 1994, so I only have four months left. I previously had an orthopedic examination that revealed I have scoliosis, but I didn't ask about the degree of curvature. Later, during my ...


Dr. Chen Yongxue Reply:
Hello, scoliosis generally does not affect mobility. The regulations for military service are also quite strict. If you are concerned and would like to have another examination, you can visit an orthopedic clinic for an X-ray examination. Thank you.

[Read More] Understanding Scoliosis: Symptoms, Diagnosis, and Military Concerns


Understanding the Risk of Bone Metastasis in Nasopharyngeal Cancer Patients

Regarding bone cancer metastasis? I would like to inquire: My father has a ten-year history of nasopharyngeal carcinoma. Recently, he has been experiencing lower back pain, numbness radiating down to his legs, and symptoms related to hyperuricemia. A few days ago, an MRI at Macka...


Dr. Wang Shouji Reply:
Hello: Cancer metastasis is not uncommon during routine follow-up. From MRI scans, lesions can be initially assessed to determine if they are tumors; however, it cannot be confirmed whether they are metastatic from nasopharyngeal carcinoma. This can only be supported by the patie...

[Read More] Understanding the Risk of Bone Metastasis in Nasopharyngeal Cancer Patients


Understanding Spinal Fractures: When Surgery is Necessary

Vertebral fracture Doctor, I'm sorry to bother you. A few days ago, I had an X-ray at Mackay Memorial Hospital, which revealed a fracture in my spine. I had previously undergone an X-ray at another hospital, but they did not detect the fracture; they only mentioned bone spur...


Dr. Wang Shouji Reply:
Hello: If there is a fracture in the vertebrae without trauma, it is necessary to consider whether it is due to congenital joint space deficiency or spina bifida, in which case urgent surgery may not be required. If the acute fracture is caused by trauma and does not affect spina...

[Read More] Understanding Spinal Fractures: When Surgery is Necessary


Managing Ligament Injuries During Bone Plate Removal After a Motorcycle Accident

Fractures and ligament injuries from a car accident? Last year, I was in a motorcycle accident with a friend, and I sustained fractures in my left hip, femur, and calf, while my right leg had a femur fracture. Both legs have multiple plates and screws implanted. The doctor plans ...


Dr. Shi Guozheng Reply:
The steel plate must be removed before an MRI can be performed to determine which ligament is torn for further management.

[Read More] Managing Ligament Injuries During Bone Plate Removal After a Motorcycle Accident


Understanding Herniated Discs: Symptoms, Treatment, and Rehabilitation

Herniated disc Hello, doctor. I was diagnosed with a herniated disc at the hospital. Currently, I am experiencing mild numbness in my feet and slight pain in my lower back. Should I continue with rehabilitation?


Dr. Shi Guozheng Reply:
If there are no signs of muscle atrophy or weakness, rehabilitation can continue.

[Read More] Understanding Herniated Discs: Symptoms, Treatment, and Rehabilitation


Understanding Post-Fracture Pain: Insights on Tingling Sensations

Tingling sensation after a fracture? Hello, doctor. I suffered a comminuted fracture of my right thigh in a car accident at the beginning of March. After surgery, it has been a month and a half. Sometimes, for short distances (like going to the bathroom or filling water), I secre...


Dr. Li Yongheng Reply:
It is usually fasciitis, and there should be no major issues. If you still feel pain during your follow-up visit, you can inform your doctor to perform an X-ray examination. Wishing you a speedy recovery.

[Read More] Understanding Post-Fracture Pain: Insights on Tingling Sensations


Understanding Left-Sided Pain and Numbness: Sciatica or Piriformis Syndrome?

From the left lower back to the sole of the foot, there is a tingling sensation? Hello, doctor! I'm still in high school, but I've noticed that whenever I sit for a long time, I feel soreness in my left lower back. Recently, I've also experienced a tingling sensati...


Dr. Shi Guozheng Reply:
It could be sciatica, so it's advisable to visit a hospital for an examination.

[Read More] Understanding Left-Sided Pain and Numbness: Sciatica or Piriformis Syndrome?


Understanding Shoulder Pain and Muscle Weakness After Baseball Pitching

After pitching in baseball, the pitcher may experience pain and muscle spasms? I have slightly rounded shoulders. After throwing a ball, my arm feels weak, and I experience pain and twitching in my biceps, the inner and posterior sides of my elbow, and the front of my shoulder, p...


Dr. Shi Guozheng Reply:
Excessive use can lead to muscle fatigue and soreness; it is recommended to apply ice and rest afterward.

[Read More] Understanding Shoulder Pain and Muscle Weakness After Baseball Pitching


Understanding Right Leg Pain: Causes, Symptoms, and Relief Strategies

Pain in the right Achilles tendon? I have been experiencing pain in my right leg since dragging it on the ground three weeks ago. The pain extends from the back of my thigh down to my calf, and it feels like a muscle cramp that varies in intensity—sometimes mild, sometimes severe...


Dr. Li Yongheng Reply:
The symptoms you described seem to be indicative of sciatica caused by a herniated disc. Sciatica does not always present with significant back pain. It is recommended that you visit an orthopedic clinic for treatment, and if necessary, an MRI should be performed. Currently, you ...

[Read More] Understanding Right Leg Pain: Causes, Symptoms, and Relief Strategies


Understanding Shoulder Pain: Labral Tears vs. Frozen Shoulder

Shoulder issues (labral tear of the shoulder joint) Hello Doctor: Last June, I had a motorcycle accident and fell, using my right hand to break the fall. At the time, it hurt a little, but I didn't pay much attention to it. One or two months later, I started experiencing dee...


Dr. Hong Ximing Reply:
The shoulder joint has a wide range of motion and complex tendons, making it prone to tendon injuries during physical activity. Typically, diagnosis relies on magnetic resonance imaging (MRI), and in some cases, arthroscopy may be necessary for treatment. Rehabilitation is also a...

[Read More] Understanding Shoulder Pain: Labral Tears vs. Frozen Shoulder


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