Back, Orthopedics FAQ

Understanding Persistent Pain Near the Hip: Causes and Solutions

Lumbar pain Hello doctor, I would like to inquire about a specific point near my buttocks that has been painful for over six months. There was no injury or anything; it just suddenly changed one day when I woke up. During this time, I went to the hospital for an X-ray, but the do...

Dr. Shi Guozheng Reply:
It may be possible that there is localized inflammation of the periosteum or tendon, which can usually be treated with medication. If there is no improvement, it is necessary to see a physician again.

Understanding Coccygeal Fractures: Recovery, Restrictions, and Lifestyle Tips

Closed fracture of the coccyx? Due to accidentally falling down the stairs, I was initially unable to move, and at the moment of impact or shortly thereafter, I experienced some leakage of bodily fluids. Walking is painful, and while I was picking something up, someone bumped int...

Dr. Shi Guozheng Reply:
Fractures typically take about six weeks to heal, although pain may persist for a longer period. As long as the coccyx is not disturbed, there are no dietary restrictions.

Postpartum Pain: Which Specialist Should You Consult for Relief?

I would like to ask the doctor? I would like to ask the doctor, because I just gave birth last year, but I noticed that during my postpartum confinement, one day I suddenly felt numbness from my neck to my scalp and my spine was also numb and painful when lying down, but it didn&...

Dr. Wang Shouji Reply:
Hello: During the late stages of pregnancy and after childbirth, there is an increased burden on the spine that can lead to back pain. It is recommended to visit an orthopedic clinic to examine the spinal structure and shape for any issues. Thank you!

How to Treat Early Symptoms of Herniated Discs: A Comprehensive Guide

What are the treatment options for early symptoms of a herniated disc? Last year, at the beginning of the year, I experienced persistent pain in the left side of my lower back, but I did not see a doctor. After a while, the pain subsided, but it returned again after some time. By...

Dr. Chen Yongxue Reply:
Hello, the symptoms of a herniated disc are primarily caused by the compression of spinal nerves. Generally, the symptoms manifest in the lower limbs, including sensory abnormalities and muscle weakness due to motor nerve involvement, as well as sciatica. The discomfort you menti...

Understanding Numbness Along the Spine: Causes and Treatments

Numbness on both sides of the spine? I have a job that requires prolonged sitting, and I previously noticed that my left and right ribs are not symmetrical. After seeing a doctor, I learned that this is due to long-term poor posture. However, what has been bothering me is the num...

Dr. Shi Guozheng Reply:
Treatment can involve medication as well as rehabilitation; however, it cannot provide a quick cure. Exercise is beneficial, and improving posture is very important.

Understanding Neck Strains and Sprains: Causes, Symptoms, and Treatment

Cervical sprain and strain? I apologize if I accidentally submitted the consultation form twice. Doctor, I have some questions I would like to ask you. 1. About a month and a half ago, I was rolling in bed after just waking up, and while I was in a position with my head against...

Dr. Shi Guozheng Reply:
Typically, if a cervical spine bone spur compresses a nerve, there will be sensations of numbness and pain in the upper back. If these symptoms have improved, it may not be necessary to see a doctor.

Morning Pain After Fracture: Understanding Post-Injury Discomfort

Morning pain after a fracture? Hello Doctor, I would like to ask about my condition. I had a car accident over two months ago, resulting in fractures of the pubic bone and calcaneus. A few days ago, after my follow-up appointment, the doctor assessed that the bones have healed pa...

Dr. Shi Guozheng Reply:
It is common to experience this kind of situation when starting to practice walking after a fracture.

Understanding Head Injuries: When to Seek Medical Attention After a Bump

The back of the head was hit but did not swell? I was originally standing with my back against a column (which is much wider than my head). Suddenly, my friend rushed over, and I leaned back, hitting the column with significant force, causing immediate headache and tears. There w...

Dr. Shi Guozheng Reply:
A head injury is considered to be a serious concussion if there is loss of consciousness, severe pain, vomiting, or weakness in the limbs. If none of these symptoms are present, resting for a few days is usually sufficient for recovery. However, it is important to monitor for up ...

Dealing with a Broken Nail: Should You Remove It or Let It Heal?

Nail fracture Yesterday, I accidentally kicked a tire while wearing flip-flops, and my toe started bleeding. Since I was far from home, I rinsed it with clean water and covered it with a bandage. When I got home, I did the same thing. The nail is broken about 2/3 of the way, leav...

Dr. Shi Guozheng Reply:
If the nail is still attached, there is no need to intentionally remove it for the wound to heal. It may fall off on its own, and then a new nail will grow back. For now, just take care of the wound and ensure it does not become infected.

Managing Chronic Lower Back Pain: Tips for Relief and Recovery

Chronic low back pain Hello doctor, my height is 184 cm and I weigh 120 kg. I have been experiencing discomfort in my lower back for a long time, and I also feel discomfort in my back when I run. It seems like my center of gravity is slightly shifted backward. Previously, while p...

Dr. Wang Shouji Reply:
Hello: Your weight is excessive, which puts significant pressure on your spine. You need to pay attention to the condition of your vertebrae. If you experience numbness in your legs, be aware of the possibility of spinal stenosis. It is recommended that you visit an orthopedic or...

Understanding Neck Pain: When to Seek X-Ray or MRI for Diagnosis

Neck issues Hello Doctor: Three weeks ago, I woke up one day with severe neck pain. I visited both a traditional Chinese medicine practitioner and a general orthopedic clinic. Both doctors diagnosed me with a stiff neck. The traditional Chinese medicine treatment included one ses...

Dr. Shi Guozheng Reply:
You can first check the X-ray to see if there are any issues with cervical osteophytes. The feelings of nausea and dizziness do not seem to be related to cervical osteophytes. As for the numbness in the hands, it could be due to poor circulation. If it is caused by cervical osteo...

Understanding Complications After Open Fracture Surgery: A Patient's Concern

Nail problems Hello, doctor. I have had an open fracture in my right calf for over three months now. At that time, both bones were broken. The larger bone was stabilized with a metal rod. Last week, I went for a follow-up appointment and had an X-ray. The doctor said both bones a...

Dr. Shi Guozheng Reply:
Be cautious before your fracture has healed, as walking too much or exerting yourself can potentially cause displacement of your current bone condition. If there is already a displacement, you should consult your physician to determine if a revision surgery is necessary. If the s...

Knee Injury: Understanding Related Calf and Foot Discomfort

Knee injury accompanied by discomfort in the calf and foot? Hello, Doctor. A week ago, I visited a rehabilitation specialist due to an old knee injury that has persisted for four to five years. This injury occurred after I fell while playing basketball, landing on my knee. Since ...

Dr. Shi Guozheng Reply:
An MRI must be performed based on a physician's assessment of necessity.

Understanding Tendon Surgery Recovery: Key Insights and Concerns

Post-Tendon Surgery My brother suffered a tendon injury on the back of his wrist from a glass cut two days ago, causing his right middle and ring fingers to bend involuntarily and be unable to extend. He underwent surgery under local anesthesia in the plastic surgery department a...

Dr. Shi Guozheng Reply:
Typically, injuries to the extensor tendons of the fingers on the dorsal side of the hand heal well after suturing. The tendons on the back of the hand are less likely to develop adhesions. Treatment for hand injuries can be effectively managed by either a hand surgeon or an orth...

Understanding Ligament Injuries: Symptoms, Diagnosis, and Treatment Options

Ligament rupture Hello, I previously experienced shoulder pain when raising my arms, so I went to see a doctor and had an X-ray. The doctor said there were no issues with the bones. I would like to ask about a time when I heard a "pop" sound while excessively stretching...

Dr. Shi Guozheng Reply:
First, we need to assess how long the pain has been present and the circumstances of the injury. Is the pain occurring when raising the shoulder or when moving it backward? Have any medications been effective? Additionally, has physical therapy been pursued? If these treatments h...

Swollen Ankle After Bike Accident: Causes and Concerns

Swelling of the foot after a car accident? Dr. Chen, I would like to ask you a question. Last week, I fell off my bike and scraped my knee. A week later, the ankle on the injured leg has swollen, but I did not injure my ankle. What could be the reason for this? Is it serious? Tha...

Dr. Chen Yongxue Reply:
Hello, the blood circulation in the lower limbs relies on arteries to deliver blood downward, and then on muscle contractions to return venous blood to the heart. Typically, in an injured lower limb, the use of muscles significantly decreases, reducing the ability to push blood b...

Understanding PVNS: Treatment Options and Risks for Knee Recurrence

Pigmented Villonodular Syn Hello Doctor: I have undergone MRI scans at China Medical University in Taichung and Taipei Veterans General Hospital, both confirming a diagnosis of pigmented villonodular synovitis (PVNS). Previously, I had an arthroscopy performed at China Medical Un...

Dr. Shi Guozheng Reply:
1. PVNS often recurs; it has been over six months since the surgery in October, and it should still be manageable unless the symptoms are severe and affect function. 2. If the articular cartilage is ultimately damaged, there is a higher likelihood of needing knee arthroplasty co...

Understanding Recovery from Ankle Fractures: Timeline and Rehabilitation Insights

Fracture of the right ankle involving the lateral malleolus and medial malleolus? Hello, Dr. Hong. I would like to ask about my right foot. I had a car accident in early March and fractured it. I then underwent surgery where the doctor inserted metal screws and plates. After two ...

Dr. Hong Ximing Reply:
Surgical reduction and fixation of ankle fractures require monitoring of fracture healing through X-rays. Partial weight-bearing walking is necessary, and appropriate protection should be provided. For rehabilitation of the surrounding ligaments, consultation with a rehabilitatio...

Swollen Knuckle: Causes, Symptoms, and Treatment Options

Swelling of the bones in the back of the hand? Hello, doctor. Four days ago, I struck the back of my right hand (near the wrist joint where the ring finger and little finger tendons are located) against a wall corner while swinging. The soft tissue has since reduced in swelling, ...

Dr. Shi Guozheng Reply:
A bump on the back of the hand after hitting a wall corner is likely a result of a hematoma, but it could also indicate a fracture. Before treatment, it is essential to confirm the diagnosis. Generally, there are no long-term complications, but it is advisable to consult a physic...

Struggling with Sitting and Limping: Seeking Solutions for Back Pain

Inability to sit for long periods (cannot sit for more than 30 minutes) and sudden onset of a limp while walking? Hello Dr. Wang, I suddenly find myself unable to sit for long periods (not able to sit for more than 30 minutes). I first went to an orthopedic clinic and had an X-...

Dr. Wang Shouji Reply:
Hello: There are many reasons for being unable to sit for long periods, including poor posture, weak back muscles, and spinal disorders. Additionally, sudden limping and inward bowing of the right knee may occur, but there is no indication of pain. If there are also symptoms of k...

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