Back, Orthopedics FAQ - Page 43

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Understanding Mid-Back Pain: Causes, Diagnosis, and Treatment Options

Midline back pain Previously, I experienced severe pain in the center of my back when swallowing food, so I went to the hospital for an examination. The doctor prescribed me acid-reducing medication, and I recovered after taking it for 10 days. During the visit, the doctor presse...


Dr. Ye Qingnian Reply:
Back pain is mostly caused by tendonitis. In addition to taking pain relievers, it is important to avoid lifting heavy objects and to maintain proper posture while sitting. Use a chair with back support. If pain persists despite taking pain relievers, be cautious of waking up at ...

[Read More] Understanding Mid-Back Pain: Causes, Diagnosis, and Treatment Options


Understanding Conservative Treatment for Vertebral Compression Fractures

Treatment issues for vertebral compression fractures? Hello, Doctor: My grandmother is approximately 83 years old. She fell about a month ago and initially had no external injuries or bruising. The next day, she experienced severe pain in her lower back (especially when getting i...


Dr. Shi Guozheng Reply:
1. After three months, the fracture has nearly healed, so it is no longer necessary to wear it. 2. The pain should subside in about four weeks. 3. It is not necessary to wear the brace continuously. 4. Injecting bone cement can provide immediate pain relief; it is generally...

[Read More] Understanding Conservative Treatment for Vertebral Compression Fractures


Understanding Pain from Hips to Feet: Possible Causes and Solutions

Pain from the buttocks to the soles of the feet? Hello Doctor, initially I felt discomfort in my buttocks, and pressing on a specific symmetrical point on both sides caused discomfort. Later, my thighs and calves also became uncomfortable. I visited a traditional Chinese medicine...


Dr. Shi Guozheng Reply:
It is likely sciatica, which is characterized by pain in the buttocks that radiates down the back of the thigh to the knee, and further down to the calf and the sole of the foot. Sometimes, there may also be a tingling sensation. In more severe cases, there can be weakness in the...

[Read More] Understanding Pain from Hips to Feet: Possible Causes and Solutions


Understanding Shoulder Pain: Causes and Treatment Options

Shoulder pain Hello Dr. Hsieh: I frequently participate in Tzu Chi activities and am a certified Tzu Cheng team member. Recently, I have been experiencing abnormal sounds and pain in my right shoulder and right arm when moving. At night, when I turn to my left side while sleeping...


Dr. Xie Hongjia Reply:
It currently appears to be right shoulder tendonitis, and in more severe cases, it could be a rotator cuff tear. Initially, it is recommended to take medication and undergo rehabilitation to see how it responds before considering the next steps. However, it is still advisable to ...

[Read More] Understanding Shoulder Pain: Causes and Treatment Options


Understanding Persistent Back Pain: When to See an Orthopedic Specialist

Hello, I would like to inquire about back pain issues? Hello Dr. Chen, I have unexplained pain in the area between my back and left arm. It improves temporarily after seeing a rehabilitation specialist, but then it recurs after a while. Should I see an orthopedic doctor for this?


Dr. Chen Yongxue Reply:
Hello, you can go to the orthopedic outpatient clinic for further examination. Thank you.

[Read More] Understanding Persistent Back Pain: When to See an Orthopedic Specialist


Understanding and Treating Lower Back and Hip Pain in Older Adults

Foot pain issues? My father is 56 years old and works as a civil cement worker. Recently, he has been frequently complaining of pain in his lower back and buttocks, and sometimes the pain is so severe that he cannot stand or walk. He went to a major hospital for an orthopedic exa...


Dr. Wang Shouji Reply:
Hello: If this type of pain alleviates with rest, it is important to consider whether adjustments to work habits are necessary, especially if the work involves prolonged periods of heavy lifting. Additionally, rehabilitation and rest should be incorporated. Thank you!

[Read More] Understanding and Treating Lower Back and Hip Pain in Older Adults


Understanding Sciatica: Is Numbness in Toes a Symptom?

Sciatica Hello doctor, for the past two weeks, the toes on my feet, except for the big toe, have been experiencing a tingling sensation. A neurologist reviewed my X-rays and mentioned that there is an issue with the fifth lumbar vertebra, which is causing sciatica. However, aside...


Dr. Shi Guozheng Reply:
Sciatica typically refers to the symptoms caused by compression of the spinal nerves in the lumbar region, often due to bone spurs or herniated discs. This condition is characterized by pain that radiates from the lower back down the posterior thigh to the calf or sole of the foo...

[Read More] Understanding Sciatica: Is Numbness in Toes a Symptom?


Understanding Metatarsal Joint Tumors and Bursitis in the Foot

Tumor in the metatarsophalangeal joint of the right foot? I have swelling in the sole of my right foot, and after an ultrasound examination, I was diagnosed with possible bursitis or an intraosseous tumor in the metatarsal joint. What does this mean?


Dr. Shi Guozheng Reply:
If the X-ray examination does not indicate a bone tumor, the most likely cause is a benign tumor such as a ganglion cyst. These are commonly found on the wrist or the back of the hand and may feel firm to the touch, but they are not bone growths. If it is a ganglion cyst, it can ...

[Read More] Understanding Metatarsal Joint Tumors and Bursitis in the Foot


Shoulder Clicking and Mild Pain: When to See a Doctor?

There is a sound and slight pain when moving the shoulder? Hello, I have been playing volleyball, and in the past few months, both of my shoulders make a sound when rotating, especially when turning backward. However, only my right shoulder feels some pain, while my left shoulder...


Dr. Shi Guozheng Reply:
It may be caused by overexertion; if the pain persists and does not improve, it is necessary to see an orthopedic doctor.

[Read More] Shoulder Clicking and Mild Pain: When to See a Doctor?


Persistent Right Side Rib Pain: Causes and Treatment Options

Pain in the right posterior rib area? Hello, Doctor! My symptoms are located in the area behind the right side of my ribs on my back. Pressing on the muscles causes pain, and certain movements also trigger pain. I have been undergoing physical therapy for over two months now, but...


Dr. Shi Guozheng Reply:
Could it be due to posture or previous impacts? Sometimes excessive computer use can also lead to this. It would be advisable to see an orthopedic specialist.

[Read More] Persistent Right Side Rib Pain: Causes and Treatment Options


Understanding Hip and Thigh Pain After Running: Causes and Solutions

Hip and thigh pain after exercise? Hello, Doctor: I apologize for bothering you, but I have a question. I am determined to become a firefighter, and physical fitness is very important. Last month, while training for jogging, I experienced pain in my hip and the back of my right l...


Dr. Shi Guozheng Reply:
Snapping hip syndrome, if it only produces sound without pain, is generally not a concern. However, if there is pain associated with it, medication may be necessary. If joint movement is normal and there are no functional impairments, it can usually be ignored. Surgery is typical...

[Read More] Understanding Hip and Thigh Pain After Running: Causes and Solutions


Swollen Back of Hand After Clenching Fist: Should You See a Doctor?

Swelling on the back of the hand? This afternoon, when I clenched my fist tightly, the back of my hand swelled up (which didn't happen before). It doesn't hurt, and there is no change in skin color. What could be the reason for this? Should I see a doctor?


Dr. Shi Guozheng Reply:
If the swelling subsides quickly after relaxation, there is no cause for concern. However, if it persists, it is necessary to see a doctor.

[Read More] Swollen Back of Hand After Clenching Fist: Should You See a Doctor?


Understanding Patellofemoral Pain Syndrome and Its Management Strategies

Patellofemoral chondromalacia Hello Doctor: I have a habit of walking, doing yoga, and aerobic exercises about three times a week. On August 20, 2015, while wearing new shoes, I experienced some friction in my knee during my second walking session (on an elementary school playgro...


Dr. Wang Shouji Reply:
Hello: If pain and discomfort persist despite treatment and activity restrictions (such as limited climbing, squatting, and going up and down stairs), and the pain is primarily located in the knee joint, it is necessary to consider the possibility of patellar chondromalacia or pa...

[Read More] Understanding Patellofemoral Pain Syndrome and Its Management Strategies


Managing Recovery After Right Heel Bone Fracture: Next Steps

Fracture of the right calcaneus? Hello Dr. Chen, I fractured my right calcaneus at the beginning of this year and had a small piece of bone removed. I underwent surgery on January 8, where two steel pins were inserted from the sole of my foot for stabilization. On February 4, an ...


Dr. Chen Yongxue Reply:
Hello, the displacement of the fracture depends on its location. If it is not in a weight-bearing area, it may not be a major concern. Additionally, the size of the fracture is also very important.

[Read More] Managing Recovery After Right Heel Bone Fracture: Next Steps


Understanding Sciatica: Causes, Symptoms, and Treatment Options

Hip pain On the morning of the 19th of last month, I woke up and suddenly felt pain in the left side of my lower back near the hip while picking something up. After exercising that evening, I found it very difficult to climb stairs. A rehabilitation specialist diagnosed me with a...


Dr. Shi Guozheng Reply:
If it is a herniated disc, the pain may radiate from one side of the buttock down the back of the thigh to the calf and into the sole of the foot, potentially accompanied by neurological symptoms such as numbness and decreased sensation in the foot. Additionally, an increase in a...

[Read More] Understanding Sciatica: Causes, Symptoms, and Treatment Options


Understanding Bunions: Symptoms, Causes, and Treatment Options

Doctor, is it hallux valgus? What should be the treatment? Hello Doctor, I would like to ask about my mother's foot. There is a protrusion at the joint near her big toe, causing what should be a smooth foot shape to bulge outward near the big toe and then curve back in tow...


Dr. Hong Ximing Reply:
Based on your description, it appears to be hallux valgus. If the angle is greater than 30 degrees, there are indications for surgical correction. If the symptoms are severe, it may compress the second toe, and surgical intervention would be necessary for correction.

[Read More] Understanding Bunions: Symptoms, Causes, and Treatment Options


Why You Wake Up with Lower Back Pain: Causes and Solutions

Waking up with lower back pain during sleep? Hello doctor, I have been waking up due to lower back pain for the past month. I have seen a doctor and had an X-ray, which showed no significant issues. The doctor prescribed pain relievers and muscle relaxants, which alleviate the pa...


Dr. Chen Yongxue Reply:
Hello, if the X-ray does not reveal any lesions, it may indicate a soft tissue issue, which can be confirmed through palpation (such as identifying specific tender points, etc.). This is commonly seen in patients who have to sit for prolonged periods or maintain a single posture ...

[Read More] Why You Wake Up with Lower Back Pain: Causes and Solutions


Managing Clavicle Fracture Recovery: Concerns and Exercises After Two Weeks

Clavicle fracture has been present for two weeks..? Hello, I have a fracture on the left clavicle, which has been two weeks. It is close to the arm end. I am currently undergoing conservative treatment, and I have been using all the necessary supports. The recent X-ray shows over...


Dr. Shi Guozheng Reply:
A clavicle fracture can be treated conservatively using a triangular bandage or figure-eight strap for stabilization, which typically takes about six weeks to improve and twelve weeks for complete healing. Therefore, pendulum exercises can usually be started around four weeks pos...

[Read More] Managing Clavicle Fracture Recovery: Concerns and Exercises After Two Weeks


Understanding Persistent Pain in the Left Thigh: Causes and Solutions

It feels like there is a line on the left side of my thigh, with pain radiating down from the waist? I have been troubled by this issue for a year. I feel a sensation similar to a line near my lower back (on the left side) close to my buttocks, extending down to the back of my th...


Dr. Shi Guozheng Reply:
It is possible that it could be sciatica, and you can consult a rehabilitation specialist to see if rehabilitation methods can help improve the condition.

[Read More] Understanding Persistent Pain in the Left Thigh: Causes and Solutions


Can Childhood Injuries Be Fully Rehabilitated After 25 Years?

Is there a chance for childhood injuries to heal? Hello, doctor. My right hand was injured during birth due to a difficult delivery, and at that time, I was completely unable to move it. After rehabilitation, I can use it normally, but there are certain positions and movements I ...


Dr. Chen Yongxue Reply:
Hello, based on your letter, there may be a bone injury in the upper limb. If there is an abnormal angle after a fracture, it might be correctable. However, if it is a congenital joint deformity, the chances of recovery may be low. Please visit the orthopedic clinic for further e...

[Read More] Can Childhood Injuries Be Fully Rehabilitated After 25 Years?


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