Understanding Sciatica: Is It Related to Piriformis Syndrome?
Questions about sciatica? Hello, doctor. One day, while sitting, I started to feel pain in my left buttock, which later became very painful in the morning when I woke up. Whenever I lie flat and relax, my buttock feels uncomfortable, and I can't bend my leg freely; sometimes...
Dr. Wang Shouji Reply:
Hello: Based on your symptoms, there is a higher likelihood of inflammation in the muscles at the back of the hip. Consider a local injection of anti-inflammatory medication (such as corticosteroids) to see if it improves your symptoms. It is recommended to follow up at the outpa...[Read More] Understanding Sciatica: Is It Related to Piriformis Syndrome?
Understanding Wrist Injuries: Seeking Clarity on Treatment Options
Wrist axis issues Hello Doctor, I would like to ask for your advice. I had a motorcycle accident at the beginning of September last year, and it was initially diagnosed as a wrist dislocation. I was put in a cast until October when it was removed. A few days later, I started reha...
Dr. Shi Guozheng Reply:
You can bend your elbow joint within a tolerable level of pain, controlling the force yourself. Allowing someone else to bend it may risk excessive force, which could cause injury or fracture. After electrical therapy or hydrotherapy, gradually bending the joint may still provide...[Read More] Understanding Wrist Injuries: Seeking Clarity on Treatment Options
Understanding Hip Clicking: Is It a Sign of Ankylosing Spondylitis?
Ankylosing Spondylitis Hello doctor, three months ago I experienced lower back pain after lifting heavy objects, and during an incidental examination, I was found to have the HLA-B27 gene associated with ankylosing spondylitis. However, after examination, the doctor determined th...
Dr. Shi Guozheng Reply:
Ankylosing spondylitis does not cause joint crepitus. Crepitus in the hip is unrelated to hip joint necrosis. It occurs due to the fibrosis and subsequent stiffness of the gluteus maximus muscle, which produces a sound as it glides over the greater trochanter of the femur. This s...[Read More] Understanding Hip Clicking: Is It a Sign of Ankylosing Spondylitis?
Understanding Sudden Severe Pain After Pelvic Fracture Recovery
Sudden severe pain more than a month after a pelvic fracture? Over a month ago, I was in a car accident and currently cannot turn over, get up, or lie down by myself. I have an unstable pelvic fracture involving the left ischium and pubis, and I was hospitalized for two weeks. I ...
Dr. Shi Guozheng Reply:
Typically, pelvic fractures require two to three months for the bones to heal. After the bones have healed, the sensation of soreness should subside. If there are any concerns, it is advisable to return to the hospital for an X-ray to check if the bones have completely healed or ...[Read More] Understanding Sudden Severe Pain After Pelvic Fracture Recovery
Understanding Spinal Injuries: When to Seek Medical Attention
Lumbar spine injury? Hello, doctor: I slipped and fell while going down the stairs, resulting in a spinal injury. Even though I was wearing a thick coat in winter, I still sustained abrasions. After the injury, I experienced tinnitus and mild vomiting, and since then, I have been...
Dr. Shi Guozheng Reply:
First, we need to check for persistent lower back pain. Second, we should look for any numbness or weakness in the lower extremities. Third, we need to see if the legs can be straightened or lifted. If none of these symptoms are present, then there is likely no significant injury...[Read More] Understanding Spinal Injuries: When to Seek Medical Attention
Understanding L2 Compression Fractures: Recovery and Management Tips
Compression fracture of the second lumbar vertebra? Hello Dr. Chen, I slipped and fell while walking to work in early November. I had an X-ray taken in the emergency room, but the doctor diagnosed me with a lumbar contusion. Later, during a follow-up visit, the outpatient doctor...
Dr. Chen Xingyuan Reply:
Dear Readers: Lumbar compression fractures will definitely cause back pain, with the most discomfort typically occurring in the first week after the fracture. Symptoms should gradually improve thereafter. Important considerations after a lumbar compression fracture include: 1. Av...[Read More] Understanding L2 Compression Fractures: Recovery and Management Tips
Dealing with Pain After a Slip on Wet Stairs: A Guide to Recovery
Slip on stairs Hello Doctor! About a month ago, I slipped on a wet staircase at my company while descending from the first floor to the basement. I slid down and struck my lower back and buttocks against the stairs twice, which was extremely painful. I was unable to stand up at t...
Dr. Chen Yongxue Reply:
Hello, a fracture of the coccyx can be quite distressing. However, in this anatomical location, there are no spinal nerves passing through, so there is no need to worry about nerve compression issues. Based on your description, it seems that the most difficult period has already ...[Read More] Dealing with Pain After a Slip on Wet Stairs: A Guide to Recovery
Post-Surgery Rehabilitation for Distal Humerus Fractures: Key Insights
Rehabilitation after surgery for distal humeral fracture? I have visited multiple times before and asked questions, and I'm here again to seek your advice. It has been 3 months and 10 days since my surgery, and I am still undergoing rehabilitation. There has been some improv...
Dr. Shi Guozheng Reply:
If cubital tunnel syndrome occurs, there may be numbness in the ulnar side of the skin and potential atrophy of the muscles in the palm, although this may not be evident in the early stages. Electromyography (EMG) and nerve conduction studies can be performed to confirm the diagn...[Read More] Post-Surgery Rehabilitation for Distal Humerus Fractures: Key Insights
Understanding Lower Back Pain and Popping Sounds: Causes and Solutions
Lower back pain with popping sounds in the joints? In recent months, I have been experiencing significant lower back discomfort. When I sit in a chair and move one foot outward, I can hear a cracking sound from my lower back, accompanied by a sensation of bone movement, which pro...
Dr. Shi Guozheng Reply:
Lower back pain may be related to work or prolonged standing. If the symptoms persist, it is necessary to see a physician. The presence of sounds from the bones does not necessarily indicate a disease; it is often the result of ligaments sliding over the bones, which can produce ...[Read More] Understanding Lower Back Pain and Popping Sounds: Causes and Solutions
Understanding Lumbar Injuries: Causes, Symptoms, and Treatments
Lumbar spine injury The orthopedic doctor prescribed me appetite stimulants, B12, anti-inflammatory pain relievers, and muscle relaxants. Now, when I sit, my legs feel numb. In middle school, I occasionally experienced sudden leg weakness that caused me to fall, and I have previo...
Dr. Shi Guozheng Reply:
Sciatica may not be directly related, but it is often caused by a herniated intervertebral disc in the lumbar spine that compresses the sciatic nerve. Typically, the intervertebral discs in the lumbar spine lose hydration and elasticity due to aging. When subjected to significant...[Read More] Understanding Lumbar Injuries: Causes, Symptoms, and Treatments
Understanding Scoliosis: Treatment Options for a 32-Degree Curve
Scoliosis of 32 degrees? I am 31 years old and have congenital torticollis. While studying at university in Australia, I suffered a spinal injury and underwent surgery for L5-S1 disc herniation in 2008, without any implants. It wasn't until about two years ago (in 2011) that...
Dr. Shi Guozheng Reply:
A 32-degree scoliosis angle is not considered significant. If there are no symptoms of lower back pain or nerve compression, surgery is not necessary. Since you are already 31 years old, the growth plates in your bones have fused, meaning it will not worsen. You can consult an or...[Read More] Understanding Scoliosis: Treatment Options for a 32-Degree Curve
Understanding Weakness in Limbs: Insights into Sciatica and Back Pain
Weakness in the limbs? I would like to ask about a previous experience where I felt pain in my lower back while riding as a passenger on a motorcycle. I didn't pay much attention to it at first, but in September, I started experiencing lumbar pain at work and sought treatmen...
Dr. Shi Guozheng Reply:
In the early stages of sciatica, conservative treatment is primarily emphasized, including medication, rehabilitation, traction, and rest. If there is no improvement, further imaging studies must be conducted to determine if there is indeed compression of the nerve root. If compr...[Read More] Understanding Weakness in Limbs: Insights into Sciatica and Back Pain
Understanding Lumbar Spine Injuries: Causes and Treatment Options
Lumbar spine injury Today, I visited a traditional Chinese medicine practitioner who mentioned that there is a curvature in my lumbar spine below the third lumbar vertebra. I am currently experiencing persistent lower back pain when sitting or standing up. Could a professional ph...
Dr. Wang Shouji Reply:
Hello: If there is scoliosis in the spine and the severity is unknown, it is advisable to visit an orthopedic clinic for an examination to determine the severity and necessary precautions. Thank you![Read More] Understanding Lumbar Spine Injuries: Causes and Treatment Options
Morning Leg Weakness: Understanding Causes and Solutions
Weakness in the legs upon waking up? Hello Doctor, my father is 62 years old. This morning, he woke up and found that his legs were weak, making it difficult for him to walk normally. He has to move his legs on the bed for about ten to twenty minutes before they feel normal again...
Dr. Chen Yongxue Reply:
Hello: In response to your question, there are many possible factors for leg weakness, such as knee joint degeneration and spinal stenosis. It is recommended that you visit our orthopedic clinic to see Dr. Kuo Chuhua for an evaluation and examination.[Read More] Morning Leg Weakness: Understanding Causes and Solutions
Understanding Clavicle Fractures: Recovery, Nutrition, and Rehabilitation
Clavicle fracture? On August 15th of this year, while riding my motorcycle downhill on the Suhua Highway, I noticed that the cement surface was wet and slippery. Seeing a red light ahead, I immediately braked and lost control, causing me to fall. My right shoulder hit the ground,...
Dr. Zhang Jiahao Reply:
Hello: Basically, you will need to keep your arm immobilized with a triangular bandage after surgery, which can both stabilize and support your upper limb. The time it takes for the bone to heal varies from person to person, but your attending physician should arrange for follow-...[Read More] Understanding Clavicle Fractures: Recovery, Nutrition, and Rehabilitation
Understanding Meniscus-Related Knee Pain: Causes and Solutions
Meniscus-related issues Hello doctor, I previously twisted my knee, and now after sitting for a while, my knee starts to hurt. Walking also causes discomfort and soreness. When going up stairs, I experience pain on the outer back side of my right knee, but it doesn't lock up...
Dr. Shi Guozheng Reply:
It sounds like there may be an issue with the ligaments, likely a tear in the meniscus, which often presents with symptoms such as locking or swelling in the joint. If the symptoms persist, it is important to consult a physician for an evaluation.[Read More] Understanding Meniscus-Related Knee Pain: Causes and Solutions
Severe Lower Back Pain After Pregnancy: Seeking Safe Diagnosis Options
Severe lower back pain? Hello, Doctor: I gave birth last year, and I occasionally experience mild lower back discomfort. On the afternoon of August 10th, I felt a bit of soreness in my lower back, which I didn't think much of, but it gradually worsened into severe pain. I ha...
Dr. Chen Yongxue Reply:
Hello: In response to your question, it is recommended that you first visit an orthopedic outpatient clinic for an evaluation by a physician to determine if an X-ray examination is necessary.[Read More] Severe Lower Back Pain After Pregnancy: Seeking Safe Diagnosis Options
Understanding Nerve Compression in the Lower Back: Causes and Solutions
Lumbar nerve compression Hello Doctor, I have a condition known as "frog legs," which means I cannot keep both feet flat on the ground when squatting; otherwise, I tend to lean backward. Recently, I've also noticed that I can only sleep on my side because when I li...
Dr. Wang Shouji Reply:
Hello: Frog legs are caused by tightness in the muscles on the outer side of the hips and thighs, but the likelihood of nerve compression is low. It is recommended to consult a physician for evaluation. Thank you![Read More] Understanding Nerve Compression in the Lower Back: Causes and Solutions
Understanding Wrist Injuries After a Car Accident: Causes and Recovery
Wrist sprain from a car accident? Last year at the end of the year, I sustained a wrist sprain from a car accident. The emergency room doctor said there were no abnormalities in the bones, and that I could manage it with medication and ice therapy. At that time, my symptoms inclu...
Dr. Shi Guozheng Reply:
Wrist injury pain can persist for a long time. Since an MRI has already been scheduled, we will wait for the results before proceeding with treatment. Based on your description, it seems to be improving. If it turns out to be a triangular fibrocartilage complex (TFCC) issue, we c...[Read More] Understanding Wrist Injuries After a Car Accident: Causes and Recovery
Understanding Neck and Back Pain: Causes, Treatments, and Long-Term Solutions
Neck, shoulder, and back pain with stiffness in the lower back? Hello, Doctor! Recently, I visited a local hospital due to neck, shoulder, back, and lower back pain and stiffness, which restricted my upper body movement and required me to move slowly. The hospital performed X-ray...
Dr. Chen Yongxue Reply:
Hello: In response to your inquiry, the presence of bone spurs or calcification in the spine is quite common. This is essentially a result of spinal aging or changes following past injuries. The vast majority of bone spurs do not affect daily life (meaning there are no symptoms o...[Read More] Understanding Neck and Back Pain: Causes, Treatments, and Long-Term Solutions