Cervical spine, Orthopedics FAQ

Understanding Spinal Injuries: Risks from Massage Therapy

Spinal issues Hello: Yesterday, during a massage, I felt that the massage therapist may have pressed on my spine. Since I have previously seen reports about paralysis caused by massage, I would like to ask: 1. If a massage causes paralysis or other injuries to the spine, will the...

Dr. Ye Qingnian Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Massage of the spine can lead to paralysis, with cervical spine injuries being the most common. This is especially true when there is a sudden forceful twist of the n...

Understanding Cervical Osteophytes: Treatment Options and Insurance Coverage

Cervical osteophytes My mother is 70 years old and underwent an MRI examination, which revealed severe nerve compression due to bone spurs at the C4 and C5 vertebrae, causing numbness and pain in her hands that prevents her from sleeping. The doctor recommended surgery to remove ...

Dr. Wang Zikang Reply:
The cervical spine degeneration has led to the proliferation of the facet joints, compressing the nerves at each vertebral segment, resulting in neurological symptoms. If examinations (such as MRI) reveal significant compression and instability, surgical intervention may be neces...

Understanding Hand Numbness: Causes and Solutions for Your Symptoms

Numbness in the hands? Recently, when using chopsticks to eat or writing, my right hand suddenly feels very numb. What could be the issue? Thank you!

Dr. Ye Qingnian Reply:
Hello, thank you for your inquiry. I would like to address your question and provide the following suggestions: The causes of hand numbness are mostly related to vascular or nerve compression. Poor blood circulation can lead to hand numbness. Numbness in the second and third fing...

Understanding Shoulder, Neck, and Back Discomfort: Essential Diagnostic Insights

Related examinations for discomfort in the shoulder, neck, and back? Hello, Doctor: Around September of last year, I visited the hospital for an examination due to discomfort in my shoulders, neck, and back. At that time, a lateral X-ray of my cervical spine was taken, which sho...

Dr. Shi Qiming Reply:
1. If cervical spine lesions are accompanied by neurological changes, magnetic resonance imaging (MRI) should be performed for a more accurate diagnosis. 2. Most shoulder and neck conditions are soft tissue lesions, and X-ray examinations are not routinely performed but depend on...

Can Laser Treatment Help with Neck Bone Spurs and Nerve Pain?

Can laser treatment be used to treat cervical bone spurs? Dear Doctor, First of all, thank you for taking the time to read my letter amidst your busy schedule. My mother has been experiencing severe hand numbness, which has affected her ability to sleep. She has undergone X-rays...

Dr. Shi Qiming Reply:
The treatment depends on the location of the bone spur. Generally, laser surgery is more effective for lumbar spine bone spurs, while cervical spine surgery is more challenging due to the narrow spinal canal, making it difficult to perform endoscopic procedures. This type of surg...

Understanding Neck and Back Discomfort: Causes and Remedies for Office Workers

Discomfort in the shoulders, neck, and back? Symptoms: Discomfort in the shoulders, neck, and back, muscle soreness, loss of cervical lordosis (straightening), and slight narrowing of the intervertebral spaces at the third and fourth cervical vertebrae compared to other segments....

Dr. Hong Ximing Reply:
1. Discomfort in the shoulders, neck, and back is mostly due to poor posture, which leads to muscle tightness and discomfort. 2. After examination, if no other specific medical conditions are found, rehabilitation stretching exercises and heat therapy can lead to improvement in a...

Impact of Drinking Water with Head Tilt on Neck Health

Neck injury I often tilt my head back to drink water (because it doesn't align with my mouth). Will doing this for a long time have any effects on the nerves or bones in my neck? Thank you.

Dr. Shi Guozheng Reply:
Frequent stretching of the cervical spine (such as tilting the head back) may lead to muscle soreness in the neck, but it should not significantly impact the cervical vertebrae unless excessive external force is applied, or if there is rapid stretching and flexion of the cervical...

Understanding Complex Orthopedic Issues: From Neck Pain to Sciatica

What kind of disease? Hello, doctor. Four years ago, I experienced swelling in my left big toe and knee for two years. In late December of last year, after lifting heavy objects, I developed persistent pain in my shoulder blades and upper back. An orthopedic X-ray diagnosed misal...

Dr. Shi Qiming Reply:
In response to the symptoms caused by cervical spine injury, a consultation with a neurosurgeon is recommended, followed by diagnostic imaging starting with X-rays and progressing to MRI to assess the degree of nerve compression in the cervical spine. This will help determine whe...

Understanding Bone Spurs in the Cervical Spine: Causes and Treatment Options

Bone spur Hello, Doctor Shi: May I ask what causes bone spurs to develop within the cervical vertebrae and the surrounding soft tissue in my husband? Can medication treat this condition, or is surgery necessary? Thank you for your assistance, Doctor Shi.

Dr. Shi Guozheng Reply:
Bone spurs are often a manifestation of osteoarthritis. The term "degeneration" refers to the wear and tear of joints or bones over time. The worn cartilage cannot regenerate into new, normal cartilage; instead, the bone develops additional bony growths as compensation....

Understanding and Managing Pediatric Cervical Dislocation: Key Insights for Parents

Cervical spine dislocation in children My daughter experienced two instances of cervical spine misalignment between the ages of 7 and 9, both occurring after waking up, and she had been completely normal in the days leading up to these events. The cause is unclear. Could you plea...

Dr. Shi Guozheng Reply:
Cervical vertebra displacement is not commonly seen in children; it may be a phenomenon where the neck appears tilted to one side upon waking, commonly referred to as torticollis. It may be necessary to consult a pediatric neurologist for further evaluation.

Confused About My Neck and Shoulder Pain: Seeking Orthopedic Advice

I'm at a loss for words... Please, I'm begging you, doctor? Today, I visited Changhua Show Chwan Hospital to see an orthopedic specialist. The X-ray results showed that my cervical spine is straight. Previously, I went to Taichung Veterans General Hospital for the same ...

Dr. Shi Guozheng Reply:
You may consider choosing a hospital you trust for treatment, as shoulder joint issues can typically be resolved. The straightening of the cervical spine may be due to muscle stiffness, and medication or rehabilitation therapy can also be effective.

Understanding Left Cervical Spine Issues: Muscle or Vascular Problems?

Left cervical vertebrae Hello, I have been experiencing a pulsating sensation on the left side of my neck for 10 years. The involuntary twitching occurs at points that can be 3 to 7 cm apart, from near the earlobe to the shoulder. Could you please tell me if this issue is related...

Dr. Shi Qiming Reply:
If the muscle exhibits prolonged involuntary twitching contractions, it is recommended to undergo an electromyography (EMG) examination by a neurologist to assess the condition of the muscle. You may seek treatment at our hospital. This response is provided on behalf of Dr. Wang ...

Exploring Treatment Options for Cervical Spondylolisthesis: Beyond Neck Braces

Cervical vertebral dislocation Six months ago, I had an X-ray of my cervical spine, which revealed a small white area around the right side at the level of about 2-3 vertebrae. The doctor mentioned that there might be a slippage phenomenon, but it wasn't severe. I was advise...

Dr. Zhang Shengben Reply:
Cervical dislocation in young individuals is often caused by trauma, while common shoulder and neck pain is usually due to muscle fatigue and poor posture while sitting, standing, or lying down. If the pain is due to a herniated disc or cervical dislocation, it often leads to sym...

Why Do I Have Headaches and Muscle Pain After a Fall?

Why do we experience headaches and muscle soreness after wrestling? I fell yesterday and hit my back, but I didn't hit my head. However, when I got up, the top of my head was very painful. This morning, from my shoulders up to my neck feels very stiff and painful. What could...

Dr. Zhang Shengben Reply:
Hello Maggie: After trauma, if you experience headaches and neck stiffness, it is important to be aware of potential head injuries or cervical spine injuries, and you should seek medical attention immediately. If necessary, a CT scan or MRI should be performed.

Can Long-Term Spinal Issues from Sports Injuries Be Treated?

Chronic illness Hello Dr. Wang: When I was 18 years old, I suffered a sports injury that left me unable to walk for two weeks. However, I did not undergo active rehabilitation at that time, and now my spine (from the cervical to the lumbar region) cannot bend. Is it still possibl...

Dr. Wang Shouji Reply:
A-Ming needs to assess the extent of the injury. However, it is rare for an injury to have such a wide impact (from the cervical spine to the lumbar spine). It is important to consider whether it is caused by a disease. It is recommended to visit a hospital's orthopedic depa...

Understanding Numbness and Tingling from Injury: Treatment Options

There is some numbness from the left hand to the left foot? Hello, doctor. During the Mid-Autumn Festival, while I was out with my classmates, someone rushed over and lifted my hands and feet, and I was unable to stop it, resulting in me being thrown onto the grass. When I got up...

Dr. Ye Qingnian Reply:
Numbness in the left hand and left foot can be concerning, especially if there is a possibility of cervical spine injury. It's important to assess whether there is any pain or injury in the neck. If so, it is advisable to seek evaluation and treatment from a neurosurgeon.

Understanding Neck Injuries: Symptoms, Treatment, and When to Seek Help

Neck injury Hello Dr. Lee, I previously visited you for a neck injury around August 25. I sustained a neck strain due to external force. During my visit, you took some X-rays and diagnosed it as a muscle strain. After taking the medication, I felt better, and after finishing the ...

Dr. Li Wenlin Reply:
Hello Hong: Based on your description, it is clear that your condition is primarily due to prolonged poor posture (7-8 hours of computer use). Remember to perform some stretching exercises every half hour to an hour, such as stretching your arms and shoulders or taking a short br...

Understanding Right Arm Numbness: Causes and Treatments

Numbness in the right arm? Hello Dr. Chen, I started experiencing soreness in the muscles of my right upper arm around late July. I initially thought it was just muscle soreness, so I applied a topical analgesic and used pain relief patches. However, for the past three weeks, I h...

Dr. Chen Xingyuan Reply:
Dear Netizen: Numbness in the arm is related to neuropathy, most likely caused by issues with the cervical spine or muscle tension in the neck and shoulder area, which can lead to nerve compression. It is advisable to visit a hospital for an examination as soon as possible to det...

Persistent Right Back Numbness After Fall: Possible Causes and Solutions

Numbness in the right back after a bruise! Hello: I fell from a window onto my buttocks on July 11. Two hours later, I experienced swelling in my cervical spine, and that night I had severe pain in my coccyx and lumbar spine. A week later, I started to feel numbness in my right b...

Dr. Wang Shouji Reply:
Jia-Yun: Aside from the localized sexual numbness mentioned in your text, there should be no symptoms of pain or weakness. It is likely caused by a localized bruise. I recommend applying heat at least twice a day. If symptoms persist for more than a month, it is advisable to visi...

Morning Joint Pain Relief: Effective Home Remedies and Specialist Guidance

Every morning, I experience swelling and pain in the joints of my fingers and toes, but it improves immediately after soaking them in hot water? Hello, Dr. Lin! Every morning when I wake up, the joints in my fingers feel very swollen (numb) and painful (unable to touch). The firs...

Dr. Lin Xiaoyi Reply:
Hello: 1. Finger issues: They may originate from the cervical spine, but could also be due to carpal tunnel syndrome compressing the median nerve. Although the absence of rheumatoid factor makes rheumatoid arthritis less likely, it cannot be completely ruled out. Gouty arthriti...

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