Understanding JOS: The Japanese Orthopedic Assessment Tool Explained
JOS stands for "Juvenile Osteoporosis Syndrome." It is a condition characterized by decreased bone density and increased fracture risk in children and adolescents? JOS refers to the Japanese Orthopaedic Society, which has developed various assessment tools and evaluatio...
Dr. Shi Guozheng Reply:
I'm sorry, I couldn't find this. Could you provide more information or the full name? If it's the JOA SCORE, which stands for Japanese Orthopedic Association Score, then I have it. It is an assessment scale developed by the Japanese Orthopedic Association for evalu...[Read More] Understanding JOS: The Japanese Orthopedic Assessment Tool Explained
Understanding Ankylosing Spondylitis: Surgical Options and Recovery Insights
Ankylosing Spondylitis I have been suffering from ankylosing spondylitis since I was in the ninth grade, and now at nearly 35 years old, both my spine and cervical spine have severely calcified and curved, with a curvature of 50 degrees. I am considering surgery to address 1) the...
Dr. Wang Zikang Reply:
Dear Sir/Madam, Ankylosing spondylitis commonly occurs in young males and leads to persistent spinal changes resulting in spinal fusion, kyphosis, and scoliosis. The necessity for surgery depends on the severity of the curvature. Although it is considered a high-risk procedure, ...[Read More] Understanding Ankylosing Spondylitis: Surgical Options and Recovery Insights
Should I Get an X-Ray for My 2-Year-Old's Neck Pain?
My two-year-old daughter has been experiencing neck pain for several days. Should we get an X-ray? My lively and active daughter is 2 years and 3 months old. For four consecutive days, she has been pointing to a protruding area on the back of her neck, saying it hurts! I suspect ...
Dr. Li Wenlin Reply:
Hello: In response to your question, based on your description, it seems that your daughter’s cervical spine is likely not injured. If there were an injury, her range of motion would be affected, and she would likely continue to cry persistently. The pediatrician's assessmen...[Read More] Should I Get an X-Ray for My 2-Year-Old's Neck Pain?
Understanding Right Hand De Quervain's Syndrome: Causes, Symptoms, and Treatments
Right hand carpal tunnel syndrome The symptoms of right hand carpal tunnel syndrome may include numbness, tingling, and pain in the thumb, index finger, middle finger, and part of the ring finger. Patients may also experience weakness in the hand and difficulty in gripping object...
Dr. Ye Qingnian Reply:
Carpal tunnel syndrome causes numbness in the second, third, and fourth fingers, often due to prolonged hand weakness, wrist fractures, or diabetes. However, it is important to check for cervical spine issues, as bone spurs can compress nerves and lead to hand numbness. Severe ca...[Read More] Understanding Right Hand De Quervain's Syndrome: Causes, Symptoms, and Treatments
Understanding Spinal Imaging: Concerns About Scoliosis and Inflammation
Skeletal imaging I previously underwent a bone scan, and I was referred to the rheumatology department. The results showed that my spine appears as follows... <=== The first vertebra is slightly misaligned)______)______)___)___ p.s. This is a side view (of course, it’s not as ...
Dr. Zhou Lizhi Reply:
In your letter, you mentioned three diseases: 1. Scoliosis 2. Ankylosing Spondylitis 3. Rheumatoid Arthritis. Since you did not provide information about your age, symptoms, etc., it is difficult to determine which disease you may have. Therefore, here is an overview of these thr...[Read More] Understanding Spinal Imaging: Concerns About Scoliosis and Inflammation
Understanding Long-Term Effects of C4 Spinal and ACL Injuries from Car Accidents
Regarding issues related to the fourth cervical vertebra and the posterior cruciate ligament of the knee? Injuries to the cervical spine, specifically to the fourth cervical vertebra, and damage to the posterior cruciate ligament of the knee due to a car accident can lead to seve...
Dr. Wang Zikang Reply:
Hello: If there is no neurological symptoms or joint instability associated with the injury to the fourth cervical vertebra, general observation is usually sufficient. However, we recommend that you return to the outpatient clinic for further detailed examination. As for the inju...[Read More] Understanding Long-Term Effects of C4 Spinal and ACL Injuries from Car Accidents
Understanding Neck Pain: Degeneration or Muscle Tension?
My cervical spine feels strange? Recently, I've been experiencing some issues with my cervical spine. Sometimes, I hear a sound in my neck and head that resembles rusting, and my neck often feels strained. When I lie down, I feel a tingling sensation in the skin of my right ...
Dr. Su Yiren Reply:
Dear Ai Ru: Neck degeneration is not only a condition that affects the elderly. Based on your reported symptoms, it seems that there may be nerve root compression in your cervical spine, which could be causing the tingling sensation. In addition to physical therapy, it is importa...[Read More] Understanding Neck Pain: Degeneration or Muscle Tension?
Understanding Shoulder Pain: Bone Spurs or Inflammation?
Unsure if it is a bone spur or periostitis? Dear Dr. Lee, Three months ago, I started experiencing pain from my left shoulder down to my arm. I initially thought it was due to a stiff neck. Two months ago, I visited a hospital where I was told I have bone spurs. However, medicat...
Dr. Li Wenlin Reply:
Hello: In response to your inquiry, based on your description, the likelihood of a shoulder joint issue or a cervical spine problem is the highest. Please consult an orthopedic physician for an examination, as this will likely help resolve your issue promptly.[Read More] Understanding Shoulder Pain: Bone Spurs or Inflammation?
Understanding Cervical Degeneration and Its Impact on Health
Cervical degeneration First of all, thank you for answering my previous question. This time I would like to ask: (1) What are the potential harms to the body from degeneration of the fifth and sixth cervical vertebrae? (2) If a tibial osteotomy has been performed and pain persist...
Dr. Shi Guozheng Reply:
If there are bone spurs on the cervical spine but they do not compress the nerves, then there is no concern. However, if there are symptoms of nerve compression, treatment is necessary. If tibial osteotomy is ineffective, one may consider undergoing joint replacement surgery when...[Read More] Understanding Cervical Degeneration and Its Impact on Health
Understanding Hand Numbness: Is It Related to Your Spine Issues?
Numbness in the hands? Hello: A recent X-ray showed mild scoliosis and small bone spurs in my spine, but the doctor said this is not a concern. However, I experience pain when bending straight down and every morning upon waking up. The pain in my lower back varies from severe to ...
Dr. Wang Zikang Reply:
Dear Sister Wang: A small-angle scoliosis does not significantly affect function; however, due to muscle imbalance on both sides of the spine and factors such as poor posture, it can often lead to lower back pain. It may even cause neurological symptoms due to nerve compression o...[Read More] Understanding Hand Numbness: Is It Related to Your Spine Issues?
Impact of Scoliosis Surgery on Women's Future Health and Pregnancy
The impact of scoliosis surgery on a girl's future life? Before the surgery, the cervical spine was at 35 degrees, the thoracic spine at 48 degrees, and the lumbar spine at 26 degrees. After the surgery, the cervical spine measured 30 degrees, the thoracic spine 35 degrees, ...
Dr. Yang Zhengfan Reply:
Dear Xiao Dai, many of the questions you asked still remain unanswered. Surgery is typically recommended for scoliosis when the curvature exceeds 40 degrees because, statistically, a curvature greater than 40 degrees is associated with significant back pain and premature aging. A...[Read More] Impact of Scoliosis Surgery on Women's Future Health and Pregnancy
Understanding Shoulder Blade Pain: Causes and Treatment Options
Please inquire about scapula issues? Dear Dr. Su, I have been experiencing pain in the lower left side of my neck and upper back since mid-August of this year. After consulting a doctor, I was advised to apply heat and was prescribed oral medication, but the doctor did not speci...
Dr. Su Yiren Reply:
Hello Cathy, 1. If there is persistent pain in specific areas of the body, it should be thoroughly examined. The most basic step is to perform an X-ray to check for any acromioclavicular joint pathology or cervical spine nerve compression. There have been cases where individual...[Read More] Understanding Shoulder Blade Pain: Causes and Treatment Options
Understanding Ligament Changes in the Cervical Spine: Symptoms and Risks
Cervical ligaments Hello, doctor. My second cervical ligament has become white and thickened, which is noticeably different from the ligaments of my other cervical vertebrae. I have previously injured my cervical spine, and now I often experience headaches, sometimes accompanied ...
Dr. Shi Guozheng Reply:
The ligaments in the cervical spine may thicken and appear white, which could potentially compress the nerves. However, based on your description, it seems that this is not the cause of your symptoms. It would be advisable to see a physician for further examination. While it is u...[Read More] Understanding Ligament Changes in the Cervical Spine: Symptoms and Risks
Understanding Wrist and Elbow Pain: Causes and Solutions
Pain in the hand ligaments? Hello, my wrist and elbow ligaments often feel sore and make popping sounds. I have seen doctors who prescribed muscle relaxants or suggested that I wear a wrist brace. However, I am troubled because after wearing it for a few days, my skin starts to i...
Dr. Xie Tianjie Reply:
The wrist and elbow joints are composed of bones, cartilage, and ligaments. Overuse or improper force often leads to soreness, weakness, or noise in these areas. It is important to avoid excessive exercise of the wrist and elbow joints and to use appropriate protective gear for s...[Read More] Understanding Wrist and Elbow Pain: Causes and Solutions
Can Spinal Cord Injury from Neck Fractures Lead to Recovery?
Will a cervical spine fracture cause paralysis in the lower body, and is there any hope for recovery in the future? My brother-in-law climbed a coconut tree and accidentally fell down. Although the height wasn't great, he landed on his head, resulting in a fracture of the fi...
Dr. Shi Guozheng Reply:
Cervical spine injuries combined with spinal cord damage can sometimes result in paralysis of the lower body. If the injury is severe, the prognosis for recovery may be poor. However, if the injury is less severe, there is a chance of regaining some function. It is essential to f...[Read More] Can Spinal Cord Injury from Neck Fractures Lead to Recovery?
Understanding Bone Spurs: Symptoms, Nerve Compression, and Non-Surgical Treatments
Bone spur Hello, I am a homemaker. I went to see a doctor for an X-ray, and the results showed that I have bone spurs on my cervical spine, particularly at the levels of C5 and C6, which are more severe. This has caused soreness in the back of my neck. 1. I have pain in my right ...
Dr. Lin Junliang Reply:
When a bone spur compresses a nerve, it can cause numbness and pain. If conservative treatment based on symptoms is ineffective or exacerbates the condition, surgical intervention may be necessary. It is advisable to first consult a rehabilitation specialist for diagnosis and tre...[Read More] Understanding Bone Spurs: Symptoms, Nerve Compression, and Non-Surgical Treatments
Understanding Spinal Compression and Nerve Pain: Treatment Options Explored
The compression of the left arm nerve by the fourth and fifth cervical vertebrae? I am 34 years old. About two years ago, I experienced pain in my left shoulder blade, which caused unusual soreness in my left arm and made it difficult to lift. After undergoing a CT scan at Linkou...
Dr. Ye Qingnian Reply:
In the United States, there are detailed specialties, including specific training and treatment for chiropractic rehabilitation and podiatry, which are currently not available in Taiwan. Generally, chiropractic care in Taiwan is performed by practitioners without professional tra...[Read More] Understanding Spinal Compression and Nerve Pain: Treatment Options Explored
Understanding Neck Stiffness: Causes and Remedies for Frequent Stiff Neck
If you have experienced neck pain or stiffness three times in a month, it is advisable to consult a healthcare professional. They can evaluate your symptoms and provide appropriate treatment options. In the meantime, consider practicing good posture, using ergonomic furniture, Re...
Dr. Xie Tianjie Reply:
Cervical strain, commonly referred to as "wry neck," is characterized by muscle stiffness and spasms in the neck. The causes are quite varied, including poor posture leading to muscle coordination issues, excessive tension or fatigue, or other unknown factors. The treat...[Read More] Understanding Neck Stiffness: Causes and Remedies for Frequent Stiff Neck