Herniated disc, Orthopedics FAQ - Page 4

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Traditional vs. Endoscopic Surgery for Lumbar Disc Herniation: A Patient's Dilemma

Traditional Surgery for Herniated Discs vs. Endoscopic Surgery for Herniated Discs Hello, doctor. My father is 60 years old and recently had an MRI at the Veterans General Hospital. The doctor indicated that he has a herniated disc at the L4-L5 level, which is compressing a nerve...


Dr. Shi Guozheng Reply:
The choice of surgical method should be based on the physician's recommendation, as the prognosis for traditional surgery and endoscopic surgery in cases of herniated discs is similar, with both allowing for a quick recovery. If the nerve is already compressed, non-surgical ...

[Read More] Traditional vs. Endoscopic Surgery for Lumbar Disc Herniation: A Patient's Dilemma


Understanding Lateral Leaning of the Lower Back While Standing

When standing, there is an issue with lateral leaning of the lower back? In the past, I remember my waist being symmetrical when standing, but now it tends to tilt to one side. However, when I sit, the degree of tilt decreases, and when I lie down, my body appears normal. Previou...


Dr. Shi Guozheng Reply:
If a patient has a herniated lumbar disc, undergoing rehabilitation and medication treatment for a period of time may lead to improvement. If there is no improvement, surgical intervention should be considered, and the patient should consult a physician for further management opt...

[Read More] Understanding Lateral Leaning of the Lower Back While Standing


Understanding Unexplained Leg Pain: Causes and Concerns

Foot pain and discomfort? Hello doctor, I have been experiencing pain on the outer side of my right calf. It's a strange, aching pain, and I haven't been standing for long periods, nor have I twisted or injured myself. I also don't have a habit of wearing high heel...


Dr. Li Yongheng Reply:
Hello, the soreness in both your thighs and calves is most likely due to myofascial pain syndrome. Additionally, you should consider the possibility of sciatica caused by a herniated disc. The likelihood of bone cancer is low. I recommend that you visit an orthopedic clinic for a...

[Read More] Understanding Unexplained Leg Pain: Causes and Concerns


Managing Pain from Herniated Discs and Ankylosing Spondylitis: Tips and Solutions

Herniated disc ankylosing spondylitis I would like to ask about my condition. During play, I fell from the bed to the floor and injured my buttocks, which caused pain. The doctor said I have a herniated lumbar disc. Initially, I experienced numbness in my legs, but now it has imp...


Dr. Wang Shouji Reply:
It is recommended to consult a neurosurgeon.

[Read More] Managing Pain from Herniated Discs and Ankylosing Spondylitis: Tips and Solutions


Understanding Chronic Neck and Shoulder Pain: Causes and Solutions

Could you please provide more details about the issue of shoulder and neck pain? Hello, doctor. I have been experiencing shoulder and neck pain for almost a month. I visited a spine specialist who only took X-rays and said there was nothing wrong, but the pain persists. I went ba...


Dr. Li Yongheng Reply:
Hello, if you have been undergoing treatment for a while and still experience shoulder and neck pain along with numbness in your hands, it may be necessary to undergo an MRI scan. If the diagnosis is a herniated disc, cervical traction therapy will need to be implemented. Wishing...

[Read More] Understanding Chronic Neck and Shoulder Pain: Causes and Solutions


Chronic Shoulder and Neck Pain: When to Consider MRI for Diagnosis

Chronic shoulder and neck pain is difficult to treat? Hello, doctor. I have been experiencing shoulder and neck pain for two to three years, but recently, in the past month, the pain has become unbearable and has shown no improvement. Pain relief medications, anti-inflammatory tr...


Dr. Li Yongheng Reply:
Hello, if you are experiencing shoulder and neck pain and pain relief medications, rehabilitation, exercise, and posture improvement have not been effective, it is recommended to undergo an MRI examination. This is because a herniated disc cannot be detected through X-rays.

[Read More] Chronic Shoulder and Neck Pain: When to Consider MRI for Diagnosis


Understanding Chronic Lower Back Pain: Causes and Treatment Options

Lower back pain when bending over..? Hello, Vice Dean Li. I would like to ask you about a situation. Three years ago, I injured my lower back while lifting heavy objects. After treatment, I improved, but a few months ago, I started experiencing lower back pain when bending over, ...


Dr. Li Yongheng Reply:
Hello, based on your symptoms, the lower back pain could be due to a herniated disc, while the pain in the left foot's sole is likely plantar fasciitis. A herniated disc typically requires an MRI for diagnosis. I recommend that you schedule an appointment with a rehabilitati...

[Read More] Understanding Chronic Lower Back Pain: Causes and Treatment Options


Is It Piriformis Syndrome or Herniated Disc? Understanding Your Pain

Is it piriformis syndrome or a herniated disc? Hello, about a month ago, I accidentally sat down on a small stool without paying attention to its height. I was sitting on a chair, and the drop was about 10-15 cm. I had an X-ray done, but the doctors said there was no issue. I con...


Dr. Li Yongheng Reply:
Hello, based on your symptoms, both piriformis syndrome and herniated disc are possible. In addition to performing a lumbar MRI for differential diagnosis, local injection of corticosteroids and anesthetics into the piriformis muscle can also be considered. If the local injection...

[Read More] Is It Piriformis Syndrome or Herniated Disc? Understanding Your Pain


Understanding Spinal Alignment: Seeking Medical Documentation for Military Service

Straight spine? I would like to ask the doctor, three years ago I had an X-ray at the hospital, and the doctor said that my spine appeared very straight with almost no curvature. I also find it difficult to stand for long periods; if I stand too long, my spine starts to ache, and...


Dr. Li Yongheng Reply:
Based on your symptoms, you may need to visit an orthopedic department at a public hospital that conducts military service physical examinations to diagnose conditions such as a herniated disc or ankylosing spondylitis. Once a diagnosis is established, you can request your physic...

[Read More] Understanding Spinal Alignment: Seeking Medical Documentation for Military Service


Lower Back Pain and Knee Weakness: Is It Sciatica?

Lumbar pain, with weakness behind the knees while walking? Hello doctor, recently while moving heavy objects, I felt a twist in my lower back. For the past few days, I've been experiencing discomfort specifically in the lower right side of my back. Sometimes, while walking, ...


Dr. Li Yongheng Reply:
Hello, based on your reported symptoms, it is possible that you are experiencing sciatica due to a herniated disc. I recommend that you consult with an orthopedic specialist, a neurosurgeon, or a rehabilitation physician. If necessary, further evaluation with an MRI may be requir...

[Read More] Lower Back Pain and Knee Weakness: Is It Sciatica?


Understanding Spinal Fractures: When Surgery is Necessary

Vertebral fracture Doctor, I'm sorry to bother you. A few days ago, I had an X-ray at Mackay Memorial Hospital, which revealed a fracture in my spine. I had previously undergone an X-ray at another hospital, but they did not detect the fracture; they only mentioned bone spur...


Dr. Wang Shouji Reply:
Hello: If there is a fracture in the vertebrae without trauma, it is necessary to consider whether it is due to congenital joint space deficiency or spina bifida, in which case urgent surgery may not be required. If the acute fracture is caused by trauma and does not affect spina...

[Read More] Understanding Spinal Fractures: When Surgery is Necessary


Understanding Herniated Discs: Symptoms, Treatment, and Rehabilitation

Herniated disc Hello, doctor. I was diagnosed with a herniated disc at the hospital. Currently, I am experiencing mild numbness in my feet and slight pain in my lower back. Should I continue with rehabilitation?


Dr. Shi Guozheng Reply:
If there are no signs of muscle atrophy or weakness, rehabilitation can continue.

[Read More] Understanding Herniated Discs: Symptoms, Treatment, and Rehabilitation


Does Daily Frog Swimming Worsen Bow Legs After Disc Surgery?

Does daily frog-style swimming cause O-shaped legs? Hello, I had traditional surgery for a herniated disc 15 years ago, and I have maintained a daily swimming routine to keep my muscle strength. However, I originally had mild bowlegs, and I am concerned if swimming with a frog ki...


Dr. Shi Guozheng Reply:
Not possible.

[Read More] Does Daily Frog Swimming Worsen Bow Legs After Disc Surgery?


Understanding Right Leg Pain: Causes, Symptoms, and Relief Strategies

Pain in the right Achilles tendon? I have been experiencing pain in my right leg since dragging it on the ground three weeks ago. The pain extends from the back of my thigh down to my calf, and it feels like a muscle cramp that varies in intensity—sometimes mild, sometimes severe...


Dr. Li Yongheng Reply:
The symptoms you described seem to be indicative of sciatica caused by a herniated disc. Sciatica does not always present with significant back pain. It is recommended that you visit an orthopedic clinic for treatment, and if necessary, an MRI should be performed. Currently, you ...

[Read More] Understanding Right Leg Pain: Causes, Symptoms, and Relief Strategies


Understanding Sciatica Symptoms: Is Your Pain Related?

Symptoms of sciatica? Hello, doctor. In the past, I occasionally experienced pain in my right lower back and hip, but my leg was not painful. It wasn't affected by sitting or lying down, and it would resolve in a day or two. This type of pain occurred about every two to thre...


Dr. Xie Hongjia Reply:
Dear Ms. Carol, Regarding the question you raised, generally, elevating the legs to 70-90 degrees does not significantly increase the risk of sciatica or herniated discs, but it cannot be completely ruled out. It is advisable to visit a hospital for a thorough examination to co...

[Read More] Understanding Sciatica Symptoms: Is Your Pain Related?


Chronic Lower Back Pain: Causes, Symptoms, and When to Seek Help

Chronic lower back pain Hello Doctor: I am a working professional who spends most of my time typing in front of a computer, working approximately 8-10 hours a day. Three years ago, I experienced a back issue while weight training; I heard several popping sounds in my lower back a...


Dr. Chen Yongxue Reply:
Hello, I recommend that you undergo further examination. For issues related to the lower back, either an orthopedic specialist or a neurosurgeon would be appropriate. Thank you.

[Read More] Chronic Lower Back Pain: Causes, Symptoms, and When to Seek Help


Should Young Patients with Herniated Discs Consider Surgery?

Is surgery recommended for young individuals with a herniated disc? I read your response, Doctor, regarding lumbar disc herniation. You mentioned that it can compress the sciatic nerve, causing symptoms not just in the lower back but also pain in the buttocks that radiates down t...


Dr. Shi Guozheng Reply:
Conservative treatment for six weeks is recommended, and if there is no improvement, surgery is suggested. The outcomes of the surgery are quite favorable, the risks are low, and recovery is typically rapid.

[Read More] Should Young Patients with Herniated Discs Consider Surgery?


Understanding Your Back Pain: Could It Be a Herniated Disc?

I'm not sure if it's a herniated disc? Hello Doctor, I have been experiencing discomfort in my lower left back for over six months. Initially, I thought it was just muscle fascia inflammation, but now I have a slight tingling sensation from my buttocks down to my calves...


Dr. Shi Guozheng Reply:
Herniated discs occur when the intervertebral disc protrudes and compresses nearby spinal nerves, leading to pain that typically radiates from the buttocks down to the thighs, calves, and feet. Sometimes, there may also be symptoms of numbness. This pain tends to worsen with incr...

[Read More] Understanding Your Back Pain: Could It Be a Herniated Disc?


Risk of Disc Herniation and Scoliosis After Lumbar Fractures from Accidents

A car accident resulting in a lumbar vertebral fracture may lead to future complications such as intervertebral disc herniation or scoliosis as sequelae? Hello, doctor. Due to a train accident, I have sustained fractures of the transverse processes of the first to fifth lumbar ve...


Dr. Wang Shouji Reply:
Hello: Regarding your question about the deformity following a spinal vertebra fracture, it generally leads to kyphosis and scoliosis less frequently, but it still depends on the specific circumstances of the fracture. Thank you!

[Read More] Risk of Disc Herniation and Scoliosis After Lumbar Fractures from Accidents


Do You Need Surgery for a Ruptured Disc? Key Insights and Options

Does a herniated disc require surgery? Hello Doctor: I am 41 years old and about three weeks ago, I experienced severe pain in my lower back that radiated down to my left buttock, the back of my left thigh, and my left heel. After undergoing an MRI, I was diagnosed with a herniat...


Dr. Li Yongheng Reply:
The nucleus pulposus of a herniated disc still has a significant chance of being reabsorbed on its own. In most cases, the symptoms of nerve compression will improve over time, although there is a small possibility of worsening. If the symptoms of nerve compression persist after ...

[Read More] Do You Need Surgery for a Ruptured Disc? Key Insights and Options


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