Limb numbness, Orthopedics FAQ

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Understanding Your Cervical Spine X-Ray Report: Next Steps Explained

Please explain the cervical spine X-ray? Cervical Spine AP, Lateral and Bilateral Oblique Views: Osteophytes are observed on the spine. The intervertebral disc spaces are narrowed. The alignment of the spine is acceptable. The neural foramen is encroached by spurs from the hypert...


Dr. Shen Boquan Reply:
Hello, the report describes that your cervical spine shows signs of degeneration, osteophyte formation, narrowed intervertebral spaces, and vascular calcification, which are phenomena that may be observed with aging. If you do not experience long-term neck and shoulder pain or up...

[Read More] Understanding Your Cervical Spine X-Ray Report: Next Steps Explained


Managing Spondylolysis and Spondylolisthesis: Key Questions Answered

How should lumbar spondylolysis with spondylolisthesis be managed? Hello Doctor, I previously visited for lower back pain, and the doctor mentioned that I have a lumbosacral fifth vertebra arch dissociation. During my recent follow-up, the doctor indicated that I have signs of sp...


Dr. Wang Shouji Reply:
Hello, strengthening the core muscles is essential. If there is significant low back pain and lower limb numbness, and it progresses to a grade II spondylolisthesis, the likelihood of requiring surgical reduction and fixation is high. The success rate for repair after progressing...

[Read More] Managing Spondylolysis and Spondylolisthesis: Key Questions Answered


Complex Orthopedic Symptoms: Seeking Expert Advice for Relief

Complex symptoms, could you please take the time to respond, doctor? Thank you? Hello Doctor, I have been troubled by many issues for a long time, and I appreciate your taking the time to respond. Thank you. 1. I previously had an X-ray that indicated a bone spur at the C5 verte...


Dr. Wang Shouji Reply:
Hello: 1. Local bone spurs in the spine do not necessarily cause pain in that area. Surgery should only be considered if there is nerve compression and symptoms cannot be alleviated by medication or rehabilitation. Nerve compression often leads to issues such as limb numbness and...

[Read More] Complex Orthopedic Symptoms: Seeking Expert Advice for Relief


Understanding Sudden Lumbar Pain: Causes, Diagnosis, and Treatment Options

Acute lumbar pain? Hello Doctor, a few days ago, due to my menstrual period, I experienced slight lower back pain. Additionally, I had to kneel all day for a family funeral, and that evening, I felt severe pain. The discomfort extended from my lumbar spine to my knees, and I also...


Dr. Shi Guozheng Reply:
Muscle strains typically do not present with lower limb numbness or extend to the calf or sole of the foot, nor do they cause weakness in the calf or toes. Back injuries are often related to poor posture or repetitive movements. Initial treatment should focus on medication and re...

[Read More] Understanding Sudden Lumbar Pain: Causes, Diagnosis, and Treatment Options


Unexplained Neck Sounds After Sports: Causes and Solutions

Experiencing unusual sounds when turning your head after exercise? On the evening before the Dragon Boat Festival holiday (June 18), after finishing at the batting cage, I noticed that when I turned my head to the left beyond a certain degree, it would make a "pop" soun...


Dr. Huang Minxu Reply:
Hello: In general outpatient clinics, the primary concern regarding joint sounds during movement is whether they are accompanied by pain. Common causes may include the presence of gas bubbles within the joint that change size during movement, resulting in sound. Based on your des...

[Read More] Unexplained Neck Sounds After Sports: Causes and Solutions


Relieving Sciatica: Exploring High-Frequency Heat Therapy for Nerve Pain

About Sciatica My father has scoliosis at the fifth lumbar vertebra, which is compressing the nerves and causing numbness and discomfort in his left leg. Rehabilitation and physical therapy have not shown any improvement. Currently, we are considering high-frequency thermal thera...


Dr. Shi Guozheng Reply:
For the first occurrence of sciatica, non-surgical treatment usually yields good results, unless the pain is severe or has caused nerve compression leading to loss of mobility in the lower limbs or affecting bowel and bladder function, in which case emergency surgery is required....

[Read More] Relieving Sciatica: Exploring High-Frequency Heat Therapy for Nerve Pain


Understanding Spinal Injuries: Symptoms, Delayed Reactions, and Recovery Time

Spinal issues Hello: If a massage causes spinal injury, possible symptoms include numbness and weakness in the limbs, as well as paralysis. I would like to ask: 1. Is it possible for symptoms to appear after a period of time following a spinal injury? 2. If the aforementioned sym...


Dr. Li Wenhong Reply:
Hello Mark: Typically, injuries to the spine (including the vertebrae, spinal cord, ligaments, intervertebral discs, and surrounding muscles) are associated with pain and limited mobility. However, if there is numbness, weakness, or paralysis in the limbs, it indicates damage to ...

[Read More] Understanding Spinal Injuries: Symptoms, Delayed Reactions, and Recovery Time


Understanding Disc Herniation and Ankylosing Spondylitis Symptoms

Herniated disc? Ankylosing spondylitis? Hello Dr. Wang, I apologize for the lengthy message... ^^" Last year during the Lunar New Year, I was squatting down while holding a child, and at that moment, I felt fine. However, later that night, I suddenly experienced severe lower...


Dr. Wang Shouji Reply:
Ms. Lin: Generally speaking, young women without a family history have a low chance of developing ankylosing spondylitis. It is mostly likely a problem with the muscles or soft tissues. If there are accompanying symptoms such as lower limb numbness or sciatica, those cannot be ru...

[Read More] Understanding Disc Herniation and Ankylosing Spondylitis Symptoms


Understanding Spondylolisthesis: When to Seek Medical Attention

Spondylolisthesis Hello, my mother was diagnosed with spondylolisthesis during a bone density test last year. However, she did not experience any pain due to her regular aerobic exercise. Over the past two weeks, she has paused her exercise routine because of thyroid surgery, and...


Dr. Wang Shouji Reply:
Eva: Spondylolisthesis can be classified as congenital or acquired. If there is no back pain or symptoms of spinal stenosis (such as lower limb numbness or pain), observation is recommended. If symptoms develop, treatment (surgical decompression and internal fixation fusion) can ...

[Read More] Understanding Spondylolisthesis: When to Seek Medical Attention


Understanding the Risks and Complications of Bone Cement Surgery

What are the complications of bone cement? Dear Doctor, my grandmother recently underwent a vertebroplasty procedure. Here is a detailed account of the events: On January 14, 2005, an X-ray was taken during an outpatient visit, and the doctor indicated that the ninth vertebra was...


Dr. Yang Zhengfan Reply:
Dear Mr. Chen, Regarding your question, I have thought about it for a long time and I am not sure how to respond. 1. The risk of cement leakage during vertebroplasty is not low, with foreign statistics indicating a range of approximately 2-10%. Most cases of leakage do not pre...

[Read More] Understanding the Risks and Complications of Bone Cement Surgery