Managing Tailbone Pain and Leg Discomfort: Non-Surgical Options
Coccydynia with lower limb pain? Hello, Director. Since February 17th until today, I have been experiencing persistent soreness from my lower back (coccyx) down to my lower limbs (thighs, knees, and calves). The primary symptom is soreness. After consulting with an orthopedic spe...
Dr. Chen Yongxue Reply:
Hello, generally speaking, a coccygeal contusion does not present with neurological symptoms. It would be best for you to undergo a physical examination for a proper assessment of your symptoms. Thank you.[Read More] Managing Tailbone Pain and Leg Discomfort: Non-Surgical Options
Can Limb Lengthening Surgery Correct My Leg Discrepancy?
Treatment for leg length discrepancy? Hello Doctor: When I was 2 or 3 years old, I fractured my lower leg, resulting in a slight leg length discrepancy. I have been using shoe inserts, but now at 20 years old, the issue has worsened. When I stand with my legs straight, my pelvis ...
Dr. Chen Yongxue Reply:
Leg length discrepancy can lead to scoliosis and lower back pain. If the length difference reaches 3 centimeters, surgical lengthening should be considered. However, this procedure is time-consuming; if everything goes smoothly, it may take about six months to remove the external...[Read More] Can Limb Lengthening Surgery Correct My Leg Discrepancy?
Could My Symptoms Indicate Ankylosing Spondylitis?
Ankylosing spondylitis? Hello Dr. Lee, thank you for taking the time to respond despite your busy schedule. Here are my symptoms: 1. In mid-September, I felt a warm and tight sensation under my left rib (upper left abdomen), as if a strap was wrapped around it, which was very u...
Dr. Li Yongheng Reply:
Based on the symptoms mentioned, the likelihood of myofascial inflammation is the highest. It does not resemble the symptoms of ankylosing spondylitis, and a blood test for HLA-B27 can diagnose ankylosing spondylitis. It is recommended that you visit a rheumatology clinic for exa...[Read More] Could My Symptoms Indicate Ankylosing Spondylitis?
Understanding Bone Grafting Options for Femoral Fracture Healing
Closed reduction femoral neck fracture for nearly nine months? Hello, doctor. I asked you a question here over two months ago. Please take a look at the link; it contains the X-ray I had taken at the hospital on November 6. My femur is not healing properly, and the doctor mention...
Dr. Shi Guozheng Reply:
Using one's own bone for grafting yields the best results; artificial bone may integrate less effectively and could take longer to heal. Additionally, artificial bone may incur extra costs, whereas autologous bone does not require additional payment. Most physicians prefer t...[Read More] Understanding Bone Grafting Options for Femoral Fracture Healing
Understanding Bone Aging: Treatment Options and Dietary Recommendations
Bone aging Hello Doctor, I would like to ask you some questions. My girlfriend is 18 years old and has been experiencing persistent lower back pain for over six months, so she visited an orthopedic clinic. The doctor diagnosed her with bone aging issues and prescribed medication,...
Dr. Li Yongheng Reply:
Hello, my girlfriend is 18 years old and has been experiencing persistent lower back pain for over six months. Given her young age, it is unlikely that this is due to bone aging. The most probable cause is chronic muscle inflammation in the back due to poor posture and improper l...[Read More] Understanding Bone Aging: Treatment Options and Dietary Recommendations
Post-Car Accident: Managing Lumbar and Cervical Spine Issues
Lumbar and cervical spine after a car accident? Doctor: Hello, I was in a car accident in mid-June where I rolled onto my right side, resulting in a pelvic contusion and bruising, a torn rotator cuff in my right shoulder, a dislocated right wrist with radial and ulnar ligament in...
Dr. Li Yongheng Reply:
1. Lower back pain and lower limb weakness, with ultrasound showing a hematoma, symptoms have persisted for 4 months. It is recommended to arrange an MRI at the orthopedic outpatient clinic. 2. If the cervical spine X-ray shows no abnormalities, further observation is advised. ...[Read More] Post-Car Accident: Managing Lumbar and Cervical Spine Issues
Understanding the Connection Between Rib Pain and Lumbar Ligament Issues
Lumbar ligament issues? Hello Doctor, About five years ago, during my high school years, I experienced a tight, warm discomfort under my left rib cage, and I also felt a slight indentation in that area. Since then, I have noticed that the left side of my rib cage appears to be ...
Dr. Shi Guozheng Reply:
Pain under the left rib may be due to inflammation of the abdominal muscles, tendons, or ligaments. The physician mentioned that it is also related to the lumbar region. The abdomen and lower back are surrounded by muscles, tendons, and ligaments, in addition to bones and organs,...[Read More] Understanding the Connection Between Rib Pain and Lumbar Ligament Issues
Understanding Tailbone Injuries: Symptoms, Treatment, and Recovery
Fell and hit the coccyx on the stairs? Hello Dr. Wang: When I was in junior high school, I slipped and fell, hitting my tailbone against two steps of the staircase. At that moment, I experienced severe pain in my coccyx, but I have not seen a doctor since then. In high school, I ...
Dr. Wang Shouji Reply:
Hello: First, if it is an old injury, it is important to confirm whether the bone has been deformed or bent due to the contusion. You should first determine where the protrusion is located and whether it is fixed or disappears with spinal movement. Generally speaking, if there is...[Read More] Understanding Tailbone Injuries: Symptoms, Treatment, and Recovery
Long-Term Lower Back Ligament Strain: Causes, Symptoms, and Recovery Options
Chronic strain of the lumbar ligaments? Hello, Doctor! Today I went to see a doctor about my lower back, and he said I have a lower back muscle strain (commonly referred to as an internal injury). The doctor mentioned that this could lead to ligament scarring, which over time can...
Dr. Chen Yongxue Reply:
Hello, chronic strain in the lower back is often caused by lifestyle habits or work requirements. First, it is important to reduce prolonged periods of maintaining the same position (whether standing or sitting). Additionally, avoid heavy lifting; if lifting is unavoidable, pleas...[Read More] Long-Term Lower Back Ligament Strain: Causes, Symptoms, and Recovery Options
Post-Car Accident: Managing Wrist Pain and Nerve Issues
After the car accident, I started experiencing weakness in my hands and numbness in my palms? Hello Doctor, I was in a car accident on June 18th. When the ambulance brought me to the hospital, there were no obvious external injuries, no need for stitches, and no fractures. Howe...
Dr. Shi Guozheng Reply:
If the above symptoms persist, further examination may be needed to check for nerve compression, as early intervention is better.[Read More] Post-Car Accident: Managing Wrist Pain and Nerve Issues
Managing Lower Back Injuries: Tips for Pain Relief and Recovery
Lower back injury Hello, when I was 13 years old, I had a severe fall that injured my back. I was misdiagnosed until this year when I was diagnosed with internal injuries at the Veterans General Hospital. My symptoms include lower back pain and discomfort after standing or sittin...
Dr. Shen Boquan Reply:
Hello, if there is no bone injury, it is recommended to start with conservative treatment (medication combined with physical therapy). Thank you for your inquiry.[Read More] Managing Lower Back Injuries: Tips for Pain Relief and Recovery
Understanding Thigh Discomfort Without Pain: Possible Causes and Solutions
Thigh soreness without pain? Hello Doctor, I previously asked you about my knee issue, and now my knee feels a bit better, but my right thigh has started to feel sore all day (my lower back occasionally feels sore as well). My right thigh feels warm, but it doesn't hurt, and...
Dr. Shi Guozheng Reply:
Typically, after boys go through puberty and the growth plates close, they can no longer increase in height. For boys, this usually occurs after the age of 16.[Read More] Understanding Thigh Discomfort Without Pain: Possible Causes and Solutions
Understanding Bone Pain: Is It a Sign of Bone Cancer?
Bone cancer pain? Hello, doctor. Recently, I've been experiencing irregular pain in my hands and feet for over two weeks. Sometimes the pain is in the thumb joint, other times in the calves, and sometimes in the soles of my feet or shoulders. The pain comes in sharp bursts o...
Dr. Li Yongheng Reply:
Hello, based on your age and the symptoms you described, the likelihood of developing bone cancer is low. In young individuals, the most common site for bone cancer is around the knee joint, while the probability of bone cancer occurring in the hands is extremely low. You do not ...[Read More] Understanding Bone Pain: Is It a Sign of Bone Cancer?
Understanding Hip Pain After a Fall: When to Seek Further Evaluation
Fell and hit the buttocks? Hello Doctor, In early April, I accidentally slipped and fell, hitting my buttocks. Initially, I thought it was nothing serious, but the pain persisted, so I went to the emergency room on April 21 for an X-ray. The emergency physician assessed that th...
Dr. Wang Shouji Reply:
Coccyx contusions and fractures can affect the recovery period. However, coccyx fractures typically do not require surgery. Treatment involves rest and minimizing irritation to the area, such as avoiding prolonged sitting or cycling. Most cases will gradually improve within a few...[Read More] Understanding Hip Pain After a Fall: When to Seek Further Evaluation
Understanding Back Pain, Chest Discomfort, and Urinary Issues: A Comprehensive Guide
Low back pain, chest pain, urinary issues? Hello, Doctor: Here’s the situation. Previously, I experienced weakness in my feet and lower back pain, so I consulted a doctor and had an X-ray done. The doctor mentioned that my spine was compressing a nerve and recommended physical th...
Dr. Shi Guozheng Reply:
It is possible that a lumbar strain may require a visit to an orthopedic specialist, as issues with urination may be related to lower back pain.[Read More] Understanding Back Pain, Chest Discomfort, and Urinary Issues: A Comprehensive Guide
Understanding Sports Injuries: When to Seek Medical Attention
Sports injuries I am a 9th-grade girl, and I have at least 30 minutes of basketball practice every day after school. However, suddenly in the past few days, I have been experiencing pain (aching) in the lower back, just above the tailbone, which makes me not want to stand. This S...
Dr. Chen Yongxue Reply:
Hello, if it is appendicitis, abdominal pain will begin and gradually shift to the lower right abdomen, lower back, or tailbone area, and it may even extend to the area below the ribs. This could be due to a sports injury or maintaining a position for too long, such as sitting at...[Read More] Understanding Sports Injuries: When to Seek Medical Attention
Understanding Spondylolisthesis and Nerve Root Issues in Adolescents
Spondylolisthesis with radiculopathy? Hello, Doctor. I was diagnosed with L5 spondylolysis combined with spondylolisthesis in my sophomore year of high school, and it is currently within 25%. 1. Initially, I experienced significant lower back pain (with lumbar discomfort and occa...
Dr. Li Yongheng Reply:
Hello, you have L5 spondylolysis with spondylolisthesis. Although you are currently not experiencing pain, there is still a possibility that lower back pain may recur due to bending and lifting heavy objects. The results from your military service physical examination indicate ra...[Read More] Understanding Spondylolisthesis and Nerve Root Issues in Adolescents
Understanding Sciatica, Piriformis Syndrome, and Calf Embolism Symptoms
Sciatica? Piriformis syndrome? Calf embolism? Hello, at the end of March, I suddenly felt a lot of soreness in my lower back, and then I experienced a sharp, stabbing pain in my right thigh near the buttock when walking. After applying a topical analgesic, it felt a bit better, b...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, the likelihood of myofascial pain syndrome is higher. However, since you have undergone rehabilitation for two weeks without significant improvement, it is recommended that you undergo a lumbar MRI to differentiate between sciatica and piriformis sy...[Read More] Understanding Sciatica, Piriformis Syndrome, and Calf Embolism Symptoms
Understanding Tightness in the Lower Back: Causes and Solutions
Tightness in the lower back that cannot be relieved? Hello Doctor, about four days ago, after I got up, I noticed a tight and stiff sensation in my left lower back and left abdomen. It doesn't hurt, but I can't pinpoint the exact location! When I walk, I feel a tightnes...
Dr. Shi Guozheng Reply:
Poor posture may lead to tendon or muscle strains. Applying heat or resting can help, and if the pain is severe, over-the-counter pain relievers such as acetaminophen can be taken.[Read More] Understanding Tightness in the Lower Back: Causes and Solutions
Understanding Lower Back Pain: When to See a Doctor
Lumbar pain I have recently been experiencing some pain from my lower back to my hips, especially noticeable when I get up from bed. I also feel some unexplained pain and weakness in my legs when I cough. I'm not sure if this is due to overexertion or if I might have an inju...
Dr. Shi Guozheng Reply:
If the pain persists without improvement, it is necessary to consult a physician.[Read More] Understanding Lower Back Pain: When to See a Doctor