Lower back, Orthopedics FAQ

Post-Fall Concerns: Can a Spine Injury Affect Erectile Function?

Falling and landing on the buttocks can lead to unusual erections afterward? Hello, doctor. A few days ago, I fell and landed on my buttocks, which caused pain in my lower back and lumbar spine for one night. After several days, I noticed that I no longer have morning erections, ...

Dr. Shi Guozheng Reply:
There should be no impact on sexual function if there are no fractures or nerve damage.

Which Specialist Should You See for Persistent Back and Leg Pain?

Which specialist should I see for the following pain? Hello Doctor: I have been experiencing lower back pain for three months. Currently, I cannot bend over while washing my hair, and light tapping on the outer side of my right thigh causes numbness and pain. If I sleep on my rig...

Dr. Shi Guozheng Reply:
It could be due to an issue with the hip joint, so it would be advisable to consult an orthopedic specialist to check for any potential problems.

Can You Run with a Mild Disc Bulge? Insights for Runners

Intervertebral disc protrusion and jogging? Hello Doctor, about a month ago I sought medical attention due to severe lower back pain. After X-ray and MRI examinations, both the neurosurgeon and the rehabilitation specialist indicated that there were no issues with my spine or ner...

Dr. Shi Guozheng Reply:
If it is a mild herniation, rest and medication can lead to recovery in about six weeks to three months, and rehabilitation will also help in the recovery process.

Could It Be Ankylosing Spondylitis? Understanding Your Back Pain

Is this ankylosing spondylitis? Hello Doctor, I have been experiencing stiffness in my lower back for almost a week. It’s not sore or painful, and I don’t feel particularly stiff in the morning. The stiffness varies in timing, but it tends to improve after taking a hot shower. Ho...

Dr. Shi Guozheng Reply:
Typically, an X-ray can reveal changes in the spine and sacroiliac joints. Additionally, a blood test for the presence of the HLA-B27 antigen can also be useful for reference. It is necessary to visit a hospital for these examinations.

Managing Childhood Injuries: Back Pain and Scoliosis Solutions

Childhood injury If you fell down the stairs as a child and did not receive immediate treatment, and now experience lower back pain during your menstrual cycle, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, suc...

Dr. Shi Guozheng Reply:
Old injuries from childhood are usually unrelated to current symptoms. If there is scoliosis, the degree of curvature needs to be assessed. A small angle, for example, less than 20 degrees, does not require correction. Treatment is necessary only if the angle is significant and s...

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...

Understanding Recovery from T12 Spine Injury After a Car Accident

Injury to the 12th vertebra of the spine after a car accident? Hello, doctor. I was in a car accident on October 2nd, resulting in a fracture of my T12 vertebra. I have been lying down for an extended period and required surgery, during which 8 steel screws were inserted. I need ...

Dr. Shi Guozheng Reply:
If there is no injury to the spinal nerves and the vertebrae are fractured, healing will occur. After surgery, there may be some soreness, which could lead to a slight hunching of the back. To promote normal bone growth after a fracture, it is important to supplement with calcium...

Managing Bruising and Pain After an Ankle Injury: When to Seek Help

Bruising and soreness? I apologize for the inconvenience, but I would like to ask about my condition. Last week, I was involved in a car accident where I sprained my right ankle, resulting in bruising and some abrasions. I went to a hospital for an X-ray, and they confirmed that ...

Dr. Shi Guozheng Reply:
Bruising typically takes about two weeks to resolve on its own. Lower back pain is not necessarily due to a herniated disc; it could also be caused by a strain or contusion. If the pain does not improve after rest, it is advisable to see a physician.

Persistent Pain After Spinal Surgery: Seeking Answers and Solutions

Spondylolisthesis: Persistent Pain After Surgery My mother has experienced spondylolisthesis at the L3, L4, and L5 vertebrae, which has caused pain in her right lower limb. She underwent surgery (orthopedic) and had screws inserted. It has been five months since the surgery, but ...

Dr. Wang Shouji Reply:
Hello: This issue depends on whether there is new nerve compression or if it is caused by an existing problem leading to long-term nerve damage. X-rays primarily assess the position of the screws and whether there is successful bone healing. If nerve symptoms are present, a repea...

Understanding Lower Back Pain: Causes and Solutions for Relief

Lower back pain? Dear Dr. Chen, I have been experiencing lower back pain for some time, but over the past month, the pain has intensified. I feel soreness and discomfort in my entire lower back and pelvic area. Additionally, when I take a deep breath and engage my abdominal musc...

Dr. Chen Yongxue Reply:
Hello, 1. Please go to the outpatient clinic for a lumbar spine examination. 2. It is possible. Thank you.

Understanding Spinal Alignment: Straight vs. S-Shaped Spine Issues

The spine is straight? Hello, doctor. My brother was in a car accident last Wednesday and went to Cheng Ching Hospital in Wuri for an X-ray. The doctor mentioned that his spine is straight, but it should be S-shaped, right? The doctor didn't elaborate much, so I would like t...

Dr. Wang Shouji Reply:
Hello: The lateral X-ray of the spine should not show an S-curve. A spine that is too straight on the lateral view may be due to muscle tightness after an injury or long-term poor posture. It is advisable to monitor this after recovery from the current injury. You may first consu...

Understanding Neck and Back Sounds: Are They Signs of Aging?

Hello, doctor? Hello, Doctor. I'm not sure why, but recently the bones in my cervical spine (specifically the first joint that can be seen when I slightly lower my head) have been making sounds. I often find myself unconsciously slouching, and whenever I become aware of it, ...

Dr. Shi Guozheng Reply:
This may be the sound of bones and ligaments or nearby synovial tissue rubbing against each other, which is not related to pain. If you are very concerned, you can get an X-ray to check for any other issues.

Managing Hand Injuries and Chronic Pain: A Guide for Basketball Players

The hand was hit by a basketball? 1. My classmate was hit on the hand by a basketball a few days ago. Initially, it didn't hurt, but later it became swollen. I would like to ask the doctor what to do since my classmate is allergic to topical medications. He has visited sever...

Dr. Hong Ximing Reply:
For sports injuries with swelling, in addition to standard ice and heat therapy, medications should not be used if there is a history of allergies. Injuries sustained during elementary school are generally not related to menstrual pain.

Understanding Pain in Lower Back and Upper Buttocks: Causes and Treatment Options

Pain in the lower back and sides of the upper buttocks? Hello, doctor. I would like to ask about the sudden pain I have been experiencing in my lower back, around the sacrum, and on both sides of my buttocks over the past two days. What could be the cause? Which department should...

Dr. Wang Shouji Reply:
Hello: If you are experiencing long-term soreness after an injury, it is recommended to follow up at the hospital for further evaluation and advice. Thank you!

Understanding Inversion Therapy for Osteoarthritis and Back Pain Relief

Degenerative arthritis. Lower back pain and the "inversion table." Hello: I have osteoarthritis and am currently undergoing hyaluronic acid treatment, which is in the fourth phase of therapy. I also have a chronic lower back pain condition (left lumbar region - middle l...

Dr. Shi Guozheng Reply:
If degenerative arthritis is not severe, it can be treated with medication. If this is ineffective, intra-articular hyaluronic acid injections may be considered, although their effectiveness is not guaranteed. In cases of severe arthritis that do not improve, surgical interventio...

Understanding Sciatica: Causes, Symptoms, and When to Seek Help

Pain in the buttocks? Hello, doctor. Recently, I've been feeling soreness on both sides of my lower back when I wake up in the morning. Additionally, since Wednesday, I've been experiencing a sensation in my right buttock that feels like the bone is displaced, moving to...

Dr. Shi Guozheng Reply:
It could be an issue with the hip joint or lumbar spine; you can schedule an appointment with an orthopedic specialist to have it checked.

Understanding Your Symptoms: Neck and Back Pain Diagnosis and Treatment

What symptoms should I have? Hello Dr. Wang, I have been experiencing pain in my neck and lower back for over a month. Today, I went to a larger clinic for an X-ray, and they told me that I have small bone spurs and that the bones connecting to my lower back have degenerated and ...

Dr. Wang Shouji Reply:
Hello: The presence of bone spurs indicates that degenerative arthritis of the spine is already present. It is important to be cautious with weight-bearing activities, bending, and posture. Using analgesics can only provide temporary relief from discomfort and is not a long-term ...

Chronic Lower Back Pain: Seeking Solutions After 18 Months of Discomfort

Lumbar pain lasting for one and a half years? Dear Dr. Wang, I apologize for the lengthy message, but I believe that clearly describing my symptoms will help you understand my situation better. I have had scoliosis since high school, with a curvature of about 15 degrees. After g...

Dr. Wang Shouji Reply:
Hello: Scoliosis, combined with the fact that humans spend most of their time either sitting or standing, increases the likelihood of degenerative changes in the spinal joints. If the symptoms you described are indeed that severe, it is advisable to visit a hospital for further e...

Understanding Inversion Therapy for Arthritis and Sports Injuries

Inversion tables and their relation to arthritis pain / sports injury issues? Hello, Dr. Shi! 1) I have osteoarthritis and am currently undergoing a treatment regimen of two phases of hyaluronic acid injections per year. Each treatment cycle lasts five weeks, with an injection ...

Dr. Shi Guozheng Reply:
Knee joint degeneration is almost a common issue among older adults. If hyaluronic acid injections have not improved the condition, it may be necessary to evaluate whether surgical treatment is required. Engaging in light exercise is acceptable, but activities involving excessive...

Understanding Tailbone Fractures: When to Seek Further Medical Advice

Spinal fracture? About a year and a half ago, I fell and went to see a doctor. The doctor said there was a crack in my coccyx and that it would heal on its own over time. However, I still experience occasional pain and discomfort. Is this normal? I'm worried that it hasn...

Dr. Wang Shouji Reply:
Hello: Follow-up X-rays should not significantly affect the uterus. A coccyx contusion or fracture may have effects for several months, so avoid prolonged sitting and any irritation to the affected area; follow-up X-rays are still necessary. Asymmetry in the lumbar region may be ...

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