Lower back, Orthopedics FAQ

Managing Post-Surgery Back Pain After Scoliosis Surgery

Postoperative care for scoliosis surgery? It has been nearly 500 days since my surgery. Initially, I only experienced lower back pain when standing or sitting, but recently I have been feeling lower back pain even while lying in bed, and the intensity of the pain is quite high. I...

Dr. Chen Bochen Reply:
The solution should be determined based on the surgical condition and postoperative X-rays. It is recommended that you return for a follow-up appointment with the surgeon who performed your operation, or ask the physician to refer you to a rehabilitation specialist for a rehabili...

Affordable Treatment Options for Low-Income Families with Back Pain Issues

Regarding the economic capacity of low-income households? Four years ago, I underwent relevant examinations at the hospital, including an MRI, which diagnosed me with a herniated disc causing sciatica and radiculopathy. The doctor recommended minimally invasive surgery, which wou...

Dr. Chen Bochen Reply:
Many physicians can assist you in applying for health insurance medical equipment; it is not necessary to use minimally invasive surgery, as traditional surgery can also effectively aid in your recovery. If you are facing financial difficulties, you can inform your doctor about y...

Understanding Multiple Pain Symptoms: Back, Abdomen, and Hip Issues

Multiple areas of pain in the body, including back pain, abdominal pain, hip joint pain, and lower back pain? Hello Doctor: My mother has been experiencing abdominal discomfort and pain daily, along with upper back pain, right shoulder pain, hip joint pain, lower back pain, and u...

Dr. Shi Guozheng Reply:
Lumbar degenerative stenosis can present with the aforementioned symptoms; however, imaging studies such as MRI (Magnetic Resonance Imaging) are necessary to confirm the diagnosis before treatment can be initiated.

Understanding L3 Vertebral Decompression Surgery: Risks and Recovery Insights

At that time, I was eager to find a one-time solution? Due to an injury from lifting heavy objects, I have been experiencing symptoms similar to sciatica for a long time without identifying the cause. At an orthopedic clinic, I discovered that I have L3 vertebral arch dissociatio...

Dr. You Dianqi Reply:
Each individual's condition and recovery process varies. It is recommended to follow up with the original treating physician or consult an orthopedic specialist at a regional hospital or higher for a second opinion. Thank you.

Understanding Pain in the Iliac Crest: Causes and Solutions

Anterior superior iliac spine pain? Hello, doctor. Recently, I've been experiencing intermittent pain in the outermost part of my left ilium (the widest area). In the past, I would occasionally feel pain on the same side, but the frequency was low, and I didn't pay much...

Dr. Chen Yongxue Reply:
Hello, regarding the part you mentioned in your letter, the area where the tendon attaches often experiences pain due to tendonitis. Please reduce your physical activity or workload. Applying heat and massaging the affected area, as well as using some anti-inflammatory pain relie...

Post-Surgery Pain After Talus Avascular Necrosis: PRP or Revision Surgery Options?

After 9 months of pain following arthroscopic surgery for talus necrosis, is there a possibility of PRP (Platelet-Rich Plasma) therapy or a second arthroscopic surgery? Hello Doctor, I am a 24-year-old male soccer player. About nine months ago, I underwent arthroscopic microfract...

Dr. You Dianqi Reply:
Each individual's condition and recovery process is different. It is recommended to consult the primary physician. Thank you.

Understanding Coccyx and Lumbar Pain: Solutions for Lasting Relief

Coccygeal issues and lumbar spine issues? Since I started practicing track and field in junior high, I have had persistent issues with my lower back and coccyx that haven't improved. I have seen many Western and traditional Chinese medicine practitioners, but nothing has wor...

Dr. Shi Guozheng Reply:
Coccydynia is usually caused by localized inflammation, although the exact reason is not well understood. If pain occurs, treatment options include medication or local injections. Additionally, it is important to examine other areas of the spine for any issues.

Understanding Foot Numbness and Back Pain: When to See a Specialist

Doctor, may I ask? Hello Doctor, six months ago I experienced tingling and numbness in both feet, along with lower back pain. An X-ray showed that I have wear and tear in my lumbar spine, which the doctor attributed to sports injuries. I have been playing badminton and working ou...

Dr. Chen Bochen Reply:
Avoid prolonged sitting and bending; engage in jogging for a while. If there is no improvement, then consider visiting a rehabilitation specialist.

Understanding Hip Pain and Groin Tightness: A Comprehensive Guide

Buttock pain with tightness in the groin? Around October 6th, I started feeling tightness in the muscles, unsure if it was in the left groin area or the scrotum, especially when sitting cross-legged. This tightness would also occur in certain standing positions. I visited a urolo...

Dr. Shi Guozheng Reply:
Inflammation in the joint between the pelvis and the sacrum can occur, and it is typically treated with medication. Applying heat and reducing activity levels for a few weeks can also help in the treatment.

Understanding Coccyx and Lumbar Pain: Solutions for Lasting Relief

Coccygeal issues and lumbar spine issues? Since I started practicing track and field in junior high, I have had persistent issues with my lower back and coccyx that have not improved despite seeing many Western and traditional Chinese medicine practitioners. My lower back hurts i...

Dr. Shi Guozheng Reply:
Coccydynia is primarily treated with medication and rehabilitation. Applying heat can help reduce pressure on the coccyx. If medication is ineffective, local corticosteroid injections may be considered.

Understanding Left Lower Back Pain After Sleep: Causes and Solutions

Waking up with pain in the left lower back? Hello, I recently woke up with significant soreness in a spot just above my left lower back, around the area of the pelvis. However, once I get up and start moving, I feel completely fine. I've been sleeping on the same bed for a w...

Dr. Wang Shouji Reply:
You can inquire about consultations at the outpatient clinic.

Morning Back Pain: Is It a Spine Issue or Muscle Weakness?

Unable to bend over upon waking up in the morning? Hello Doctor: I am 39 years old and had minimally invasive surgery for bone spurs on my lumbar spine at L2 or L3 ten years ago. In recent years, I have been experiencing frequent episodes of lumbar strain, and every morning I wak...

Dr. Shi Guozheng Reply:
Muscle issues may be alleviated with heat therapy, and continuing rehabilitation could lead to improvement. Additionally, muscle relaxants can be taken to help relieve discomfort.

How Long Should a Brace Be Worn After a Burst Fracture?

How long should a brace be worn for a burst fracture? Dr. Chen, greetings! I was involved in a car accident on the highway, resulting in a "burst fracture of the third lumbar vertebra." In addition to the fracture, there is a compression of 0.3 cm. Since there was no ne...

Dr. Chen Bochen Reply:
Hello, 1. A burst fracture requires wearing a brace for three months, with regular X-rays each month to monitor the healing process. 2. After three months, you can switch to a soft brace. 3. Initially wearing a soft brace, you can gradually increase walking and exercise, even...

Understanding Persistent Discomfort After Vertebroplasty: Causes and Solutions

Persistent soreness after bone cement surgery? Hello, Doctor! I would like to ask about my mother, who recently had an accident. She was diagnosed with osteoporosis at -2.5% and underwent vertebroplasty and hip surgery. Initially, she experienced severe pain, panic, and depressio...

Dr. Chen Bochen Reply:
Hello, bone cement itself does not cause acidity, but there are many injured joints, muscles, and ligaments that cannot be treated with bone cement. These injuries generally require a combination of rehabilitation, brisk walking exercises, and hot compress therapy, along with the...

Effective Treatments for Chronic Pain in the Spine and Joints

Treatment options for chronic pain in the lumbar spine, cervical spine, and knees? I would like to ask about an issue I experienced over six years ago. Due to prolonged sitting, I had severe lower back pain and a tingling, electric shock-like sensation in one leg, which was so in...

Dr. Shi Guozheng Reply:
1. It could be a steroid. 2. The physician administering the injection would know best. 3. If it is a localized tendonitis, an injection can be administered.

Understanding Compression Fractures: Diagnosis Challenges and Travel Insurance Issues

Compression fracture In April, my mother was traveling in Da Nang, Vietnam, when she lost her balance and fell to the ground. She was unable to get up due to pain, and the tour leader and guide contacted the local ambulance to take her to the emergency room. After arriving at the...

Dr. Zhan Xian Reply:
Please consult the original attending physician. Thank you.

Understanding Coccyx Pain: Symptoms, Causes, and When to Seek Help

Coccygeal issues In January of this year, I fell on the stairs and hit my coccyx on the ground. It was very painful at the moment, but after resting for a day or two, the pain subsided, and I did not seek medical attention. About two weeks ago, I noticed that the sensation on the...

Dr. Shi Guozheng Reply:
1. If there is numbness, it may indicate nerve compression. 2. It is possible. 3. It may be related. 4. Unlike cauda equina syndrome, there is no phenomenon of urinary or fecal incontinence.

Understanding Post-Surgery Spinal Issues: Pain, Risks, and Options

Post-spinal surgery Hello, doctor. I am an 8-year post-operative patient with scoliosis. Initially, my curvature was about 40 degrees, with an S-shaped curve extending from the thoracic to the lumbar spine, nearly 30 cm long. The last two segments of my lumbar spine were not fuse...

Dr. Chen Bochen Reply:
Hello, thank you for your hard work. Your issue is quite complex, and you should seek an in-person evaluation from a specialist in scoliosis. I recommend a few scoliosis specialists: Dr. Hsien-Te Chen, Chief of Orthopedics at China Medical University Hospital; Dr. Chien-Chun Chan...

Recovery Tips for Burst Fractures: Safe Mobility After Spinal Injury

Vertebral fracture Dear Doctor, I hope this message finds you well! I was involved in a car accident that resulted in a "burst fracture of the third cervical vertebra" (with vertebral body collapse of 0.3-0.4 cm). I have been resting at home for 7 weeks now. Most of th...

Dr. Shi Guozheng Reply:
Vertebral fractures typically develop callus around eight weeks and usually heal completely by twelve weeks. Before that, some movement is allowed, as activity can promote faster recovery. You can have an X-ray at eight weeks to check on the healing progress of the fracture.

Understanding Elevated Alkaline Phosphatase: Causes and Concerns

Alkaline phosphatase The normal range for alkaline phosphatase is 25-130 U/L, and my level is 132 U/L. My liver function tests, including GOT, GPT, CEA, and CA 19-9, are all normal. I underwent dental implants in March and April of this year, and the procedure is not yet complete...

Dr. Shi Guozheng Reply:
A slight elevation in alkaline phosphatase levels is not a concern; it may return to normal after rechecking in three months. If there are significant symptoms from a herniated disc, treatment is necessary; however, if there is no severe pain, conservative management is sufficien...

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