Chronic Back Pain: Seeking Solutions After 3.4 Years of Suffering
Lower back pain for 3.4 years? Hello Doctor: I have been experiencing lower back pain since high school, and it has persisted for about 3 to 4 years now. Recently, the pain has worsened over the past six months, and it even hurts when I walk. The pain radiates from my lower back ...
Dr. Lin Xiaoyi Reply:
Hello, Xiao Hong: If a diagnosis of seronegative spondyloarthritis is confirmed, the most commonly used immunomodulator is Salazopyrin (sulfasalazine). However, patients with G6PD deficiency may not be suitable for this type of medication (depending on the severity of the enzyme ...[Read More] Chronic Back Pain: Seeking Solutions After 3.4 Years of Suffering
Understanding Pain from the Left Thigh to the Foot: Possible Causes
Pain extending from the left thigh to the foot? Hello doctor, I would like to ask about a recent issue. I often feel pain in my left leg when sitting down, but if I only sit on my right buttock, I do not experience any pain. What could this symptom indicate? Thank you! ^^
Dr. Ye Qingnian Reply:
Hello Mr. Lee: In response to your question, I would like to provide some advice: The pain extending from your left thigh to the sole of your foot is likely due to sciatica, which typically radiates from the lower back down through the thigh to the foot. I'm not sure if ther...[Read More] Understanding Pain from the Left Thigh to the Foot: Possible Causes
Is It Sciatica or Lower Back Pain? Understanding Your Symptoms
Sciatica or lower back pain? Introduction: About 2-3 months ago, I started experiencing lower back pain (in the middle of the lower back). One day, I suddenly sneezed, and the pain became so severe that I couldn't stand up. I went to see a doctor who diagnosed me with sciati...
Dr. Wang Shouji Reply:
Shau-Yu: Your immediate priority should be to establish a diagnosis in order to provide appropriate treatment. Pain and weakness in the buttocks and the posterior aspect of the thighs are common symptoms of sciatica. Bilateral pain in the lower back (around the level of the belt ...[Read More] Is It Sciatica or Lower Back Pain? Understanding Your Symptoms
Is It Really Ankylosing Spondylitis? Understanding Your Back Pain
Is it really ankylosing spondylitis? Hello Doctor, I am 25 years old and have been experiencing lower back pain for nearly a year. However, my pain is only significant when I engage the affected area, such as bending down or sitting upright. I believe this did not occur suddenly;...
Dr. Lin Xiaoyi Reply:
Hello: The diagnosis of ankylosing spondylitis should be based on symptoms, physical examination, and X-ray findings. A positive HLA-B27 test is a reference point, but for clinically suspicious patients, a positive HLA-B27 significantly increases the likelihood of ankylosing spon...[Read More] Is It Really Ankylosing Spondylitis? Understanding Your Back Pain
Understanding Sciatica: Causes, Symptoms, and Treatment Options
Spinal acid Hello, doctor. Three years ago, I injured my spine. I have had X-rays and MRIs done. I often feel a lot of soreness in my lower back, which sometimes radiates down to one leg and sometimes the other. It feels like my legs don’t know where to stretch. My lower back oft...
Dr. Wang Shouji Reply:
Mr. Zhu, if it has been previously confirmed that you have sciatica and the condition is not severe, medication and rehabilitation can often lead to improvement. If there is no progress, further examination is necessary to determine if surgery is required. It is recommended to vi...[Read More] Understanding Sciatica: Causes, Symptoms, and Treatment Options
Should I See an Orthopedist for My Back and Side Pain?
I'm not sure if I need to see an orthopedic specialist? Doctor, I have a longer upper body, so when I sit, I tend to slouch. Initially, my spine and lower back feel a bit sore, probably because I've been in the same position for too long without moving. When I try to st...
Dr. Wang Shouji Reply:
Poor posture is a risk factor for back pain. Kidney, urinary tract, and gynecological issues can also present with symptoms of back pain. You may want to consult an orthopedic specialist to determine if there are any structural problems. Constipation rarely affects back pain. Wis...[Read More] Should I See an Orthopedist for My Back and Side Pain?
Understanding and Managing Severe Lower Back Pain in Older Adults
Lower back pain issues? Hello doctor, my father is 57 years old. Since New Year's Eve, he has been experiencing severe lower back pain, making it feel as though he has no back at all. He can barely walk, and this has continued until now. For the past two to three weeks, he h...
Dr. Shi Qiming Reply:
Hello: It may be a muscle strain or a kidney issue. Try applying heat and undergoing rehabilitation. If the condition does not improve after a while, you may go to the hospital for further examination and treatment. Thank you![Read More] Understanding and Managing Severe Lower Back Pain in Older Adults
Understanding Postpartum Pelvic Pain: Causes and Solutions
excuse me? Hello Doctor: My situation is as follows: After giving birth at the end of December last year, a week later, I experienced severe pain in the left side of my pelvis and lower back, akin to nerve pain, which rendered me unable to walk. Any movement triggered intense pai...
Dr. Shi Guozheng Reply:
Lower back pain can indeed be quite bothersome and difficult to diagnose. In cases like yours, where both X-rays and MRI results are normal, it can be challenging to determine the diagnosis. However, postpartum lower back pain can sometimes be attributed to the relaxation and wea...[Read More] Understanding Postpartum Pelvic Pain: Causes and Solutions
Uneven Shoulder Height: Signs of Scoliosis and Treatment Options
Uneven shoulder height? The left shoulder is slightly higher than the right; does this indicate scoliosis? What tests are needed to confirm scoliosis? What treatments should be pursued afterward? Will these treatments require out-of-pocket expenses? Can scoliosis cause lower back...
Dr. Wang Shouji Reply:
Xiao Guang: The difference in height on both sides of your shoulders is indeed a common manifestation of scoliosis. Generally, an X-ray can reveal this condition, and treatment options range from observation to surgery, depending on the severity. Since you are in your twenties an...[Read More] Uneven Shoulder Height: Signs of Scoliosis and Treatment Options
Understanding Right-Sided Abdominal Pain: Causes and Treatment Options
The pain is located at the level of the navel, on the right side, approximately 10 to 15 centimeters from the side of the waist? Hello Dr. Wang: I have pain located at the level of my navel, about 10 to 15 centimeters to the right side of my waist. In addition to general soreness...
Dr. Wang Shouji Reply:
JEFF: Sciatica is defined as pain that radiates along the path of the sciatic nerve, typically affecting the lower back and extending down the legs. If there is only lower back pain without any neurological symptoms in the lower extremities, it does not meet the medical definitio...[Read More] Understanding Right-Sided Abdominal Pain: Causes and Treatment Options
Understanding Right-Side Lower Back Pain: Causes and Solutions
Lumbar issues? I often experience pain in the right side of my lower back, accompanied by a stabbing sensation. What could be the cause of this?
Dr. Shi Qiming Reply:
In response to your inquiry, the possible causes you mentioned could include kidney issues or muscle strains. However, since your description is not very detailed, we kindly ask you to visit our orthopedic outpatient clinic for a thorough diagnosis. Thank you![Read More] Understanding Right-Side Lower Back Pain: Causes and Solutions
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 Your Back Pain: Possible Causes and Solutions
My spine~~ I often experience pain in my lower back, especially after walking or sitting for extended periods. Sometimes, lying down can be quite uncomfortable, and it takes a while for me to feel normal again. What could be the possible causes of this?
Dr. Li Wenlin Reply:
Hello: In response to your question, according to books and previous research reports, over ninety-five percent of patients under the age of sixty-five who complain of back pain have this issue primarily due to poor posture. The solution involves first taking medication in conjun...[Read More] Understanding Your Back Pain: Possible Causes and Solutions
Understanding Chronic Pelvic Pain: Causes and Solutions
Pelvic pain Hello, doctor. I have been experiencing persistent pelvic pain for a long time, making it difficult for me to stand or sit for extended periods. It feels like my lower back is about to break, and I don't have any symptoms of frequent urination or bladder infectio...
Dr. Shi Guozheng Reply:
Pelvic pain should first be evaluated for any gynecological issues. Next, it is important to assess the spine for abnormalities, such as spondylolysis or spondylolisthesis. Consulting an orthopedic specialist for further examination is advisable.[Read More] Understanding Chronic Pelvic Pain: Causes and Solutions
Understanding Spinal Compression: Symptoms, Monitoring, and Impact
Spinal compression Hello Doctor: Today I visited an orthopedic specialist due to lower back pain, and it was discovered that the first vertebra from the bottom of my spine is experiencing compression, appearing somewhat trapezoidal. The doctor advised me to continue monitoring it...
Dr. Shi Guozheng Reply:
The bone appears trapezoidal, which may indicate a previous injury or compression. Given your age, it is less likely to be caused by osteoporosis. It is advisable to have another X-ray in six months; if there are no changes, it should be fine. Continuous compression leading to a ...[Read More] Understanding Spinal Compression: Symptoms, Monitoring, and Impact
Understanding Chronic Neck Pain: Causes, Treatments, and Solutions
Chronic neck pain? Hello Dr. Li, On December 28th, I experienced severe back pain in the afternoon and visited your hospital's orthopedic department, where I consulted with Dr. Chen Yong-Hsueh. He asked me about my discomfort, the cause of the pain, and my occupation. I ex...
Dr. Li Wenlin Reply:
Hello, in response to your questions: 1. Generally, among patients under the age of sixty-five who complain of lower back pain and neck/shoulder discomfort, ninety-five percent of cases are attributed to poor posture. However, not every young person with back or neck pain is nec...[Read More] Understanding Chronic Neck Pain: Causes, Treatments, and Solutions
Understanding Lower Back Pain, Cramps, and Osteoporosis: Expert Insights
Spine Hello Doctor: 1. I often experience soreness and even weakness at the very bottom of my spine (near the waist). Sometimes, I can't get out of bed, and pressing on the area makes it feel even more sore and weak. I've seen a doctor and had X-rays done, but the doct...
Dr. Wang Shouji Reply:
Young people often experience lower back pain primarily due to poor posture and muscle fatigue. A small percentage of cases may be related to spinal structural issues, such as scoliosis and spina bifida. Generally, if a hospital examination has been conducted, structural problems...[Read More] Understanding Lower Back Pain, Cramps, and Osteoporosis: Expert Insights
Understanding Lumbar Spine Issues: Is My Condition Serious?
I'm sorry, but I need specific content to translate. Please provide the text you would I apologize for the inconvenience, but I would like to ask again. I had X-ray examinations at Chi Mei and National Cheng Kung University hospitals, and the diagnosis showed that my lumbar ...
Dr. Shi Guozheng Reply:
Congenital sacral dysgenesis is medically referred to as spina bifida sacrum, and it is usually not severe. If there is no nerve involvement or compression, symptoms typically do not occur. This condition is often visible on X-ray images and generally does not require treatment.[Read More] Understanding Lumbar Spine Issues: Is My Condition Serious?
Understanding Lumbar Lordosis: Causes and Pain Management Insights
Lumbar spine is relatively straight? Hello, doctor. I had an X-ray that showed my lumbar spine is straighter than normal. I went to see a traditional Chinese medicine practitioner for rehabilitation, and the therapist mentioned that the curvature of my lumbar spine is lost, which...
Dr. Shi Guozheng Reply:
1. After experiencing lower back pain, the muscles may tighten, resulting in a straighter posture; however, once the pain subsides, the condition will improve. 2. The pain is not caused by the straighter posture, but rather by strains or sprains of the muscles, tendons, or liga...[Read More] Understanding Lumbar Lordosis: Causes and Pain Management Insights
Understanding Congenital Sacral Nonunion: Causes and Treatment Options
Congenital sacral nonunion Hello, doctor. I had an X-ray, and the doctor said I have congenital incomplete fusion of the right sacrum! However, I sometimes experience soreness in my left lower back. Could this be caused by the incomplete fusion of the sacrum? If so, what kind of ...
Dr. Shi Guozheng Reply:
Typically, sacral nonunion does not cause pain symptoms. The pain in the left side of the lower back may have other underlying causes. Identifying the cause and providing appropriate treatment should lead to improvement.[Read More] Understanding Congenital Sacral Nonunion: Causes and Treatment Options