Understanding Scoliosis: Risks, Symptoms, and Treatment Options
Spine I have an S-shaped scoliosis, and sometimes when I sleep or lie down for a while, even when sneezing while lying down, I feel a movement in my coccyx area, followed by a popping sound. It feels like all my nerves tighten up, and the pain is so intense that I can't move...
Dr. Shi Guozheng Reply:
Scoliosis typically does not cause lower back pain; however, coccydynia may occur due to compression. It is generally not considered dangerous. Dancing is unlikely to result in paralysis or other issues. It does not lead to snoring.[Read More] Understanding Scoliosis: Risks, Symptoms, and Treatment Options
Understanding Ankylosing Spondylitis: Surgical Options and Recovery Insights
Ankylosing Spondylitis I have been suffering from ankylosing spondylitis since I was in the ninth grade, and now at nearly 35 years old, both my spine and cervical spine have severely calcified and curved, with a curvature of 50 degrees. I am considering surgery to address 1) the...
Dr. Wang Zikang Reply:
Dear Sir/Madam, Ankylosing spondylitis commonly occurs in young males and leads to persistent spinal changes resulting in spinal fusion, kyphosis, and scoliosis. The necessity for surgery depends on the severity of the curvature. Although it is considered a high-risk procedure, ...[Read More] Understanding Ankylosing Spondylitis: Surgical Options and Recovery Insights
Chronic Back Pain: When the Cause Remains a Mystery
Pain with no identifiable cause? Hello, my husband has been experiencing lower back pain for nearly three years. He has seen doctors at Veterans General Hospital and Shin Kong Hospital, and he has undergone rehabilitation at a different hospital for a year and a half, but his con...
Dr. Shi Qiming Reply:
Hello: Your condition has undergone various treatments and long-term therapy without improvement. A detailed examination such as MRI and nuclear medicine tests should be conducted. Only after accurate assessments can effective treatment be initiated. Please visit our orthopedic o...[Read More] Chronic Back Pain: When the Cause Remains a Mystery
Understanding Chronic Pain: Neck, Back, and Joint Issues Explained
Soreness issues? Hello Doctor: When I was a child, I slipped and fell, and since then I have been experiencing frequent neck, back, and lower back pain. Sometimes, after walking too much or standing for too long, I experience severe pain from my buttocks down to my knees. Even si...
Dr. Lin Yijun Reply:
Hello Kay, You have sustained an injury, and given your symptoms of soreness, it is suspected that you may have a lumbar disc herniation causing nerve root compression. You mentioned that the X-ray showed "too dense spinal intervals," which could be indicative of a her...[Read More] Understanding Chronic Pain: Neck, Back, and Joint Issues Explained
Understanding the Success Rate of Vertebroplasty in Elderly Patients
Is the bone cement injection procedure guaranteed to be successful? I would like to ask if vertebroplasty surgery is guaranteed to be successful? My 91-year-old grandmother suffered from a compression fracture of the first thoracic vertebra due to osteoporosis, causing her signif...
Dr. Shi Guozheng Reply:
No surgical procedure or treatment can guarantee 100% success. For patients with vertebral fractures treated with vertebroplasty, some may experience improvement while others may have limited benefits. Traditionally, vertebral fractures caused by osteoporosis are primarily manage...[Read More] Understanding the Success Rate of Vertebroplasty in Elderly Patients
Understanding Calf Pain and Weakness: Causes and Solutions
What are the causes of calf pain and weakness? Dear Dr. Shi, My husband is 166 cm tall and weighs only 50 kg. He has often experienced lower back pain in previous years, which has affected his entire thigh and calf, causing soreness and weakness. Last year (June 3, 2004), he und...
Dr. Shi Guozheng Reply:
This may be sciatica, and you could consider visiting an orthopedic specialist. An MRI can help determine whether it is a disc issue or if there are other causes of spinal stenosis. Such examinations are available at regional hospitals or medical centers, so you may want to call ...[Read More] Understanding Calf Pain and Weakness: Causes and Solutions
Understanding Spinal Curvature: Is Your Spine Too Curved?
From the side view, how curved is the spine? If I stand straight against the wall, there is a half fist distance between my lower back and the wall. From the shoulder blades to the hips, there is no contact with the wall. Does this mean my spine is too curved? What is the normal ...
Dr. Su Yiren Reply:
Dear Ziga: Based on the symptoms you described, there is indeed a condition of lumbar lordosis. It is particularly worth investigating whether the angle of the lumbosacral region is excessive. If the angle exceeds 40°, it may lead to spondylolisthesis, which can cause significant...[Read More] Understanding Spinal Curvature: Is Your Spine Too Curved?
Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Knee problems? Hello, doctor. My condition has persisted for nearly two months. I haven't engaged in any intense exercise; I only traveled abroad in May. I wonder if walking too much could be the cause. Initially, I felt a sensation in my left knee as if the ligaments were b...
Dr. Shi Guozheng Reply:
It could be an issue with the cartilage in the patella, or it may be due to improper alignment or instability of the knee. It's important to consult another physician to determine the exact condition. Quadriceps training may take three to six months to show results, so it is...[Read More] Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Is Foot and Lower Back Pain Normal After Long Walks?
I'm sorry, but I need more information or content Doctor: Hello! If you experience soreness, pain, or numbness in the soles of your feet after walking for a long time, and also feel discomfort in the lower back area around the kidneys, is this normal?
Dr. Shi Guozheng Reply:
Symptoms may occur due to overexertion, but they should improve after rest. If they do not improve, there may be an underlying issue, and it is advisable to consult a physician to determine the specific problem.[Read More] Is Foot and Lower Back Pain Normal After Long Walks?
Understanding Left Rib Pain: Possible Causes and Concerns
Left rib pain? I have pain in my left rib, specifically in the area where my elbow touches when standing straight, on the side of my body. I previously underwent a bone scan (ordered by a rheumatologist), which showed inflammation in my clavicle and lower back, but the area where...
Dr. Shi Guozheng Reply:
Excessive strain can typically cause pain in the area you mentioned, and trauma can also lead to pain, which may be neuropathic in nature. If the pain is caused by postherpetic neuralgia, it will follow the distribution of the intercostal nerves, usually affecting only one side o...[Read More] Understanding Left Rib Pain: Possible Causes and Concerns
Understanding Anterior Shin Pain: Causes and Treatment Options
The anterior tibial bone and the knee? Hello Doctor: A while ago (about two weeks ago), I visited an orthopedic specialist due to pain in my lower back (on both sides of the spine). I had an X-ray taken, and the doctor said there were no issues with the bones; it was likely muscl...
Dr. Li Wenlin Reply:
Hello: In response to your question. You are very young, and your bones have been examined through X-rays, showing no significant issues. Therefore, the likelihood of muscle inflammation or fascia inflammation is quite high. The treatment approach is quite simple. If you maintain...[Read More] Understanding Anterior Shin Pain: Causes and Treatment Options
Understanding Chronic Lower Back Pain: Causes and Treatment Options
My back injury? I previously injured my lower back while playing basketball, but it never fully healed. The injury occurred during my second year of college. I had it checked out, and it didn't hurt anymore, so I didn't pay much attention to it. Throughout my third year...
Dr. Li Wenlin Reply:
Hello: In response to your question, over ninety percent of back injuries, especially in patients under the age of sixty-five, are caused by poor posture leading to muscle and tendon inflammation. I recommend that you find a nearby hospital with a full range of specialties and co...[Read More] Understanding Chronic Lower Back Pain: Causes and Treatment Options
Understanding Lower Spine Pain: Causes and Self-Improvement Tips
Pain below the spine? Hello Dr. Zhou: I have been experiencing pain in my spine for about seven to eight years, particularly near the lower back. Sometimes, I feel that the pain in my lower back (or back pain) causes me to have diarrhea. A few years ago, I also started to have kn...
Dr. Zhou Hongzhi Reply:
Your condition may be ankylosing spondylitis, and you should undergo blood tests and X-ray examinations.[Read More] Understanding Lower Spine Pain: Causes and Self-Improvement Tips
Understanding Your Symptoms: A Guide to Back Pain and Inflammation
Ankylosing spondylitis Hello Doctor, I inquired about an issue a few days ago, and today the report has come out (B27 is negative). I would like to ask about my current condition. Between September and December of last year, I frequently experienced a feeling of chest tightness u...
Dr. Zhou Lizhi Reply:
Based on your description, there is a strong suspicion of an autoimmune disease (HLA B27 negative sero-negative) that may affect the eyes, salivary glands, and other connective tissues. Comprehensive treatment should be conducted by a specialist in immunology, and the inflammatio...[Read More] Understanding Your Symptoms: A Guide to Back Pain and Inflammation
Understanding Lumbar Noises and Weakness: When to Seek Further Evaluation
Audible sounds in the lumbosacral region? Doctor, I'm sorry to disturb you. When I lie flat on a hard surface and lift my legs (especially my left leg) to mimic a cycling motion, I hear a low, deep sound (like a "thud") coming from the area just behind my navel, ne...
Dr. Yang Nanping Reply:
Hello: The abnormal sounds during joint movement are usually caused by the friction between the fascia, ligaments, or with the bones. If this causes discomfort in daily life, certain rehabilitation exercises can help relax these fascia or ligaments. Additionally, for lower limb s...[Read More] Understanding Lumbar Noises and Weakness: When to Seek Further Evaluation
Understanding Spinal Disorders: Is Surgery Necessary for Spinal Fractures and Nerve Compression?
Spina bifida and herniated disc at the L4-L5 level compressing the nerves? Doctor, is spina bifida and herniated discs at the fourth and fifth lumbar vertebrae two different conditions? My husband started experiencing lower back pain about a month ago, which led to partial numbne...
Dr. Wang Zikang Reply:
Hello: Spina bifida and rupture of the fourth and fifth intervertebral discs (lumbar discs) are two different conditions. The former can be managed with conservative treatment and rehabilitation with ongoing observation, while the rupture of the intervertebral discs leading to ne...[Read More] Understanding Spinal Disorders: Is Surgery Necessary for Spinal Fractures and Nerve Compression?
Understanding Chronic Joint Pain: Causes and Treatment Options
Joint pain Hello: My joints have been aching since childhood; I remember being in so much pain that I cried and couldn't walk. Now, I've noticed that sometimes with changes in the weather, the pain can be so severe that I can't sleep (this pain has persisted from c...
Dr. Shi Guozheng Reply:
Knee pain in children can sometimes be attributed to growth-related issues, where the bones grow faster than the tendons or ligaments, leading to discomfort around the knee. This condition is known as growing pains, and typically, no specific problems are found upon examination, ...[Read More] Understanding Chronic Joint Pain: Causes and Treatment Options
Chronic Lower Back Pain: Seeking Answers After Two Years of Suffering
Lower back pain has persisted for two years? Hello, Doctor. I have been experiencing lower back pain for almost two years now. At its worst, I was unable to bend over to get out of bed and had to roll onto my side and push myself up with my hands. Currently, the pain persists whe...
Dr. Shi Guozheng Reply:
Lower back pain can be quite bothersome and may persist for a long time. Its diagnosis is often uncertain, but rehabilitation typically leads to some improvement. Treatment may require a multifaceted approach, including medication, physical therapy, and correcting poor posture an...[Read More] Chronic Lower Back Pain: Seeking Answers After Two Years of Suffering
Understanding Bone Tumors: Symptoms, Diagnosis, and Treatment Options
Bone tumor Hello Dr. Chen, I have been experiencing persistent lower back pain for a long time (the pain comes on suddenly and prevents me from bending, lifting, or even sneezing. It occurs every 1-3 months and lasts for 2-3 days, and this has been ongoing for many years). Recen...
Dr. Chen Xingyuan Reply:
Dear Mr. Cheng, There are many causes of lower back pain. Based on your description, it is likely due to a herniated disc or inflammation of the back muscles, which are closely related to the use and posture of the back. Therefore, during each episode, it may be necessary to ref...[Read More] Understanding Bone Tumors: Symptoms, Diagnosis, and Treatment Options
Understanding Ankylosing Spondylitis: Symptoms, Treatment, and Concerns
Ankylosing spondylitis is a type of inflammatory arthritis that primarily affects the spine, leading to severe, chronic pain and discomfort. It can also affect other joints and areas of the body, including Hello LYC, this is Joann. You might remember me a little. I apologize for ...
Dr. Lin Yijun Reply:
Remember that your HLA-B27 test at National Taiwan University was negative, and your inflammatory markers were normal. Clinically, diagnosing ankylosing spondylitis in HLA-B27 negative patients requires caution. Due to anatomical factors, early sacroiliitis is often difficult to ...[Read More] Understanding Ankylosing Spondylitis: Symptoms, Treatment, and Concerns