Understanding Spinal Injuries: Symptoms, Treatment, and When to See a Specialist
Spinal cord injury Due to a fall before May, I sustained an injury in the area between my groin and lower back, which has been painful for 1-2 days. I did not see a doctor at that time, but the pain subsided. However, the injured area has suddenly started to hurt again in the pas...
Dr. Wang Zikang Reply:
Dear netizen: The area referred to as the groin and the waist is the inguinal region, where pain caused by a contusion typically does not lead to neurological symptoms. Since the majority of lower limb nerves are supplied by the posterior sciatic nerve, symptoms such as fever and...[Read More] Understanding Spinal Injuries: Symptoms, Treatment, and When to See a Specialist
Understanding Sciatica: Causes, Treatments, and Exercise Recommendations
Sciatica Hello, Doctor: I have a question to ask you. Three years ago, one morning, while I was running up the stairs, I suddenly felt a sharp pain in my lower back. Initially, I thought I had just strained my back, so I went to the hospital and received several injections, but t...
Dr. Shi Qiming Reply:
Dear Sir/Madam, In younger patients, spinal disorders often present as herniated discs, which constitute a significant proportion of cases. Generally, conservative treatment is the primary approach, with surgery being considered in no more than 15% of patients. Before considerin...[Read More] Understanding Sciatica: Causes, Treatments, and Exercise Recommendations
Understanding Spinal Ligament Tears: Care, Recovery, and Risks
Spinal ligament tear Hello Dr. Yang, Four days ago, I experienced lower back pain due to an external impact and sought medical attention. After an X-ray, the doctor diagnosed me with a ligament tear in my spine and prescribed anti-inflammatory medication. I would like to ask how...
Dr. Yang Zhengfan Reply:
Hello, spinal ligament tears are commonly referred to as sprains. They are generally treated with anti-inflammatory and pain-relieving medications, along with appropriate rest and heat therapy. Recovery typically takes about two to three weeks.[Read More] Understanding Spinal Ligament Tears: Care, Recovery, and Risks
Understanding Congenital Lumbar Spine Anomalies: Causes, Symptoms, and Treatment Options
Congenital spinal anomalies Hello, doctor. I am 23 years old. My lumbar vertebra L5 is underdeveloped and fused with the adjacent joint, which appears to have a crack. Is this lumbar sacralization? Is it a type of spondylolysis? Some doctors say it is spondylolysis, but I have se...
Dr. Shi Guozheng Reply:
Lumbar sacralization or spinal stenosis is unlikely to cause severe lower back pain or lumbar pain. Since your CT scan results are normal, it should not affect your body. You should consult an orthopedic specialist or a rehabilitation physician.[Read More] Understanding Congenital Lumbar Spine Anomalies: Causes, Symptoms, and Treatment Options
Understanding Far Out in Orthopedic Context: Insights on Lumbar Issues
I'm sorry, but I need more Hello, doctor. May I ask what "Far out" means? The doctor said I have a combination of the 5th lumbar vertebra and Far out syndrome. He mentioned that there is a crack (on the left side) in the bone adjacent to my 5th lumbar vertebra. Som...
Dr. Shi Qiming Reply:
Dear Xiaoxian Jun, Based on your description, it seems to refer to the fifth lumbar vertebra undergoing sacralization combined with spina bifida. Generally, this condition is not considered very severe. However, if there are significant neurological symptoms, further detailed ex...[Read More] Understanding Far Out in Orthopedic Context: Insights on Lumbar Issues
Understanding Sacralization and Its Impact on Lower Back Pain
Lumbarization of the sacrum Dear Doctor: My L5 vertebra is underdeveloped and fused with the adjacent joint. Could this be lumbar sacralization or sacral lumbarization? I experience daily back pain, especially when bending over. I have researched online, and some doctors believe ...
Dr. Sun Ruisheng Reply:
In general, young individuals like Ah-Zhi often report muscle fatigue in the back, with over 90% experiencing chronic inflammation. Only a small percentage have spinal or joint pathologies due to injuries or congenital structural differences. This is particularly true for those w...[Read More] Understanding Sacralization and Its Impact on Lower Back Pain
Understanding Hip Pain: Causes, Symptoms, and Treatment Options
Hip pain Doctor, I have been experiencing soreness in the hip area of my left leg whenever I bend over or exert pressure on my leg. I can't pinpoint the exact location of the pain. This started yesterday. Possible causes include: (1) I sneezed before going to bed the night b...
Dr. Sun Ruisheng Reply:
1. Unexplained pain in the hip, aside from common conditions like fractures and inflammation, can often be overlooked, including conditions such as synovitis, labral tears, and cartilage lesions, which may sometimes present with atypical symptoms. 2. While it’s uncommon to injure...[Read More] Understanding Hip Pain: Causes, Symptoms, and Treatment Options
Which Specialist Should Your Friend See for Persistent Leg Pain?
Which specialty should I consult for this symptom? Hello: First, let me tell you about my friend's symptoms: 1. He has persistent thigh pain (the pain extends from the thigh down to the knee). 2. He cannot sit because the thigh becomes sore, tingling, and painful. 3. He can ...
Dr. Zhou Lizhi Reply:
Dear user, thank you for your detailed description of the symptoms. I will reorganize the issues as follows: Firstly, the full name of orthopedics is "Orthopedic Surgery," which encompasses issues related to bones, muscles, and joints. Therefore, the patient's co...[Read More] Which Specialist Should Your Friend See for Persistent Leg Pain?
Post-Surgery Concerns: Understanding Complications After Disc Surgery
What are the follow-up procedures after a herniated disc surgery? Hello Doctor, I underwent endoscopic discectomy for a herniated disc at the end of June this year. The initial MRI diagnosis indicated herniation at L4-L5 and L5-S1, compressing the right nerve root. My attending p...
Dr. Shi Guozheng Reply:
First, double-check to confirm the accuracy of the surgical site. If the compressed intervertebral disc is still present and related to the symptoms, then reconsider a second surgery. However, if it is soon after the initial surgery, strong evidence must be present to justify ano...[Read More] Post-Surgery Concerns: Understanding Complications After Disc Surgery
Understanding the Connection Between TMJ Disorders and Spinal Issues
Spinal issues Doctor, I am a patient with temporomandibular joint disorder. Currently, I am experiencing pain in my neck, shoulders, back, and lower back, and turning my neck causes pain. I have also had arm weakness for the past four months. I once read an article stating that j...
Dr. Shi Qiming Reply:
Dear A-Zhi: The most common conditions affecting the temporomandibular joint (TMJ) include arthritis and dislocation. Due to its movement, it can also affect the sternocleidomastoid muscles, potentially leading to neck pain; however, it is not related to spinal misalignment. Sinc...[Read More] Understanding the Connection Between TMJ Disorders and Spinal Issues
Understanding Chronic Back Pain: Causes and Solutions for Relief
Lower back pain? Hello, I often experience lower back pain and discomfort, and I can't tolerate standing or sitting for more than about five minutes before feeling sore. When I stand, I have difficulty maintaining proper posture and tend to sway. After exercising, I feel sig...
Dr. Zhou Lizhi Reply:
Based on the symptoms you described, there may be two areas that require detailed examination. The first is an issue with the lumbar spine; abnormal lumbar scoliosis can often lead to poor posture, and patients who are still growing need to be particularly vigilant about the pote...[Read More] Understanding Chronic Back Pain: Causes and Solutions for Relief
Managing Chronic Back Pain from Long Hours at the Office
Bone pain? Dear Dr. Sun, I often experience back pain due to prolonged hours of sitting in the office, and now I also wake up from sleep because of this back pain, which makes me hesitant to sleep for too long. If this situation continues, will it worsen? Additionally, I should ...
Dr. Sun Ruisheng Reply:
Hello: Due to prolonged hours of sitting in offices, modern individuals often experience lower back pain, which is a common issue today. Usually, appropriate rest can help alleviate this condition. However, if the back pain wakes you from sleep, it is advisable to consult an orth...[Read More] Managing Chronic Back Pain from Long Hours at the Office
Understanding Your Child's Back Pain: Is It Physiological or Structural?
Lower back pain? My child often experiences lower back pain. Drinking bone broth alleviates the symptoms, but I frequently hear him complaining. Is this menstrual pain or a physical issue?
Dr. Zhou Hongzhi Reply:
First, it's important to know your child's age. I recommend taking your child for an X-ray and a urinalysis to determine whether the issue is related to the bones or the kidneys.[Read More] Understanding Your Child's Back Pain: Is It Physiological or Structural?
Understanding Spinal Injuries: Symptoms, Diagnosis, and Treatment Options
Spinal cord injury Hello Doctor: I accidentally fell and landed on my buttocks, initially feeling pain around the groin and lower back, but it wasn't very severe. I went to the orthopedic department at National Taiwan University Hospital and the neurosurgery department at Tr...
Dr. Shi Guozheng Reply:
Falling to the ground typically results in impact to the coccyx. Injuries to the coccyx usually cause pain but rarely lead to neurological deficits. If there is compression of the spine, it may result in abnormalities in movement and sensation, such as muscle weakness, paralysis,...[Read More] Understanding Spinal Injuries: Symptoms, Diagnosis, and Treatment Options
Understanding Sciatica: Symptoms, Treatment, and Medication Concerns
Sciatica Hello, Doctor. I have a slight spinal curvature, and due to my job, I often carry heavy sheet music while on the go. I wonder if this is related to my menstrual pain. On the first day after my menstrual period ended, I accidentally carried a rather heavy book home, and t...
Dr. Zhou Hongzhi Reply:
1. Your symptoms are likely indicative of sciatica. 2. The medication does not contain any corticosteroids. 3. You should return to the hospital for further examination.[Read More] Understanding Sciatica: Symptoms, Treatment, and Medication Concerns
Effective Rehabilitation Strategies After Hip Joint Surgery
Postoperative Rehabilitation for Hip Joint Surgery Hello, doctor. I was in a car accident in mid-February and my hip joint was crushed. The doctor did not perform a hip replacement but instead used plates and screws. It has been over three months since the surgery, and I would li...
Dr. Li Wenlin Reply:
Hello: In response to your question, what you refer to as a "crushed hip joint" likely refers to an acetabular fracture. If it is indeed an acetabular fracture, it does not necessarily require treatment with a hip replacement. If the joint surface remains intact, some c...[Read More] Effective Rehabilitation Strategies After Hip Joint Surgery
Understanding Lower Back Pain: Causes and Solutions for Morning Discomfort
Lumbar pain Hello Director Shih: I often experience pain and soreness from my lumbar spine down to the soles of my feet, especially in the morning when I wake up. It feels particularly uncomfortable. Could you please provide me with some insights? Thank you!
Dr. Shi Guozheng Reply:
I am unsure whether your pain is accompanied by any numbness, and whether symptoms worsen when you cough or exert pressure on your abdomen. How long have you been experiencing this pain? Is there any muscle weakness or atrophy? Are you able to walk, and can you lift your legs? Th...[Read More] Understanding Lower Back Pain: Causes and Solutions for Morning Discomfort
Understanding Lower Back Pain: Causes, Symptoms, and Diagnosis
I'm sorry, but I need specific content to translate. Please Dr. Sun: Good morning! Hello! I am currently experiencing slight pain in my lower back, just below my navel, and I feel some discomfort when bending over. Additionally, when I squat down, I also feel a tight, painfu...
Dr. Sun Ruisheng Reply:
Based on your description, it is highly likely that you have a lumbar muscle strain or lumbar vertebral dislocation. I recommend that you visit a medical facility to consult with an orthopedic specialist for diagnosis and treatment.[Read More] Understanding Lower Back Pain: Causes, Symptoms, and Diagnosis
Understanding Chronic Lower Back Pain: Causes and Solutions
Lower back pain? I have been experiencing lower back pain for the past two years. I am studying computer science, and two years ago, after sitting for a long time while using the computer, I started to feel pain in my lower back that night. At that time, I was studying abroad, an...
Dr. Xie Tianjie Reply:
Hello: There are many differential diagnoses for lower back pain. If you have persistent back pain and morning stiffness, it is recommended to visit a hospital for a detailed examination and treatment. Additionally, a negative HLA-B27 test does not completely rule out ankylosing ...[Read More] Understanding Chronic Lower Back Pain: Causes and Solutions
Understanding Scoliosis: Long-Term Effects and Pregnancy Considerations
Regarding scoliosis (spiral form) Dear Doctor: I have a friend who has congenital scoliosis. I only know that it is spiral in shape, and he mentioned that his sternum has not been deformed due to the scoliosis. He underwent surgery around the age of 12-13. He did not specify whic...
Dr. Shi Guozheng Reply:
After spinal scoliosis surgery, it is important to assess the degree of deformity correction. If the angle is already small, there is likely to be minimal future impact. However, if the angle remains significant, there may be a risk of lower back pain or further deterioration. A ...[Read More] Understanding Scoliosis: Long-Term Effects and Pregnancy Considerations