Understanding Leg Length Discrepancy: Measurement Errors and Solutions
Measurement errors in leg length discrepancy and inability to stand for prolonged periods? Hello Doctor: I would like to ask, during my first visit to Hospital 804 for an X-ray, the measurement of my right leg was 2.15 cm longer than my left leg, but during my second visit to Vet...
Dr. Zhan Xian Reply:
Hello, scanometry of the lower extremities is primarily used to assess leg length and deformities. There may be some variations in measurements due to different hospitals, software, and physicians. If your leg length discrepancy is between 1-2 centimeters, you can initially use s...[Read More] Understanding Leg Length Discrepancy: Measurement Errors and Solutions
Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained
I am unsure whether the pain is in the muscles or the bones? Hello, doctor. 1. Is it normal to hear popping or cracking sounds when rotating the head during stretching exercises? 2. There is a muscle located two finger widths behind the upper right shoulder that becomes sore a...
Dr. Wang Shouji Reply:
Hello, 1. Joint sounds during movement are usually not a concern if there are no accompanying symptoms such as pain. 2. Shoulder issues may be caused by muscle stiffness or poor circulation, and it is advisable to visit a hospital to check for potential cervical spine issues. 3. ...[Read More] Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained
Post-Surgery Care and Concerns After Lumbar Fusion: A Guide
What are the issues after lumbar fusion surgery? Currently, my doctor said I can go jogging and do some stretching, but I should avoid bending over and lifting heavy objects. His responses were quite brief, probably because he is too busy to provide detailed information. My lumba...
Dr. Wang Shouji Reply:
Hello, after spinal fusion, it is important to check if the fusion has been completed. If the fusion is successful, engaging in some core muscle training should not pose significant issues. If sitting in a chair is uncomfortable, feel free to change it. Lumbar fusion will inevita...[Read More] Post-Surgery Care and Concerns After Lumbar Fusion: A Guide
Understanding Lumbar Vertebra Fractures: Causes, Symptoms, and Treatment Options
Fracture of the fifth lumbar vertebra? I have recently experienced unexplained pain in my lower back and legs. An X-ray examination at the hospital initially indicated a fracture of the fifth lumbar vertebra. A follow-up MRI is scheduled. As I am currently serving in the military...
Dr. Chen Bochen Reply:
Hello, if there is no significant trauma, a fracture of the fifth lumbar vertebra usually refers to a spondylolysis, which is a condition of incomplete congenital development. Generally, as long as there are good exercise habits and avoidance of prolonged sitting and heavy liftin...[Read More] Understanding Lumbar Vertebra Fractures: Causes, Symptoms, and Treatment Options
Severe Pain from Hip to Calf: Is It Sciatica or Something Else?
Pain from the buttocks to the calves that makes it impossible to walk? Hello Dr. Chen, my mother was initially diagnosed with spinal degeneration and bone spurs compressing the nerves. She initially experienced pain in her lower back and legs, but now she is in pain while lying d...
Dr. Chen Bochen Reply:
Hello, based on your symptom description, it is possible that you have a herniated disc causing nerve compression, leading to sciatica. Please visit an orthopedic or neurosurgery outpatient clinic. The physician will arrange for X-rays or MRI based on your condition. If you exper...[Read More] Severe Pain from Hip to Calf: Is It Sciatica or Something Else?
Managing Spondylolysis and Spondylolisthesis: Key Questions Answered
How should lumbar spondylolysis with spondylolisthesis be managed? Hello Doctor, I previously visited for lower back pain, and the doctor mentioned that I have a lumbosacral fifth vertebra arch dissociation. During my recent follow-up, the doctor indicated that I have signs of sp...
Dr. Wang Shouji Reply:
Hello, strengthening the core muscles is essential. If there is significant low back pain and lower limb numbness, and it progresses to a grade II spondylolisthesis, the likelihood of requiring surgical reduction and fixation is high. The success rate for repair after progressing...[Read More] Managing Spondylolysis and Spondylolisthesis: Key Questions Answered
Does Pelvic Rotation Cause Uneven Walking? Understanding the Impact
Does pelvic rotation cause a feeling of walking with a tilt? Dear Doctor: I have always had a habit of exercising, but due to the pandemic, I was unable to exercise for over two months starting from May 16. With long hours of sitting at work, I have been experiencing tightness in...
Dr. Wang Shouji Reply:
Hello, if there is asymmetry in the length of the lower limbs, it can lead to unequal exertion on both sides. However, the underlying cause needs to be further investigated. If this issue did not exist before but has now developed, it may require a period of rest and rehabilitati...[Read More] Does Pelvic Rotation Cause Uneven Walking? Understanding the Impact
Understanding Pain Between Lower Back and Hips: Causes and Solutions
Pain between the lower back and the buttocks? Hello, doctor. About a month ago, I started experiencing soreness in my buttocks and legs after sitting for 20 minutes, but standing is fine. I consulted a rehabilitation specialist, and the doctor asked me to bend and lift my legs, w...
Dr. Chen Bochen Reply:
Hello: The most common spinal issue among young people is "functional spinal problems," which essentially means improper usage, often due to prolonged sitting and lack of exercise. The best treatment is to stay active; after sitting for 30 minutes, you should get up and...[Read More] Understanding Pain Between Lower Back and Hips: Causes and Solutions
Managing Supraspinous Ligament Inflammation: Rehabilitation and Treatment Options
Supraspinous ligamentitis (strain) Hello Dr. Wang, I have been experiencing lower back pain for over three to four months. I have undergone a series of related examinations, including MRI and ultrasound, which ruled out conditions such as HIV, ankylosing spondylitis, and metastat...
Dr. Wang Shouji Reply:
Hello, if the more serious issues mentioned above are ruled out, please pay attention to your posture by keeping your head up and chest out. Strengthening your abdominal and back muscles, along with applying heat, should help alleviate the discomfort. In the long term, it is impo...[Read More] Managing Supraspinous Ligament Inflammation: Rehabilitation and Treatment Options
Understanding Lower Back Swelling: Causes of Pain and Discomfort
Slight swelling in the lower back with lumbar pain and discomfort? One day in mid-August, I noticed a swollen area near the spine in my lower back that felt somewhat soft to the touch. There was no sensation when I pressed on it, but I experienced lower back pain. I went to a cli...
Dr. Chen Yongxue Reply:
Hello, if you have any questions, it is advisable to visit the outpatient clinic for further examination. Thank you.[Read More] Understanding Lower Back Swelling: Causes of Pain and Discomfort
Post-Surgery Concerns After Total Vertebral Resection: A Patient's Journey
What are the issues after total vertebral body resection? I underwent surgery for an L3 giant cell tumor, which involved the removal of the vertebral body. It has been 7 months since the surgery, and I am currently taking denosumab. This is a CT scan I had in August (6 months pos...
Dr. Wang Shouji Reply:
Hello, the CT scan shows no significant displacement. The resected vertebra is supported by a cage and fixed with screws from the outside. For this type of procedure, the cage must fuse with the upper and lower vertebrae to be considered successful. From the CT scan, there are st...[Read More] Post-Surgery Concerns After Total Vertebral Resection: A Patient's Journey
Understanding Degenerative Arthritis: Treatment Options and Pain Relief
Degenerative arthritis of the spine I would like to ask the doctor, I was diagnosed with a herniated disc at the age of 14, and recently, due to persistent pain, I considered surgery. However, after undergoing an MRI at the hospital, I discovered that I have degenerative arthriti...
Dr. Cai Shanglin Reply:
Hello, online friend. There are many causes of lower back pain, and statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high levels of stress can all contribut...[Read More] Understanding Degenerative Arthritis: Treatment Options and Pain Relief
Understanding Mild Disc Protrusion: Symptoms, Recovery, and Treatment Options
Mild intervertebral disc protrusion? Hello Doctor, I am a 24-year-old male, 172 cm tall and weighing 64 kg, with no smoking or drinking habits. At the beginning of May, I injured my lower back while cleaning and moving a bed, which caused me to suddenly lose my vision and hearing...
Dr. Wang Shouji Reply:
Hello, the symptoms in the eyes and ears should not be related to the lumbar spine; they are likely caused by pain. Lumbar injuries can refer pain to the lower back and buttocks, which is not uncommon in clinical practice. Applying heat should help alleviate the discomfort. If in...[Read More] Understanding Mild Disc Protrusion: Symptoms, Recovery, and Treatment Options
Leg Numbness and Pain a Week After Car Accident: What to Do?
One week after the car accident, I started experiencing numbness in my leg? I was in a car accident on June 23rd, and I had X-rays taken at the hospital that day, which showed no bone injuries. On June 26th, I had another X-ray at a nearby orthopedic clinic, and again, the result...
Dr. Chen Bochen Reply:
Please visit a rehabilitation or orthopedic clinic that offers "musculoskeletal ultrasound" for examination.[Read More] Leg Numbness and Pain a Week After Car Accident: What to Do?
Understanding Side Lower Back Pain: Causes and Solutions
Discomfort in the flank area? Hello doctor: This morning, I experienced pain in both sides of my lower back when I got up from lying down. I also feel pain in my lower back when I cough or sneeze. What could be the reason for this persistent pain?
Dr. You Dianqi Reply:
Hello, from your article, it seems that increasing intra-abdominal pressure, such as in the posture of sneezing, causes discomfort in the lateral waist. It may be necessary to examine the structures within the spine, such as intervertebral discs and other issues. I recommend that...[Read More] Understanding Side Lower Back Pain: Causes and Solutions
Understanding Side Rib Pain: Causes and When to Seek Help
Pain or discomfort in the side of the waist near the ribs? Hello, doctor: I do not have a fracture, but when I lie flat and then get up, I experience pain in my side and lower ribs. Coughing or sneezing also causes pain in my side and lower ribs, and I feel pain all over my body....
Dr. You Dianqi Reply:
Hello, from your article, it seems that increasing intra-abdominal pressure, such as during a sneeze, causes discomfort in the lateral lower back. It may be necessary to examine the structures within the spine, such as intervertebral discs and other potential issues. I recommend ...[Read More] Understanding Side Rib Pain: Causes and When to Seek Help
Understanding Lower Back Pain: Causes and Solutions for Discomfort
Discomfort in the lower back? Hello doctor: This morning, I experienced pain in my lower back when I tried to get up from a lying position. The pain worsens when I cough or sneeze, and I still feel pain when I get up. What could be the cause?
Dr. Cai Shanglin Reply:
Hello, there are many causes of lower back pain. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Factors such as sports injuries, excessive fatigue, poor posture, or high stress levels can all contribute to d...[Read More] Understanding Lower Back Pain: Causes and Solutions for Discomfort
Understanding Lower Back Pain: Causes and Solutions for Discomfort
There are issues with the bones in the lower back and spine? The pain in the lower back, pain throughout the body, and pain in the spine, along with severe pain in the lower back when coughing or sneezing, could be attributed to several potential causes. These may include muscle ...
Dr. Chen Bochen Reply:
Muscle strains and intervertebral disc degeneration with herniation are both possible.[Read More] Understanding Lower Back Pain: Causes and Solutions for Discomfort
Understanding Lower Back Pain: Causes and Solutions for Relief
Problems with the lower back and spine? Lower back pain, pain in the lumbar region, pain in the back, and generalized body pain, along with severe pain in the lower back when coughing or sneezing, can be caused by several factors. Possible reasons include muscle strain, herniated...
Dr. Shi Guozheng Reply:
It is usually due to overuse of the lower back or strains and sprains. Additionally, improper sitting posture, prolonged standing, and heavy lifting can contribute to the issue. It's also important to check for symptoms of a cold, as a cold can also cause generalized body ac...[Read More] Understanding Lower Back Pain: Causes and Solutions for Relief
Effective Solutions for Lower Back Pain and Discomfort
Lumbar issues? Hello doctor: I have strained my lower back, and now my whole body hurts. My lower back is very sore and painful, and I also have back pain. Coughing and sneezing make my lower back hurt a lot. What should I do?
Dr. Wang Shouji Reply:
Hello, for a soft tissue strain in the lower back, if the symptoms are significant and it has occurred within the last three days, apply ice to the painful area. If it has been more than three days, you may switch to heat therapy along with medication treatment. Changhua Hospital...[Read More] Effective Solutions for Lower Back Pain and Discomfort