Understanding Compression Fractures: Treatment Options and Concerns
Vertebroplasty for compression fractures? Hello Doctor, my father is 63 years old. Last month, he experienced severe back pain after lifting heavy objects. His daily activities remain normal, but when he lies down for a long time and tries to get up, the pain in his lower back pr...
Dr. Chen Bochen Reply:
1. Compression fractures are most painful when getting out of bed, sitting down, or standing up. 2. Bone stabilization with a brace typically takes close to two months to heal; however, if the pain is intolerable, vertebroplasty, commonly known as cement augmentation, can be co...[Read More] Understanding Compression Fractures: Treatment Options and Concerns
Persistent Pain After Bone Spur Surgery: Seeking Answers and Relief
Bone spurs have been surgically removed over a year ago? My mother had surgery for bone spurs over a year ago, but she still experiences pain in her bones all over her body, along with numbness in her hands, dizziness, and lower back pain. We have consulted both traditional Chine...
Dr. Wang Shouji Reply:
Hello, whether there are new lesions depends on the symptoms and if they are the same as before, or if there are new symptoms. After spinal surgery, nerve pain usually decreases, but numbness and weakness may take longer to recover or may not fully recover, depending on the condi...[Read More] Persistent Pain After Bone Spur Surgery: Seeking Answers and Relief
Understanding Rib Fractures: Recovery and Post-Surgery Concerns
Rib issues Hello, doctor. I would like to ask about my condition. Approximately a month and a half ago, I was involved in a car accident that resulted in fractures of my left ribs 4 to 8. I was taken to the hospital for surgery, where they used the latest titanium alloy rib fixat...
Dr. Chen Bochen Reply:
1. The ribs are located closer to the skin, and it is common to experience a tight sensation after surgery, which should gradually improve over time. 2. Numbness and soreness extending from the lower back to the thighs are generally unrelated to rib surgery. The most common cau...[Read More] Understanding Rib Fractures: Recovery and Post-Surgery Concerns
Understanding Symptoms of Lumbar Strain: Causes and Concerns
Symptoms of a sprained lower back? I often experience the following symptoms every time I strain my back: 1. My body tilts to one side (left lower back pain). 2. After sitting for a long time, when I stand up, I feel a strong, dull pain at the base of my lower back for about 5-10...
Dr. Chen Bochen Reply:
Lumbar synovial entrapment is a theory that has not been fully validated. Generally, low back strain is primarily due to myofascial inflammation. Treatment options include medication (anti-inflammatory and analgesic), reducing prolonged sitting or standing, engaging in brisk walk...[Read More] Understanding Symptoms of Lumbar Strain: Causes and Concerns
Understanding Knee and Lower Back Discomfort: Causes and Solutions
Knee and lower back discomfort? Hello, doctor! Earlier this year, I sustained a bruise and swelling on the inner side of my right knee due to an accidental impact with the ground. After seeing a rehabilitation specialist, the bruising has subsided, and I have undergone rehabilita...
Dr. Chen Bochen Reply:
1. Knee pain can generally be categorized into three sources: inflammatory, structural, and functional. Rehabilitation treatment primarily targets functional injuries, which can lead to inflammatory pain. It is recommended that you take medication for two weeks, which should resu...[Read More] Understanding Knee and Lower Back Discomfort: Causes and Solutions
Understanding Sciatica: Symptoms, Causes, and Activity Restrictions
Sciatica Last week, I rode my bike on the Old Caoling Circular Bike Path. The day after riding, I started to feel tight pain in my left leg when I extended it, and my left lower back also started to hurt. Could this be a herniated disc? Is it true that people with sciatica should...
Dr. Chen Bochen Reply:
Hello, Xiao Bo. To answer your question: Is this a herniated disc? >> No. It's unlikely to have a herniated disc at the age of 16; a hamstring strain (biceps femoris) caused by cycling is more probable. Is it true that sciatica should avoid thrill rides like roller coa...[Read More] Understanding Sciatica: Symptoms, Causes, and Activity Restrictions
Understanding Labral Tears of the Hip: Symptoms, Treatment, and Recovery
Left acetabular labrum injury Hello, Dr. Chen. Since I started weight training last September, I initially experienced lower back pain and frequent soreness in my left piriformis muscle. Rehabilitation therapy provided some relief, but when I resumed exercising in October, I sudd...
Dr. Chen Yongxue Reply:
Hello, since your condition has undergone surgery, it would be best to consult your attending physician for answers.[Read More] Understanding Labral Tears of the Hip: Symptoms, Treatment, and Recovery
Managing Spinal Fractures: Safe Exercises and Recovery Tips
Vertebral fracture Hello doctor, I have been experiencing lower back pain for over three years. In March, I was diagnosed with a vertebral fracture. My physician has advised me to wear a brace and to avoid intense physical activities, suggesting surgery only if the pain becomes u...
Dr. Chen Bochen Reply:
Hello Ahua: The exercises you mentioned are all doable, but they are somewhat advanced. I recommend building a solid foundation for about two months before gradually engaging in the activities you mentioned. Foundation: Weeks 1-2: Fast walking for 20 minutes (you should be slig...[Read More] Managing Spinal Fractures: Safe Exercises and Recovery Tips
Post-Bilateral Hip Replacement: Recovery Tips and Exercise Guidelines
Bilateral total hip replacement? Hello, Doctor: I would like to inquire about issues related to bilateral total hip replacement: 1. Is it still necessary to use a pillow between my legs for sleeping after more than six months? 2. Can I ride a bike or drive? I have tried sitting o...
Dr. Chen Yongxue Reply:
1. Is it necessary to use a pillow for support after more than six months? ANS: In principle, it should not be necessary, but please let your attending physician decide. 2. Can I ride a motorcycle or drive? I have tried sitting on a motorcycle, but I can feel the prosthesis; I ...[Read More] Post-Bilateral Hip Replacement: Recovery Tips and Exercise Guidelines
Best Everyday Postures to Relax Your Piriformis Muscle Effectively
What posture is most effective for relaxing the piriformis muscle in everyday situations (not including stretching exercises)? Hello, doctor. Recently, I have been suffering from piriformis syndrome, experiencing frequent lower back pain and sharp nerve pain in the soles of my fe...
Dr. Chen Bochen Reply:
Hello: First, it is not certain whether your issue is caused by the piriformis muscle. If it has been bothering you for a long time, I recommend that you consider paying out of pocket for a lumbar MRI. Additionally, the best way to prevent the piriformis muscle from becoming over...[Read More] Best Everyday Postures to Relax Your Piriformis Muscle Effectively
Lower Back Pain and Thigh Weakness: When to Seek Medical Attention?
Lower back pain accompanied by weakness in the back of the thigh in the morning? Hello, Doctor: About a year ago, I started experiencing lower back pain due to the nature of my job, which requires prolonged sitting. I visited a rehabilitation specialist and underwent two sessions...
Dr. Chen Yongxue Reply:
Please conduct a further examination for better accuracy.[Read More] Lower Back Pain and Thigh Weakness: When to Seek Medical Attention?
Understanding Lower Back Pain: Causes and Concerns After Weight Loss Medication
Lumbar issues? Hello, doctor. I would like to ask about my situation. While I was taking weight loss medication, I noticed that my thigh muscles felt more fatigued than usual when going up and down stairs. Additionally, one day I woke up with lower back soreness, which progressed...
Dr. Chen Yongxue Reply:
Hello, there are many possible causes of lower back pain, including issues related to internal organs, muscles, bones, ligaments, internal bleeding, or skin diseases. It is advisable to visit a clinic for further examination. Thank you.[Read More] Understanding Lower Back Pain: Causes and Concerns After Weight Loss Medication
Relieving Coccyx Pain: Tips for Side Sleepers and Back Pain Relief
Coccygeal issues The pain in the coccyx started two days after lying flat while sleeping, but it does not hurt when sitting; the discomfort is only felt when lying down. Switching to a side-lying position increases the pain. How can I alleviate this?
Dr. Chen Bochen Reply:
Hello, this issue is usually caused by tightness in the lower back fascia and muscle spasms. There are two methods to relieve it: 1. When lying flat, place two pillows under your knees. 2. When lying on your side, curl up like a shrimp while hugging a pillow. Additionally, combin...[Read More] Relieving Coccyx Pain: Tips for Side Sleepers and Back Pain Relief
Understanding Lumbar Pain: When to Consider Surgery for Hip Issues
Lumbar pain Hello, Dr. Wang! Over the past year, I initially experienced soreness and pain on the outer side of my knee after walking for a long time. Six months later, I started to feel pain in my right lumbar region (specifically from the right side of my lower back, through my...
Dr. Wang Jiacheng Reply:
It is recommended that you refer to the information provided by the Ministry of Health and Welfare, as follows: Shared Decision Making (SDM) encourages patients to bravely express their questions and thoughts, helping healthcare providers understand the patients' needs. It a...[Read More] Understanding Lumbar Pain: When to Consider Surgery for Hip Issues
Post-Spinal Surgery Pain: Could Screws Be the Culprit?
Is it possible that the soreness after spinal surgery is caused by the screws? Hello, my mother underwent minimally invasive spinal surgery last year, during which a brace and six screws were implanted. However, nearly six months post-surgery, she still experiences persistent low...
Dr. Chen Bochen Reply:
Hello, there are several possible causes for discomfort after spinal surgery: 1. Postoperative muscle weakness, which generally requires rehabilitation, nutritional supplementation, and personal exercise. 2. The area that was not operated on may still have issues, such as pre-exi...[Read More] Post-Spinal Surgery Pain: Could Screws Be the Culprit?
Understanding Bone Cement Leakage: Symptoms, Causes, and Management
Bone cement leakage On January 30, 2020, I suffered a compression fracture of the T12 vertebra due to a backward fall. I underwent a self-funded balloon kyphoplasty on May 13 and was discharged on May 14. Since then, I have experienced pain and numbness in my lower back and left ...
Dr. Zhan Xian Reply:
Hello, an X-ray and physical examination are needed for diagnosis. A preoperative MRI can also help identify any other issues. Balloon kyphoplasty is a minimally invasive procedure with a small incision and quick recovery, but it does carry risks, such as the possibility of leaka...[Read More] Understanding Bone Cement Leakage: Symptoms, Causes, and Management
Understanding Lower Spine and Right Lower Back Pain: Causes and Solutions
Lower spine and right lower back pain? In the past, if I kept my back straight, my lower spine would hurt. Pressing down on my spine also causes pain. Recently, I started doing some stretching, including lying on my stomach and lifting my head back. This movement causes significa...
Dr. Cai Shanglin Reply:
Online diagnosis is not possible; it is recommended to visit a hospital or clinic for a physical examination and X-ray. It is advisable to consult an orthopedic specialist.[Read More] Understanding Lower Spine and Right Lower Back Pain: Causes and Solutions
Persistent Chest and Hip Pain After Car Accident: What to Know
Hip pain and chest pain? Hello: Last Friday, I was involved in a collision, and afterward, I experienced left chest pain and shortness of breath, so I went directly to the emergency room. An X-ray was taken, and it was reported that there were no obvious rib fractures. I was pres...
Dr. Wang Shouji Reply:
Hello, chest contusion pain is quite common and may require a longer duration of analgesic use, typically alleviating after three to four weeks. If you continue to experience severe pain, it is advisable to undergo a re-evaluation. Changhua Hospital cares about your health. Since...[Read More] Persistent Chest and Hip Pain After Car Accident: What to Know
Understanding Strains and Fractures: When to Seek Orthopedic Advice
Inquire about the possibility of a strain or fracture? Hello, Doctor. While I was mopping the floor, I accidentally slipped a bit, but I didn't fall; I just twisted my body and spread my legs. I'm not sure if this could have caused a strain in my lower back or a fractur...
Dr. Shi Guozheng Reply:
It is normal to hear sounds; a strain is possible, but it is not easy for a bone to dislocate.[Read More] Understanding Strains and Fractures: When to Seek Orthopedic Advice
Postpartum Back Pain: Seeking Solutions for Unresolved Discomfort
Postpartum back pain Hello, doctor. I would like to ask you about an issue I've been experiencing. Two weeks after completing my postpartum confinement, which is six weeks after giving birth, I started having back pain. The pain is located in the middle of my back, neither h...
Dr. Shi Guozheng Reply:
You can consult a rehabilitation specialist for postpartum back and abdominal muscle weakness, which often leads to lower back pain. They can provide rehabilitation treatments and help strengthen your back and abdominal muscles.[Read More] Postpartum Back Pain: Seeking Solutions for Unresolved Discomfort