Lumbar spine, Orthopedics FAQ - Page 2

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Loss of Sensation in Inner Thigh and Genitals After Spine Surgery: What to Expect?

There is no sensation in the left inner thigh and the left side of the penis and scrotum? In April, I underwent minimally invasive surgery to fixate my lumbar spine due to spondylolisthesis and a fracture (L5), where screws were inserted. After the first surgery, I noticed a lack...


Dr. Shi Guozheng Reply:
1. Recovery is possible but not guaranteed. 2. It may take three to six months. 3. If recovery is not achieved, the effectiveness of surgery may be limited.

[Read More] Loss of Sensation in Inner Thigh and Genitals After Spine Surgery: What to Expect?


Understanding Foot Pain: Causes and Solutions for Your Concerns

I would like to inquire with the doctor about questions regarding foot pain. Thank you? Hello, Doctor. I would like to inquire about my father's condition. He regularly exercises, usually for over an hour every day. About a year ago, after lifting heavy objects, he suddenly ...


Dr. Wang Shouji Reply:
Hello, it is highly likely that you have injured your lumbar spine, causing nerve compression. If necessary, an MRI examination is required to confirm this. Changhua Hospital cares about your health. Wang Shou-ji.

[Read More] Understanding Foot Pain: Causes and Solutions for Your Concerns


Understanding Lumbosacral X-Ray Findings: What to Do Next?

Lumbar spine X-ray I apologize for the inconvenience, but I would like to ask the doctor about my long-term lower back pain. I have visited a medical facility because there was a suspicion of ankylosing spondylitis. I underwent X-rays and genetic testing, which have ruled out the...


Dr. You Dianqi Reply:
Hello! I'm sorry I can't see the images you mentioned. I recommend discussing this with your attending physician. Thank you.

[Read More] Understanding Lumbosacral X-Ray Findings: What to Do Next?


Understanding Upper Back and Chest Pain After Sleep: Causes and Solutions

Waking up with upper back pain and chest pain? In the past two weeks, I have started to feel discomfort in my chest when lying down, and it becomes more painful upon waking. Initially, I thought it was pleurisy, but after paying closer attention, I realized it is upper back pain ...


Dr. Wang Shouji Reply:
Hello, the upper back pain is not related to the lumbar spine. This pain may be associated with your physical activities. It is recommended to reduce intense activities, apply heat, and perform stretching exercises. You may take some pain relievers, anti-inflammatory medications,...

[Read More] Understanding Upper Back and Chest Pain After Sleep: Causes and Solutions


Understanding Acute Lower Back Pain After a Slip and Fall Incident

After slipping on February 28th, I felt a tearing sensation on the right side of my lower back when getting up from a lying position, similar to the feeling of twisting my back forcefully? Hello Doctor: On February 28th, I accidentally slipped in the bathroom due to stepping on w...


Dr. Wang Shouji Reply:
Hello, if resting alleviates the symptoms, there should be no major issues with the bones. However, if the muscle injury is more severe, similar symptoms may occur. It is recommended to start with rehabilitation and medication to relieve the symptoms. Changhua Hospital cares abou...

[Read More] Understanding Acute Lower Back Pain After a Slip and Fall Incident


Understanding Lower Back Pain from Prolonged Standing and Heavy Lifting

Lower back pain from prolonged standing? Due to work reasons, I often need to stand for 6 to 8 hours at a time, and sometimes I have to lift heavy objects. Recently, I have been experiencing frequent lower back pain, even after standing for a short period. I feel pain when pressi...


Dr. Chen Bochen Reply:
1. Prolonged standing or sitting can easily lead to functional pain in the lumbar spine. Treatment primarily includes exercise (such as jogging or aerobic activities for at least 20 minutes) and physical therapy (including heat therapy and massage). 2. You can make an appointme...

[Read More] Understanding Lower Back Pain from Prolonged Standing and Heavy Lifting


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 Lateral Thigh Discomfort: Possible Causes and Solutions

Lateral thigh joint discomfort? Hello Doctor: I often feel soreness on the outer side of my left thigh, extending down from the hip joint, but there is no pain when walking. I can press on the joint area and feel the soreness. Sometimes, I experience a sensation of numbness, whic...


Dr. Shen Boquan Reply:
Hello, the frequent soreness on the outer side of your left thigh may be due to muscle or tendon inflammation (Iliotibial Band Syndrome), sports injuries, overexertion, poor posture, or excessive stress, all of which can lead to discomfort. If there is a herniated disc or spondyl...

[Read More] Understanding Lateral Thigh Discomfort: Possible Causes and Solutions


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


Core Strengthening Exercises After Spine Surgery: Safety and Recommendations

Core exercises after spinal surgery? It has been four months post-surgery, where screws and a cage were placed in the lumbar spine at levels L4 and L5. I have two questions: 1. What exercises can I do to increase core strength? 2. When lying flat, performing an abdominal exercise...


Dr. Wang Shouji Reply:
Hello, it is important to first confirm whether a joint fusion surgery has been performed. If so, verify whether the fusion site has healed. Core strengthening exercises targeting the back and abdomen can enhance spinal stability. Exercises such as sit-ups and push-ups can be ben...

[Read More] Core Strengthening Exercises After Spine Surgery: Safety and Recommendations


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


How to Ensure Your Custom Back Brace is Effective for Lumbar Support

Lumbar vertebrae compression fracture brace? How can one determine if a custom-made brace is appropriate and stabilizes the spine without having worn it? My 53-year-old sister has only hypertension and no other medical conditions. On May 4th of this year, she was involved in a he...


Dr. Shi Guozheng Reply:
You can ask the company that manufactures protective gear to assess and customize it as closely as possible to fit your body shape.

[Read More] How to Ensure Your Custom Back Brace is Effective for Lumbar Support


Understanding Lumbar Spine Injuries: When to Seek Medical Advice

Lumbar spine injury? Hello Dr. Wang, about two years ago while I was doing laundry, I squatted under the showerhead and when I stood up, my lumbar spine hit the water pipe where the shower switch is located. At that time, I had a significant bruise. After it healed, I noticed tha...


Dr. Wang Shouji Reply:
Hello, it is advisable to first assess the condition of the illness before proceeding with the next steps in treatment. Changhua Hospital cares about your health. Wang Shou-ji.

[Read More] Understanding Lumbar Spine Injuries: When to Seek Medical Advice


Understanding Glucose Injections for Thigh Pain During Climbing

Injection of glucose 1. This could be a symptom of patellofemoral pain syndrome or quadriceps weakness. Glucose injection is not typically indicated for this condition; more conservative treatments such as physical therapy and strengthening exercises are usually recommended. 2. ...


Dr. Chen Bochen Reply:
1. What could be the symptoms? Is glucose injection appropriate? >> Sarcopenia, hip and knee osteoarthritis, vascular claudication, and neurogenic claudication are all possible. >> None of these conditions are suitable for glucose injection. 2. Is there any relation...

[Read More] Understanding Glucose Injections for Thigh Pain During Climbing


Understanding Inflammation in the L4-L5 Lumbar Spine: Symptoms and Insights

Inflammation of the lumbar spine at the L4-L5 level? Hello Doctor, I experienced unusual pain in my lower back after lifting water in early November last year, which became severe by the evening. Initially, I thought it was a muscle strain, but after two months of no improvement,...


Dr. Wang Shouji Reply:
Hello, considering your age and history of strains, if you have no prior history of lower back pain, the likelihood of ankylosing spondylitis is low. A strain of the lower back muscles and soft tissues can lead to chronic back pain and stiffness if not fully recovered, as the bac...

[Read More] Understanding Inflammation in the L4-L5 Lumbar Spine: Symptoms and Insights


Understanding Sacralization of the Lumbar Spine: Causes and Solutions for Chronic Pain

Lumbarization of the sacrum? Hello Doctor, I have been experiencing lower back pain for 11 years. It started as a dull ache and has progressed to severe pain. Lying flat, bending over, and standing for long periods are very painful (the pain radiates to my buttocks). Sometimes th...


Dr. Wang Shouji Reply:
Hello, it seems you may have a lumbar spine issue combined with sciatica. I recommend consulting with an orthopedic specialist, a neurosurgeon, or a spine surgeon. Wishing you the best.

[Read More] Understanding Sacralization of the Lumbar Spine: Causes and Solutions for Chronic Pain


Understanding Chest Pain After a Fall: Causes and Treatment Options

When slipping and falling, I felt a vibration in my chest, followed by chest pain? (1) The reason for the chest pain after falling while sitting down could be due to a few factors. It is possible that the impact caused a strain or injury to the muscles or cartilage in the chest a...


Dr. Shi Guozheng Reply:
1. It is possible to have blunt trauma to the sternum due to the transmission of pressure, similar to how sitting down abruptly can injure the lumbar spine, potentially leading to a compression fracture of the lumbar vertebrae. 2. For medication treatment, local heat applicatio...

[Read More] Understanding Chest Pain After a Fall: Causes and Treatment Options


Sudden Swelling of the Fourth Toe: Causes and Treatment Options

The fourth toe of the right foot suddenly swelled? The fourth toe on both feet has been persistently swollen for about two years. A month ago, the fourth toe on my right foot suddenly became swollen. I visited the immunology department at Beihua Hospital, and after blood tests, t...


Dr. Chen Yongxue Reply:
Hello, sudden swelling of the fingers and toes should first rule out any immune-related issues. Additionally, individuals over the age of 50 are at a higher risk for degenerative arthritis. Please visit an orthopedic clinic for further diagnosis. Thank you.

[Read More] Sudden Swelling of the Fourth Toe: Causes and Treatment Options


Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options

Giant cell tumor located on the lumbar vertebrae? After undergoing an MRI and biopsy, I was diagnosed with a giant cell tumor at the lumbar spine L3. Currently, my symptoms include occasional weakness in my legs, along with soreness in my lower back, thighs, and near the anal are...


Dr. Chen Bochen Reply:
First, an incision will be made on the side to remove the tumor and perform spinal reconstruction, followed by another incision in the back to insert screws. This is the standard procedure. The surgeons who operate on the spine and those who specialize in bone tumors are usually ...

[Read More] Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options


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