Post-Surgery Hip Joint Pain: Seeking Answers for Ongoing Discomfort
After decompression surgery for the left hip joint, there is an inability to walk normally? Hello, Doctor. I underwent left hip joint decompression surgery and artificial bone grafting under general anesthesia at the end of July this year. During a follow-up appointment in mid-Oc...
Dr. Shi Guozheng Reply:
Hip joint decompression is performed from the lateral side of the femur, and the nerves are located behind the bone at a certain distance, typically avoiding contact with the nerves. However, it is possible that avascular necrosis of the femoral head may continue to progress, ren...[Read More] Post-Surgery Hip Joint Pain: Seeking Answers for Ongoing Discomfort
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
Can You Still Experience Paralysis After a Fall Days Later?
Is it possible to experience paralysis four days after a fall? After the fall, I don't feel any pain when I touch my spine, but I'm worried about the possibility of paralysis. Sometimes, I experience pain on the top of my right foot, and at times my foot feels numb.
Dr. Chen Bochen Reply:
Hello: In short, absolutely not. An injury that could potentially cause paralysis is already severe at the moment of injury, to the extent that you cannot ignore it; it won't just feel "painful" or "numb." However, if your symptoms continue to worsen, see...[Read More] Can You Still Experience Paralysis After a Fall Days Later?
Understanding Osteoporosis Treatment: DXA Results and Vitamin D Needs
DXA spine shows the lowest T-score of -1.8, and both femurs have a T-score of -2.2 (report from December 2012)? DXA results show a lumbar spine T-score of -1.8 and a bilateral femur T-score of -2.2 (report from December 2012). Dr. Chen Yong-hsueh's recommendations are as fol...
Dr. Chen Yongxue Reply:
If you have any questions, please visit the outpatient clinic for a blood test. Thank you.[Read More] Understanding Osteoporosis Treatment: DXA Results and Vitamin D Needs
Understanding Slow Healing After L5S1 Fusion Surgery: Concerns and Solutions
L5-S1 vertebral arch fracture has been surgically treated? Hello Doctor, I underwent L5-S1 spinal fusion and internal fixation surgery due to a vertebral fracture at the end of last year. It has been three months since the surgery, and during my follow-up X-ray, it was found that...
Dr. Wang Shouji Reply:
Hello, if healing is not complete, continuous monitoring is necessary. With the current surgical techniques, the likelihood of completely removing intervertebral tissue is quite high. However, spinal fusion surgery can lead to early degeneration of adjacent joints, which is diffi...[Read More] Understanding Slow Healing After L5S1 Fusion Surgery: Concerns and Solutions
Managing Pain from Degenerative Lumbar Osteophytes in Seniors
Pain caused by degenerative bone spurs in the lumbar spine? My mother is 86 years old and has recently been experiencing pain in her lower back and hips. After consulting an orthopedic doctor and undergoing X-rays, it was found that she has degenerative changes in her lumbar spin...
Dr. You Dianqi Reply:
Hello: Regarding degenerative issues, it is important to first assess the severity before deciding on a treatment method. There are various treatment options available, including medication, rehabilitation therapy, injections, and surgery. The choice should be based on the severi...[Read More] Managing Pain from Degenerative Lumbar Osteophytes in Seniors
Understanding Lumbar Spine Surgery: Key Questions and Insights
Vertebral arch issues Following the so-called comprehensive report from March of this year, lumbar spine flexion and extension lateral views show a defect at the L5-S1 pars interarticularis, ruling out spondylolysis. Lumbar spine two views reveal a defect at the pars interarticul...
Dr. Li Yongheng Reply:
Hello, here are the responses: 1. The surgery duration is approximately 3-4 hours. 2. Insertion of a spacer is not always necessary. 3. All procedures must be submitted for review first. 4. Bone wax: unclear. 5. Central venous catheter placement is not always required. 6. Blood t...[Read More] Understanding Lumbar Spine Surgery: Key Questions and Insights
Effective Treatment Options for Compression Fractures and Osteoporosis in Seniors
What are the treatment options for lumbar vertebral fractures? Doctor: My father is 92 years old. A CT scan on October 8, 2023, revealed compression fractures of the thoracolumbar spine due to osteoporotic changes at T11 and T12, as well as severe lumbar scoliosis. What are the t...
Dr. Cai Shanglin Reply:
Currently, for compression fractures, minimally invasive vertebroplasty can be selected. As for osteoporosis, it is necessary to first check bone mineral density before proceeding with further treatment.[Read More] Effective Treatment Options for Compression Fractures and Osteoporosis in Seniors
Understanding Pelvic Pain: Causes, Treatments, and Management Strategies
Pain near the pelvis? Hello Doctor: I would like to inquire about my father's condition. My father is 50 years old and has been experiencing pain near his pelvis intermittently for the past two years. The pain is often severe enough to prevent him from sleeping, and he canno...
Dr. Shi Guozheng Reply:
Pain near the pelvis may originate from the lumbar spine or the hip joint, so it is essential to examine both areas. The information you provided is limited, making it difficult to determine the cause. It would be advisable to consult an orthopedic physician to discuss whether fu...[Read More] Understanding Pelvic Pain: Causes, Treatments, and Management Strategies
Understanding Lumbar Spine Issues: When to Consider Surgery for Pain Relief
Vertebral arch issues Last November, I experienced lower back pain due to a fall and sought medical attention. The physician and neurosurgeon indicated that there were no significant issues and prescribed pain medication. However, on February 25th of this year, I experienced seve...
Dr. Li Yongheng Reply:
Hello, if there is a fracture of the vertebral arch with associated nerve root compression, and symptoms of persistent pain continue despite medication treatment, surgical intervention is recommended. The surgical approach often involves vertebral arch screw fixation combined wit...[Read More] Understanding Lumbar Spine Issues: When to Consider Surgery for Pain Relief
Understanding Lumbar Spine Issues: Spondylolysis and Treatment Options
Vertebral arch issues I apologize for the inconvenience. Here is the translation of your inquiry: "Excuse me, I would like to consult with the doctor regarding my X-ray examination report. The lumbar spine flexion and extension lateral views show a defect at the L5-S1 pars ...
Dr. Shi Guozheng Reply:
1. If the surgery is successful, pain is usually alleviated. 2. There is health insurance coverage, but if there are internal fixation devices, there may be some costs involved; for detailed information, it is best to consult the surgeon. 3. Typically, it is better to resolve the...[Read More] Understanding Lumbar Spine Issues: Spondylolysis and Treatment Options
Understanding Lumbar Spine Fusion Surgery and Insurance Approval in Taiwan
Vertebral arch issues Thank you, doctor, for your valuable advice. I am Mr. Chen, who mentioned the vertebral arch fracture in previous discussions. The doctor suggested either fusion surgery or discectomy. I would like to ask, since fusion surgery is covered by health insurance,...
Dr. Shi Guozheng Reply:
It may be necessary to perform a discectomy and fusion surgery for the following reasons: 1. The intervertebral disc has herniated and may be compressing a nerve, which requires intervention. 2. If the vertebral arch is fractured, bone grafting for fusion surgery is also necessar...[Read More] Understanding Lumbar Spine Fusion Surgery and Insurance Approval in Taiwan
Risks of Heart Surgery in Patients with Ankylosing Spondylitis
Surgical Issues in Patients with Ankylosing Spondylitis Dear Doctor, My father is 72 years old and has suffered from ankylosing spondylitis since his teenage years, which is an autoimmune disease. He has previously taken immunomodulators. His cervical spine is completely rigid a...
Dr. Shi Guozheng Reply:
1. The risk of spinal fractures is higher, but with careful attention, surgery is still possible. 2. Bone healing is generally satisfactory, and many patients have undergone total hip arthroplasty with good outcomes. 3. Endotracheal intubation for anesthesia can be more compl...[Read More] Risks of Heart Surgery in Patients with Ankylosing Spondylitis
Post-Car Accident: Managing Lumbar and Cervical Spine Issues
Lumbar and cervical spine after a car accident? Doctor: Hello, I was in a car accident in mid-June where I rolled onto my right side, resulting in a pelvic contusion and bruising, a torn rotator cuff in my right shoulder, a dislocated right wrist with radial and ulnar ligament in...
Dr. Li Yongheng Reply:
1. Lower back pain and lower limb weakness, with ultrasound showing a hematoma, symptoms have persisted for 4 months. It is recommended to arrange an MRI at the orthopedic outpatient clinic. 2. If the cervical spine X-ray shows no abnormalities, further observation is advised. ...[Read More] Post-Car Accident: Managing Lumbar and Cervical Spine Issues
Understanding Calf Discomfort: Causes and Solutions for Nighttime Cramps
Calf soreness every night without pain? Hello Doctor: Every night, I experience significant soreness in the inner side of my left calf (which I believe corresponds to the gastrocnemius or soleus muscles based on my online research). Sometimes the soreness is so intense that it pr...
Dr. Li Yongheng Reply:
Hello, if you confirm that the calf pain is not due to a sports injury and there is no prolonged standing related to work, it is necessary to check the X-rays of the calf and lumbar spine. Calf pain could potentially be caused by a calf tumor or lumbar disc herniation leading to ...[Read More] Understanding Calf Discomfort: Causes and Solutions for Nighttime Cramps
Post-Surgery Concerns After Lumbar Spine Surgery: Pain and Next Steps
Postoperative issues following bone grafting surgery? Hello Dr. Lee: My father just underwent a spinal fusion surgery at the beginning of March and was discharged on March 3rd. He had his stitches removed on March 9th, and since then, on March 14th, he has been reporting increase...
Dr. Li Yongheng Reply:
Hello, you are truly a devoted daughter. Your father has recently reported an increase in pain and discomfort in the lumbar region and left leg compared to when he was first discharged from the hospital. The pain seems to be worsening, which may be related to the bone cement or t...[Read More] Post-Surgery Concerns After Lumbar Spine Surgery: Pain and Next Steps
Can Improper Full Body Massage Cause Lumbar Spine Issues?
Improper full-body massage can potentially harm the lumbar spine? Hello, Doctor: I purchased a full-body massage course in mid-May last year, but after several months of massage, I started experiencing soreness, tingling, and numbness in my lower body. I am only 27 years old and ...
Dr. Shi Guozheng Reply:
Herniated discs are usually caused by the aging of the intervertebral discs combined with excessive strain on the lower back, and they are unrelated to massage. It is advisable to refrain from massage for the time being and seek treatment from a physician instead.[Read More] Can Improper Full Body Massage Cause Lumbar Spine Issues?
Understanding Sciatica: Causes, Symptoms, and Treatment Options
Sciatica? Hello, Doctor. Since the end of 2016, I've been experiencing a feeling of fullness in my left buttock and left thigh after sitting for a long time. There is some pain when pressure is applied to the buttock. At that time, I was diagnosed with autonomic nervous syst...
Dr. Shi Guozheng Reply:
The diagnosis from a computed tomography (CT) scan is quite accurate. Your symptoms may be related to myofascial pain syndrome. If the symptoms persist, it is recommended that you consult a neurologist.[Read More] Understanding Sciatica: Causes, Symptoms, and Treatment Options
Understanding Compression Fractures: Are They Congenital or Tumor-Related?
Congenital spinal development issues? Compression fractures? Hello, Doctor. I am a 28-year-old male. Recently, I experienced chest and back pain for several months, which led me to visit a hospital and consult a neurologist. The doctor ordered an X-ray of my lumbar spine, and dur...
Dr. Li Yongheng Reply:
Hello, your spine may have developed naturally, so there is no need to worry too much. However, there is indeed a possibility of a tumor causing a vertebral fracture. Therefore, it is still recommended that you undergo an MRI examination.[Read More] Understanding Compression Fractures: Are They Congenital or Tumor-Related?
Preventive Vertebroplasty: Is It Right for Your Osteoporosis Risk?
Preventive bone cement injection Dear Dr. Lee, My mother is currently 68 years old. Recently, she underwent a bone density test, which revealed an average lumbar spine bone density value of -3.2 (T score). Aside from mild hypertension, she does not have any other medical conditi...
Dr. Li Yongheng Reply:
Hello, I do not recommend performing prophylactic vertebroplasty. This procedure is still considered invasive and carries risks, such as infection and cement leakage leading to nerve compression. Denosumab (Prolia) is commonly used in clinical practice and is effective for treati...[Read More] Preventive Vertebroplasty: Is It Right for Your Osteoporosis Risk?