Lumbar spine, Orthopedics FAQ

Understanding Lumbar Pain: Causes and Solutions for Right-Side Discomfort

Lumbar pain Hello, doctor. Recently, while doing core exercises, I performed an air bicycle training movement. Every time I bend my right knee and extend my right leg forward, I feel a clicking sensation in my right lumbar spine along with some soreness. However, when I extend my...

Dr. Wang Shouji Reply:
It is recommended to undergo an X-ray examination of the lumbar spine.

Understanding Post-Surgery Symptoms After Lumbar Decompression

Lumbar decompression surgery Dear Vice Dean Li, I have an 82-year-old elder at home who has been experiencing left leg numbness (from the back of the left knee down to the sole of the foot) for over a decade. Additionally, there is a burning sensation on the dorsum of the foot, ...

Dr. Li Yongheng Reply:
Hello, your 82-year-old family member underwent lumbar decompression surgery on the fourth and fifth lumbar vertebrae two months ago. If there has been no improvement in symptoms at all, it is indeed somewhat unusual. Typically, after decompression surgery, there should be some d...

Understanding Recurring Lumbar Pain: Seeking Expert Advice on Diagnosis and Treatment

I would like to inquire about lumbar pain issues? Hello Dr. Lee: For the past two years, I have been experiencing recurrent lumbar pain. When the pain becomes severe, I visit a doctor, but the usual diagnosis is either a muscle strain or advice to pay attention to the spaces in...

Dr. Li Yongheng Reply:
Hello, based on your X-ray, there is mild degeneration of the lumbar spine, with no signs of scoliosis or pelvic tilt. Your chronic back pain may be due to long-term work and poor sitting and standing posture, leading to myofascial pain syndrome. It is recommended that you contin...

Understanding Lumbar Pain: When to See a Specialist for Relief

Lumbar pain Hello doctor, about a year ago, I felt like there was a part of my lumbar spine that opened up during running, and I have been in significant pain since then. I'm not sure if I injured the spinal ligaments or the spine itself. Now, when I sit in a chair and try t...

Dr. Wang Shouji Reply:
Hello: Given your age, it is unlikely that you have sustained a bone injury while running; it is more likely to be an issue with soft tissues such as muscles or ligaments. If you have any concerns, it is advisable to consult an orthopedic specialist to rule out any abnormalities.

Non-Surgical Solutions for Spine Issues: Can They Help?

Can it be improved without surgery? Hello Doctor, I apologize for bothering you! I would like to ask you about my condition. Two years ago, I had a spinal deformity and visited a doctor at National Taiwan University in Hsinchu, who recommended surgery to prevent the risk of paral...

Dr. Wang Shouji Reply:
Hello: Lumbar spine surgery does not typically affect the cervical spine, unless there is a significant deformity in the lumbar region that requires evaluation. The assessment of spinal curvature and balance in the lateral view of the spine is necessary for understanding the cond...

Understanding Coccydynia: Surgery Risks and Alternatives for Treatment

Coccygeal protrusion Hello, my mother has been experiencing thigh discomfort while sitting since March; she cannot sit for long and only feels comfortable standing or lying down. Today, she visited a doctor who performed an X-ray and indicated that there is a protrusion near the ...

Dr. Hong Ximing Reply:
Coccygeal protrusion typically causes tenderness after prolonged sitting. It is advisable to further examine whether there is any nerve compression in the lumbar spine. If diabetes is well-controlled, it should not affect wound healing.

Are X-rays and MRIs Harmful After Lumbar Spine Injury?

Is X-ray imaging of the lumbar spine and magnetic resonance imaging (MRI) harmful to the body? Is it harmful to the body to have ten X-rays, two bone density tests, and one MRI after a lumbar spine injury over the course of two months?

Dr. Wang Shouji Reply:
Hello: X-rays and bone density tests involve radiation exposure, while MRI does not involve any radiation at all. If the condition requires the examination, it should be performed. With modern equipment, the radiation exposure is minimal and has little impact. Thank you.

Understanding Persistent Thigh Pain: When to See an Orthopedic or Neurologist?

Severe thigh pain? Since around December 2015, I have been experiencing severe pain in my right buttock extending down to my thigh. This pain suddenly stopped in February 2016, but then in March, it started again, this time in my left leg. While walking, I would suddenly feel int...

Dr. Wang Shouji Reply:
Hello: Pain influenced by weather is often related to an individual's poor microcirculation. If you experience pain while using the restroom, coughing, or sneezing, it is important to consider the possibility of nerve compression issues. It is advisable to undergo further ex...

Understanding L2-L4 Lamina Fractures: Symptoms, Treatments, and Recovery

Vertebral arch fracture I have been diagnosed with a fracture of the lumbar vertebrae L2-L4, and most of the doctors I consulted recommended surgery. They mentioned that based on the condition of the maintenance, once the cartilage wears out and I get older, surgery will be inevi...

Dr. Shi Guozheng Reply:
1. Joint pain below the waist may not be related to the spine. 2. Due to posture, pain near the knee joint is related to movement and is associated with ligament or synovial inflammation. 3. Surgery for vertebral arch fractures must include spinal fusion; if spinal fusion is ...

Managing Lumbar Spine Pain: Tips for Relief and Prevention

Lumbar spine issues? I have recently noticed some discomfort in my lumbar spine while sitting, accompanied by pain when I press on it with my fingers. The pain is less noticeable when I stand straight, but it becomes quite pronounced when I bend forward. I often sit for long peri...

Dr. Shen Boquan Reply:
Hello, everyone: Lower back pain is a common issue that many people encounter. Statistics show that 90% of individuals will experience this discomfort at some point in their lives, primarily due to inflammation and pain in the muscles, tendons, or ligaments, which are soft tissue...

Understanding Thigh Pain: Connection to Lumbar Spine Issues and Treatment Options

Thigh pain, lumbar spine issues? Four days ago, I experienced pain in the front and inner side of my thigh, primarily when cycling and going up and down stairs. There is also pain when pulling my leg backward (as shown in the image, extending the leg further back causes pain). Wa...

Dr. Wang Shouji Reply:
Hello: Spinal nerve compression often accompanies numbness symptoms. Given your age, the likelihood of nerve compression without trauma is low. If there is tenderness at the site of pain, applying pressure to both sides of the thigh may exacerbate the pain, suggesting a higher po...

Post-Spinal Fracture: Can I Switch to a Different Back Brace?

Issues with back braces after lumbar vertebral fractures? Hello, I was involved in a car accident in mid-May that resulted in a comminuted fracture of the twelfth thoracic vertebra and the first lumbar vertebra, which compressed my nerves. I underwent surgery the day after the ac...

Dr. Wang Shouji Reply:
Hello: The fixation point of this type of back brace is too low, making it more suitable for fractures below the second lumbar vertebra. It is advisable to return for a follow-up consultation with your physician. Thank you!

Chronic Lower Back Pain: Seeking Solutions After 10 Years of Discomfort

Lumbar issues? Hello, I have been suffering from lower back pain for a long time, for 10 years now. I have visited various medical institutions and traditional Chinese medicine practitioners, and I have undergone X-rays and MRIs of the left, right, and front sides, as well as ele...

Dr. Chen Yongxue Reply:
Hello, based on your letter, if all kinds of examinations have been conducted without any significant findings, it is likely a case of simple ligament inflammation. This is often related to the patient's work or lifestyle habits. Generally, it is most commonly seen in patien...

Understanding Compensation Issues After Chiropractic Adjustments

Compensations caused by spinal adjustments? Hello, Doctor. I have fallen and undergone spinal manipulation (to straighten my spine) and pelvic sacroiliac realignment, and I have also worn a rigid corrective brace. This means that the curvature of my lumbar spine has changed (almo...

Dr. Shi Guozheng Reply:
You can consult a rehabilitation specialist to determine if rehabilitation therapy is necessary.

Understanding Knee Issues: Causes and Solutions for Pain and Stiffness

Knee problems Hello, Doctor: Two weeks ago, I played about three hours of baseball. After the game, every morning I wake up with a feeling of my left knee being stuck when I try to straighten it, and the hamstring behind the knee feels tight. It feels a bit better when I external...

Dr. Hong Ximing Reply:
The sensation of the knee feeling locked when straightened may be due to thickening of the meniscus causing friction with the knee cartilage. Tightness in the lower back muscles could potentially be caused by physical activity. It is advisable to consult an orthopedic specialist ...

Understanding Persistent Pain in the Left Thigh: Causes and Solutions

It feels like there is a line on the left side of my thigh, with pain radiating down from the waist? I have been troubled by this issue for a year. I feel a sensation similar to a line near my lower back (on the left side) close to my buttocks, extending down to the back of my th...

Dr. Shi Guozheng Reply:
It is possible that it could be sciatica, and you can consult a rehabilitation specialist to see if rehabilitation methods can help improve the condition.

Understanding Intermittent Pain in the Left Calf: Causes and When to Seek Help

Intermittent soreness in the left calf? The patient has congenital heart disease with moderate regurgitation and suffered a car accident 13 years ago, during which an EMG revealed C5 injury. Since the accident, the patient has noticed decreased responsiveness in the left leg. In ...

Dr. Shi Guozheng Reply:
Pain in the lower extremities may be related to the lumbar spine. It is advisable to consult a physician and get an X-ray to check for any issues with the lumbar vertebrae. Additionally, it is important to assess whether there are any problems with the knee joints as well.

Post-Fall Concerns: Can a Spine Injury Affect Erectile Function?

Falling and landing on the buttocks can lead to unusual erections afterward? Hello, doctor. A few days ago, I fell and landed on my buttocks, which caused pain in my lower back and lumbar spine for one night. After several days, I noticed that I no longer have morning erections, ...

Dr. Shi Guozheng Reply:
There should be no impact on sexual function if there are no fractures or nerve damage.

Can You Run with a Mild Disc Bulge? Insights for Runners

Intervertebral disc protrusion and jogging? Hello Doctor, about a month ago I sought medical attention due to severe lower back pain. After X-ray and MRI examinations, both the neurosurgeon and the rehabilitation specialist indicated that there were no issues with my spine or ner...

Dr. Shi Guozheng Reply:
If it is a mild herniation, rest and medication can lead to recovery in about six weeks to three months, and rehabilitation will also help in the recovery process.

Understanding Bone Cement Surgery: When to Seek Further Medical Attention

Bone cement surgery Hello Doctor: My mother has a tumor affecting her lumbar spine at three levels. She underwent vertebroplasty on December 11, but now she seems to be in more pain, especially experiencing severe pain at night while sleeping. Should we go to the hospital for a C...

Dr. Shi Guozheng Reply:
The lumbar spine affected by tumor invasion typically results in severe pain, especially in cases where there is an associated vertebral body fracture. In such situations, the injection of bone cement may provide some relief from the pain; however, patients will still need to tak...

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