Understanding Sudden Lumbar Pain: Causes, Diagnosis, and Treatment Options
Acute lumbar pain? Hello Doctor, a few days ago, due to my menstrual period, I experienced slight lower back pain. Additionally, I had to kneel all day for a family funeral, and that evening, I felt severe pain. The discomfort extended from my lumbar spine to my knees, and I also...
Dr. Shi Guozheng Reply:
Muscle strains typically do not present with lower limb numbness or extend to the calf or sole of the foot, nor do they cause weakness in the calf or toes. Back injuries are often related to poor posture or repetitive movements. Initial treatment should focus on medication and re...[Read More] Understanding Sudden Lumbar Pain: Causes, Diagnosis, and Treatment Options
Can I Practice Judo with Scoliosis? Expert Advice on Spinal Health
Scoliosis Hello Dr. Wang, I have an S-shaped scoliosis with a thoracic curvature of 18 degrees and a lumbar curvature of 26 degrees (the lumbar spine has some rotation). I am considering taking the police examination, but since police training requires practicing judo, I am con...
Dr. Wang Shouji Reply:
Hello: This will depend on whether you can pass the physical examination for the police academy. Such a spine is prone to injury from high-energy impacts. Thank you![Read More] Can I Practice Judo with Scoliosis? Expert Advice on Spinal Health
Understanding Lower Back Pain: Causes and Solutions for Relief
Lower back pain? Dear Dr. Chen, I have been experiencing lower back pain for some time, but over the past month, the pain has intensified. I feel soreness and discomfort in my entire lower back and pelvic area. Additionally, when I take a deep breath and engage my abdominal musc...
Dr. Chen Yongxue Reply:
Hello, 1. Please go to the outpatient clinic for a lumbar spine examination. 2. It is possible. Thank you.[Read More] Understanding Lower Back Pain: Causes and Solutions for Relief
Understanding Osteoporosis X-Ray Checks: Key Areas and Treatment Options
Bone density test How many points should be examined in an X-ray for osteoporosis to be sufficient? Previously, someone went to Chang Gung Memorial Hospital and had their wrist and foot examined, but when I had it done at Taipei Medical University two years ago, only the hip and ...
Dr. Shi Guozheng Reply:
Bone density testing typically measures the lumbar spine and hip. A T-score of -1.8 indicates osteopenia, which is not yet at the level of osteoporosis, and the risk of fractures is relatively low. Generally, increasing physical activity and supplementing with calcium and vitamin...[Read More] Understanding Osteoporosis X-Ray Checks: Key Areas and Treatment Options
Understanding Sciatica: Causes, Symptoms, and When to Seek Help
Pain in the buttocks? Hello, doctor. Recently, I've been feeling soreness on both sides of my lower back when I wake up in the morning. Additionally, since Wednesday, I've been experiencing a sensation in my right buttock that feels like the bone is displaced, moving to...
Dr. Shi Guozheng Reply:
It could be an issue with the hip joint or lumbar spine; you can schedule an appointment with an orthopedic specialist to have it checked.[Read More] Understanding Sciatica: Causes, Symptoms, and When to Seek Help
Understanding Muscle and Joint Stiffness: Causes and When to Seek Help
Muscle and joint stiffness and pain? Hello Dr. Wang: I am asking on behalf of my mother (54 years old). Recently, she has been experiencing stiffness in her muscles and joints. The symptoms include difficulty standing for even a short period, and when she wants to change position...
Dr. Wang Shouji Reply:
Hello: Based on your mother's symptoms, they are likely related to joint degeneration. Osteoarthritis can cause stiffness, pain, and the need for warming up. Please visit an orthopedic department for further examination. Thank you![Read More] Understanding Muscle and Joint Stiffness: Causes and When to Seek Help
Chronic Lower Back Pain: Seeking Solutions After 18 Months of Discomfort
Lumbar pain lasting for one and a half years? Dear Dr. Wang, I apologize for the lengthy message, but I believe that clearly describing my symptoms will help you understand my situation better. I have had scoliosis since high school, with a curvature of about 15 degrees. After g...
Dr. Wang Shouji Reply:
Hello: Scoliosis, combined with the fact that humans spend most of their time either sitting or standing, increases the likelihood of degenerative changes in the spinal joints. If the symptoms you described are indeed that severe, it is advisable to visit a hospital for further e...[Read More] Chronic Lower Back Pain: Seeking Solutions After 18 Months of Discomfort
Understanding Inversion Therapy for Arthritis and Sports Injuries
Inversion tables and their relation to arthritis pain / sports injury issues? Hello, Dr. Shi! 1) I have osteoarthritis and am currently undergoing a treatment regimen of two phases of hyaluronic acid injections per year. Each treatment cycle lasts five weeks, with an injection ...
Dr. Shi Guozheng Reply:
Knee joint degeneration is almost a common issue among older adults. If hyaluronic acid injections have not improved the condition, it may be necessary to evaluate whether surgical treatment is required. Engaging in light exercise is acceptable, but activities involving excessive...[Read More] Understanding Inversion Therapy for Arthritis and Sports Injuries
Pain from Exposed Screws After Hip Fracture Surgery: What to Do?
Sleeping on the area where a steel implant is located can cause pain? In early July, I fell and sustained a fracture of the left femoral neck. The doctor performed surgery and implanted four screws for fixation. After the surgery, the femoral head shifted from a slight displaceme...
Dr. Shi Guozheng Reply:
Exposed metal pins can irritate the skin and subcutaneous tissue, leading to pain. You may consult the surgeon to see if it is possible to remove the protruding pin. Additionally, if the bone is misaligned and does not heal properly, reoperation should also be considered.[Read More] Pain from Exposed Screws After Hip Fracture Surgery: What to Do?
Understanding Thoracolumbar Degeneration at a Young Age: Causes and Prevention
Degeneration of the thoracolumbar spine? Hello Doctor: During a routine X-ray, it was unexpectedly found that I have degeneration in my thoracic and lumbar spine, and I am only 23 years old. Why is this happening? Is the X-ray diagnosis accurate? Also, since I am young and alread...
Dr. Chen Yongxue Reply:
Degeneration is unavoidable; it is a part of the aging process. However, experiencing degeneration at the age of 23 is unusual unless there has been a significant past injury or an endocrine issue leading to bone loss. Therefore, it is advisable to reassess this diagnosis, and I ...[Read More] Understanding Thoracolumbar Degeneration at a Young Age: Causes and Prevention
Understanding Lumbar Bone Spurs: Causes, Symptoms, and Treatment Options
Lumbar osteophytes Hello Dr. Wang: For about a week, I have been experiencing slight numbness in the tips of my toes and calves. Today, I went to an orthopedic clinic for an X-ray and found out that I have bone spurs in my lumbar spine. The doctor mentioned that this is likely th...
Dr. Wang Shouji Reply:
Hello: In response to your questions, here are the answers: 1. Individuals over the age of 20 may show signs of degenerative diseases such as bone spurs on X-rays. 2. Poor posture and excessive weight-bearing can lead to spinal degeneration and the formation of bone spurs. 3. Per...[Read More] Understanding Lumbar Bone Spurs: Causes, Symptoms, and Treatment Options
Understanding Spinal Injuries: When to Seek Medical Attention
Lumbar spine injury? Hello, doctor: I slipped and fell while going down the stairs, resulting in a spinal injury. Even though I was wearing a thick coat in winter, I still sustained abrasions. After the injury, I experienced tinnitus and mild vomiting, and since then, I have been...
Dr. Shi Guozheng Reply:
First, we need to check for persistent lower back pain. Second, we should look for any numbness or weakness in the lower extremities. Third, we need to see if the legs can be straightened or lifted. If none of these symptoms are present, then there is likely no significant injury...[Read More] Understanding Spinal Injuries: When to Seek Medical Attention
Understanding Lumbar Spine Injuries: The Impact of L4-L5 Movement on Leg Numbness
Lumbar spine injury grade 4? Today, during my follow-up appointment, the doctor said that the movement of my lumbar vertebrae at levels L4 and L5 is causing my leg to feel numb.
Dr. Shi Guozheng Reply:
I'm not sure if what you're referring to as "movement" is a spinal displacement. If that is the case, further examination is necessary to clarify the situation, which would be better for you.[Read More] Understanding Lumbar Spine Injuries: The Impact of L4-L5 Movement on Leg Numbness
Understanding Lumbar Injuries: Causes, Symptoms, and Treatments
Lumbar spine injury The orthopedic doctor prescribed me appetite stimulants, B12, anti-inflammatory pain relievers, and muscle relaxants. Now, when I sit, my legs feel numb. In middle school, I occasionally experienced sudden leg weakness that caused me to fall, and I have previo...
Dr. Shi Guozheng Reply:
Sciatica may not be directly related, but it is often caused by a herniated intervertebral disc in the lumbar spine that compresses the sciatic nerve. Typically, the intervertebral discs in the lumbar spine lose hydration and elasticity due to aging. When subjected to significant...[Read More] Understanding Lumbar Injuries: Causes, Symptoms, and Treatments
Understanding Lumbar Spine Injuries: Causes and Treatment Options
Lumbar spine injury Today, I visited a traditional Chinese medicine practitioner who mentioned that there is a curvature in my lumbar spine below the third lumbar vertebra. I am currently experiencing persistent lower back pain when sitting or standing up. Could a professional ph...
Dr. Wang Shouji Reply:
Hello: If there is scoliosis in the spine and the severity is unknown, it is advisable to visit an orthopedic clinic for an examination to determine the severity and necessary precautions. Thank you![Read More] Understanding Lumbar Spine Injuries: Causes and Treatment Options
Effective Rehabilitation Strategies for Ankylosing Spondylitis Management
Ankylosing Spondylitis Hello Doctor: I would like to ask what rehabilitation methods can be used for ankylosing spondylitis in daily life? How can I prevent it from worsening? I heard that taking vitamin C is effective; is that true? Thank you!
Dr. Shi Guozheng Reply:
This disease can cause calcification of soft tissues, leading to stiffness and immobility of the joints, typically occurring in the cervical spine, lumbar spine, and hip joints. The usual rehabilitation approach involves regular exercise and engaging in gentle activities such as ...[Read More] Effective Rehabilitation Strategies for Ankylosing Spondylitis Management
Severe Lower Back Pain After Pregnancy: Seeking Safe Diagnosis Options
Severe lower back pain? Hello, Doctor: I gave birth last year, and I occasionally experience mild lower back discomfort. On the afternoon of August 10th, I felt a bit of soreness in my lower back, which I didn't think much of, but it gradually worsened into severe pain. I ha...
Dr. Chen Yongxue Reply:
Hello: In response to your question, it is recommended that you first visit an orthopedic outpatient clinic for an evaluation by a physician to determine if an X-ray examination is necessary.[Read More] Severe Lower Back Pain After Pregnancy: Seeking Safe Diagnosis Options
Understanding Bone Density Tests: Safety and Considerations for Women
Testing Inquiry Hello Doctor: I would like to ask you some questions. Is the bone density measurement device used in general hospitals a type of X-ray? Will full-body exposure have any effects? Since I have never been pregnant or given birth, would you still recommend having the ...
Dr. Shi Guozheng Reply:
It is a type of X-ray that involves a very low radiation dose. If it is not performed during pregnancy, it generally does not have a significant impact. Typically, it is done on the lumbar spine or hip joints, and there is usually no need to wait to have it done later.[Read More] Understanding Bone Density Tests: Safety and Considerations for Women
Managing Chronic Back Pain from Thoracolumbar Degeneration: Medication Insights
Thoracolumbar junction 3 Degenerative changes in the thoracolumbar spine can lead to chronic back pain. However, medications such as Tofisopam, analgesics, and muscle relaxants are typically used for long-term management. These medications primarily help alleviate symptoms rather...
Dr. Zhang Jiahao Reply:
Medications cannot reverse degeneration; whether or not to take medication should be determined by a physician's assessment. Thank you![Read More] Managing Chronic Back Pain from Thoracolumbar Degeneration: Medication Insights
Essential Exercises for Strengthening and Relaxing Spinal Muscles
Bone issues? The doctor mentioned that to prevent degeneration of the thoracic and lumbar spine, it is important to focus on improving posture and performing exercises to strengthen the muscles around the spine, as well as relaxation exercises. What are the exercises for strength...
Dr. Zhang Jiahao Reply:
It is recommended to visit the rehabilitation department for professional rehabilitation guidance![Read More] Essential Exercises for Strengthening and Relaxing Spinal Muscles