Understanding Disc Thinning and Anterior Pelvic Tilt: Causes and Solutions
Disc degeneration and anterior pelvic tilt? Hello Doctor, I would like to ask about the following questions: 1. Recently, I noticed that my lower back hurts after walking for a while, so I went to a large hospital to check for scoliosis. I had an X-ray taken, and the doctor told...
Dr. Chen Yongxue Reply:
Hello, a herniated disc can cause narrowing of the intervertebral space on X-rays. However, if there are no neurological symptoms, there is no need to worry too much. Personally, I do not recommend heavy lifting or weight training, as this can place unnecessary pressure on the sp...[Read More] Understanding Disc Thinning and Anterior Pelvic Tilt: Causes and Solutions
Long-Term Neck Extension: Impact on Bones and Nerves in the Workplace
Prolonged neck extension? Due to work requirements, I need to maintain a prolonged neck extension (approximately 2.5 hours at a time, with a 30-minute break, totaling 8 hours a day). While it can be quite uncomfortable, I can still lower my neck to rest (averaging about 45 minute...
Dr. Wang Shouji Reply:
Hello, the neck connects the skull above and the thoracic cavity below. Prolonged forward bending and backward tilting can exert pressure on the cervical spine, leading to muscle fatigue and pain in the neck. Over time, this may result in degenerative cervical spondylosis, increa...[Read More] Long-Term Neck Extension: Impact on Bones and Nerves in the Workplace
Common Concerns About Manual Therapy in Orthopedic Treatment
Questions related to manual therapy? Hello Dr. Chen, I recently underwent manual therapy at a physical therapy clinic and have two questions to ask: 1. After the treatment, my old injury, which has been bothering me for over a decade, has become more painful. Is this phenomenon...
Dr. Chen Yongxue Reply:
First of all, I am not aware of the reason (diagnosis) for your visit to "manual therapy," nor do I understand which specific treatment you are referring to. I suggest that you directly consult a rehabilitation physician for clarification. Thank you.[Read More] Common Concerns About Manual Therapy in Orthopedic Treatment
Understanding Neck and Spine Issues: Addressing Unusual Sounds While Walking
Cervical and spinal issues? I had an X-ray after a car accident, and the bones were fine. However, I hear a popping sound when I walk. The sound disappears when I walk with a hunched posture at a certain angle, but it returns when I walk upright. I've undergone rehabilitatio...
Dr. Chen Yongxue Reply:
Hello, the sounds coming from your joints are not considered a disease. As long as there are no accompanying symptoms, you can disregard it. If you still have concerns, please visit an orthopedic clinic for further evaluation. Thank you.[Read More] Understanding Neck and Spine Issues: Addressing Unusual Sounds While Walking
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 Scoliosis: When Surgery is Necessary and What to Expect
Scoliosis, post-spinal surgery? Hello Dr. You: I am 19 years old, male, and I have discovered that I have approximately 40 degrees of scoliosis in my thoracic spine. I did some research online and found that curves greater than 40 degrees typically require surgical intervention. ...
Dr. You Dianqi Reply:
Hello: If your condition is indeed as significant as you mentioned, it is advisable to visit a trusted medical facility for a comprehensive evaluation. Generally, it is necessary to assess whether your cardiopulmonary function is affected by the scoliosis, as well as to evaluate ...[Read More] Understanding Scoliosis: When Surgery is Necessary and What to Expect
Should You Choose a Hard or Soft Neck Brace for Injury Recovery?
Should a cervical collar be hard or soft? I experienced pain in my cervical spine after being hit by an elbow, but I'm also feeling pain in areas that weren't directly impacted, such as my thoracic spine and upper back. The outpatient physician said there are no issues ...
Dr. Li Yongheng Reply:
Hello, I sustained an injury to my cervical spine from an elbow impact, but the outpatient physician stated that there are no fractures. The impact has caused cervical tendinitis, which not only results in neck pain but also radiates to the upper back, causing discomfort in the t...[Read More] Should You Choose a Hard or Soft Neck Brace for Injury Recovery?
Understanding Neck Bone Tumors and Their Potential Symptoms
Occipital bone tumor and cervical spine issues? I have a genetic predisposition to multiple osteomas, with various sizes of bone tumors throughout my body. I previously had a large osteoma on my foot examined, but since it does not compress any nerves, the doctor advised against ...
Dr. Chen Yongxue Reply:
You have multiple osteomas, which are generally more common in the limbs. If, as you mentioned, there are occurrences in the cervical spine, it would be advisable to conduct further imaging studies to determine if there is indeed any compression. Otherwise, relying on subjective ...[Read More] Understanding Neck Bone Tumors and Their Potential Symptoms
Could Jaw Impact on Spine Cause Leg Numbness? Expert Advice Needed
Hit on the chin causing spinal impact, resulting in leg numbness? Hello, doctor. I have been hit on the spine several times by my girlfriend's chin (and also pressed on the spine while riding a motorcycle). Last night, after being hit, my left foot was numb the entire night....
Dr. Li Yongheng Reply:
Hello, if your left foot has been numb for an entire night, it may be due to nerve compression. It is advisable to visit an orthopedic or rehabilitation clinic for an evaluation. Thank you.[Read More] Could Jaw Impact on Spine Cause Leg Numbness? Expert Advice Needed
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
Could Spinal Issues Cause Esophageal Discomfort During Eating?
The spine affects the esophagus? Hello Doctor: I recently underwent an upper gastrointestinal endoscopy due to gastroesophageal reflux disease (GERD), and the outpatient physician informed me that it is non-erosive reflux. My current issue is that when I eat, especially with drie...
Dr. Shi Guozheng Reply:
The spine typically does not affect the esophagus because the anatomical positions of the two are quite distant from each other.[Read More] Could Spinal Issues Cause Esophageal Discomfort During Eating?
Understanding Whiplash Syndrome: Symptoms, Diagnosis, and Treatment Options
Cervical Whiplash Syndrome Hello Doctor: I was in a motorcycle accident on July 1st of last year. I had to stop suddenly and was rear-ended by another vehicle. That night, I experienced significant neck pain. After applying ice and heat and taking anti-inflammatory pain medicatio...
Dr. Shi Guozheng Reply:
Your description indicates that there is no injury to the cervical spine nerves, but rather a muscle or tendon injury. It has been over a year without deterioration. Currently, if there are no neurological deficits, further examination is not necessary.[Read More] Understanding Whiplash Syndrome: Symptoms, Diagnosis, and Treatment Options
Post-Surgery Numbness and Pain After Cervical Disc Herniation: Causes and Solutions
After cervical disc herniation surgery, is it normal to experience numbness and pain in the arms and legs? What could be the cause? Is the surgery ineffective? Hello, Doctor: My father is 70 years old and currently resides in Kaohsiung City. Since March 2018, he has experienced i...
Dr. Li Yongheng Reply:
Hello, I will respond to your questions as follows: 1. If nerve compression has been present for a while, postoperative symptoms such as numbness, pain, and weakness in the limbs may persist for a longer duration. However, if the decompression surgery is successful, the symptom...[Read More] Post-Surgery Numbness and Pain After Cervical Disc Herniation: Causes and Solutions
Understanding Disc Herniation: Symptoms, Treatment, and Recovery Insights
Low back pain suspected to be a herniated disc? Hello, at the beginning of the year, I suddenly started experiencing lower back pain, which is accompanied by pain in the right side of my buttock and the back of my thigh. Initially, the pain was most severe in the morning, making ...
Dr. Wang Shouji Reply:
Hello: There is indeed a herniated disc with nerve compression. If rehabilitation does not yield satisfactory results, it is recommended to consult a spine specialist to discuss options at Changhua Hospital. Wishing you the best.[Read More] Understanding Disc Herniation: Symptoms, Treatment, and Recovery Insights
Left-Sided Muscle and Joint Discomfort: Possible Causes and Solutions
Discomfort in the muscles and bones on the left side? Hello Doctor, I have been experiencing significant discomfort on the left side of my body, including my neck, shoulder, lower back, and knee. When I turn my neck, I only hear a cracking sound on the left side, and the same occ...
Dr. Shi Guozheng Reply:
Your description sounds more like myofascial pain, which is typically caused by overuse or prolonged poor posture in a specific position or movement. Treatment options include physical therapy, heat therapy, and the use of certain medications. Additionally, incorporating some gen...[Read More] Left-Sided Muscle and Joint Discomfort: Possible Causes and Solutions
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
Understanding Neck Injuries: What to Do After a Basketball Impact
Neck issues Hello doctor, I was playing basketball today and got hit in the neck area by a falling ball. It was very painful at first, but later I didn't feel much discomfort. Is there still a possibility of a neck injury?
Dr. Shi Guozheng Reply:
It is possible that you have sustained a bruise from the impact. If the pain has subsided, it is generally less concerning, but you should continue to monitor for any numbness or tingling in the neck or limbs. If you experience any of these symptoms, you must seek medical attenti...[Read More] Understanding Neck Injuries: What to Do After a Basketball Impact