Understanding Right Shoulder Blade Tightness: Causes and Care Tips
I feel tightness in my right scapula? Recently, I've been feeling tightness in my right scapula, and when I place my hands flat at my sides, it always seems like the right side is slightly longer. While playing basketball, I also noticeably feel that my right hand is unable ...
Dr. Shi Guozheng Reply:
First, you need to determine whether the shoulder weakness is due to pain or actual weakness. If there is nerve injury, in addition to weakness, there may also be symptoms of numbness. Currently, it is advised not to play sports and see if there is any improvement. If these sympt...[Read More] Understanding Right Shoulder Blade Tightness: Causes and Care Tips
Is It Really Ankylosing Spondylitis? Understanding Your Back Pain
Is it really ankylosing spondylitis? Hello Doctor, I am 25 years old and have been experiencing lower back pain for nearly a year. However, my pain is only significant when I engage the affected area, such as bending down or sitting upright. I believe this did not occur suddenly;...
Dr. Lin Xiaoyi Reply:
Hello: The diagnosis of ankylosing spondylitis should be based on symptoms, physical examination, and X-ray findings. A positive HLA-B27 test is a reference point, but for clinically suspicious patients, a positive HLA-B27 significantly increases the likelihood of ankylosing spon...[Read More] Is It Really Ankylosing Spondylitis? Understanding Your Back Pain
Can Long-Term Spinal Issues from Sports Injuries Be Treated?
Chronic illness Hello Dr. Wang: When I was 18 years old, I suffered a sports injury that left me unable to walk for two weeks. However, I did not undergo active rehabilitation at that time, and now my spine (from the cervical to the lumbar region) cannot bend. Is it still possibl...
Dr. Wang Shouji Reply:
A-Ming needs to assess the extent of the injury. However, it is rare for an injury to have such a wide impact (from the cervical spine to the lumbar spine). It is important to consider whether it is caused by a disease. It is recommended to visit a hospital's orthopedic depa...[Read More] Can Long-Term Spinal Issues from Sports Injuries Be Treated?
Understanding Sciatica: Causes, Symptoms, and Treatment Options
Spinal acid Hello, doctor. Three years ago, I injured my spine. I have had X-rays and MRIs done. I often feel a lot of soreness in my lower back, which sometimes radiates down to one leg and sometimes the other. It feels like my legs don’t know where to stretch. My lower back oft...
Dr. Wang Shouji Reply:
Mr. Zhu, if it has been previously confirmed that you have sciatica and the condition is not severe, medication and rehabilitation can often lead to improvement. If there is no progress, further examination is necessary to determine if surgery is required. It is recommended to vi...[Read More] Understanding Sciatica: Causes, Symptoms, and Treatment Options
Should I See an Orthopedist for My Back and Side Pain?
I'm not sure if I need to see an orthopedic specialist? Doctor, I have a longer upper body, so when I sit, I tend to slouch. Initially, my spine and lower back feel a bit sore, probably because I've been in the same position for too long without moving. When I try to st...
Dr. Wang Shouji Reply:
Poor posture is a risk factor for back pain. Kidney, urinary tract, and gynecological issues can also present with symptoms of back pain. You may want to consult an orthopedic specialist to determine if there are any structural problems. Constipation rarely affects back pain. Wis...[Read More] Should I See an Orthopedist for My Back and Side Pain?
Understanding Right-Sided Buttock Pain: Causes and Solutions
Right-sided buttock pain? This symptom has been present for two weeks. Initially, I felt a dull ache in the middle of my right buttock. Gradually, when I attempted to touch my toes with both hands, I found it difficult with my right hand and could not reach my right toe. Just per...
Dr. Shi Guozheng Reply:
Pain in the middle of the buttocks may be related to the sciatic nerve. The sciatic nerve exits from the lumbar spine and passes through the central posterior area of the buttocks, then travels down to the thigh, knee, calf, and foot. This type of symptom may be caused by nerve c...[Read More] Understanding Right-Sided Buttock Pain: Causes and Solutions
Understanding Right-Sided Abdominal Pain: Causes and Treatment Options
The pain is located at the level of the navel, on the right side, approximately 10 to 15 centimeters from the side of the waist? Hello Dr. Wang: I have pain located at the level of my navel, about 10 to 15 centimeters to the right side of my waist. In addition to general soreness...
Dr. Wang Shouji Reply:
JEFF: Sciatica is defined as pain that radiates along the path of the sciatic nerve, typically affecting the lower back and extending down the legs. If there is only lower back pain without any neurological symptoms in the lower extremities, it does not meet the medical definitio...[Read More] Understanding Right-Sided Abdominal Pain: Causes and Treatment Options
Understanding Spondylolisthesis: When to Seek Medical Attention
Spondylolisthesis Hello, my mother was diagnosed with spondylolisthesis during a bone density test last year. However, she did not experience any pain due to her regular aerobic exercise. Over the past two weeks, she has paused her exercise routine because of thyroid surgery, and...
Dr. Wang Shouji Reply:
Eva: Spondylolisthesis can be classified as congenital or acquired. If there is no back pain or symptoms of spinal stenosis (such as lower limb numbness or pain), observation is recommended. If symptoms develop, treatment (surgical decompression and internal fixation fusion) can ...[Read More] Understanding Spondylolisthesis: When to Seek Medical Attention
Understanding Spinal Compression: When to Seek Medical Attention
Supplemental spinal compression Doctor, I would like to ask: Before I learned about the spinal compression, I experienced soreness on both sides of the sacroiliac joint, near the area that seems to be affected by the compressed spine. Is this soreness also due to the compression?...
Dr. Shi Guozheng Reply:
It may be related to compression; if the pain persists, you should see a doctor. Typically, spinal compression fractures occur due to injuries, such as falling from a height, car accidents, or falls. In younger populations, these fractures are often caused by high-impact forces, ...[Read More] Understanding Spinal Compression: When to Seek Medical Attention
Understanding Chronic Pelvic Pain: Causes and Solutions
Pelvic pain Hello, doctor. I have been experiencing persistent pelvic pain for a long time, making it difficult for me to stand or sit for extended periods. It feels like my lower back is about to break, and I don't have any symptoms of frequent urination or bladder infectio...
Dr. Shi Guozheng Reply:
Pelvic pain should first be evaluated for any gynecological issues. Next, it is important to assess the spine for abnormalities, such as spondylolysis or spondylolisthesis. Consulting an orthopedic specialist for further examination is advisable.[Read More] Understanding Chronic Pelvic Pain: Causes and Solutions
Understanding Spinal Compression: Symptoms, Monitoring, and Impact
Spinal compression Hello Doctor: Today I visited an orthopedic specialist due to lower back pain, and it was discovered that the first vertebra from the bottom of my spine is experiencing compression, appearing somewhat trapezoidal. The doctor advised me to continue monitoring it...
Dr. Shi Guozheng Reply:
The bone appears trapezoidal, which may indicate a previous injury or compression. Given your age, it is less likely to be caused by osteoporosis. It is advisable to have another X-ray in six months; if there are no changes, it should be fine. Continuous compression leading to a ...[Read More] Understanding Spinal Compression: Symptoms, Monitoring, and Impact
Understanding Lower Back Pain, Cramps, and Osteoporosis: Expert Insights
Spine Hello Doctor: 1. I often experience soreness and even weakness at the very bottom of my spine (near the waist). Sometimes, I can't get out of bed, and pressing on the area makes it feel even more sore and weak. I've seen a doctor and had X-rays done, but the doct...
Dr. Wang Shouji Reply:
Young people often experience lower back pain primarily due to poor posture and muscle fatigue. A small percentage of cases may be related to spinal structural issues, such as scoliosis and spina bifida. Generally, if a hospital examination has been conducted, structural problems...[Read More] Understanding Lower Back Pain, Cramps, and Osteoporosis: Expert Insights
Can Basic Physical Exams Detect Spinal Cord Compression?
Can a basic physical examination detect spinal cord compression? Dear Director: Can a basic physical examination (including tendon reflexes, muscle strength, sensory nerves, and the presence of pain points) detect lumbar vertebral compression fractures? Is it safe to engage in ...
Dr. Wang Shouji Reply:
Compression fractures of the lumbar spine typically present with pain but do not usually exhibit neurological symptoms such as weakness or numbness, unless the vertebral body collapses by more than 50%, which can affect the stability of the posterior column and the nerves. Physic...[Read More] Can Basic Physical Exams Detect Spinal Cord Compression?
Understanding Lumbar Spine Issues: Is My Condition Serious?
I'm sorry, but I need specific content to translate. Please provide the text you would I apologize for the inconvenience, but I would like to ask again. I had X-ray examinations at Chi Mei and National Cheng Kung University hospitals, and the diagnosis showed that my lumbar ...
Dr. Shi Guozheng Reply:
Congenital sacral dysgenesis is medically referred to as spina bifida sacrum, and it is usually not severe. If there is no nerve involvement or compression, symptoms typically do not occur. This condition is often visible on X-ray images and generally does not require treatment.[Read More] Understanding Lumbar Spine Issues: Is My Condition Serious?
Understanding Lumbar Lordosis: Causes and Pain Management Insights
Lumbar spine is relatively straight? Hello, doctor. I had an X-ray that showed my lumbar spine is straighter than normal. I went to see a traditional Chinese medicine practitioner for rehabilitation, and the therapist mentioned that the curvature of my lumbar spine is lost, which...
Dr. Shi Guozheng Reply:
1. After experiencing lower back pain, the muscles may tighten, resulting in a straighter posture; however, once the pain subsides, the condition will improve. 2. The pain is not caused by the straighter posture, but rather by strains or sprains of the muscles, tendons, or liga...[Read More] Understanding Lumbar Lordosis: Causes and Pain Management Insights
Understanding Rib Fractures: Chest Pain and Recovery Tips
Chest pain due to rib fractures? Hello Doctor: My husband had a motorcycle accident yesterday and fractured the third rib on the left side near the spine (with a significant crack at the upper end). The X-ray did not show any other fractures. However, after returning home, we not...
Dr. Chu Baijun Reply:
Hello: Regarding rib fractures, the primary concern for physicians is the potential for lung injuries leading to pneumothorax or hemothorax, or complex rib fractures resulting in flail chest. Simple rib fractures are typically managed with conservative treatment, without the need...[Read More] Understanding Rib Fractures: Chest Pain and Recovery Tips
Understanding Straightened Spine and Sacral Bone Issues: What You Need to Know
The spine is relatively straight? Hello, doctor. I had an X-ray, and the doctor said that a normal person's spine has a slight curvature, but mine is a bit straighter. What does this mean? The doctor also mentioned that I have a congenital incomplete fusion of the right sacr...
Dr. Shi Guozheng Reply:
The spine should have some curvature when viewed from the side. If pain or muscle soreness occurs, it may become straighter, usually due to muscle fascia tightness. Once the pain subsides, it will return to normal. As for incomplete sacral fusion, if there are no symptoms at all,...[Read More] Understanding Straightened Spine and Sacral Bone Issues: What You Need to Know
Understanding Extra Bone Growth in the Pelvis: Is It Normal?
Regarding a newly discovered bone? Hello Dr. Wang, I am currently a student studying in Taipei and I would like to ask you, "Why do I have an extra bone growing at the bottom of my pelvis, aligned with my spine, and sometimes when I sit, I feel pressure on my spine?" Is...
Dr. Wang Shouji Reply:
Ya-Yo: Your issue can be diagnosed with an X-ray. I recommend visiting the orthopedic department for further evaluation. Wishing you good health.[Read More] Understanding Extra Bone Growth in the Pelvis: Is It Normal?
Understanding Sudden Lower Back Pain: Causes and When to Seek Help
Low back pain? Hello Dr. Lee, In recent years, I have occasionally experienced severe pain in my lower back, which feels like it starts from a specific vertebra and then radiates to both sides, causing intense pain around my abdomen. However, the pain subsides after a while, an...
Dr. Li Wenlin Reply:
Hello: In response to your question. 1. Based on your description, there are three possible conditions. The first is kidney or ureteral stones, which typically present with unilateral symptoms. The second is inflammation of the lumbar spine or surrounding muscles, which usually a...[Read More] Understanding Sudden Lower Back Pain: Causes and When to Seek Help
Understanding Numbness and Tingling from Injury: Treatment Options
There is some numbness from the left hand to the left foot? Hello, doctor. During the Mid-Autumn Festival, while I was out with my classmates, someone rushed over and lifted my hands and feet, and I was unable to stop it, resulting in me being thrown onto the grass. When I got up...
Dr. Ye Qingnian Reply:
Numbness in the left hand and left foot can be concerning, especially if there is a possibility of cervical spine injury. It's important to assess whether there is any pain or injury in the neck. If so, it is advisable to seek evaluation and treatment from a neurosurgeon.[Read More] Understanding Numbness and Tingling from Injury: Treatment Options