Spine, Orthopedics FAQ - Page 29

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Understanding Chronic Lower Back Pain: Causes, Treatments, and When to See a Doctor

Low back pain I have been experiencing lower back pain for a long time, and it has recently worsened after getting a massage abroad. The pain is located on the left side of my lower back and feels deep. Could this be a tendon injury? If it is a tendon injury, how long will it tak...


Dr. Lin Yijun Reply:
Hello: Lower back pain can stem from various issues, possibly related to the spine, muscles, fascia, etc. If you have been experiencing pain for two to three years, it is important to undergo a thorough examination. Please visit an orthopedic specialist and prepare your symptoms ...

[Read More] Understanding Chronic Lower Back Pain: Causes, Treatments, and When to See a Doctor


Managing Back Pain During Pregnancy: Effects on Spine Health

Pregnancy Experiencing lower back pain during pregnancy, especially upon waking up in the morning and having difficulty straightening the body, can have implications for the spine. If there was a pre-existing condition such as scoliosis before pregnancy, it may potentially worsen...


Dr. Zhou Lizhi Reply:
During pregnancy, hormonal changes can lead to increased ligament laxity, which often results in lower back pain. Scoliosis does not affect delivery; however, as the weight of the fetus increases during pregnancy, it can indeed exacerbate discomfort. Therefore, it is advisable to...

[Read More] Managing Back Pain During Pregnancy: Effects on Spine Health


Post-Surgery Spine Pain: Understanding Anesthesia Effects and Treatment Options

Post-anesthesia spinal pain issues? Hello Doctor: I would like to ask, if the surgery involves spinal anesthesia, will there be issues with spinal pain in the future? It seems that after the surgery, I often experience spinal discomfort and cannot sit for long periods. If this is...


Dr. Wang Shouji Reply:
Generally, spinal anesthesia used to be performed with thicker needles, resulting in more noticeable soreness. However, the anesthetic needles used recently are finer, and symptoms typically last only a few days to a few weeks. If soreness persists, it is advisable to visit an or...

[Read More] Post-Surgery Spine Pain: Understanding Anesthesia Effects and Treatment Options


Understanding Chronic Lower Back Pain: Causes and Solutions

Lower back pain? Hello Doctor: I have been suffering from lower back pain since middle school. Every time I start sleeping on my back, my lumbar spine becomes extremely painful, and I have to switch to sleeping on my side or stomach for a while before I can lie flat without pain....


Dr. Wang Shouji Reply:
Human orientation: Humans, as long-term bipedal vertebrates, experience significant and severe spinal degeneration and back pain. Given your age, it is unlikely that you have very serious degenerative issues. It is important to pay attention to whether there are any postural prob...

[Read More] Understanding Chronic Lower Back Pain: Causes and Solutions


Understanding Lumbar Spine Separation: Implications and Next Steps

Spinal separation? Hello, I would like to ask some questions regarding spinal issues. I previously visited a neurosurgeon for an examination related to a herniated disc. After reviewing the lateral X-ray of my spine, the doctor mentioned that the fourth and fifth lumbar vertebrae...


Dr. Wang Shouji Reply:
Tiffany: From what you described, it's unclear what your symptoms are. Generally, the term "displacement" could refer to "spina bifida" or "spondylolisthesis." Your symptoms will affect the treatment approach. I recommend visiting an orthopedic ...

[Read More] Understanding Lumbar Spine Separation: Implications and Next Steps


Understanding Persistent Lower Back Pain After Cold Medication

Lower back pain (present for two weeks)? Hello Doctor: Two weeks ago, I had a cold and took cold medicine, but after taking four packets, I experienced symptoms of rapid heartbeat and hand tremors. I reported this to my doctor, who advised me to stop taking one of the medications...


Dr. Lin Xiaoyi Reply:
Hello: The pain you are experiencing seems to be more related to a musculoskeletal issue, with soreness and weakness extending from the lower back down to the legs, resembling symptoms of spinal nerve root compression. There is a suspicion of a herniated disc, possibly caused by ...

[Read More] Understanding Persistent Lower Back Pain After Cold Medication


Understanding Spinal Health: Options for Managing Degenerative Disc Issues

Spine Hello, Doctor: My mother is 60 years old and experiences lower back pain when getting up or sitting for long periods. After an X-ray examination by an orthopedic doctor, it was found that the cartilage in her spine has worn away. I would like to ask you: 1. Is surgery neces...


Dr. Shi Guozheng Reply:
Surgery is not always necessary; treatment can initially be managed with medication or rehabilitation. Taking these dietary supplements may not necessarily be effective. Hyaluronic acid injections do not aid in the function of cartilage, which is to absorb external forces and red...

[Read More] Understanding Spinal Health: Options for Managing Degenerative Disc Issues


Understanding JOS: The Japanese Orthopedic Assessment Tool Explained

JOS stands for "Juvenile Osteoporosis Syndrome." It is a condition characterized by decreased bone density and increased fracture risk in children and adolescents? JOS refers to the Japanese Orthopaedic Society, which has developed various assessment tools and evaluatio...


Dr. Shi Guozheng Reply:
I'm sorry, I couldn't find this. Could you provide more information or the full name? If it's the JOA SCORE, which stands for Japanese Orthopedic Association Score, then I have it. It is an assessment scale developed by the Japanese Orthopedic Association for evalu...

[Read More] Understanding JOS: The Japanese Orthopedic Assessment Tool Explained


Understanding Spinal Issues: Surgery, Cartilage, and Alternative Treatments

Spinal issues Hello Doctor: My mother is 60 years old and experiences soreness in her spine when she gets up. After an X-ray, the doctor said that the cartilage in her spine is worn out (it seems like the cartilage is gone). He mentioned that surgery is necessary for a complete c...


Dr. Wang Zikang Reply:
Hello: The spine often degenerates due to prolonged use, particularly the lumbar region where stress is concentrated. The intervertebral discs (cartilaginous parts) lose hydration, resulting in decreased intervertebral spacing and compression of the lumbar nerves. If the compress...

[Read More] Understanding Spinal Issues: Surgery, Cartilage, and Alternative Treatments


Navigating Complex Orthopedic Issues After a Car Accident

My ailments torment me so much~~ I was involved in a car accident a year ago, resulting in a fracture and protrusion between my left neck and clavicle, as well as a deviation of the left neck muscles. Approximately a year ago, after the accident, I consulted many doctors at the h...


Dr. Chen Xingyuan Reply:
Dear netizen: The symptoms you described, such as "aching and tingling sensations in both legs," could indeed be indicative of sciatica caused by lumbar spine issues. However, further physical examination and possibly imaging studies are necessary to confirm the diagnos...

[Read More] Navigating Complex Orthopedic Issues After a Car Accident


Understanding Congenital Neck Fusion: Causes, Effects, and Hereditary Risks

The 23 cervical vertebrae are connected together? The 23 vertebrae in the neck are connected together, which is indicative of congenital developmental abnormalities. The tail end of the spine is also curved. Why does this occur congenitally? Is it a specific disease? What are the...


Dr. Wang Shouji Reply:
Meow: After reading your description, I'm not sure if you have any symptoms. The spine naturally has a certain curvature, and having a curve does not necessarily indicate a disease. If there are any concerns, I recommend visiting an orthopedic clinic for a detailed evaluatio...

[Read More] Understanding Congenital Neck Fusion: Causes, Effects, and Hereditary Risks


Understanding Lower Back and Abdominal Pain: Causes and Solutions

Lower abdominal pain? Hello, Doctor: Recently, for the past two months, I have been experiencing soreness in my lower back and abdomen upon waking up (especially when sleeping on my back), but the pain tends to disappear about 30 minutes after getting out of bed. I am unsure what...


Dr. Wang Shouji Reply:
Based on your age and activity level, the likelihood of experiencing lower back muscle pain is high. It is recommended that you apply heat therapy and place a pillow under your knees while sleeping on your back to help keep your spine aligned. Topical analgesic ointments can also...

[Read More] Understanding Lower Back and Abdominal Pain: Causes and Solutions


Understanding Quadriceps Tightness: Causes, Diagnosis, and Management

Frog legs Hello Dr. Su, In December, I wrote an email to inquire about issues related to quadriceps muscle spasms. I also visited you in person at Chiayi Hospital at the end of December, so you should remember me. Currently, the doctors at Chang Gung Memorial Hospital have condu...


Dr. Su Yiren Reply:
Dear TJD, Thank you for providing various reports. I hope to choose an effective method to address the current symptoms. If the situation is severe, a quadriceps lengthening procedure may be necessary. However, if we proceed with this, it must be thorough; a lengthening of at le...

[Read More] Understanding Quadriceps Tightness: Causes, Diagnosis, and Management


Understanding Mid-Back Pain: Causes and Solutions for Spine Discomfort

Spinal column of the back Hello, I have been experiencing pain in the middle of my back, specifically along the spine, which only hurts when I press on it. Could this be caused by poor posture, or is there another reason? Additionally, sometimes during the day, I feel stiffness i...


Dr. Shi Qiming Reply:
Hello: Regarding your lower back pain, considering your age, if there is no severe trauma, treatment should focus on potential causes such as improper use and poor posture. Additionally, if you are experiencing stiffness in your back, the possibility of ankylosing spondylitis sho...

[Read More] Understanding Mid-Back Pain: Causes and Solutions for Spine Discomfort


Understanding Bone Development and Its Impact on Posture and Health

Bone Development Hello, doctor. May I ask until what age do human bones typically grow? Once development is complete, can we still correct our posture through exercise? Also, does scoliosis and kyphosis lead to varicose veins?


Dr. Wang Shouji Reply:
Hello, I apologize for the delayed response due to a busy schedule. Thank you for your understanding. Bone growth varies from person to person; generally, boys grow about 1-2 years later than girls, and it rarely continues past the age of 20. If the growth plates have fused, th...

[Read More] Understanding Bone Development and Its Impact on Posture and Health


Understanding Chest and Shoulder Blade Pain: Causes and Concerns

Chest pain and shoulder blade pain? My girlfriend (29 years old) started experiencing a sensation of tightness and pain around 3 PM yesterday (November 9th) in the area near her shoulder blades, close to the spine. She also began to feel chest pain, similar to the sensation of ha...


Dr. Wang Shouji Reply:
Hello, Aboogi: I apologize for the delayed response due to a busy schedule, and I appreciate your understanding. The pain you described could range from simple upper back pain (caused by muscle or spinal issues) to gastrointestinal or cardiac problems. Given your age, the likelih...

[Read More] Understanding Chest and Shoulder Blade Pain: Causes and Concerns


Which Side to Lie On for Scoliosis: Convex or Concave?

Scoliosis Hello doctor, if someone with scoliosis wants to lie on their side, should they lie on the convex side or the concave side of their back?


Dr. Shi Guozheng Reply:
Scoliosis is a structural issue of the spine, where X-rays show a curvature to the left or right when viewed from the front (anteroposterior view). In the lateral view, the spine appears straighter, as the normal curvature of the thoracic and lumbar regions is altered. However, i...

[Read More] Which Side to Lie On for Scoliosis: Convex or Concave?


Understanding Spinal Arthritis: Symptoms, Treatment, and Dietary Tips

Intervertebral disc inflammation? Recently, I underwent a second MRI at Tungs' Taichung MetroHarbor Hospital in Hsinchu County, which revealed a mild protrusion of the L4-L5 intervertebral disc, but there was no evidence of nerve compression. I have been experiencing numbnes...


Dr. Wang Shouji Reply:
Hello Xiao Hu, I apologize for the delayed response due to business commitments, and I appreciate your understanding. The intervertebral discs are part of the spinal joints, which is why it is referred to as degenerative spinal arthritis. The treatment for this condition is simi...

[Read More] Understanding Spinal Arthritis: Symptoms, Treatment, and Dietary Tips


Knee Injury and Its Unexpected Impact on Lower Back Pain

Knee impact can cause pain in the lumbar spine? I practiced extreme sports last night and accidentally bumped my knee. I was wearing a knee brace, but it still hurts a little. However, when I woke up the next morning, my lumbar spine started to hurt a bit, and I have difficulty b...


Dr. Chu Baijun Reply:
Hello, injuries to various parts of the body due to sports accidents are commonly seen in clinical practice, but the nature and location of the injuries can vary. It is relatively unlikely for knee injuries to directly cause lower back pain. The ankylosing spondylitis mentioned i...

[Read More] Knee Injury and Its Unexpected Impact on Lower Back Pain


Effective Strategies to Prevent Further Degeneration of Aging Spine

What methods should be used to prevent further deterioration of spinal aging? Hello Dr. Chen, I have severe degeneration in my lumbar spine at levels L4 and L5. What methods should I use to protect my spine? What should I eat and what exercises can I do to promote regeneration a...


Dr. Chen Xingyuan Reply:
Dear Readers, The aging of joints is a natural phenomenon, similar to how machines or tires wear out over time. The degree and speed of joint aging are influenced by factors such as age, physical condition, usage patterns, and the presence of injuries, with only the usage patter...

[Read More] Effective Strategies to Prevent Further Degeneration of Aging Spine


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