Understanding Hard Lumps on the Spine: Possible Causes and Concerns
There is a hard lump on the lumbar spine? Hello, doctor. My father has lumbar spinal stenosis, and he walks with a hunch and experiences soreness. Recently, we noticed a hard, protruding area on his lower back, and we are unsure what it could be. He is reluctant to seek medical a...
Dr. Chen Yongxue Reply:
Older individuals often experience issues such as kyphosis and compression fractures due to degenerative changes. This can result in a noticeable protrusion in the lower back, which is more pronounced in thinner individuals. If you have any concerns, it is advisable to consult an...[Read More] Understanding Hard Lumps on the Spine: Possible Causes and Concerns
Understanding the Progression of Osteoarthritis: When to Seek Further Treatment
Degenerative arthritis My degenerative arthritis started in the soles of my feet. Why did it spread to other joints? It has moved to my knee joints, cervical spine joints, temporomandibular joints, and finger joints. I am receiving formal treatment at a large hospital, where the ...
Dr. Shi Guozheng Reply:
If taking the medication improves the symptoms, continue the medication and return for a follow-up appointment after finishing it. If there is a sudden worsening of the condition, seek medical attention promptly.[Read More] Understanding the Progression of Osteoarthritis: When to Seek Further Treatment
Understanding Recovery Time for Closed Fractures After a Car Accident
Recovery from fractures due to car accidents? Hello, doctor. I was recently involved in a car accident that resulted in closed fractures of my ribs, clavicle, and scapula. After evaluation by my physician, it was determined that conservative treatment would be sufficient. I would...
Dr. Shi Guozheng Reply:
It will heal in about three months and will not worsen.[Read More] Understanding Recovery Time for Closed Fractures After a Car Accident
Impact of Heavy Helmets on Toddler's Neck Development: Expert Insights
Cervical spine issues Currently, my child is one and a half years old and weighs 12 kilograms. We primarily commute by motorcycle, and we are often informed by the police that children must wear helmets. Since we need to buy one, I believe we should choose a certified full-face h...
Dr. Li Wenhong Reply:
Hello: It is difficult for a one-and-a-half-year-old child to sit steadily on a motorcycle, and there are very few suitable helmets available. Additionally, children's heads are proportionally larger compared to their bodies, and the weight of the helmet, combined with the f...[Read More] Impact of Heavy Helmets on Toddler's Neck Development: Expert Insights
Understanding Lumbar Disc Herniation: When to Consider a Job Change
Herniated discs at the third, fourth, and fifth lumbar vertebrae? Hello everyone, I hope you're doing well. I usually work as a delivery driver for construction materials, which requires me to lift heavy objects and dispose of waste. I often have to manually load items onto ...
Dr. Chen Bochen Reply:
Hello, Tianceng. Your health is your most important asset. Here are some suggestions for you: 1. Use the least harmful and most efficient methods to lift heavy objects (reduce bending at the waist and engage your gluteal and thigh muscles for strength). 2. Use a lumbar support. 3...[Read More] Understanding Lumbar Disc Herniation: When to Consider a Job Change
Understanding Scoliosis Surgery: Does It Address Pelvic Misalignment?
Scoliosis Hello doctor, I would like to inquire about my plans for undergoing spinal surgery. However, I have previously noticed that my pelvis is also misaligned. I would like to ask if the spine and pelvis are the same. I am not clear if, when I undergo spinal surgery, the pelv...
Dr. Chen Yongxue Reply:
Hello, scoliosis can lead to pelvic tilt. This can be partially corrected after surgery. Thank you.[Read More] Understanding Scoliosis Surgery: Does It Address Pelvic Misalignment?
Understanding Scoliosis: Is Pelvic Alignment Affected by Surgery?
Scoliosis Hello, doctor. I am considering undergoing an urgent endoscopy procedure, but I have previously noticed that my pelvis is also misaligned. I would like to ask if the endoscopy and the pelvis are related. I'm unsure if the urgent endoscopy will also address the pelv...
Dr. Shi Guozheng Reply:
The spine and pelvis are two different areas, so any surgical concerns should be discussed with your attending physician.[Read More] Understanding Scoliosis: Is Pelvic Alignment Affected by Surgery?
Post-Surgery Pain After Vertebroplasty: Understanding Recovery Challenges
Postoperative pain after bone cement procedure? Hello, my mother originally had a spinal spondylolisthesis and suffered a lumbar fracture due to a fall. After undergoing a self-funded vertebroplasty, she had her first follow-up appointment where the doctor stated that the surgery...
Dr. Shi Guozheng Reply:
It is possible that there is already degeneration of the spine itself or that there are multiple fractures. It is advisable to return to the physician for further evaluation.[Read More] Post-Surgery Pain After Vertebroplasty: Understanding Recovery Challenges
Understanding DXA Bone Density Results: What Do Low T-Scores Mean?
Inquiry about DXA bone density examination? Hello Doctor: A 35-year-old male underwent a health check at a hospital arranged by his company, and the DXA bone density report indicated the following: BMD of L1, L2, L3, and L4 (gm/cm²): 0.892, T score: -2.8, Z score: -1.8. The test ...
Dr. Shi Guozheng Reply:
It is advisable to monitor vitamin D and calcium supplementation every six months to a year. Drinking one or two cups of coffee is acceptable, and getting sunlight exposure is also beneficial.[Read More] Understanding DXA Bone Density Results: What Do Low T-Scores Mean?
Managing Sciatica Pain: Effective Strategies for Relief and Recovery
Sciatic nerve compression causing multiple areas of pain? I previously had an examination where the doctor mentioned that all five segments of my lumbar spine were damaged and recommended rehabilitation to restore function. I visited several clinics, but none were able to allevia...
Dr. Wang Jiacheng Reply:
To accurately diagnose whether the spinal pain is due to a herniated disc or spinal stenosis, it is recommended that you consult a specialized spine surgeon for an evaluation and then pursue appropriate treatment options.[Read More] Managing Sciatica Pain: Effective Strategies for Relief and Recovery
Managing Severe Spinal Issues: Rehabilitation Strategies for Pain Relief
All five segments of the spinal cord are damaged? I previously had an examination where the doctor said that all five segments of my spine were damaged and advised me to undergo rehabilitation. I visited many clinics, but none were able to alleviate my pain. I ignored the issue u...
Dr. Shi Guozheng Reply:
To accurately diagnose whether the spinal pain is due to a herniated disc or spinal stenosis, it is recommended that you consult a specialist in spinal surgery for a proper diagnosis and to determine the appropriate treatment approach.[Read More] Managing Severe Spinal Issues: Rehabilitation Strategies for Pain Relief
Understanding Your Baby's Spine Clicks: What Parents Should Know
A nearly 6-month-old baby is experiencing popping sounds in the spine? My baby is almost 6 months old. While I was holding him with one hand, he suddenly leaned back forcefully, almost folding in half, and I heard multiple cracking sounds from his spine. I was worried about poten...
Dr. Li Wenhong Reply:
Hello: Based on your description, there should be no major issues. Infants have a larger head-to-body ratio, so when picking them up, it is advisable to provide some support at the occipital region for safety. Thank you! Changhua Hospital Orthopedics Dr. Li Wen-Hong[Read More] Understanding Your Baby's Spine Clicks: What Parents Should Know
Managing Acute Compression Fractures of the Lumbar Spine: A Patient's Guide
Acute compression fracture of the first lumbar vertebra? About six months ago, I was hit on the head by a fallen tree trunk. After taking only pain relief and anti-inflammatory medication, I experienced persistent lower back pain for three months. After examination, I was diagnos...
Dr. Chen Bochen Reply:
Hello Mr. Lin, if follow-up X-rays show that the compression fracture has healed three months after the injury and you do not experience any pain during movement, you can gradually discontinue the use of the back brace and return to normal activities. However, it is important to ...[Read More] Managing Acute Compression Fractures of the Lumbar Spine: A Patient's Guide
Exploring the Connection Between Knee Injuries and Scoliosis
The relationship between knee injuries and scoliosis? Hello Doctor: I was in a car accident three months ago, and my left knee directly hit the ground. Since then, whether I am walking or sitting, I often feel a tingling sensation in my knee, similar to water splashing on my foot...
Dr. Chen Yongxue Reply:
Hello, could the numbness and pain in the knee be related to scoliosis? While scoliosis does not typically compress a single nerve, if the curvature is significant, it is recommended to consider surgical treatment after the age of 18.[Read More] Exploring the Connection Between Knee Injuries and Scoliosis
Understanding Lumbar Spine Issues: Symptoms, Treatments, and Next Steps
Lumbar spine issues? Following up on the previous article, I recently visited a neurology clinic and underwent an examination of my limbs. The doctor mentioned that everything was generally normal, but there was a slight abnormality in the lumbar region, specifically at the fourt...
Dr. Chen Yongxue Reply:
Hello, 1. Currently, the numbness in my hands and feet has improved after taking medication, but my doctor did not prescribe any further medication. I'm concerned whether the symptoms will worsen after stopping the medication. If they do worsen, which specialty should I fo...[Read More] Understanding Lumbar Spine Issues: Symptoms, Treatments, and Next Steps
Understanding Occipital Bone Irregularities: What You Need to Know
Regarding skull issues? Hello, doctor! About a month ago, I noticed some irregularities in the center of the back of my head (specifically at the intersection of a line extending horizontally from the upper part of my ear and a line extending vertically from the center of my cerv...
Dr. Shen Boquan Reply:
Hello, the bones in our body are not necessarily completely smooth, and they are covered by soft tissue, which may feel uneven to the touch. If there is no continuous enlargement, it is advisable to just monitor it. If there are any concerns, you may consult a neurosurgeon for ev...[Read More] Understanding Occipital Bone Irregularities: What You Need to Know
Understanding Back Pain: Is Your Spine Misaligned?
There is a painful spot when pressing on a specific vertebra in the back? Hello doctor, I have been experiencing pain in the segment of my spine where my bra strap sits, and it seems to be more prominent. It also hurts when I bend my back. This issue has been ongoing for about th...
Dr. Shen Boquan Reply:
Hello, there are many causes of lower back pain. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Factors such as sports injuries, excessive fatigue, poor posture, or high stress can all contribute to discomfo...[Read More] Understanding Back Pain: Is Your Spine Misaligned?
Managing Degenerative Arthritis of the Spine: Treatment Options for Young Adults
Spinal degenerative arthritis After undergoing an MRI, I was diagnosed with degenerative arthritis of the spine, specifically at the L4 and L5 levels. The physician I consulted mentioned that the intervertebral discs have lost most of their hydration and appear dark. I have tried...
Dr. Wang Shouji Reply:
Hello, if lying down without any weight does not alleviate your back pain, in addition to degenerative spinal arthritis, it is important to consider your daily spinal activity, such as prolonged sitting or heavy lifting. Generally speaking, surgery is not typically recommended fo...[Read More] Managing Degenerative Arthritis of the Spine: Treatment Options for Young Adults
Does Bone Cement Have an Expiration Date? Understanding Its Use in Young Patients
Does bone cement have an expiration date? Hello Doctor: I am 35 years old. I accidentally fell from a height of 12.7 meters, resulting in severe compression of my 7th and 12th vertebrae, causing excruciating pain. At that time, my orthopedic surgeon initially planned to perform m...
Dr. Chen Bochen Reply:
Hello, Miss Lin. 1. Bone cement does not have an expiration date; there is no issue and it does not need to be redone if there are no problems. 2. It is recommended to check bone density every 2-3 years starting around menopause. 3. Once bone cement is injected, it is almost ...[Read More] Does Bone Cement Have an Expiration Date? Understanding Its Use in Young Patients
Understanding Pain Patterns in Ankylosing Spondylitis: A Patient's Inquiry
Question number 189108 was missed? Hello Doctor, I just asked question number 189108 and forgot to ask one more thing. I’m not sure if I can add another question. If my symptoms are related to "arthritis" in the spine caused by ankylosing spondylitis, is it possible to ...
Dr. Li Wenhong Reply:
Hello: When arthritis is well-controlled, it usually doesn't hurt much, but it can still be painful with excessive activity. Please pay attention to the level of activity; moderation is key. Changhua Hospital Orthopedics Dr. Li Wen-Hong.[Read More] Understanding Pain Patterns in Ankylosing Spondylitis: A Patient's Inquiry