Spine, Orthopedics FAQ - Page 32

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Understanding Coccyx Protrusion: Symptoms, Effects, and When to Seek Help

Coccygeal protrusion? Hello Doctor: Recently, I have noticed that the area of my spine near my lower back seems to be particularly protruding. When I lie flat on a harder bed or a board, it puts pressure on that area, so I have been sleeping on my side. Additionally, when I do si...


Dr. Shi Guozheng Reply:
The protruding part of the coccyx is its spinous process. Individuals with a thinner layer of subcutaneous fat are more likely to experience pressure in this area. If there are any concerns, it is advisable to visit a hospital for an X-ray to check for any other issues.

[Read More] Understanding Coccyx Protrusion: Symptoms, Effects, and When to Seek Help


Managing Chronic Knee and Spine Pain After Surgery: Expert Insights

Spinal knee pain I had an accident a year and a half ago that resulted in fractures of my right knee and the twelfth vertebra, requiring surgery and fixation devices. The steel pins in my right knee were removed a year ago, and the spinal fixation device was removed before the Lu...


Dr. Shi Qiming Reply:
Hello: Due to your multiple severe fractures, particularly the fracture of the twelfth thoracic vertebra, there are many potential sequelae. Regarding the displaced patellar fracture (which I believe is a 0.2 cm discrepancy), the risk of developing osteoarthritis significantly in...

[Read More] Managing Chronic Knee and Spine Pain After Surgery: Expert Insights


Understanding Spine Stiffness and Pain: Causes and Solutions

Stiffness and pain in the spine? Hello, since high school, I have felt that my spine is very stiff. I can only bend down to about my calves, and at that time, I didn't think much of it. However, when I bend over, my spine protrudes more than others. Recently, I started pract...


Dr. Shi Guozheng Reply:
Based on your description, it may be necessary to visit a hospital for a physician's evaluation and possibly an X-ray to determine the underlying issue. Stiffness in the spine can occur in various conditions, and localized pain in the lower back may be due to inflammation of...

[Read More] Understanding Spine Stiffness and Pain: Causes and Solutions


How to Detect and Prevent Spinal Curvature Issues: Key Tips

Please go ahead and ask your questions? What methods can be used to detect if I have symptoms of spinal curvature, and how can I maintain the health of my spine? What should I pay attention to? Thank you for the information!


Dr. Huang Longde Reply:
1. Self-assessment methods for scoliosis: 1. Face a mirror and check if the heights of both shoulders and pelvis are the same. 2. Stand with a 90-degree bend at the waist, arms hanging down, and have someone observe your back to see if it is flat and if there is any asy...

[Read More] How to Detect and Prevent Spinal Curvature Issues: Key Tips


Understanding Spine Pain: Causes and Solutions for Better Sleep

Regarding spinal pain..? Dear Doctor: Sometimes when I sleep on my back, I experience increasing pain in my lumbar spine, which eventually forces me to sleep on my side. I often notice that when my lower back feels uncomfortable, moving my waist produces cracking or popping sound...


Dr. Lin Xiaoyi Reply:
Dear Mr. Fan Nao, You may be suspecting that you have ankylosing spondylitis, correct? Ankylosing spondylitis can present with your symptoms, but it is not possible to diagnose you with ankylosing spondylitis based solely on these symptoms. Please consult a rheumatologist for an...

[Read More] Understanding Spine Pain: Causes and Solutions for Better Sleep


Pros and Cons of Spine Surgery: What You Need to Know

Advantages and Disadvantages of Spinal Surgery Hello Dr. Yang, my mother (60 years old) has been experiencing pain in her lower body after walking for a short period over the past couple of years. After X-ray and MRI examinations, the results showed dislocation of the joints at l...


Dr. Yang Zhengfan Reply:
There are no artificial joints for the lumbar spine; only internal fixation with screws, decompression surgery, or discectomy. The success rate of these surgeries is closely related to the accuracy of the physician's assessment and the completeness of the decompression proce...

[Read More] Pros and Cons of Spine Surgery: What You Need to Know


Understanding Rib Defects in Newborns: A Guide for Concerned Parents

Congenital rib defects in newborns? Hello Doctor: Recently, my baby was born prematurely at 35 weeks and 4 days. The doctor mentioned that there are two missing ribs in the upper left chest and that there is some damage to the spine. The doctor advised us to wait until the baby g...


Dr. Li Wenlin Reply:
Dear concerned father, In response to your question... Based on your description, it is possible that your baby has a congenital spinal deformity. Generally, ribs are symmetrically developed from both sides of the thoracic vertebrae, with a total of twelve pairs (from the first ...

[Read More] Understanding Rib Defects in Newborns: A Guide for Concerned Parents


Understanding Scoliosis: Treatment Needs and Long-Term Effects

Spinal curvature assessment Hello, doctor. I would like to ask if scoliosis requires treatment. If left untreated, what are the potential complications? Will the treatment take a long time? My condition is not very severe... I'm just wondering if correcting the curvature wou...


Dr. Shi Guozheng Reply:
Scoliosis should be considered for surgical treatment if the curvature exceeds 40 degrees. If the curvature is between 20 and 40 degrees, bracing may be considered, particularly in patients who have not yet completed their growth. In adults, surgery is only considered if the curv...

[Read More] Understanding Scoliosis: Treatment Needs and Long-Term Effects


Chronic Back Pain and Toe Inflammation: Seeking Effective Solutions

excuse me? I experience severe pain in my spine when bending down to lift things, and my spine is currently inflamed. One of my toes hurts so much when I stand for a long time that it feels like the bone is about to break. This toe has been inflamed for over six months now. I hav...


Dr. Shi Guozheng Reply:
Back pain, especially when bending down, may be due to tendonitis or spinal instability. It is advisable to get an X-ray to check for these issues. Of course, a physician should evaluate for other potential problems such as sciatica or infections. Additionally, pain in the toes c...

[Read More] Chronic Back Pain and Toe Inflammation: Seeking Effective Solutions


Effective Strategies to Alleviate Post-Surgery Spine Pain

Spinal pain Hello, Doctor Shi: I have been experiencing spinal pain since my cesarean section in 1999, and it has been getting progressively worse. What can I do to alleviate the pain? Thank you!


Dr. Shi Qiming Reply:
Hello: The issue of spinal pain requires consultation with a specialist to determine the underlying cause before deciding on a treatment plan.

[Read More] Effective Strategies to Alleviate Post-Surgery Spine Pain


How to Self-Check for Spinal Curvature: A Guide for Patients

Spinal curvature assessment Hello, doctor; I suspect that my spine may be slightly curved, but I'm not sure. Is there any method I can use to measure whether my spine is truly curved?


Dr. Shi Qiming Reply:
Hello: To assess spinal curvature, you can visit an outpatient clinic for an X-ray to confirm the diagnosis. You can also measure it yourself by bending forward and observing from behind to see if one side of the back is higher than the other. However, it is still recommended to ...

[Read More] How to Self-Check for Spinal Curvature: A Guide for Patients


Can My Mother-in-Law Undergo Knee Surgery After Spine Surgery?

I'm sorry, but I need more specific content to translate. Please provide the text you would like me to translate into English? I would like to ask if my mother-in-law just had spinal surgery, and she will be three months post-op on the 20th. She has degenerative knee issues....


Dr. Zhou Hongzhi Reply:
Degenerative knee arthritis may require surgery to resolve the issue if it is severe. It has been three months since the spinal surgery, and in principle, surgery can be performed.

[Read More] Can My Mother-in-Law Undergo Knee Surgery After Spine Surgery?


Understanding Shoulder Pain: Bone Spurs or Inflammation?

Unsure if it is a bone spur or periostitis? Dear Dr. Lee, Three months ago, I started experiencing pain from my left shoulder down to my arm. I initially thought it was due to a stiff neck. Two months ago, I visited a hospital where I was told I have bone spurs. However, medicat...


Dr. Li Wenlin Reply:
Hello: In response to your inquiry, based on your description, the likelihood of a shoulder joint issue or a cervical spine problem is the highest. Please consult an orthopedic physician for an examination, as this will likely help resolve your issue promptly.

[Read More] Understanding Shoulder Pain: Bone Spurs or Inflammation?


Understanding Spinal Issues in Seniors: Bone Spurs vs. Degeneration

Issues Related to the Spine in the Elderly Hello Doctor: I would like to ask how to determine whether my father (approximately 90 years old) has bone spurs or degenerative changes in the vertebrae. What are the differences in symptoms? (He has already had imaging done, but differ...


Dr. Yang Zhengfan Reply:
Dear Terry: The issue is not with bone spurs or spinal degeneration, but rather with what expectations you have for the spine of a ninety-year-old man. Aside from medication, there are certainly many other methods, but can he tolerate them? Minimally invasive surgery and vertebro...

[Read More] Understanding Spinal Issues in Seniors: Bone Spurs vs. Degeneration


Understanding Spine Pain: Causes and When to See a Doctor

Back vertebral pain? Hello Doctor: Initially, I only experienced pain when pressing on the spine in my back (approximately located directly behind the heart). However, recently I have also felt pain when pressing on the lower back (also the spine, about ten centimeters in length ...


Dr. Zhou Hongzhi Reply:
This issue is likely related to spinal ligament problems, and you should consult an orthopedic specialist or a rehabilitation physician.

[Read More] Understanding Spine Pain: Causes and When to See a Doctor


Effective Solutions for Managing Pain from Bone Spurs in the Spine

Bone spur My mother has bone spurs at the L4-L5 level of her lumbar spine. How can we address her pain? What options are available to resolve the issue of bone spurs? Is surgery necessary? What are the risks associated with surgery? Is laser treatment better than traditional surg...


Dr. Ye Qingnian Reply:
Bone spurs compressing the sciatic nerve can lead to pain. Generally, conservative treatment is the first approach, which includes avoiding heavy lifting, maintaining proper sitting posture, and taking pain relievers. Surgery is only necessary under the following conditions: 1. S...

[Read More] Effective Solutions for Managing Pain from Bone Spurs in the Spine


Understanding Sciatica: Can Car Accidents Trigger This Condition?

Can a car accident lead to sciatica? Dear Vice Dean, My mother is 57 years old and was previously in good health, never mentioning any back pain. However, after a car accident in February of this year, she began experiencing pain in her lower back and back. The consulting physic...


Dr. Shi Qiming Reply:
Hello, Ayi: First, let me answer your first question. What is sciatica? The sciatic nerve is a nerve that branches from the lumbar and sacral spine and runs along the back of the thigh. This nerve is responsible for the sensory and motor functions of the lower limbs. Therefore, i...

[Read More] Understanding Sciatica: Can Car Accidents Trigger This Condition?


Alternative Methods to Detect Bone Injuries After Car Accidents

X-rays cannot determine whether there is an injury to the bone? Dear Vice Dean, If a person is involved in a car accident and the X-ray does not clearly show any bone injuries (specifically at the tenth and eleventh vertebrae), are there other methods to confirm whether the pati...


Dr. Shi Qiming Reply:
Dear Sir/Madam, In cases of spinal injury due to trauma, if symptoms are significant, such as pain or neurological symptoms, X-ray examinations should be conducted based on the symptomatic areas. Subsequently, more advanced imaging techniques, such as computed tomography (CT) sc...

[Read More] Alternative Methods to Detect Bone Injuries After Car Accidents


Understanding Patellar Chondromalacia: Symptoms, Causes, and Concerns

Patellar chondromalacia I am 20 years old and currently serving in the military. In my childhood, I experienced impacts to both knees and received treatment at a martial arts clinic. At that time, there were no significant issues, just occasional discomfort similar to rheumatism....


Dr. Shi Qiming Reply:
Dear netizens: Patellar chondromalacia is a type of patellofemoral pain syndrome characterized by widespread anterior knee pain when the patient uses the patellofemoral joint. This pain is particularly exacerbated during activities such as climbing stairs, running, squatting, or ...

[Read More] Understanding Patellar Chondromalacia: Symptoms, Causes, and Concerns


Understanding Left Lower Abdominal Pain and Its Connection to Back Issues

excuse me? I often experience pain in the lower left side of my abdomen, and it has been getting more frequent. Could I have some kind of illness? Additionally, I have persistent pain on both sides of my back near the waist. I previously had an X-ray, and the doctor said there we...


Dr. Lin Yijun Reply:
Hello: Pain in the lower left abdomen may be related to issues in the abdominal cavity, pelvic cavity, or even the hip joint. Additionally, pain near the lower back does not clearly indicate whether it is related to the lumbar spine, sacroiliac joint, muscles, or even the kidneys...

[Read More] Understanding Left Lower Abdominal Pain and Its Connection to Back Issues


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