Understanding Upper Back and Chest Pain After Sleep: Causes and Solutions
Waking up with upper back pain and chest pain? In the past two weeks, I have started to feel discomfort in my chest when lying down, and it becomes more painful upon waking. Initially, I thought it was pleurisy, but after paying closer attention, I realized it is upper back pain ...
Dr. Wang Shouji Reply:
Hello, the upper back pain is not related to the lumbar spine. This pain may be associated with your physical activities. It is recommended to reduce intense activities, apply heat, and perform stretching exercises. You may take some pain relievers, anti-inflammatory medications,...[Read More] Understanding Upper Back and Chest Pain After Sleep: Causes and Solutions
Understanding Acute Lower Back Pain After a Slip and Fall Incident
After slipping on February 28th, I felt a tearing sensation on the right side of my lower back when getting up from a lying position, similar to the feeling of twisting my back forcefully? Hello Doctor: On February 28th, I accidentally slipped in the bathroom due to stepping on w...
Dr. Wang Shouji Reply:
Hello, if resting alleviates the symptoms, there should be no major issues with the bones. However, if the muscle injury is more severe, similar symptoms may occur. It is recommended to start with rehabilitation and medication to relieve the symptoms. Changhua Hospital cares abou...[Read More] Understanding Acute Lower Back Pain After a Slip and Fall Incident
Healing from a Lumbar Fracture: Causes, Symptoms, and Treatment Options
How to heal a fracture of the fourth lumbar vertebra? After seeing many doctors and undergoing numerous imaging studies without finding the cause of my lower back pain, one doctor finally identified a fracture in the fourth vertebra. I took medication for it, but two months later...
Dr. Shen Boquan Reply:
Hello, regarding your mention of a bone fracture, it's important to clarify whether you are referring to a compression fracture, a vertebral arch dissociation, or another cause, as the reasons and symptoms can vary significantly. However, treatment generally focuses on allev...[Read More] Healing from a Lumbar Fracture: Causes, Symptoms, and Treatment Options
Understanding Spinal Degeneration in Young Adults: Causes and Treatments
Spinal degeneration The child is now 30 years old and has been frequently reporting discomfort in the lower back after sitting for long periods, accompanied by a popping sound. Sometimes, the left leg feels numb or weak. The doctor reviewed the X-rays and noted degenerative chang...
Dr. Chen Bochen Reply:
1. Young people have a chance to recover from degeneration as long as they exercise more; it is recommended to run, swim, or take gym classes. 2. A balanced diet is sufficient: increase intake of sunlight, dark green vegetables, and milk.[Read More] Understanding Spinal Degeneration in Young Adults: Causes and Treatments
Chronic Rib and Shoulder Blade Pain: What Specialist Should You See?
Pain in the left and right ribs, pain in the scapula? Doctor: Why do I have rib pain every day, and it has been persistent? I had an X-ray done and visited a family medicine clinic where I was prescribed medication twice. The first medication worked, but after finishing it, the p...
Dr. You Dianqi Reply:
It is recommended to first visit the orthopedic or pulmonology department at the hospital for an examination and arrange for some imaging studies, such as X-rays or bone scans. This will help differentiate whether the issue is intrathoracic (such as pneumonia or pleuritis) or ext...[Read More] Chronic Rib and Shoulder Blade Pain: What Specialist Should You See?
Understanding Chronic Upper Back and Lower Back Pain: Causes and Solutions
Frequent soreness or pain above the waist? Hello, doctor. I have two questions I'd like to ask. Question 1: I have a persistent ache on the right side of my lower back, specifically along two lines of discomfort. One is located at the far right side, where I typically plac...
Dr. Shi Guozheng Reply:
1. If it is a herniated disc, there will be pain radiating from the back down to the thigh, calf, and foot, often accompanied by a tingling sensation. The knee may also be unable to fully extend, and lifting the thigh can be difficult, which is characteristic of sciatica caused b...[Read More] Understanding Chronic Upper Back and Lower Back Pain: Causes and Solutions
Understanding Degenerative Disc Disease: Treatment Options and Insights
Degenerative arthritis of the spine Hello Doctor, I would like to seek your advice regarding my situation: I fell on my buttocks while sitting down in the first year of junior high school. By the second year, I started experiencing back pain. Since I was still young at the time, ...
Dr. Wang Shouji Reply:
Hello, if there is an injury to a single vertebral segment and associated neuropathic pain, it is important to address the issue of nerve compression causing the pain. If the intervertebral disc is completely damaged, consideration should be given to spinal fusion with instrument...[Read More] Understanding Degenerative Disc Disease: Treatment Options and Insights
Morning Upper Back Pain: Causes and Solutions for Better Sleep
Upper back pain upon waking? For the past six months, I have frequently woken up with pain in my upper back, specifically on both sides of the spine rather than the spine itself. However, the pain tends to ease after I move around. I have consulted an orthopedic doctor and had X-...
Dr. Shi Guozheng Reply:
Rheumatoid arthritis (RA) can cause joint pain, which can be managed with medication. To check for lung cancer, you can undergo an X-ray or a low-dose computed tomography (CT) scan.[Read More] Morning Upper Back Pain: Causes and Solutions for Better Sleep
Understanding the Link Between Clavicle Deformity and Scoliosis
Clavicle and spinal scoliosis Hello, Doctor: A few years ago, I noticed that my left clavicle is noticeably more prominent. The physician I consulted believed it was caused by scoliosis, and an initial examination did not reveal any significant symptoms. Upon reviewing the X-ray,...
Dr. Shi Guozheng Reply:
Scoliosis occurring in the thoracic region can lead to a rotational deformity of the spine, which may cause the ribs or clavicles to protrude. There is no need for special attention if the skeletal growth has already stabilized at age 26, as it will not worsen.[Read More] Understanding the Link Between Clavicle Deformity and Scoliosis
Understanding Left-Sided Mid-Back Pain: Causes and Solutions
Sharp pain in the middle of the back, slightly to the left? Hello Doctor, I am the person who asked about #159640 last year. After that, I did feel better for a while, but after finishing my part-time job in January this year (I stopped working after the Lunar New Year in Februar...
Dr. Chen Bochen Reply:
Hello: The symptoms you described are more likely caused by poor posture (such as frequently looking down or hunching). Engaging in more physical activity, reducing the time spent looking down, and regularly stretching can help your body mostly self-repair. If you're still c...[Read More] Understanding Left-Sided Mid-Back Pain: Causes and Solutions
Understanding Your Pain: Is It Sciatica, Piriformis Syndrome, or Something Else?
It's unclear whether it's classified as lower back pain or pain just above the buttocks? Hello, doctor. This issue has been bothering me for a long time, especially on days when I have to work. I know it is definitely work-related because my job often requires me to ben...
Dr. Chen Bochen Reply:
Hello: Over 90% of young people's spinal pain, lower back pain, and lumbar pain are functional issues, meaning that the structure is normal, but pain arises due to inadequate care of the spine and improper usage. It is recommended to visit an orthopedic or rehabilitation spe...[Read More] Understanding Your Pain: Is It Sciatica, Piriformis Syndrome, or Something Else?
Understanding Lower Back Pain from Prolonged Standing and Heavy Lifting
Lower back pain from prolonged standing? Due to work reasons, I often need to stand for 6 to 8 hours at a time, and sometimes I have to lift heavy objects. Recently, I have been experiencing frequent lower back pain, even after standing for a short period. I feel pain when pressi...
Dr. Chen Bochen Reply:
1. Prolonged standing or sitting can easily lead to functional pain in the lumbar spine. Treatment primarily includes exercise (such as jogging or aerobic activities for at least 20 minutes) and physical therapy (including heat therapy and massage). 2. You can make an appointme...[Read More] Understanding Lower Back Pain from Prolonged Standing and Heavy Lifting
Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained
I am unsure whether the pain is in the muscles or the bones? Hello, doctor. 1. Is it normal to hear popping or cracking sounds when rotating the head during stretching exercises? 2. There is a muscle located two finger widths behind the upper right shoulder that becomes sore a...
Dr. Wang Shouji Reply:
Hello, 1. Joint sounds during movement are usually not a concern if there are no accompanying symptoms such as pain. 2. Shoulder issues may be caused by muscle stiffness or poor circulation, and it is advisable to visit a hospital to check for potential cervical spine issues. 3. ...[Read More] Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained
Post-Surgery Care and Concerns After Lumbar Fusion: A Guide
What are the issues after lumbar fusion surgery? Currently, my doctor said I can go jogging and do some stretching, but I should avoid bending over and lifting heavy objects. His responses were quite brief, probably because he is too busy to provide detailed information. My lumba...
Dr. Wang Shouji Reply:
Hello, after spinal fusion, it is important to check if the fusion has been completed. If the fusion is successful, engaging in some core muscle training should not pose significant issues. If sitting in a chair is uncomfortable, feel free to change it. Lumbar fusion will inevita...[Read More] Post-Surgery Care and Concerns After Lumbar Fusion: A Guide
Understanding Growth Pain and Scoliosis in Adolescents: Height Concerns
Height / Scoliosis / Growing Pains I got my first period in fifth grade when I was 148 cm tall. I graduated from elementary school at 152 cm, with my father at 173 cm and my mother at 170 cm. Based on genetic height, I should be around 164 cm, but now in ninth grade, I am only 15...
Dr. Chen Yongxue Reply:
Hello, height is generally related to factors such as genetics, nutrition, sleep, exercise, and hormonal levels. Typically, a person's height will fall between the heights of their parents, but there are many exceptions. Nutrition, sleep, and exercise are aspects we can acti...[Read More] Understanding Growth Pain and Scoliosis in Adolescents: Height Concerns
Managing Spondylolysis and Spondylolisthesis: Key Questions Answered
How should lumbar spondylolysis with spondylolisthesis be managed? Hello Doctor, I previously visited for lower back pain, and the doctor mentioned that I have a lumbosacral fifth vertebra arch dissociation. During my recent follow-up, the doctor indicated that I have signs of sp...
Dr. Wang Shouji Reply:
Hello, strengthening the core muscles is essential. If there is significant low back pain and lower limb numbness, and it progresses to a grade II spondylolisthesis, the likelihood of requiring surgical reduction and fixation is high. The success rate for repair after progressing...[Read More] Managing Spondylolysis and Spondylolisthesis: Key Questions Answered
Understanding Herniated Disc Surgery: Procedures, Recovery, and Risks
Lumbar disc herniation surgery Hello, regarding herniated disc surgery, is it necessary to drill a hole in the vertebrae? Will it heal after drilling? What are the potential complications?
Dr. Chen Bochen Reply:
Hello, it is true that most spinal disc surgeries require making an incision in the spine. While the incision itself does not heal completely, if the surgery is successful, there should be no long-term complications from the incision. If you are concerned about the incision, I al...[Read More] Understanding Herniated Disc Surgery: Procedures, Recovery, and Risks
Understanding Lateral Thigh Discomfort: Possible Causes and Solutions
Lateral thigh joint discomfort? Hello Doctor: I often feel soreness on the outer side of my left thigh, extending down from the hip joint, but there is no pain when walking. I can press on the joint area and feel the soreness. Sometimes, I experience a sensation of numbness, whic...
Dr. Shen Boquan Reply:
Hello, the frequent soreness on the outer side of your left thigh may be due to muscle or tendon inflammation (Iliotibial Band Syndrome), sports injuries, overexertion, poor posture, or excessive stress, all of which can lead to discomfort. If there is a herniated disc or spondyl...[Read More] Understanding Lateral Thigh Discomfort: Possible Causes and Solutions
Can Surgery Improve Shoulder Appearance After Congenital Scapular Elevation?
Can surgical intervention for congenital high scapula improve the appearance of the shoulder? I'm sorry to hear about your brother's situation. He can consult with an orthopedic surgeon or a plastic surgeon who specializes in reconstructive surgery. They can evaluate hi...
Dr. Wang Shouji Reply:
Hello, if there is no shoulder joint mobility impairment, treatment is not recommended. Surgery is only suggested if it affects shoulder joint mobility. Therefore, these symptoms are often due to congenital multifactorial causes, commonly including thoracic spine deformities, and...[Read More] Can Surgery Improve Shoulder Appearance After Congenital Scapular Elevation?
Understanding Lower Back Swelling: Causes of Pain and Discomfort
Slight swelling in the lower back with lumbar pain and discomfort? One day in mid-August, I noticed a swollen area near the spine in my lower back that felt somewhat soft to the touch. There was no sensation when I pressed on it, but I experienced lower back pain. I went to a cli...
Dr. Chen Yongxue Reply:
Hello, if you have any questions, it is advisable to visit the outpatient clinic for further examination. Thank you.[Read More] Understanding Lower Back Swelling: Causes of Pain and Discomfort