Spine, Orthopedics FAQ

Choosing the Right Specialist for Spine and Bone Concerns

Questions regarding spinal consultation specialties? Hello, Doctor: I'm not sure if this is the right place to ask, but since it concerns bones, I chose the orthopedic department. I am tall and thin, and my bones are quite prominent, which causes my coccyx to protrude. There...

Dr. Shi Guozheng Reply:
You can visit an orthopedic specialist for an evaluation or to get an X-ray of your spine to find out.

Understanding Spinal Issues: Should You See a Doctor for Back Pain?

My spine? I have a noticeable hunchback, and when I try to straighten up or lean back, I hear several cracking sounds from the middle of my spine between my shoulder blades. Sometimes, there are fine, compressed or friction-like noises, and the frequency is quite high. Occasional...

Dr. Wang Jiacheng Reply:
You should see an orthopedic doctor to examine your thoracic spine to check for any bone issues or if it's just a matter of posture. The English term for this condition is spinal kyphosis, which you can look up online for more information.

Understanding Kyphosis: When to Seek Medical Attention for Back Pain

Hunched over for a while? I have a noticeable hunchback, and when I try to straighten up or lean back, I hear several cracking sounds from the middle of my spine between my shoulder blades. Sometimes, there are also fine grinding or friction noises, and the frequency is quite hig...

Dr. Shi Guozheng Reply:
You should see an orthopedic doctor to examine the thoracic spine to check for any bone issues or if it's just a matter of posture. The English term for this condition is spinal kyphosis, which you can look up online for more information.

Post-Surgery Concerns After Total Vertebral Resection: A Patient's Journey

What are the issues after total vertebral body resection? I underwent surgery for an L3 giant cell tumor, which involved the removal of the vertebral body. It has been 7 months since the surgery, and I am currently taking denosumab. This is a CT scan I had in August (6 months pos...

Dr. Wang Shouji Reply:
Hello, the CT scan shows no significant displacement. The resected vertebra is supported by a cage and fixed with screws from the outside. For this type of procedure, the cage must fuse with the upper and lower vertebrae to be considered successful. From the CT scan, there are st...

Understanding Scoliosis: How Spine Alignment Affects Body Symmetry

Scoliosis? Based on my observations: 1. When viewed from above, it seems that the ribs have a tendency to rotate counterclockwise, with the right side protruding slightly more than the left (due to my slightly larger right breast, although the nipples are almost on the same plane...

Dr. Chen Bochen Reply:
Hello, approximately two-thirds of the population has varying degrees of spinal asymmetry, which is commonly referred to as "scoliosis." It is very common, but most people do not notice it unless it is pointed out. In medical terms, an angle of curvature less than 10 de...

How to Reduce Fake Hip Width and Improve O-Leg Appearance

Pseudo-wide hips, bow legs, large buttocks? Hello, doctor. I am a college student. I consider myself to be on the thinner side, but I have a relatively large pelvis. After researching online, I feel that I have a condition known as "pseudo-wide hips," and my buttocks ar...

Dr. You Dianqi Reply:
Could you please provide your X-ray and a real-life photo of yourself? I think you should first rule out any pathological issues, such as sagittal imbalance of the pelvis and spine. If there are none and it's just a physiological condition, then everyone is born different, a...

Uneven Rib Height and Possible Scoliosis: Causes and Solutions

Is it rib flaring or scoliosis? Recently, I have noticed that my right upper abdomen appears more protruded than my left upper abdomen. About a year to a year and a half ago, I gained 4 to 5 kilograms, and since then, my upper abdomen has been somewhat more prominent than my lowe...

Dr. Shi Guozheng Reply:
You can go to the hospital for an examination and get a chest X-ray to check for any deformities in the chest or ribs. Additionally, if you want to diagnose whether there is scoliosis, an X-ray of the back can be taken to assess the angle of the spine.

Understanding Degenerative Arthritis: Treatment Options and Pain Relief

Degenerative arthritis of the spine I would like to ask the doctor, I was diagnosed with a herniated disc at the age of 14, and recently, due to persistent pain, I considered surgery. However, after undergoing an MRI at the hospital, I discovered that I have degenerative arthriti...

Dr. Cai Shanglin Reply:
Hello, online friend. There are many causes of lower back pain, and statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high levels of stress can all contribut...

Core Strengthening Exercises After Spine Surgery: Safety and Recommendations

Core exercises after spinal surgery? It has been four months post-surgery, where screws and a cage were placed in the lumbar spine at levels L4 and L5. I have two questions: 1. What exercises can I do to increase core strength? 2. When lying flat, performing an abdominal exercise...

Dr. Wang Shouji Reply:
Hello, it is important to first confirm whether a joint fusion surgery has been performed. If so, verify whether the fusion site has healed. Core strengthening exercises targeting the back and abdomen can enhance spinal stability. Exercises such as sit-ups and push-ups can be ben...

Understanding Mild Disc Protrusion: Symptoms, Recovery, and Treatment Options

Mild intervertebral disc protrusion? Hello Doctor, I am a 24-year-old male, 172 cm tall and weighing 64 kg, with no smoking or drinking habits. At the beginning of May, I injured my lower back while cleaning and moving a bed, which caused me to suddenly lose my vision and hearing...

Dr. Wang Shouji Reply:
Hello, the symptoms in the eyes and ears should not be related to the lumbar spine; they are likely caused by pain. Lumbar injuries can refer pain to the lower back and buttocks, which is not uncommon in clinical practice. Applying heat should help alleviate the discomfort. If in...

Understanding Side Lower Back Pain: Causes and Solutions

Discomfort in the flank area? Hello doctor: This morning, I experienced pain in both sides of my lower back when I got up from lying down. I also feel pain in my lower back when I cough or sneeze. What could be the reason for this persistent pain?

Dr. You Dianqi Reply:
Hello, from your article, it seems that increasing intra-abdominal pressure, such as in the posture of sneezing, causes discomfort in the lateral waist. It may be necessary to examine the structures within the spine, such as intervertebral discs and other issues. I recommend that...

Understanding Side Rib Pain: Causes and When to Seek Help

Pain or discomfort in the side of the waist near the ribs? Hello, doctor: I do not have a fracture, but when I lie flat and then get up, I experience pain in my side and lower ribs. Coughing or sneezing also causes pain in my side and lower ribs, and I feel pain all over my body....

Dr. You Dianqi Reply:
Hello, from your article, it seems that increasing intra-abdominal pressure, such as during a sneeze, causes discomfort in the lateral lower back. It may be necessary to examine the structures within the spine, such as intervertebral discs and other potential issues. I recommend ...

Understanding Full-Body Tension and Pain: A Guide to Relief

Generalized muscle tension and soreness? Hello: In recent years, I have frequently experienced shoulder and neck pain, as well as pain in my buttocks (unsure if it's sciatica or piriformis syndrome), ankle pain, and knee pain. I have been trying to exercise, but after just a...

Dr. Chen Bochen Reply:
Hello, most of these issues are due to 1. cumulative damage from long-term poor posture, and 2. physical dysfunction caused by prolonged labor and lack of exercise. Therefore, it is advisable to consult a physician who can help you gradually adjust your condition, ideally with a ...

Understanding Lower Back Pain: Causes and Solutions for Discomfort

There are issues with the bones in the lower back and spine? The pain in the lower back, pain throughout the body, and pain in the spine, along with severe pain in the lower back when coughing or sneezing, could be attributed to several potential causes. These may include muscle ...

Dr. Chen Bochen Reply:
Muscle strains and intervertebral disc degeneration with herniation are both possible.

Understanding Hip Pain: Causes and Solutions for Discomfort

Issues related to the hip bone? Hello Doctor: Recently, I have noticed a protrusion on the left anterior side of my pelvis, near the front of my thigh. Sometimes, I feel pain when walking, and it is tender to the touch. What can I do to improve this condition? Thank you!

Dr. Chen Bochen Reply:
The prominent bone is called the "anterior superior iliac spine." Everyone has this bone, and if it feels more pronounced, it may be due to overuse or injury leading to inflammation. It is recommended to avoid wearing tight clothing and low-rise pants, and not to apply ...

Can CPR Be Performed on Patients with Spinal Implants During Emergencies?

Can CPR be performed during an emergency after the implantation of bone screws for decompression and stabilization of the thoracic spine? Hello! My mother was diagnosed with multiple myeloma in February 2020, which caused osteolytic lesions at the T5, T6, and T7 vertebrae. She un...

Dr. Chen Yongxue Reply:
Hello, your family member has been diagnosed with cancer. Besides the suffering of the patient, the family is also having a hard time. Multiple myeloma can cause bone lesions throughout the body, and if there is already pulmonary edema or multiple organ failure, I personally beli...

Understanding Coccydynia: Chronic Pain After Tailbone Injury in Teens

Coccyx contusion Hello doctor, I am currently 17 years old. When I was 10, a classmate played a prank by pulling my chair, causing me to fall to the ground. I experienced severe pain near my coccyx and it took about five minutes before I could stand up, but I did not seek medical...

Dr. Chen Yongxue Reply:
Hello, after a coccyx contusion, it is common to experience recurrent pain; however, knee pain should not be related to this. The coccyx is rarely in a normal position and often has deformities. Rehabilitation is not necessary; if there are pain symptoms, it is advisable to apply...

How to Ensure Your Custom Back Brace is Effective for Lumbar Support

Lumbar vertebrae compression fracture brace? How can one determine if a custom-made brace is appropriate and stabilizes the spine without having worn it? My 53-year-old sister has only hypertension and no other medical conditions. On May 4th of this year, she was involved in a he...

Dr. Shi Guozheng Reply:
You can ask the company that manufactures protective gear to assess and customize it as closely as possible to fit your body shape.

Understanding Lumbar Spine Injuries: When to Seek Medical Advice

Lumbar spine injury? Hello Dr. Wang, about two years ago while I was doing laundry, I squatted under the showerhead and when I stood up, my lumbar spine hit the water pipe where the shower switch is located. At that time, I had a significant bruise. After it healed, I noticed tha...

Dr. Wang Shouji Reply:
Hello, it is advisable to first assess the condition of the illness before proceeding with the next steps in treatment. Changhua Hospital cares about your health. Wang Shou-ji.

Understanding Glucose Injections for Thigh Pain During Climbing

Injection of glucose 1. This could be a symptom of patellofemoral pain syndrome or quadriceps weakness. Glucose injection is not typically indicated for this condition; more conservative treatments such as physical therapy and strengthening exercises are usually recommended. 2. ...

Dr. Chen Bochen Reply:
1. What could be the symptoms? Is glucose injection appropriate? >> Sarcopenia, hip and knee osteoarthritis, vascular claudication, and neurogenic claudication are all possible. >> None of these conditions are suitable for glucose injection. 2. Is there any relation...

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