Understanding Multiple Pain Symptoms: Back, Abdomen, and Hip Issues
Multiple areas of pain in the body, including back pain, abdominal pain, hip joint pain, and lower back pain? Hello Doctor: My mother has been experiencing abdominal discomfort and pain daily, along with upper back pain, right shoulder pain, hip joint pain, lower back pain, and u...
Dr. Shi Guozheng Reply:
Lumbar degenerative stenosis can present with the aforementioned symptoms; however, imaging studies such as MRI (Magnetic Resonance Imaging) are necessary to confirm the diagnosis before treatment can be initiated.[Read More] Understanding Multiple Pain Symptoms: Back, Abdomen, and Hip Issues
Concerns After Falling Post-Spinal Surgery: What to Know
Accidental fall after spinal surgery? One month after spinal surgery (spondylolisthesis and laminectomy), I accidentally slipped and fell in the bathroom, landing on my buttocks. Currently, there is no pain at the surgical site. I would like to know if this could cause any issues...
Dr. You Dianqi Reply:
For caution, it is recommended to schedule a follow-up appointment for evaluation. Thank you.[Read More] Concerns After Falling Post-Spinal Surgery: What to Know
Understanding Persistent Numbness and Tingling in the Foot and Leg
There is a persistent tingling and electric sensation from the left foot to the bottom of the calf? Hello Doctor: I have been experiencing a tingling and electric sensation in the soles of my feet for over a year. Sometimes it suddenly stops, but recently, for the past month, I h...
Dr. Shen Boquan Reply:
Hello, based on your description, it seems you may be experiencing symptoms of nerve compression, such as numbness in the toes or the dorsum of the foot. If this is significantly affecting your daily life, appropriate use of anti-inflammatory and analgesic medications, along with...[Read More] Understanding Persistent Numbness and Tingling in the Foot and Leg
Post-Surgery Challenges: Understanding Recovery After Spinal Fusion
Postoperative care after spinal spondylolisthesis surgery? My mother underwent surgery for lumbar spondylolisthesis, including bone grafting and instrumentation, at Chang Gung Memorial Hospital in Chiayi on October 3, 2023. After the surgery, she has been unable to walk due to a ...
Dr. Shi Guozheng Reply:
Further examination may be needed to check for any neurological issues. Generally, symptoms should improve or progress after surgery.[Read More] Post-Surgery Challenges: Understanding Recovery After Spinal Fusion
Managing Lumbar Disc Herniation: Rehabilitation and Traction Concerns
Rehabilitation and traction for herniated discs? Hello, Doctor: After the New Year, I experienced discomfort in my lower back and was diagnosed with a grade 1 lumbar disc herniation at an orthopedic clinic. Currently, the orthopedic doctor has arranged for me to continue with ele...
Dr. Wang Jiacheng Reply:
Spondylolisthesis may not always present with symptoms. If one avoids excessive bending or lifting, it typically does not cause pain. Medication can alleviate discomfort, and first-degree spondylolisthesis usually does not require surgical intervention. Traction is not necessary,...[Read More] Managing Lumbar Disc Herniation: Rehabilitation and Traction Concerns
Managing Lumbar Disc Herniation: Rehabilitation and Recovery Strategies
Lower back discomfort? Hello, Doctor: After the Lunar New Year, I experienced discomfort in my lower back and was diagnosed with a grade 1 lumbar disc herniation at an orthopedic clinic. Currently, the orthopedic doctor has arranged for me to continue with electrical therapy and ...
Dr. Shi Guozheng Reply:
Spondylolisthesis may not always present symptoms. If one avoids excessive bending or lifting, it typically does not cause pain. Medication can help alleviate discomfort. First-degree spondylolisthesis usually does not require surgical intervention, and traction may not be necess...[Read More] Managing Lumbar Disc Herniation: Rehabilitation and Recovery Strategies
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
Morning Back Pain: Causes, Solutions, and When to Seek Help
Waking up in the morning with such severe lower back pain that I can't sit up? I wake up every morning with extreme pain in the middle of my lower back, making it impossible to sit up. Even when I manage to stand, I can't straighten my back and need to pause for a long ...
Dr. Chen Bochen Reply:
Based on your symptoms, it appears to be spondylolisthesis or instability. I recommend that you brisk walk or jog for 20 minutes every morning and evening, and perform bridge exercises regularly. Passive rehabilitation alone will not resolve the issue; actively strengthening your...[Read More] Morning Back Pain: Causes, Solutions, and When to Seek Help
Understanding Complications of L3 Spinal Surgery: Risks and Recovery
Misalignment of the L3 pedicle screw in lumbar spine surgery? Hello Doctor: My father is 72 years old. Before the surgery, he was unable to walk for long periods and experienced numbness and discomfort in his lower limbs after sitting for a while. X-rays showed signs of scoliosis...
Dr. Chen Yongxue Reply:
1. Will inserting a pedicle screw damage the nerves, and will the nerves heal on their own? Not necessarily, but there is a possibility that if the nerve is hit, it will not heal on its own. 2. Is it necessary to remove the screw, reinsert it, or maintain the current situation?...[Read More] Understanding Complications of L3 Spinal Surgery: Risks and Recovery
Possible Causes of Lower Back Pain When Arching Back but Not Bending Forward
Possible reasons for experiencing pain when arching the lower back but not when bending forward include: 1. Lumbar Strain: Overstretching or tearing of muscles or ligaments in the lower back can cause pain during extension. 2. Herniated Disc: A herniated disc may cause pain whe...
Dr. Chen Bochen Reply:
Hello, I believe you are looking to address your health issues rather than preparing for an exam, so there's no need to understand all the causes. The best decision is to first pursue rehabilitation and exercise therapy. Next, follow your physician's instructions regard...[Read More] Possible Causes of Lower Back Pain When Arching Back but Not Bending Forward
Loss of Sensation in Inner Thigh and Genitals After Spine Surgery: What to Expect?
There is no sensation in the left inner thigh and the left side of the penis and scrotum? In April, I underwent minimally invasive surgery to fixate my lumbar spine due to spondylolisthesis and a fracture (L5), where screws were inserted. After the first surgery, I noticed a lack...
Dr. Shi Guozheng Reply:
1. Recovery is possible but not guaranteed. 2. It may take three to six months. 3. If recovery is not achieved, the effectiveness of surgery may be limited.[Read More] Loss of Sensation in Inner Thigh and Genitals After Spine Surgery: What to Expect?
Managing L5-S1 Spondylolisthesis: Tips for Pain Relief and Prevention
L5-S1 spondylolisthesis Hello Doctor, a few days ago I fell and landed on my right hip, which caused pain in my side when walking. I went to the hospital for an X-ray, and while my bones are fine, I was unexpectedly diagnosed with grade 1 L5-S1 spondylolisthesis. The doctor said ...
Dr. Chen Bochen Reply:
Hello! 1. Yes, that's possible! 2. Replace bending over with squatting. 3. Given your age, it's best to avoid surgery if possible (treat with rest, medication, rehabilitation, and exercise), but if there is severe nerve compression, surgery may still be necessary.[Read More] Managing L5-S1 Spondylolisthesis: Tips for Pain Relief and Prevention
Can You Get Pregnant with Grade 1 Spondylolisthesis?
Can a person with stage one spondylolisthesis become pregnant? Hello, doctor! Recently, I experienced lower back pain and went for an orthopedic examination. After an X-ray, the doctor diagnosed me with spondylolysis and Grade I spondylolisthesis at the fifth lumbar vertebra. The...
Dr. Wang Shouji Reply:
Hello, this situation should not pose significant issues for your pregnancy; however, the increase in abdominal weight during pregnancy may raise the likelihood of back pain. Changhua Hospital cares about your health. Dr. Wang Shou-ji.[Read More] Can You Get Pregnant with Grade 1 Spondylolisthesis?
Post-Surgery Weakness in Legs After Spinal Spondylolisthesis Treatment
Postoperative weakness in the legs after spinal slip surgery? Hello doctor, my mother has been experiencing leg numbness for nearly 6-7 years. Last April, she underwent surgery for a slipped disc at the L4-L5 level. The surgeon indicated that the slipped portion was pressing on s...
Dr. Wang Shouji Reply:
Hello, prolonged nerve compression can lead to difficulties in recovering certain functions such as weakness and numbness. However, after surgery, there is usually a gradual improvement. It is essential to first confirm whether the nerve compression has been relieved or if new is...[Read More] Post-Surgery Weakness in Legs After Spinal Spondylolisthesis Treatment
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 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
Understanding Spondylolisthesis: Symptoms, Treatment, and Recovery
Spondylolisthesis Hello, Doctor. I would like to ask about the issue of spondylolisthesis. I was diagnosed with grade 1 spondylolisthesis last month. Initially, I experienced lower back pain and numbness in my left thigh extending to my foot. The pain subsided with rest, but it w...
Dr. Chen Yongxue Reply:
Spondylolisthesis can potentially worsen, and strengthening the core muscles cannot completely prevent the deterioration or the timing for surgery. The progression of the condition varies depending on the underlying cause, rate of deterioration, and changes in symptoms. It is adv...[Read More] Understanding Spondylolisthesis: Symptoms, Treatment, and Recovery
Post-Hip Replacement Recovery: Addressing Weakness and Swelling
How to recover after hip joint surgery? Hello Doctor: I underwent a left hip arthroplasty on February 5, 2021. It has now been 37 days (5 weeks) since the surgery, and I have been applying heat to the area. However, my thigh and knee remain very swollen, and my left leg feels wea...
Dr. Shi Guozheng Reply:
After total hip arthroplasty, recovery typically takes about six to twelve weeks. It is still considered normal to have some swelling in the thigh at five weeks post-surgery. Please return to your physician for a check-up in the sixth week to rule out any other issues. There may ...[Read More] Post-Hip Replacement Recovery: Addressing Weakness and Swelling
Understanding Sacral Fractures and Disc Narrowing After Trauma
Decreased curvature of the sacrococcygeal region, S3 fracture, L5/S1 disc space narrowing, and pubic symphysis diastasis? Dear Dr. Zhan, Thank you very much for your response. It has been 20 days since the car accident on December 28, 2020. Two days after the incident, I underwe...
Dr. Zhan Xian Reply:
Mr. Bruce, if the pubic symphysis is separated by 1.8 cm and the pelvic structure is stable, conservative treatment is possible. Your injury requires time to heal, so please take a gradual approach and do not rush. Walking too much at the beginning may actually hinder bone healin...[Read More] Understanding Sacral Fractures and Disc Narrowing After Trauma
Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Decreased sacral and coccygeal curvature, S3 fracture, L5/S1 disc space narrowing, pubic symphysis diastasis? Dear Dr. Zhan, I am currently working in Southeast Asia and had a car accident two weeks ago, resulting in ruptures of my liver and spleen. I underwent transarterial emb...
Dr. Zhan Xian Reply:
Hello Mr. Bruce, whether surgical treatment for the pelvis is necessary mainly depends on the stability of the pelvic fracture. Since we only have a written report without imaging, it is difficult to assess the extent of the pubic symphysis separation and whether there is any dis...[Read More] Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident