Understanding L5 Vertebral Arch Fractures: Recovery and Sports Impact
Fracture of the fifth lumbar vertebra? Hello, doctor. I am an athlete, and I have had a fracture of the fifth lumbar vertebra for a year and a half, which is particularly pronounced. I would like to ask: 1. How long will it take to heal after minimally invasive surgery? 2. Will I...
Dr. Chen Bochen Reply:
Vertebral arch fractures are a common issue, occurring in about 1 in 20 individuals. Most cases do not require surgery; rehabilitation and strengthening of the core muscles are usually sufficient. I, myself, have experienced a vertebral arch fracture, and after rehabilitation and...[Read More] Understanding L5 Vertebral Arch Fractures: Recovery and Sports Impact
Understanding L3 Vertebral Decompression Surgery: Risks and Recovery Insights
At that time, I was eager to find a one-time solution? Due to an injury from lifting heavy objects, I have been experiencing symptoms similar to sciatica for a long time without identifying the cause. At an orthopedic clinic, I discovered that I have L3 vertebral arch dissociatio...
Dr. You Dianqi Reply:
Each individual's condition and recovery process varies. It is recommended to follow up with the original treating physician or consult an orthopedic specialist at a regional hospital or higher for a second opinion. Thank you.[Read More] Understanding L3 Vertebral Decompression Surgery: Risks and Recovery Insights
Sudden Tailbone Pain: Should You See a Doctor for Occasional Discomfort?
Pain in the buttocks or coccyx that occurs suddenly, resembling the sensation of being kicked, and subsides within a few minutes may not necessarily require immediate medical attention. However, if the pain persists, worsens, or is accompanied by other symptoms such as swelling, ...
Dr. Chen Yongxue Reply:
Hello, based on your letter, this symptom is different from vertebral arch dissociation. It is advisable to visit the orthopedic outpatient clinic when symptoms occur. Thank you.[Read More] Sudden Tailbone Pain: Should You See a Doctor for Occasional Discomfort?
Understanding Spondylolysis and Its Impact on Sciatica Symptoms
Vertebral arch dissociation leading to sciatica? Hello, Doctor. About a year ago, I was diagnosed with spondylolysis by Dr. Hong at your hospital. At that time, I was advised to alleviate discomfort, strengthen my core, and avoid bending and heavy lifting. Otherwise, surgery with...
Dr. Chen Bochen Reply:
Hello: Vertebral arch dissociation rarely requires surgery. Most symptoms can be alleviated by strengthening the core muscle groups and improving work and lifestyle habits. Only in very rare cases is surgery necessary, and even then, it may not resolve the issue. If you already h...[Read More] Understanding Spondylolysis and Its Impact on Sciatica Symptoms
Could My Symptoms Indicate a Potential Spinal Fracture?
Is there a high possibility that my symptoms indicate a spinal fracture? Hello Dr. Lee: I am 19 years old and have ankylosing spondylitis. Previously, I only experienced pain in my buttocks, and I am currently taking Salazopyrin to stabilize my condition. However, in the past six...
Dr. Li Wenhong Reply:
Hello: Typically, fractures of the vertebral arch caused by acute trauma present with significant pain symptoms. Since you did not experience acute back pain after your motorcycle accident 1.5 months ago, it is unlikely that you have a vertebral arch fracture. Commonly, vertebral...[Read More] Could My Symptoms Indicate a Potential Spinal Fracture?
Are There Risks Involved with PRP Injections for Spinal Issues?
Is there a risk associated with PRP injections in the spine? Hello Doctor: 1) If a patient has a general vertebral arch dissociation and requires PRP or other regenerative therapies, are there any significant risks involved? Is there a risk of the injection needle injuring the sp...
Dr. Chen Bochen Reply:
Hello, 1) Do not expect that simply receiving PRP therapy will cure your spondylolysis; the success rate is not high. Spinal injections generally require ultrasound or X-ray guidance, and the patient is awake, which reduces the risk of injuring the spine. 2) Without a license, yo...[Read More] Are There Risks Involved with PRP Injections for Spinal Issues?
Could I Have a Spinal Fracture After a Motorcycle Accident?
Could I have a spinal fracture? Hello Dr. Chen: I am 19 years old. Three months ago, I fell off my motorcycle while turning in the rain, as the road was slippery with leaves. I was traveling at about 40 kilometers per hour and did not hit anything; I just slid for a short distanc...
Dr. Chen Bochen Reply:
Hello, 1. Spondylolysis is a common condition, and most individuals are asymptomatic during their youth; symptoms may gradually appear due to injury. 2. Spondylolysis can often be managed through rehabilitation and strengthening of core muscles to alleviate symptoms, but over ...[Read More] Could I Have a Spinal Fracture After a Motorcycle Accident?
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
Could I Have Injured My Spine? Understanding Symptoms and Next Steps
Is there a possibility of spinal injury? Hello, I would like to ask about an issue I have. Recently, I went trampoline jumping, and now whenever I move my body up and down (like when I ride over a bump) or carry heavy objects, I feel a tight sensation. Could this indicate a spina...
Dr. Chen Bochen Reply:
Hello, based on your symptom description, it could be a vertebral arch dissociation, which is a common spinal injury in young males. It is recommended that you seek medical attention, either from an orthopedic specialist or a rehabilitation physician.[Read More] Could I Have Injured My Spine? Understanding Symptoms and Next Steps
Understanding Lumbar L5 Spinal Arch Dissociation: Pain, Healing, and Treatment Insights
L5 vertebral arch dissociation, with no slippage of the sacrum? 1. Is the fifth lumbar vertebra arch separation, without any slippage of the sacrum, considered a type of fracture? How long will the pain last? 2. Will the fifth lumbar vertebra arch separation, without any slippage...
Dr. Wang Shouji Reply:
Hello, vertebral arch dissociation trauma cannot be ruled out, but an MRI assessment should be performed as soon as possible. If a significant amount of time has passed and it is difficult to determine whether the injury is new or old, an initial X-ray showing obvious bone defect...[Read More] Understanding Lumbar L5 Spinal Arch Dissociation: Pain, Healing, and Treatment Insights
Understanding L5 Vertebral Arch Separation: Causes, Healing, and Future Impacts
L5 vertebral arch separation (no slippage of the sacrum)? 1. A motorcycle collision caused the other party to fall, resulting in a diagnosis of lumbar contusion and a spondylolysis of the fifth lumbar vertebra (with no slippage of the sacrum) in a 27-year-old female. Given that t...
Dr. Chen Bochen Reply:
Hello: 1. In medicine, anything is possible. 2. Seeking a physician's opinion online is of no help for your court case or settlement negotiations (trust me, I've handled many cases). 3. It is difficult to distinguish between new and old injuries on imaging (however, MRI...[Read More] Understanding L5 Vertebral Arch Separation: Causes, Healing, and Future Impacts
Understanding Lumbar Spine Issues: When to Consider Surgery for Pain Relief
Vertebral arch issues Last November, I experienced lower back pain due to a fall and sought medical attention. The physician and neurosurgeon indicated that there were no significant issues and prescribed pain medication. However, on February 25th of this year, I experienced seve...
Dr. Li Yongheng Reply:
Hello, if there is a fracture of the vertebral arch with associated nerve root compression, and symptoms of persistent pain continue despite medication treatment, surgical intervention is recommended. The surgical approach often involves vertebral arch screw fixation combined wit...[Read More] Understanding Lumbar Spine Issues: When to Consider Surgery for Pain Relief
Understanding Lumbar Spine Issues: Spondylolysis and Treatment Options
Vertebral arch issues I apologize for the inconvenience. Here is the translation of your inquiry: "Excuse me, I would like to consult with the doctor regarding my X-ray examination report. The lumbar spine flexion and extension lateral views show a defect at the L5-S1 pars ...
Dr. Shi Guozheng Reply:
1. If the surgery is successful, pain is usually alleviated. 2. There is health insurance coverage, but if there are internal fixation devices, there may be some costs involved; for detailed information, it is best to consult the surgeon. 3. Typically, it is better to resolve the...[Read More] Understanding Lumbar Spine Issues: Spondylolysis and Treatment Options
Understanding Lumbar Spine Fusion Surgery and Insurance Approval in Taiwan
Vertebral arch issues Thank you, doctor, for your valuable advice. I am Mr. Chen, who mentioned the vertebral arch fracture in previous discussions. The doctor suggested either fusion surgery or discectomy. I would like to ask, since fusion surgery is covered by health insurance,...
Dr. Shi Guozheng Reply:
It may be necessary to perform a discectomy and fusion surgery for the following reasons: 1. The intervertebral disc has herniated and may be compressing a nerve, which requires intervention. 2. If the vertebral arch is fractured, bone grafting for fusion surgery is also necessar...[Read More] Understanding Lumbar Spine Fusion Surgery and Insurance Approval in Taiwan
Can You Safely Exercise with Spondylolysis and Spondylolisthesis?
Vertebral arch dissociation with spondylolisthesis? Hello Doctor, I have a fifth lumbar vertebra with spondylolysis and a 10% to 15% slippage. I would like to ask if it is safe for me to engage in fitness activities, such as squats and deadlifts, provided that I maintain proper f...
Dr. Chen Yongxue Reply:
Hello, vertebral arch dissociation can cause slippage between the upper and lower vertebrae. It is important to take special care in daily activities and avoid heavy lifting, as it may worsen the degree of dissociation. Thank you.[Read More] Can You Safely Exercise with Spondylolysis and Spondylolisthesis?
Understanding Spinal Injuries and Wrist Ligament Issues After Diving
Spinal injury & wrist bones Hello, Doctor. Five days ago, during a swimming lesson, I hit the water surface with my chest and abdomen while diving (similar to a U shape). At that moment, I felt some pain in my chest and spine. Although it has gradually improved over the past ...
Dr. Shi Guozheng Reply:
Your symptoms may require you to see an orthopedic physician for an examination, and an X-ray may be necessary. The wrist issues also need to be evaluated by a doctor.[Read More] Understanding Spinal Injuries and Wrist Ligament Issues After Diving
Understanding L2-L4 Lamina Fractures: Symptoms, Treatments, and Recovery
Vertebral arch fracture I have been diagnosed with a fracture of the lumbar vertebrae L2-L4, and most of the doctors I consulted recommended surgery. They mentioned that based on the condition of the maintenance, once the cartilage wears out and I get older, surgery will be inevi...
Dr. Shi Guozheng Reply:
1. Joint pain below the waist may not be related to the spine. 2. Due to posture, pain near the knee joint is related to movement and is associated with ligament or synovial inflammation. 3. Surgery for vertebral arch fractures must include spinal fusion; if spinal fusion is ...[Read More] Understanding L2-L4 Lamina Fractures: Symptoms, Treatments, and Recovery
Understanding Surgery for Lumbar Joint Fractures: Risks and Recovery
Fracture of the fifth lumbar vertebra? I apologize, but I would like to ask about my girlfriend who has been experiencing lower back pain for over two years due to a crack in her fifth lumbar vertebra (she fell onto the floor because the chair was not stable). After consulting wi...
Dr. Shi Guozheng Reply:
First, it is essential to confirm the diagnosis. If there is a fracture of the vertebral arch, the surgical procedure will involve stabilization and spinal fusion. The success rate of this type of surgery is quite high, so it is advisable to seek an experienced orthopedic surgeon...[Read More] Understanding Surgery for Lumbar Joint Fractures: Risks and Recovery
Understanding Degenerative Spine Conditions: Questions and Answers
I'm sorry, but I need specific content to translate. Please Dear Dr. Lai, Due to my work, I often stay up late. Two years ago, one morning I was unable to get out of bed because my upper body was in severe pain. When I sought medical attention, the doctor informed me that ...
Dr. Lai Qiren Reply:
The so-called vertebral arch dissociation refers to a fracture at the vertebral arch of a specific vertebra. After a period of time, if the bone heals poorly, it can lead to increased pressure on the spinal joints, resulting in chronic inflammation and degeneration of the spinal ...[Read More] Understanding Degenerative Spine Conditions: Questions and Answers
Post-Spinal Surgery Pain: Understanding Symptoms and Recovery Time
Postoperative pain after spinal surgery? Dr. Yang: I underwent surgery on June 2nd of this year at Taipei Veterans General Hospital for a fracture of the vertebral arch, where steel rods were used to stabilize the fourth and fifth vertebrae. It has been three weeks post-surgery, ...
Dr. Yang Zhengfan Reply:
Dear Mr. Liu, the issues you described may have existed prior to the surgery or could be related to your adaptation post-surgery. I recommend that you return to your original surgeon's clinic for further inquiries, as this will provide a better understanding of the situation...[Read More] Post-Spinal Surgery Pain: Understanding Symptoms and Recovery Time