Understanding Chronic Lower Back and Leg Pain: Causes and Treatment Options
Low back and leg pain? This is not my issue; the patient is a 46-year-old male. 1. Initially, he experienced lower back pain, which later extended to his thigh. The pain is localized to a specific point on the right side of the lower back and affects the entire posterior muscle o...
Dr. Lai Yanting Reply:
1. According to the description in the first point, the symptoms resemble myofascial pain syndrome, commonly known as myofascitis. Typically, myofascitis of the iliopsoas muscle manifests as pain in the lower back and thigh. 2. Regarding the second point, I am unclear about wha...[Read More] Understanding Chronic Lower Back and Leg Pain: Causes and Treatment Options
Understanding Back Pain After Weight Loss: When to Seek Medical Help
Back pain Hello, I responded to the issue on December 19, but I may have had a problem with my URL and did not receive a reply. I only saw the response from December 20 today. I started experiencing these aches and pains after losing weight. If this is an issue related to interna...
Dr. Lai Yanting Reply:
Hello: I recommend that you first visit a family medicine physician for a comprehensive evaluation and some physical examinations to determine the exact cause of your pain. Do not overlook any warning signs from your body. If a referral to a specialist is necessary, the family me...[Read More] Understanding Back Pain After Weight Loss: When to Seek Medical Help
Chronic Back Pain: Seeking Solutions for Persistent Discomfort
Back pain Hello, I started experiencing a dull pain in my lower back at the end of October, and the discomfort persisted without much change until December. In mid-December, I began to feel stiffness and soreness in my back, lower back, and neck, making it uncomfortable to mainta...
Dr. Lai Yanting Reply:
Did your soreness start after weight loss? There are many causes of back pain, which could range from simple muscle strains to internal issues (such as stones or infections), among others. Additionally, rapid weight loss should prompt a visit to the clinic for a detailed evaluati...[Read More] Chronic Back Pain: Seeking Solutions for Persistent Discomfort
Managing Moderate Scoliosis: Next Steps for Rehabilitation and Care
Moderate scoliosis? Hello Dr. Lai, In my health report, the X-ray section indicates that I have moderate scoliosis. What kind of follow-up actions should I take? Thank you!
Dr. Lai Yanting Reply:
In adults, scoliosis does not require surgical treatment unless it is severe (greater than 50 degrees). The "moderate scoliosis" you mentioned likely refers to a curvature between 25 and 35 degrees. It is recommended to visit a rehabilitation clinic for an X-ray examina...[Read More] Managing Moderate Scoliosis: Next Steps for Rehabilitation and Care
Effective Rehabilitation Treatments for Chronic Lower Back Pain
Lower back pain I have been experiencing lower back pain for three weeks. I have consulted a traditional Chinese medicine practitioner and undergone acupuncture and tui na therapy, but the pain has not resolved. If I make an appointment with the rehabilitation department, what tr...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. It is essential to first identify the underlying cause, whether it is muscle-related, a herniated disc, or referred pain. A clear diagnosis is necessary for ...[Read More] Effective Rehabilitation Treatments for Chronic Lower Back Pain
Understanding Muscle Endurance Issues and Back Pain After Injury
Poor muscular endurance? Hello, Doctor. I previously experienced a sharp pain in my back after bending for too long, so I visited a rehabilitation specialist. (I had a minor compression fracture from a car accident at the end of last year.) The doctor took several X-rays, both fr...
Dr. Chen Xianchang Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. Further examination, such as an MRI, can be performed to check for any herniated discs, which commonly cause sharp pain and numbness. 2. For scoliosis, a ...[Read More] Understanding Muscle Endurance Issues and Back Pain After Injury
Understanding Morning Lower Back Pain: Causes and Treatment Options
Lower back pain after waking up? Hello, I've been experiencing pain on both sides of my lower back when I wake up in the past few days. The pain is not very noticeable when I'm standing or moving around, or when I press on my lower back. However, I do feel pain when I b...
Dr. Lai Yanting Reply:
Dear Allen: Your issue may be caused by a muscle strain (though further evaluation is needed to confirm this). Common causes include improper posture or overuse of the back muscles. It is advisable for you to consult a rehabilitation specialist for an examination to understand th...[Read More] Understanding Morning Lower Back Pain: Causes and Treatment Options
Understanding the Risks of Cervical Traction Therapy: What to Expect
Cervical traction I went to rehabilitation for cervical traction. The therapist asked how many kilograms to pull, and I told her 11 kilograms. After a short while, I felt very uncomfortable and couldn't continue. I called the therapist back, and she misunderstood it as 15 ki...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. The therapist should carefully read the medical orders. If there are any unclear aspects, they should discuss them with the physician and avoid making arbitrary adjustments to the weight used for s...[Read More] Understanding the Risks of Cervical Traction Therapy: What to Expect
Effective Remedies for Persistent Back Muscle Pain: Expert Advice
Muscle pain Dear Doctor: I have muscle pain in my upper back, particularly near the shoulder close to the armpit and the scapula. I have applied a medicated patch, but the pain persists. What should I do? Thank you!
Dr. Chen Xianchang Reply:
Hello, Miss: I would like to respond to your questions and provide the following suggestions: 1. The muscles near the scapula, such as the levator scapulae and teres minor, are involved in shoulder rotation and lifting. Therefore, avoiding heavy lifting can help alleviate discomf...[Read More] Effective Remedies for Persistent Back Muscle Pain: Expert Advice
Understanding Golf-Related Injuries: When to Seek Rehab Treatment
Sports injuries Hello, Director Chen! My father has been experiencing pain in his right shoulder and arm after playing golf recently, so he has decided to stop playing. Is golf not a good sport? Can it cause sports injuries? Is it possible to undergo rehabilitation treatment? Tha...
Dr. Chen Xianchang Reply:
Hello Sir: I would like to respond to your questions and provide the following suggestions: 1. The benefits of playing golf include walking, but the sudden swinging motion can cause sports injuries to the shoulders, elbows, and lower back. 2. It is important to warm up first, esp...[Read More] Understanding Golf-Related Injuries: When to Seek Rehab Treatment
Managing Shoulder Pain from Cartilage Protrusion: Tips for Care
Herniated disc Dear Doctor: My mother often experiences soreness in her right scapula. The traditional Chinese medicine practitioner told her that she has a herniated cartilage. After receiving chiropractic treatment, she felt very comfortable; however, it seems that the conditio...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Please encourage your mother to perform heat therapy and engage in flexibility and strength training for her back. 2. She can lie against a door frame and p...[Read More] Managing Shoulder Pain from Cartilage Protrusion: Tips for Care
Understanding Back Pain: Do Silicone Mattresses Really Help?
Lower back pain? Hello, doctor! I saw an introduction on a TV shopping channel about a silicone mattress that seems to relieve back pain. We bought one for my mom, who often complains about her back pain, but she still feels the pain persists. Could this be an issue related to he...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your question. I would like to respond to your inquiry and provide the following suggestions: 1. There are many causes of lower back pain, including: A. Muscle overuse and inflammation B. Degeneration of the lumbar spine or herniated intervert...[Read More] Understanding Back Pain: Do Silicone Mattresses Really Help?
Struggling with Sit-Ups at 21: Understanding the Challenges and Solutions
Sit-up Hello, doctor! I'm only 21 years old, but I can't do a single sit-up, even with a friend holding my feet down. What could be the problem? How can I strengthen myself? Thank you!
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. It is possible that you are experiencing muscle weakness due to lack of practice. If you are experiencing pain, there may be an injury to the lumbar spine or vertebrae, and you should seek medical ...[Read More] Struggling with Sit-Ups at 21: Understanding the Challenges and Solutions
Effective Rehabilitation Strategies for Hand Pain and Swelling
Treatment methods? Hello Doctor: Based on your response, I would like to provide further details. The onset of my symptoms occurs almost exclusively when I am using the computer (doing assignments or reports) or lifting heavy objects. For example, while I am currently focused on ...
Dr. Pan Yingda Reply:
This is a typical case of tendinitis, and there is no need for an MRI! Even if you do one, it won't provide any useful information and won't aid in treatment! During the acute phase (redness, swelling, heat, and pain), the focus should be on reducing swelling and allevi...[Read More] Effective Rehabilitation Strategies for Hand Pain and Swelling
Understanding Hand Pain: Is It Tendonitis, De Quervain's, or Carpal Tunnel Syndrome?
Tendinitis? I have been experiencing pain in the back of my hand for two to three years. Initially, it started during the summer when I worked over 12 hours a day doing packaging work. Now, I sometimes experience swelling, warmth, and pain (the pain is indescribable; even when my...
Dr. Pan Yingda Reply:
It should be tendinitis! (Conditions like "mom's thumb," tennis elbow, and golfer's elbow are all types of tendinitis, just in different locations.) However, there’s no reason for it to persist for two to three years! Regarding tendinitis, you shouldn't o...[Read More] Understanding Hand Pain: Is It Tendonitis, De Quervain's, or Carpal Tunnel Syndrome?
Understanding Muscle Slippage: Effective Treatments and Recovery Tips
Muscle relaxation or muscle detachment? Hello Dr. Chen, I have a question I would like to ask you: When I was in the second year of high school (16 years old), I was playing basketball. It wasn't a very intense game, but during a jump shot, I injured the tendon inside my lef...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Based on your description, the sliding tendon may be the flexor hallucis longus or tibialis posterior, which could be causing ankle instability due to injury (including the tendon and the medial a...[Read More] Understanding Muscle Slippage: Effective Treatments and Recovery Tips
Understanding Concussion Risks and Rehabilitation Needs After a Car Accident
Contusion Hello, Director Chen! Yesterday, while driving downhill, the car behind me suddenly lost its brakes, and my head was struck by the seat back. My right hand hit the steering wheel, and I have been experiencing bruising and pain from my wrist to my elbow. Currently, I als...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. You may be experiencing a mild concussion. It is advisable to rest for a few days. If you do not experience vomiting or other concerning symptoms (such as elevated blood pressure or blurred visi...[Read More] Understanding Concussion Risks and Rehabilitation Needs After a Car Accident
Managing Hunchback in Seniors: Tips for Care and Rehabilitation
Hunchback issue Hello, doctor! My grandfather is 72 years old and has had a hunchback for many years. He takes calcium supplements and drinks pork bone soup every day. What else should we pay attention to? Thank you!
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to address your questions and provide the following recommendations: 1. You have already noted the importance of food and medication, but it is also essential to be aware of potential side effects. 2. Deep heat therapy and elec...[Read More] Managing Hunchback in Seniors: Tips for Care and Rehabilitation
Understanding Upper Back Pain After Lumbar Fracture: Causes and Solutions
Sharp pain in the upper back? I had a car accident last December that resulted in compression fractures of the first to third lumbar vertebrae. The doctor said they were very minor and prescribed medication for me, stating that as long as I was not in pain, I would be fine. After...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Regarding your lumbar spine, in addition to the compression fracture, there may be issues such as scoliosis or excessive lordosis. It is important to seek medical attention promptly to prevent co...[Read More] Understanding Upper Back Pain After Lumbar Fracture: Causes and Solutions
Understanding Thigh Pain: Causes and Solutions for Sciatica Issues
Thigh pain I have recently been experiencing sharp pain in the front of my thigh, especially after cycling. The doctor diagnosed it as sciatica, and I have been stretching my lower back for a month without improvement. What could be the issue?
Dr. Chen Xianchang Reply:
Hello Sir: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. The muscles in the front of the thigh are not innervated by the sciatic nerve; they are innervated by the femoral nerve, which originates from the lumbar nerve r...[Read More] Understanding Thigh Pain: Causes and Solutions for Sciatica Issues