Understanding Herniated Discs: Causes, Symptoms, and Rehabilitation Options
Herniated disc I initially only experienced numbness in my left foot, and I have been undergoing rehabilitation for my lower back. Gradually, I started to feel numbness in my right foot as well. The doctor mentioned that the movement of my intervertebral disc could be the cause. ...
Dr. Zheng Shunping Reply:
In response to your question: Generally, lumbar disc herniation primarily presents with unilateral paresthesia. If there is bilateral paresthesia, it often indicates the presence of additional issues, with spinal canal stenosis being the most common cause. Based on your symptoms,...[Read More] Understanding Herniated Discs: Causes, Symptoms, and Rehabilitation Options
Understanding Pain in the Heel: Causes and Treatment Options
Pain in the soles of the feet? Last night, I suddenly noticed that the back half of the sole of my right foot hurts when I stand. What could be the cause of this?
Dr. Xu Zhenrong Reply:
Hello, Your symptoms appear to be consistent with plantar fasciitis, which is inflammation of the plantar fascia caused by repetitive strain. The main symptoms include: 1. Intermittent pain on the inner side of the heel, especially during weight-bearing activities; 2. Symptoms ...[Read More] Understanding Pain in the Heel: Causes and Treatment Options
Understanding EMG Results: How Muscle Location Affects Diagnosis
Questions related to electromyography (EMG)? Dr. Pan, I am writing to inquire about some issues I have been experiencing. Recently, I have been feeling extremely unwell, not related to the local injection question from our last correspondence, but rather due to persistent lower b...
Dr. Pan Yingda Reply:
The MRI shows issues at L1/2, L3/4, and L5/S1, while L4/5 appears to be fine. Based on your symptoms, it seems that the problem is related to L1/2 (when you mention above the knee, you are referring to the front of the thigh, right? If it's the back of the thigh, then it rel...[Read More] Understanding EMG Results: How Muscle Location Affects Diagnosis
Understanding Ligament Injuries: When to See a Specialist
Ligament injury Dear Dr. Cheng, my left knee has been bothering me since last week when I had a collision while riding my motorcycle. My knee hit the side panel of my bike. The next day, I visited a traditional Chinese medicine clinic, and they mentioned that my ligament was slig...
Dr. Zheng Shunping Reply:
In response to your question: It is recommended to first consult with a rehabilitation specialist to determine if it is a ligament issue. Sometimes, a musculoskeletal ultrasound may be necessary to confirm the diagnosis.[Read More] Understanding Ligament Injuries: When to See a Specialist
Understanding Back Numbness: Causes and Rehabilitation Insights
I'm sorry, but I need specific content to translate. Please provide the text you would like me to translate into Hello, doctor. I have been experiencing numbness in the right side of my back. I'm not sure why this is happening. It used to occur occasionally during physi...
Dr. Pan Yingda Reply:
It's quite difficult! Generally, if there is no injury, it is often caused by long-term poor posture. You probably shouldn't have any major issues, but it seems that the condition is worsening. I recommend that you see a doctor nearby for an evaluation![Read More] Understanding Back Numbness: Causes and Rehabilitation Insights
Best Exercises for Herniated Disc Recovery: Swimming, Cycling, or Walking?
Exercise Rehabilitation I am a patient with a herniated disc. What exercises are suitable for me? Some doctors recommend swimming, while others suggest cycling or walking. What should I do, and how long should I do these activities?
Dr. Zheng Shunping Reply:
Hello: For lumbar disc herniation, suitable exercises include swimming and walking, while cycling is less recommended. It is generally advised to exercise at least three times a week for 20 to 30 minutes each session. Additionally, some training for the back and abdominal muscles...[Read More] Best Exercises for Herniated Disc Recovery: Swimming, Cycling, or Walking?
Understanding Left Shoulder Pain After an Accident: Recovery Insights
Left shoulder pain? Hello Doctor, about six months ago I was in a car accident. Initially, I thought there was only an issue with my left side rib under the armpit (I had an X-ray and there were no fractures), but after three months of recovery, the pain in my left armpit gradual...
Dr. Chen Xianchang Reply:
(1) Deep muscle pain in the left shoulder may be diagnosed as follows: 1. Strain of the internal and external rotator muscles, requiring deep heat therapy (shortwave, ultrasound, laser) and deep electrical therapy (interferential current). 2. Adhesive capsulitis (frozen shoulder)...[Read More] Understanding Left Shoulder Pain After an Accident: Recovery Insights
Understanding Lumbar Pain: When to See a Specialist for Relief
Please ask again about lumbar pain? Dr. Chang: Thank you very much for taking the time to address my concerns despite your busy schedule. I am still a student and have been staying up late to finish reports, and I lack exercise. When I was very young, my spine was impacted in a c...
Dr. Zhang Yuzhang Reply:
Dear Kiki, It appears that your lower back pain may be related to a previous injury, but maintaining the same posture for an extended period can also easily lead to chronic muscle damage. When muscles are in a state of continuous contraction for a long time, their blood flow and...[Read More] Understanding Lumbar Pain: When to See a Specialist for Relief
Understanding Sacroiliac Joint Degeneration: Care and Treatment Options
sacroiliac joint A few days ago, I had an X-ray, and the doctor said that my sacroiliac joint has degenerated. How should I take care of it? If the degeneration is severe, should I consider a joint replacement, or should I continue to use it until it is no longer functional?
Dr. Zheng Shunping Reply:
Degenerative sacroiliac joint disease is one of the common degenerative conditions, and in severe cases, it can lead to pain, numbness, and weakness in the lower limbs. It is advisable to avoid excessive bending and heavy lifting, and to pay attention to proper sitting posture as...[Read More] Understanding Sacroiliac Joint Degeneration: Care and Treatment Options
Understanding Recurring Lower Back Pain: Causes and Solutions
Lumbar pain Hello Doctor: At the beginning of last month, I experienced lower back pain, and pressing around the lumbar area was painful. However, after about 2-3 days, the pain went away. Recently, the discomfort has returned, and bending over is quite painful. Could you please ...
Dr. Zhang Yuzhang Reply:
Dear Dr. Chang Yu-Chang of Tainan Hospital, Department of Health, Executive Yuan, Back pain is indeed a troublesome issue, commonly caused by factors such as lumbar strain, poor posture over time, an ergonomically unsuitable work environment, or even herniated discs. May I ask w...[Read More] Understanding Recurring Lower Back Pain: Causes and Solutions
Preventing Further Degeneration of Hip Joints: Effective Strategies
How can we prevent further degeneration of the hip joint? Since July and August of last year, I have experienced nerve compression at the S4-S5 level of my spine, resulting in pain near my hip joint, including the front, sides, and back of my buttocks. I have consulted various do...
Dr. Guan Zaoxiang Reply:
Hello Mr. Wang: Based on your description, you may have already undergone X-rays of your lumbar spine and hip joints, and you might have also had a CT scan or MRI (otherwise, how would you know about nerve compression? However, I believe you meant to refer to the L4 and L5 nerve ...[Read More] Preventing Further Degeneration of Hip Joints: Effective Strategies
Flat Feet: Can Orthotic Insoles Alleviate Pain and Discomfort?
Flatfoot I have flat feet and I can't stand or walk for too long. If I stand for more than three hours, the muscles around my navicular bone become very painful, and the blood vessels in that area are more prominent. I would like to know if wearing orthotic insoles for flat ...
Dr. Guan Zaoxiang Reply:
Hello: Flat feet can lead to the symptoms you mentioned due to a smaller arch, which results in poorer weight distribution. Insoles can provide relief, especially those with arch support. Additionally, a smaller arch may also increase the load on the trunk and lower body, making ...[Read More] Flat Feet: Can Orthotic Insoles Alleviate Pain and Discomfort?
Managing Recurrent Disc Herniation After Surgery: Treatment Options and Recovery
Postoperative recurrence of herniated disc? I underwent decompression surgery for a herniated disc in June of last year. After the surgery, I stayed in the hospital for over a month and have been continuously undergoing rehabilitation and wearing a lumbar support brace. However, ...
Dr. Guan Zaoxiang Reply:
Hello: Based on your description and the MRI report, it is indeed unfortunate that you have experienced a recurrence after surgery. It is not advisable to undergo lumbar traction within one year post-surgery, and rehabilitation treatment may not be effective for your current cond...[Read More] Managing Recurrent Disc Herniation After Surgery: Treatment Options and Recovery
Managing Flat Feet: Tips for Active Individuals Facing Heel Pain
Flat feet but love to exercise? I have flat feet but I love to exercise. Interestingly, I ordered a pair of custom arch supports, and they don't cause any discomfort. However, one day after exercising, I experienced pain and inflammation on the inner side of my heel. I did w...
Dr. Xu Zhenrong Reply:
Hello Mr. BB: Don't be nervous; your injury may not necessarily be caused by flat feet. Here are some suggestions you can consider: 1. **Check the fit of your arch supports**: After exercising, remove your shoes and socks and check the skin and the contact area of the arch...[Read More] Managing Flat Feet: Tips for Active Individuals Facing Heel Pain
Neck Pain After Cold Weather: When to Seek Rehab Treatment?
It seems like I have strained my neck? Hello, doctor. About two months ago, due to the cold weather, my body felt tense and I was curled up in bed. Later, when I turned my head to look at something, I suddenly felt a sharp pain, as if I had twisted my neck. However, it got better...
Dr. Guan Zaoxiang Reply:
Hello: Based on your description, it seems like a neck muscle strain, likely involving a strain of the left sternocleidomastoid muscle and possibly some nearby neck muscle groups. Generally, if the condition is not severe, self-administered heat therapy may suffice. However, sinc...[Read More] Neck Pain After Cold Weather: When to Seek Rehab Treatment?
Understanding Lower Body Pain: Seeking Relief After Surgery
Lower limb pain My mother-in-law had surgery on her lower back over six months ago. Recently, she has been complaining of severe pain in the flesh around her buttocks. The pain is so intense that it is unbearable. She visited the surgeon at the 803 clinic, but there was no improv...
Dr. Zhang Yuzhang Reply:
Dear Dr. Chang Yu-Chang, Director of the Rehabilitation Department at Tainan Hospital, Department of Health, Executive Yuan: I hope this message finds you well. I would like to inquire if your mother-in-law has experienced any falls or sprains recently. How long has she been bed...[Read More] Understanding Lower Body Pain: Seeking Relief After Surgery
Can Core Strengthening Help Relieve Chronic Back Pain for Workers?
About low back pain? Due to my regular work as a decorator, I have been experiencing chronic lower back pain. X-rays show no issues, and traditional massage therapy has not been effective. Would undergoing abdominal strengthening therapy with a specialist in abdominal health yiel...
Dr. Guan Zaoxiang Reply:
Hello: Based on your description, the X-ray results are normal, which suggests that it may be postural back pain or possibly a mild herniated disc. You can undergo physical therapy, which should lead to improvement; however, the extent of the improvement can only be determined af...[Read More] Can Core Strengthening Help Relieve Chronic Back Pain for Workers?
Understanding Persistent Leg Pain: When to Seek Medical Advice
Soreness Hello Dr. Chang, I have been experiencing persistent soreness in the lower right thigh for the past week. Sometimes the right calf also feels sore, and at times it can be described as pain rather than soreness. I haven't been sitting for long periods or engaging in ...
Dr. Zhang Yuzhang Reply:
Dr. Chang Yu-Chang from the Rehabilitation Department of Tainan Hospital, Ministry of Health and Welfare, stated that generally, lower back and leg pain often results from prolonged poor posture (such as sitting or standing for long periods), leading to chronic cumulative muscle ...[Read More] Understanding Persistent Leg Pain: When to Seek Medical Advice
Understanding Tailbone Pain: Is It a Disc Herniation?
Please ask your question? Hello, Doctor. I previously fell and injured the coccyx area (the middle part of the buttocks). Initially, I sought treatment from a traditional Chinese medicine practitioner, and after feeling better, I stopped treatment. However, in recent years, I hav...
Dr. Zheng Shunping Reply:
Hello: In response to your question... Based on your description, it seems that the coccygeal region is less likely to be herniated. However, if there has been a fall or impact, it is still important to consider whether the higher lumbar vertebrae may have been injured, leading t...[Read More] Understanding Tailbone Pain: Is It a Disc Herniation?
Addressing Limb Length Discrepancy After Childhood Fractures
Leg length discrepancy caused by fractures? Hello Doctor, I am 18 years old. When I was in kindergarten, I fractured my right calf. Once I healed and was able to walk, my parents noticed that my legs were of unequal length. According to them, it was said that the injured bone wou...
Dr. Zhang Yuzhang Reply:
Dear Water Blue Plastic Bottle, The issues caused by leg length discrepancy primarily involve pelvic tilt and scoliosis, which can lead to secondary low back pain. Generally, if the difference in leg length is less than half an inch, no specific treatment is required (however, i...[Read More] Addressing Limb Length Discrepancy After Childhood Fractures