Herniated disc, Rehabilitation FAQ

Understanding Shoulder Pain: Is It a Herniated Disc?

Herniated disc Hello Director Chen: I have a dull pain extending from my left arm to the scapula, making it difficult to sleep on my left side. Could this be a cartilage herniation? Sometimes, I experience similar pain on the right side as well. Besides taking glucosamine daily, ...

Dr. Chen Xianchang Reply:
(1) It may be a cervical disc herniation. (2) Please pay attention to your neck posture and strengthen isometric exercises for the neck. (3) Avoid excessive neck flexion and lifting heavy objects.

Understanding Lower Back Pain: When to Seek Rehabilitation Help

Lower back pain? Hello doctor, I would like to ask: I have been experiencing pain in my lower back and near my kidneys every day. It hurts more when I sit and even more when I sleep, and it also hurts when I walk. Sometimes the pain is unbearable. I have seen a doctor before, but...

Dr. Xu Zhenrong Reply:
Based on your pain symptoms, there are several common possibilities: 1. Issues originating from the renal and urinary tract, 2. Nerve root compression, 3. Musculoskeletal pain, 4. Spinal stenosis. First, we need to understand the source of the pain. Is there any tenderness upon...

Understanding Plantar Fasciitis: Seeking Answers for Chronic Foot Pain

Plantar fasciitis Hello, doctor. I have been experiencing numbness, swelling, and pain in the soles of my feet for five years. I have consulted with rheumatology and orthopedics, and an MRI revealed a herniated disc at the L4-L5 level, but it is not compressing any nerves. I have...

Dr. Xu Zhenrong Reply:
Dear Mr. KD, From your letter, it is clear that you have been suffering from this condition for many years. The necessary examinations include imaging studies such as X-rays, musculoskeletal ultrasound, and lumbar MRI, as well as electrophysiological tests. You have also consult...

Can My Friend Continue Rehab and Testing After Moving to Penghu?

Could you please provide the content you would like me to translate? My friend asked me to help him inquire about his situation. He was originally undergoing rehabilitation in Neihu, specifically "electrical stimulation" and "lumbar stretching." In a few days,...

Dr. Xu Zhenrong Reply:
Hello Angel: Based on your description, your friend likely has a lumbar disc herniation causing nerve root compression symptoms, which can lead to numbness and pain in the lower back, buttocks, thighs, and the posterior aspect of the calves, sometimes extending to the toes. This ...

Understanding Lumbar Disc Herniation and Its Impact on Nerve Pain

Herniated disc compressing the right leg nerve? Hello, doctor. I had a CT scan, and it showed a herniated disc at the fifth lumbar vertebra and the disc below it. I feel sharp pain in my hips and thighs when bending forward, and the same occurs when leaning backward. What treatme...

Dr. Xu Zhenrong Reply:
Hello Ah Hong, based on your description, you are experiencing symptoms of nerve root compression due to a herniated disc between the fifth lumbar vertebra and the first sacral vertebra. This can lead to numbness and pain in the lower back, buttocks, thighs, and the posterior asp...

Essential Guidelines for Safe Lumbar Traction in Rehabilitation

Lumbar traction I have a herniated disc and am currently undergoing rehabilitation. I would like to ask some related questions: 1. What precautions should be taken during lumbar traction? If not performed correctly, could it cause nerve damage or other side effects? Under what ...

Dr. Xu Zhenrong Reply:
Hello Mr. A-Tong, Normal use of lumbar traction does not cause nerve damage. Generally, the traction machines used in rehabilitation medicine have two units of measurement: pounds and kilograms. The traction weight typically starts at one-quarter of the body weight and graduall...

Understanding Herniated Discs: Rehabilitation Insights and Pain Management

I have a herniated disc! Since April 2005, I initially experienced lower back pain and discomfort. After three months, I sought medical attention, but no specific examinations were performed; I only underwent rehabilitation (shortwave therapy and electrical stimulation, without l...

Dr. Xu Zhenrong Reply:
Hello: When a herniated disc occurs, it can compress the spinal nerves, leading to symptoms of nerve compression. If this occurs in the lumbar spine, it can result in lower back pain, as well as pain in the buttocks and lower limbs. Mild lumbar disc herniation can improve with re...

Rehabilitation for Herniated Discs: Strength Training and Pain Prevention

Rehabilitation for herniated discs? Regarding rehabilitation issues related to herniated discs, thank you for your detailed response! Today, I would like to ask again: 1. During the acute phase, is it advisable to perform strength training for the back muscles and lower abdominal...

Dr. Xu Zhenrong Reply:
Hello, A-Dong: During the course of a herniated disc, it is still possible to perform strength training to enhance the abdominal and back muscles, but this should be done progressively. If the initial pain is severe, isometric exercises that do not involve movement of the lumbar ...

Effective Rehabilitation Strategies for Lumbar Disc Herniation

Rehabilitation for Herniated Disc I have a herniated disc at the L4-L5 level, and my doctor said surgery is not necessary, only rehabilitation. I would like to ask: 1. How should rehabilitation be conducted? 2. How long does the rehabilitation period last? Do I need to go to the ...

Dr. Xu Zhenrong Reply:
Hello Mr. A-Tong, regarding your condition, you will need to undergo physical therapy that includes heat therapy, traction, and electrical stimulation. The duration of treatment will vary depending on individual circumstances, so I cannot provide you with a specific timeframe. I ...

Understanding Hip Joint Sounds: Is It Degeneration or Something Else?

Hip joint issues? I have a herniated disc, and recently I've noticed that when lying in bed, walking, or going down stairs, there is a popping sound in my hip joint when I move my leg. Could this indicate hip joint degeneration?

Dr. Zheng Shunping Reply:
In response to your question: Based on the symptoms you described, it is possible that you are experiencing hip joint degeneration or excessive friction at the hip joint capsule and tendon attachment sites, which could be causing the sounds. It is recommended that you consult a r...

Understanding Leg Numbness and Weakness: Recovery Insights After Surgery

Numbness and weakness in the legs? Dear Dr. Gao, On August 2nd, I experienced severe pain in my right leg from the thigh to the sole of my foot. The following day, this pain turned into a numb sensation, and I began to walk with a limp due to weakness. I underwent rehabilitation...

Dr. Gao Zhenling Reply:
Hello Ah-Gui: Generally speaking, numbness and weakness take a longer time to recover. If you want to shorten the recovery time, it is recommended to undergo rehabilitation therapy, which should help you recover more quickly. Wishing you a speedy recovery, Gao Zhenling.

Managing Chronic Pain After Spine Surgery: Seeking Solutions and Support

Pain near the vertebrae? I underwent surgery for a herniated disc in 1988 at Taipei Medical University Hospital. Since then, I have continued to experience pain and have been undergoing rehabilitation. My doctor has been monitoring my condition, but over the past two weeks, the p...

Dr. Xu Zhenrong Reply:
Hello Mr. Zhang, There are many potential causes for lumbar pain, including the recurrence of intervertebral disc herniation. We cannot determine the exact cause of your pain based on your description. The general approach in physical therapy includes heat therapy, traction, an...

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,...

Understanding Pain While Walking: Disc Herniation and Rehabilitation Insights

Why can't I walk too far? I am a patient with a herniated disc. Every time I walk for about ten minutes, I start to feel pain near my buttocks and have to take a break before I can continue walking. Is this pain caused by nerve pain or tendonitis? Should I wait for lumbar tr...

Dr. Zheng Shunping Reply:
In response to your question: If symptoms appear after walking for 10 minutes, it is possible that you have a herniated lumbar disc combined with spinal canal stenosis. It is recommended to visit a rehabilitation specialist for a detailed examination, and to consider additional t...

Understanding Local Spinal Injections: Addressing Pain Concerns and Side Effects

Questions related to spinal local injections? Could you please ask Dr. Pan if local spinal injections could lead to the following symptoms: "Initially, my leg pain was only temporary, but about an hour after the injection, I noticed the pain became more pronounced, and it ha...

Dr. Pan Yingda Reply:
Let me clarify a few questions: 1. Previously, what did the doctor say about the pain? What is the issue? Is it related to muscles, nerves, or joints? Is there any history of injury? How long has the pain lasted? 2. What type of injection was administered—local anesthetic, cortic...

Understanding Muscle Atrophy: Concerns for Herniated Disc Patients

Muscle atrophy I am a patient with a herniated disc and have been undergoing traction rehabilitation. Recently, I noticed a slight indentation on the right side of my buttocks while taking a shower. Some doctors have said that as long as I can squeeze my buttocks, it’s not a prob...

Dr. Zheng Shunping Reply:
In response to your question: If you notice muscle atrophy in the right buttock, it may be caused by a herniated disc between the fifth lumbar vertebra and the first sacral vertebra, which could be compressing the first sacral nerve. It is recommended that you visit a hospital fo...

Rehabilitation for Herniated Discs: Swimming Techniques and Limitations

Rehabilitation for Herniated Discs If someone has a herniated disc, are there any restrictions on swimming techniques? For example, is it advisable to only use freestyle and avoid breaststroke?

Dr. Zheng Shunping Reply:
In response to your question: Swimming is a great form of exercise for lumbar disc herniation. Aside from the butterfly stroke, there are no specific contraindications for the other three strokes. However, please remember to perform a proper warm-up to avoid re-injury.

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...

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...

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...

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