Understanding Your Options: Navigating Surgery for Disc Herniation
Surgery Hello, Doctor: In January, I consulted about my bone spur issue. After that, I continued to see an orthopedic specialist at Chang Gung Memorial Hospital. The doctor diagnosed me with a herniated disc and recommended endoscopic surgery. The surgery was originally scheduled...
Dr. Xu Zhenrong Reply:
Ms. Hai Er inquired about issues related to orthopedics. It is recommended to visit our orthopedic outpatient clinic directly. The orthopedic physician available is Dr. Lin Jun-Fu, the Director of Spine Surgery. I hope he can provide you with a satisfactory response. I just recei...[Read More] Understanding Your Options: Navigating Surgery for Disc Herniation
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?
Should You See a Specialist for Scoliosis or Herniated Discs?
What should I do if I get injured? Will scoliosis or lumbar disc herniation cause a decrease in height? If someone has these conditions, which specialty should they consult: rehabilitation medicine, physical therapy, or traditional Chinese medicine for injuries?
Dr. Zheng Shunping Reply:
Hello: In response to your question... If there is a problem with scoliosis, height may decrease. Lumbar disc herniation can also lead to a slight reduction in the height of the lumbar vertebrae (depending on the degree of herniation and the number of affected lumbar segments). I...[Read More] Should You See a Specialist for Scoliosis or Herniated Discs?
Managing Disc Herniation: Rehabilitation Strategies for Pain Relief
Herniated disc Hello, since the beginning of this year (93), I have been experiencing symptoms of pain in my lower back and arms. I have undergone numerous examinations at local hospitals, and the results have been consistent (diagnosed by physicians from three different hospital...
Dr. Guan Zaoxiang Reply:
Hello: Based on your description, the diagnosis of a herniated disc is undoubtedly confirmed. However, despite having undergone surgery, you still experience discomfort. This may be due to prolonged compression of the nerve roots, resulting in limited postoperative recovery; alte...[Read More] Managing Disc Herniation: Rehabilitation Strategies for Pain Relief
Understanding Your Pain: Insights on Sciatica and Rehabilitation
Foot pain? Hello, doctor. I have been experiencing pain in the back of my thigh and connecting to my buttocks for two months now! Initially, it wasn't that painful, but it has progressively gotten worse! Even sneezing causes pain! After sitting for a long time, I can't ...
Dr. Guan Zaoxiang Reply:
Hello: Based on your description, you are most likely experiencing sciatica due to a herniated disc. The standard treatment involves heat therapy, electrical stimulation, and spinal traction. Generally, it takes about one to two weeks for the treatment to start showing effectiven...[Read More] Understanding Your Pain: Insights on Sciatica and Rehabilitation
Understanding Numbness in the Big Toe After C-Section: Causes and Solutions
What could be wrong with the body? Hello, doctor. I would like to ask about a situation that occurred nine months ago. After a cesarean section due to an abnormal fetal position during pregnancy, I suddenly noticed a tingling sensation in my left big toe one day. The condition fl...
Dr. Guan Zaoxiang Reply:
Hello: Based on your description, it is very likely that the numbness in your left big toe is a symptom of nerve root compression in the lumbar spine. Given that this occurred postpartum, it is most likely due to a herniated disc that developed during pregnancy. Please consult a ...[Read More] Understanding Numbness in the Big Toe After C-Section: Causes and Solutions
Rehabilitation for Spinal Compression: Managing Pain and Treatment Options
Rehabilitation for Vertebral Compression Fractures Hello, Doctor: Two years ago, I lifted a heavy object and accidentally strained my back. I did not seek any medical treatment at that time, but recently I have been actively pursuing treatment. An X-ray revealed that my spine doe...
Dr. Chen Xianchang Reply:
1. It is likely a lumbar disc herniation, as coughing increases abdominal pressure, causing the already herniated disc to protrude further and intensifying the pain. 2. Based on the symptoms and X-ray, it may be a herniated disc at the fifth lumbar vertebra; however, the X-ray ...[Read More] Rehabilitation for Spinal Compression: Managing Pain and Treatment Options
Can Pelvic Misalignment Cause Back Pain? Understanding Your Diagnosis
Can the pelvis become misaligned? Dear Doctor: I previously injured my lower back while lifting heavy items at work, resulting in weakness. After receiving massage therapy, I felt better. A traditional Chinese medicine practitioner mentioned that my pelvis was misaligned, leading...
Dr. Guan Zaoxiang Reply:
Hello: Pelvic tilt is a symptom rather than a diagnosis, although some practitioners, particularly within the chiropractic field, may consider it a diagnosis. In treatment, we generally emphasize addressing the underlying cause rather than just treating the symptoms. Traditional ...[Read More] Can Pelvic Misalignment Cause Back Pain? Understanding Your Diagnosis
Managing Disc Herniation During Pregnancy: Essential Guidance
Lumbar pain caused by intervertebral disc herniation: related issues? I would like to consult a doctor: My wife has been suffering from hip pain for nearly a year. After a recent examination at the hospital, it was found that she may have a herniated disc. The doctor recommended ...
Dr. Guan Zaoxiang Reply:
Hello Mr. Lin: The diagnosis of herniated disc is generally determined through medical history, physical examination, X-rays, CT scans, or MRI. However, considering that exposure to radiation is not advisable during early pregnancy, X-rays should be avoided. A preliminary diagnos...[Read More] Managing Disc Herniation During Pregnancy: Essential Guidance
Chronic Back Pain After Childbirth and Pediatric Urinary Reflux Concerns
Low back pain ## Ureteral reflux Since giving birth, I have been experiencing chronic lower back pain, often waking up in pain in the morning. I have consulted many traditional and Western medicine practitioners, but nothing has helped. My child is now 2 years old, and I am still...
Dr. Guan Zaoxiang Reply:
Hello Ah Fang: Regarding your first question, there are many possible causes for lower back pain after childbirth. One potential reason could be that your coccyx has been impacted and is misaligned. Another major cause could be postpartum herniated discs or other conditions. I ...[Read More] Chronic Back Pain After Childbirth and Pediatric Urinary Reflux Concerns
Understanding AS Symptoms and Rehabilitation: A Student's Journey
Today I went to see the Rehabilitation Department? Hello Doctor, I truly didn't expect to receive a reply today after sending my message last night. I am the male patient with ankylosing spondylitis (AS). Let me provide a more detailed account of my symptoms. I am 174 cm tal...
Dr. Guan Zaoxiang Reply:
Based on your detailed description, I believe your pain is primarily due to a herniated intervertebral disc (HIVD) causing nerve root compression at L5-S1, which typically results in pain radiating from the buttocks, down the back of the thigh, to the back of the calf, and even t...[Read More] Understanding AS Symptoms and Rehabilitation: A Student's Journey
Understanding Disc Herniation and Ankylosing Spondylitis: A Patient's Journey
Herniated disc and ankylosing spondylitis (AS) I'm sorry to hear about your discomfort. Here's the translation: I have been experiencing discomfort in my lower back for six months. Initially, it started with sudden pain on the left side of my lower back, so I went to t...
Dr. Chang Qiongwen Reply:
Hello Mr. Jackson: Based on the situation you described, I will provide a brief summary and inference. Since you have been experiencing symptoms for six months and have undergone relevant examinations, including taking immunomodulators (were they MTX or other medications?), it i...[Read More] Understanding Disc Herniation and Ankylosing Spondylitis: A Patient's Journey
Understanding Herniated Discs: Rehabilitation and Recovery Options
Herniated disc Is a herniated disc commonly referred to as a "bone spur"? Can rehabilitation be done to heal it, and if so, where should one start? Thank you for taking the time to respond amidst your busy schedule.
Dr. Chang Qiongwen Reply:
1. A herniated disc is different from what is commonly known as bone spurs. 2. Ninety percent of patients can recover with rehabilitation. 3. Please visit the rehabilitation department for diagnosis and to receive physical therapy.[Read More] Understanding Herniated Discs: Rehabilitation and Recovery Options
Exploring Treatment and Rehabilitation Options for Ischemic Myelitis
What are the treatment and rehabilitation options for ischemic myelitis? In addition to the condition described on July 24, my spouse had a pre-existing issue with a herniated disc (between lumbar vertebrae 4 and 5) prior to the onset of her current illness. This condition had pr...
Dr. Pan Yingda Reply:
Ischemic and hemorrhagic conditions are different (although the outcomes may be quite similar). If there is a blood clot compressing the spinal cord for over six months, the prognosis is not optimistic. If the compression is on the nerve roots (or the cauda equina), the chances a...[Read More] Exploring Treatment and Rehabilitation Options for Ischemic Myelitis
Understanding the Risks of Neck Surgery: What You Need to Know
What is the level of risk? Dr. Kang: After undergoing an MRI, it has been confirmed that the intervertebral discs at my sixth and seventh cervical vertebrae are compressing the nerves. The rehabilitation specialist has advised me twice to consider surgical treatment from a neuros...
Dr. Pan Yingda Reply:
If a herniated disc is confirmed and the symptoms have not lasted long (no more than six months), surgery may be quite effective. Our concern is not the risks of surgery (which are minimal with current techniques), but rather the fear of undergoing surgery without improvement. If...[Read More] Understanding the Risks of Neck Surgery: What You Need to Know
Understanding Lower Back Pain: Causes, Treatments, and Prevention Tips
Low back pain Hello Dr. Kang, I usually have a habit of exercising, and bending over is not an issue for me. I often swim in the summer without any problems. However, two months ago, after swimming the butterfly stroke, I seemed to have strained my lower back. In the following d...
Dr. Pan Yingda Reply:
It really seems like a herniated disc. First, to answer your questions: 1. Prolonged use of a lumbar support can lead to stiffness in the lumbar spine and weakness in the back muscles, making it harder to tolerate prolonged sitting or standing; therefore, it should not be used fo...[Read More] Understanding Lower Back Pain: Causes, Treatments, and Prevention Tips
Post-Surgery Rehabilitation: Essential Exercises for Disc Herniation Recovery
Is rehabilitation necessary after surgery? Hello Dr. Kang: I am a patient with a herniated disc. After unsuccessful conservative treatment, I underwent surgery in May of this year, and the soreness, numbness, and pain have decreased postoperatively. Since I work in education, sta...
Dr. Pan Yingda Reply:
**Absolutely necessary.** Correct posture is important, but very few people can achieve it. Generally, individuals tend to have an anterior pelvic tilt, causing the upper body to lean backward (especially when holding a child, this posture is easily adopted). If your English is s...[Read More] Post-Surgery Rehabilitation: Essential Exercises for Disc Herniation Recovery
Understanding the Connection Between Disc Herniation and Leg Pain
Lower back and leg pain? I am 35 years old and started experiencing symptoms of varicose veins in my lower limbs at the beginning of this year, along with a sensation of aching. An MRI performed at the end of November revealed a herniated disc between the fourth and fifth lumbar ...
Dr. Pan Yingda Reply:
*Typical sciatica caused by a herniated intervertebral disc (HIVD) is most painful when bending forward, and sitting is more uncomfortable than standing, which can help differentiate it from discomfort caused by varicose veins. Your symptoms do not resemble those of varicose vein...[Read More] Understanding the Connection Between Disc Herniation and Leg Pain