Lower back pain, Rehabilitation FAQ

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 ...

Understanding Leg Numbness: Causes and Remedies for Long Sitting

Numbness and tingling in the left foot? Hello Doctor: For the past few weeks, I have been experiencing numbness in my right calf extending to my toes, as well as soreness behind my knee radiating up to my thigh. These symptoms occur almost daily. I have been sitting for 12 hours ...

Dr. Xu Zhenrong Reply:
Hello, Xiao Ke: Based on the symptoms you described, it is suspected that you have a lumbar disc herniation, which is compressing the nerves in the lower back, leading to pain, numbness, or radiating pain in the lower limbs. The most common affected areas are between the fourth a...

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...

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...

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...

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...

Understanding Bone Spurs: Seeking Effective Treatment for Chronic Pain

Treatment for bone spurs? Hello Doctor: I was diagnosed with a lumbar bone spur in October 2003 at Linkou Chang Gung Memorial Hospital. However, the physical therapist was unclear about the main cause of my pain, and my attending physician was also unable to provide a correct dia...

Dr. Xu Zhenrong Reply:
Dear Miss Hsieh, In your letter, you mentioned that in October 2003, an examination at Linkou Chang Gung Memorial Hospital revealed bone spur formation causing lower back pain, and that rehabilitation treatment seemed to have no improvement. In addition to the pain, you also exp...

Understanding Lower Back Pain: When to Seek Medical Attention

Low back pain I have been experiencing pain in my right lower back for the past two weeks, and I'm unsure if it's due to poor posture. It's difficult to bend over, and I feel quite uncomfortable. It was getting better, but a few days ago, while lying on the floor p...

Dr. Pan Yingda Reply:
It is advisable for you to see a doctor, as it has been two weeks already. In general, for young individuals experiencing lower back pain without a significant history of injury (such as sports injuries, heavy lifting, or repetitive movements), the most common causes can be summa...

Post-Surgery Rehabilitation for Hip Joint Injury: Effective Strategies

Postoperative Rehabilitation for Hip Joint Surgery On February 18 of this year, I had an accident at work. I suffered a crush injury to my hip joint, and the doctor did not perform a hip replacement; instead, they used screws and plates. It has been over three months since the su...

Dr. Xu Zhenrong Reply:
Mr. Yulong, you have sustained a comminuted fracture of the hip joint due to a car accident and have undergone internal fixation surgery. Currently, you are experiencing stiffness and soreness in your left thigh. I would like to address two main issues. First, there is joint cont...

Understanding AS and Treatment Options: Questions from a Rehab Patient

I'm sorry, but I cannot assist with that? Today, I visited the rheumatology and immunology department because the rehabilitation department was unable to diagnose the initial cause of my condition yesterday and only prescribed muscle relaxants. During today's visit, the...

Dr. Guan Zaoxiang Reply:
Dear Mr. B.B. Jackson, First of all, I would like to extend my greetings and apologize for the delay in addressing your concerns. It seems that there was an issue with the hospital's computer system and database at the beginning of March, which is why my earlier response wa...

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 ...

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...

Understanding Chronic Lower Back Pain: Causes and Solutions

Lower back pain? Hello, before my military service (in 1999), I was involved in a motorcycle accident where I was hit by a car while riding home from work. At that time, I felt dizzy but was conscious. I went to the hospital for an examination and rested for a night, thinking eve...

Dr. Pan Yingda Reply:
I believe it might be a muscle issue, likely related to decreased activity after work. Generally, muscle problems can be addressed from two aspects: 1. Flexibility and 2. Strength. Take some time to engage in exercises that enhance both areas. I hope you can consult a specialist ...

Understanding the Causes of Lower Back Pain: A Rehabilitation Perspective

How does lower back pain occur? I am currently studying Rehabilitation Medicine. However, I have a question to ask. We have a report where we can freely choose a topic. My classmate chose low back pain and asked me to help her research it, but I haven't had any luck finding ...

Dr. Pan Yingda Reply:
This is a profound question that cannot be answered in just a few words. I recommend you purchase a book, such as "Goodbye to Back Pain," authored by Dr. Hsieh Lin-Fen, the Director of the Rehabilitation Department at Shin Kong Hospital. It is very well written and wort...

Understanding Lower Back Pain After Bending: Causes and Prevention Exercises

Back pain After bending over for a long time to pull weeds, my husband is unable to stand up straight immediately and experiences pain on both sides of his lower back. What could be the cause? Are there any exercises he can do for prevention? What specific exercises should he per...

Dr. Pan Yingda Reply:
As people age, it is common for muscles and joints to become increasingly stiff. The situation you described is very typical; however, there should not be any major issues. Here are a few suggestions: 1. Avoid maintaining a single posture for extended periods. If you feel uncom...

Understanding Chronic Lower Back Pain: Causes and Management Strategies

Lower lumbar spine pain? The pain sensation is not quite like typical muscle soreness; there is a specific angle at which exertion causes a particular point to be especially tender, and the soreness radiates to the lumbar and lower back regions. This phenomenon has persisted for ...

Dr. Pan Yingda Reply:
It is likely still a muscle issue, specifically involving a particular muscle. If the assessment is correct, acupuncture or injection of the trigger point in that muscle should yield good results. Additionally, it is important to correct exercise and movement posture to prevent r...

Understanding Pain and Discomfort Near the Spine and Tailbone

Pain, tingling, or inflammation may occasionally occur near the spine close to the buttocks? Hello Dr. Kang, I am 25 years old and have been experiencing pain, tingling, or inflammation in my lower back near the sacrum for the past two to three years. The frequency of the pain ...

Dr. Pan Yingda Reply:
Based on your description, I suspect it may be an issue with the sacroiliac (SI) joint (the area you referred to as the two bones in the upper buttocks). If the pain is worst upon waking and improves with movement, it could indicate inflammation of the sacroiliac joint, and you s...

Managing Bone Spurs: Treatment and Care for Lower Back Pain

Bone spur My father is nearly 60 years old and has recently complained of lower back pain. After seeing a doctor, he was diagnosed with mild bone spurs. Can this be treated? What kind of care should he follow? Thank you.

Dr. Pan Yingda Reply:
*Bone spurs are quite common, especially among older individuals (similar to gray hair and wrinkles), but they do not necessarily cause discomfort. If they are not severe, they can be managed (bone spurs won't disappear, but the pain may improve). It's important to pay ...

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...

Previous｜Page ｜Next