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 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 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 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
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
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...[Read More] Understanding Bone Spurs: Seeking Effective Treatment for Chronic Pain
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...[Read More] Understanding Lower Back Pain: When to Seek Medical Attention
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
Is It Normal to Feel Sore After Using a Massage Chair Cushion?
Massage chair pad Hello doctor, I gave my dad a massage chair pad for his birthday. It's not a vibrating type; it has two rollers on each side that rotate in an arc and move up and down the spine, from just below the neck to the lower back, similar to the massage chairs foun...
Dr. Guan Zaoxiang Reply:
Hello: It is common to feel soreness after a massage, but the underlying cause may vary. Some soreness is normal, while others may indicate an injury. Generally, soreness that lasts no more than a day is acceptable; if it persists for a longer period, it is more likely due to imp...[Read More] Is It Normal to Feel Sore After Using a Massage Chair Cushion?
Can Rehabilitation Help After Compression Fractures of Lumbar Vertebrae?
Can rehabilitation be performed for compression fractures of the 10th and 11th vertebrae? I was involved in a car accident on February 16 of this year and was immediately taken to Yonghe Cheng Hsin Hospital. The physician diagnosed me with the following: (1) head trauma with cere...
Dr. Xu Zhenrong Reply:
Dear Ms. A-Yu, Based on the limited information mentioned in your letter, it can be inferred that osteoporosis is associated with vertebral fractures, which are often difficult to diagnose, leading to treatment only after visits to multiple hospitals. Osteoporosis is common in w...[Read More] Can Rehabilitation Help After Compression Fractures of Lumbar Vertebrae?
Managing Leg Cramps and Back Pain for Busy Food Service Workers
Swollen feet and lower back pain are really bothering me; I can't work? Hello Dr. Chang, My occupation involves helping out at a buffet. In the past, I would experience leg fatigue and cramps, but now it has worsened, with pain radiating from my lower back to the soles of ...
Dr. Chang Qiongwen Reply:
Hello: Due to the nature of your work requiring prolonged standing, it is recommended that you wear compression stockings. Wishing you health and happiness. Miaoli Hospital, Rehabilitation Department, Zhang Qiongwen[Read More] Managing Leg Cramps and Back Pain for Busy Food Service Workers
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
Effective Rehabilitation Techniques for Thigh Pain After Hip Surgery
Rehabilitation Methods for the Thigh Hello, Doctor. I was in a car accident in mid-February and underwent a hip joint reconstruction surgery. The doctor informed me that no artificial joint was installed; only screws and plates were used. It has been over three months since the s...
Dr. Zheng Shunping Reply:
Hello: This issue was addressed by Dr. Hsu Chen-Jung from the Rehabilitation Department of Taipei Hospital on June 1, 2004. The response is as follows: Mr. Yulong, you have sustained a comminuted fracture of the hip joint due to a car accident and have undergone internal fixation...[Read More] Effective Rehabilitation Techniques for Thigh Pain After Hip Surgery
Post-Surgery Care: Strengthening Your Back After Disc Surgery
Postoperative care after spinal disc surgery? I underwent a partial discectomy at the L5-S1 level in March of this year, and it has been about three months since the surgery. I would like to ask the doctor how I can strengthen the muscles in my lower back and spine through exerci...
Dr. Zheng Shunping Reply:
Hello: In response to your question, exercises to strengthen the muscles of the abdominal and back areas include: 1. Back extension exercise (superman): Lie face down, using your palms to lift your upper body while keeping your abdomen pressed against the floor, maintaining this ...[Read More] Post-Surgery Care: Strengthening Your Back After Disc Surgery
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...[Read More] Post-Surgery Rehabilitation for Hip Joint Injury: Effective Strategies
Post-Surgery Care: Strengthening Back Muscles After L5-S1 Disc Surgery
What are the post-operative care instructions for HIVD surgery? I underwent a partial discectomy at the L5-S1 level in March of this year, and it has been about three months since the surgery. I would like to ask the doctor how I can strengthen the muscles in my lower back and sp...
Dr. Guan Zaoxiang Reply:
It is advisable to consult a surgeon for this type of issue.[Read More] Post-Surgery Care: Strengthening Back Muscles After L5-S1 Disc Surgery