Lower back, Rehabilitation FAQ - Page 17

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Understanding Leg Pain During Pregnancy: Causes and Solutions

Leg pain? Experiencing leg pain and occasional arm discomfort starting from the third month of pregnancy could be attributed to several factors. These may include: 1. **Hormonal Changes**: Increased levels of relaxin and progesterone can lead to changes in muscle and joint stabi...


Dr. Zhang Yuzhang Reply:
Leg pain during pregnancy. As the fetus grows, around the three-month mark, the uterus begins to extend beyond the pelvic cavity into the abdominal cavity. This increases the load on the lower back, leading to compensatory biomechanics in the lower limbs, which may result in leg ...

[Read More] Understanding Leg Pain During Pregnancy: Causes and Solutions


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...

[Read More] Understanding AS and Treatment Options: Questions from a Rehab Patient


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 Fascia Inflammation and Back Strain After Surgery

Fasciitis and Back Strain Hello, Doctor: I underwent liver cancer resection surgery three months ago. My attending physician mentioned that due to the extensive nature of the surgery and the manipulation of the ribs, experiencing tightness in the upper body is considered normal. ...


Dr. Zheng Shunping Reply:
Hello: In response to your question, for myofascial inflammation with trigger points, the following treatments can be considered: medications, trigger point injections, postural correction, stress management, massage, transcutaneous electrical nerve stimulation (TENS), therapeuti...

[Read More] Understanding Fascia Inflammation and Back Strain After Surgery


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 ...

[Read More] Understanding Chronic Lower Back Pain: Causes and Solutions


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...

[Read More] Understanding the Causes of Lower Back Pain: A Rehabilitation Perspective


Understanding Post-Accident Pain: Back, Shoulder, and Pelvic Issues Explained

I'm sorry, but it seems that your message is unclear? Hello: Since the two car accidents last year (one involved a direct impact to the lower back, and the other caused the hip to hit the ground first, both with significant force), I have been experiencing frequent soreness ...


Dr. Zheng Shunping Reply:
Hello: In response to your question, the soreness in your lower back and difficulty sleeping after the car accident warrants an X-ray examination to rule out any skeletal issues. Additionally, fatigue in the right shoulder can lead to soreness in the right side of the neck and ev...

[Read More] Understanding Post-Accident Pain: Back, Shoulder, and Pelvic Issues Explained


Understanding Post-Accident Pain: Back, Shoulder, and Pelvic Issues Explained

I'm sorry, but it seems that there is no content provided Hello: Since the two car accidents last year (one involved a direct impact to the lower back, and the other involved the hip hitting the ground first, both with significant force), I have been experiencing frequent so...


Dr. Pan Yingda Reply:
1. You can take an X-ray to rule out any bone injuries; additionally, pelvic displacement is also a possibility, which needs to be assessed in person with some simple examinations. 2. The issue with your right shoulder may be related to long-term poor posture, so it's import...

[Read More] Understanding Post-Accident Pain: Back, Shoulder, and Pelvic Issues Explained


Understanding Post-Accident Pain: Is It Pelvic Misalignment or Something Else?

I'm sorry, but it seems there was an error in your Hello: Since the two car accidents last year (one involved a direct impact to the lower back, and the other involved the hip hitting the ground first, both with significant force), I have been experiencing frequent soreness ...


Dr. Zhang Yuzhang Reply:
Your condition is more likely caused by an injury to the muscles and ligaments in your back. Typically, during an injury, muscles will reflexively contract strongly for self-protection, but this can also lead to muscle strains and inflammation. If adequate rest and rehabilitation...

[Read More] Understanding Post-Accident Pain: Is It Pelvic Misalignment or Something Else?


Can Spinal Alignment Help with Back Pain and Nerve Issues?

Spinal correction Dear Dr. Pan: Can the spine be corrected? I often experience lower back strains, and my friends suggested that I see a chiropractor. Is this the right approach? Does hiking have any negative effects on the spine? Is there a connection between spinal injuries and...


Dr. Pan Yingda Reply:
1. Spinal adjustments have their indications; your issues may be better addressed by adjusting your posture and movement patterns, which could be more direct. Otherwise, what is referred to as spinal correction may only provide temporary relief of symptoms, and the underlying iss...

[Read More] Can Spinal Alignment Help with Back Pain and Nerve Issues?


Understanding Upper Right Back Pain: Causes and When to Seek Help

Pain in the upper right flank? Hello Doctor, for the past six months, I have occasionally felt pain in the upper right side of my lower back, similar to a bruise, but I don't recall any injury. Recently, the pain seems to have worsened. I'm not sure what the issue might...


Dr. Pan Yingda Reply:
Is there a correlation between pain and posture or movement? 1. If so, it may be related to the muscular or skeletal system, and you could consult a rehabilitation specialist or an orthopedic doctor. 2. If not, the most likely cause could be kidney stones, and you should see a ur...

[Read More] Understanding Upper Right Back Pain: Causes and When to Seek Help


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 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...

[Read More] Understanding Lower Back Pain After Bending: Causes and Prevention Exercises


Understanding Knee Swelling After an Accident: Recovery Insights

Knee numbness I was in a car accident five months ago, and I am now urgently seeking treatment for my knee. My knee is swollen and cannot bend, and I also injured my lower back, making it difficult to get out of bed without assistance. Additionally, I have other injuries that I a...


Dr. Pan Yingda Reply:
*Due to my lack of knowledge about the circumstances of your initial injury and your current condition, I can only provide you with general advice.* I am trained in Western medicine and have some knowledge of traditional Chinese medicine, including acupuncture and tui na (Chinese...

[Read More] Understanding Knee Swelling After an Accident: Recovery Insights


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...

[Read More] Understanding Chronic Lower Back Pain: Causes and Management Strategies


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...

[Read More] Understanding Pain and Discomfort Near the Spine and Tailbone


Chronic Pain and Inflammation: Understanding Shoulder and Neck Issues

Inflammation Hello, doctor... I would like to ask a few questions... My shoulders and neck have been sore for many years (I can't even count), and my arms down to my fingers often feel numb and occasionally twitch lightly. I struggle to exert strength, and the pain on both s...


Dr. Pan Yingda Reply:
I personally believe it is a cervical spine issue, possibly related to your injury, and likely less connected to your fractured arm. Testing the tendon reflexes (like how doctors tap the patient's knee on TV...) can indicate if there is an increase in reflexes, which may sug...

[Read More] Chronic Pain and Inflammation: Understanding Shoulder and Neck Issues


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 ...

[Read More] Managing Bone Spurs: Treatment and Care for Lower Back Pain


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