Lumbar spine, Rehabilitation FAQ

Understanding Muscle Discomfort from Hip to Toes: A Rehabilitation Perspective

Muscle discomfort extending from the left buttock to the toes? Hello, doctor. Since September 2019, the toes on my left foot (except for the big toe) have been moving erratically and sometimes cramping severely. When I sit or lie down and put pressure on my left hip, I feel a dee...

Dr. Yin Xinbei Reply:
Since the electromyography and lumbar spine MRI did not reveal a clear cause, and based on the assessment of symptoms, piriformis syndrome is considered the most likely diagnosis. Only after ruling out all other possibilities should we consider autonomic nervous system issues. It...

Understanding Shoulder and Back Pain: A Comprehensive Guide to Recovery

Sports injuries My symptoms have persisted for four months, and I have gradually developed some additional related symptoms. To provide a comprehensive account for professional evaluation, I apologize for the length of this description. Initially, on May 7 of this year, after a w...

Dr. Wang Zhaomin Reply:
Based on the description, it indeed does not seem to be a simple muscle or ligament strain, sprain, or inflammation. Possible diagnoses have been listed, including cervical and lumbar nerve root compression or thoracic outlet syndrome. It remains to be confirmed whether there are...

Understanding Herniated Discs: Symptoms, Treatment, and Recovery

Herniated disc Hello, at the beginning of the year, I suddenly started experiencing lower back pain, which is accompanied by pain in the back of my right thigh and buttock. Initially, the pain was most severe in the morning, making it very difficult to get out of bed. At night, I...

Dr. Xu Zhenrong Reply:
1. The imaging you provided shows herniation of the intervertebral discs at the L4/L5 and L5/S1 levels, with the former being more severe. In addition to obtaining more cross-sectional images, medical imaging must be correlated with clinical symptoms and physical examination find...

Understanding Lower Back Pain and Numbness: When to See a Rehab Specialist

Lower back pain with numbness? Hello doctor, I wake up with lower back pain every time I sleep (my bed is a wooden board with a very thin mattress) and cannot continue sleeping. I can only lie down with my knees bent, or after getting up for a while, it gets better. However, rece...

Dr. Yin Xinbei Reply:
There may be nerve compression in the lumbar spine; please schedule an appointment with the rehabilitation department for further evaluation.

Can Spinal Traction Help Recover from Thoracic Injury and Lumbar Degeneration?

Is it safe to perform lumbar traction for someone with a history of thoracic spine injury and lumbar spine degeneration? Dear Dr. Hsu: I had an injury to my thoracic spine when I was younger, and the width of my lumbar spine is uneven, possibly due to degeneration measured by X-r...

Dr. Xu Yongnan Reply:
After the clinical physician reviews the imaging, traction therapy should be considered.

Understanding Gluteal Muscle Injuries: Diagnosis and Rehabilitation Options

Gluteus maximus injury Hello, doctor. I am currently a university student. In May 2016, I sustained an injury while playing basketball. Over the past year, I have undergone various treatments and received different diagnoses from multiple physicians, but my condition has not impr...

Dr. Yin Xinbei Reply:
A muscle ultrasound can be performed to check for swelling or inflammation in the gluteus maximus or piriformis muscle.

Post-Surgery Care for Lumbar Disc Surgery: Recovery and Exercise Guidelines

Postoperative Care for Intervertebral Disc Surgery Hello Doctor, my father (around 50 years old) recently underwent lumbar spine surgery using a PEEK-Ardis TLIF cage to treat a herniated disc. He is currently recovering well and was able to return to work 2-3 days post-surgery. I...

Dr. Yin Xinbei Reply:
Regarding the strength of the bone graft and postoperative recovery, due to variations in surgical conditions and the amount of graft used, such questions should be directed to the orthopedic or neurosurgeon performing the surgery.

Understanding Persistent Numbness and Tingling in the Left Leg

There is a tingling sensation like an electric shock in the left foot? Hello, doctor. I would like to ask you a question. My left foot has been experiencing numbness, primarily in the sole, and sometimes I also feel soreness in the back of my thigh that radiates to the back of my...

Dr. Li Weiqiang Reply:
Dear Ivy, Hello. I am experiencing numbness in the soles of my feet, and sometimes I feel soreness in the back of my thighs extending to the area behind my knees. However, the MRI did not reveal any significant findings, and the nerve conduction study conducted by the neurologis...

Understanding Limb Numbness and Muscle Weakness: A Rehabilitation Perspective

Numbness in the limbs and muscle weakness? Hello, Doctor. I would like to consult you about the issue of numbness and weakness in my limbs. Since around August 2015, I have gradually experienced some discomfort. Initially, I would feel a tingling sensation in the extremities when...

Dr. Zhou Jianwen Reply:
It is suspected to be a cervical spine issue, and it is necessary to visit a rehabilitation department or neurosurgery for examination and treatment.

Understanding Sudden Left Hip Pain: Causes and Treatment Options

Pain in the left mid-gluteal region? Hello Doctor, I suddenly experience sharp pain in the left side of my lower back and left buttock at certain angles. Initially, I felt weakness and soreness in my right leg when I turned it to a specific position, but that improved and now the...

Dr. Zhou Jianwen Reply:
It may be a soft tissue issue near the lumbar spine or pelvis. It is recommended to visit a rehabilitation specialist for further examination and treatment.

Is Spinal Traction Safe for Post-Surgery Back Pain Relief?

Lumbar traction Hello Doctor, about 4-5 years ago I had surgery for a herniated disc. The pain significantly improved after the surgery, but recently I've started experiencing back pain again. I can't stand up straight, and sometimes I can't turn over while sleepin...

Dr. Li Weiqiang Reply:
Hello: Are you here to check if your lumbar spine is stable? You can consult the surgeon. If it is stable, you can start with light weights and gradually increase the load. If you experience any discomfort, stop immediately. Wishing you safety and health. Sincerely, Dr. Li Wei-Ch...

Understanding Disc Herniation After Back Strain: Recovery Insights

Herniated disc after a back strain? Hello Doctor, I would like to ask about my current condition. After four weeks of rehabilitation, I am experiencing soreness in my left lower back and hip, along with tightness in my back. Recently, my lower back has improved, but I am unsure a...

Dr. Jian Jincheng Reply:
When exercising the lumbar spine, please pay attention to the movements of the lower back. If you hear a popping sound, it may indicate a potential injury to the lumbar vertebrae, which could lead to a herniated lumbar disc. It is advisable to undergo MRI or CT scans. Rehabilitat...

Understanding Limb Numbness and Muscle Weakness: A Rehabilitation Perspective

Numbness in the limbs and muscle weakness? Hello, doctor. I would like to ask you about the issue of numbness and weakness in my limbs. Since around August 2015, I have gradually experienced some discomfort. Initially, I would feel a tingling sensation in the extremities whenever...

Dr. Zhou Jianwen Reply:
It is suspected to be a problem with the cervical spine muscles.

Understanding Disc Herniation and Treatment Options for Back Pain

Cervical and lumbar disc herniation (suspected ankylosing spondylitis) Hello doctor, a few years ago I started experiencing severe pain in my lower back when bending over, and I have had acute episodes of lower back pain every year. Since the year before last, I have also been ex...

Dr. Li Weiqiang Reply:
Hello: Currently, the blood test for ankylosing spondylitis has a diagnostic certainty of 95%, therefore, the likelihood of having ankylosing spondylitis is low. However, the possibility of muscle stiffness and limited joint mobility is higher. Pain in the lower back, buttocks, a...

Understanding Lower Back, Hip, and Leg Pain: Causes and Solutions

Issues related to the lower back, hips, and lower extremities? Hello Dr. Zhou! Here is my condition: In October 2009, I fell from a height due to a car accident, impacting my left hip. Symptoms included soreness, numbness, swelling, and limping. I had difficulty walking, going up...

Dr. Zhou Jianwen Reply:
Hello Ms. Li: Your issue is quite complex and requires a personal consultation and physical examination for further assessment. It is recommended that you visit the Rehabilitation Medicine or Orthopedic outpatient clinic.

Understanding Chronic Knee Pain and Its Spread: A Student's Journey

Knee pain for two months, sometimes accompanied by hand numbness. Now the pain in the leg has spread to the groin area? Hello doctor, I am a design student who often sits for long periods and uses the computer for drawing. I started exercising in early September (running, cycling...

Dr. Chen Wayda Reply:
It is recommended to see Professor Hou Sheng-Mao at National Taiwan University Hospital's Orthopedics Department.

Understanding Tendonitis: Recovery Tips for Runners Preparing for a Marathon

Sports Injury: Tendinitis Hello, doctor. I have a regular habit of jogging and am currently preparing for a marathon. Due to overtraining and insufficient stretching, I developed tendonitis extending from the inner side of my knee to the popliteal fossa. I have seen a rehabilitat...

Dr. Xu Yongnan Reply:
It may not just be tendinitis; please have a clinician evaluate for any lumbar spine issues.

Effective Rehabilitation Exercises for Lumbar Spinal Stenosis Relief

How to rehabilitate lumbar foraminal stenosis? Hello Doctor, I recently underwent an MRI for my lumbar spine (L) and sacral spine (S). The results showed degenerative bulging of the intervertebral discs at L4-5 and L5-S1, causing narrowing of the neural foramina at both levels. C...

Dr. Xu Yongnan Reply:
You can perform inverted exercises or hang from a pull-up bar (without doing pull-ups). Both exercises should not exceed one minute, and they should be done only once a day. Do not force yourself during inverted exercises; listen to your body and prioritize safety.

Understanding Lower Back Pain: Effective Tests and Treatments

Lower back pain? I woke up in the morning and suddenly couldn't move my lower back. My lower back feels very tight and I can't bend; bending causes a sharp, aching pain similar to a muscle strain. I don't recall having any recent incidents that would have caused th...

Dr. Xu Yongnan Reply:
The initial assessment suggests a strain and sprain of the lumbar muscle group. It is recommended to consult a rehabilitation specialist for a lumbar spine X-ray to rule out any skeletal issues.

Understanding and Preventing Early Degeneration of Thoracolumbar Spine Issues

Degenerative Issues 2 1. What causes degeneration of the thoracolumbar spine? 2. How can further degeneration be prevented? 3. Why does degeneration of the thoracolumbar spine occur at a young age?

Dr. Chen Wayda Reply:
1. Degeneration of the thoracolumbar spine due to weight-bearing and aging. 2. Reduce weight-bearing and maintain a regular daily routine. 3. Overuse.

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