Understanding Lumbar Osteophytes: Treatment Options and Future Risks
Lumbar spondylosis Hello Doctor, I visited the clinic a while ago, and the doctor diagnosed me with severe osteophyte formation at the L4 and L5 vertebrae (similar to a bone bridge based on my online research). Currently, I experience occasional electric shock-like tingling and p...
Dr. Chen Wayda Reply:
(1) Strengthening the muscles in the lower back cannot improve this issue. (2) Currently, whether surgery is necessary and the timing of the surgery depend on the severity of the osteophyte formation at the L4 and L5 vertebrae. It is advisable to discuss the surgical options and ...[Read More] Understanding Lumbar Osteophytes: Treatment Options and Future Risks
Understanding Nerve Issues from Lumbar Rehabilitation: A Patient's Concern
Issues arising from lumbar rehabilitation? I have bone spurs in both my cervical and lumbar spine. During rehabilitation, I was pulling with a weight of 32 kilograms while my body weight is 67 kilograms. After the lumbar exercise, all five fingers of my right hand become numb. I ...
Dr. Li Weiqiang Reply:
Hello: It may be caused by the use of a chest strap during the process of stretching the waist. Please ask the therapist to make some adjustments and then inform the physician if a cervical spine examination is necessary. Wishing you safety and health. Sincerely, Dr. Li Wei-Chian...[Read More] Understanding Nerve Issues from Lumbar Rehabilitation: A Patient's Concern
Does MRI Position Affect Results for Rehabilitation Patients?
Magnetic Resonance Imaging (MRI) Does the position of the body affect the results of an MRI? I mostly experience numbness in my legs when walking or sitting, but an MRI is performed while lying down. I'm not sure if this will impact the results.
Dr. Lin Shuhuan Reply:
Hello: Lumbar spine MRI is performed while lying down and will not affect the interpretation of the results.[Read More] Does MRI Position Affect Results for Rehabilitation Patients?
Exploring Treatment Options for Lumbar Disc Herniation and Sciatica
Lumbar spine issues I had an examination of my lumbar spine at a hospital and was diagnosed with a herniated lumbar disc accompanied by sciatica. A physician recommended hospitalization for traction therapy, as it tends to yield better results. Since I live in Xinzhuang, which is...
Dr. Yin Xinbei Reply:
Yes, but unless there is severe pain that causes difficulty in movement, traction therapy can be performed on an outpatient basis.[Read More] Exploring Treatment Options for Lumbar Disc Herniation and Sciatica
Effective Exercise Recommendations for Seniors with Knee Pain and Obesity
excuse me? Hello Director Su, My mother had lumbar spine surgery over a year ago, and now she is experiencing knee degeneration pain and has varicose veins. What kind of exercises can she do? P.S. My mother is currently unable to stand or sit for long periods, and her walking ...
Dr. Su Hongci Reply:
Hello: If the knee joints have shown significant degeneration or if one is getting older, it is advisable to adjust the level of physical activity or consider alternative exercises, such as reducing the amount of jogging and substituting it with brisk walking. Additionally, activ...[Read More] Effective Exercise Recommendations for Seniors with Knee Pain and Obesity
Understanding Unexplained Falls: Potential Causes and When to Seek Help
Unexplained falls? About four or five years ago, one night while I was sleeping, my phone rang. I wanted to get up to answer it, but for some reason, even though my feet should have had sensation, when I stepped onto the floor to walk, one of my feet suddenly felt completely weak...
Dr. Lai Yanting Reply:
1. Based on your description, it may be helpful to recall if you took any sleeping pills or sedatives in the days leading up to the fall. This could potentially explain why you experienced a deep sleep and may have had insufficient reaction time when suddenly waking up, or it cou...[Read More] Understanding Unexplained Falls: Potential Causes and When to Seek Help
Understanding Unexplained Falls: Causes and When to Seek Help
Unexplained falls? About four or five years ago, one night while I was sleeping, my phone rang. I wanted to get up to answer it, but for some reason, even though my feet should have had sensation, when I stepped onto the floor to walk, one of my feet suddenly felt completely weak...
Dr. Lai Yanting Reply:
1. Based on your description, it may be helpful to recall if you took any sleeping pills or sedatives in the days leading up to the fall. This could potentially explain why you might have been in a deep sleep and suddenly got up during the night, leading to insufficient reaction ...[Read More] Understanding Unexplained Falls: Causes and When to Seek Help
Understanding Muscle Endurance Issues and Back Pain After Injury
Poor muscular endurance? Hello, Doctor. I previously experienced a sharp pain in my back after bending for too long, so I visited a rehabilitation specialist. (I had a minor compression fracture from a car accident at the end of last year.) The doctor took several X-rays, both fr...
Dr. Chen Xianchang Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. Further examination, such as an MRI, can be performed to check for any herniated discs, which commonly cause sharp pain and numbness. 2. For scoliosis, a ...[Read More] Understanding Muscle Endurance Issues and Back Pain After Injury
Understanding Back Pain: Do Silicone Mattresses Really Help?
Lower back pain? Hello, doctor! I saw an introduction on a TV shopping channel about a silicone mattress that seems to relieve back pain. We bought one for my mom, who often complains about her back pain, but she still feels the pain persists. Could this be an issue related to he...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your question. I would like to respond to your inquiry and provide the following suggestions: 1. There are many causes of lower back pain, including: A. Muscle overuse and inflammation B. Degeneration of the lumbar spine or herniated intervert...[Read More] Understanding Back Pain: Do Silicone Mattresses Really Help?
Understanding Falls: Assessing Potential Spine Injuries and Rehab Options
Fall Hello, Dr. Chen! I fell in the bathroom and bruised my hip, making it difficult to sit or turn over while sleeping. Could this potentially injure my spine? Is it advisable to see a rehabilitation specialist? Thank you!
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your question. Here are my responses and suggestions: 1. During the acute phase, it can be difficult to make a diagnosis. You should start with ice therapy and take analgesics and anti-inflammatory medications, while also ensuring plenty of rest. 2. If ...[Read More] Understanding Falls: Assessing Potential Spine Injuries and Rehab Options
Struggling with Sit-Ups at 21: Understanding the Challenges and Solutions
Sit-up Hello, doctor! I'm only 21 years old, but I can't do a single sit-up, even with a friend holding my feet down. What could be the problem? How can I strengthen myself? Thank you!
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. It is possible that you are experiencing muscle weakness due to lack of practice. If you are experiencing pain, there may be an injury to the lumbar spine or vertebrae, and you should seek medical ...[Read More] Struggling with Sit-Ups at 21: Understanding the Challenges and Solutions
Should You Consider Spinal Decompression for Spondylolisthesis?
Lower back pain? My uncle has sciatica, and the rehabilitation physician took an X-ray and said there is lumbar spondylolisthesis. Should he undergo lumbar traction or not?
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to address your questions and provide the following suggestions: 1. The purpose of lumbar traction is to alleviate sciatica and address issues related to nerve compression in the lumbar spine. Traction should only be consider...[Read More] Should You Consider Spinal Decompression for Spondylolisthesis?
Understanding Upper Back Pain After Lumbar Fracture: Causes and Solutions
Sharp pain in the upper back? I had a car accident last December that resulted in compression fractures of the first to third lumbar vertebrae. The doctor said they were very minor and prescribed medication for me, stating that as long as I was not in pain, I would be fine. After...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Regarding your lumbar spine, in addition to the compression fracture, there may be issues such as scoliosis or excessive lordosis. It is important to seek medical attention promptly to prevent co...[Read More] Understanding Upper Back Pain After Lumbar Fracture: Causes and Solutions
Can Long-Term Knock Knees Cause Discomfort in the Knees and Lower Back?
Long-term malocclusion? Is it possible for long-term overpronation to cause discomfort in the knees and even the lower back?
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Generally speaking, having a foot posture that is excessively turned inward can exacerbate internal rotation of the hip joint and increase lumbar lordosis, ...[Read More] Can Long-Term Knock Knees Cause Discomfort in the Knees and Lower Back?
Understanding Arm Pain: Neck Issues and Rehabilitation Insights
Arm pain Hello, doctor! Last week, I experienced severe pain in my right arm, almost to the point of paralysis. I visited a rehabilitation specialist nearby, had an X-ray taken, and the doctor informed me that there is a narrowing of the spaces between my cervical vertebrae and s...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Bone spurs may develop in the cervical spine, lumbar spine, and knee joints. 2. Generally, cervical traction starts at 1/7 of body weight and can gradually increase to 1/4 of body weight. Therefore,...[Read More] Understanding Arm Pain: Neck Issues and Rehabilitation Insights
Understanding Sacral Pain: Causes, Treatment, and Prevention Tips
Coccydynia Dear Doctor: I have previously fallen while skiing and also while canyoning, both of which injured my coccyx. I underwent rehabilitation for a period of time, but now I occasionally experience pain in my sacrum. Does this mean that my injury was not fully treated? What...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Falls generally transmit force upward, which can injure the lumbar spine and directly impact the ischium and coccyx. 2. It is advisable to enhance deep thermal therapy, such as shortwave diathermy ...[Read More] Understanding Sacral Pain: Causes, Treatment, and Prevention Tips
Understanding Lower Back and Hip Pain: Causes and Recovery Time
Lower back and hip pain? I have been doing heavy lifting work every day, and while I didn't experience any issues when I was younger, after a few years, I often have pain in my lower back, hips, and thighs. Sometimes the pain feels like a knife cutting, and other times it fe...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, you can undergo X-rays, CT scans, MRI, and electromyography at the rehabilitation department. 2. If there are no severe compressive fractures or lumbar spondylolisthesis, cons...[Read More] Understanding Lower Back and Hip Pain: Causes and Recovery Time
Is Inverted Hanging on a Bar Effective for Lumbar Disc Herniation?
Inverted hanging on a pull-up bar? I've heard that hanging upside down on a pull-up bar is good for the lumbar spine and can treat disc herniation. Is this true? What is your opinion?
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Generally speaking, lumbar traction in rehabilitation is more effective for treating disc herniation. This is because hanging upside down does not allow the muscles ...[Read More] Is Inverted Hanging on a Bar Effective for Lumbar Disc Herniation?
Understanding Hip Joint Injuries: Causes, Symptoms, and Recovery Tips
Hip joint injury Hello Dr. Pan, I was playing basketball when I jumped and got pushed in the air. To avoid falling, I landed with my legs spread apart, which resulted in an injury to my left foot. Initially, it was very painful whenever I moved it, but now it’s more uncomfortable...
Dr. Pan Yingda Reply:
It has been several months, and I believe it is no longer just a simple strain! Possible reasons include: 1. A certain muscle is in a tense state, which may cause pulling or even compressing the sciatic nerve when moved. 2. Insufficient strength in a particular muscle. 3. Ligamen...[Read More] Understanding Hip Joint Injuries: Causes, Symptoms, and Recovery Tips
Managing Recurrent Injuries: When to Seek Rehabilitation After Falls
Bruise A year ago, I fell several times while skiing, but the pain disappeared after applying a medicated patch. Six months ago, I slipped while canyoning and was in so much pain that I had to be taken to the emergency room, where an X-ray showed no fractures. After resting for a...
Dr. Chen Xianchang Reply:
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. Generally speaking, when it comes to injuries from falls, there are two main considerations: the first is inflammation at the site of impact, which may include periosteal reaction; the second is th...[Read More] Managing Recurrent Injuries: When to Seek Rehabilitation After Falls