Lumbar spine, Rehabilitation FAQ

Effective Rehabilitation Strategies for Managing Lower Back Pain

Low back pain Hello Director Chen, after experiencing lower back pain, the traditional Chinese medicine practitioner recommended acupuncture treatment and advised to avoid excessive pressure on the lumbar spine and surrounding areas, maintain good posture, and reduce carrying hea...

Dr. Chen Xianchang Reply:
1. If there is lower back pain without sciatica symptoms, you can apply heat therapy at home, and rehabilitation may include thermotherapy and electrotherapy. 2. If sciatica is present and radiates to the lower limbs, lumbar traction should be added. 3. Reduce heavy lifting a...

Understanding Post-Injury Pain: When to See an Orthopedist or Rehab Specialist

Could you please provide the content you would like me to translate? I would like to ask, I was injured in a car accident before, but X-rays showed no issues. However, since then, I occasionally experience brief sharp pains, and sometimes when I stand up, my thigh feels weak and ...

Dr. Chen Xianchang Reply:
1. Possible lumbar nerve root compression. 2. X-rays of the lumbar spine and nerve conduction studies should be performed first. If compression is confirmed, consider rehabilitation for moderate cases; for severe compression, surgical intervention is indicated.

Understanding Sudden Limb Numbness: Is It a Stroke?

Numbness in the hands and feet? Hello Director Chen! I consulted you about the same issue last Sunday (10/8), but I haven't received a response yet. I'm not sure if my email got lost. I apologize for that! I really want to know your expert opinion, so I'm sending i...

Dr. Chen Xianchang Reply:
(1) It may be due to poor circulation; wearing socks and long sleeves while sleeping, keeping warm, and soaking your feet before bed can help. (2) Calcium deficiency can also worsen the condition; drinking warm milk before bed may be beneficial. (3) Nerve root compression in the ...

Understanding Knee Pain and Fever After Spinal Surgery: A Rehab Perspective

Meteorological Station vs. Knee Can Also Experience Fever Hello Dr. Pan, it has been a while since I last asked a question. After undergoing my third surgery for herniated disc (HIVD) last year, my recovery went well, and I seemed to have no complications. However, in February of...

Dr. Pan Yingda Reply:
I'm glad to hear that you are recovering well after your surgery. Currently, my rehabilitation physician is quite conservative with my treatment, probably out of fear of being sued! Haha! Generally, for those who have undergone multiple surgeries and are still uncomfortable,...

Understanding Post-Surgery Risks and Complications of Lumbar Disc Herniation

Due to a herniated disc (L2-L4) compressing the nerve, surgery was performed. I would like to know if there is a need for surgery if there are new lesions at L1, L3, or L5, what postoperative sequelae may occur, and how high is the risk for a second surgery? I am a 34-year-old fe...

Dr. Li Weiqiang Reply:
Ms. Chuang: Hello! Due to a herniated disc (L2-L4) compressing the nerves, I underwent surgery, and the doctor advised against pregnancy. It has been over two years since the surgery, and I have been diligently doing rehabilitation, but my body still feels very weak, and I experi...

Daily Heel Pain: Understanding Causes and Treatment Options

There is a point on my heel that feels like it's being pricked by a needle every day? Hello Doctor, my mother is 62 years old and has had a slightly misaligned spine with intermittent pain for many years. Two years ago, she underwent massage therapy, which reduced the freque...

Dr. Xu Zhenrong Reply:
Dear Yu Line, Regarding the interpretation of X-rays by orthopedic physicians, the so-called "heel pain" caused by inflammation of the plantar fascia is known as plantar fasciitis. The typical symptoms include heel pain that occurs after getting out of bed in the morni...

Improving Gait Issues: Addressing External Foot Wear and Hip Pain

Outward toeing Hello, I have a question regarding long-term wear on the outer side of the heel of my shoes. New shoes wear out quickly, and I tend to walk with my feet turned outward. I've also noticed that I can't squat down properly, my outer hips are sunken, and I of...

Dr. Xu Zhenrong Reply:
Hello, Ms. Dou Dou: First of all, the wear on the soles of your shoes is closely related to your posture and lifestyle habits. If you have a long-term issue with your legs being externally rotated, the outer side of the heel of your shoes will be more prone to wear. The external ...

Managing Right-Sided Back Pain After Spine Surgery: Seeking Solutions

Sharp pain in the right side of the lower back? My mother is 51 years old and previously underwent surgery for a slipped disc in her lumbar spine, where screws were used to stabilize the vertebrae. It has been over five years since the surgery, and she has not experienced any sig...

Dr. Li Weiqiang Reply:
Hello: It seems that the situation is not straightforward, but further investigation is necessary to understand your aunt's condition. Could she come to my clinic for a detailed examination? I will then provide you with recommendations. Sincerely, Dr. Li Wei-Chiang, Rehabili...

Can My Friend Continue Rehab and Testing After Moving to Penghu?

Could you please provide the content you would like me to translate? My friend asked me to help him inquire about his situation. He was originally undergoing rehabilitation in Neihu, specifically "electrical stimulation" and "lumbar stretching." In a few days,...

Dr. Xu Zhenrong Reply:
Hello Angel: Based on your description, your friend likely has a lumbar disc herniation causing nerve root compression symptoms, which can lead to numbness and pain in the lower back, buttocks, thighs, and the posterior aspect of the calves, sometimes extending to the toes. This ...

Understanding Lumbar Disc Herniation and Its Impact on Nerve Pain

Herniated disc compressing the right leg nerve? Hello, doctor. I had a CT scan, and it showed a herniated disc at the fifth lumbar vertebra and the disc below it. I feel sharp pain in my hips and thighs when bending forward, and the same occurs when leaning backward. What treatme...

Dr. Xu Zhenrong Reply:
Hello Ah Hong, based on your description, you are experiencing symptoms of nerve root compression due to a herniated disc between the fifth lumbar vertebra and the first sacral vertebra. This can lead to numbness and pain in the lower back, buttocks, thighs, and the posterior asp...

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...

Effective Rehabilitation Strategies for Lumbar Disc Herniation

Rehabilitation for Herniated Disc I have a herniated disc at the L4-L5 level, and my doctor said surgery is not necessary, only rehabilitation. I would like to ask: 1. How should rehabilitation be conducted? 2. How long does the rehabilitation period last? Do I need to go to the ...

Dr. Xu Zhenrong Reply:
Hello Mr. A-Tong, regarding your condition, you will need to undergo physical therapy that includes heat therapy, traction, and electrical stimulation. The duration of treatment will vary depending on individual circumstances, so I cannot provide you with a specific timeframe. I ...

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...

Preventing Further Degeneration of Hip Joints: Effective Strategies

How can we prevent further degeneration of the hip joint? Since July and August of last year, I have experienced nerve compression at the S4-S5 level of my spine, resulting in pain near my hip joint, including the front, sides, and back of my buttocks. I have consulted various do...

Dr. Guan Zaoxiang Reply:
Hello Mr. Wang: Based on your description, you may have already undergone X-rays of your lumbar spine and hip joints, and you might have also had a CT scan or MRI (otherwise, how would you know about nerve compression? However, I believe you meant to refer to the L4 and L5 nerve ...

Managing Recurrent Disc Herniation After Surgery: Treatment Options and Recovery

Postoperative recurrence of herniated disc? I underwent decompression surgery for a herniated disc in June of last year. After the surgery, I stayed in the hospital for over a month and have been continuously undergoing rehabilitation and wearing a lumbar support brace. However, ...

Dr. Guan Zaoxiang Reply:
Hello: Based on your description and the MRI report, it is indeed unfortunate that you have experienced a recurrence after surgery. It is not advisable to undergo lumbar traction within one year post-surgery, and rehabilitation treatment may not be effective for your current cond...

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...

Understanding Numbness in the Big Toe After C-Section: Causes and Solutions

What could be wrong with the body? Hello, doctor. I would like to ask about a situation that occurred nine months ago. After a cesarean section due to an abnormal fetal position during pregnancy, I suddenly noticed a tingling sensation in my left big toe one day. The condition fl...

Dr. Guan Zaoxiang Reply:
Hello: Based on your description, it is very likely that the numbness in your left big toe is a symptom of nerve root compression in the lumbar spine. Given that this occurred postpartum, it is most likely due to a herniated disc that developed during pregnancy. Please consult a ...

Understanding Calf Weakness: Causes and Solutions for Technicians

Weakness in the calf? I am a technician in a science park and I need to stand for 10 hours at work. For the past month, I have been experiencing weakness in my calves, especially when trying to stand up after squatting. Sometimes, even just after squatting, I find it difficult to...

Dr. Chen Xianchang Reply:
1. Prolonged standing can lead to (1) lumbar disc herniation, which may compress nerve roots, causing symptoms, and (2) poor venous and lymphatic return in the lower extremities. 2. Both of these conditions can contribute to the issues you described. 3. Please perform exercises...

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...

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...

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