Spine, Rehabilitation FAQ

Understanding Your Options: Navigating Surgery for Disc Herniation

Surgery Hello, Doctor: In January, I consulted about my bone spur issue. After that, I continued to see an orthopedic specialist at Chang Gung Memorial Hospital. The doctor diagnosed me with a herniated disc and recommended endoscopic surgery. The surgery was originally scheduled...

Dr. Xu Zhenrong Reply:
Ms. Hai Er inquired about issues related to orthopedics. It is recommended to visit our orthopedic outpatient clinic directly. The orthopedic physician available is Dr. Lin Jun-Fu, the Director of Spine Surgery. I hope he can provide you with a satisfactory response. I just recei...

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...

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...

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...

Rehabilitation for Spinal Compression: Managing Pain and Treatment Options

Rehabilitation for Vertebral Compression Fractures Hello, Doctor: Two years ago, I lifted a heavy object and accidentally strained my back. I did not seek any medical treatment at that time, but recently I have been actively pursuing treatment. An X-ray revealed that my spine doe...

Dr. Chen Xianchang Reply:
1. It is likely a lumbar disc herniation, as coughing increases abdominal pressure, causing the already herniated disc to protrude further and intensifying the pain. 2. Based on the symptoms and X-ray, it may be a herniated disc at the fifth lumbar vertebra; however, the X-ray ...

Understanding Neck Pain, Migraines, Insomnia, and Tinnitus: A Comprehensive Approach

Neck and shoulder pain, migraines, insomnia, tinnitus? Dr. Guan: Hello! I am a professor in the Department of Business Administration at National Chiayi University, and I have been teaching for over 20 years. I have been suffering from insomnia and tinnitus for the past three to ...

Dr. Guan Zaoxiang Reply:
Dear Professor Chi, Regarding the symptoms you mentioned, it does seem likely that they could be related to cervical spine issues, potentially connected to your work and lifestyle. The examination is not difficult; you can start with a standard X-ray, and if there are further fi...

Effective Treatment Options for Pediatric Torticollis: Seeking Guidance

Treatment issues for pediatric torticollis? Dear Director Hsu, My child is 5 years and 9 months old and was diagnosed with torticollis (tilting to the left) at 5 months of age. We have consulted with rehabilitation specialists who performed a muscle ultrasound and found no fibro...

Dr. Xu Zhenrong Reply:
Hello Mr. Ma: Generally, patients with torticollis are affected by the sternocleidomastoid muscle. When this muscle is engaged, the face turns toward the opposite side while the head tilts toward the same side. For instance, if the left sternocleidomastoid muscle is affected, the...

Does Sleeping on Latex Mattresses Affect Spine Development in Children?

Latex mattress I would like to ask: Does sleeping on a latex mattress and related products have any impact on spinal development in children? (Currently, the child is 4 years old) Thank you!

Dr. Pan Yingda Reply:
To be honest, I'm not really sure; it probably isn't the case! My thought is "natural is better"! With advancements in technology, products are constantly changing, and we all want to provide the best for our children, but what exactly is considered the best? ...

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 ...

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.

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...

Understanding Shoulder and Spine Pain: Insights from Rehabilitation Experts

Could you please provide the content you would like me to translate? Excuse me, doctor, may I ask you something? I have been experiencing long-term soreness in my shoulders and spine. In previous inquiries, you mentioned that it was caused by poor posture over time. I would like ...

Dr. Zheng Shunping Reply:
Hello: In response to your question, if there is a history of injury, it is important to evaluate the underlying issues causing shoulder and spinal pain after a physician's examination.

Understanding Kyphosis: Treatment Options and When to Seek Help

Hunchback issue Hello Dr. Li, I have a question I would like to ask you. I have been dealing with a hunchback issue for 8 years, since middle school. My classmates say it looks really serious, and it's quite obvious from the side. I have tried standing against a wall, but ...

Dr. Li Weiqiang Reply:
Hello! I apologize for the delayed response. You have had a hunchback for 8 years since middle school, and I assume you are currently in your twenties, correct? At this age, your spine should be fully developed, and there shouldn't be any severe deterioration. However, for s...

Understanding Fasciitis of the Spine: Severity and Treatment Options

Could you please provide the content you would like me to translate? Hello, doctor. I would like to know if my condition is fascia inflammation of the spine. Is this serious? If it is serious, do I need to undergo any additional tests? What would those tests be? Thank you!

Dr. Zheng Shunping Reply:
Hello: In response to your question, it is uncommon for "spinal fasciitis" to be used as a diagnostic term, so it is unclear what specific condition you are referring to. I suspect that it is more likely to be "myofascial pain syndrome." I recommend that patie...

Rehabilitation vs. Acupuncture: Which is More Effective for Back Pain?

Inquiry Hello, Director Hsu! I would like to ask a question and hope you can take the time to respond. Thank you! 1. In high school, I injured my spine by hitting the edge of a blackboard, which caused significant pain. To this day, I still experience pain when pressure is appl...

Dr. Xu Zhenrong Reply:
Back pain is a common issue. In younger patients, it may be due to muscle strains, sports injuries, or intervertebral disc problems. It is recommended to undergo both rehabilitation therapy and acupuncture simultaneously. Additionally, it is important to perform exercises that st...

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...

Neck Pain and Stiffness: Finding the Best Rehabilitation Strategy

Neck When I turn my neck to a certain angle, I feel discomfort and it seems like I can't turn it fully. The doctor mentioned that I might have bone spurs and recommended physical therapy. However, after a few sessions, I felt even more uncomfortable. When I reported this to ...

Dr. Pan Yingda Reply:
At a young age, even if you have bone spurs, it shouldn't be too serious, so don't worry! If the symptoms have persisted for a long time (over 3 months), you need to pay attention to your posture. If it's a recent issue, I believe it could be a problem with the fac...

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