纸上谈病:膝盖疼痛与背痛问题

Written by Jing Yan on . Posted in Blog / News, Latest News

李文龄医生回答了两名联合早报读者在“纸上谈病”专栏针对膝痛背痛的提问。

第一名44岁女性读者说她在走路时右膝盖会感觉酸痛与摩擦。她爱慢跑,但有时也会感觉腿酸。她问医生问题出在哪里,自己是否还能继续慢跑。李医生认为她的症状与膝盖的髌骨有关。髌骨有一层链接大腿的软骨覆盖来减缓关节之间的摩擦。这层软骨会随着年龄而磨损。李医生建议她看骨外科医生,通过X-ray与MRI来确定膝盖的磨损程度,对症下药。近期间,她应该停止跑步,但还是能做其他对膝盖较小影响的运动。

另一名27岁男性读者患有背痛,特别是在早上起床时。他平躺时也感觉一些疼痛,侧卧却会缓解疼痛。他探访过的医生诊断问题为背部筋膜炎。他想知道该如何治疗。李医生指出他的问题必须仔细确诊,才能断定与治疗。他不能排除是椎间盘突出,或是有遗传性强直性脊柱炎


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