脊椎及神經痛

頸痛、腰痛及坐骨神經痛

頸痛、腰痛及坐骨神經痛很常見,成因可以由肌肉勞損到神經受壓不等。及早評估有助分辨問題源頭。

Symptoms

  • Neck Pain
  • 腰痛或背痛
  • 手腳麻痺或刺痛
  • Sciatica
  • 行路時腳痛或腳軟
  • 長時間坐立後痛楚加劇

Possible Causes

  • 肌肉勞損
  • 椎間盤突出
  • 脊椎退化
  • 脊椎管狹窄
  • 神經受壓
  • 姿勢相關問題

When To Seek Help

如果痛楚持續不退、影響睡眠或行路、出現手腳麻痺或無力,應考慮接受骨科或脊椎評估。如出現大小便控制困難或明顯肢體無力,應盡快求醫。

Treatment Direction

治療可包括藥物、物理治療、姿勢及活動調整、影像檢查、注射治療或在嚴重神經受壓時考慮手術治療。

If pain persists, affects activity or follows an injury, consider booking an orthopaedic specialist assessment.

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以上資訊只供一般健康教育參考,不能取代醫生的個別診斷及治療建議。如症狀持續、惡化,或出現麻痺、無力、發燒、創傷後劇痛等情況,請盡快求醫。

When To Seek Help

When Should You See An Orthopaedic Specialist?

If pain persists, keeps recurring or already affects daily life, you should not simply endure it. Early diagnosis can help identify the source of the problem, guide suitable treatment and reduce the chance of worsening or repeated injury.

Pain Does Not Settle

If pain has not improved after one to two weeks, or keeps recurring, consider professional assessment.

Affects Daily Life

If pain affects walking, stairs, work, exercise or sleep, it should not be delayed for too long.

Joint Swelling, Locking Or Instability

Swelling, locking, weakness or repeated sprains in joints such as the knee, shoulder or ankle may involve ligaments, meniscus, tendons or cartilage.

Numbness Or Weakness

Numbness, tingling or weakness in the limbs may be related to nerve compression or spinal problems and should be assessed early.

Pain After Fall Or Sports Injury

Obvious pain, swelling, difficulty moving or inability to bear weight after injury should be assessed to exclude fracture or significant soft tissue injury.

Pain After A Fall In Older Adults

In older adults, even mild pain after a fall may still indicate an occult fracture, especially in the hip, wrist or spine.

Seek urgent care: If you have bowel or bladder control problems, obvious limb weakness, inability to stand after major trauma, deformity or suspected fracture, seek medical care or attend an emergency department promptly.

Patient FAQ

FAQ

Pain does not always need to be endured. Early assessment may help prevent worsening.

Many orthopaedic problems do not require immediate surgery. An orthopaedic specialist will first understand your symptoms, perform a clinical examination and arrange X-ray, MRI, ultrasound or other investigations if needed, before recommending suitable options such as medication, physiotherapy, injections, braces, rehabilitation training or surgery when appropriate.

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