I have been sufferinf from lower back problems for the last 3 months now and following visits to local doctors, am being fobbed off with anti-inflamatories. An X-ray reveled a couple of vertebrae with unusual endplates but nothing too bad. I'm looking for a very good Western back specialist in HK, who can explain what the problem is in detail before simply writing a prescription and a bill. Any advice would be appreciated.
thnx
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If you would like details of the orthopaedic specialists registered with the hospital please feel free to give me a call.
Lynne 2849 0328
Matilda International Hospital
Hong Kong
http://www.matilda.org
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If you want a back to be properly treated, best not to go to a doctor. At least, not first. The usual (and often only) response is to give NSAID. If you want to find out how it happened, and what you could do to improve the situation, go to a chiropracter or osteopath first.
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You could also consider visiting a manipulative physiotherapist. A MP is a physio who has done additional training and can make diagnoses - ordinary physio really just follows a doctor's instructions and if you have soft tissue injury most GPs will not know what to look for anyway. BTW, when ordinary physios cannot help some patients they know to send them to a manipulative physio.
Let me know if you want the contact details of my MP. He's Hong Kong-born but fully trained in Australia and speaks fluent English. He is in Central.
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My experience is personal and not professional, but I personally wouldn't do anything manipulative or even strenuous until you figure out if the disc has ruptured. If it has, I understand it needs a couple of weeks to scar over. For diagnosis of whether the disc is ruptured, I would not settle for an x-ray. This images only the bones and not the soft tissue which may be damaged (e.g. it does not visualize the disc itself like an MRI does). Of course unless you have good insurance your choices may be limited. MRI's can be very expensive. You don't say how bad your pain is, whether there is pain going down your leg or peripheral nerves, but if there is, I'd recommend a neurologist eval rather than orthopedic. Anyway, if you rule out the worst stuff that could leave you with permanent pain if you do therapy or manipulation, then you will be free to pursue the non-invasive and strengthening remedies that will leave you a lot healthier in the end. If I couldn't afford an MRI, I'd assume there was a rupture and rest for two or three weeks before trying any other therapies that involved movement of the lumbar spine. but after that time you need to limber up and strengthen because you must change the condition that caused this.
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Thanks for all your replies - I'm 29 by the way and active (well, I was....). The actual diagnosis is Spondylosis, but I'm aware that this has many descriptions and seems not to focus on just one area. As I mentioned, a couple of end plates are irregular in shape and display a loss of disc space - the remainder of verterbrae are in very good condition (thats the annoying bit!) and show no signs of deterioration so I'm guessing its this area which is symptomatic. I did have numbness on the outer side of my left foot a couple of months back, which has now subsided to minor tingling very occasionally. The pain is now more of a dull ache rather than cringe worthy and walking more than 15 mins, increases it. I've heard Jardine House being mentioned a couple of times so I may have a go.
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Meiquoren> Manipulative physiotherapy is the term used to describe the field of physiotherapy practice which relates to disorders of the musculoskeletal system. Manipulative physiotherapists have advanced skills in the assessment, diagnosis and physiotherapy management of musculoskeletal conditions.
Research has shown that manipulative physiotherapists are highly skilled in their examination such that they are able to form a diagnosis similar to or better than those determined by sophisticated imaging processes.
I believe MP started in Australia but is now taught in places such as the UK and Hong Kong.
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hi, dont know if this will help you and goes against what most have said but i'm 22 fit and healthy but until recently had suffered chronic back pain for the last 3 years, tried chiros, osteos, physios, MP's, doctors etc etc... with no avail until i came to china, visited the local doctor with a chinese friend, got accupunture done once a week for 6 weeks along with electro therapy and some cupping done. that was 3 months ago and now i'm running 3 km's everyday, never thought i'd do it again.
so if its any help, dont give up, you'll find something that suits you :)
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You can seek for Bonesetting help. A Chinese Medicine clinic named Quality Chinese Medical Centre is highly recommended. You can call for 2881 8267 for Sally to get some decent advise. By the way, web site is www.qualitytcm.com
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ub
19 yrs ago
i had low back pain 2-3 years ago, my physiotherapist solved my problem completely. her name is Margaret Tang. she has her own clinic now in Central. Her clinic is very clean and comforable. she is a new Zealand trained manipulative physiotherapist and a physio-acupuncturist. Her tel: 25223211. website is http://manual-physiotherapy.blogspot.com
She is excellent!
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