Post-Operative Recovery: Understanding Hip Labral Repair Surgery Challenges
Postoperative care after hip labral tear repair surgery? Hello Doctor: After undergoing hip labral repair surgery (including bone shaving, vaporization suturing, and anchoring) nearly two months ago, I have experienced some improvement and attempted to walk normally. I can also s...
Dr. Shi Guozheng Reply:
Soft tissue repair typically takes at least three months to gradually heal. If pain persists, a follow-up appointment with the physician is necessary for further evaluation.[Read More] Post-Operative Recovery: Understanding Hip Labral Repair Surgery Challenges
Understanding Health Insurance Coverage for Osteoporosis Medications
Regulations for National Health Insurance Coverage of Osteoporosis Medications The mother-in-law has a bone density of -5 and recently suffered a self-funded arm fracture from a fall, for which a steel plate was used. The doctor described her bones as being like eggshells, and it...
Dr. Shi Guozheng Reply:
A bone density test must show a T-score below zero, and there must be one or more vertebral fractures in order to qualify for insurance coverage.[Read More] Understanding Health Insurance Coverage for Osteoporosis Medications
Does Sacroiliac Joint Pain Syndrome Cause Elevated CRP and ESR Levels?
Does sacroiliac joint pain syndrome cause elevated levels of CRP and ESR? Hello Doctor, I have been experiencing pain in my sacroiliac joint for six months, and rehabilitation has not been effective. After consulting a rheumatologist and undergoing some tests, I was diagnosed wit...
Dr. Shi Guozheng Reply:
Simple sacroiliac joint arthritis does not cause an increase in inflammatory markers, whereas in ankylosing spondylitis, inflammatory markers will be elevated.[Read More] Does Sacroiliac Joint Pain Syndrome Cause Elevated CRP and ESR Levels?
Understanding Lumbar Disc Herniation: When to Consider a Job Change
Herniated discs at the third, fourth, and fifth lumbar vertebrae? Hello everyone, I hope you're doing well. I usually work as a delivery driver for construction materials, which requires me to lift heavy objects and dispose of waste. I often have to manually load items onto ...
Dr. Chen Bochen Reply:
Hello, Tianceng. Your health is your most important asset. Here are some suggestions for you: 1. Use the least harmful and most efficient methods to lift heavy objects (reduce bending at the waist and engage your gluteal and thigh muscles for strength). 2. Use a lumbar support. 3...[Read More] Understanding Lumbar Disc Herniation: When to Consider a Job Change
Understanding Metatarsal Fractures: Recovery Without Surgery
Metatarsal fracture issues? Hello Doctor, I was in a car accident on March 3rd while on my way to work, resulting in fractures of the second and third metatarsals. The second metatarsal is not displaced, while the third metatarsal has a slight displacement, with the fractures loc...
Dr. Chen Yongxue Reply:
Hello, after a general fracture, recovery requires some adaptation time, and there may be some residual effects. It is unlikely to return to the exact condition as before the injury. However, as long as it does not affect daily activities, most cases are not serious. If necessary...[Read More] Understanding Metatarsal Fractures: Recovery Without Surgery
Pain in Pinky Finger Joint After Cold Water Exposure: Causes and Solutions
The tip of the little finger hurts when exposed to cold water? Since last winter, I have been experiencing pain on the inner side of the distal phalanx of my right little finger after washing it in cold water. There is no pain when washing with warm water, and the other fingers a...
Dr. Chen Bochen Reply:
Hello: Based on your symptom description, it is likely a Glomus tumor. In most cases, it is a benign condition, but if it causes discomfort, please consult a hand surgeon.[Read More] Pain in Pinky Finger Joint After Cold Water Exposure: Causes and Solutions
Post-ACL Reconstruction: Understanding Knee Swelling Years Later
After anterior cruciate ligament reconstruction, a few years later, there is swelling below the left side of the knee at the surgical site? Hello, doctor. My right knee was injured during exercise in 2016, and I underwent anterior cruciate ligament (ACL) reconstruction. The recov...
Dr. Chen Yongxue Reply:
Hello, it is possible to have edema at the site of the fixed screw. Further examination can be conducted. Thank you.[Read More] Post-ACL Reconstruction: Understanding Knee Swelling Years Later
Understanding Scoliosis Surgery: Does It Address Pelvic Misalignment?
Scoliosis Hello doctor, I would like to inquire about my plans for undergoing spinal surgery. However, I have previously noticed that my pelvis is also misaligned. I would like to ask if the spine and pelvis are the same. I am not clear if, when I undergo spinal surgery, the pelv...
Dr. Chen Yongxue Reply:
Hello, scoliosis can lead to pelvic tilt. This can be partially corrected after surgery. Thank you.[Read More] Understanding Scoliosis Surgery: Does It Address Pelvic Misalignment?
Understanding Scoliosis: Is Pelvic Alignment Affected by Surgery?
Scoliosis Hello, doctor. I am considering undergoing an urgent endoscopy procedure, but I have previously noticed that my pelvis is also misaligned. I would like to ask if the endoscopy and the pelvis are related. I'm unsure if the urgent endoscopy will also address the pelv...
Dr. Shi Guozheng Reply:
The spine and pelvis are two different areas, so any surgical concerns should be discussed with your attending physician.[Read More] Understanding Scoliosis: Is Pelvic Alignment Affected by Surgery?
Post-Surgery Issues: Understanding Broken Pins After Bunion Surgery
Postoperative care for hallux valgus surgery? Last summer, after undergoing surgery for hallux valgus on my right big toe, my follow-up visits were normal. However, during a follow-up appointment in early February this year, the doctor informed me that the fixation screw had brok...
Dr. Shi Guozheng Reply:
If the bone screw has broken but the bone has already healed, it may not require any intervention. However, if the broken screw irritates nearby tissues and causes symptoms, it should be removed. After the surgery, recovery typically takes a few days, but whether you can walk imm...[Read More] Post-Surgery Issues: Understanding Broken Pins After Bunion Surgery
Outer Thigh Muscle Swelling and Pain While Walking: Causes and Solutions
Swelling of the lateral thigh muscles with pain while walking? I would like to consult a doctor about a recent issue I've been experiencing. I've noticed swelling in the outer muscles of my left thigh while walking, which feels like a tight knot that doesn't improv...
Dr. Shi Guozheng Reply:
It is also possible that there may be issues with the left hip joint, so it is recommended to get an X-ray to check for hip joint diseases, as these can also lead to knee or thigh pain.[Read More] Outer Thigh Muscle Swelling and Pain While Walking: Causes and Solutions
ACL Surgery: Options for Ligament Reconstruction in Older Adults
Posterior cruciate ligament surgery Hello Doctor, about 17 years ago I had a motorcycle accident. After healing, I experienced pain in my left knee when running abruptly. At that time, I went to Linkou Chang Gung Memorial Hospital for an examination, and the doctor diagnosed a to...
Dr. Shi Guozheng Reply:
Typically, individuals over the age of forty who do not require intense physical activity may not need reconstructive surgery. Pain can be managed with medication or by wearing a knee brace. If there is severe degeneration of the knee joint, it is advisable to wait until they are...[Read More] ACL Surgery: Options for Ligament Reconstruction in Older Adults
Post-Surgery Pain After Vertebroplasty: Understanding Recovery Challenges
Postoperative pain after bone cement procedure? Hello, my mother originally had a spinal spondylolisthesis and suffered a lumbar fracture due to a fall. After undergoing a self-funded vertebroplasty, she had her first follow-up appointment where the doctor stated that the surgery...
Dr. Shi Guozheng Reply:
It is possible that there is already degeneration of the spine itself or that there are multiple fractures. It is advisable to return to the physician for further evaluation.[Read More] Post-Surgery Pain After Vertebroplasty: Understanding Recovery Challenges
Understanding Sudden Calf Pain: Causes and When to Seek Help
Calf pain Hello, doctor. Last night, I suddenly experienced severe pain in my calf while sleeping. The soreness extends from my calf to the sole of my foot, making it so uncomfortable that I had to lean against the wall to go to the bathroom and couldn't sleep. I would like ...
Dr. Shi Guozheng Reply:
It is possible that the calf is being compressed, which may affect your sleeping position. If you experience numbness, you might want to consider whether it could be related to sciatica. If the pain persists, it is essential to consult a physician for evaluation.[Read More] Understanding Sudden Calf Pain: Causes and When to Seek Help
Understanding Wrist Issues: Swelling After a Fall and Treatment Options
Wrist issues Two weeks ago, I fell and landed on my right hand. The next day, I went to a local hospital for an X-ray, which showed no fractures. I have been using a wrist brace for the past two weeks (which has made daily activities easier), but I noticed that the back of my han...
Dr. Shi Guozheng Reply:
Wrist sprains sometimes do not involve fractures, but the ligaments or the wrist joint capsule can still be injured. Generally, soft tissue injuries require about six weeks to heal, so it is important to protect your wrist during this time and avoid excessive use. If the joint be...[Read More] Understanding Wrist Issues: Swelling After a Fall and Treatment Options
Concerns About Steel Pins After Knee Surgery: What You Need to Know
Nail problems Hello, doctor. I would like to ask about my situation. I had a crush fracture in my knee from a car accident last November, and it has been almost four months since my internal fixation surgery. Recently, during rehabilitation, I felt that the metal screws were irri...
Dr. Wang Shouji Reply:
Hello, if the nail has penetrated the skin, it cannot be left in place and should be removed along with debridement. Since the fracture has been present for four months, the likelihood of re-displacement is low if it has partially healed. It is still recommended to proceed with r...[Read More] Concerns About Steel Pins After Knee Surgery: What You Need to Know
Can Correcting Leg Length Discrepancy Fix Pelvic Tilt Issues?
Can correcting leg length discrepancy also improve pelvic tilt? When I was in fifth grade, I fell off my bicycle and later discovered that I had a pelvic fracture, which healed on its own (the follow-up doctor said it healed fine). However, in recent years, I have noticed that I ...
Dr. Wang Shouji Reply:
Hello, the likelihood of experiencing a severe pelvic displacement from simply falling off a bicycle is low. It is also important to consider whether factors such as scoliosis are involved. Generally, the actual skeletal length of both lower limbs can be assessed through full-len...[Read More] Can Correcting Leg Length Discrepancy Fix Pelvic Tilt Issues?
Understanding Recovery from Metatarsal Fractures: Pain and Treatment Options
Fracture of the second and third metatarsal bones? I fractured my bone in early December, and the doctor said I needed surgery. They placed two mini titanium alloy plates. It has been three months now, and my toes hurt when I walk, and I have a bit of a limp. My foot is still swo...
Dr. Wang Shouji Reply:
Hello, first we need to confirm whether the fracture has healed. If it has healed, the pain and swelling in the lower limb will gradually improve and disappear with normal weight-bearing activities. This is not entirely related to the removal of the plate. If the sensation of a f...[Read More] Understanding Recovery from Metatarsal Fractures: Pain and Treatment Options
Morning Back Pain: Causes, Solutions, and When to Seek Help
Waking up in the morning with such severe lower back pain that I can't sit up? I wake up every morning with extreme pain in the middle of my lower back, making it impossible to sit up. Even when I manage to stand, I can't straighten my back and need to pause for a long ...
Dr. Chen Bochen Reply:
Based on your symptoms, it appears to be spondylolisthesis or instability. I recommend that you brisk walk or jog for 20 minutes every morning and evening, and perform bridge exercises regularly. Passive rehabilitation alone will not resolve the issue; actively strengthening your...[Read More] Morning Back Pain: Causes, Solutions, and When to Seek Help
Understanding Chest Injuries After a Fall: When to Seek Further Care
Chest contusion Doctor, I fell yesterday and injured my foot. I went to see an orthopedic specialist, and after an X-ray, they said there was nothing serious. However, after the X-ray, I started experiencing pain in my left chest. When I mentioned this to the doctor while reviewi...
Dr. Shi Guozheng Reply:
If there is a chest contusion without difficulty breathing, the pain will likely improve in a few days. However, if there are breathing issues, a chest X-ray should be performed for further evaluation.[Read More] Understanding Chest Injuries After a Fall: When to Seek Further Care