Post-Surgery Concerns: Hip Labral Tear Recovery and Rehabilitation
Postoperative Issues Following Hip Labral Tear Repair Hello doctor, is it normal to still feel significant pain in the hip six weeks after surgery for a labral tear of the hip joint? If so, how long does rehabilitation typically take to achieve normal recovery? Generally, how lon...
Dr. Cai Shanglin reply Orthopedics
Hello, Xiao Chen. The surgery for repairing a torn hip labrum is a relatively advanced procedure. I have not performed this type of surgery on patients, so I lack experience in patient care for this specific procedure. If it is an arthroscopic repair, the incision is smaller, and...[Read More] Post-Surgery Concerns: Hip Labral Tear Recovery and Rehabilitation
Understanding Patellar High-Riding Surgery: Options and Recovery Insights
Patellar high-riding surgery Two years ago, I suffered a complete rupture of the patellar tendon in the middle due to sports. After surgical repair, I have been undergoing rehabilitation, but to this day, my knee joint cannot fully extend. The rehabilitation physician mentioned t...
Dr. Cai Shanglin reply Orthopedics
Hello, it seems that the patellar tendon elevation surgery you are referring to is a procedure that shortens the knee ligament. I'm not sure what your doctor's detailed plan is, so it may be necessary for you to discuss this with your physician. After the tendon repair,...[Read More] Understanding Patellar High-Riding Surgery: Options and Recovery Insights
Understanding Bone Cement Leakage: Recovery and Next Steps After Surgery
Bone cement leakage My mother has a fracture at the L10-L11 vertebrae. She underwent a vertebroplasty procedure on July 16, which was self-funded. Post-surgery, it was discovered that there was cement leakage, resulting in numbness in both legs. Three hours later, she underwent a...
Dr. Cai Shanglin reply Orthopedics
Hello, due to the leakage of bone cement causing nerve compression, resulting in lower limb weakness, timely surgical decompression is necessary. However, even after relieving the nerve compression, complete recovery may not occur immediately. It often takes three to six months f...[Read More] Understanding Bone Cement Leakage: Recovery and Next Steps After Surgery
Understanding Clavicle and Neck Pain: Causes and Relief Strategies
Discomfort in the clavicle and posterior neck? Hello, Doctor: My symptoms started three days ago when I woke up. I experience pain in my clavicle that radiates to the back of my neck when I am in certain positions or angles. Initially, I felt pain when raising my left arm or usin...
Dr. Cai Shanglin reply Orthopedics
This condition is commonly known as "wry neck," and its medical term is "acute cervical fibrositis." During the acute phase, if there is inflammation and swelling in the neck, it is recommended to apply ice packs to reduce the inflammatory response. Afterward,...[Read More] Understanding Clavicle and Neck Pain: Causes and Relief Strategies
Sudden Swelling of the Left Middle Finger Joint: Possible Causes and Next Steps
Sudden swelling of the second joint of the left middle finger? Hello, regarding the issue, the patient does not have any bad dietary habits and runs every day. However, for the past few days, the second joint of the left finger has suddenly swollen without any impression of being...
Dr. Cai Shanglin reply Orthopedics
Hello, if you have swelling in your finger joints, please recall if you have experienced any injuries or overuse during work. If this has been persistent or recurrent without a known cause, I recommend seeing a rheumatologist. Wishing you good health.[Read More] Sudden Swelling of the Left Middle Finger Joint: Possible Causes and Next Steps
Understanding Degenerative Arthritis: Treatment Options and Pain Relief
Degenerative arthritis of the spine I would like to ask the doctor, I was diagnosed with a herniated disc at the age of 14, and recently, due to persistent pain, I considered surgery. However, after undergoing an MRI at the hospital, I discovered that I have degenerative arthriti...
Dr. Cai Shanglin reply Orthopedics
Hello, online friend. There are many causes of lower back pain, and statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high levels of stress can all contribut...[Read More] Understanding Degenerative Arthritis: Treatment Options and Pain Relief
Understanding Lower Back Pain: Causes and Solutions for Discomfort
Discomfort in the lower back? Hello doctor: This morning, I experienced pain in my lower back when I tried to get up from a lying position. The pain worsens when I cough or sneeze, and I still feel pain when I get up. What could be the cause?
Dr. Cai Shanglin reply Orthopedics
Hello, there are many causes of lower back pain. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Factors such as sports injuries, excessive fatigue, poor posture, or high stress levels can all contribute to d...[Read More] Understanding Lower Back Pain: Causes and Solutions for Discomfort
Post-Surgery Swelling in Lower Limbs: What to Expect After Hip Replacement
Postoperative lower limb edema Hello Doctor, my father is 70 years old and underwent surgery to replace his left hip joint with a health insurance-covered artificial hip on February 22 of this year due to hip joint degeneration. It has been almost two months since the surgery, bu...
Dr. Cai Shanglin reply Orthopedics
Hello, Xiaobao user. It has been two months since your hip joint surgery, and you are still experiencing lower limb swelling. If the swelling occurs only in the afternoon or evening and not in the morning, it is more likely to be positional, and increased activity may help improv...[Read More] Post-Surgery Swelling in Lower Limbs: What to Expect After Hip Replacement
Can You Work in Freezing Conditions After Spine Surgery?
Is it safe to work in sub-zero environments within six months after surgery? Hello Doctor: I have a herniated disc issue at the L4-L5 level. I was hesitant to undergo surgery for a long time due to my fear of surgical failure leading to lower body paralysis, which caused me to de...
Dr. Cai Shanglin reply Orthopedics
Hello, dear online friend. I'm not sure if you underwent microsurgery or endoscopic surgery, but both typically involve smaller incisions and quicker recovery. Post-operative weight-bearing is more relevant than temperature, but it's still important to maintain warmth. ...[Read More] Can You Work in Freezing Conditions After Spine Surgery?
Understanding Osteoporosis: Lifestyle Factors Affecting Bone Health
Osteoporosis-related issues Hello Doctor, I would like to ask about osteoporosis. For the past two years, my health check reports have shown that I have mild bone loss (this year it has reached -1.6). However, I have many questions. I work as a lifeguard at an outdoor swimming po...
Dr. Cai Shanglin reply Orthopedics
Hello, Yang. A 31-year-old active male is unlikely to have osteoporosis. I'm not sure which measurement method you used, but the currently recognized most accurate method is Dual-Energy X-ray Absorptiometry (DEXA). Using ultrasound to measure heel bone density is generally l...[Read More] Understanding Osteoporosis: Lifestyle Factors Affecting Bone Health
Understanding the Implications of a Cuboid Bone Fracture in the Ankle
Lunate bone fracture Hello doctor, I have a fracture of the cuboid bone. I'm not sure if the cuboid bone is located in the ankle. If I don't have surgery, will it affect my future walking? Or will it leave a lasting problem? Thank you!
Dr. Cai Shanglin reply Orthopedics
If there is significant displacement in a fracture of the cuboid bone in the foot, surgical reduction is recommended. If the displacement is minimal, conservative treatment (non-surgical protection with a brace) is advised. Bone healing typically takes three months. If there is c...[Read More] Understanding the Implications of a Cuboid Bone Fracture in the Ankle
Managing Persistent Back Pain After Tuberculosis Treatment: Insights and Solutions
The MRI shows a slight herniation between the lumbar vertebrae L1 and L5, causing pain and discomfort at night while sleeping? I was treated for tuberculosis from December 6, 2019, to June 5, 2020, for a duration of six months. During this time, I have been experiencing lower bac...
Dr. Cai Shanglin reply Orthopedics
Hello, Teacher Lin. If you have been experiencing long-term discomfort due to lower back pain and suspect a spinal infection, an MRI can help determine the cause of your back pain, which can be quite complex. Most conservative treatments (non-surgical methods such as medication a...[Read More] Managing Persistent Back Pain After Tuberculosis Treatment: Insights and Solutions
Should You Remove Surgical Plates and Screws After Ankle Surgery?
Should the metal screws and plates be removed after surgery? Hello, Doctor. On January 14, I underwent surgery for a fibula fracture and tibial dislocation in my left ankle, during which 9 screws and 1 plate were inserted. Although I opted for a self-funded plate that does not ne...
Dr. Cai Shanglin reply Orthopedics
Hello Annie, You have undergone ankle fracture surgery with fixation using plates and screws. Typically, recovery takes several months. If the healing process goes smoothly and you do not experience discomfort, the plates can remain in place. However, if you experience pain due...[Read More] Should You Remove Surgical Plates and Screws After Ankle Surgery?
Understanding Lower Back Pain: Causes and Solutions for Relief
Lower back pain? Hello, Dr. Tsai. Recently, whenever I lie down, both sides of my lower back easily feel sore (the right side more often). My right leg has also been experiencing occasional weakness while walking.
Dr. Cai Shanglin reply Orthopedics
Hello, the causes of lower back pain are numerous and complex. In most young individuals, it is often due to discomfort in soft tissues such as muscles, tendons, and ligaments. Paying attention to posture and engaging in appropriate exercise, along with conservative treatments (n...[Read More] Understanding Lower Back Pain: Causes and Solutions for Relief
Managing Severe Cervical Spine Degeneration: Treatment Options and Insights
Cervical spine (upper cervical vertebrae) Hello doctor, I have been suffering for 11 years with symptoms including eye strain, pressure, pain, tearing, blurred vision, and headaches. The doctor mentioned that I have severe degeneration at the C2-C3 levels on the left side, which ...
Dr. Cai Shanglin reply Orthopedics
Hello, based on your description of severe cervical spine degeneration causing discomfort, and considering that you have already tried various conservative treatments (non-surgical methods) with unsatisfactory results, I recommend consulting a spine specialist to discuss the pote...[Read More] Managing Severe Cervical Spine Degeneration: Treatment Options and Insights
Dark Skin Changes After Knee Replacement: Causes and Solutions
The skin on the lower part of the leg has turned dark after knee joint replacement surgery? Hello, my mother had a left knee joint replacement about seven to eight years ago. Since the surgery, the skin from her ankle to her knee has developed a dark discoloration. She has consul...
Dr. Cai Shanglin reply Orthopedics
Hello, I haven't encountered this issue either, but fortunately, it hasn't caused any pain or discomfort. Is it possible that the swelling after surgery is severe, leading to blood accumulation in the lower limbs, and that the breakdown of hemoglobin is causing discolor...[Read More] Dark Skin Changes After Knee Replacement: Causes and Solutions
Understanding Disability Qualifications for Knee Valgus Conditions
Regarding the disability qualifications for knee valgus? I have congenital genu valgum in both knees, and there is a certain degree of cartilage wear. Years ago, due to knee pain, I sought medical attention and was referred to a teaching hospital, where an orthopedic physician is...
Dr. Cai Shanglin reply Orthopedics
Generally, patellar valgus or degenerative arthritis may qualify for disability assessment only if there is severe impairment in knee joint mobility. It is recommended that you visit a medical facility for a re-evaluation and assessment; this will provide a clearer understanding ...[Read More] Understanding Disability Qualifications for Knee Valgus Conditions
Understanding Recovery from Lateral Malleolus Fracture: What to Expect
Left lateral malleolus fracture? Last month, I accidentally slipped in my kitchen and fractured my outer ankle bone. The doctor only used a cast for stabilization, and I have been resting for almost a month. I would like to know why my foot starts to swell again within ten minute...
Dr. Cai Shanglin reply Orthopedics
Injured bones are already prone to swelling and bleeding, and the application of a cast can further increase swelling. It is recommended to elevate the affected limb, ideally keeping the level of the fractured area at or above the level of the heart.[Read More] Understanding Recovery from Lateral Malleolus Fracture: What to Expect
Understanding Pain Behind the Knee: Causes and Solutions
The tendons behind the knee are very painful? I've been having trouble sleeping these past few days because I feel a sharp pain in the muscles behind my knee, as well as in my entire calf and even the soles of my feet. What could be the reason for this?
Dr. Cai Shanglin reply Orthopedics
It is possible that you have fasciitis; it is recommended to consult an orthopedic specialist or a rehabilitation physician.[Read More] Understanding Pain Behind the Knee: Causes and Solutions
Is Hip Replacement the Only Option for Hip Joint Issues?
Is it only possible to replace with a hip prosthesis? Hello! I have soft tissue damage in my hip joint. I underwent hip arthroscopy in February of this year, but the pain has worsened. In May, I paid for shockwave therapy, which seems to have provided some improvement, but the co...
Dr. Cai Shanglin reply Orthopedics
A diagnosis cannot be made based solely on the symptoms; imaging assistance is required. It is recommended to visit an outpatient clinic for evaluation.[Read More] Is Hip Replacement the Only Option for Hip Joint Issues?