Understanding Shoulder Pain: Causes and Treatment Options
Arm pain The left arm can only be raised to shoulder level and cannot be lifted above the shoulder without severe pain. This symptom has persisted for six months, and numerous visits to traditional Chinese medicine have not resulted in improvement. (The pain is located at the bac...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: Shoulder pain accompanied by limited range of motion is most commonly caused by tendon inflammation such as frozen shoulder, rotator cuff tears, ligament sprains, or skeletal disorders. It is recommended that you first visit an orthopedic clinic for an examination t...[Read More] Understanding Shoulder Pain: Causes and Treatment Options
Managing Foot Fractures: Recovery Tips and Care for Seniors
How to manage a bone fracture? Hello, my mother is 63 years old. She accidentally twisted her ankle while wearing shoes with a slight heel. An X-ray at the hospital revealed a fracture in one of the bones in her foot. The hospital did not take any further action. Currently, she i...
Dr. Chen Xingyuan reply Orthopedics
Dear Reader, Your mother likely has a foot fracture caused by an ankle sprain, which most commonly occurs at the base of the fifth metatarsal. If there is no significant displacement, the best treatment is to immobilize the area with a short leg cast for six weeks, while avoidin...[Read More] Managing Foot Fractures: Recovery Tips and Care for Seniors
Understanding Bone Growth Changes After Age 30: What to Do?
There is a condition of bone growth. I am 30 years old? Hello Doctor: I have already passed the bone growth period, but in the past two years, I have noticed a continuous widening trend in my shoulder and pelvis. What should I do about this? Do you have similar cases in orthopedi...
Dr. Chen Xingyuan reply Orthopedics
Dear User: You are 30 years old, and your skeletal development or growth should be complete, with no further increase in bone length expected unless there are specific diseases such as endocrine disorders or bone tumors that could cause abnormal bone growth. It is recommended tha...[Read More] Understanding Bone Growth Changes After Age 30: What to Do?
Desperate for Medical Help: A Journey Through Orthopedic Challenges
I urgently need medical assistance? Hello, I was involved in a car accident last year that resulted in a dislocated left clavicle joint and a displacement of the cervical muscles. I also have difficulties with bowel movements, and my left hand cannot move as freely as my right ...
Dr. Chen Xingyuan reply Orthopedics
Dear Reader, Even after undergoing surgical treatment for an injury, it is inevitable to experience some sequelae. Most of these can be tolerated or improved with the use of medications or rehabilitation therapy. However, it is crucial for you to understand your condition, use c...[Read More] Desperate for Medical Help: A Journey Through Orthopedic Challenges
Understanding Pain in Your Second Toe: Causes and Solutions
I have pain in two of my toes on my right foot. What could be the cause? Last night, while walking in the living room, I stepped on my right foot's second toe (next to the big toe) and it hurt! Why is this happening? My left foot's toe is also a bit painful... It only h...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizens: The metatarsophalangeal joints in the foot endure significant pressure while walking. Therefore, if there is inflammation in the surrounding tissues, walking barefoot will definitely be more painful than wearing shoes. There are many reasons that can lead to tissue...[Read More] Understanding Pain in Your Second Toe: Causes and Solutions
Knee Injury After Motorcycle Accident: When to Seek Further Treatment
Knee injury from a car accident? Hello, Dr. Chen: On the evening of April 27, I was involved in a collision while riding my motorcycle with a car. At that time, both of my knees hit the ground, resulting in multiple abrasions and swelling (the right knee was more severe). After ...
Dr. Chen Xingyuan reply Orthopedics
Dear Mr. Max, Knee injuries may involve damage to the bones, articular cartilage, menisci, ligaments, and other soft tissues. Although X-rays show no fractures, they cannot rule out other injuries. It is common to experience swelling, pain, and limited joint mobility immediately...[Read More] Knee Injury After Motorcycle Accident: When to Seek Further Treatment
Understanding Open Fractures and Ligament Tears: Treatment and Recovery
Fractures and ligament tears? Dear Doctor: I have an open fracture in my lower leg with ligament rupture. The bone has been stabilized with steel pins, but the position of the pins affects the suturing of the ligaments. Is it really necessary to wait two years to remove the pins ...
Dr. Chen Xingyuan reply Orthopedics
Dear Mr. Hsieh, Different injury conditions and locations may require different management approaches. Your description is not very clear, making it difficult to assess whether the treatment method is appropriate. I have encountered cases of proximal tibial fractures combined wi...[Read More] Understanding Open Fractures and Ligament Tears: Treatment and Recovery
Persistent Joint Pain in Fingers and Toes: Causes and Solutions
Pain in the joints of the fingers and toes? Last year, while in mainland China, I experienced a fever accompanied by widespread joint pain that was so severe I couldn't even get out of bed. After two weeks, the fever subsided, but upon returning to Taiwan, I continued to hav...
Dr. Chen Xingyuan reply Orthopedics
Dear Online User: There are many causes of systemic joint pain, but based on your description, the likelihood of issues related to rheumatology or infections caused by viruses, bacteria, and other microorganisms is the highest. I recommend that you seek further examination and tr...[Read More] Persistent Joint Pain in Fingers and Toes: Causes and Solutions
Understanding the Difference: Osteoarthritis vs. Tendinitis in Knee Pain
Is it degenerative arthritis or tendinitis? Hello Dr. Chen, Last spring, I suddenly experienced sharp, needle-like pain on the inner side of my right knee, which occurs intermittently. I also feel discomfort when going up stairs, and sitting for long periods makes it painful to ...
Dr. Chen Xingyuan reply Orthopedics
Dear readers: Based on your description, both degenerative arthritis and tendinitis are possible, and they may occur simultaneously. Tendinitis is relatively straightforward; with adequate rest, reduced activity, and the use of heat therapy and anti-inflammatory pain relievers, s...[Read More] Understanding the Difference: Osteoarthritis vs. Tendinitis in Knee Pain
Navigating Complex Orthopedic Issues After a Car Accident
My ailments torment me so much~~ I was involved in a car accident a year ago, resulting in a fracture and protrusion between my left neck and clavicle, as well as a deviation of the left neck muscles. Approximately a year ago, after the accident, I consulted many doctors at the h...
Dr. Chen Xingyuan reply Orthopedics
Dear netizen: The symptoms you described, such as "aching and tingling sensations in both legs," could indeed be indicative of sciatica caused by lumbar spine issues. However, further physical examination and possibly imaging studies are necessary to confirm the diagnos...[Read More] Navigating Complex Orthopedic Issues After a Car Accident
Balancing Calcium Intake to Prevent Kidney Stones After Surgery
Calcium Intake and Kidney Stones? Hello Doctor: I would like to ask you about my situation. I had a fracture and underwent surgery a year ago, but I still haven't fully recovered. I want to increase my calcium intake, so I went to the pharmacy to buy calcium supplements. How...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: Bone healing requires nutrients such as calcium and protein. Young adults typically need to consume about 1000 to 1200 milligrams of calcium daily, while patients with fractures may require as much as 1500 milligrams. However, due to dietary habits in our country,...[Read More] Balancing Calcium Intake to Prevent Kidney Stones After Surgery
Understanding Old Clavicle Fractures: Surgical Risks and Treatment Options
I have an old fracture issue with my left clavicle? I was involved in a car accident on April 29 of last year, which resulted in dislocation of the sternum in the left chest area, particularly at the junction of the left neck and the first clavicle, where the ligaments are protru...
Dr. Chen Xingyuan reply Orthopedics
Dear readers: Whether a clavicle fracture requires surgical treatment can vary among physicians. The benefits of surgery include proper alignment and stabilization of the fracture, which can shorten the duration of pain and allow for earlier rehabilitation. However, there are ris...[Read More] Understanding Old Clavicle Fractures: Surgical Risks and Treatment Options
Understanding Hand Injuries: Recovery, Symptoms, and Rehabilitation Tips
Hand injury I would like to ask the doctor about a previous hand injury I sustained in early December last year, which was diagnosed as a closed fracture of the radial head. A few days ago, I accidentally pressed on the injured area (I almost fell, causing my body weight to conce...
Dr. Chen Xingyuan reply Orthopedics
Dear Reader, The status of bone healing can generally be assessed through follow-up X-ray examinations. If the movements of bending, straightening, and rotating the elbow are smooth and without restrictions, and if the pain is improving daily, the likelihood of re-fracture is lo...[Read More] Understanding Hand Injuries: Recovery, Symptoms, and Rehabilitation Tips
Recovery Time and Care Tips After Tendon Sheath Tumor Surgery
Surgical Issues Related to Tenosynovial Tumors Dear Doctor: I have a ganglion cyst on my ankle. If I undergo surgical removal, how long will it take before I can resume exercising? After the surgery, what should I be aware of? Thank you.
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen, The time required to resume exercise after surgical removal depends on the size of your tumor. Generally, stitches can be removed about 10 to 14 days post-surgery. Before the stitches are removed, light walking is acceptable, but vigorous activities should be avoid...[Read More] Recovery Time and Care Tips After Tendon Sheath Tumor Surgery
Understanding Post-Trauma Osteoarthritis: Recovery and Rehabilitation Insights
Degenerative arthritis caused by external forces? Dear Dr. Chen, I sustained an injury to my left knee in a car accident on November 4th and underwent an "open reduction and internal fixation surgery" at your hospital. I was discharged on November 8th, and my attending...
Dr. Chen Xingyuan reply Orthopedics
Dear Mr. Yang, Whether you can return to normal work after discharge depends on the nature of your job. In principle, it is advisable to avoid jobs that require excessive walking or heavy labor. The removal of the bone screws will take at least six months, and this will be deter...[Read More] Understanding Post-Trauma Osteoarthritis: Recovery and Rehabilitation Insights
Effective Strategies to Prevent Further Degeneration of Aging Spine
What methods should be used to prevent further deterioration of spinal aging? Hello Dr. Chen, I have severe degeneration in my lumbar spine at levels L4 and L5. What methods should I use to protect my spine? What should I eat and what exercises can I do to promote regeneration a...
Dr. Chen Xingyuan reply Orthopedics
Dear Readers, The aging of joints is a natural phenomenon, similar to how machines or tires wear out over time. The degree and speed of joint aging are influenced by factors such as age, physical condition, usage patterns, and the presence of injuries, with only the usage patter...[Read More] Effective Strategies to Prevent Further Degeneration of Aging Spine
Can Hyaluronic Acid Injections Help Elderly with Weak Legs?
Can hyaluronic acid injections be used for weakness in the legs? Hello, Doctor: I would like to inquire about the use of hyaluronic acid injections. My mother-in-law is 94 years old and has experienced degeneration in her legs due to aging. She can walk but requires a cane. A rel...
Dr. Chen Xingyuan reply Orthopedics
Dear Mrs. Chang, Hyaluronic acid is one of the important components of cartilage matrix, and injecting hyaluronic acid acts like adding oil to a car, providing a lubricating effect. Aside from the pain associated with the injection itself, there are generally few other side effe...[Read More] Can Hyaluronic Acid Injections Help Elderly with Weak Legs?
Natural Remedies and Supplements for Bone Spurs: What You Need to Know
Bone spur My mother is 51 years old and was diagnosed with bone spurs two days ago. They said surgery is not necessary and suggested starting with medication before making any decisions. Are there any foods or supplements that can help with the issue of bone spurs?
Dr. Chen Xingyuan reply Orthopedics
Dear Readers: Bone spurs indicate that there may be some issues with the joints, which can be caused by factors such as degeneration, injury, or overuse. Common areas for bone spur formation include the lumbar spine and knee joints. Regardless of the cause, it is important to be ...[Read More] Natural Remedies and Supplements for Bone Spurs: What You Need to Know
Effective Treatments and Care for Ankle Bone Spurs Pain
Bone spurs on the ankle can cause pain while walking? I have bone spurs on my ankle. How can I treat the root cause and take care of it? Thank you, Dr. Chen.
Dr. Chen Xingyuan reply Orthopedics
Dear Mr. Hsu, There are many causes for the development of bone spurs in the ankle, such as age-related degeneration, arthritis due to injury, and overuse, among others. Regardless of the cause, the presence of bone spurs indicates that there is some degree of issue with the joi...[Read More] Effective Treatments and Care for Ankle Bone Spurs Pain
Understanding Post-Surgery Symptoms: Wrist Fracture and Carpal Tunnel Syndrome
Wrist - Radial Fracture Hello Dr. Chen, I fell in early August and sustained a distal radius fracture near my wrist. I underwent surgery on August 8, where internal fixation with metal pins was performed. After the surgery, I seem to be experiencing symptoms of carpal tunnel sy...
Dr. Chen Xingyuan reply Orthopedics
Dear Mr. Hsu, In cases of distal radius fractures, the fragments of the bone can sometimes impinge upon or stretch the median nerve, leading to hand numbness similar to carpal tunnel syndrome. As long as the fracture site is properly realigned and stabilized, irritation of the m...[Read More] Understanding Post-Surgery Symptoms: Wrist Fracture and Carpal Tunnel Syndrome