Understanding Vascularized Bone Grafting for Scaphoid Fractures
Vascularized bone grafting Hello doctor, I have been experiencing pain in my right wrist for over two years. I have seen many doctors who said there was no bone injury and that it was a ligament strain. Recently, one doctor finally diagnosed it as a scaphoid fracture, but due to ...
Dr. Chen Xingyuan reply Orthopedics
Dear Readers, The diagnosis of a scaphoid fracture relies on the patient's history, symptoms, and X-ray examinations. Scaphoid fractures can be difficult to detect on standard anteroposterior and lateral X-rays due to overlapping images, often requiring special angled X-ray...[Read More] Understanding Vascularized Bone Grafting for Scaphoid Fractures
Understanding Ganglion Cysts: Treatment Options and Specialist Recommendations
Ganglion cyst Hello Dr. Chen: I have a small lump on my right wrist. A doctor at Hsinchu Mackay Memorial Hospital (orthopedic surgery) said it is a ganglion cyst and that I need to have it surgically removed. [It is about one centimeter in size, causes pain during wrist movement,...
Dr. Chen Xingyuan reply Orthopedics
Dear Readers, A ganglion cyst is the most common benign tumor of the hand, commonly referred to as a "water tumor." Initially, aspiration with a needle can be considered; this method is less invasive but has a higher chance of recurrence. Surgical excision is a more de...[Read More] Understanding Ganglion Cysts: Treatment Options and Specialist Recommendations
Exploring Botox for Tendonitis Relief in Finger Pain Management
Finger tendonitis and botulinum toxin? Hello Dr. Chen! I have been experiencing pain in the palm and back of my right hand, specifically in the index and middle fingers, for a long time. I consulted an orthopedic specialist, who diagnosed me with tendonitis. As a result, I have b...
Dr. Chen Xingyuan reply Orthopedics
Dear Online Friend: Botox injections are not used to treat tendinitis. If you have chronic tendon inflammation, you may consider corticosteroid injections for localized treatment. The treatment for tendon inflammation includes reducing usage, rehabilitation therapy, and medicatio...[Read More] Exploring Botox for Tendonitis Relief in Finger Pain Management
Strengthening Ligaments: Solutions for Chronic Pain and Spinal Issues
Ligament issues Hello Doctor: I have been suffering from body aches for several years and have undergone various treatments (both traditional and Western medicine) without success. X-ray results show that several segments of my coccyx are rotated (with different angles stacked) a...
Dr. Chen Xingyuan reply Orthopedics
Dear Reader: If you have been experiencing body aches for several years, it is likely that there is an underlying health issue. It is advisable to visit a larger hospital for further examination to identify the cause of your symptoms and receive appropriate treatment. The ligamen...[Read More] Strengthening Ligaments: Solutions for Chronic Pain and Spinal Issues
Expert Recommendations for Orthopedic Surgeons Specializing in Dislocations and Ligament Injuries
Orthopedic recommendations? Doctor, may I ask you: Due to a dislocated joint and ligament tear that requires surgery, are there any experienced doctors in this area at Veterans General Hospital or Tri-Service General Hospital? Or could you please recommend a specialist in this fi...
Dr. Chen Xingyuan reply Orthopedics
Dear Mr. Tsai: I recommend that you visit the websites of various hospitals to look for physician profiles and see which physician's specialties meet your needs. For example, you can check the Orthopedics homepage of Taipei Veterans General Hospital at http://www.vghtpe.gov....[Read More] Expert Recommendations for Orthopedic Surgeons Specializing in Dislocations and Ligament Injuries
Understanding Hand Pain After Volleyball: Is It Muscle, Bone, or Ligament?
My hand is injured..? I think I may have used an incorrect posture while serving in volleyball (side serve), which has caused pain when I extend my arm straight. It doesn't hurt when I bend or exert force, but there is pain at a certain angle. This has been going on for a wh...
Dr. Chen Xingyuan reply Orthopedics
Dear Online Friend: The term "tendon" generally refers to soft tissues such as tendons and ligaments. Your issue is likely due to inflammation of the tendons or ligaments caused by improper exertion during exercise or overuse. With proper rest and by avoiding overexerti...[Read More] Understanding Hand Pain After Volleyball: Is It Muscle, Bone, or Ligament?
Understanding Arm Fractures from Softball: Recovery and Concerns
Can throwing a softball cause a fracture? Hello Dr. Chen, last month (May 28), while throwing a softball from left field to the infield, I exerted too much force and sustained a right humeral fracture. The diagnosis certificate states "right humerus comminuted fracture with ...
Dr. Chen Xingyuan reply Orthopedics
Dear Mr. Li, Injuries like yours can occasionally occur during activities such as wrist grip competitions or grenade throwing. The primary cause is often due to sudden excessive force, where the tensile strength of the muscles exceeds the load that the bones can withstand, resul...[Read More] Understanding Arm Fractures from Softball: Recovery and Concerns
Managing Hand Synovitis: Balancing Traditional and Western Treatments
Periosteitis of the hand In early May, I developed hand tendonitis due to using a mouse. I then sought traditional Chinese medicine treatment, and the swelling subsided in about three days. However, after having a small hot pot that evening, my hand began to swell again. The Chin...
Dr. Chen Xingyuan reply Orthopedics
Dear Miss Hou, Based on your letter, you may be experiencing tendonitis or ligament inflammation due to overuse or improper use of your wrist. In the acute phase, anti-inflammatory and analgesic medications can be used for treatment. For patients with severe symptoms, local cort...[Read More] Managing Hand Synovitis: Balancing Traditional and Western Treatments
Managing Ankle Pain: Recovery Tips and When to Seek Further Evaluation
My right ankle? Hello, doctor! I previously showed you my right ankle, and you taught me how to use an elastic bandage. Do you remember? I injured it the day before the Lunar New Year, and it has improved a lot since then. However, I still feel pain and tightness when I move my a...
Dr. Chen Xingyuan reply Orthopedics
Dear basketball enthusiasts, After an ankle ligament sprain, if not handled with special care, it is easy to suffer repeated injuries, leading to chronic ligament sprains. Subsequently, even slight or vigorous activities can easily cause ankle pain, which is the worst outcome. T...[Read More] Managing Ankle Pain: Recovery Tips and When to Seek Further Evaluation
Understanding Bone Tumors: Symptoms, Diagnosis, and Treatment Options
Bone tumor Hello Dr. Chen, I have been experiencing persistent lower back pain for a long time (the pain comes on suddenly and prevents me from bending, lifting, or even sneezing. It occurs every 1-3 months and lasts for 2-3 days, and this has been ongoing for many years). Recen...
Dr. Chen Xingyuan reply Orthopedics
Dear Mr. Cheng, There are many causes of lower back pain. Based on your description, it is likely due to a herniated disc or inflammation of the back muscles, which are closely related to the use and posture of the back. Therefore, during each episode, it may be necessary to ref...[Read More] Understanding Bone Tumors: Symptoms, Diagnosis, and Treatment Options
Do I Need Treatment for Pectus Carinatum? Risks and Options Explained
Does chickenpox require treatment? I have pectus carinatum. Although it doesn't affect my daily life, it makes me feel very self-conscious. Can it be treated? Is the surgical risk high? How much does it cost? What are the treatment options? How long is the recovery? Thank yo...
Dr. Chen Xingyuan reply Orthopedics
Dear Ms. Nikki, The treatment for pectus carinatum (commonly referred to as "chicken breast") falls under the scope of thoracic surgery, and it would be best to consult a specialist in this field for satisfactory answers. Attached is some online information for your re...[Read More] Do I Need Treatment for Pectus Carinatum? Risks and Options Explained
Understanding Ankylosing Spondylitis: Diagnosis and Waiting Times
Ankylosing Spondylitis I would like to ask, because my friend previously had this examination at Taipei Hospital, and the hospital said that the testing needs to be outsourced, but we still haven't received the results. I would like to know approximately how long it will tak...
Dr. Chen Xingyuan reply Orthopedics
Dear Maruko, Ankylosing Spondylitis (AS) is an autoimmune disease primarily affecting the joints and surrounding tissues, particularly the spinal joints. It commonly occurs in patients aged 20 to 40 years. Patients often experience lower back pain, spinal stiffness, and limited ...[Read More] Understanding Ankylosing Spondylitis: Diagnosis and Waiting Times
Understanding Knee Pain: Possible Causes After Patella Surgery
Patellar surgery? Hello Dr. Chen, three years ago I had a fracture in my kneecap and underwent surgery at a hospital in Taipei, performed by Dr. Huang. However, in the past few years, I have noticed a distinct grinding sound when I lift my knee. Could this be due to ligament or m...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: The sound of friction when raising the knee may originate from the meniscus, ligaments, tendons, or bones. Please visit an orthopedic clinic for further examination to identify the source. Wishing you peace and health! Sincerely, Dr. Chen[Read More] Understanding Knee Pain: Possible Causes After Patella Surgery
Do I Need Surgery for My Right Wrist Tendonitis and Joint Separation?
Tendinitis of the right wrist joint? I have tendonitis in my right wrist joint, and there is some separation in the bones. Do I need surgery? I am undergoing rehabilitation; will I recover? Should I continue taking anti-inflammatory medication?
Dr. Chen Xingyuan reply Orthopedics
Based on your description, it is not clear where exactly the pain is located, nor do we know how long you have been undergoing treatment and what the results have been. Therefore, it is difficult to answer your question. I recommend that you consult an orthopedic specialist for a...[Read More] Do I Need Surgery for My Right Wrist Tendonitis and Joint Separation?
Understanding Occasional Hand Pain: Causes and Solutions
Could you please provide the content you would like me to translate? I sometimes experience pain in my hand that is so severe I can't exert any strength. It feels like my tendons are in pain, and even lifting my hand is very painful, making it feel as if I have a disability....
Dr. Chen Xingyuan reply Orthopedics
Dear readers, There are many reasons for hand pain, most of which are related to inflammation of the tendons, muscles, or joints. When inflammation occurs, it can cause pain that affects the ability to exert force with the hand or limits the range of motion in the joints. The mo...[Read More] Understanding Occasional Hand Pain: Causes and Solutions
Understanding 'Mommy's Thumb': Surgery, Recovery, and Future Risks
De Quervain's tenosynovitis Hello Dr. Chen: I have been experiencing pain in my right wrist for over a year, and the doctor diagnosed it as De Quervain's tenosynovitis (commonly referred to as "mommy's thumb"). I have previously undergone rehabilitation a...
Dr. Chen Xingyuan reply Orthopedics
Dear readers: The academic term for "mother's hand" is stenosing tenosynovitis, which refers to the inflammation of the tendons near the wrist on the thumb side, specifically the abductor pollicis longus and the extensor pollicis brevis tendons. Inflammation causes...[Read More] Understanding 'Mommy's Thumb': Surgery, Recovery, and Future Risks
How to Identify if You Have a Bunions and Foot Concerns?
How to distinguish if it is hallux valgus? My thumbs are slightly protruding, and I'm not sure if it's hallux valgus. Also, there's a growth next to the fourth toe on my right foot, and I don't know what it is. Could you please help me? Thank you!
Dr. Chen Xingyuan reply Orthopedics
Dear readers, Hallux valgus, commonly known as bunion, refers to the condition where the big toe deviates towards the second toe, causing the first metatarsal bone to angle inward, and resulting in a prominent bump at the base of the big toe. In severe cases, it may be accompani...[Read More] How to Identify if You Have a Bunions and Foot Concerns?
Is 4 Months in a Cast Too Long for an Ankle Fracture?
My question? I fractured my left ankle on May 31, and one doctor put a cast on my leg for over four months. My question is, can a cast be on for that long, especially at a joint? Won't that have any negative effects? Later, when I saw another doctor, I found out that my bone...
Dr. Chen Xingyuan reply Orthopedics
Dear Xiao Hsun, Based on personal experience, an ankle fracture typically takes about two months to recover to a level where one can walk and begin rehabilitation. I usually return for a follow-up appointment and X-ray in about two to three weeks to check on the healing progress...[Read More] Is 4 Months in a Cast Too Long for an Ankle Fracture?
Seeking Orthopedic Advice: Finger Injury and Treatment Options
Orthopedic doctor? I consulted an orthopedic doctor. Over a year ago, my left index finger was accidentally punctured by a nail from a pneumatic gun while working, entering from the left and exiting from the right. Initially, only the nail was removed, and no further treatment wa...
Dr. Chen Xingyuan reply Orthopedics
Dear RYO: Based on your condition, it is likely that you have a rupture of the extensor tendon of the index finger, resulting in what is known as "mallet finger." If this occurred acutely, treatment with aluminum splinting could be effective. Since your condition has pe...[Read More] Seeking Orthopedic Advice: Finger Injury and Treatment Options
Understanding Periostitis: Symptoms, Treatment, and Recovery Tips
Periostitis Hello Doctor, I would like to ask if an X-ray is necessary for periostitis. Also, can I still walk and work normally with periostitis? A friend mentioned that during inflammation, it's better to rest and not move around too much. How long does it usually take for...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: There are many causes of knee inflammation, and it is essential to first understand the disease process, mechanisms, and undergo physical examinations to identify the underlying issue. Although inflammation is a common response, the necessary examinations and treatm...[Read More] Understanding Periostitis: Symptoms, Treatment, and Recovery Tips