Understanding Chronic Pain: Spine Issues and Their Impact on the Body
Orthopedics Chronic lower abdominal pain and persistent pain in the left flank, extending to the front and back of the palm, along with a sensation of pressure and an indescribable discomfort, raises the question of whether spinal issues could cause long-term pain in the pubic ar...
Dr. Li Wenhong reply Orthopedics
Hello: Normal joint movement may sometimes produce sounds, but it should not be accompanied by pain. Lower abdominal pain and pain under the left rib cage can have many causes. Please visit a hospital for a personal consultation, as it cannot be addressed online. Changhua Hospita...[Read More] Understanding Chronic Pain: Spine Issues and Their Impact on the Body
Can Clavicle Reconstruction Restore Its Original Appearance?
Can the clavicle be reconstructed? Hello, Doctor! I was in a car accident at the end of 2006, resulting in a fracture of the outer third of my right clavicle. The fracture was clean, and the X-ray showed some overlap. I initially used a figure-of-eight brace, but it did not heal ...
Dr. Li Wenhong reply Orthopedics
Hello: If there is significant functional impairment and pain due to improper healing, reconstructive surgery may be considered; however, complete restoration to the pre-injury appearance may not be achievable. If there is only mild deformity with occasional soreness and minimal ...[Read More] Can Clavicle Reconstruction Restore Its Original Appearance?
Understanding Elbow Stiffness in Children After Fractures
Inability to fully extend the hand? Hello. My child is nine years old. Two months ago, he fell at school, and an X-ray of his elbow revealed a small fracture. The doctor then applied a removable cast for stabilization. After two weeks, we returned for a follow-up, and the doctor ...
Dr. Li Wenhong reply Orthopedics
Hello: It is normal to experience temporary joint stiffness after being in a cast for a period of time. If there is no pain and the skin feels intact and normal, you can begin local heat therapy, as well as active and passive exercises. Alternatively, you may consult a rehabilita...[Read More] Understanding Elbow Stiffness in Children After Fractures
Understanding Muscle Lumps in One-Year-Olds: What Parents Should Know
A one-year-old infant has a hard lump in the calf muscle? My child did not have any noticeable lumps in the calf muscles at birth, but I discovered a hard lump in the calf muscle while bathing them last week. I would like to ask the doctor if a one-year-old infant can develop a t...
Dr. Li Wenhong reply Orthopedics
Hello: Tumors in the calf muscles of a one-year-old infant are rare. It is recommended that you take your child to the hospital for further examination. Orthopedics, Dr. Li Wen-Hong, Changhua Hospital.[Read More] Understanding Muscle Lumps in One-Year-Olds: What Parents Should Know
Understanding Elbow Varus Deformity in Children: Risks and Treatment Options
Growth plate injury Hello, doctor. I apologize for bothering you again. I recently took my daughter to the clinic for an X-ray, and the orthopedic doctor mentioned that her elbow has a slight valgus deformity and that she needs to return for follow-up every year. I would like to ...
Dr. Li Wenhong reply Orthopedics
Hello Tony: If there is slight cubitus varus (elbow internal rotation), regular monitoring is sufficient. Only in cases of severe cubitus varus (greater than 15 degrees) should we consider corrective osteotomy. This surgery primarily improves appearance (aesthetic concerns) and o...[Read More] Understanding Elbow Varus Deformity in Children: Risks and Treatment Options
Understanding Growth Plate Injuries in Children's Elbows: Concerns and Solutions
Injury to the growth plate of the elbow joint? Hello Doctor, my daughter, who is now four years old, injured her elbow growth plate in an accident last February when she was three. It has been over a year since the surgery, and her movements are normal. However, while her elbow l...
Dr. Li Wenhong reply Orthopedics
Hello Tony, your daughter has been injured for over a year. If there is no significant varus or valgus deformity and her movements are normal, she only needs regular follow-ups until the growth plates close. Please return to the original treating physician for follow-up; rehabili...[Read More] Understanding Growth Plate Injuries in Children's Elbows: Concerns and Solutions
Should I Get an X-Ray After Hip Osteotomy Surgery?
I have undergone hip osteotomy surgery? I apologize for the mistake last time. It's been three months and there's still a bit of pain. Should I return to the original hospital for an X-ray?
Dr. Li Wenhong reply Orthopedics
Hello! Your concern is pain in the affected limb after exercise, and you are worried about the displacement of the internal fixation device. It would be more appropriate to return to the original hospital for an X-ray. This will allow for a comparison with the postoperative X-ray...[Read More] Should I Get an X-Ray After Hip Osteotomy Surgery?
Post-Surgery Sports: Can Intense Activity Damage Your Metal Implants?
Regarding intense exercise with internal metal plates? I recently underwent a hip osteotomy surgery with the implantation of a steel plate and screws. Due to previous bacterial infections that affected my healing, the surgery aimed to restore my hip to a normal state. It has been...
Dr. Li Wenhong reply Orthopedics
Hello! Based on your description, it has been over two months since your left hip osteotomy surgery, and you should not engage in vigorous exercise. Although you predominantly bear weight on your right leg, the left hip still experiences stress during physical activity. If you ex...[Read More] Post-Surgery Sports: Can Intense Activity Damage Your Metal Implants?
Understanding Congenital Hip Dysplasia and Frog Legs: Symptoms and Diagnosis
Congenital hip dislocation and frog leg position? Hello, doctor. I would like to ask about symptom assessment. I have always thought I had frog legs, but when I visited a traditional Chinese medicine practitioner for massage, he asked if my feet came out first at birth. After inq...
Dr. Li Wenhong reply Orthopedics
Hello Anthony: Infants delivered via cesarean section due to abnormal fetal positioning (such as breech presentation, where the buttocks or feet are positioned downward) are at a higher risk for congenital hip dislocation or hip dysplasia compared to those born through normal vag...[Read More] Understanding Congenital Hip Dysplasia and Frog Legs: Symptoms and Diagnosis
Understanding Growth Plate Injuries in Children: What to Expect After a Fracture
Growth plate issues Hello Dr. Lee, my niece is currently 6 years old and has a wrist fracture due to an accident that requires surgical treatment. The doctor mentioned that the growth plate was affected, and there may be a risk of deformity in the future. I am unsure what deformi...
Dr. Li Wenhong reply Orthopedics
Hello Ms. Chen: Damage to the growth plate can lead to partial or complete cessation of growth in the affected area (wrist). If growth is partially halted, it may result in bending or deformity; if growth is completely halted, it can lead to shortening of the bone (compared to th...[Read More] Understanding Growth Plate Injuries in Children: What to Expect After a Fracture
Understanding Patellar Subluxation in Children: Causes and Solutions
Patellar subluxation in children Dear Dr. Lee, My son is currently 11 years old (5th grade), with a height of 153 cm and a weight of 56 kg. He is experiencing symptoms of patellar subluxation (there is a popping sound in the knee when squatting, accompanied by severe pain). I wo...
Dr. Li Wenhong reply Orthopedics
Hello Jefferson: General patellar subluxation can lead to knee pain due to excessive activity, and physical strain can exacerbate the symptoms. When symptoms are severe, it is advisable to avoid activities that place additional stress on the knee joint, such as squatting, running...[Read More] Understanding Patellar Subluxation in Children: Causes and Solutions
Understanding Flat Feet and Hallux Valgus: Treatment Options and Advice
Hallux valgus with flatfoot? Recently, I have been experiencing pain on the outer side and bottom of my right foot and have sought medical attention. The doctor diagnosed me with flat feet, but my symptoms include thickened skin and calluses on the heel and forefoot, with a hollo...
Dr. Li Wenhong reply Orthopedics
Based on the symptoms you described, it may not be flatfoot; a detailed evaluation should be conducted in person at a clinic. For your symptoms, you can start using cushioned shoes or custom orthotics. As for the treatment of hallux valgus, it depends on whether there are symptom...[Read More] Understanding Flat Feet and Hallux Valgus: Treatment Options and Advice
Does Wearing Glasses in Elementary School Affect Nasal Bone Development?
Nasal bone development Will wearing glasses in the fifth grade hinder the development of the nasal bridge?
Dr. Li Wenhong reply Orthopedics
Generally, the weight of glasses is significantly lighter than that of the skull, and glasses are not worn while sleeping. There is no evidence to support that wearing glasses affects the development of the nasal bones.[Read More] Does Wearing Glasses in Elementary School Affect Nasal Bone Development?
Understanding Femoral Deformity: Measurement Techniques and Insights
Deformity of the femur in the lower extremity? Hello, I would like to ask if the curvature of the tibia (as seen on an X-ray) indicates femoral deformity? What is the correct method to measure the degree of femoral deformity? Thank you.
Dr. Li Wenhong reply Orthopedics
The bones of the lower leg are the tibia and fibula (not the femur). If we are referring to the diaphysis (midsection), it should be straight. If the X-ray shows curvature or deformity, there could be many reasons, such as improper healing of a fracture, congenital pseudarthrosis...[Read More] Understanding Femoral Deformity: Measurement Techniques and Insights