Understanding Limb Length Discrepancy in Children with Spina Bifida
Leg length discrepancy in children? Dear Dr. Lee, My daughter is a patient with congenital spina bifida, which has resulted in her left calf bone being thinner and shorter than her right calf (currently, the difference is nearly one centimeter). I would like to ask Dr. Lee: 1. ...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, may I ask how old your daughter is now? If she is a patient with congenital spina bifida, you may need a multidisciplinary medical consultation team, including a pediatrician, pediatric neurosurgeon, pediatric orthopedic surgeon, pediatric reh...[Read More] Understanding Limb Length Discrepancy in Children with Spina Bifida
Understanding and Managing Lateral Knee Pain: Causes and Solutions
Lateral knee pain? Hello Dr. Li: I had a habit of running three to four times a week, but two weeks ago, I suddenly felt pain on the outer side of my knee while running. I do not experience any pain while walking or brisk walking. What could be the possible cause and how can I re...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question. If you do not experience pain while walking or brisk walking, but feel pain on the outer side of your knee when running, it is usually indicative of inflammation of the iliotibial band or a strain of the lateral collateral ligament. If there w...[Read More] Understanding and Managing Lateral Knee Pain: Causes and Solutions
Understanding Bone Tumors: Diagnosis, Concerns, and Treatment Options
Osteoma I am 30 years old and experienced a "pop" sound in my knee when I squatted down, followed by swelling for 2-3 days. An X-ray showed something growing. I was referred to a medical school for evaluation. The doctor reviewed the X-ray and said it appears to be beni...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, benign bone tumors can often be diagnosed through follow-up X-rays and clinical symptoms. Therefore, a single outpatient examination and one X-ray cannot definitively establish a diagnosis. If your clinical symptoms (such as swelling and pain)...[Read More] Understanding Bone Tumors: Diagnosis, Concerns, and Treatment Options
Is My Daughter at Risk for Congenital Hip Dislocation?
Is my daughter suffering from congenital hip dislocation? Hello Doctor: First of all, thank you for your response! My daughter is three months and six days old. We just discovered that her left foot is slightly more than one centimeter shorter than her right foot, but both feet h...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, first-born girls and children born in the breech position are more likely to develop developmental dysplasia of the hip (DDH), with an incidence rate of about 2%. This is a relatively common orthopedic condition that may not be easily identifi...[Read More] Is My Daughter at Risk for Congenital Hip Dislocation?
Understanding Knee Pain: Causes and Solutions for Long Hours of Sitting
Knee pain Hello! My job requires me to sit for long periods, and recently, I've been experiencing significant pain on the outer side of my right knee when I stand up after sitting for a long time. Additionally, my right thigh's outer side feels sore while sitting. A few...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, a conclusion cannot be drawn based on your description. It is recommended that you consult an orthopedic physician for diagnosis. Diagnosis relies on a thorough history taking, visual examination, palpation, and physical examination, supplemen...[Read More] Understanding Knee Pain: Causes and Solutions for Long Hours of Sitting
Should You Seek Medical Attention for Side Effects from DOMETON and RELAX?
Side effects Hello Dr. Lee, I am taking DOMETON 200mg and RELAX 350 175mg, and I am experiencing eye discomfort and nausea. However, I am currently attending classes in Hsinchu. Should I seek medical attention?
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, it may be a side effect of the medication. Please discontinue the medication, and if the symptoms resolve after stopping, it is likely a side effect. During your next consultation, please inform the physician to document these allergic reactio...[Read More] Should You Seek Medical Attention for Side Effects from DOMETON and RELAX?
Understanding Sudden Lower Back Pain: Causes and When to Seek Help
Low back pain? Hello Dr. Lee, In recent years, I have occasionally experienced severe pain in my lower back, which feels like it starts from a specific vertebra and then radiates to both sides, causing intense pain around my abdomen. However, the pain subsides after a while, an...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question. 1. Based on your description, there are three possible conditions. The first is kidney or ureteral stones, which typically present with unilateral symptoms. The second is inflammation of the lumbar spine or surrounding muscles, which usually a...[Read More] Understanding Sudden Lower Back Pain: Causes and When to Seek Help
Understanding Neck Injuries: Causes, Treatments, and Recovery Tips
excuse me? Hello Dr. Lee, I sincerely apologize for frequently reaching out to you with questions. I have been experiencing a neck strain and visited your clinic. Last week, I went back to get medication for my neck, which has been injured for about two to three months. Recently,...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, even a neck strain takes some time to heal, especially since this is not your first occurrence. Your usual posture is also very important; frequent strains may be due to poor posture leading to insufficient strength in the muscles and fascia, ...[Read More] Understanding Neck Injuries: Causes, Treatments, and Recovery Tips
Understanding Tendon Tumors: Causes, Symptoms, and Treatment Options
Tendinopathy I previously had an unknown growth on the back of my hand, which often felt sore and painful. After seeing a doctor and getting an X-ray, I discovered it was a tendon tumor that was quite extensive. As a result, I underwent surgery, and now my entire hand looks swoll...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, since you have already undergone surgery, please return for a follow-up appointment as soon as possible if you have any concerns. Your attending physician understands your situation best and should be able to address your issues. To reduce swe...[Read More] Understanding Tendon Tumors: Causes, Symptoms, and Treatment Options
Neck Injury Concerns After Impact: What You Need to Know
excuse me? Hello Dr. Li, last night I bumped my head against something and my neck suddenly contracted. It feels like it was compressed, and now I still feel a bit strange. The upper cervical vertebrae feel somewhat uncomfortable. Additionally, I was previously diagnosed by a doc...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, if it is just a soft tissue injury, such as a bruise or a strain, resting for one or two days should lead to improvement. However, if the symptoms persist for several days without improvement, you should seek medical attention as soon as possi...[Read More] Neck Injury Concerns After Impact: What You Need to Know
Understanding Neck Strains: Recurrence, Recovery, and Treatment Options
Neck strain Hello Dr. Lee, I previously had a neck strain and after seeing a doctor for about 2 months and 10 days, I felt better last Tuesday. I didn't experience any discomfort for two or three days without medication. However, after attending a physical education class (b...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, a neck strain may be due to muscle strain, a stiff neck, or poor posture. At 21 years old, the likelihood of having bone spurs or herniated discs is quite low. However, if you continue to experience discomfort despite conservative treatment, y...[Read More] Understanding Neck Strains: Recurrence, Recovery, and Treatment Options
Understanding Your Child's Leg Pain: Causes and When to Seek Help
Children often complain of leg fatigue and weakness? Hello Doctor, my daughter is 4 years and 4 months old and often complains of leg pain, soreness in her feet, and weakness in her legs, especially in the morning when she wakes up and at night before going to bed. She has poor b...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, it is advisable for your daughter to first see a pediatrician. The pediatrician will provide a diagnosis and may recommend referrals to various specialists as needed. Wishing you all the best![Read More] Understanding Your Child's Leg Pain: Causes and When to Seek Help
Understanding Recovery Time and Concerns for Open Fractures of the Ankle
Questions related to the recovery time for open fractures of the tibia and fibula? Hello Doctor: On August 15, I had a car accident resulting in an open fracture of the distal tibia and fibula in my left leg (near the ankle). I underwent fixation with bone screws and plates, and ...
Dr. Li Wenlin reply Orthopedics
Hello, In response to your question, the old saying goes, "It takes a hundred days to heal muscles and bones." If you were injured on August 15, a complete recovery will take at least until the end of November, or even longer. Therefore, it is reasonable that the rang...[Read More] Understanding Recovery Time and Concerns for Open Fractures of the Ankle
Managing Ankle Pain After Injury: Tips for Recovery and Relief
Ankle Hello, Dr. Lee! I previously sprained my left ankle. After receiving massage therapy from a traditional Chinese medicine practitioner, I noticed that whenever I walk too much or stand for too long, my ankle starts to hurt and I even limp. After walking a bit, it feels somew...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, please seek medical attention as soon as possible. You should avoid standing for long periods, and even if it's a soft tissue injury (such as fascia or tendon), it requires ample rest and should not be overused. A medical evaluation can h...[Read More] Managing Ankle Pain After Injury: Tips for Recovery and Relief
Should You Schedule an Early Follow-Up for Your Leg Fracture?
Should a follow-up appointment be scheduled proactively? Hello, doctor: I was in a car accident at the end of September this year. After being taken to the emergency room and undergoing an X-ray, I was diagnosed with a fibula fracture in my left leg and treated with a cast. The h...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question. A fracture of the ankle often requires casting, which can lead to swelling and pain in the lower limb. It is advisable to elevate the affected limb (preferably above heart level) whenever possible. If the swelling and pain persist even after e...[Read More] Should You Schedule an Early Follow-Up for Your Leg Fracture?
Understanding Multiple Chondromas: Symptoms, Risks, and Care Tips for Your Child
Multiple Chondromas Hello Dr. Lee, my daughter is 11 years old and has been diagnosed with multiple chondromas after consultations at Chang Gung, Taipei Medical University, and Cathay hospitals. She has noticeable protrusions of chondromas on her hands, feet, and fingers, with so...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, the likelihood of multiple osteochondromas transforming into malignant tumors is less than 1%. The symptoms are generally not obvious; they typically grow faster than the original osteochondroma and are prone to associated soft tissue swelling...[Read More] Understanding Multiple Chondromas: Symptoms, Risks, and Care Tips for Your Child
Understanding Delayed Healing of Clavicle Fractures: What to Do Next?
Delayed union of the clavicle? Hello Doctor: I had a car accident on March 30 of this year, which resulted in a right clavicle fracture. I underwent open reduction and internal fixation surgery with a plate and screws. However, to this day, I have had multiple X-rays, and the doc...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, bone growth is influenced by multiple factors, including individual constitution, the type of fracture, surgical technique, and the choice of internal fixation. Based on your description, your clavicle fracture is not completely non-union but ...[Read More] Understanding Delayed Healing of Clavicle Fractures: What to Do Next?
Understanding Infant Hip Dislocation: Is Surgery Always Necessary?
Infant pelvic dislocation My daughter went to Cheng Kung University for an examination today and was found to have a dislocated pelvis in her right leg. The doctor recommended surgery. I would like to know if surgery is absolutely necessary.
Dr. Li Wenlin reply Orthopedics
Hello, Night Owl: Congenital hip dislocation in infants has different treatment options depending on the timing of diagnosis and the severity of the condition. Generally, the later the diagnosis, the higher the likelihood of requiring surgery. In Tainan, pediatric orthopedic spec...[Read More] Understanding Infant Hip Dislocation: Is Surgery Always Necessary?
Understanding Neck Injuries: Treatment Options and Recovery Insights
Neck injury Hello Dr. Lee, thank you for your previous answer. It has been a month since my neck injury. Whenever I don't take medication for a while, my neck seems to become weak. Every night I take medication and after a good night's sleep, although my neck isn't...
Dr. Li Wenlin reply Orthopedics
Hello Hong: An old saying goes, "Injuries to muscles and bones take a hundred days to heal." In your case, it is estimated that it will take about three months for recovery, which is not an exaggeration. However, not every case requires surgery, so try not to overthink ...[Read More] Understanding Neck Injuries: Treatment Options and Recovery Insights
Understanding ACL and LCL Reconstruction: Key Questions Answered
Ligament reconstruction Hello Dr. Lee, I previously had a car accident and underwent examinations and an MRI. The doctor determined that I have a partial tear of the posterior cruciate ligament (PCL) in my left leg, and a complete tear of the PCL and a lateral collateral ligamen...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your questions: 1. The purpose of the surgery is to restore your original function. Your description did not mention your symptoms. In some cases, even if the posterior cruciate ligament (PCL) and lateral ligaments are torn, clinical outcomes can still be s...[Read More] Understanding ACL and LCL Reconstruction: Key Questions Answered