Is Arthroscopic Surgery the Right Choice for My Tennis Elbow?
My elbow is stiff? Dear Doctor, I have tennis elbow and have received several steroid injections, but there has been no improvement even after the medication wore off. My elbow continues to swell and hurt, even when I'm not working. Am I a suitable candidate for arthroscopic...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, what is commonly known as "tennis elbow" is actually caused by repetitive motions of the wrist, leading to inflammation at the tendon attachment point on the lateral epicondyle of the elbow. Treatment methods include: 1. Rest. 2. Med...[Read More] Is Arthroscopic Surgery the Right Choice for My Tennis Elbow?
Understanding Femoral Neck Fractures: Recovery, Rehabilitation, and Walking Challenges
Left femoral neck fracture? My husband unfortunately suffered a fracture of the left femoral neck on May 22 of this year, and it has been four months since then. During his most recent follow-up appointment, the doctor mentioned that the joint has been preserved, but the bone has...
Dr. Li Wenlin reply Orthopedics
Hello, In response to your question, femoral neck fractures are initially classified into two categories: one with no displacement or minimal displacement. Cases in this category are typically treated with internal fixation (using screws or plates). If all goes well, the probab...[Read More] Understanding Femoral Neck Fractures: Recovery, Rehabilitation, and Walking Challenges
Understanding Neck Injuries: Symptoms, Treatment, and When to Seek Help
Neck injury Hello Dr. Lee, I previously visited you for a neck injury around August 25. I sustained a neck strain due to external force. During my visit, you took some X-rays and diagnosed it as a muscle strain. After taking the medication, I felt better, and after finishing the ...
Dr. Li Wenlin reply Orthopedics
Hello Hong: Based on your description, it is clear that your condition is primarily due to prolonged poor posture (7-8 hours of computer use). Remember to perform some stretching exercises every half hour to an hour, such as stretching your arms and shoulders or taking a short br...[Read More] Understanding Neck Injuries: Symptoms, Treatment, and When to Seek Help
Understanding Titanium Bone Pins for Radius Fractures: Long-Term Effects and Recovery
Fracture (right radius) Hello Dr. Lee: I fractured my right radius over a month ago. Initially, the doctor said they would use titanium bone screws to stabilize it. I would like to know if this is truly a good option. Will there be any issues in ten or twenty years? I just had th...
Dr. Li Wenlin reply Orthopedics
Hello, please communicate more with your attending physician; they are most familiar with your condition. If you have any questions, just ask them. Wishing you a speedy recovery! Li Wenlin[Read More] Understanding Titanium Bone Pins for Radius Fractures: Long-Term Effects and Recovery
Severe Ankle Injury: Recovery Challenges and Rehabilitation Tips
Severe ankle injury? In October 2004, during a tennis practice, I accidentally caught my right foot's toe in a hole on the court while running, causing my right ankle to roll inward and swell severely. The next day, I went to the hospital for an X-ray, and the doctor diagnos...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, the rehabilitation physician has provided excellent diagnosis and analysis, and the rehabilitation has indeed improved your symptoms. I personally recommend that you continue with the rehabilitation and consider wearing an ankle brace for prot...[Read More] Severe Ankle Injury: Recovery Challenges and Rehabilitation Tips
Understanding Comminuted Humerus Fractures: Surgery, Recovery, and Options
Comminuted humeral fracture Dr. Lee: Hello, my younger brother's mother suffered a humeral fracture in a car accident a week ago, resulting in a comminuted fracture at the junction of the proximal humerus and the long bone with slight displacement. The physician believes tha...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, based on your description, your mother likely has a neck of the humerus fracture. Generally, the decision to operate depends on factors such as age, gender, side of the body, and overall health condition. For instance, for individuals over 65 ...[Read More] Understanding Comminuted Humerus Fractures: Surgery, Recovery, and Options
Neck Injury Aftermath: Managing Pain and Seeking Treatment Options
Neck injury? Hello, about 10 years ago, I sustained an injury to my neck. The bones in my neck are misaligned, and I experience soreness whether I look down or up. The discomfort has been worsening, and I often have headaches that feel pressure-like. Are these two issues related?...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, you can consult with a physician in the Rehabilitation, Orthopedic, or Neurosurgery departments at a nearby hospital. They will first diagnose the underlying cause and may recommend oral medications or rehabilitation therapy. Surgery is consid...[Read More] Neck Injury Aftermath: Managing Pain and Seeking Treatment Options
Understanding Benign Osteosarcoma: Post-Surgery Care and Recovery Tips
Osteosarcoma Hello Dr. Li, I am 22 years old, and after undergoing various examinations, I was diagnosed with a "benign osteosarcoma" below my right knee. I just had a curettage surgery two weeks ago, during which artificial bone material was implanted. I had my stitch...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your questions: 1. There is no such thing as a benign osteosarcoma. Osteosarcoma, despite having various forms based on different cell types, locations, and characteristics, is classified as a malignant tumor. In addition to surgery, chemotherapy is also r...[Read More] Understanding Benign Osteosarcoma: Post-Surgery Care and Recovery Tips
Post-Fracture Rehabilitation: Key Questions for a Smooth Recovery
Rehabilitation after fracture healing? Hello Dr. Lee: I am the one who asked a question on May 17th. Thank you for your blessings. Yesterday (which was seven months and twenty days after my fracture), I went for a follow-up appointment, and the doctor said that the fracture has h...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your questions, please have confidence in yourself, especially since your attending physician has reviewed your imaging and provided appropriate instructions. Question 1: Please use your crutches without fear. Question 2: Normal individuals do not re-fra...[Read More] Post-Fracture Rehabilitation: Key Questions for a Smooth Recovery
Understanding Mommy's Wrist: Steroid Injection Side Effects and Recovery
De Quervain's tenosynovitis Hello, over three months ago, I sought treatment at a clinic for "mother's hand" (De Quervain's tenosynovitis). The doctor administered a steroid injection into my wrist, but shortly after, I noticed an increasing disparity bet...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question. Your description does resemble the side effects of steroids; however, in the treatment of De Quervain's tenosynovitis (commonly known as "mommy's thumb"), steroids are typically injected near the tendon sheath rather than i...[Read More] Understanding Mommy's Wrist: Steroid Injection Side Effects and Recovery
Understanding Elbow Osteomyelitis: Recovery Chances After Multiple Surgeries
Periosteum of the elbow bone I have had an injury in my hand since I was 15 years old, and I am currently undergoing rehabilitation. My hand cannot bend or straighten. I have had three surgeries. Initially, I could straighten it, but I didn't prioritize rehabilitation in the...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, fracture surgery and rehabilitation are part of a comprehensive treatment plan. The fact that you have undergone three surgeries indicates that you are receiving ongoing outpatient and surgical care. You should continue with your outpatient vi...[Read More] Understanding Elbow Osteomyelitis: Recovery Chances After Multiple Surgeries
Understanding Complex Clavicle Fractures: Risks and Alternatives for Surgery
Complex clavicle fracture My mother recently had a car accident and fractured her clavicle in three places. The doctor mentioned that surgery might be necessary, but my mother has diabetes and hypertension, and she also has osteoporosis. If she undergoes surgery, what are the ris...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, ninety-five percent of clavicle fractures can heal without surgical intervention. However, conservative treatment (using a figure-of-eight bandage and a sling) has its inconveniences, such as not being able to frequently remove the bandage dur...[Read More] Understanding Complex Clavicle Fractures: Risks and Alternatives for Surgery
Understanding Elbow Fractures in Children: Rehabilitation and Recovery Insights
Elbow fracture Dear Director Li, First of all, I must sincerely ask for the understanding of the Taiwan e-Hospital medical consultation team, as I only discovered this medical consultation platform yesterday. I immediately sent an email to Dr. Shih Kuo-Cheng and today I eagerly ...
Dr. Li Wenlin reply Orthopedics
Hello, In response to your question, Director Shi may have already provided you with a satisfactory answer. Here’s a brief response to your inquiries: 1. Regarding your child's condition, rehabilitation therapy is generally not necessary. Recovery of joint range of motion...[Read More] Understanding Elbow Fractures in Children: Rehabilitation and Recovery Insights
Should You Remove Metal Pins After Bone Fracture Recovery? Expert Insights
Dr. Lee's recommendations? Regarding the steel pins inserted after a fracture, I have seen in previous online Q&A sessions that some doctors recommend removing them after recovery, while others do not. The doctor who initially inserted the pins told me that I could come ...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, it is indeed possible to leave the steel pins inserted after a fracture without removal, but this is not an absolute rule. There are significant reasons for not removing the pins, such as the potential damage caused by the removal process (sin...[Read More] Should You Remove Metal Pins After Bone Fracture Recovery? Expert Insights
Understanding Meniscus Cysts: Diagnosis, Treatment, and Surgery Options
Knee joint meniscal cyst Hello Dr. Lee, I have been experiencing pain in my left knee, and there is a noticeable large protrusion on the right side of the knee. After seeking medical attention, I underwent a soft tissue ultrasound examination and was diagnosed with a deep menisca...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, the most common type of meniscal cyst is a ganglion cyst. An ultrasound examination should be able to distinguish it as a fluid-filled sac with a clearly defined outer capsule. If the ultrasound suggests that it resembles a ganglion cyst, aspi...[Read More] Understanding Meniscus Cysts: Diagnosis, Treatment, and Surgery Options
Understanding Ankle Pain: Causes, Symptoms, and Treatment Options
Ankle pain Hello doctor, I would like to ask about an issue with my left ankle. There was a time when a small hard lump developed inside my ankle, but one time when I pressed on it, it suddenly seemed to disappear. A few days later, my ankle became inflamed. The doctor said it wa...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, it is difficult to draw a conclusion based on your description. It is best to consult a nearby orthopedic physician or the doctor you previously visited. The most common issue is fasciitis, and resting should help you recover. Wishing you a sp...[Read More] Understanding Ankle Pain: Causes, Symptoms, and Treatment Options
Are Lateral Ankle Fractures Considered Part of the Foot or Leg?
Is a lateral ankle fracture considered a metatarsal bone fracture? Lateral ankle fractures are classified as part of the foot rather than the lower leg. The correct medical terminology for the bones of the lower leg is tibia and fibula. The ankle joint is formed by the distal end...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, the insurance company's determinations are based on their own established guidelines, which may not fully align with medical assessments. If there are any concerns, you should ask the insurance company for a detailed explanation, as clini...[Read More] Are Lateral Ankle Fractures Considered Part of the Foot or Leg?
Understanding Your Child's Thigh Pain: Causes, Diagnosis, and Next Steps
Femoral pain? My child is 8 years old and has been experiencing pain in the thigh bone. We visited the hospital yesterday for a consultation and an X-ray was taken. The doctor mentioned that there is an abscess in the left thigh bone and we need to wait for the ultrasound report ...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question. An 8-year-old boy is experiencing thigh pain, and upon examination, the physician found that the patient's hip joint cannot internally rotate. X-rays show widening of the distance between the acetabulum and the femoral head in the left hi...[Read More] Understanding Your Child's Thigh Pain: Causes, Diagnosis, and Next Steps
Understanding Clavicle Issues in Children: A Case Study
Clavicle My daughter is 10 years old. PROCEDURE DONE & FINDINGS: She walks in with no pain. The right clavicle is swollen at the right sternal end, with a lump approximately 2.5 cm, no local redness, no local warmth, and non-tender. INVESTIGATION: X-ray of the right clavicle ...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, a 10-year-old girl has a prominent left clavicle center. X-ray examination did not reveal any changes in the bone, and there are no symptoms (no redness, no heat, no pain). It is recommended to follow up in an outpatient setting. If the promin...[Read More] Understanding Clavicle Issues in Children: A Case Study
Understanding a 3cm Hard Lump on the Inner Ankle: Causes and Next Steps
There is a hard lump approximately 3 centimeters on the inner side of the left ankle? Recently, I discovered a hard lump on the inner side of my left ankle. I didn't think much of it at first and didn't consider what it could be. A few days ago, while kneeling to clean ...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, based on your description, this could be a ganglion cyst, lipoma, or tophus, among other possibilities. I recommend that you consult an orthopedic surgeon to evaluate whether surgical excision for pathological examination is necessary. Typical...[Read More] Understanding a 3cm Hard Lump on the Inner Ankle: Causes and Next Steps