Concerns About My Toddler's Bow Legs: Seeking Gentle Correction Options
Pediatric Orthopedics Hello Doctor: My daughter started pulling herself up to walk along the sofa at 8 months, and by 10 months, she was walking independently. At 1 year old, I began to notice something odd about her walking (she has a slight bowing of the legs, and her left foot...
Dr. Li Wenlin reply Orthopedics
Hello, In response to your question, most children exhibit bowlegs (genu varum) when they begin to walk (typically before the age of one). Between the ages of one and a half to three, this can gradually develop into knock-knees (genu valgum), with some angles being quite pronou...[Read More] Concerns About My Toddler's Bow Legs: Seeking Gentle Correction Options
Understanding Symptoms and Diagnosis of Congenital Hip Dislocation in Infants
Congenital Hip Dislocation in Children Hello, Director Li: I would like to ask about the symptoms that can help determine "congenital hip dislocation in children." Can X-rays or ultrasounds provide a 100% accurate diagnosis? My daughter is currently five months old, and...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question: 1. Developmental dysplasia of the hip (DDH) occurs in approximately 1 in every 1,000 newborns. Currently, public health measures in Taiwan are very effective; all newborns undergo routine screening before being discharged from the hospital. I...[Read More] Understanding Symptoms and Diagnosis of Congenital Hip Dislocation in Infants
Why Do My Joints Crack? Understanding Joint Sounds and Health
Bone crepitus? Hello, Doctor: I would like to ask why I hear my bones cracking or popping whenever I make a big movement. What could be the reason for this? Is it due to calcium deficiency or osteoporosis? Thank you!
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question: Based on your complaint, the popping sound you hear during large movements is likely coming from the area around the joints. Typically, this sound is caused by the friction between cartilage and the joint capsule, or tendons, or other cartilag...[Read More] Why Do My Joints Crack? Understanding Joint Sounds and Health
Understanding a Small Bump on Your Knee: Causes and Next Steps
A small lump has appeared on the knee? Dr. Li: Hello, I have recently noticed a small lump on my right knee, about the size of a grain of rice, located subcutaneously. It is not fixed and can move slightly; sometimes it protrudes, and it hurts when pressed or when I bend my knee....
Dr. Li Wenlin reply Orthopedics
Hello, in response to your inquiry: Based on your description, it is difficult to conclude whether it is a simple lipoma or a ganglion cyst. I recommend that you seek an orthopedic physician for an examination to avoid any delays. Generally, there are several common types of mass...[Read More] Understanding a Small Bump on Your Knee: Causes and Next Steps
Understanding Muscle and Joint Pain in Children: Causes and Solutions
Muscle and joint pain in young children? Hello, Doctor: I have two daughters, the older one is 14 years old and the younger one is 4 years old. Both of them have frequently experienced leg cramps or joint pain since they were young. Their symptoms can be alleviated with the use o...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question: Young children have skeletal, joint, and muscular systems that are still developing, so they generally do not possess the same endurance and explosive strength as adults. Therefore, it is not surprising for them to experience muscle soreness o...[Read More] Understanding Muscle and Joint Pain in Children: Causes and Solutions
Understanding Osteogenesis Imperfecta: Causes, Symptoms, and Treatment
What is osteogenesis imperfecta? Hello Dr. Lee: Could you please explain what osteogenesis imperfecta is? I have not found much information, so I would appreciate your introduction. Thank you!
Dr. Li Wenlin reply Orthopedics
Hello, in response to your inquiry: Osteogenesis Imperfecta, commonly known as "brittle bone disease," is a condition caused by mutations in type I collagen. Approximately 1 in 20,000 newborns is affected by this disorder. The clinical manifestations vary significantly ...[Read More] Understanding Osteogenesis Imperfecta: Causes, Symptoms, and Treatment
Understanding Scoliosis: Symptoms and When to See a Specialist
Scoliosis If you are experiencing pain in your spine, difficulty squatting for long periods, and an inability to stand up straight immediately, it may indicate scoliosis. It is advisable to consult an orthopedic specialist or a pain management specialist for further evaluation an...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your inquiry, based on your description, it is not possible to definitively determine whether you have scoliosis. I recommend that you consult a nearby orthopedic physician for an evaluation.[Read More] Understanding Scoliosis: Symptoms and When to See a Specialist
Understanding Knee Noises: Signs of Aging and Dietary Tips
Knee crepitus? Doctor: Hello! When I move my knee joint back and forth while sitting, I hear a cracking sound, and it feels like there might not be enough synovial fluid. Is this a sign of joint aging? Besides consuming more foods like chicken feet and pig tendons, what else shou...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question regarding the cracking sound in your knee joint, it is not necessarily a sign of joint degeneration; young individuals can also experience this. However, if you are also experiencing symptoms such as pain and fatigue, it is likely due to joint ...[Read More] Understanding Knee Noises: Signs of Aging and Dietary Tips
Understanding Back Discomfort: Causes and Solutions for Spine Issues
Discomfort in the back? 1. There is a sound when moving the spine and scapula, and there is localized pain in the scapula. 2. There is a sensation of creaking in the left hip and spine when sitting down. 3. There is a frequent burning sensation along the entire spine. I am unsure...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question: Based on your description, these symptoms are more likely related to sounds caused by muscle and fascia friction. The presence of sound is not a major concern; however, if there is pain or a burning sensation, those symptoms are more clinicall...[Read More] Understanding Back Discomfort: Causes and Solutions for Spine Issues
Knee Pain After Car Accident: Causes and Recovery Options
Knee pain after a car accident? Hello, Doctor! Two years ago, I injured my right knee below the kneecap in a car accident. At that time, I had an X-ray, but the doctor did not provide me with a diagnosis. Since then, whenever I engage in vigorous exercise, I experience pain on th...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question: Based on your description, it is quite difficult to make a definitive conclusion. I personally recommend that you consult an orthopedic specialist for a detailed examination. The causes of inner knee pain may include 1. medial plica syndrome, ...[Read More] Knee Pain After Car Accident: Causes and Recovery Options
Managing Chronic Calf Pain: Insights and Treatment Options
Foot pain Hello, I would like to ask you about an injury I sustained to my lower leg (the front) from a strong impact over ten years ago. I may not have taken proper care of it during the recovery period. I remember only visiting a traditional Chinese medicine practitioner twice,...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question: Based on your description, the muscle pain in your calf is likely not a serious issue. If it were a severe problem, you would definitely experience worsening symptoms. Since the symptoms have remained the same for the past ten years without fu...[Read More] Managing Chronic Calf Pain: Insights and Treatment Options
Understanding Scoliosis: Symptoms, Signs, and When to Seek Help
Scoliosis Hello, I would like to ask about the symptoms or warning signs of scoliosis. I have heard that if one shoulder is higher than the other, it may indicate scoliosis. Is this true? How can I determine if I might have scoliosis and should seek medical attention? Due to my s...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, scoliosis can be classified into three main types: congenital, idiopathic, and neuromuscular. The most common type is idiopathic scoliosis, which typically presents without symptoms and is most prevalent in adolescents, with a higher incidence...[Read More] Understanding Scoliosis: Symptoms, Signs, and When to Seek Help
How to Manage a Biceps Tendon Rupture: Expert Advice Needed
How to manage a biceps tendon rupture? Hello Dr. Li: I have a job that requires heavy lifting every day. Last week, I accidentally injured my left shoulder due to improper posture and force, resulting in a rupture of the biceps tendon. I have seen another doctor who informed me t...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your inquiry regarding the biceps, there are two tendon attachment points at the shoulder: one is the long head tendon, which attaches to the superior margin of the glenoid, and the other is the short head tendon, which attaches to the coracoid process. Comm...[Read More] How to Manage a Biceps Tendon Rupture: Expert Advice Needed
Understanding L5 Vertebral Fractures: Causes, Healing, and Future Implications
Vertebral arch fracture A year and a half ago, I was involved in a car accident. Since then, my daily life has been normal, but over the past year and a half, I often experience pain in my right side of the back when sitting for extended periods while reading or lifting heavier o...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your inquiry: A vertebral arch fracture can be caused by congenital factors or trauma. Generally, diagnosis can be made through X-rays or computed tomography (CT) scans. Treatment options include conservative and invasive approaches. Typically, the fourth an...[Read More] Understanding L5 Vertebral Fractures: Causes, Healing, and Future Implications
Understanding Sudden Knee Pain: Causes and Quick Recovery
Sudden knee pain? Recently, while playing basketball, I suddenly experienced severe pain in my left knee, making it impossible to run. However, after just a minute or two, the pain subsided, and I was able to move normally again. This was my first experience with knee pain. Could...
Dr. Li Wenlin reply Orthopedics
Hello Ms. Lcy: Based on your description, the most likely possibilities are tenosynovitis or inflammation of the medial joint capsule fold. This phenomenon usually occurs during intense physical activity. If it is occasional, it can be ignored. The preventive measures include pro...[Read More] Understanding Sudden Knee Pain: Causes and Quick Recovery
Understanding Leg Cramps: Causes and Concerns for Non-Pregnant Individuals
Muscle cramp I would like to consult a doctor. I am not pregnant, but I often experience cramps in the index toe of my right foot. I take a multivitamin every day. What could be the cause of this, and does it indicate that a specific organ in my body is unhealthy?
Dr. Li Wenlin reply Orthopedics
Hello Ms. Zhai: The possible causes of leg cramps include 1. muscle fatigue, 2. prolonged fixed muscle positions, 3. calcium deficiency, and 4. compression of lumbar or local leg nerves, among others. It is best for your situation to be evaluated by a physician in person to deter...[Read More] Understanding Leg Cramps: Causes and Concerns for Non-Pregnant Individuals
Should We Consider Surgery for a Soft Lump on a Child's Knee?
Surgery or not? A child has a soft, approximately 2 cm mass located on the left side above the left knee. He reports that it is neither painful nor itchy. An X-ray did not reveal the mass, and the doctor mentioned that it is unlikely to be originating from the bone and suggested ...
Dr. Li Wenlin reply Orthopedics
Hello Mr. Tony: Based on the description, this is most likely a soft tissue tumor, possibly a schwannoma, lipoma, or sebaceous adenoma, among others. The current focus should be whether to proceed with surgical excision. Given the patient's young age, local anesthesia may no...[Read More] Should We Consider Surgery for a Soft Lump on a Child's Knee?