Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccydynia Hello, doctor. Recently, I've been sitting for long periods at work, and the next day when I sit down at my desk, I feel a slight pain in my coccyx. This is the first time I've experienced this sensation. When I get home and lie down on my bed, there is a bit...
Dr. Luo Zhongwei reply Orthopedics
It is recommended that you schedule an appointment for further examination and evaluation.[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Is a 35-Year-Old Man a Good Candidate for Knee Replacement Surgery?
Is a 35-year-old male a suitable candidate for total knee arthroplasty? Is it appropriate for a 35-year-old to undergo total knee replacement surgery? If an average of every twenty years is needed, this age could potentially require three replacements. What issues might arise fro...
Dr. Luo Zhongwei reply Orthopedics
It is recommended that you schedule an appointment for further examination and evaluation.[Read More] Is a 35-Year-Old Man a Good Candidate for Knee Replacement Surgery?
Understanding Plate Fractures After Femoral Surgery: Causes and Solutions
Postoperative fracture of the femur plate? In March 2014, I suffered a comminuted fracture of the femur in a car accident. The doctor implanted a steel plate, screws, and wires. Two months ago, I suddenly experienced excruciating pain. After visiting a doctor who prescribed anti-...
Dr. Luo Zhongwei reply Orthopedics
It is recommended that you schedule an appointment for further examination and evaluation.[Read More] Understanding Plate Fractures After Femoral Surgery: Causes and Solutions
Managing Knee Injuries and Relapses of Tailbone Pain: Effective Strategies
Knee contusion and old coccyx injury? I injured my right knee after being knocked down while riding a bicycle, and it has been over six months. It seems that my right leg is also affected. I have undergone acupuncture, chiropractic treatment, and X-rays, which showed no bone issu...
Dr. Luo Zhongwei reply Orthopedics
It is recommended that you schedule an appointment for further examination and evaluation.[Read More] Managing Knee Injuries and Relapses of Tailbone Pain: Effective Strategies
Understanding Ankle Sprains: Healing Time and Potential Complications
Ankle sprain Doctor, may I ask a question? I sprained my ankle two months ago and consulted an orthopedic specialist. Recently, I mentioned to the doctor that I still experience mild pain when squatting. An ultrasound was performed, and the doctor noted a dark spot that could pos...
Dr. Luo Zhongwei reply Orthopedics
It is recommended that you schedule an appointment for further examination and evaluation.[Read More] Understanding Ankle Sprains: Healing Time and Potential Complications
Understanding Conservative Treatment for Leg and Ankle Fractures
Open fracture of both bones in the right lower leg and ankle fracture? Hello Doctor, I would like to ask you about issues related to my lower leg and ankle fractures. On October 12 (Monday), I was sent to the emergency room after a car accident. The doctor assessed that I have fr...
Dr. Luo Zhongwei reply Orthopedics
It is recommended that you schedule an appointment for further examination and evaluation.[Read More] Understanding Conservative Treatment for Leg and Ankle Fractures
Understanding Femoral Neck Injuries: Healing, Pain, and Bone Grafting Insights
Femoral neck injury? Why can bone sutures still be seen after autologous bone grafting? How is the growth potential of autologous bone grafts? After a fracture of the radial head with plate fixation, why does the surgical site feel swollen when I touch it? It has been 6 months si...
Dr. Luo Zhongwei reply Orthopedics
Dear Mr. Jan: Your letter seems to indicate that you have a comminuted fracture of the radial head and are undergoing open reduction and bone grafting. However, the X-ray shows a bone gap. Is that correct? First, please consult your attending physician; he should have provided yo...[Read More] Understanding Femoral Neck Injuries: Healing, Pain, and Bone Grafting Insights
Understanding Coccyx Pain: Causes, Symptoms, and Treatment Options
Coccydynia One night, I suddenly experienced severe abdominal pain that radiated from my lower abdomen to my rectum. The next day, I visited a gynecologist who said everything was fine and referred me to a gastroenterologist. The gastroenterologist mentioned that I had gas in my ...
Dr. Luo Zhongwei reply Orthopedics
DEAR BOBO: I have never liked diagnosing or treating patients through letters or written communication, as there is no opportunity for a personal physical examination or objective evidence to refer to. Please come to the clinic in person for a thorough examination, and I will pro...[Read More] Understanding Coccyx Pain: Causes, Symptoms, and Treatment Options
Understanding Posterior Cruciate Ligament Injuries: Diagnosis and Treatment Options
Posterior cruciate ligament injury? Hello Dr. Luo, two days ago I was going down the stairs and I exerted too much force. At that time, I felt a sharp pain behind my right knee, and there is a bruise on the back of my knee, but no external injury. Earlier today, I visited a commu...
Dr. Luo Zhongwei reply Orthopedics
Ms. Hsiu-Ju: Please come to the outpatient clinic for a clinical examination for an accurate diagnosis. A letter cannot be used to diagnose your condition. Thank you![Read More] Understanding Posterior Cruciate Ligament Injuries: Diagnosis and Treatment Options
Can I Remove My Clavicle Plate After 8-9 Months? Seeking Alternatives
Is it possible to remove the steel plate after 8 to 9 months? Can I have it removed at another hospital? Dear Dr. Luo, Hello! Thank you for taking the time out of your busy schedule to answer my questions. I had surgery on my left clavicle and had a plate and screws inserted, an...
Dr. Luo Zhongwei reply Orthopedics
Dear lilas33: All questions must be addressed by reviewing the X-rays and examining the patient in person to provide accurate answers. 1. If the X-ray shows that the fracture has healed, then the removal of the plate can be considered after two months. 2. If the X-ray indicates t...[Read More] Can I Remove My Clavicle Plate After 8-9 Months? Seeking Alternatives
Understanding Fibrosis in Frog Legs and Bone Spurs Treatment
Frog limbs and bone spurs? Bilateral gluteal fibrosis (frog legs) can lead to various impacts or discomfort, including limited mobility, muscle stiffness, and potential pain in the hip and lower back areas. Regarding the examination of frog legs, it is typically assessed with the...
Dr. Luo Zhongwei reply Orthopedics
Patients with frog leg posture are unable to squat with their knees together. This movement impairment is rarely associated with bone spurs in the fingers. If bone spurs are indeed present, a definitive diagnosis should be established first.[Read More] Understanding Fibrosis in Frog Legs and Bone Spurs Treatment
Chronic Wrist Pain: Effective Treatments Beyond Pain Relief
Persistent wrist pain that does not improve with treatment? Hello, I have been experiencing wrist pain for several years due to prolonged computer use and typing. I have tried pain relievers and acupuncture, but my condition has not improved. Would physical therapy be helpful? Ad...
Dr. Luo Zhongwei reply Orthopedics
Dear qq: Wrist pain is tendonitis. Rehabilitation can be helpful, and it is important to rest. Thank you![Read More] Chronic Wrist Pain: Effective Treatments Beyond Pain Relief
Is Cycling Bad for Your Knees? Choosing the Right Exercise for Joint Health
Exercise and Joint Issues Hello, Dr. Luo. I would like to ask about my situation. I am overweight (170 cm, 80 kg), which causes my legs to feel sore shortly after I start jogging. Recently, I have begun using a stationary bike for weight loss (about 50 minutes daily at a speed of...
Dr. Luo Zhongwei reply Orthopedics
DEAR ANDY: You mentioned that your feet hurt while jogging, which is different from knee joint pain. If your feet hurt, you need to gradually increase your exercise intensity. If you are experiencing knee joint pain (I’m not sure how old you are), there could be various possibili...[Read More] Is Cycling Bad for Your Knees? Choosing the Right Exercise for Joint Health
Understanding Titanium Alloy in Artificial Hip Joints: Metal Type and Pregnancy Impact
Materials for artificial hip joints? Is titanium alloy used in artificial hip joints classified as a metal, or what type of material is it? Additionally, does it have any effects on pregnancy? Thank you!
Dr. Luo Zhongwei reply Orthopedics
Dear Ms. Chen: Titanium alloy is a type of metal that provides greater flexibility and does not affect pregnancy.[Read More] Understanding Titanium Alloy in Artificial Hip Joints: Metal Type and Pregnancy Impact
Understanding Recovery After Left Ankle Fracture Surgery: Key Questions Answered
Left ankle fracture? Hello, Doctor: I underwent surgery for a left ankle fracture on April 7, and it has now been four weeks. I would like to ask a few questions (as my follow-up appointment is still a few weeks away, I hope you can understand). 1. At home, there are some areas...
Dr. Luo Zhongwei reply Orthopedics
DEAR HSINGYEH: Your description is unclear; it's not specified whether it's the left foot or the right foot. It is not advisable to jump on one foot as it may lead to falls. Your primary care physician should have provided you with educational information regarding your...[Read More] Understanding Recovery After Left Ankle Fracture Surgery: Key Questions Answered
Understanding Shoulder Pain: Strain or Injury After Tennis?
Shoulder pain? Last Friday, while playing tennis, I felt a slight strain in my shoulder, which has been uncomfortable. I'm not sure if it's a sprain or a muscle strain. When I got home, I took a hot shower and applied some ointment. Recently, when I wake up and pull the...
Dr. Luo Zhongwei reply Orthopedics
Dear Big Head: Based on your description, it seems to be a muscle strain. I must reiterate that a diagnosis cannot be made solely from written correspondence; a comprehensive clinical examination, along with imaging or biochemical data, is necessary for a definitive diagnosis. It...[Read More] Understanding Shoulder Pain: Strain or Injury After Tennis?
Understanding Pain Behind the Left Knee: Causes and Solutions
Pain behind the left knee? During the summer vacation, I worked as a factory operator, and the long-term heavy lifting and standing have put a strain on my left foot. I have been experiencing persistent pain behind my left knee, and I can't sleep well at night. I consulted a...
Dr. Luo Zhongwei reply Orthopedics
Dear b9705072, your issues may be 1. tendonitis 2. cartilage tear or other possibilities. Please visit the outpatient clinic for an examination, as it cannot be diagnosed through written communication. Thank you![Read More] Understanding Pain Behind the Left Knee: Causes and Solutions
Cost Overview of Minimally Invasive Spine Surgery for Bone Spurs
Minimally invasive spinal surgery Could you please tell me, doctor, what is the approximate cost of minimally invasive surgery for lumbar osteophytes and hip joint issues? What is the estimated coverage by health insurance, and how much would I need to pay out of pocket? I unders...
Dr. Luo Zhongwei reply Orthopedics
DEAR PING0281: Regarding lumbar osteophytes and hip joint replacement surgery, there are unified regulations by the National Health Insurance, which are related to the use of self-paid items rather than the minimally invasive nature of the surgery.[Read More] Cost Overview of Minimally Invasive Spine Surgery for Bone Spurs
Understanding Pain Management After L1 Compression Fracture Recovery
Compression fracture of the first lumbar vertebra? Hello Doctor: I suffered a compression fracture of the first lumbar vertebra a week ago. I am currently recovering at home with medication and wearing a back brace, but I often feel a lot of soreness in my lower back. Is this a n...
Dr. Luo Zhongwei reply Orthopedics
Hi! I don't know your age, so I'm unsure whether your compression fracture is due to osteoporosis or a high-impact type. Some compression fractures can be burst fractures, so it's important to confirm the correct diagnosis. Compression fractures typically take at l...[Read More] Understanding Pain Management After L1 Compression Fracture Recovery
Understanding a Child's Prominent Bone in the Chest Area
There is a protrusion of bone in the center of the child's chest? Recently, the child has been sick and not eating, resulting in weight loss. I noticed a hard lump protruding about one finger's width above the lowest rib (approximately where you would place your hands f...
Dr. Luo Zhongwei reply Orthopedics
Ms. Lin: Sorry for checking my inbox so late. That protrusion is the xiphoid process, which is located just below the sternum. It is a normal anatomical feature, so there is no need to worry. Thank you![Read More] Understanding a Child's Prominent Bone in the Chest Area