Can a Steel Pin Stay in Your Body for Life? Understanding Orthopedic Concerns
Can steel nails be left in place? Hello, Doctor: I suffered a fracture of the scaphoid bone in my right hand and underwent surgery on April 2nd of this year. The doctor mentioned that the bone had not healed at all after the fracture (I delayed seeking medical attention for over ...
Dr. Luo Zhongwei reply Orthopedics
In principle, it can be left in place, but if the screw is too long and irritates other joint surfaces causing pain, it should be removed.[Read More] Can a Steel Pin Stay in Your Body for Life? Understanding Orthopedic Concerns
Understanding Knee Pain and Sounds: Causes and Solutions
right knee Hello, doctor. When I squat and then stand up, my right knee makes a slight sound. Is this caused by ligament friction? (It doesn't hurt. The left knee is fine, but the right one does.) Also, recently, I've been experiencing pain about one centimeter below th...
Dr. Luo Zhongwei reply Orthopedics
Mr. Lu: A sound does not necessarily indicate a problem. Pain one centimeter below the left knee is likely due to tendonitis, and rest should suffice. Diagnosing through written descriptions is incorrect; a proper diagnosis can only be made through an in-person clinical examinati...[Read More] Understanding Knee Pain and Sounds: Causes and Solutions
Understanding Limited Mobility and Pain in the Lower Back
Lower back pain with limited mobility in the lumbar region? Hello, doctor. Recently, I noticed that when I wake up in the morning, my lower back hurts whenever I move. It doesn't hurt when I keep my back straight, but I am completely unable to bend or twist my waist. If I st...
Dr. Luo Zhongwei reply Orthopedics
Dear Mr. A: Based on your description, we first need to perform an X-ray and other basic examinations to establish a diagnosis and determine the subsequent treatment plan. Thank you.[Read More] Understanding Limited Mobility and Pain in the Lower Back
Why Can't I Bend My Knee After a Month of Recovery?
The foot cannot bend? I had a car accident a month ago, and my knee wound is still bleeding. The surgeon said to let it heal slowly. Currently, I can only bend my knee slightly, about 20 degrees. I consulted an orthopedic doctor at National Taiwan University Hospital, and he said...
Dr. Luo Zhongwei reply Orthopedics
Sufficient information cannot be obtained solely from written sources; a physical examination must be conducted in person to determine whether it is a meniscus issue. You can request or discuss with your doctor whether further examinations are necessary, rather than specifying a ...[Read More] Why Can't I Bend My Knee After a Month of Recovery?
Understanding Shoulder and Clavicle Dislocation: Symptoms and Treatment Options
Shoulder joint and clavicular dislocation? In March of this year, I suffered a dislocation due to an accident and delayed seeking medical attention for two weeks. I felt that my shoulder joint was about to drop out, so I visited a traditional Chinese medicine clinic. The doctor a...
Dr. Luo Zhongwei reply Orthopedics
Answered in the mini private mailbox on the same day.[Read More] Understanding Shoulder and Clavicle Dislocation: Symptoms and Treatment Options
Assessing the Severity of Your Orthopedic Injury: Surgery or Rehab?
Please provide the content you would like I would like to ask if my injury is considered serious. Do I need surgery? How much would the surgery cost? Or is rehabilitation an option?
Dr. Luo Zhongwei reply Orthopedics
Dear Wee: The functions of arthroscopic surgery are: first, accurate diagnosis; second, treatment. Written materials can only provide a rough estimate of the condition, so it is recommended to consult an orthopedic surgeon for a face-to-face discussion.[Read More] Assessing the Severity of Your Orthopedic Injury: Surgery or Rehab?
Knee Injury After Accident: Understanding Pain and Limited Mobility
Knee deformity or genu valgum (knock-knees)? Doctor, I was in a car accident and injured my knee. Now, my knee cannot fully straighten, and it hurts a bit when I squat. In the days immediately following the accident, my knee was very painful when I moved it inward, but it didn&#x...
Dr. Luo Zhongwei reply Orthopedics
Dear Wee: Your condition appears to be 1. damage to the patellofemoral joint surface 2. inability to fully extend the knee may indicate a tear in the meniscus, which requires arthroscopy for definitive diagnosis and treatment. Orthopedics, Chihshan Hospital, Dr. Luo Chongwei.[Read More] Knee Injury After Accident: Understanding Pain and Limited Mobility
Is Hyaluronic Acid Injection a Suitable Alternative to Knee Replacement?
Is it possible to inject hyaluronic acid for knee joint pain? Four years ago, I had a knee replacement surgery on my right knee, and it has been very successful without any complications. However, recently I have developed bone spurs in my left knee, which are causing pain. I am ...
Dr. Luo Zhongwei reply Orthopedics
Dear A-Hsia, Regarding your inquiry, since I am not aware of your X-ray examination results and actual age, I can only provide the following explanation based on health insurance regulations: According to health insurance guidelines, if a patient is over 60 years old and the X-...[Read More] Is Hyaluronic Acid Injection a Suitable Alternative to Knee Replacement?
Understanding Spinal Nerve Compression and Skin Conditions in Young Adults
Spinal nerve compression & skin diseases!! Hello, Doctor! As the title suggests, my boyfriend is experiencing knee pain due to spinal cord compression affecting the nerves, making it difficult for him to squat or stand for long periods. His condition has worsened, and now he ...
Dr. Luo Zhongwei reply Orthopedics
Dear Guangguang: Your boyfriend's issue is purely related to the knee joint. It may be chondromalacia, and he needs to visit an orthopedic clinic for differential diagnosis to identify the exact cause. As for the hand issue, it is likely due to a superficial nerve being seve...[Read More] Understanding Spinal Nerve Compression and Skin Conditions in Young Adults
Understanding Congenital Clubfoot: Treatment Options and Muscle Development
Horseshoe-shaped inward bending Hello Dr. Luo: My daughter has congenital clubfoot, and her calves appear slightly smaller compared to typical calves. She is currently two years old, and the circumference of her leg muscles is about 1 cm different. Will this discrepancy increase ...
Dr. Luo Zhongwei reply Orthopedics
Hello Xiaoling, Your daughter has congenital clubfoot, which has resulted in atrophy of the calf muscles. If not corrected, this condition will lead to lifelong muscle atrophy and deformity. However, after correction, the atrophy can improve. Your daughter is already two years ...[Read More] Understanding Congenital Clubfoot: Treatment Options and Muscle Development
Understanding Left Knee Pain: Causes, Treatments, and Surgery Options
Left knee pain? Hello, doctor: I have been experiencing pain in my left knee since the beginning of this year. I visited the orthopedic department at Chang Gung Memorial Hospital, where they diagnosed me with a ligament injury. An X-ray showed that there is a bone fragment presen...
Dr. Luo Zhongwei reply Orthopedics
Dear Jia, (1) The diagnosis you mentioned, "ligament injury," does not exist as a medical term. (2) The X-ray shows a bone, but its exact location in the knee can only be determined by reviewing the X-ray film in person. (3) There are many potential causes for knee ...[Read More] Understanding Left Knee Pain: Causes, Treatments, and Surgery Options
Understanding Growing Pains in Children: Causes and Relief Strategies
Knee pain in young children? The child is 4 years old and has been able to speak since he was little. He often complains, "My legs hurt so much!" He cries a lot when his knees hurt, and it usually occurs at night, sometimes to the point where he can't sleep. I have...
Dr. Luo Zhongwei reply Orthopedics
DEAR Christine: I am glad to receive your letter. There are various causes for knee pain in children, such as juvenile rheumatoid arthritis, monoarthritis, infectious arthritis, or due to knee injury, among others. A differential diagnosis is necessary. It is essential to consult...[Read More] Understanding Growing Pains in Children: Causes and Relief Strategies
Understanding Neurofibromas: Quick Surgical Decisions and Their Implications
Neurofibroma A small lump the size of a peanut has developed on the inner side of my mother's hand, which moves when pressed. Recently, she has experienced occasional numbness while sleeping. She went to the orthopedic department at National Taiwan University Hospital for an...
Dr. Luo Zhongwei reply Orthopedics
Dear Huhu, You have a small tumor growing on your hand, which could be various possibilities such as a lipoma or a neuroma. These tumors do not require extensive examination; they can be removed under local anesthesia. Only after removal and subsequent pathological examination ...[Read More] Understanding Neurofibromas: Quick Surgical Decisions and Their Implications
Understanding Bone Spurs: Impact on Military Life and Treatment Options
Knee joint I am an active-duty military personnel who has just completed training. Due to pain in my shoulder, I sought medical attention at Taipei Veterans General Hospital. After imaging, the doctor diagnosed me with posterior bone spur syndrome, commonly known as bone spurs. I...
Dr. Luo Zhongwei reply Orthopedics
Dear Ah Kai, There are many causes of knee pain. Even orthopedic surgeons may misdiagnose if they are not specialized in sports medicine. I recommend that you visit the Department of Sports Medicine at Taipei Veterans General Hospital to see Director Ma for further evaluation. ...[Read More] Understanding Bone Spurs: Impact on Military Life and Treatment Options
Can Scoliosis Develop After Puberty in Middle-Aged Women?
Scoliosis Hello, doctor: May I ask if I can still develop scoliosis after puberty? I am a middle-aged woman. Thank you.
Dr. Luo Zhongwei reply Orthopedics
Dear 小小; Scoliosis often worsens rapidly during puberty, and it is still possible for it to progress slowly into the twenties. It is necessary to have an X-ray every three months to monitor the angle for any signs of deterioration.[Read More] Can Scoliosis Develop After Puberty in Middle-Aged Women?
Can Toddlers Sleep on Soft Mattresses Without Affecting Bone Development?
Can a baby over one year old sleep on a soft spring mattress? Will it affect their bone development? When transitioning a baby from a crib, what type of bed should they sleep in to ensure proper skeletal development and good sleep quality?
Dr. Luo Zhongwei reply Orthopedics
Infants should not sleep on overly soft mattresses, as it can affect the development of their spine. A regular mattress is sufficient.[Read More] Can Toddlers Sleep on Soft Mattresses Without Affecting Bone Development?
Understanding Scoliosis: Impact on Pregnancy and Long-Term Health
Scoliosis 1. Will scoliosis affect the ability to have children? 2. If I seek treatment at a traditional Chinese medicine clinic, how much time should I expect to spend? 3. Will there be any long-term effects as I age?
Dr. Luo Zhongwei reply Orthopedics
Scoliosis only affects the spinal column above the pelvis, so it does not impact the labor process during childbirth. Correction of scoliosis through traditional Chinese medicine is absolutely ineffective, so there is no need to waste time on it. In older age, back pain is often ...[Read More] Understanding Scoliosis: Impact on Pregnancy and Long-Term Health
How to Handle Wrist Pain in Children After a Play Injury
Pediatric Orthopedics Hello, my child is experiencing pain and crying whenever her right wrist is touched, which seems to have resulted from pulling during play. How should I handle this situation? Thank you!
Dr. Luo Zhongwei reply Orthopedics
If you experience pain when encountering wrist discomfort, it is best to consult an orthopedic physician for a clinical examination to determine whether it is a fracture or a sprain.[Read More] How to Handle Wrist Pain in Children After a Play Injury
How to Reduce Pain While Doing Push-Ups for Beginners
Sports injuries? Hello doctor, I usually don't have a habit of exercising, but recently I've been preparing for military service and tried doing push-ups at home. I got tired after just 10 repetitions, and the next day my arms were sore and I could hardly do another 10....
Dr. Luo Zhongwei reply Orthopedics
First is rest, to prevent the condition from worsening. Second is to see an orthopedic physician to determine the cause, which is essential for proper treatment.[Read More] How to Reduce Pain While Doing Push-Ups for Beginners
Understanding Pelvic Tilt: Causes and Treatment Options
Pelvic tilt? I am 18 years old, 152 cm tall, and weigh 48 kg. My weight doesn't seem too heavy, but my hips and lower abdomen appear particularly large. I've heard that pelvic tilt can cause body shape changes, and I'm not sure if I have this condition. Which speci...
Dr. Luo Zhongwei reply Orthopedics
You should see an orthopedic specialist for a more detailed examination in the outpatient clinic.[Read More] Understanding Pelvic Tilt: Causes and Treatment Options