Understanding Lisfranc Injuries: Surgical vs. Non-Surgical Treatment Options
Metatarsal fracture Hello Doctor: I would like to ask about a diagnosis of a Lisfranc injury between the first and second metatarsophalangeal joints, with an approximate separation of 2.5mm between the two joints. I have consulted two doctors; one recommended surgery, while the o...
Dr. Shi Guozheng reply Orthopedics
A small displacement distance (2.5 mm) may not require surgery, as the impact of not undergoing surgery is minimal.[Read More] Understanding Lisfranc Injuries: Surgical vs. Non-Surgical Treatment Options
Understanding Post-Knee Surgery Swelling: Causes and Treatments
Postoperative care after knee surgery? Swelling of the feet and ankles that occurs in the morning but worsens by the afternoon may be due to several reasons, including fluid retention, prolonged standing or sitting, or underlying conditions such as heart, kidney, or liver issues....
Dr. Shi Guozheng reply Orthopedics
It may be that the knee surgery has affected the blood circulation in the lower limb. Elevating the affected leg for a period of time can help reduce swelling, and repeating this several times will gradually decrease the swelling. Typically, the swelling can last for one to two m...[Read More] Understanding Post-Knee Surgery Swelling: Causes and Treatments
Understanding Knee Pain: Recovery After Injury and Treatment Options
Knee issues Hello, doctor. Seven months ago, I was in a car accident and injured the front of my right knee, resulting in a minor abrasion. At that time, both knees were extremely painful, and I couldn't stand up. I later went to a rehabilitation clinic for X-rays and ultras...
Dr. Shi Guozheng reply Orthopedics
1. It is possible. 2. You can take glucosamine or receive hyaluronic acid injections to improve the condition. If that doesn't work, you might consider trying PRP (Platelet-Rich Plasma) therapy with high concentrations of platelets.[Read More] Understanding Knee Pain: Recovery After Injury and Treatment Options
Non-Painful Toe Cyst: When to Seek Treatment and Removal Options
A cyst has appeared on the side of my toe; it is not painful and does not affect my walking, but it won't go away? Hello Doctor, around mid-August, I noticed a round lump on the lower right side of my left foot's second toe. It doesn't hurt when pressed, and I don&...
Dr. Shi Guozheng reply Orthopedics
Surgery is only necessary if there is pain that requires management or if the condition worsens and affects shoe fitting.[Read More] Non-Painful Toe Cyst: When to Seek Treatment and Removal Options
Understanding Crush Injuries: Recovery Tips for Foot Fractures
Crush fracture of the foot? Hello Doctor, on August 12, I accidentally fell from the fourth floor and landed on my feet. I had surgery on my left foot twice (currently, my five toes are still unresponsive). The sensation when stepping on the ground feels strange, and I experience...
Dr. Shi Guozheng reply Orthopedics
Typically, a fracture takes about three months to fully heal, so practicing should be possible after three months.[Read More] Understanding Crush Injuries: Recovery Tips for Foot Fractures
Concerns About Height: Am I Too Short for My Age?
Shorter than peers of the same age? Hello, doctor. I am currently 12.5 years old. After starting junior high school, I noticed that my peers have all surpassed 155 cm, even reaching 160 cm, while I am still under 150 cm and often get teased by my classmates. I have not yet starte...
Dr. Shi Guozheng reply Orthopedics
1. No. 2. There is still a chance to grow taller.[Read More] Concerns About Height: Am I Too Short for My Age?
Living Without an ACL: Treatment Options and Future Outlook
What should I do if I have lost my anterior cruciate ligament? Hello! About 15 years ago, I had a minor car accident that injured my anterior cruciate ligament (ACL), and I received treatment and rehabilitation at Tzu Chi Hospital in Taipei. A friend suggested I visit Taipei Vete...
Dr. Shi Guozheng reply Orthopedics
Strength training for the quadriceps can enhance muscle strength, which may help reduce anterior-posterior movement of the knee joint. Depending on your age, undergoing ligament reconstruction may not be advisable at this time. If you are not experiencing pain, there is no need f...[Read More] Living Without an ACL: Treatment Options and Future Outlook
Understanding a Hard Bump on the Back of Your Head: Causes and Concerns
Swelling or protrusion at the back of the head? About a week ago, I noticed a swelling on the back of my head while touching it. I'm not sure if it's a lump or a protrusion of the occipital bone. It doesn't hurt or itch, and it feels hard.
Dr. Shi Guozheng reply Orthopedics
It should be a normal prominence located just below the center of the occipital bone.[Read More] Understanding a Hard Bump on the Back of Your Head: Causes and Concerns
Is It Safe to Do Foot Dips with an Unhealed ACL Tear?
Anterior cruciate ligament tear Hello! I would like to ask if it is appropriate to perform toe curls while my anterior cruciate ligament (ACL) tear has not yet healed. Due to my previous reluctance to bend my knee, my joint has become stiffer and atrophied. I am currently doing s...
Dr. Shi Guozheng reply Orthopedics
Can be continuously and gradually bent.[Read More] Is It Safe to Do Foot Dips with an Unhealed ACL Tear?
Can Removing a Steel Plate Improve Finger Overlap After Fracture?
After the removal of the steel plate? After a fracture of the third metacarpal with the installation of an interlocking plate near the distal joint, but with no injury to the joint itself, there is overlapping of the middle finger and ring finger. Will removing the plate improve ...
Dr. Shi Guozheng reply Orthopedics
After the removal of the metal plate, rehabilitation may not be effective because the fracture may have healed in a slightly misaligned position (rotational alignment). Therefore, unless a second surgery is performed to correct it, it may not be possible to change the situation.[Read More] Can Removing a Steel Plate Improve Finger Overlap After Fracture?
COVID-19 Symptoms: Can It Cause Tailbone Pain and Discomfort?
Symptoms of COVID-19 Can a doctor tell me if tailbone pain can occur with COVID-19? I didn't have these symptoms before, but they started after I got sick. I'm particularly concerned about a noticeable bump above my tailbone that I can feel. It makes it difficult to sle...
Dr. Shi Guozheng reply Orthopedics
COVID-19 can cause muscle soreness in the lower back and limbs, which should improve after recovery from the infection.[Read More] COVID-19 Symptoms: Can It Cause Tailbone Pain and Discomfort?
Understanding Finger Joint Pain: When to Seek Medical Help
Finger joints On the afternoon of October 27, there was redness, swelling, and pain at the junction of the left middle finger and palm. Pain occurs when bending the finger or making a fist. The patient works as a cashier and occasionally lifts heavy objects. The affected area has...
Dr. Shi Guozheng reply Orthopedics
It is possible that seeing an orthopedic specialist may indicate tendonitis caused by overuse. If the finger gets stuck and cannot straighten when bending, it could be a sign of trigger finger. Typically, after consulting a physician, medication is prescribed, and resting the fin...[Read More] Understanding Finger Joint Pain: When to Seek Medical Help
Effective Treatments for Knee Degeneration: Beyond Pain Relief
Knee degeneration Hello Doctor, I have a question. My knee hurts, and after an X-ray, it was diagnosed as degenerative. The doctor only prescribed painkillers and advised me to do quadriceps exercises (lifting my leg at a 45-degree angle while lying down). I have been doing thi...
Dr. Shi Guozheng reply Orthopedics
The X-ray indicates that the knee joint has degenerated, so it's important to assess the degree of degeneration. If it's not severe, it usually improves with medication. Hyaluronic acid injections can also alleviate pain symptoms, and if improvement is seen, there may b...[Read More] Effective Treatments for Knee Degeneration: Beyond Pain Relief
Understanding Knee Pain: Is It Degenerative Arthritis After Vaccination?
Knee joint pain Hello Doctor, I started receiving vaccinations last year, and initially, I experienced mild pain in my finger joints. I consulted a rheumatologist, and the blood tests came back normal. I didn't pay much attention to it and continued with the vaccinations. Af...
Dr. Shi Guozheng reply Orthopedics
Joint degeneration is possible, and if medication can provide relief, it is advisable to take some. Additionally, engaging in rehabilitation can help improve the condition gradually.[Read More] Understanding Knee Pain: Is It Degenerative Arthritis After Vaccination?
Understanding Fifth Metatarsal Fractures: Surgery or Conservative Treatment?
Fifth metatarsal fracture Hello, doctor. I recently suffered a fifth metatarsal fracture (with a 2mm displacement) due to an accident at work. Several doctors have given me the option of surgery or non-surgical treatment, and I'm feeling a bit frustrated about how to decide....
Dr. Shi Guozheng reply Orthopedics
Non-surgical treatment with a cast is sufficient for a fracture near the base of the metatarsal, as the displacement is minimal. It will heal in approximately six weeks.[Read More] Understanding Fifth Metatarsal Fractures: Surgery or Conservative Treatment?
Non-Surgical Options for Fifth Metatarsal Fractures: What You Need to Know
Fifth metatarsal fracture? Hello, doctor. I have attached my X-ray images. This is the current situation. The doctor here mentioned that surgery is basically optional, but the bone will grow in a misaligned direction, which may lead to subsequent pain. I would like to ask if it i...
Dr. Shi Guozheng reply Orthopedics
1. Surgery is possible. 2. There is no impact. 3. There are no issues with blood supply. 4. Bone spurs will not develop. 5. Surgery may not heal properly. 6. Surgery is not recommended.[Read More] Non-Surgical Options for Fifth Metatarsal Fractures: What You Need to Know
Understanding Finger Joint Inflammation: Causes, Treatments, and Concerns
Finger joint inflammation Hello Doctor: I have no history of trauma, and my dominant hand is my right hand. Initially, I noticed pain in the middle joint of my ring finger when bending it. After a week, the pain intensified during bending, so I visited an orthopedic specialist. B...
Dr. Shi Guozheng reply Orthopedics
1. It is possible and will not deform. 2. Usually, it will not. 3. Let's wait a few months and then check again.[Read More] Understanding Finger Joint Inflammation: Causes, Treatments, and Concerns
Preventing Joint Stiffness After Radial Head Fracture: Essential Tips
How to prevent joint stiffness in the early stages of a radial head fracture? Subject: I slipped and fractured my right radial head on October 12. The X-ray is as follows: https://drive.google.com/file/d/1vRAkhA6uLM8Uqqh5XZ9PjkQNRnN0kFZt/view?usp=sharing. I have visited the docto...
Dr. Shi Guozheng reply Orthopedics
1. Surgery is not necessary; stiffness may still be present even after surgery. 2. It is possible. 3. It is more appropriate to adopt the recommendation of a third physician, as the diagnoses are all the same.[Read More] Preventing Joint Stiffness After Radial Head Fracture: Essential Tips
Understanding Fifth Metatarsal Fractures: Surgery or Conservative Treatment?
Fifth metatarsal fracture Hello, doctor. I recently suffered a fracture of the fifth metatarsal (with a 2mm displacement) due to an accidental misstep at work. Several doctors have provided me with the option of either surgery or non-surgical treatment, and I'm feeling a bit...
Dr. Shi Guozheng reply Orthopedics
Photos can be sent via https://drive.google.com/file and usually do not require surgery.[Read More] Understanding Fifth Metatarsal Fractures: Surgery or Conservative Treatment?
Understanding Bumps on the Fourth Metatarsal: Bursitis or Corn?
Bilateral fourth metatarsal exostosis? Hello Doctor, I recently noticed a bump on the fourth metatarsal of both of my feet. It doesn't hurt when I press on it, but sometimes I experience mild aching pain after walking a lot. Blood tests have shown slightly elevated inflammat...
Dr. Shi Guozheng reply Orthopedics
Typically, bursitis is more likely to warrant a visit to a physician for an examination of the appearance or to obtain an X-ray to assess any relationship with the bones.[Read More] Understanding Bumps on the Fourth Metatarsal: Bursitis or Corn?