Understanding Heel Pain and Knee Issues: Causes and Solutions
Heel 1. When I wake up every morning, my heels feel stiff and painful. Sometimes it also hurts when I massage them. Could this be due to standing too long, or is there another reason? What would be the best way to address this? 2. My knees sometimes hurt with changes in the weat...
Dr. Shi Qiming reply Orthopedics
Hello: Based on your description, it appears to be inappropriate excessive use leading to tendonitis symptoms. However, we recommend that you visit our orthopedic sports medicine department for a detailed examination and further diagnosis. Thank you![Read More] Understanding Heel Pain and Knee Issues: Causes and Solutions
Knee and Calf Pain After Fracture: Military Service Implications
Knee and calf pain? Hello, doctor. I fractured my knee last year, specifically a patellar fracture. I have had O-shaped legs since childhood, and after walking for long periods, my knee and calf often feel sore. Since the fracture, the area around my patella has been particularly...
Dr. Shi Qiming reply Orthopedics
Hello: Due to the insufficient information provided regarding your actual condition (the term "calf angle" at 0 degrees is not a professional orthopedic medical term), we recommend that you visit our orthopedic outpatient clinic for a lower limb X-ray examination and a ...[Read More] Knee and Calf Pain After Fracture: Military Service Implications
Can Bone Injuries Affect Sexual Activity? Expert Insights on Healing
Please ask your question? I had a car accident a year ago, resulting in a fracture of my right femur, which has not healed until now. Older people say that bone injuries should avoid sexual activity; is this statement correct? If it does have an impact, what can be done to remedy...
Dr. Shi Qiming reply Orthopedics
Hello: 1. A femoral fracture that has not healed for a year may require another surgery for bone grafting, but I cannot make an accurate assessment without seeing your actual healing status. Therefore, please return to the orthopedic outpatient clinic for follow-up. 2. There is n...[Read More] Can Bone Injuries Affect Sexual Activity? Expert Insights on Healing
Understanding Femoral Neck Fractures: Recovery and Risks Explained
Femoral neck fracture I am 31 years old and last week I suffered a femoral neck fracture in a car accident. The doctor at National Taiwan University inserted four screws. What is the probability of recovery and the chance of developing avascular necrosis? I am really afraid that ...
Dr. Shi Qiming reply Orthopedics
Hello, the recovery rate for fractures varies between 10% to 30%, and the chance of developing avascular necrosis is between 15% to 33%. As for treatment options, follow-up care can be conducted at local outpatient clinics with X-rays for monitoring.[Read More] Understanding Femoral Neck Fractures: Recovery and Risks Explained
Managing Chronic Knee and Spine Pain After Surgery: Expert Insights
Spinal knee pain I had an accident a year and a half ago that resulted in fractures of my right knee and the twelfth vertebra, requiring surgery and fixation devices. The steel pins in my right knee were removed a year ago, and the spinal fixation device was removed before the Lu...
Dr. Shi Qiming reply Orthopedics
Hello: Due to your multiple severe fractures, particularly the fracture of the twelfth thoracic vertebra, there are many potential sequelae. Regarding the displaced patellar fracture (which I believe is a 0.2 cm discrepancy), the risk of developing osteoarthritis significantly in...[Read More] Managing Chronic Knee and Spine Pain After Surgery: Expert Insights
Understanding Left Heel Pain: Causes and Symptoms Explained
Pain in the left heel? Doctor, I would like to ask you about the pain in my left heel. What could be the symptoms and causes? Thank you.
Dr. Shi Qiming reply Orthopedics
Hello: Time can heal all wounds, but treating heel pain requires more effort than just waiting. Some people even wait six months before deciding to see a doctor. The heel is different from other parts of the body because it bears the weight of the body; once injured, inflammation...[Read More] Understanding Left Heel Pain: Causes and Symptoms Explained
Autograft vs. Allograft: Which is Better for ACL and Meniscus Surgery?
Is artificial better or autologous better? I sustained an injury while playing basketball, and after evaluation by a doctor, it was determined that I have a complete tear of the anterior cruciate ligament (ACL) and a meniscus tear. The doctor recommended surgery to address the me...
Dr. Shi Qiming reply Orthopedics
Hello: I recommend using autografts, as they can last significantly longer than synthetic ligaments, which are more prone to rupture. Autografts are currently the primary treatment method, while synthetic ligaments are used less frequently. Since autografts can be harvested from ...[Read More] Autograft vs. Allograft: Which is Better for ACL and Meniscus Surgery?
Understanding and Treating Bow Legs: Causes, Symptoms, and Solutions
Bow legs Hello, Doctor Shi: If my heels and toes are together, and there is a gap of about 6 to 7 centimeters between my thighs, knees, calves, and ankles, and when I squat, my knees bend inward, does this count as bow legs (genu varum)? Although I don't have much pain, it d...
Dr. Shi Qiming reply Orthopedics
Hello: Based on your description, it should be within the normal range. There are many reasons for bow legs in young individuals. Most cases are due to congenital rotation or curvature at the hip, femur, or knee, and generally do not require treatment. If correction is necessary,...[Read More] Understanding and Treating Bow Legs: Causes, Symptoms, and Solutions
Rehabilitation After Clavicle Fracture: Tips and Pain Management
Rehabilitation issues Hello: I suffered a fractured right clavicle from a car accident in January, and I have since undergone surgery to insert a plate. I would like to know how to proceed with rehabilitation. Can I raise my arm high now? Also, why does the other part of my right...
Dr. Shi Qiming reply Orthopedics
Hello: Clavicle fractures are often associated with muscle, ligament, and joint injuries, so it is common to experience soreness. Generally, rehabilitation for the shoulder joint can be performed, as long as weight-bearing with the right arm is avoided.[Read More] Rehabilitation After Clavicle Fracture: Tips and Pain Management
Understanding Bunions: Causes, Symptoms, and Treatment Options
Hallux valgus Hello doctor, recently I have noticed a soft, bump-like growth on my big toe. It feels soft and somewhat numb to the touch. Could this be a bunion? It is located on the edge of the big toe, near the index toe.
Dr. Shi Qiming reply Orthopedics
Hello: Hallux valgus refers to an excessive angle between the bones of the big toe, which can cause pain on the inner side of the toe, but it does not form a bunion-like growth. If there is a bunion-like growth between the big toe and the second toe that feels numb to the touch, ...[Read More] Understanding Bunions: Causes, Symptoms, and Treatment Options
Effective Strategies to Alleviate Post-Surgery Spine Pain
Spinal pain Hello, Doctor Shi: I have been experiencing spinal pain since my cesarean section in 1999, and it has been getting progressively worse. What can I do to alleviate the pain? Thank you!
Dr. Shi Qiming reply Orthopedics
Hello: The issue of spinal pain requires consultation with a specialist to determine the underlying cause before deciding on a treatment plan.[Read More] Effective Strategies to Alleviate Post-Surgery Spine Pain
Understanding Discoid Meniscus: Navigating Conflicting Medical Diagnoses
Disc-shaped meniscus When I try to fully extend my knee, I feel a bone catching, but I never experience pain. I have seen a traditional Chinese medicine practitioner who diagnosed me with patellar degeneration and treated me with acupuncture and tui na. I also consulted a tui na ...
Dr. Shi Qiming reply Orthopedics
Hello: Generally speaking, magnetic resonance imaging (MRI) is considered a fairly accurate examination. If it is indeed a meniscal tear, different treatment methods should be discussed based on the specific classification, and this is a specialized area that should be discussed ...[Read More] Understanding Discoid Meniscus: Navigating Conflicting Medical Diagnoses
Understanding Recovery from Tibia and Fibula Fractures After Surgery
Tibial and fibular fracture of the lower leg? Hello, Doctor Shi: I would like to ask you a few questions. Two months ago, I was involved in a car accident that resulted in a fracture of my tibia and fibula. I underwent surgery on the same day to insert a metal rod, which only sta...
Dr. Shi Qiming reply Orthopedics
Hello: It is common to experience pain at the site where the tibial nail is inserted (below the knee). As for the wound, it requires time for observation; if there is inflammation, redness, swelling, heat, or even pus, medication treatment will be necessary.[Read More] Understanding Recovery from Tibia and Fibula Fractures After Surgery
How to Self-Check for Spinal Curvature: A Guide for Patients
Spinal curvature assessment Hello, doctor; I suspect that my spine may be slightly curved, but I'm not sure. Is there any method I can use to measure whether my spine is truly curved?
Dr. Shi Qiming reply Orthopedics
Hello: To assess spinal curvature, you can visit an outpatient clinic for an X-ray to confirm the diagnosis. You can also measure it yourself by bending forward and observing from behind to see if one side of the back is higher than the other. However, it is still recommended to ...[Read More] How to Self-Check for Spinal Curvature: A Guide for Patients
Understanding Limb Lengthening Surgery: Can Shorter Individuals Benefit?
Inquiry about bone lengthening? Regarding limb lengthening, it is generally considered only in special circumstances. However, I would like to ask if there are any successful cases of normal individuals, such as a male with a height of approximately 155 cm, undergoing this surger...
Dr. Shi Qiming reply Orthopedics
Hello: Regarding this issue, the so-called bone lengthening surgery, also known as distraction osteogenesis, involves breaking the bone and then re-fixing it to allow for new bone growth and lengthening. This procedure utilizes the circular external fixator designed by the pionee...[Read More] Understanding Limb Lengthening Surgery: Can Shorter Individuals Benefit?
Can X-Ray of Hand Bones Predict My Final Height?
Hobbits...? Doctor, may I ask, I am 16 years old, with a height of only 164 cm and a weight of 53 kg. My parents, as well as my grandparents, are not tall, and none of my uncles or male relatives on my father's side are taller than me. Does this mean my height will likely re...
Dr. Shi Qiming reply Orthopedics
Hello: For questions regarding this matter, please consult a pediatric metabolic specialist for assistance.[Read More] Can X-Ray of Hand Bones Predict My Final Height?
Understanding Sciatica: Can Car Accidents Trigger This Condition?
Can a car accident lead to sciatica? Dear Vice Dean, My mother is 57 years old and was previously in good health, never mentioning any back pain. However, after a car accident in February of this year, she began experiencing pain in her lower back and back. The consulting physic...
Dr. Shi Qiming reply Orthopedics
Hello, Ayi: First, let me answer your first question. What is sciatica? The sciatic nerve is a nerve that branches from the lumbar and sacral spine and runs along the back of the thigh. This nerve is responsible for the sensory and motor functions of the lower limbs. Therefore, i...[Read More] Understanding Sciatica: Can Car Accidents Trigger This Condition?
Alternative Methods to Detect Bone Injuries After Car Accidents
X-rays cannot determine whether there is an injury to the bone? Dear Vice Dean, If a person is involved in a car accident and the X-ray does not clearly show any bone injuries (specifically at the tenth and eleventh vertebrae), are there other methods to confirm whether the pati...
Dr. Shi Qiming reply Orthopedics
Dear Sir/Madam, In cases of spinal injury due to trauma, if symptoms are significant, such as pain or neurological symptoms, X-ray examinations should be conducted based on the symptomatic areas. Subsequently, more advanced imaging techniques, such as computed tomography (CT) sc...[Read More] Alternative Methods to Detect Bone Injuries After Car Accidents
Understanding Patellar Chondromalacia: Symptoms, Causes, and Concerns
Patellar chondromalacia I am 20 years old and currently serving in the military. In my childhood, I experienced impacts to both knees and received treatment at a martial arts clinic. At that time, there were no significant issues, just occasional discomfort similar to rheumatism....
Dr. Shi Qiming reply Orthopedics
Dear netizens: Patellar chondromalacia is a type of patellofemoral pain syndrome characterized by widespread anterior knee pain when the patient uses the patellofemoral joint. This pain is particularly exacerbated during activities such as climbing stairs, running, squatting, or ...[Read More] Understanding Patellar Chondromalacia: Symptoms, Causes, and Concerns
Understanding Patellar Malalignment: Non-Surgical Treatment Options and Prevention
Patellar valgus Hello, I would like to ask about patellar malalignment. I noticed some stiffness in my knees during the summer, but I didn't pay much attention to it. Recently, I have experienced pain in both knees, so I visited the hospital for a consultation. After an X-ra...
Dr. Shi Qiming reply Orthopedics
Dear Xiao Pei, Surgery is a definitive treatment method. The patellar support brace can also be beneficial, but it should be worn consistently, and it is advisable to avoid climbing stairs as it may lead to valgus deformity, pain, and joint wear. Therefore, a thorough evaluatio...[Read More] Understanding Patellar Malalignment: Non-Surgical Treatment Options and Prevention