Managing Shoulder Pain: Solutions for Strength Training Challenges
The same question? Director Shih, I have a question: Recently, I asked about pain in my left shoulder that occurs when I exert force (the pain happens when I push down with my palm while trying to relax). The doctor only mentioned inflammation, but I haven't been practicing ...
Dr. Shi Qiming reply Orthopedics
Dear netizen: If you rested for a while and no longer experience symptoms after stopping push-ups, it is likely that you are dealing with bursitis. However, bursitis can occur if the angle of the shoulder during arm movements is too great, leading to compression of the bursa. The...[Read More] Managing Shoulder Pain: Solutions for Strength Training Challenges
Urgent Help Needed: Solutions for Grandfather's Severe Foot Pain
急 is not a complete Hello Doctor: My grandfather suddenly experienced severe pain in his leg yesterday and is unable to walk (he even feels pain when trying to stand!). We took him to a nearby clinic for an X-ray. The doctor there said that the cartilage between the bones is gone...
Dr. Shi Qiming reply Orthopedics
Dear netizen: What you referred to as "XX" might be articular cartilage! The most common site is the knee joint, followed by the hip joint. Indeed, if conservative treatment is ineffective, a total joint replacement can be performed, which should help with daily activit...[Read More] Urgent Help Needed: Solutions for Grandfather's Severe Foot Pain
Chronic Knee Pain: Seeking Solutions for Persistent Symptoms
The knee has not healed despite prolonged treatment? At the end of last year, during a visit to Hsinchu, I had 50cc of fluid drained from my knee due to swelling. The doctor mentioned that the fluid had some blood in it, which could indicate an old injury; however, I couldn'...
Dr. Shi Qiming reply Orthopedics
Dear netizen: Based on your condition, after various imaging examinations, a definitive diagnosis has still not been obtained. It is indeed necessary to perform arthroscopy for both diagnosis and treatment. If intra-articular bone cysts are discovered during the procedure, they c...[Read More] Chronic Knee Pain: Seeking Solutions for Persistent Symptoms
Understanding Fat Embolism Syndrome: Treatment Options Beyond Oxygen Therapy
Fat Embolism Syndrome Hello! My niece has been unconscious for 20 days following a femur fracture surgery. The doctor mentioned the symptoms related to this condition. Aside from providing oxygen (to maintain physiological functions), are there any other constructive therapies av...
Dr. Shi Qiming reply Orthopedics
Dear Sir/Madam, Although your niece has undergone surgery for a femoral fracture, her current condition falls under the domain of neurosurgery or neurology. Please consult with specialists from either of these departments. Orthopedic Department, Hsinchu Hospital, Department of ...[Read More] Understanding Fat Embolism Syndrome: Treatment Options Beyond Oxygen Therapy
Are There Risks of Antibiotic Overdose After Orthopedic Surgery?
Is there a problem with antibiotic overuse? Hello, doctor! Due to elbow surgery, I received an injection of the antibiotic Cefazolin Sodium postoperatively. However, the nurse mistakenly interpreted the dosage for three doses as three days. Will this have any side effects on my b...
Dr. Shi Qiming reply Orthopedics
Dear Sir/Madam: Administering antibiotics should certainly follow the principle of appropriate dosage. Taking three doses a day for three days is not harmful to the body, so there is no need for excessive concern. Orthopedic Department, Hsinchu Hospital, Department of Health, Exe...[Read More] Are There Risks of Antibiotic Overdose After Orthopedic Surgery?
Understanding Shoulder Pain: Treatment Options and Expert Care in Taichung
I won't? However, I don't experience pain when I rotate my arm upward. What should I do for treatment? I visited a doctor today, and he said it's just inflammation. I had an ultrasound and X-ray done. He mentioned to follow up in a few days, but he didn't pres...
Dr. Shi Qiming reply Orthopedics
Dear Sir/Madam: Pain and weakness in the shoulder joint are often associated with improper use of the surrounding muscle groups and tendons, leading to tendonitis or muscle strains. Rehabilitation, medication, and rest can all be effective treatments. In the Taichung area, hospit...[Read More] Understanding Shoulder Pain: Treatment Options and Expert Care in Taichung
Understanding Patellar Chondromalacia: Seeking Answers for Knee Discomfort
Patellar chondromalacia When I try to fully extend my knee, it feels like the bones are getting stuck, but I never feel any pain. I have seen a traditional Chinese medicine practitioner who diagnosed me with patellar degeneration. He performed acupuncture and tui na (Chinese ther...
Dr. Shi Qiming reply Orthopedics
Dear netizen: If multiple treatments and diagnoses from various hospitals, including examinations at National Taiwan University Hospital, show no abnormalities, it is recommended to observe the situation before proceeding with further treatment. Orthopedics, Hsinchu Hospital, Dep...[Read More] Understanding Patellar Chondromalacia: Seeking Answers for Knee Discomfort
Understanding Patellar Chondromalacia: Recurrence and Recovery Insights
Patellar chondromalacia I am currently undergoing rehabilitation, and my condition has improved, but will there be a possibility of recurrence in the future?
Dr. Shi Qiming reply Orthopedics
Dear User: The information you provided is insufficient for a response. Please attach additional information. Thank you! Orthopedic Department, Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Understanding Patellar Chondromalacia: Recurrence and Recovery Insights
Timing for Removing Pins After Foot Surgery: Key Considerations
Timing for Removing Orthodontic Wires Hello Dr. Shi: I have a fracture in the third phalanx of my left foot's third toe. Since I am currently abroad, I underwent surgery on October 10, where a metal pin was inserted. The surgical costs here are quite high, so I am evaluating...
Dr. Shi Qiming reply Orthopedics
Dear Sir/Madam: In the case of a distal toe fracture, if it is not open and there is no significant displacement, surgery is generally not performed, as the bone fragments are too small to be fixed. If surgery is truly necessary, it is usually done with wire fixation. The incisio...[Read More] Timing for Removing Pins After Foot Surgery: Key Considerations
Understanding Shoulder Pain: Why Does My Left Shoulder Hurt When Relaxing?
I'm sorry, but I need more context or content to provide a translation? I experience pain in my left shoulder when I exert force, specifically when my palm is facing down and I am trying to relax. There is no pain during exertion.
Dr. Shi Qiming reply Orthopedics
Dear Mr. Cheng: Based on your description, it seems that when you press down with your palm and relax your shoulder, the head of the humerus pushes upward. At this moment, the shoulder and the humeral head are compressed together, and there is a bursa between them that gets compr...[Read More] Understanding Shoulder Pain: Why Does My Left Shoulder Hurt When Relaxing?
Understanding Growth Plates: Nutrition, Surgery, and Height Increase Options
Growth plate Height can be influenced by nutrition, exercise, and stimulation of the growth plates. Is it possible to overdose on calcium supplements? If the growth plates are still open and one wishes to increase height, is the procedure to stimulate the growth plates considered...
Dr. Shi Qiming reply Orthopedics
Dear Xiaolin, Height is primarily determined by genetics, accounting for about 90% of an individual's stature. Factors such as nutrition and exercise can have a partial impact on height. Procedures like growth plate stimulation and limb lengthening should not be used on in...[Read More] Understanding Growth Plates: Nutrition, Surgery, and Height Increase Options
Understanding Lower Limb Weakness in Elderly Patients: Causes and Solutions
Lower limb weakness? A 78-year-old male has experienced weakness and pain in his lower limbs for the past two years. Recently, he has been unable to rise from the toilet, resulting in a fall. He also has issues with urinary incontinence. Please, physician, help us. What should we...
Dr. Shi Qiming reply Orthopedics
Dear netizen: Based on the symptoms of lower limb weakness, pain, and urinary incontinence, it is possible that this is a case of cauda equina syndrome, which occurs when the spinal nerves are compressed by surrounding bones or soft tissues, leading to lower limb weakness, pain, ...[Read More] Understanding Lower Limb Weakness in Elderly Patients: Causes and Solutions
Understanding Knee Cartilage Abnormalities: Symptoms, Treatment, and Rehab Options
Knee cartilage abnormalities Hello, Doctor. I have knee pain and went to the clinic for an examination. The results showed that the cartilage in my knee is asymmetrical, with one side being abnormal. The doctor informed me that this is due to a deficiency in cartilage and collage...
Dr. Shi Qiming reply Orthopedics
Dear Xiaoqi, The asymmetry of the patella refers to the lateral tilt of the kneecap, which may be one of the causes of chondromalacia. Medication and rehabilitation are among the treatment options. Strengthening the quadriceps is one method, and avoiding squatting movements can ...[Read More] Understanding Knee Cartilage Abnormalities: Symptoms, Treatment, and Rehab Options
Understanding Shoulder Dislocation and Its Link to Bone Inflammation
Is there such a thing as osteomyelitis? Hello, Doctor! I have a question I would like to ask you. I have been experiencing a persistent condition where my right shoulder frequently dislocates habitually. Even with a slight incorrect posture, it dislocates naturally, and that mome...
Dr. Shi Qiming reply Orthopedics
Hello: You mentioned that there is no history of injury to your right shoulder, which likely means there has been no direct trauma such as a collision. Shoulder dislocations can be classified as acute or chronic. Patients with chronic dislocations often have a history of ligament...[Read More] Understanding Shoulder Dislocation and Its Link to Bone Inflammation
Understanding Growth Hormone Treatment for Height Concerns in Teens
Not growing taller? My son is 16 years old, 165 cm tall, and is worried about not growing taller. I heard that growth hormone injections can help. Are there any other effects on the body from taking growth hormone?
Dr. Shi Qiming reply Orthopedics
Dear Sir/Madam: Factors that influence height include not only growth hormone but also other factors such as the skeletal system. While administering growth hormone is a feasible method for increasing height, we do not recommend it. You may visit a pediatric orthopedic specialist...[Read More] Understanding Growth Hormone Treatment for Height Concerns in Teens
Understanding Pelvic Issues: Pain and Discomfort After Childbirth
Issues related to the pelvis? Hello Doctor: Two days ago, I slept on a wooden bed and couldn't sleep on my side all night. Whenever I turned, the bones in my pelvis would collide. Is this related to having a more prominent pelvis? Sometimes when I wear jeans, it also rubs an...
Dr. Shi Qiming reply Orthopedics
Dear Sir/Madam: The width of the pelvis can change due to childbirth, and the prominence of the pelvic bones may cause pain due to friction against a hard mattress. It is recommended to use a softer mattress to reduce pain, and the preferred sleeping position is to lie flat. Orth...[Read More] Understanding Pelvic Issues: Pain and Discomfort After Childbirth
Is a Bone Density Test Necessary for Osteoporosis Risk?
Is a bone density test necessary? Hello, doctor. I would like to ask about osteoporosis and bone density issues. I have heard in television advertisements that bone health should be built from a young age. However, I consume a large amount of tea daily and have a selective diet, ...
Dr. Shi Qiming reply Orthopedics
Dear netizens: Milk is not the only source of calcium; other foods such as cheese, yogurt, spinach, and soy milk can also provide calcium. Therefore, there is no need to be overly concerned. Bone density measurements are necessary for specific populations, such as those with comp...[Read More] Is a Bone Density Test Necessary for Osteoporosis Risk?
Understanding Leg Cramps: Myths and Causes Explained
Regarding calf cramps? Hello, doctor! I have a question. While I was sleeping, my calf suddenly cramped. My classmates say that this is a sign of growing taller. Is this true, or could there be other reasons for the calf cramps? I really want to grow taller, so I'm asking fo...
Dr. Shi Qiming reply Orthopedics
Dear netizen: Height is influenced by various factors, including genetics, exercise, and nutrition. The belief that calf cramps during sleep indicate impending growth is incorrect. Instead, it is important to identify the true causes, such as trauma or electrolyte deficiencies. A...[Read More] Understanding Leg Cramps: Myths and Causes Explained
Correcting Bow Legs: Surgical Options and Costs in Taiwan
Correction of X-shaped legs (Genu Varum) Doctor: Hello! I have a noticeable case of bow legs and I would like to know if it is feasible to correct it through surgery. Is it possible to perform limb lengthening at the same time? Which hospitals in the country offer this type of su...
Dr. Shi Qiming reply Orthopedics
Dear Agan netizen: The best method for diagnosing X-shaped legs is standing full-length radiography of both legs, which allows for angle measurement. As for bone lengthening surgery, it is not recommended for individuals with normal height who are solely considering increasing th...[Read More] Correcting Bow Legs: Surgical Options and Costs in Taiwan
Managing Ankle Sprains: Effective Treatment and Recovery Tips
Ankle sprain issues..? A few days ago, my sister twisted her ankle after missing a step on the stairs (it has been swollen for 4.5 days now). On the day of the injury, she went to a traditional Chinese medicine clinic, where they treated her and wrapped her ankle. However, after ...
Dr. Shi Qiming reply Orthopedics
Dear Sir/Madam, The most crucial time for managing an ankle sprain is within the first seventy-two hours post-injury. Active treatment should include ice application, anti-inflammatory medications, elevation of the foot, rest, and protection. Since your sister missed this critic...[Read More] Managing Ankle Sprains: Effective Treatment and Recovery Tips