Do I Need Rehabilitation for My Shoulder Pain?
Do I need rehabilitation for my hand? Hello Doctor: About 10 days ago, I noticed some discomfort in my left shoulder after waking up in the morning. Two days later, I realized that I could only raise my arm to shoulder level at most; lifting my arm higher was somewhat difficult a...
Dr. Shi Qiming reply Orthopedics
You have a problem with raising your left shoulder, but it has improved after taking medication. It may be due to tendonitis, but there is still discomfort, and there could be issues with other rotator cuff muscles. Further examination is needed to determine if it will affect you...[Read More] Do I Need Rehabilitation for My Shoulder Pain?
Can Laser Treatment Help with Neck Bone Spurs and Nerve Pain?
Can laser treatment be used to treat cervical bone spurs? Dear Doctor, First of all, thank you for taking the time to read my letter amidst your busy schedule. My mother has been experiencing severe hand numbness, which has affected her ability to sleep. She has undergone X-rays...
Dr. Shi Qiming reply Orthopedics
The treatment depends on the location of the bone spur. Generally, laser surgery is more effective for lumbar spine bone spurs, while cervical spine surgery is more challenging due to the narrow spinal canal, making it difficult to perform endoscopic procedures. This type of surg...[Read More] Can Laser Treatment Help with Neck Bone Spurs and Nerve Pain?
Understanding Growth Plate X-rays: Where and How Much in Hsinchu?
I would like to have an X-ray of the growth plates? I would like to ask the doctor~~ I am currently 22 years old (in Chinese age) and my height is only 167 cm. I have always wanted to grow taller but have neglected the best time for growth. I want to get an X-ray of my growth pla...
Dr. Shi Qiming reply Orthopedics
1. A frontal X-ray of the left hand is sufficient, but it should be interpreted in conjunction with the reference chart. 2. A trained radiologist or pediatric orthopedic specialist can interpret the X-ray. 3. The fee for one X-ray at our hospital is approximately NT$200. 4....[Read More] Understanding Growth Plate X-rays: Where and How Much in Hsinchu?
Do I Need Surgery for My Fibula Fracture After a Car Accident?
Car accident? Hello Doctor: Currently, there is a fracture in the posterior and upper side of the fibula in my left calf, and I have had a cast for four days. The X-ray shows a separation of the tibia and fibula in the left calf, causing the ankle to be displaced outward. The doc...
Dr. Shi Qiming reply Orthopedics
Regarding the fracture of the left fibula, special attention should be paid to whether the distal fracture is within 8 centimeters of the ankle joint, as this will affect its stability. Therefore, internal fixation with a plate is required, so please consider the fracture locatio...[Read More] Do I Need Surgery for My Fibula Fracture After a Car Accident?
Post-Surgery Arm Pain: Causes, Recovery Tips, and Relief Strategies
Hello, I would like to inquire about post-operative arm swelling and pain. Thank you! I have a friend who broke three fingers about ten days ago at work. After surgery to reattach them, he is still hospitalized in Changde, Hunan, China. Now, he is experiencing a problem: his arm ...
Dr. Shi Qiming reply Orthopedics
In response to your inquiry, it is recommended to consult a plastic surgeon. The following are the answers provided by Dr. Chou Hong-Chang from the Department of Plastic Surgery: 1. The effects of the anesthesia should have worn off by now (since it has been 10 days). The swelli...[Read More] Post-Surgery Arm Pain: Causes, Recovery Tips, and Relief Strategies
Understanding Growth Patterns: Height Changes and Finger Length Correlation
Exactly 10 centimeters? In fourth grade, I was 147 cm tall, in fifth grade I was 157 cm, and in sixth grade I was 163 cm. I grew exactly 10 cm; can I only expect to grow 4-5 cm more? Regarding my previous question, does having shorter fingers mean that a person is less likely to ...
Dr. Shi Qiming reply Orthopedics
Please cooperate with the X-ray bone age assessment and the evaluation of secondary sexual characteristics (such as pubic hair and testicular size). Kindly visit the pediatric outpatient clinic for further evaluation.[Read More] Understanding Growth Patterns: Height Changes and Finger Length Correlation
Understanding Sciatica: Why Sitting Causes Pain in the Tailbone and Thighs
Sciatic nerve Hello, doctor. I have been experiencing pain from my coccyx to my thigh for nearly two months due to prolonged sitting in front of the computer. I have taken medication three times. Currently, I apply heat daily, perform the stretching exercises recommended by my do...
Dr. Shi Qiming reply Orthopedics
Coccydynia, or pain in the coccyx region, is often caused by trauma leading to dislocation or fracture of the coccyx. Additionally, prolonged poor sitting posture can result in pressure on this area, causing pain. This type of cumulative injury can be treated with rehabilitation ...[Read More] Understanding Sciatica: Why Sitting Causes Pain in the Tailbone and Thighs
Is My Growth Plate Closed? Understanding Height Potential at 13
Has the growth plate closed? I'm 13 years old and I'm not sure if my growth plates have closed. My family can't afford to have them checked. I am 163 cm tall and my foot size is 25 cm. I started developing in the 5th grade, and I have a bit of a habit of masturbati...
Dr. Shi Qiming reply Orthopedics
1. For typical boys aged 13 to 15, this is a period of rapid growth. 2. It is important to record height each year; if a boy grows more than 10 centimeters in one year, his future growth will likely be limited to 4 to 5 centimeters. 3. The frequency of masturbation has no rel...[Read More] Is My Growth Plate Closed? Understanding Height Potential at 13
Understanding Spinal Issues: Symptoms, Treatment, and Care for Back Pain
Spine After lifting heavy objects, I experienced pain between my left lower back and hip. I visited a clinic for an X-ray, and the doctor mentioned that my spine is aligned in a straight line instead of the normal S-curve, and there are bone spurs present. However, the doctor ind...
Dr. Shi Qiming reply Orthopedics
There are many causes of spinal pain, including degeneration, overuse, and congenital deformities. A more detailed examination should be conducted, such as MRI, X-rays, CT scans, etc., followed by a discussion with the physician to determine whether surgery is necessary.[Read More] Understanding Spinal Issues: Symptoms, Treatment, and Care for Back Pain
Understanding Bone Spurs Between the Tibia and Talus: Symptoms and Treatment
Bone spurs develop between the tibia and talus? Doctor, I may have developed a bone spur between my tibia and talus due to a previous severe sprain. I have had an X-ray taken, and the location is indicated by the red dot in the image (right foot—yellow represents the bone, and re...
Dr. Shi Qiming reply Orthopedics
As shown in the image, the location of the bone spur is between the joint surfaces, which often affects walking and causes pain. Therefore, the necessity for surgery depends on the size of the bone spur. The preferred surgical approach is minimally invasive, such as arthroscopic ...[Read More] Understanding Bone Spurs Between the Tibia and Talus: Symptoms and Treatment
Understanding the Causes of Chronic Bone Pain in Limbs
Bone pain? Hello Dr. Shi: I would like to ask you a question. Since I was young, I have experienced intermittent pain in my arms and legs. Although the pain is not unbearable, I often feel weak. The episodes vary in duration, usually lasting around ten hours, and sometimes they a...
Dr. Shi Qiming reply Orthopedics
Considering your age, gender, and symptoms, it is advisable to evaluate for possible rheumatic autoimmune arthritis. Please consult a rheumatologist for examination to determine the underlying cause.[Read More] Understanding the Causes of Chronic Bone Pain in Limbs
Differentiating Tendonitis from Ganglion Cysts: A Comprehensive Guide
What is the difference between tendinitis and a tendon sheath cyst? Due to a previous summer job involving packaging work, I suddenly developed a lump on my wrist one day (it is very painful when pressed, and sometimes it swells to the point where the entire back of my hand is sw...
Dr. Shi Qiming reply Orthopedics
Wrist pain may be due to tendonitis, but the presence of a lump on the wrist could also be caused by a ganglion cyst. It is recommended that you visit an orthopedic clinic for diagnosis and treatment.[Read More] Differentiating Tendonitis from Ganglion Cysts: A Comprehensive Guide
Managing Inflammation of the Knee Cartilage: Care Tips and Follow-Up
Periosteitis If you have inflammation of the knee cartilage (chondromalacia), it is important to pay special attention to the following aspects for care and management: 1. **Rest and Activity Modification**: Avoid activities that put excessive stress on the knee, such as running...
Dr. Shi Qiming reply Orthopedics
Patellar chondromalacia is typically caused by overuse, such as excessive physical activity or work, leading to softening of the cartilage in the patella, resulting in symptoms like pain and difficulty with stair climbing. It is advisable to consult a sports medicine specialist i...[Read More] Managing Inflammation of the Knee Cartilage: Care Tips and Follow-Up
Knee Pain and Numbness: Understanding Your Symptoms and Solutions
My knee is numb and painful? Hello Doctor: During my sleep, I noticed that my leg cannot be straightened. It's not the usual numbness from staying in one position; rather, it feels very sore and painful around the knee area. I can't quite describe it—it's like a cr...
Dr. Shi Qiming reply Orthopedics
Considering the age of 24, it is less likely to have degenerative knee joint disease, and it is more probable to have issues related to tendons, ligaments, or the meniscus. If there are no instability issues, conservative treatment may be considered; however, it is still recommen...[Read More] Knee Pain and Numbness: Understanding Your Symptoms and Solutions
Understanding Osteitis Condensans Ilii: Causes, Symptoms, and Prevention Tips
Lower back and back pain? In recent months, I have been experiencing frequent pain in my lower back and back. I went to the hospital for an examination, and the X-ray showed white areas on the bones. The doctor said it is bone inflammation and diagnosed it as Osteitis Condensans ...
Dr. Shi Qiming reply Orthopedics
There are numerous causes of back pain, and relying solely on X-rays for diagnosis is not definitive. It is essential to consider various symptoms and the affected areas, in addition to the findings from X-rays. If the X-ray results are insufficient, further examinations such as ...[Read More] Understanding Osteitis Condensans Ilii: Causes, Symptoms, and Prevention Tips
Understanding Pediatric Trigger Finger Surgery: Options and Concerns
Surgical procedure for pediatric trigger finger? Hello, my child is currently 2 years and 3 months old and has trigger thumb in both hands! We have been undergoing rehabilitation for almost two months now, but he is unwilling to cooperate with wearing the splint for stabilization...
Dr. Shi Qiming reply Orthopedics
1. Percutaneous tenotomy of the pulley is performed using a needle incision, while traditional surgery involves a scalpel incision. 2. For pediatric trigger finger, due to the small size of the tendon sheath, percutaneous surgery is not recommended. Our hospital has not perform...[Read More] Understanding Pediatric Trigger Finger Surgery: Options and Concerns
Left Back Pain During Deep Breathing: Causes and Specialist Guidance
Pain in the left side of the back during breathing? Hello, Doctor. I would like to ask you a question. When I take deep breaths (especially when inhaling deeply), I experience pain in my left back, near the kidney area. It doesn't feel like bone pain; it feels more like musc...
Dr. Shi Qiming reply Orthopedics
We kindly suggest that you visit a pulmonology department. Thank you![Read More] Left Back Pain During Deep Breathing: Causes and Specialist Guidance
Can O-Shaped Legs in Teens Be Corrected? Expert Insights
Bow legs Hello: My son has a problem with bow legs. He is going to be a freshman in high school this year. Is it possible to correct this?
Dr. Shi Qiming reply Orthopedics
The occurrence of bow legs (genu varum) depends on age and the degree of the angle. If the individual is already in high school, it is unlikely that growth will correct the condition. It is recommended to measure the angle in an outpatient setting to determine if correction is ne...[Read More] Can O-Shaped Legs in Teens Be Corrected? Expert Insights
Managing Limb Length Discrepancy and Multiple Osteochondromas: Treatment Options
excuse me? I am 18 years old and have a leg length discrepancy of 4.6 centimeters, along with multiple osteochondromas. Since childhood, I have undergone surgeries for multiple osteochondromas on my hands, feet, knees, and shoulders. I have discovered that the leg length discrepa...
Dr. Shi Qiming reply Orthopedics
In cases of limb length discrepancy, accurate measurement of lower limb length is necessary for diagnosis. If the difference is 4.5 centimeters or more, it may affect walking and could lead to mild disability. It is recommended to visit an orthopedic clinic for a thorough examina...[Read More] Managing Limb Length Discrepancy and Multiple Osteochondromas: Treatment Options
Understanding Upper and Lower Back Pain: When to See an Orthopedic Specialist
Back vertebral pain? Hello, recently I've been experiencing frequent soreness in my back. Taking medication hasn't provided much relief, and I feel pain in the upper and lower parts of my spinal vertebrae, especially when pressed. I'm unsure what the issue might be...
Dr. Shi Qiming reply Orthopedics
For chest and lumbar spine pain, a general examination is required, including X-rays and physical examination, for diagnosis. If the condition is severe, further investigations such as CT scans or MRIs may be necessary, typically conducted in an orthopedic outpatient clinic.[Read More] Understanding Upper and Lower Back Pain: When to See an Orthopedic Specialist