Dr. Shi Qiming reply Orthopedics Question - Page 3

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Understanding Treatment Options for Scapular Neck Fractures

Scapular neck fracture Hello, my mother-in-law suffered a neck fracture of the scapula due to a car accident. Initially, the deputy director (orthopedic surgeon) at Taoyuan Lixin Hospital informed us that surgery was not an option, but he did not provide any further instructions....


Dr. Shi Qiming reply Orthopedics
In the case of a neck fracture of the scapula, if there is no severe displacement or impact on the joint surface, surgical intervention is generally not necessary. However, due to its impact on shoulder joint mobility, it is recommended to undergo rehabilitation treatment for sev...

[Read More] Understanding Treatment Options for Scapular Neck Fractures


Choosing the Right Knee Brace for Tibial Fractures: Expert Advice

Tibial Fracture - Knee Hello Doctor: Regarding the choice of knee brace, my fracture is located in the knee. What type of knee brace should I choose? I would appreciate your advice, thank you!


Dr. Shi Qiming reply Orthopedics
We recommend that you visit an orthopedic outpatient clinic for evaluation by a physician, as the treatment will depend on the specific circumstances of the fracture.

[Read More] Choosing the Right Knee Brace for Tibial Fractures: Expert Advice


Understanding Shoulder Dislocation: Risks of Surgery vs. Non-Surgical Recovery

Bone displacement Hello Doctor, I was involved in a car accident on July 6th and was taken to the emergency room where I had X-rays taken. After discussing with the doctor, I learned that I have a torn ligament in my left shoulder, which has caused dislocation of the shoulder bon...


Dr. Shi Qiming reply Orthopedics
We kindly inform you that a diagnosis can only be made after reviewing the X-ray images and conducting a physical examination. We recommend that you visit Dr. Chuang Yong-Ching at our orthopedic clinic for further evaluation.

[Read More] Understanding Shoulder Dislocation: Risks of Surgery vs. Non-Surgical Recovery


Choosing the Right Knee Brace After a Fracture: A Guide for Recovery

Knee brace selection? Hello Doctor: I was in a car accident this January, which resulted in a fracture of my left tibia. Since the injury was between being operable or treatable with a cast, I chose to use a cast for natural healing. It has been nearly six months since the accide...


Dr. Shi Qiming reply Orthopedics
The treatment and healing time for tibial fractures vary depending on the location of the fracture. Generally, individuals with fractures that have not healed will experience pain when standing or walking for extended periods. The choice of knee brace should be determined based o...

[Read More] Choosing the Right Knee Brace After a Fracture: A Guide for Recovery


Managing Acute Ligament Inflammation in the Right Knee: A Soldier's Guide

Right knee ligament Hello Doctor: I am a conscript currently serving in the military. I enlisted in early January and after a 3000-meter run, I suddenly experienced severe pain in my right knee, making it painful to walk. The military doctor diagnosed it as acute ligament inflamm...


Dr. Shi Qiming reply Orthopedics
It is advisable to consider or adopt the opinions of private hospitals and to inquire about the practices of military hospitals. If conscripts are experiencing health issues, they can consult the military service office for guidance on how to proceed and to choose a treatment hos...

[Read More] Managing Acute Ligament Inflammation in the Right Knee: A Soldier's Guide


Understanding Complex Orthopedic Issues: From Neck Pain to Sciatica

What kind of disease? Hello, doctor. Four years ago, I experienced swelling in my left big toe and knee for two years. In late December of last year, after lifting heavy objects, I developed persistent pain in my shoulder blades and upper back. An orthopedic X-ray diagnosed misal...


Dr. Shi Qiming reply Orthopedics
In response to the symptoms caused by cervical spine injury, a consultation with a neurosurgeon is recommended, followed by diagnostic imaging starting with X-rays and progressing to MRI to assess the degree of nerve compression in the cervical spine. This will help determine whe...

[Read More] Understanding Complex Orthopedic Issues: From Neck Pain to Sciatica


Understanding Thigh Bone and Pelvis Issues: Treatment Options

Femur at the hip joint? Hello doctor, the area where my pelvis connects to my femur is becoming more prominent, and it feels uncomfortable when I tap it with my hand. What treatment should I pursue? Thank you.


Dr. Shi Qiming reply Orthopedics
In response to your statement, the area where the thigh meets the pelvis is the hip joint. Generally, it should not protrude unless there is a dislocation. Therefore, it is best to visit an orthopedic clinic for an X-ray examination to clearly identify the issue.

[Read More] Understanding Thigh Bone and Pelvis Issues: Treatment Options


Managing Knee Pain: Understanding Valgus Deformity and Cartilage Damage

Genu valgum with associated lateral chondromalacia? Hello, doctor. I just turned 18, and I was shocked to find out from my examination that I have genu valgum with associated lateral cartilage softening! This lengthy diagnosis really startled me because I have an upcoming graduat...


Dr. Shi Qiming reply Orthopedics
In cases of patellar valgus accompanied by osteomalacia, surgical intervention is generally considered based on the severity of the condition. If the severity does not reach a point where walking is completely impossible, it is advisable to first consider knee brace protection an...

[Read More] Managing Knee Pain: Understanding Valgus Deformity and Cartilage Damage


Effective Remedies and Dietary Tips for Tailbone Pain Relief

Coccydynia Hello Doctor: I had a car accident previously and injured my coccyx. I had an X-ray done and the bones were fine. I later visited a large hospital where they said that the injury was at the junction of the coccyx and the pelvis. I experience pain when sneezing or bendi...


Dr. Shi Qiming reply Orthopedics
For spinal injuries, an orthopedic physician needs to perform a physical examination and X-rays based on the affected body part. If there is a coccygeal injury, it generally requires several weeks for recovery. If symptoms do not improve, it is recommended to return to the orthop...

[Read More] Effective Remedies and Dietary Tips for Tailbone Pain Relief


Understanding Prolonged Muscle Pain After Strenuous Activity: A Guide

Lower back pain issues? Doctor, a while ago, when I sat up from bed, I suddenly felt abnormal pain in the muscles on both sides of my lumbar spine. The pain was so severe that I couldn't stand up straight and had to walk bent at a 90-degree angle. The day before, I had gone ...


Dr. Shi Qiming reply Orthopedics
Low back pain is the most common condition seen in orthopedic clinics, and it is mostly caused by improper use. However, it typically does not last longer than four weeks. If symptoms persist for an extended period, or if there are complications such as numbness or pain in the lo...

[Read More] Understanding Prolonged Muscle Pain After Strenuous Activity: A Guide


Understanding Prominent Bones: Causes and Implications for Your Health

Protruding bones? The chest exhibits a noticeable "protrusion" that does not resemble pectoral muscles; when touched, it feels as if one is directly touching the bone, with only a layer of skin in between. The area between the left and right chest is flat, with the most...


Dr. Shi Qiming reply Orthopedics
The diagnosis may vary depending on the location. For instance, a possible pectus carinatum can occur in the central region of the sternum. Please visit the thoracic surgery outpatient clinic for evaluation and treatment.

[Read More] Understanding Prominent Bones: Causes and Implications for Your Health


Managing Fibromyalgia: Tips for Relief and Self-Care

Fibromyalgia Hello, doctor. Recently, I was diagnosed with fibromyalgia by a rheumatologist at Chang Gung Memorial Hospital, and the pain has been very troubling for my daily routine. I am wondering if I should visit the orthopedic department at a nearby hospital for more in-dept...


Dr. Shi Qiming reply Orthopedics
The diagnosis of fibromyalgia primarily relies on symptoms and physical examination. For a definitive diagnosis, a muscle biopsy with pathological examination is required, although this is not commonly performed. For more detailed diagnosis and treatment, you may visit the orthop...

[Read More] Managing Fibromyalgia: Tips for Relief and Self-Care


Understanding Ankle Pain: When Walking Causes Discomfort

Doctor, could you please take a look at this for me? Hello, Doctor. I apologize for bothering you, but I have a small issue I would like to ask for your help with. Could you please take a look at my ankle at the following link? When I walk about 100 to 200 meters, my ankle starts...


Dr. Shi Qiming reply Orthopedics
Based on the photo of your Achilles tendon, there is an observed valgus angle that affects your gait, which may cause pain while walking and impact the knee and hip joints. Symptoms may include pain and thickening of the skin on the inner side of the foot. It is advisable to cons...

[Read More] Understanding Ankle Pain: When Walking Causes Discomfort


Understanding Jaw Locking: When to See an Orthopedic Specialist

Occlusal issues If you experience a sensation of your lower jaw being stuck and unable to move on both sides while eating, which has persisted for six months, you should consider seeing an oral and maxillofacial surgeon or a dentist specializing in temporomandibular joint (TMJ) d...


Dr. Shi Qiming reply Orthopedics
We kindly request that you visit the dental clinic for an appointment.

[Read More] Understanding Jaw Locking: When to See an Orthopedic Specialist


Understanding Exercise Capacity: Why Different People React Differently

Regarding physical activity? This question is a bit unclear about which specialty to consult. I would like to ask if three individuals perform the same amount of exercise (for example, running 10 laps around a track), and the first person finishes without any breathlessness, the ...


Dr. Shi Qiming reply Orthopedics
The term "exercise volume" refers to the amount of energy the body needs to expend during physical activity to accomplish that exercise. It is generally measured in energy per hour. Therefore, if the three individuals complete 10 laps within a certain time frame, their ...

[Read More] Understanding Exercise Capacity: Why Different People React Differently


Understanding Shoulder Dislocation: Long-Term Effects and Treatment Options

Shoulder dislocation Hello Doctor: During my school years, I dislocated my shoulder while playing basketball. I received treatment at a martial arts school and also consulted traditional Chinese medicine, but I didn't pay much attention to it afterward. Several years later, ...


Dr. Shi Qiming reply Orthopedics
It is respectfully noted that a shoulder dislocation occurring at a young age can often lead to "recurrent shoulder dislocations" later on, with a frequency of 1-5 times per year. In such cases, orthopedic consultation for diagnosis and potential surgical treatment shou...

[Read More] Understanding Shoulder Dislocation: Long-Term Effects and Treatment Options


Non-Surgical Treatments for Flat Feet and Bunions: Expert Advice

Hello, how can I assist you today? I would like to ask the doctor, I have flat feet and hallux valgus, and I measured an angle of about 35 degrees. However, in the many years I have seen orthopedic doctors, none have mentioned that I have a hallux valgus issue. I only realized th...


Dr. Shi Qiming reply Orthopedics
In the case of flatfoot, a final diagnosis requires a measurement of the arch angle exceeding 165 degrees on a lateral X-ray of the ankle joint. As for hallux valgus, an angle of 23 degrees or greater can be diagnosed as valgus. It is recommended that you visit an orthopedic outp...

[Read More] Non-Surgical Treatments for Flat Feet and Bunions: Expert Advice


How to Maximize Height Growth During Teenage Years: Tips and Insights

Increase in height Hello, Doctor: I am 16 years old, a first-year high school student, with a height of about 168-170 cm and weighing less than 50 kg. I appear quite thin, especially compared to my classmates, who seem taller and some are quite muscular. I would like to ask the d...


Dr. Shi Qiming reply Orthopedics
Dear Xiao Jie, please do not worry too much about your height. Focus on enriching your inner self; attitude is more important than stature. I suggest you exercise regularly, drink more milk, and maintain a balanced diet, as I believe this will be beneficial for your height.

[Read More] How to Maximize Height Growth During Teenage Years: Tips and Insights


Understanding Lower Back Pain: Causes, Symptoms, and Solutions

Low back pain? Hello, doctor. I would like to ask you a question: On the morning of February 8th, when I got up and bent down to wash my face, I suddenly felt pain in both sides of my lower back, with the left side being more painful than the right. I also felt weak and unable to...


Dr. Shi Qiming reply Orthopedics
Lower back and shoulder pain is usually caused by improper use or poor posture, and it typically takes about 2 to 4 weeks to heal. It is recommended to apply cold compresses for the first 3 days, followed by heat therapy (5 minutes each time, 5 times a day). Additionally, muscle ...

[Read More] Understanding Lower Back Pain: Causes, Symptoms, and Solutions


Will My Height Stop Growing? Concerns for a 9th Grader

Height Hello, Doctor! I'm currently in the ninth grade and about to enter high school, but my height is only around 160 cm. My dad is 162 cm and my mom is 158 cm, so neither of my parents is very tall. Does this mean I won't be tall in the future? I grew over 10 cm duri...


Dr. Shi Qiming reply Orthopedics
Please do not believe in so-called folk remedies; regular exercise and a balanced diet can help with height. Height does not represent much; having substance is what truly matters.

[Read More] Will My Height Stop Growing? Concerns for a 9th Grader


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