Am I at Risk for Rheumatoid Arthritis? Understanding My Joint Pain
Do I have rheumatoid arthritis? Hello Doctor: This past week, when I wake up in the morning (not every day, about twice), I experience pain in the proximal interphalangeal joint of my right ring finger, while other joints are not painful. The pain subsides with movement, but it h...
Dr. Wang Shouji reply Orthopedics
Hello, rheumatoid arthritis is mostly characterized by polyarticular small joint inflammation, where multiple small joints (such as those in the fingers and toes) can become hot and painful during flare-ups. If there is only a single joint pain, it is advisable to observe it firs...[Read More] Am I at Risk for Rheumatoid Arthritis? Understanding My Joint Pain
Post-Operative Care for Clavicle Fracture: Concerns and Guidelines
Postoperative care for clavicle fracture? I would like to ask, I have a comminuted fracture of the distal right clavicle, and it is now the fourth day post-surgery. I am concerned that if I lift my arm in a sling and it moves slightly, it might cause displacement of the fixation ...
Dr. Wang Shouji reply Orthopedics
Hello, when performing shoulder abduction and elevation activities with the arm, it is important to wait for one month before following up with an X-ray. If there is no displacement, it should be less of a concern. However, you will ultimately need to wait for the fracture to hea...[Read More] Post-Operative Care for Clavicle Fracture: Concerns and Guidelines
Understanding Clavicle Dislocation: Long-Term Effects and Rehabilitation
Clavicular dislocation Due to a car accident, there is a partial dislocation of the right clavicle. It has been 6 months since the accident, and the bone has not been realigned. I have undergone physical therapy, including shortwave therapy, electrical stimulation, and laser trea...
Dr. Wang Shouji reply Orthopedics
Hello, a partial dislocation of the sternoclavicular joint is difficult to maintain in position even with manual reduction. Its impact on upper limb function should be minimal. It is advisable to focus on rehabilitation, specifically shoulder joint mobility and strength training ...[Read More] Understanding Clavicle Dislocation: Long-Term Effects and Rehabilitation
Understanding Clavicle Dislocation: Long-Term Effects and Rehabilitation
Sternoclavicular joint dislocation Due to a car accident, there is a partial dislocation of the right clavicle. It has been 6 months since the accident, and the bone has not been realigned. I have undergone physical therapy, including shortwave therapy, electrical stimulation, an...
Dr. Wang Shouji reply Orthopedics
Hello, a partial dislocation of the sternoclavicular joint is difficult to maintain in position even with manual reduction. Its impact on upper limb function should be minimal. It is advisable to focus on rehabilitation to improve shoulder joint mobility and strength training. Ch...[Read More] Understanding Clavicle Dislocation: Long-Term Effects and Rehabilitation
Understanding Complications After Open Fracture Surgery: A Patient's Journey
Open comminuted fracture of the tibia? Hello Doctor, I was in a car accident on February 26, 2020, which caused a bone to puncture my skin, resulting in an open wound. I underwent surgery at that time and received a blood transfusion. Over a year later, the wound has been peeling...
Dr. Wang Shouji reply Orthopedics
Hello, if the fracture has already healed, removing the metal screws should not be an issue. However, if there was a wound at the time of the fracture, it is important to rule out any infection at the wound or fracture site. During the pandemic, it is recommended to apply heat th...[Read More] Understanding Complications After Open Fracture Surgery: A Patient's Journey
Recovering from a Car Accident: Fixing a Bent Ring Finger After Surgery
Car accident injuries I was injured in a car accident, suffering a comminuted fracture near the palm close to the ring finger. The doctor performed surgery to implant a steel pin, which was removed two months post-operation. The doctor did not require me to wear a brace. However,...
Dr. Wang Shouji reply Orthopedics
Hello, deformities and joint stiffness are common sequelae following hand fractures. However, it is essential to determine whether the finger flexion is due to fracture malunion or tendon adhesion in order to understand how to proceed with treatment. Changhua Hospital cares about...[Read More] Recovering from a Car Accident: Fixing a Bent Ring Finger After Surgery
Understanding Pelvic Fractures: Recovery and Rehabilitation Concerns
Pelvic fracture Hello, doctor. Last week, I was involved in a car accident that resulted in a fracture of the left inferior pubic ramus, making it difficult for me to get out of bed and walk. At that time, the doctor advised against surgery and suggested that it heal on its own. ...
Dr. Wang Shouji reply Orthopedics
Hello, with a pubic bone fracture, using crutches to move around is acceptable as long as the pelvic ring is stable; it should not have a significant impact. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Pelvic Fractures: Recovery and Rehabilitation Concerns
Understanding Foot Dorsal Ganglion Cysts: Symptoms, Treatment, and Surgery
Dorsal ganglion cyst of the foot Hello Doctor, I would like to ask about a recent ultrasound I had. I have a 3 cm ganglion cyst on the dorsum of my foot that has been present for about 4 to 5 years and has not resolved. Recently, it has been particularly uncomfortable; my little ...
Dr. Wang Shouji reply Orthopedics
Hello, a ganglion cyst does not necessarily require treatment, but if it affects your ability to wear shoes, surgical intervention may be necessary. Since the procedure is performed at a superficial level beneath the skin, the risks are low. Changhua Hospital cares about your hea...[Read More] Understanding Foot Dorsal Ganglion Cysts: Symptoms, Treatment, and Surgery
Understanding Lumbar Spine Injuries: When to Seek Medical Advice
Lumbar spine injury? Hello Dr. Wang, about two years ago while I was doing laundry, I squatted under the showerhead and when I stood up, my lumbar spine hit the water pipe where the shower switch is located. At that time, I had a significant bruise. After it healed, I noticed tha...
Dr. Wang Shouji reply Orthopedics
Hello, it is advisable to first assess the condition of the illness before proceeding with the next steps in treatment. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Lumbar Spine Injuries: When to Seek Medical Advice
Understanding Sciatica: Burning Pain from Knee to Buttocks in Teens
Sharp pain from the back of the knee to the buttock? Hello, I have a 17-year-old female patient who has been experiencing a burning and stabbing pain extending from the back of her left knee to her buttock for the past month. She has never had similar symptoms before. The pain is...
Dr. Wang Shouji reply Orthopedics
Hello, sciatica and inflammation of the gluteal muscles can both cause symptoms of sciatica. If there is any injury to the spine or the gluteal region, it may lead to such symptoms. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Sciatica: Burning Pain from Knee to Buttocks in Teens
Why Do My Toes Feel Squeezed While Walking? Causes and Solutions
Feeling pressure on the toes while walking? Today, I walked about 15 kilometers with the Dajia Mazu pilgrimage. After roughly one-third of the distance, I started to feel my little toe and ring finger toe squished together, and the pain increased to the point where I could barely...
Dr. Wang Shouji reply Orthopedics
Hello, if you usually do not walk that far and are experiencing localized pressure, it is indeed possible to have such symptoms. Rest should help alleviate them. However, if the symptoms do not improve after a few days of rest, it is advisable to visit a hospital for an examinati...[Read More] Why Do My Toes Feel Squeezed While Walking? Causes and Solutions
Understanding Sports Injuries: Knee Pain and Muscle Strain Explained
Sports injuries? Muscle strains? Hello, doctor. I exercised for about an hour yesterday morning, but when I woke up today, I noticed a significant swelling sensation behind my left knee (in the popliteal fossa) whenever I bend it slightly. Additionally, the back of my left leg (f...
Dr. Wang Shouji reply Orthopedics
Hello, if there is no significant impact or twisting of the neck, the chances of a major issue should be low. In this situation, you should first apply ice. If you still experience pain during movement, you need to seek medical evaluation. Changhua Hospital cares about your healt...[Read More] Understanding Sports Injuries: Knee Pain and Muscle Strain Explained
Understanding Sports Injuries: Knee Pain and Muscle Strain Solutions
Sports injuries? Muscle strains? Hello, Doctor. I exercised for about an hour yesterday morning, but when I woke up today, I noticed that the area behind my left knee (the popliteal fossa) feels particularly swollen whenever I bend it slightly. Additionally, the back of my left l...
Dr. Wang Shouji reply Orthopedics
Hello, if there is no significant impact or twisting of the neck, the chances of a major issue should be minimal. In this situation, you should first apply ice. If you still experience pain while moving, you need to seek medical evaluation. Changhua Hospital cares about your heal...[Read More] Understanding Sports Injuries: Knee Pain and Muscle Strain Solutions
Can Herniated Discs Heal with Exercise and Rehabilitation?
Can a herniated disc heal? Hello doctor, I had an X-ray and MRI that confirmed I have a herniated disc, but the doctor said it's mild. Can I recover through exercise and rehabilitation?
Dr. Wang Shouji reply Orthopedics
Hello, the symptoms can be alleviated by medication and rehabilitation. Afterwards, you can strengthen your core muscles and be mindful of reducing the intensity of work and activities to decrease the chances of recurrence. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Can Herniated Discs Heal with Exercise and Rehabilitation?
Understanding Inflammation in the L4-L5 Lumbar Spine: Symptoms and Insights
Inflammation of the lumbar spine at the L4-L5 level? Hello Doctor, I experienced unusual pain in my lower back after lifting water in early November last year, which became severe by the evening. Initially, I thought it was a muscle strain, but after two months of no improvement,...
Dr. Wang Shouji reply Orthopedics
Hello, considering your age and history of strains, if you have no prior history of lower back pain, the likelihood of ankylosing spondylitis is low. A strain of the lower back muscles and soft tissues can lead to chronic back pain and stiffness if not fully recovered, as the bac...[Read More] Understanding Inflammation in the L4-L5 Lumbar Spine: Symptoms and Insights
Understanding Sacralization of the Lumbar Spine: Causes and Solutions for Chronic Pain
Lumbarization of the sacrum? Hello Doctor, I have been experiencing lower back pain for 11 years. It started as a dull ache and has progressed to severe pain. Lying flat, bending over, and standing for long periods are very painful (the pain radiates to my buttocks). Sometimes th...
Dr. Wang Shouji reply Orthopedics
Hello, it seems you may have a lumbar spine issue combined with sciatica. I recommend consulting with an orthopedic specialist, a neurosurgeon, or a spine surgeon. Wishing you the best.[Read More] Understanding Sacralization of the Lumbar Spine: Causes and Solutions for Chronic Pain
Can Surgery Help Relieve My Persistent Foot Pain?
Can surgery be performed? Hello Doctor: The bone just below my right big toe didn't hurt much last year, so I didn't pay much attention to it. However, starting in January, it suddenly became swollen (sometimes so swollen that I can hardly move it) and painful (sharp pa...
Dr. Wang Shouji reply Orthopedics
Hello, if there is no history of trauma, one should pay attention to gout. Hallux valgus rarely presents symptoms at such a young age. If there is no improvement with medication and rest, further examination by an orthopedic specialist is necessary. Changhua Hospital cares about ...[Read More] Can Surgery Help Relieve My Persistent Foot Pain?
Understanding High Tibial Osteotomy: Benefits, Risks, and Recovery
High tibial osteotomy Hello Doctor: I have been actively seeking treatment for my tibial varus deformity for about six years, researching and consulting with hospitals. Recently, there seems to be a lot of news about High Tibial Osteotomy (HTO) surgery, which appears to have been...
Dr. Wang Shouji reply Orthopedics
Hello, the purpose of high tibial osteotomy is to shift the mechanical axis laterally, potentially balancing the load across the knee joint. 1. As long as the osteotomy heals well, there are usually no significant issues with mobility. 2. Individuals with a lighter body weight an...[Read More] Understanding High Tibial Osteotomy: Benefits, Risks, and Recovery
Persistent Finger Joint Lump After Basketball Injury: What to Do?
Finger joints After playing basketball and eating carrots, I didn't apply ice immediately or seek further treatment. There is a noticeable hard lump on the second joint of my ring finger. I only went to see a doctor two weeks after noticing it. An X-ray showed no fractures, ...
Dr. Wang Shouji reply Orthopedics
Hello, if the activity is not affected, there is no need to worry. You can simply apply heat and continue with your activities. Finger sprains, especially with swelling around the joints, may not completely resolve, but as long as the activity is not significantly hindered, it is...[Read More] Persistent Finger Joint Lump After Basketball Injury: What to Do?
Managing Post-Surgery Pain: Hip Replacement Complications and Solutions
Pain in the lower back, a specific point in the buttocks, and thigh pain? Hello Doctor, my mother underwent a left hip joint replacement surgery in early November. Initially, she did not experience much pain during her hospital stay or upon discharge, but by December, she started...
Dr. Wang Shouji reply Orthopedics
Hello, after hip joint surgery, if you experience severe pain again, it is important to be aware of potential issues such as infection or dislocation. It is advisable to reassess your condition. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Managing Post-Surgery Pain: Hip Replacement Complications and Solutions