Dr. Wang Shouji reply Orthopedics Question - Page 18

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Understanding Coccydynia: Causes and Symptoms of Tailbone Pain

Coccygeal issues Hello Doctor: A few months ago, I slipped on the stairs and injured my coccyx, but I didn't go to the hospital for an examination. A few weeks later, I started experiencing pain in my right leg while walking. Recently, the pain in my coccyx has returned, and...


Dr. Wang Shouji reply Orthopedics
Hello: The pain in the coccyx and the swelling in the right leg are likely unrelated. If the cause of the lower limb swelling is unclear, it is important to check for potential infections such as cellulitis that may need to be addressed. It is recommended to visit an orthopedic c...

[Read More] Understanding Coccydynia: Causes and Symptoms of Tailbone Pain


Understanding Lumbar Pain: Causes and Solutions for Right-Side Discomfort

Lumbar pain Hello, doctor. Recently, while doing core exercises, I performed an air bicycle training movement. Every time I bend my right knee and extend my right leg forward, I feel a clicking sensation in my right lumbar spine along with some soreness. However, when I extend my...


Dr. Wang Shouji reply Orthopedics
It is recommended to undergo an X-ray examination of the lumbar spine.

[Read More] Understanding Lumbar Pain: Causes and Solutions for Right-Side Discomfort


Managing Pain from Herniated Discs and Ankylosing Spondylitis: Tips and Solutions

Herniated disc ankylosing spondylitis I would like to ask about my condition. During play, I fell from the bed to the floor and injured my buttocks, which caused pain. The doctor said I have a herniated lumbar disc. Initially, I experienced numbness in my legs, but now it has imp...


Dr. Wang Shouji reply Orthopedics
It is recommended to consult a neurosurgeon.

[Read More] Managing Pain from Herniated Discs and Ankylosing Spondylitis: Tips and Solutions


Understanding Ganglion Cyst Rupture: Causes, Symptoms, and Care

Suspected rupture of a ganglion cyst..? A child suddenly developed a lump the size of a ping pong ball above the left knee, which is not painful. An orthopedic specialist diagnosed it as a ganglion cyst and recommended surgery. However, two days later, while playing at an amuseme...


Dr. Wang Shouji reply Orthopedics
Hello: If a tendon sheath cyst is compressed forcefully, it may temporarily disappear. If there are no symptoms, no treatment is necessary at this time; management can be considered when symptoms arise.

[Read More] Understanding Ganglion Cyst Rupture: Causes, Symptoms, and Care


Understanding Growth Plates and Bone Age Development in Children

Growth plates and bone age? I would like to ask the doctor if the growth plates and bone age development are synchronized. If the bone age is younger than the actual age, does that mean the growth plates close more slowly? Until what age should shorter children have their bone ag...


Dr. Wang Shouji reply Orthopedics
Hello: Everyone develops at different rates, and generally, girls mature earlier than boys. If you want to assess bone age, an X-ray of the knees and pelvis should provide a good estimate. It is recommended to check if a child is shorter than their peers by the time they reach mi...

[Read More] Understanding Growth Plates and Bone Age Development in Children


Understanding Recovery from Comminuted and Open Fractures: What to Expect

Comminuted fractures of the thigh and knee with open fractures? I apologize, but I have suffered a comminuted and open fracture in my thigh and knee, and it has been exactly two months. The doctor said that I can start rehabilitation in another month. My parents are saying that I...


Dr. Wang Shouji reply Orthopedics
Hello: The management of comminuted and open fractures depends on the presence of infection and the status of bone healing. Generally, if there is no infection and the fracture is healing well, with no severe damage to the joint, most patients can regain over 90% of their origina...

[Read More] Understanding Recovery from Comminuted and Open Fractures: What to Expect


Recovering from Ankle Fracture: Concerns About Pain and Healing

Ankle injury Hello. I want to ask about my right ankle fracture due to a car accident. I am currently in the recovery phase and have started to walk slowly, but it is still a bit inconvenient. However, today I accidentally stepped on a threshold that I didn't see. Now, I fee...


Dr. Wang Shouji reply Orthopedics
Hello: As long as the fracture is properly stabilized, displacement should not be a concern. If there are any doubts or unusual pain, an X-ray can be taken for further evaluation.

[Read More] Recovering from Ankle Fracture: Concerns About Pain and Healing


Understanding Thumb Ligament Pain: When to Consider Surgery?

Thumb tenosynovitis issues? Hello, I would like to ask the doctor a question. My thumbs have been painful at the ligament area whenever I lift heavy objects or wash dishes. I have seen five orthopedic doctors, and only one said that the thumb ligaments are lax and that I would ne...


Dr. Wang Shouji reply Orthopedics
Hello: De Quervain's tenosynovitis is quite common in clinical practice, with pain located at the wrist extending to the thumb and wrist joint area. It should be easy to diagnose, as moving the thumb downward can cause severe pain. Whether there is any ligament laxity needs ...

[Read More] Understanding Thumb Ligament Pain: When to Consider Surgery?


Understanding Lumbar Pain: When to See a Specialist for Relief

Lumbar pain Hello doctor, about a year ago, I felt like there was a part of my lumbar spine that opened up during running, and I have been in significant pain since then. I'm not sure if I injured the spinal ligaments or the spine itself. Now, when I sit in a chair and try t...


Dr. Wang Shouji reply Orthopedics
Hello: Given your age, it is unlikely that you have sustained a bone injury while running; it is more likely to be an issue with soft tissues such as muscles or ligaments. If you have any concerns, it is advisable to consult an orthopedic specialist to rule out any abnormalities.

[Read More] Understanding Lumbar Pain: When to See a Specialist for Relief


Can I Run with a Finger Fracture from Basketball Injury?

Finger bone fracture Doctor, I injured my finger while playing basketball and now I have a fracture. It is still immobilized. Can I start running soon?


Dr. Wang Shouji reply Orthopedics
A finger fracture is unrelated to running, so you can continue to run.

[Read More] Can I Run with a Finger Fracture from Basketball Injury?


Understanding Cartilage Issues Near the Wrist After a Fracture

Cartilage issues near the wrist radius? Hello Doctor, I have read a bit about historical issues but I am uncertain, so I would like to gather more information. I had a car accident and suffered a fracture of the radial bone in my right wrist. After a month and a half, the bone he...


Dr. Wang Shouji reply Orthopedics
Hello: (1) Avoid actions that compress the joints as much as possible, especially those that cause pain, and regularly monitor the cartilage space. (2) Traumatic arthritis can lead to decreased joint cushioning ability, resulting in pain from bone-on-bone contact. (3) Glucosamine...

[Read More] Understanding Cartilage Issues Near the Wrist After a Fracture


Understanding Pain Near the Ischium: Causes and Next Steps

Pain near the sciatic region? Hello Dr. Wang, I have a habit of cycling. About two years ago, after completing a long-distance ride, I started experiencing unexplained pain in my right ischium, which only occurs when sitting. I went to Yuanlin Christian Hospital for an X-ray, and...


Dr. Wang Shouji reply Orthopedics
Hello: Pain in the ischial area while sitting, particularly at the bony prominence of the buttocks, is often caused by inflammation. If it does not affect walking, it is generally advisable to minimize pressure on the area, such as avoiding prolonged sitting on hard surfaces or c...

[Read More] Understanding Pain Near the Ischium: Causes and Next Steps


Post-Polio Surgery: Understanding Ankle Recovery and When to Seek Help

Post-operative care for polio sequelae? Hello, I would like to ask about my situation. I had surgery on my right ankle at the beginning of July (due to post-polio syndrome) for corrective surgery. It has been about 3-4 weeks since I had my cast on. Yesterday, I tried to put weigh...


Dr. Wang Shouji reply Orthopedics
Hello: It is common to experience this phenomenon during the early stages of weight-bearing after a fracture surgery. However, if there is severe pain, an X-ray examination of the fracture site is necessary.

[Read More] Post-Polio Surgery: Understanding Ankle Recovery and When to Seek Help


Understanding Tibial Osteotomy: Recovery and Exercise After Surgery

Tibial osteotomy Hello Dr. Wang, for the past two months, my right knee joint has been very unstable. The X-ray results are quite severe, showing stage IV changes and some deformity. The doctor has suggested a tibial osteotomy with the insertion of screws. I am worried about the ...


Dr. Wang Shouji reply Orthopedics
Hello: If you are undergoing high tibial osteotomy for osteoarthritis, it is essential to confirm that your pain is solely due to the degeneration of the medial knee joint cartilage. After the osteotomy, the joint can move like after a fracture, but it cannot bear weight. The rec...

[Read More] Understanding Tibial Osteotomy: Recovery and Exercise After Surgery


Alternatives to Surgery for Ankle Swelling and Bone Displacement

Swelling below the ankle with bone displacement? Hello, doctor: I would like to ask about the swelling below my ankle and a slight dislocation of the calcaneus. I have seen a doctor who said that surgery is necessary to realign it. Currently, I am walking with a slight limp, and ...


Dr. Wang Shouji reply Orthopedics
Hello: The human skeletal system rarely dislocates unless there is trauma or degeneration; recommendations should be based on the actual condition.

[Read More] Alternatives to Surgery for Ankle Swelling and Bone Displacement


Understanding Ligament Tears: Symptoms and Treatment Options

Ligament rupture conditions? Dr. Wang, what are the circumstances of a ligament tear? On August 7th, I was crushed by a machine, resulting in an open fracture at the tip of my left middle finger, along with a laceration that required 8 stitches. It has been almost two weeks, but ...


Dr. Wang Shouji reply Orthopedics
Hello: Finger injuries that involve tendon damage are not uncommon. Your condition appears to be a mallet finger. After assessing the extent of joint mobility impact following the recovery from the fracture (as injuries to the finger joints often result in stiffness after healing...

[Read More] Understanding Ligament Tears: Symptoms and Treatment Options


Understanding Groin Strain: Recovery and Rehabilitation Insights

Groin strain Doctor, I would like to ask about an incident that happened in early April. While playing basketball, I felt a sharp pain in my left groin area when I was trying to cut. It felt like my lower body was being pricked by needles. The next day, I went to the rehabilitati...


Dr. Wang Shouji reply Orthopedics
Hello: Muscle injuries usually heal, but if engaging in high-intensity activities, one may still experience tightness and pain. Generally, strength training can help improve this condition.

[Read More] Understanding Groin Strain: Recovery and Rehabilitation Insights


Understanding the Differences Between Clavicle Surgery Materials: Screws vs. Hooks

Clavicle self-paid materials Hello Doctor: Four months ago, I underwent surgery after a car accident where an artificial ligament was used to reposition a displaced bone. However, post-surgery, the bone has slightly displaced again. I returned for a follow-up, and the doctor ment...


Dr. Wang Shouji reply Orthopedics
Hello: Shoulder acromioclavicular joint dislocation is often temporarily stabilized by reducing the hook-shaped bone plate. Most patients still require removal, and it is rare for dislocation to occur again. Generally, there are no issues with removal.

[Read More] Understanding the Differences Between Clavicle Surgery Materials: Screws vs. Hooks


Understanding Scoliosis: Treatment Options and Growth Concerns

Scoliosis Hello Dr. Wang, I would like to inquire about scoliosis. I have a curvature of 30 to 40 degrees in my spine. I have been undergoing rehabilitation, but if the growth plates have closed and I continue with rehabilitation, will it prevent further straightening of my spine...


Dr. Wang Shouji reply Orthopedics
Hello: When the Cobb's angle of scoliosis exceeds 30 to 40 degrees, conservative treatment is ineffective after adulthood. A small number of patients may continue to experience an increase in the angle, at which point surgical correction should be considered.

[Read More] Understanding Scoliosis: Treatment Options and Growth Concerns


Recovering from Ligament Tears and Growth Plate Injuries in Kids

Ligament tear and growth plate injury? On graduation day, I was playing hopscotch and jumped to a certain square when I suddenly heard a crack. I found myself lying on a spring mattress. When I got home, my aunt, knowing that I couldn't walk, immediately took me to see an or...


Dr. Wang Shouji reply Orthopedics
Hello: Ligament injuries and growth plate injuries can occur simultaneously; however, in children, the likelihood of requiring surgical treatment for growth plate or ligament injuries is low unless there is significant displacement. These injuries can typically be monitored. The ...

[Read More] Recovering from Ligament Tears and Growth Plate Injuries in Kids


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