Understanding Rheumatoid Arthritis: Symptoms, Causes, and Treatment Options
What is rheumatoid arthritis? Hello, I just turned 22 this year. About three to four months ago, I started experiencing soreness, and around that time, my right arm, from the hand to the fingers, began to feel sore and painful in every joint. I have seen a traditional Chinese med...
Dr. Xie Tianjie reply Orthopedics
Hello: Rheumatoid arthritis is a systemic disease with diverse clinical manifestations, including joint pain, stiffness, and fatigue, among others. The diagnosis of rheumatoid arthritis should include a physical examination, rheumatoid factor testing, and X-ray imaging. If you ex...[Read More] Understanding Rheumatoid Arthritis: Symptoms, Causes, and Treatment Options
Understanding Chronic Lower Back Pain: Causes and Solutions
Lower back pain? I have been experiencing lower back pain for the past two years. I am studying computer science, and two years ago, after sitting for a long time while using the computer, I started to feel pain in my lower back that night. At that time, I was studying abroad, an...
Dr. Xie Tianjie reply Orthopedics
Hello: There are many differential diagnoses for lower back pain. If you have persistent back pain and morning stiffness, it is recommended to visit a hospital for a detailed examination and treatment. Additionally, a negative HLA-B27 test does not completely rule out ankylosing ...[Read More] Understanding Chronic Lower Back Pain: Causes and Solutions
Post-Sprain Recovery: Managing Lingering Pain and Weakness
Post-injury sequelae after ankle sprain recovery? Hello doctor, I have a sprained ankle that took a long time to heal completely. I was treated at a qualified traditional Chinese medicine clinic, but recently I've noticed occasional dull pain and sometimes sudden weakness wh...
Dr. Xie Tianjie reply Orthopedics
Hello: For an ankle sprain, first stop any physical activity, elevate the affected limb, and immobilize it with a compression bandage. It is best to apply ice as well. Clinically, a thorough examination should be conducted to check for ligament or bone injuries, and appropriate t...[Read More] Post-Sprain Recovery: Managing Lingering Pain and Weakness
Understanding Left Knee Pain: Seeking Clarity on Diagnosis and Treatment
Left knee issues? Hello, doctor. I have been troubled by a chronic condition for quite some time. My left knee swells slightly every day, and the pain is mainly on the inner side of my left leg. The entire knee feels strange when walking or using it, and I often experience sorene...
Dr. Xie Tianjie reply Orthopedics
Knee swelling and pain, along with a feeling of weakness after prolonged standing, may indicate issues with the ligaments or articular cartilage. It is recommended that, in addition to conservative treatments such as rehabilitation, you undergo X-rays and ultrasound examinations ...[Read More] Understanding Left Knee Pain: Seeking Clarity on Diagnosis and Treatment
Understanding Patella Lateral Subluxation: Causes, Treatment, and Resources
Patella Hello Dr. Hsieh, What is Patella Lateral Subluxation? Is it a hereditary condition? Does it require surgical intervention or can it be treated with medication? Are there any detailed resources or Chinese websites available for further information? Thank you for your res...
Dr. Xie Tianjie reply Orthopedics
The normal patella maintains its position at the midpoint of the femoral groove during knee joint movement. Due to congenital or traumatic factors, the patella may exhibit lateral tilt or subluxation at certain angles of knee flexion, a condition known as Patella Lateral Subluxat...[Read More] Understanding Patella Lateral Subluxation: Causes, Treatment, and Resources
Understanding Cartilage Degeneration: Treatment Options and Care Tips
Cartilage degeneration Hello Doctor: My mother has recently been experiencing swelling and pain in her knee joint, and after an examination by an orthopedic specialist, she was diagnosed with cartilage degeneration. Is there any medication available for cartilage degeneration, an...
Dr. Xie Tianjie reply Orthopedics
Knee joint degeneration includes aging or inflammatory phenomena of the cartilage, ligaments, and subchondral bone. Common symptoms include knee pain, swelling, and feelings of weakness or pain when going up and down stairs. The recommended approach to care is to reduce the burde...[Read More] Understanding Cartilage Degeneration: Treatment Options and Care Tips
Unexplained Knee Pain: Causes and Solutions for Persistent Discomfort
Knee pain of unknown origin? I have been experiencing unexplained pain in my left knee whenever I stand for a long time, engage in intense physical activity, or walk. This has been going on for quite some time. I have consulted with a massage therapist who said there are no signi...
Dr. Xie Tianjie reply Orthopedics
Knee pain in young individuals is often caused by overexertion or prolonged poor posture. The issue may arise from the articular cartilage or surrounding ligaments, and X-rays can assist in the diagnosis.[Read More] Unexplained Knee Pain: Causes and Solutions for Persistent Discomfort
Understanding Scoliosis: Managing Neck Pain and Exercise Tips
Scoliosis Doctor, I have a question: I have been experiencing frequent shoulder and neck pain due to prolonged sitting. A few weeks ago, I visited a traditional Chinese medicine practitioner for massage and cupping, and the therapist informed me that I have a mild case of "s...
Dr. Xie Tianjie reply Orthopedics
Neck and shoulder pain and stiffness are common ailments in modern society, caused by various factors including poor posture during prolonged office work or reading, work-related stress, and previous neck injuries. Conditions such as cervical scoliosis or bone spurs can be diagno...[Read More] Understanding Scoliosis: Managing Neck Pain and Exercise Tips
Understanding Tendonitis Between the Tibia and Fibula: Causes and Treatments
Tendonitis between the fibula and tibia below the knee? I have been running on a small sloped mountain trail (3-4 km) for 6-7 months. For the past 1.5 months, I have experienced persistent soreness and itching in the lower inner part of my knee. After receiving acupuncture and he...
Dr. Xie Tianjie reply Orthopedics
Excessive running and hiking can lead to inflammation and soreness in the thigh and calf muscles, and may also injure the ligaments and tendons around the knee joint, resulting in tendon strains or inflammation. Rest and temporarily stopping running is the first step to take. X-r...[Read More] Understanding Tendonitis Between the Tibia and Fibula: Causes and Treatments
Understanding Wrist and Elbow Pain: Causes and Solutions
Pain in the hand ligaments? Hello, my wrist and elbow ligaments often feel sore and make popping sounds. I have seen doctors who prescribed muscle relaxants or suggested that I wear a wrist brace. However, I am troubled because after wearing it for a few days, my skin starts to i...
Dr. Xie Tianjie reply Orthopedics
The wrist and elbow joints are composed of bones, cartilage, and ligaments. Overuse or improper force often leads to soreness, weakness, or noise in these areas. It is important to avoid excessive exercise of the wrist and elbow joints and to use appropriate protective gear for s...[Read More] Understanding Wrist and Elbow Pain: Causes and Solutions
Effective Treatments for Severe Knee Joint Trauma and Disability
Treatment of post-traumatic complications of knee joint crush injuries? Ten years ago, a car accident resulted in a complete shattering of the left knee joint, along with a rupture of the anterior cruciate ligament and a tear in the meniscus. This has caused a one-centimeter depr...
Dr. Xie Tianjie reply Orthopedics
The function of the knee joint requires a complete articular surface and stable ligament support. Traumatic joint disorders caused by external injuries such as car accidents necessitate treatment approaches that include assessing the extent of cartilage and ligament damage, allev...[Read More] Effective Treatments for Severe Knee Joint Trauma and Disability
Understanding Post-Fracture Recovery: Back Pain and Wrist Mobility Issues
Hello, I would like to ask about issues related to fractures after recovery? Hello Dr. Hsieh, I have a problem with lower back pain. After an examination at Taichung Lin Shin Hospital, it was found that I have cartilage degeneration. Does this count as a type of herniated disc? A...
Dr. Xie Tianjie reply Orthopedics
Lower back pain is a common condition among modern individuals, often stemming from poor posture, improper lifting, and trauma. Symptoms of a herniated disc include lower back pain and numbness or weakness in the lower extremities, which require thorough examination. After a left...[Read More] Understanding Post-Fracture Recovery: Back Pain and Wrist Mobility Issues
Understanding Finger Sprains: Treatment and Recovery Tips
Finger sprain? Hello, Doctor. A while ago, I sprained my pinky finger while playing basketball. I didn't pay much attention to it and continued playing. Although I used tape to stabilize my finger, I kept re-injuring it in the same spot every time I played, so my hand hasn&#...
Dr. Xie Tianjie reply Orthopedics
A sprained pinky finger from playing ball, if there is noticeable swelling and pain in the interphalangeal joint, may be associated with ligament or articular cartilage damage. It is advisable to provide appropriate immobilization and apply ice to reduce the risk of future stiffn...[Read More] Understanding Finger Sprains: Treatment and Recovery Tips
Managing Ankle Joint Degeneration: Pain Relief and Care Tips
Ankle joint degeneration Hello Dr. Hsieh, I have been experiencing pain in my left ankle joint for the past two to three months. I underwent an X-ray at the orthopedic outpatient department of Kaohsiung Chang Gung Memorial Hospital. According to the physician's diagnosis, it...
Dr. Xie Tianjie reply Orthopedics
The ankle joint is a crucial joint that supports the human body. A stable and freely flexing ankle joint is essential for walking. However, if the cartilage or structural ligaments of the joint are damaged due to trauma, arthritis, or aging factors, leading to joint space narrowi...[Read More] Managing Ankle Joint Degeneration: Pain Relief and Care Tips
Sun Exposure and Calcium Absorption: Insights from Arctic Populations
The issue of sun exposure? Hello, doctor. Thank you for your hard work. I would like to ask a couple of questions: Question 1: Calcium absorption requires vitamin D and sunlight. However, the Inuit people living in the Arctic experience very short daylight hours throughout the y...
Dr. Xie Tianjie reply Orthopedics
Question 1: There are many factors that affect calcium absorption, including age, gender, race, and hormones. Excessive consumption of coffee and alcohol can also lead to osteoporosis. Adequate intake of vitamin D and exposure to sunlight can help treat osteoporosis. Question 2...[Read More] Sun Exposure and Calcium Absorption: Insights from Arctic Populations
Effective Treatments for Patellar Osteomalacia: Seeking Relief After Surgery
What are the treatments for patellar chondromalacia? I have undergone a patellar drilling surgery. The condition has improved, but I still experience discomfort after light exercise. What methods can help improve this?
Dr. Xie Tianjie reply Orthopedics
There are various causes for patellofemoral chondromalacia, including previous trauma to the front of the knee and aging of the patellar joint surface. Clinical diagnosis or arthroscopic examination is necessary. After surgery, there is a recovery period during which strength reh...[Read More] Effective Treatments for Patellar Osteomalacia: Seeking Relief After Surgery
Managing Pain After Osteochondromatosis Surgery: Tips and Advice
Osteomalacia I have undergone arthroscopic surgery twice on my right knee due to osteochondromatosis, with a one-year interval between the surgeries. Currently, I experience pain in my knee and outer thigh when going up and down stairs or walking long distances, causing me to wal...
Dr. Xie Tianjie reply Orthopedics
There are many causes of knee joint pain, and patellar chondromalacia is just one of the diagnoses. If pain persists after arthroscopic surgery, further examination or rehabilitation therapy is recommended.[Read More] Managing Pain After Osteochondromatosis Surgery: Tips and Advice
Post-ACL Surgery: Understanding Pain and Swelling in the Knee
Post-operative issues following knee arthroscopy? I underwent arthroscopic surgery for a meniscus tear two months ago. I still experience pain while walking at times, and there is still swelling around the knee area, requiring aspiration of the fluid approximately once a week dur...
Dr. Xie Tianjie reply Orthopedics
Knee arthroscopy is both a diagnostic and therapeutic tool that is currently widely used for knee injuries caused by trauma or sports-related injuries. Treatment for meniscus tears depends on the location and extent of the tear, and may include repair, partial resection, among ot...[Read More] Post-ACL Surgery: Understanding Pain and Swelling in the Knee
Do Alcohol, Smoking, and Coffee Affect Bone Health and Growth?
Please provide your guidance! I've heard that drinking alcohol, smoking, and drinking coffee can be bad for bones. Is that true? Do they affect growth and height development? Please enlighten me, thank you!
Dr. Xie Tianjie reply Orthopedics
Bone development is influenced by multiple factors, including genetics, constitution, physical activity, and calcium intake. The direct effects of alcohol, smoking, and coffee on growth and development are not yet conclusively established in the literature. Maintaining a balanced...[Read More] Do Alcohol, Smoking, and Coffee Affect Bone Health and Growth?
Understanding Elbow Pain: Is It Tennis Elbow from Mouse Use?
Elbow joint pain Pain on the outer side of the elbow, even without playing tennis, can still be indicative of lateral epicondylitis, commonly known as tennis elbow. This condition can arise from repetitive strain or overuse, particularly from activities such as extensive mouse us...
Dr. Xie Tianjie reply Orthopedics
Tennis elbow is not a diagnosis exclusive to tennis players; it refers to inflammation occurring on the outer side of the elbow joint. The primary cause is often due to overuse of the forearm muscle group, such as repetitive wrist rotation from manual tasks, lifting heavy objects...[Read More] Understanding Elbow Pain: Is It Tennis Elbow from Mouse Use?