Managing Gout: Persistent Swelling and Treatment Options
Gout issues? Symptoms: I had my first gout attack in April. After seeing a doctor and taking medication, it improved. However, not long after, it swelled up again in early May. Although it’s not very painful, this time the swelling has lasted for almost two months. During this pe...
Dr. Xu Zhaoren reply Orthopedics
Gout is a metabolic disease that is often hereditary, characterized by hyperuricemia. It is important to avoid alcoholic beverages and foods high in purines. If attacks occur frequently, it is necessary to control uric acid levels. Please consult a physician at a hospital and att...[Read More] Managing Gout: Persistent Swelling and Treatment Options
Pain in Thigh and Abdomen When Standing Up: Possible Ligament Injury?
Pain on both sides of the thighs and abdomen when squatting down and standing up? When I squat down and stand up, I experience severe pain near the ligaments on both sides of my abdomen close to my thighs (my voice also shakes, similar to speaking in a very cold place). Could thi...
Dr. Xu Zhaoren reply Orthopedics
It may be due to a strain of the hip joint muscles or ligaments, and recovery may take three weeks to two months depending on the situation. Identifying the cause of the pain is essential for effective treatment.[Read More] Pain in Thigh and Abdomen When Standing Up: Possible Ligament Injury?
Understanding Pain and Recovery in ACL and Tibial Fracture Rehabilitation
Anterior cruciate ligament and tibial fracture issues? 1. I would like to inquire about the pain I experience after using the calf raise machine during my rehabilitation sessions. After completing the exercise, when I attempt to extend my calf upwards, I feel a sharp pain just be...
Dr. Xu Zhaoren reply Orthopedics
The rehabilitation you are undergoing is focused on rebuilding the strength of the quadriceps muscle, which may take anywhere from 6 months to over a year. It is important to not only perform the exercises during your rehabilitation sessions but also to continue training at home....[Read More] Understanding Pain and Recovery in ACL and Tibial Fracture Rehabilitation
Managing Comminuted Shoulder Fractures: Expert Advice on Recovery
Comminuted fracture of the shoulder? Hello, doctor: Three weeks ago, I was in a car accident and suffered a comminuted fracture of my right shoulder blade. The doctor at Chi Mei Medical Center in Tainan said that surgery and casting are not necessary, and that it will heal on its...
Dr. Xu Zhaoren reply Orthopedics
A fracture of the right scapula typically does not require surgery; rest is sufficient. After the fracture heals, shoulder joint rehabilitation exercises can be performed. Whether to receive treatment from a massage therapist is not critical; the most important thing is to engage...[Read More] Managing Comminuted Shoulder Fractures: Expert Advice on Recovery
Best Foods for Post-Surgery Recovery and Blood Boosting
Foods that can be eaten after surgery? My mother recently suffered a car accident, resulting in fractures in the bones of her left foot and a torn tendon. The tendon has been reattached, but due to significant blood loss, her blood pressure is low. She experiences discomfort such...
Dr. Xu Zhaoren reply Orthopedics
If anemia is not very severe, it is advisable to supplement with food and medication rather than receiving a blood transfusion. This is because blood transfusions can have side effects (such as iron supplements, protein, and green vegetables, etc.).[Read More] Best Foods for Post-Surgery Recovery and Blood Boosting
Wrist and Forearm Numbness: Causes and When to Seek Help
Wrist and forearm soreness and numbness? Hello, doctor. My mother has been a hairdresser for about 30 years. Recently, she started experiencing occasional soreness and numbness in her right wrist. This numbness has begun to spread to her right forearm, and the frequency of these ...
Dr. Xu Zhaoren reply Orthopedics
It may be cervical nerve compression or carpal tunnel syndrome. Please seek examination and treatment from an internal medicine specialist, orthopedic surgeon, or neurologist.[Read More] Wrist and Forearm Numbness: Causes and When to Seek Help
Self-Rehabilitation Techniques for Trigger Finger: A Guide
Trigger finger The condition commonly known as "trigger finger" can be managed through self-rehabilitation techniques. Here are some suggested methods: 1. **Finger Stretches**: Gently stretch your fingers by extending them fully and holding the position for a few secon...
Dr. Xu Zhaoren reply Orthopedics
Trigger finger is caused by the overuse of flexor tendons, leading to the tendons getting caught in the sheath. It requires rest and the use of anti-inflammatory medications, or corticosteroid injections. If there is no improvement or if it recurs, surgical treatment may be neces...[Read More] Self-Rehabilitation Techniques for Trigger Finger: A Guide
Understanding Ankle Cartilage Damage: Causes, Effects, and Prevention Tips
Ankle cartilage injury? Hello Dr. Hsu: Recently, my family member went to the hospital for an examination due to a foot injury. The doctor said that the ankle cartilage is damaged and has deteriorated. Since it was discovered too late, surgery is not an option. They prescribed me...
Dr. Xu Zhaoren reply Orthopedics
1. Cartilage degeneration indicates cartilage wear and tear due to traumatic arthritis. 2. Degenerative traumatic arthritis can lead to pain and limping. 3. Glucosamine supplements can be taken for treatment.[Read More] Understanding Ankle Cartilage Damage: Causes, Effects, and Prevention Tips
Understanding Osteomyelitis and Recovery After Bone Grafting Surgery
Seek medical assistance? A patient has been suffering from an open femoral fracture for nine months and is still unable to walk. The infection index for osteomyelitis has recently decreased to normal levels. A bone grafting surgery is planned soon. I would like to ask: 1. Is ther...
Dr. Xu Zhaoren reply Orthopedics
1. Bone grafting is necessary to fill the void in areas of bone deficiency, allowing new bone to grow in. 2. The recurrence of osteomyelitis is not certain, but it must be monitored to determine. 3. Weight-bearing standing can only be determined by a physician after an X-ray ...[Read More] Understanding Osteomyelitis and Recovery After Bone Grafting Surgery
Understanding Pectus Excavatum: Symptoms, Treatments, and Solutions
Pectus excavatum Hello, doctor... I would like to ask... I have a funnel chest (pectus excavatum)... although it is not very severe... but I often find it hard to breathe while running, and my face tends to turn dark... My previous doctor told me this is due to hypoxia and is not...
Dr. Xu Zhaoren reply Orthopedics
If lung capacity is not significantly affected and you still experience shortness of breath after climbing two to three flights of stairs, surgical correction of the deformity may be necessary.[Read More] Understanding Pectus Excavatum: Symptoms, Treatments, and Solutions
Understanding Arm Pain After Sports Injury: When to Seek Help
Regarding arm pain issues? Hello, Dr. Hsu: I would like to consult you about my condition. About a year ago, while playing softball, I collided with a classmate while trying to catch a high fly ball. The impact was quite strong, and both of us fell to the ground. At that time, I ...
Dr. Xu Zhaoren reply Orthopedics
This situation may require a visit to an orthopedic clinic for examination and treatment to determine the diagnosis for a complete resolution.[Read More] Understanding Arm Pain After Sports Injury: When to Seek Help
Understanding Wrist Injuries: Navigating Scaphoid Fractures and Treatment Options
Wrist injury due to sports trauma from falling and landing on the hands? Hello, Doctor. Today I went to Mackay Memorial Hospital in Taipei to see an orthopedic specialist. I injured my wrist several months ago. Initially, my wrist was very swollen, and I couldn't bend it up ...
Dr. Xu Zhaoren reply Orthopedics
Scaphoid fractures typically have a slow healing process, usually requiring at least several months for recovery, often treated with cast immobilization.[Read More] Understanding Wrist Injuries: Navigating Scaphoid Fractures and Treatment Options
Understanding Hard Lumps on Your Child's Thigh: Causes and Concerns
Right thigh Since childhood, there has been a hard lump on the outer side of my daughter's right thigh. Everyone says it might be a reaction from a vaccination she received as a baby, which can cause swelling. However, she is now 4 years old, and it still hasn't gone aw...
Dr. Xu Zhaoren reply Orthopedics
A hard lump on a child's thigh needs to be examined to determine if it is a tumor, and a visit to the outpatient clinic for evaluation and treatment is necessary.[Read More] Understanding Hard Lumps on Your Child's Thigh: Causes and Concerns
Understanding Elbow Pain: Causes and Solutions for Baseball Players
Elbow Hello, doctor! I have been playing baseball and often pitch. Recently, I noticed pain in the area between two bones at the back of my elbow, where there seems to be a structure that I can't tell if it's a ligament or tendon. The pain extends down to the area below...
Dr. Xu Zhaoren reply Orthopedics
Your hand has cubital tunnel syndrome, and the ulnar nerve requires surgical intervention for decompression and transposition. This is a common sequela of playing baseball.[Read More] Understanding Elbow Pain: Causes and Solutions for Baseball Players
Understanding Persistent Joint Pain: Possible Causes and Next Steps
Joint pain in the limbs..? I have been experiencing foot pain for the past month. Initially, it was pain in both knees, but then the pain spread to the soles of my feet, and sometimes my calves and thighs hurt as well. Now, even my hip joints and fingers hurt, with different area...
Dr. Xu Zhaoren reply Orthopedics
First, go to the hospital to see a rheumatologist for an examination to determine whether it is rheumatoid arthritis or fibromyalgia.[Read More] Understanding Persistent Joint Pain: Possible Causes and Next Steps
Understanding the Use of Acetic Acid Wet Dressings for Osteomyelitis
What type of osteomyelitis requires wet dressing with acetic acid? Acetic acid is used in wet dressings for its antimicrobial properties. It helps to lower the pH of the wound environment, which can inhibit the growth of bacteria and promote healing. Additionally, acetic acid can...
Dr. Xu Zhaoren reply Orthopedics
You may have been infected with Pseudomonas aeruginosa, so vinegar compresses are used to inhibit bacterial growth.[Read More] Understanding the Use of Acetic Acid Wet Dressings for Osteomyelitis
Understanding Finger Joint Discomfort: Causes and When to Seek Help
Interphalangeal joint Hello, doctor. About a month ago, I started experiencing a clicking sensation in my finger joints, but there is no stiffness or swelling in the joints. This sensation occurs in the other four fingers of my hand, while my right thumb does not have this issue....
Dr. Xu Zhaoren reply Orthopedics
This condition is trigger finger, which can be treated with local steroid injections, surgical release of the tendon, or rest.[Read More] Understanding Finger Joint Discomfort: Causes and When to Seek Help
Understanding Knee Cartilage Damage: Treatment Options and Recovery
Knee cartilage Hello, three years ago I had a tibial fracture and a torn anterior cruciate ligament due to a car accident. I underwent three surgeries, the most recent one being a year ago. The doctor mentioned that the screws have loosened and the ligament is somewhat lax, so he...
Dr. Xu Zhaoren reply Orthopedics
Joint wear has caused traumatic arthritis; avoid vigorous exercise. Glucosamine is merely a dietary supplement, not a miracle cure.[Read More] Understanding Knee Cartilage Damage: Treatment Options and Recovery
Gout or Sports Injury? Understanding Knee Pain Symptoms
Is it gout or a sports injury? Hello, Dr. Hsu. I am a gout patient, and usually, my attacks occur in my ankle. However, this time, I am experiencing pain in my right knee. The day before, I had to climb many flights of stairs at work (the highest being ten floors and the lowest b...
Dr. Xu Zhaoren reply Orthopedics
You are climbing stairs all day long, which may indicate patellar tendinitis, also known as jumper's knee. You should visit a clinic for examination and treatment.[Read More] Gout or Sports Injury? Understanding Knee Pain Symptoms
Understanding Limb Length Discrepancy: Is Surgery the Right Option?
Leg length discrepancy I have one leg shorter than the other, and this has been the case since I was young. When I walk, it is very noticeable. I have had X-rays taken, and the doctor told me to consider surgery when I get older. However, I am concerned that my bones will be in w...
Dr. Xu Zhaoren reply Orthopedics
Your condition may be hip dysplasia or congenital dislocation. To determine which disease it is and to create a treatment plan, an X-ray is necessary first.[Read More] Understanding Limb Length Discrepancy: Is Surgery the Right Option?