Dr. Ye Qingnian reply Orthopedics Question - Page 6

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Can Traction Be Used for Hip Dislocation Reduction in Paralyzed Patients?

Hip joint dislocation Is it possible to reduce a dislocated hip joint using traction? The dislocation has been present for some time (duration uncertain), and the patient has been completely paralyzed and unconscious for about two years. Are there any other treatment methods avai...


Dr. Ye Qingnian reply Orthopedics
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following advice: Since the patient is experiencing complete paralysis and has significant bone deterioration, along with a dislocated joint that has been present for some time, it may ...

[Read More] Can Traction Be Used for Hip Dislocation Reduction in Paralyzed Patients?


Understanding Pain from the Left Thigh to the Foot: Possible Causes

Pain extending from the left thigh to the foot? Hello doctor, I would like to ask about a recent issue. I often feel pain in my left leg when sitting down, but if I only sit on my right buttock, I do not experience any pain. What could this symptom indicate? Thank you! ^^


Dr. Ye Qingnian reply Orthopedics
Hello Mr. Lee: In response to your question, I would like to provide some advice: The pain extending from your left thigh to the sole of your foot is likely due to sciatica, which typically radiates from the lower back down through the thigh to the foot. I'm not sure if ther...

[Read More] Understanding Pain from the Left Thigh to the Foot: Possible Causes


Understanding Knee Stability: Impact of Past Injuries and Muscle Atrophy

Knee stability Hello, Director Yeh: I have a few questions regarding my previous left calf fracture. I used crutches for eight months, which resulted in severe atrophy of my quadriceps. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and the adjacent...


Dr. Ye Qingnian reply Orthopedics
1. The tibia and the bone it connects to are misaligned, and based on your description, it's difficult to determine which bone it is, so I cannot provide a detailed explanation. 2. If the bones are misaligned, it can easily lead to knee osteoarthritis, resulting in pain. ...

[Read More] Understanding Knee Stability: Impact of Past Injuries and Muscle Atrophy


Understanding Nighttime Calf Pain in Seniors: Causes and Remedies

Calf pain Hello Doctor: My mother-in-law (76 years old) often wakes up at night due to calf pain, which disappears after she gets up, but returns when she lies down again. During the day, she does not feel any pain. Could you please tell me what this might be? Are there any metho...


Dr. Ye Qingnian reply Orthopedics
Nighttime calf pain may be related to walking too much during the day, or it could be associated with diabetes or smoking. Excessive walking can lead to the accumulation of metabolic waste, resulting in pain. If diabetes or smoking is a concern, it is advisable to consult a vascu...

[Read More] Understanding Nighttime Calf Pain in Seniors: Causes and Remedies


Understanding Coccydynia: Treatment and Long-Term Effects After Injury

Coccydynia After falling down the stairs, I went to see a doctor 3.4 months later, and recently I have been applying anti-inflammatory medication topically for the past week. Is this effective? Will waiting 3.4 months to see a doctor lead to any long-term complications?


Dr. Ye Qingnian reply Orthopedics
Coccyx pain in young women can be inconvenient, especially when sitting. More importantly, during childbirth, obstetricians may need to take pelvic X-rays to determine if the coccyx could obstruct fetal delivery. Topical medications generally have limited effectiveness, while ora...

[Read More] Understanding Coccydynia: Treatment and Long-Term Effects After Injury


Rehabilitation After Elbow Dislocation from Car Accident: What to Expect

Elbow dislocation from a car accident? On November 20, 2006, I was involved in a car accident and was admitted to Kaohsiung Chang Gung Memorial Hospital's Department of Trauma Surgery. On November 21, I had a dislocated elbow that was reduced without surgery and was placed i...


Dr. Ye Qingnian reply Orthopedics
To improve functionality, you must continuously practice on your own. Bend and straighten your elbow without letting others assist you, as this can easily lead to calcification of the elbow muscles. The more you practice daily, the more progress you will make in your recovery.

[Read More] Rehabilitation After Elbow Dislocation from Car Accident: What to Expect


Understanding Knee Stiffness: Causes and Solutions After Injury

Inability to bend the knee? Hello Dr. Yeh, I am currently in the United States. A month and a half ago, I injured my left knee while playing basketball. I went to the hospital for an X-ray, and the doctor said there were no issues with the bones, only that the knee ligaments wer...


Dr. Ye Qingnian reply Orthopedics
The X-ray of the left knee is normal, but after one and a half months, there is still pain and inability to bend the knee. It is recommended to consult an orthopedic clinic to determine if an arthroscopy is necessary to check for any injuries to the meniscus or cruciate ligaments...

[Read More] Understanding Knee Stiffness: Causes and Solutions After Injury


Effective Ways to Increase Height: Tips from Orthopedic Experts

How to increase height? I am only 163 cm tall and I really want to grow taller. I wonder if doctors have any suggestions or if there are any resources that could help me. I just want to reach 170 cm.


Dr. Ye Qingnian reply Orthopedics
Human height growth is regulated by the growth plates in the bones. Once the growth plates fuse, it is no longer possible to increase height. At 22 years old, your growth plates have completely fused, and you cannot grow taller. Some individuals have undergone surgical procedures...

[Read More] Effective Ways to Increase Height: Tips from Orthopedic Experts


Understanding Elbow Deformity Surgery: Risks, Recovery, and Recommendations

Could you please provide more details about the elbow flexion surgery? Hello, Doctor. I had an open fracture of my right elbow during childhood, which resulted in a misalignment and a noticeable curvature of over twenty degrees. Although the grip function of my right arm is intac...


Dr. Ye Qingnian reply Orthopedics
A pediatric elbow fracture can lead to either valgus or varus deformity, but joint mobility is generally normal. If considering surgery for re-internal fixation, there are several risks to be aware of: 1. Wound infection 2. Nonunion at the fracture site 3. Limited range of motion...

[Read More] Understanding Elbow Deformity Surgery: Risks, Recovery, and Recommendations


Understanding Numbness and Tingling from Injury: Treatment Options

There is some numbness from the left hand to the left foot? Hello, doctor. During the Mid-Autumn Festival, while I was out with my classmates, someone rushed over and lifted my hands and feet, and I was unable to stop it, resulting in me being thrown onto the grass. When I got up...


Dr. Ye Qingnian reply Orthopedics
Numbness in the left hand and left foot can be concerning, especially if there is a possibility of cervical spine injury. It's important to assess whether there is any pain or injury in the neck. If so, it is advisable to seek evaluation and treatment from a neurosurgeon.

[Read More] Understanding Numbness and Tingling from Injury: Treatment Options


Understanding Sciatica: Causes, Prevention, and Management Tips

Sciatica Hello Doctor: I apologize for bothering you, but I would like to ask about sciatica. A relative of mine recently went to the hospital, and it seems they were diagnosed with sciatica. Could you please tell me what causes sciatica? Additionally, how can patients prevent th...


Dr. Ye Qingnian reply Orthopedics
Sciatica is caused by the compression of nerves in the lumbar region of the spinal cord, leading to back pain and numbness or tingling that radiates down the back of the thigh and calf. The most common causes include 1. herniated discs, 2. bone spurs, and 3. tumors compressing th...

[Read More] Understanding Sciatica: Causes, Prevention, and Management Tips


Understanding 'Mommy's Wrist': Causes, Treatments, and Skin Concerns

De Quervain's tenosynovitis Hello Dr. Yeh: About three to four months ago, I experienced pain in the inner joint of my right wrist. Actions like writing with a pen or using scissors exacerbated the pain. Initially, I applied anti-inflammatory ointment continuously, but later...


Dr. Ye Qingnian reply Orthopedics
The effects of corticosteroids for mother's hand are very good, but it is important to avoid lifting heavy objects, as this may lead to a recurrence. A local injection of corticosteroids should not cause a pinkish-white discoloration. Whether it can recover is uncertain, as ...

[Read More] Understanding 'Mommy's Wrist': Causes, Treatments, and Skin Concerns


Does Forteo Help Improve Osteoporosis in Elderly Patients?

Regarding bone growth stimulators? Hello, doctor. I have an elderly family member who is nearly 80 years old and has been suffering from osteoporosis for a long time. I would like to know if the use of a bone anabolic agent, "Forteo," would significantly benefit their c...


Dr. Ye Qingnian reply Orthopedics
FORTEO is a new medication for osteoporosis that has shown better efficacy compared to current treatments, although it is more expensive. It is effective for osteoporosis, but patients still need to supplement with calcium and engage in daily walks in the morning or evening to ge...

[Read More] Does Forteo Help Improve Osteoporosis in Elderly Patients?


Nursing Care and Considerations for Zygomatic Bone Fracture Management

Nursing Care for Zygomatic Bone Fractures After an open reduction and internal fixation (ORIF) for a zygomatic bone fracture, the following nursing care and precautions should be taken: 1. **Pain Management**: Administer prescribed analgesics to manage pain effectively. Monitor ...


Dr. Ye Qingnian reply Orthopedics
Zygomatic bone fractures are classified as facial fractures and fall under the specialty of plastic surgery, not orthopedics. Please consult a plastic surgeon.

[Read More] Nursing Care and Considerations for Zygomatic Bone Fracture Management


Understanding Muscle Strain: Causes and Solutions for Arm Pain

Regarding myositis? Hello, doctor. For the past two days, I have been experiencing muscle soreness in my left arm. I asked older people, and they said it might be tendinitis. I haven't engaged in any intense exercise, and I primarily use my right hand for typing on the compu...


Dr. Ye Qingnian reply Orthopedics
Excessive exercise beyond the load can lead to tendinitis. Since your left hand is less active, it can tolerate a lower load. When exercise or movement exceeds the muscle load of the left arm, it can result in tendinitis. Treatment for tendinitis includes (1) rest, (2) applying h...

[Read More] Understanding Muscle Strain: Causes and Solutions for Arm Pain


Understanding Shoulder Dislocation: Symptoms, Recovery, and Complications

Shoulder dislocation Hello, my husband dislocated his shoulder about a month ago after falling and landing directly on it. He was immediately taken to the Veterans General Hospital and later received acupuncture treatment from a traditional Chinese medicine practitioner. Currentl...


Dr. Ye Qingnian reply Orthopedics
Shoulder dislocation will inevitably cause injury to the ligaments connecting to the humeral head. It has been one month since the injury, and there are still limitations in movement. Rehabilitation therapy is necessary; otherwise, shoulder joint mobility will be affected. At the...

[Read More] Understanding Shoulder Dislocation: Symptoms, Recovery, and Complications


Understanding Knee Pain: Causes and Concerns for Young Adults

Knee pain Hello Doctor: Last time I asked about osteoporosis, and you mentioned that at my age, it shouldn't be a concern. I understand that, but I still have a question. My right knee has never been injured, but recently I've been experiencing some pain while swimming....


Dr. Ye Qingnian reply Orthopedics
Pain during swimming and when crossing legs is mostly due to tendonitis. It is advisable to avoid strenuous activities, take pain relievers when experiencing pain, and refrain from taking them when pain-free. If there is pain when going up or down stairs, it is necessary to consu...

[Read More] Understanding Knee Pain: Causes and Concerns for Young Adults


Calcium Supplements for Osteoporosis: Allergy-Friendly Options

Osteoporosis Hello, I am a patient who is allergic to seafood and shellfish. Over the past few years, I have been drinking coffee and tea frequently, almost replacing water, and during this time, I have felt some discomfort in my bones. It may also be due to my poor sitting postu...


Dr. Ye Qingnian reply Orthopedics
Glucosamine does not contain calcium; it is intended for patients with osteoarthritis and cartilage wear in the knees, and it cannot treat osteoporosis. It is unlikely for a healthy 28-year-old to have osteoporosis. Regular exercise and dietary calcium sources such as milk, small...

[Read More] Calcium Supplements for Osteoporosis: Allergy-Friendly Options


Do I Need Surgery for My Wrist Pain After a Scaphoid Fracture?

Questions after a fracture? Hello Doctor, I had a scaphoid fracture last year, and after treatment, the fracture has healed. Currently, the range of motion in my wrist has mostly returned. The fracture was treated non-surgically, but I now feel that the triangular fibrocartilage ...


Dr. Ye Qingnian reply Orthopedics
Scaphoid fractures are among the most difficult bones in the human body to heal! If immobilized in a cast for an extended period, they often do not heal properly. If there is any displacement of the bone, surgical fixation is necessary. Typically, X-rays can only reveal the fract...

[Read More] Do I Need Surgery for My Wrist Pain After a Scaphoid Fracture?


Minimally Invasive Fracture Fixation: Solutions for Shoulder Pain After Injury

Minimally invasive fracture fixation system Hello Dr. Yeh, About three years ago, I fractured my right clavicle while playing basketball. Initially, I was only fitted with a figure-of-eight brace for stabilization. Due to not consistently wearing the brace during the early stage...


Dr. Ye Qingnian reply Orthopedics
The clavicle fracture has a slight protrusion, which does not affect function or cause pain; it is merely an aesthetic concern. If there is pain or functional limitation, it is advisable to visit an orthopedic clinic for an X-ray to check if the bone has healed properly. If the b...

[Read More] Minimally Invasive Fracture Fixation: Solutions for Shoulder Pain After Injury


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