Knee Pain After Car Accident: Causes and Treatment Options
Knee injury from a car accident? Hello, a few days ago after a car accident, I noticed that when I bend my knee and feel a pulling sensation, there is a sharp, tearing pain. At first, I thought I had a fracture, but I can still walk. I injured my right knee, and it has been a wee...
Dr. Zhou Lizhi reply Orthopedics
It is best to obtain an X-ray to confirm that there is no fracture in the knee bone, and then check for any bony injuries to the medial ligament before deciding on the appropriate treatment.[Read More] Knee Pain After Car Accident: Causes and Treatment Options
Understanding Knee and Hip Pain: Causes and Solutions for Athletes
Knee and hip joint pain? Hello, At the end of April this year, while warming up for soccer, I experienced sudden severe pain on the outer side of my right knee when I pressed down on both ankles (internally rotating the ankle and pressing the dorsum of the foot against the grou...
Dr. Zhou Lizhi reply Orthopedics
The knee joint primarily consists of the medial collateral ligament, lateral collateral ligament, anterior cruciate ligament, and posterior cruciate ligament. According to users' reports, after sports injuries, the lateral collateral ligament is likely the main cause of pain...[Read More] Understanding Knee and Hip Pain: Causes and Solutions for Athletes
Understanding Gout Flare-Ups: Causes and Prevention Strategies
Gout has relapsed again? Hello Dr. Zhou, I apologize for bothering you again during your busy schedule. I have followed your advice and drink a large amount of water, about 1000 cc, after each workout. I also try to drink more water to increase my bathroom visits. However, I have...
Dr. Zhou Lizhi reply Orthopedics
The main causes of gout formation can be divided into two categories: excessive production of uric acid and inability to metabolize and excrete it. Based on the information shared by netizens, your lifestyle seems relatively normal. I recommend that you get a blood test to determ...[Read More] Understanding Gout Flare-Ups: Causes and Prevention Strategies
Understanding Chronic Back Pain: Causes and Treatment Options
The only position I can sleep in due to back pain is on my stomach? Hello Dr. Zhou, I have been experiencing chronic lower back pain for a long time. In recent years, I have been unable to sleep lying down, as it causes discomfort in my lower back. As a result, I can only sleep o...
Dr. Zhou Lizhi reply Orthopedics
Ninety percent of lower back pain is still caused by tendon or ligament issues, with inflammation or strains due to long-term or sudden physical activity being the primary causes. In contrast, skeletal or intervertebral disc problems often present with symptoms of nerve compressi...[Read More] Understanding Chronic Back Pain: Causes and Treatment Options
Is Alkaline Water Effective for Gout Relief After Exercise?
Is drinking alkaline water effective for gout? Hello Dr. Chou, I would like to ask: I have not had a gout attack for five or six years, but recently, I am not sure if it's due to increased physical activity or excessive fluid loss, my foot has started to hurt again. After ex...
Dr. Zhou Lizhi reply Orthopedics
After exercise, there is a significant loss of fluids, which can lead to the retention of uric acid. The solution is to replenish fluids, and there is no need to specifically supplement with other beverages.[Read More] Is Alkaline Water Effective for Gout Relief After Exercise?
Understanding Chest Bone Fractures: Recovery and Rehabilitation for Seniors
Hello, I have a question regarding rib fractures in the thoracic cavity? Dear Dr. Zhou, Hello. The day before yesterday, my father was involved in a car accident, which resulted in a fracture of his sternum due to impact with the motorcycle in front of him. He has been undergoin...
Dr. Zhou Lizhi reply Orthopedics
The principle for treating a fractured sternum is primarily non-surgical, unless there is significant compression of the thoracic organs or severe deformity. Common issues include chest pain during coughing or vigorous activities. It is recommended to use a support band or to app...[Read More] Understanding Chest Bone Fractures: Recovery and Rehabilitation for Seniors
Understanding Post-Operative Recovery After Knee Replacement Surgery
Artificial knee joint Dear Dr. Chou, My mother is 67 years old and had a knee replacement surgery on her left knee eight months ago. Occasionally, she experiences a sensation of warmth and swelling in her knee, but there is no pain. What concerns me the most is that she seems to...
Dr. Zhou Lizhi reply Orthopedics
According to the description from the internet user, there is no significant redness, swelling, heat, pain, inflammation, or signs of infection at the site of the left knee joint replacement surgery, and the patient is able to walk. Therefore, the surgery is unlikely to have fail...[Read More] Understanding Post-Operative Recovery After Knee Replacement Surgery
Effective Treatments and Exercises for Sciatica Pain Relief
Sciatica Hello, Doctor: In the past few months, I have been experiencing pain in my right thigh and right calf, starting from the coccyx area. The pain has become more severe than before. After visiting an orthopedic specialist, I was advised to undergo physical therapy. However,...
Dr. Zhou Lizhi reply Orthopedics
In young individuals, spinal compression of the sciatic nerve is often caused by herniated discs. Initially, treatment typically involves medication, injections, and rehabilitation. If there is no improvement after 3 to 6 weeks, further evaluation is necessary to assess the exten...[Read More] Effective Treatments and Exercises for Sciatica Pain Relief
Post-Surgery Walking Guidelines: Can I Put Weight on My Foot?
Continuation of the issue with steel nails? Dear Dr. Zhou, Thank you very much for your response! Regarding the part about not putting weight on the affected area, the surgeon informed me that I could start to bear weight and walk a little when I was discharged on August 19. The...
Dr. Zhou Lizhi reply Orthopedics
The degree of fracture fragmentation and the strength of the fixation determine the healing process. Generally, complete fracture healing requires 3 to 4 months, while initial healing takes about 1.5 to 2 months. Therefore, if the fixation is stable, weight-bearing can be initiat...[Read More] Post-Surgery Walking Guidelines: Can I Put Weight on My Foot?
Managing Pain and Recovery After Ankle Surgery with Screws
Nail pain Hello, Doctor. On August 13, I missed a step on the company stairs, resulting in a dislocated fracture of the left ankle involving the talus and the tibiofibular joint. After seeking medical attention, the doctor inserted three steel pins for stabilization. One of the p...
Dr. Zhou Lizhi reply Orthopedics
According to the information provided by a netizen, the complications mentioned are typical aftercare issues following a general fracture treatment. Here are the responses to the netizen's questions: 1. It is unlikely that all fragments can be completely removed; usually, o...[Read More] Managing Pain and Recovery After Ankle Surgery with Screws
Understanding Symptoms After Leg Rod Surgery: What to Expect
Symptoms after leg intramedullary nailing? I experienced the greatest setback of my life when I was involved in a serious car accident. I was close to losing my life, but thankfully I survived. However, I suffered a fracture in my thigh bone and my knee bone was also bent. The do...
Dr. Zhou Lizhi reply Orthopedics
First of all, congratulations on your good recovery. The femur and patella are actually two different bones. The femur is typically stabilized using a steel rod and four screws. If the fracture heals well, there are usually no symptoms, except that the exposed bone screws may sli...[Read More] Understanding Symptoms After Leg Rod Surgery: What to Expect
Understanding Lateral Knee Pain: Causes and Implications for Your Health
Sometimes there is pain in the outer bone of the left foot? Hello, doctor. I started noticing a popping sound in my joints while walking about two years ago, and it's even more pronounced when going up stairs. I can also feel it if I place my hand on the area. Initially, I d...
Dr. Zhou Lizhi reply Orthopedics
Dear netizens: (1) On the lateral side of the left knee, the upper end is the distal end of the femur (thigh bone), and the lower end is the proximal end of the fibula. The joint is located in between, and the structure connecting them is the lateral collateral ligament. Sometime...[Read More] Understanding Lateral Knee Pain: Causes and Implications for Your Health
Understanding Hip Replacement Materials and Longevity: Key Insights
Artificial hip joints... materials inquiry? Hello, Doctor... Thank you for taking the time to address my questions... 1. I had a total hip arthroplasty at Linkou Chang Gung Memorial Hospital in January 2008, using a metal ball head and a polyethylene (PE) liner. Could the plastic...
Dr. Zhou Lizhi reply Orthopedics
Dear netizens: 1. Generally, artificial hip joints consist of metal balls and polymer liners, and there are also ceramic balls and liners. The ultra-durable liners cannot be identified through X-rays; this information will be documented in the surgical records. 2. Typically, ...[Read More] Understanding Hip Replacement Materials and Longevity: Key Insights
Understanding Pain and Swelling Below the Knee: Treatment Options
There is some swelling and pain in the bone below the knee? Hello, doctor. When I was a child, I fell and had two instances of a split below my left knee. About two years ago, I noticed that the bone below my knee seemed to be enlarged. I'm not sure which bone it is; a docto...
Dr. Zhou Lizhi reply Orthopedics
Dear users: The area below the knee is the attachment site of the patellar ligament, which is a prominent area on the proximal tibial tuberosity (this prominence will not disappear, but can be treated with medication). It may recur with excessive exercise (for at least three week...[Read More] Understanding Pain and Swelling Below the Knee: Treatment Options
Alternatives to Surgery for Knee Valgus: What You Need to Know
Tibial external rotation of the knee joint? Due to discomfort in the knee joint, I consulted an orthopedic specialist today, who informed me that surgical treatment is necessary. I would like to inquire if surgery is the only option available, or if there are alternative treatmen...
Dr. Zhou Lizhi reply Orthopedics
Knee valgus typically refers to the lateral displacement of the patella during knee flexion. If this occurs frequently in patients, it can lead to joint wear and irreversible damage over time, necessitating surgical intervention. If the dislocation is not severe (not a complete d...[Read More] Alternatives to Surgery for Knee Valgus: What You Need to Know
Understanding Tailbone Pain: Causes and When to Seek Help
Tailbone pain Hello, doctor. I have a small question to ask. I have been experiencing soreness in my spine (coccyx area) for over two years. Recently, the soreness has become so severe that I find it difficult to sleep through the night. I also feel discomfort while sitting, whic...
Dr. Zhou Lizhi reply Orthopedics
Coccydynia is often associated with a history of trauma, particularly due to direct impact to the buttocks, which can result in coccygeal dislocation or fracture. Typically, conservative treatment is employed, but patients who sit for prolonged periods or experience changes in we...[Read More] Understanding Tailbone Pain: Causes and When to Seek Help
Understanding Knee Extension Issues After Injury: Causes and Treatments
The knee may not fully extend? Hello, doctor. I previously had swelling in my knee due to a car accident, but the swelling has now subsided and I can walk without pain. No matter how I touch my knee, it doesn't hurt, but I cannot fully extend it (the injury is on my left leg...
Dr. Zhou Lizhi reply Orthopedics
Dear readers: Injuries to the knee from car accidents can include not only fractures but also other types of damage. For instance, the anterior and posterior cruciate ligaments, as well as the medial and lateral menisci, can be affected. Additionally, fibrosis of the soft tissues...[Read More] Understanding Knee Extension Issues After Injury: Causes and Treatments
Unexplained Joint Pain: Seeking Answers for Persistent Discomfort
No identifiable cause? Hello, my finger joints, the joints in the soles of my feet, and the joints near my knees, as well as the joints connecting my thighs to my hips, often experience pain in the bones and muscles around these areas. I have undergone X-ray examinations at the h...
Dr. Zhou Lizhi reply Orthopedics
In cases of multiple joint ligament pain, systemic diseases should first be considered, such as gout, rheumatoid arthritis, and ankylosing spondylitis. Among these, it is important to inquire about any history of gout. Rheumatoid arthritis is most commonly seen in young women, wh...[Read More] Unexplained Joint Pain: Seeking Answers for Persistent Discomfort
Shoulder Ligament Surgery: When Is It Necessary and What to Expect?
Shoulder ligament surgery, without specifying a physician? My father recently suffered a shoulder ligament tear and arm dislocation due to a car accident. He has seen several traditional Chinese medicine practitioners for massage therapy, but there has been no improvement in heal...
Dr. Zhou Lizhi reply Orthopedics
If the shoulder ligament is torn at the shoulder joint, it is best to use MRI or arthroscopy to determine which ligament is injured and the extent of the injury before considering surgical options. This type of surgery falls under a subspecialty of orthopedics, so it is recommend...[Read More] Shoulder Ligament Surgery: When Is It Necessary and What to Expect?
Understanding Knee Replacement Costs: A Guide for Patients and Families
Knee joint medical expenses Hello! My father has been suffering from knee joint pain for many years, and it has worsened significantly in the past two years. He underwent some initial and intermediate treatments, but he was unable to patiently continue with long-term rehabilitati...
Dr. Zhou Lizhi reply Orthopedics
Currently, the National Health Insurance covers the cost of artificial knee joints (when conditions meet the insurance standards) for a total amount of approximately NT$130,000. Patients are responsible for about 10% to 20% of the costs, but this does not include the difference i...[Read More] Understanding Knee Replacement Costs: A Guide for Patients and Families