Dr. Zhou Lizhi reply Orthopedics Question - Page 2

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Knee Injury: Understanding Bruising and Swelling After a Fall

Knee contusion with hematoma? Hello, a few days ago, I had an accident where my motorcycle was unstable while parked, causing it to tip over and fall on me. At that moment, I felt a lot of pain in my knee (similar to the pain of a scrape or abrasion). Walking became quite difficu...


Dr. Zhou Lizhi reply Orthopedics
Post-traumatic swelling in the knee can be categorized into several components: 1. superficial soft tissue, 2. joint effusion, and 3. fractures. Generally, after a fracture, there is an inability to move the joint. Joint effusion typically causes significant swelling and pain, wh...

[Read More] Knee Injury: Understanding Bruising and Swelling After a Fall


Understanding Snap Leg Syndrome: Implications for Military Service in Taiwan

I have a condition known as "jumping leg" or "restless leg syndrome." Dear Doctor, I have been diagnosed with snapping hip syndrome by the orthopedic department at National Taiwan University. I often experience soreness in my hip joint and calf muscles, but t...


Dr. Zhou Lizhi reply Orthopedics
Dear netizens: The main symptom of the snapping hip syndrome is that when squatting, the foot cannot be flat on the ground; otherwise, the knees cannot be brought together. This position has traditionally been included in physical training (often required in the military). If the...

[Read More] Understanding Snap Leg Syndrome: Implications for Military Service in Taiwan


Is It Gouty Arthritis? Understanding Knee Pain and Swelling Solutions

Could it be gouty arthritis? Hello Dr. Chou, for the past couple of months, I've been experiencing unexplained pain in my left knee upon waking up in the morning, despite not having any injuries. Sometimes the pain is so severe that I can't fully extend my knee, and I w...


Dr. Zhou Lizhi reply Orthopedics
Dear readers: In cases of joint effusion arthritis, it is indeed important to consider gouty arthritis. At this time, in addition to aspiration, serum uric acid levels will be tested to determine if it is gout. Joint effusion often causes pain and limited mobility. If you frequen...

[Read More] Is It Gouty Arthritis? Understanding Knee Pain and Swelling Solutions


Understanding Growth Plate Fractures in Children: Treatment and Recovery

Growth plate fracture A 10-year-old child was diagnosed with a growth plate fracture after being stepped on the ankle by a classmate. The child was treated with a cast, extending up to the thigh, and it has been in place for one month and three days. The physician recommended kee...


Dr. Zhou Lizhi reply Orthopedics
Dear netizens: A 10-year-old child has sustained a growth plate fracture in the ankle. We classify fractures into six types based on severity and complexity, as well as the likelihood of complications. Generally, ankle fractures require immobilization below the knee, but dependin...

[Read More] Understanding Growth Plate Fractures in Children: Treatment and Recovery


Understanding Thigh Noises: Causes and Concerns in Orthopedics

Is there a sound coming from the thigh? Hello Doctor, I recently noticed that after sitting in one position for a long time, when I stand up, I hear a cracking sound in the inner thigh. If I sit with my knees apart, I can also hear the sound (it's more pronounced on the righ...


Dr. Zhou Lizhi reply Orthopedics
Dear user, First of all, you are a 32-year-old male. Generally speaking, unless there are specific diseases, osteoporosis should not be a concern at your age. When your joints (hip and knee) make sounds during position changes, there are typically two issues to consider: one is...

[Read More] Understanding Thigh Noises: Causes and Concerns in Orthopedics


Understanding Growth Plate Closure in Girls: When Does It Happen?

I'm sorry, but I need specific content to translate. Please Generally, for females, the growth plates typically close about two years after the onset of menstruation. However, this can vary, and the average age for closure of growth plates in normal females is around 16 to 1...


Dr. Zhou Lizhi reply Orthopedics
Hello, generally girls stop growing in height after the growth plates close between the ages of 12 to 14.

[Read More] Understanding Growth Plate Closure in Girls: When Does It Happen?


Understanding Shoulder Joint Instability: Causes and Solutions

Shoulder joint head I have noticed that whenever I exert force on my left shoulder joint (the intersection of my arm and shoulder), the bone in my left shoulder seems to shift backward, although I can still move my arm slightly. Is there a problem with this?


Dr. Zhou Lizhi reply Orthopedics
The shoulder is the most mobile joint in the human body, and its stability primarily comes from the four rotator cuff muscles and the associated ligaments. This article does not mention any history of trauma. When a user contracts their muscles, the bones of the shoulder joint ma...

[Read More] Understanding Shoulder Joint Instability: Causes and Solutions


Understanding Joint Noises: Are They a Sign of Bone Issues?

It is common for bones to make sounds? Hello doctor, when I stand up and squat, my knees make sounds, and when I lie in bed and lift my legs, I can also hear a clicking noise (it seems to be from the pelvic area). Does this indicate that there is a problem with my bones? If there...


Dr. Zhou Lizhi reply Orthopedics
During knee joint movement (especially during extension and flexion), there can be friction between the patellofemoral joint. In younger individuals, a thin membrane may be present in the middle, which can thicken due to inflammation and produce sounds. In older individuals, dege...

[Read More] Understanding Joint Noises: Are They a Sign of Bone Issues?


Understanding Colchicine: Is It Necessary for Chronic Gout Management?

Gout I have gout and went to the hospital for treatment. However, my condition is not severe at the moment; I am just continuously taking medication for chronic gout. I noticed that the doctor prescribed colchicine, which is typically used for acute gout attacks. I would like to ...


Dr. Zhou Lizhi reply Orthopedics
Gout is treated differently based on its severity (uric acid levels), with various approaches including dietary changes or medications. Colchicine acts as an anti-inflammatory medication and is typically used during acute episodes (characterized by redness, swelling, heat, and pa...

[Read More] Understanding Colchicine: Is It Necessary for Chronic Gout Management?


Understanding Right Hip and Leg Pain: Causes and Recovery Insights

Pain in the right buttock and posterior right leg? Hello, Doctor. Two and a half weeks ago, I suddenly experienced severe pain in my right thigh and buttock. I didn't think much of it at first, but a few days later, I woke up to a burning, radiating pain in my right thigh th...


Dr. Zhou Lizhi reply Orthopedics
Based on your symptoms, the two most likely conditions are tendonitis and herniated disc. The initial treatment for both conditions typically involves medication, rest, and rehabilitation therapy. Tendonitis usually shows significant improvement within a week, whereas herniated d...

[Read More] Understanding Right Hip and Leg Pain: Causes and Recovery Insights


Understanding Mysterious Toe Pain: Causes and Solutions

Toe pain Hello, doctor. I would like to ask why I have been experiencing unexplained pain at the tips of my toes upon waking up (within the last two months). It often occurs in my big toe, but today it has shifted to my ring toe. What could this symptom be? I would appreciate you...


Dr. Zhou Lizhi reply Orthopedics
Swelling and pain in the big toe is most commonly associated with gout, characterized by swelling and pain in the joint of the big toe that does not randomly shift. Therefore, considering the user's question, it may be related to tendon or nerve issues, which are often assoc...

[Read More] Understanding Mysterious Toe Pain: Causes and Solutions


Understanding Calf Cramps: Sciatica or Tendonitis?

Calf cramps while walking? Hello Doctor, In early April of this year, I experienced cramps in my left calf at night. I didn't take any action at that time, and after resting for a night, it seemed to improve. However, around April 12, I felt some numbness in the sole of my...


Dr. Zhou Lizhi reply Orthopedics
Based on your description, it is indeed possible that the herniated disc is causing sciatica and calf tendinitis. However, both conditions should initially be treated conservatively with medication and rehabilitation. If symptoms improve, that would be sufficient; however, if the...

[Read More] Understanding Calf Cramps: Sciatica or Tendonitis?


Understanding the Connection Between Sciatica and Bone Microfractures

Is there a correlation between microfractures of the sacral nerve roots and the condition? I have sciatica and went to an orthopedic doctor for an X-ray. The doctor said that my bone is slightly fractured and I need to buy a brace to stabilize my lower back. However, I have a few...


Dr. Zhou Lizhi reply Orthopedics
Firstly, the user did not mention the age or the cause of the onset. If it is a young person who sustained an injury due to improper lifting, it is often a herniated disc causing inflammation and compression of the sciatic nerve. In this case, the focus of treatment would be on m...

[Read More] Understanding the Connection Between Sciatica and Bone Microfractures


Understanding Avascular Necrosis: Recovery Tips After Hip Surgery

Avascular necrosis of the femoral head? Hello Dr. Zhou, In November 2007, I suffered a femoral head fracture near the hip joint due to a car accident. After being treated with steel nails, there were no signs of necrosis on X-rays for the first six months. However, due to (exces...


Dr. Zhou Lizhi reply Orthopedics
According to online users, there is currently a fracture plate in place, and the femoral head is necrotic with a history of bone grafting. The key focus is on whether the bone graft is growing (it is advisable to avoid weight-bearing activities, and abstaining from alcohol and sm...

[Read More] Understanding Avascular Necrosis: Recovery Tips After Hip Surgery


Post-Surgery Rehabilitation Challenges in Orthopedic Patients

Rehabilitation Issues After Orthopedic Surgery Hello Dr. Zhou: My mother (64 years old) had a car accident a year ago, resulting in a fracture of her ankle (the area between the tibia and the foot). After surgery to insert a metal plate, the doctor said the operation was successf...


Dr. Zhou Lizhi reply Orthopedics
1. Post-operative rehabilitation for ankle fractures should first consider the degree of fracture comminution and the stability provided by the fixation with screws. If the ankle joint is stable after surgery, non-weight-bearing activities (dorsiflexion and plantarflexion) can be...

[Read More] Post-Surgery Rehabilitation Challenges in Orthopedic Patients


Understanding Toe Pain: Is It Gout or Something Else?

Toe pain—could it be gout? A few days ago, I suddenly woke up in the middle of the night due to severe pain in the middle and ring toes of my right foot. Initially, I thought it was because my toenails needed trimming, so I quickly cut them. However, to my surprise, the pain pers...


Dr. Zhou Lizhi reply Orthopedics
Based on your description, the following conditions should be considered (more likely 2 or 3): 1. Gout: Typically has warning signs, but most commonly presents with swelling and pain in the first metatarsophalangeal joint, followed by the ankle joint, and potentially the knee an...

[Read More] Understanding Toe Pain: Is It Gout or Something Else?


Cold Weather Back Pain: Is It a Spine Issue or Aftermath of Treatment?

Spine Cold weather can cause discomfort in the lower back and spine, making it difficult to walk upright and resulting in weakness in the legs. I had a spinal tap when I was younger. Could this be a long-term effect? Which specialist should I see? Thank you.


Dr. Zhou Lizhi reply Orthopedics
1. Performing a lumbar puncture will not cause spinal stenosis or nerve compression. 2. Back pain and sciatica can lead to an inability to walk upright, causing leg pain, and prolonged nerve compression in the lumbar region can result in weakness in the legs. Therefore, it is rec...

[Read More] Cold Weather Back Pain: Is It a Spine Issue or Aftermath of Treatment?


Recovery Timeline After Tibial Fracture Surgery: When Can You Walk Normally?

Fracture Hello Dr. Zhou: I had a tibial fracture in March last year, and I had the six metal screws and plate removed on November 10 this year. How long will it take before I can walk normally?


Dr. Zhou Lizhi reply Orthopedics
Hello, netizen: If a lower leg fracture has completely healed after one year, the internal fixation devices can be removed. After removal, normal walking can resume due to complete healing. There will be screw holes in the tibia (six in total), which will heal in about three mont...

[Read More] Recovery Timeline After Tibial Fracture Surgery: When Can You Walk Normally?


Home Care for Elderly Hip Fracture: Mobility and Pain Management Tips

Nursing Care for Hip Fractures An elderly person at home has long-term mobility issues and recently suffered a hip fracture. The physician has advised the family to consider the risks of surgery and prognosis, and currently, surgery is not being considered. Regarding home care be...


Dr. Zhou Lizhi reply Orthopedics
Hip fractures are currently generally treated with surgery, as patients may need to remain bedridden for a month and a half, and the fracture may take at least three months to heal. This can lead to several complications: 1. Pressure ulcers: Patients experience pain and are reluc...

[Read More] Home Care for Elderly Hip Fracture: Mobility and Pain Management Tips


Understanding Pain: Common Orthopedic Issues and Symptoms

Pain I have a question: My heels on both feet experience intermittent pain, and my calves also have intermittent pain. My hands are red, swollen, and painful. I experience intermittent facial pain, which becomes red and swollen when exposed to heat, and it itches. My neck is also...


Dr. Zhou Lizhi reply Orthopedics
Based on your name, it seems you are female, but your age is unknown. You are experiencing unexplained redness, swelling, and pain throughout your body, which is more indicative of an autoimmune disease. It is recommended that you visit a rheumatology clinic.

[Read More] Understanding Pain: Common Orthopedic Issues and Symptoms


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