Dr. Zhou Lizhi reply Orthopedics Question - Page 3

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Understanding Pelvic Bone Spurs: Treatment Options and Prevention

Pelvic bone spur Hello Dr. Chou: I recently went to the hospital for an examination, and the doctor said I have bone spurs in my pelvis. Since this is the first time I've heard of it, I'm unsure about the correct course of action. I would like to ask if physical therapy...


Dr. Zhou Lizhi reply Orthopedics
Bone spurs are rarely found in the pelvis; they are usually caused by excessive pulling of the tendons. If pain occurs, localized treatment can be applied, but the primary focus should be on identifying the underlying cause. Prevention is key.

[Read More] Understanding Pelvic Bone Spurs: Treatment Options and Prevention


Understanding Heel Spurs: Treatment Options and Modern Medical Advances

Bone spur Hello, my father has developed a bone spur on his heel. I just browsed through some previous Q&A and found that Dr. Zhou mentioned physical therapy and arch support shoes as potential improvements. Therefore, I would like to ask: 1. What does physical therapy refer ...


Dr. Zhou Lizhi reply Orthopedics
1. Heel spurs can cause pain while walking, especially with the first step out of bed in the morning, which is characteristic of plantar fasciitis. This condition can be improved with injectable medications or oral medications. If these treatments are ineffective, surgical remova...

[Read More] Understanding Heel Spurs: Treatment Options and Modern Medical Advances


Does Head Size Increase with Age? Understanding Your Concerns

Does head size increase with age? Hello, Dr. Chou: I have been troubled by a problem that is not exactly a hidden issue, which seems to be getting worse as I age. Since I was young, I have felt that my head is quite large, and I have always suspected that there might be somethin...


Dr. Zhou Lizhi reply Orthopedics
1. The proportion of the head is largest in children, and while some individuals may have larger heads as they grow, continuous growth should raise concerns about various diseases, primarily endocrine disorders. 2. Protruding eyes can mainly be attributed to two causes: severe ...

[Read More] Does Head Size Increase with Age? Understanding Your Concerns


Managing Spine Bone Spurs and Disc Herniation: Treatment Options and Home Relief

Lumbar spine bone spurs and herniation? Hello Doctor, my mother has been diagnosed with bone spurs and a herniated disc in her lumbar spine, causing pain in her lower back and left leg, making it difficult for her to walk long distances or stand for extended periods. She has been...


Dr. Zhou Lizhi reply Orthopedics
Lumbar spinal stenosis is primarily caused by bone spurs or herniated discs that compress the sciatic nerve, leading to pain and an inability to stand for prolonged periods. Initially, anti-inflammatory medications may be used to alleviate symptoms; however, if these are ineffect...

[Read More] Managing Spine Bone Spurs and Disc Herniation: Treatment Options and Home Relief


Should You Remove Steel Plates After Bone Healing? Expert Insights

Can the steel plate be left in place? Five years ago, I suffered closed fractures of both femurs due to a car accident. After two surgeries, the bones fully healed three years ago. Since the fixation plates have not yet been removed, I returned to the original hospital to consult...


Dr. Zhou Lizhi reply Orthopedics
A femoral fracture typically heals in 4 to 5 months. Based on the description provided by the user, it appears to be a complex fracture. Since it has already healed three years ago, the decision to remove the hardware can be determined through X-ray imaging. There is a risk of re...

[Read More] Should You Remove Steel Plates After Bone Healing? Expert Insights


Understanding Pelvic and Thigh Joint Pain: Causes and Solutions

Pain at the junction of the pelvis and thigh? Hello, doctor! Two days ago, I experienced slight pain in my pelvis and thigh while walking. The pain only occurs when I walk or directly press on that area. After a day, the pain has intensified, and now walking has become somewhat d...


Dr. Zhou Lizhi reply Orthopedics
Pain at the junction of the pelvis and thigh is usually indicative of an adductor muscle strain. The tender point corresponds to the site of tendon inflammation, which can be treated with oral analgesics and local anti-inflammatory injections. Rest for 2 to 3 weeks is generally s...

[Read More] Understanding Pelvic and Thigh Joint Pain: Causes and Solutions


Understanding Knee Pain While Running: Causes and Solutions

Knee pain while running? Hello doctor, recently when I jog for over a kilometer, my left knee starts to hurt. I went to the hospital for an examination, and the doctor said there was nothing wrong with my knee (I had an X-ray). They only prescribed some topical medication and adv...


Dr. Zhou Lizhi reply Orthopedics
Long-term use of the knee joint can lead to injuries not only to the muscles but also to the articular cartilage. Over time, this may result in arthritis of the patellofemoral joint. It is recommended that individuals, in addition to taking pain relievers, rest for about two week...

[Read More] Understanding Knee Pain While Running: Causes and Solutions


Effective Treatments for Sciatica Pain Relief: A Comprehensive Guide

Sciatica: How to Treat It Hello Dr. Chou, I would like to ask how to treat sciatica. I have been in pain for a year and have undergone a CT scan, which revealed that my spine is compressing the nerve. After that, I consulted another doctor who said it was a minor issue and prescr...


Dr. Zhou Lizhi reply Orthopedics
If you have undergone a CT scan or MRI, please bring the results to the outpatient clinic. If the location and size of the compression are confirmed, surgery can be performed to remove it.

[Read More] Effective Treatments for Sciatica Pain Relief: A Comprehensive Guide


Understanding Gout: Symptoms, Causes, and Treatment Options

Gout My brother experiences numbness in his legs, along with cramping pain that sometimes becomes severe enough to prevent him from walking. He also has a habit of drinking alcohol and has lost his appetite, resulting in significant muscle wasting in his calves. What could be the...


Dr. Zhou Lizhi reply Orthopedics
Gout is caused by the deposition of uric acid in the joints, leading to redness, swelling, and pain. This condition is related to diet, genetics, and alcohol consumption. The symptoms experienced by the user's brother may be more associated with nerve compression. It is reco...

[Read More] Understanding Gout: Symptoms, Causes, and Treatment Options


Should You Take Calcium Supplements Before or After Meals?

excuse me? Should calcium supplements be taken before or after meals?


Dr. Zhou Lizhi reply Orthopedics
Calcium, after being digested by gastric acid, becomes a divalent ion, which is easily absorbed; therefore, it can be consumed with meals.

[Read More] Should You Take Calcium Supplements Before or After Meals?


Understanding Persistent Pain Near the Buttocks: When to Seek Help

Hello! How can I assist you today? Hello, I would like to ask a question about pain in the area around the buttocks! Five years ago and four years ago, I visited the orthopedic department at a hospital for X-rays of my spine and coccyx, but the doctor said there was no issue. The...


Dr. Zhou Lizhi reply Orthopedics
The location of the injury after a car accident is very important. If the impact occurs directly in the center of the buttocks when sitting down, it raises suspicion of a coccygeal issue (which can be diagnosed via X-ray). Additionally, if the injury is caused by lateral bending ...

[Read More] Understanding Persistent Pain Near the Buttocks: When to Seek Help


Understanding Sciatica: Symptoms, Causes, and Effective Exercises for Relief

Sciatica I have been suffering from lower back pain for about a year. I have seen many traditional Chinese and Western doctors, but nothing has worked. The Chinese doctors say my muscles are tense and recommend massage therapy, but the results have been poor, and the pain recurs ...


Dr. Zhou Lizhi reply Orthopedics
In young people, lower back pain is often related to muscle issues. However, if there is no improvement after treatment and symptoms such as leg numbness or pain (indicating nerve compression) persist, further examination is necessary. A common condition to consider is a herniate...

[Read More] Understanding Sciatica: Symptoms, Causes, and Effective Exercises for Relief


Understanding Sciatica: Symptoms, Causes, and Non-Surgical Treatments

Is it a herniated disc (sciatica)? Hello Doctor: Around June or July of this year, I experienced frequent sneezing, almost one after another. I didn't seek medical attention right away, thinking it was just a cold. However, I felt that the impact of sneezing on my lower back...


Dr. Zhou Lizhi reply Orthopedics
The intervertebral disc is a soft cushion located between the vertebrae, functioning to alleviate pressure on the spine during bending and weight-bearing activities, allowing the body to properly bear weight. Improper use can lead to inflammation, herniation, or even rupture of t...

[Read More] Understanding Sciatica: Symptoms, Causes, and Non-Surgical Treatments


Understanding Joint Pain in the Big Toe: Is It Gout?

The joint of the left big toe is painful? This morning, I suddenly experienced pain in the joint of my left big toe, which only hurts when I walk. Recently, I have been consuming more meat (three slices of pork daily, which I am unsure if this is a lot), and I have also been eati...


Dr. Zhou Lizhi reply Orthopedics
Gout is caused by abnormal metabolism of uric acid, leading to its deposition in the joints, resulting in inflammation and pain, most commonly occurring in the big toe joint. Individuals can first have a blood test to check if their uric acid levels are normal (this can be done a...

[Read More] Understanding Joint Pain in the Big Toe: Is It Gout?


Effective Strategies to Alleviate Sciatica Pain and Improve Mobility

Sciatica Hello Dr. Chou, I would like to ask what methods can improve the condition of sciatica. My father has been experiencing a dull pain from his buttocks to the back of his thigh. Could this be sciatica? What foods can he eat, or what exercises can he do to prevent bone is...


Dr. Zhou Lizhi reply Orthopedics
Sciatica is caused by degenerative compression of the lumbar spine. In younger individuals, it may result from improper loading of the intervertebral discs, while in older adults, it is often due to spinal degeneration leading to bone spurs. At this point, it is essential to asse...

[Read More] Effective Strategies to Alleviate Sciatica Pain and Improve Mobility


Understanding Old Knee Injuries: Impacts and Concerns

Old knee injury Hello, doctor! I would like to ask a question. When I was in the ninth grade (about six years ago), I had an incident where I collided with a classmate, and my knee was pressed down suddenly. At that moment, I felt a tendon in my knee suddenly shift, and after I s...


Dr. Zhou Lizhi reply Orthopedics
According to the user, it may be a patellar dislocation, often caused by tight lateral ligaments or previous injuries, leading to dislocation of the knee during certain positions or activities. Generally, the patella will spontaneously reduce after the knee is fully extended; how...

[Read More] Understanding Old Knee Injuries: Impacts and Concerns


Understanding Recovery After Surgery for Herniated Discs: What to Expect

Disc herniation surgery completed? Hello, I previously sustained an injury at work and did not seek treatment. After my discharge from the military, I worked as a cement worker, during which I experienced discomfort in my left leg from my buttocks to my left thigh for about two y...


Dr. Zhou Lizhi reply Orthopedics
Herniated disc, commonly known as a "slipped disc," occurs when the intervertebral disc bulges, ruptures, or becomes inflamed due to weight-bearing, compressing the nerves (sciatic nerve). Surgery involves the removal of the ruptured disc (complete removal can lead to s...

[Read More] Understanding Recovery After Surgery for Herniated Discs: What to Expect


Understanding Inner Thigh and Shin Pain: Causes and Treatment Options

Pain and discomfort in the inner thigh and tibial muscles of the calf? Hello Dr. Zhou, I would like to ask you a question. My father has had scoliosis and bone spurs for many years. Recently, he suddenly experienced pain and swelling in the inner thigh and shin muscles of his rig...


Dr. Zhou Lizhi reply Orthopedics
Based on the symptoms described by the internet user, the first condition that comes to mind is lumbar spinal stenosis causing nerve compression, which is also known as sciatica. There are many causes of lumbar spinal stenosis, with the most common being compression from bone spu...

[Read More] Understanding Inner Thigh and Shin Pain: Causes and Treatment Options


Understanding Unexplained Pain: Is It Related to Weightlifting and Gout?

Unknown cause It seems that I only experience sharp pain from my armpit to my ribcage when lifting heavy objects for an extended period. I have experienced this before, but it occurs infrequently. I have a history of gout; could this be related? Thank you.


Dr. Zhou Lizhi reply Orthopedics
Rib pain should consider issues such as traumatic fractures, contusions, pathological fractures, and neuralgia. Based on the symptoms described by the user, it seems more like a tendon strain or neuralgia. If the user still has questions, it may be advisable to get an X-ray to ch...

[Read More] Understanding Unexplained Pain: Is It Related to Weightlifting and Gout?


Can Pelvic Fractures Be Repaired? A Case Study of Recovery Options

Pelvic fracture My sister was in a car accident, and her pelvis was run over by a garbage truck. The doctor diagnosed her with a shattered pelvis, and the section near the femur is almost completely broken. There is significant bleeding from the nerves, and she has already underg...


Dr. Zhou Lizhi reply Orthopedics
Pelvic fractures are a serious major trauma, and their impact extends beyond the pelvic bones themselves to include issues related to nerves, blood vessels, the reproductive system, and the presence of open wounds. Therefore, each patient's condition is different. If there i...

[Read More] Can Pelvic Fractures Be Repaired? A Case Study of Recovery Options


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