Understanding Pain in Toenails: Causes and When to Seek Help
Pressing on the toenail causes pain? Hello: One day I suddenly noticed that my toe was painful! I thought it might be due to a bump and that it would get better in a few days, so I didn't pay much attention to it. However, after several days, the pain persisted, and I later ...
Dr. Zhou Lizhi reply Orthopedics
Toe pain is usually caused by paronychia, which can result from a wound or trauma, but the user does not have such a medical history. Gout typically affects the first metatarsophalangeal joint, while pain between the second and third toes is often associated with neuropathic issu...[Read More] Understanding Pain in Toenails: Causes and When to Seek Help
Can Neck Stiffness from Computer Use Cause Headaches? Solutions Inside
Stiffness and pain in the neck? Can frequent computer use that leads to neck stiffness and pain cause headaches? Is there a way to improve this condition?
Dr. Zhou Lizhi reply Orthopedics
Prolonged computer use with poor posture and maintaining the same position for extended periods can lead to neck muscle stiffness and poor blood circulation, which in turn can cause headaches. In outpatient clinics, patients often seek treatment for tendonitis. It is recommended ...[Read More] Can Neck Stiffness from Computer Use Cause Headaches? Solutions Inside
Can O-Shaped Legs Be Corrected at My Age?
bow legs Is it still possible to correct my bow legs at my current age?
Dr. Zhou Lizhi reply Orthopedics
X-rays are required to measure the angle in cases of bow legs. If the condition is severe, surgical correction may be necessary; however, if it is only a cosmetic issue, correction is not required. At 19 years old, the growth plates in the knee have already fused, making it impos...[Read More] Can O-Shaped Legs Be Corrected at My Age?
Understanding Sciatica: Effective Solutions for Chronic Leg Pain
Suspected sciatica? Hello Doctor: My mother is about 52 years old. Eight years ago, she underwent surgery for a herniated disc that was compressing the nerve on the right side. Since then, she has been experiencing intermittent pain and numbness in her right leg. In June of this ...
Dr. Zhou Lizhi reply Orthopedics
Sciatic nerve pain is caused by compression of the nerve within the spinal canal, which can result from factors such as bone spurs, soft tissue, or herniated discs. Based on the description provided by the internet user, it appears that there may still be an issue. It is recommen...[Read More] Understanding Sciatica: Effective Solutions for Chronic Leg Pain
Understanding Nerve Compression: Causes, Symptoms, and Treatment Options
Nerve compression Hello, doctor. If the spinal nerves are injured, isn't it true that some parts of the body may experience a tingling sensation? Doctors say that this tingling feeling is caused by nerve compression. Could you please explain how to treat the tingling sensati...
Dr. Zhou Lizhi reply Orthopedics
Injuries to the spinal nerves require an understanding of the underlying cause, which can be categorized into two main types: traumatic and lumbar spinal stenosis. In cases of traumatic spinal fractures, urgent realignment and stabilization are necessary to prevent irreversible n...[Read More] Understanding Nerve Compression: Causes, Symptoms, and Treatment Options
Managing Sciatica Pain: Can My Mother Continue Her Dance Fitness Classes?
Bone spur Hello Dr. Zhou: My mother visited the orthopedic department at Taipei County Hospital today due to pain in her left thigh. After an X-ray, the doctor determined that she has developed some small bone spurs at the tailbone due to degeneration, which is causing nerve comp...
Dr. Zhou Lizhi reply Orthopedics
Degeneration of the lumbar spine due to age or trauma often leads to the formation of bone spurs. However, if these bone spurs do not compress the nerves, symptoms may not occur, and treatment may not be necessary. On the other hand, if nerve compression occurs, symptoms such as ...[Read More] Managing Sciatica Pain: Can My Mother Continue Her Dance Fitness Classes?
Left Humerus Fracture: Recovery Tips and Avoiding Complications
I have a fracture and separation of my left humerus? On July 17, I was mugged, and my left arm was held down, resulting in a forceful fracture of my humerus with an open fracture. The injury is quite severe, but my shoulder is not dislocated, although there is a depression. Is th...
Dr. Zhou Lizhi reply Orthopedics
1. For a humeral fracture, appropriate management should be provided based on the X-ray findings and the size of the open wound (which may include surgical fixation or casting treatment). 2. If the bone has not shown signs of healing after three months, close monitoring is requ...[Read More] Left Humerus Fracture: Recovery Tips and Avoiding Complications
Falling After Surgery: Is Numbness Normal for a Fractured Hand?
After the surgery, I accidentally fell? Hello, doctor. On September 15th, I fractured the fifth metacarpal bone in my right hand and had it casted with three pins inserted. However, this morning around 11 AM, I fell, landing on my elbow first, so the affected area did not directl...
Dr. Zhou Lizhi reply Orthopedics
Based on the information described by the internet user, it appears that the fracture site has not been re-implanted (if it were to displace again, it could lead to deformity and swelling). The symptoms of numbness in the hand may be due to the impact on the elbow, which could ha...[Read More] Falling After Surgery: Is Numbness Normal for a Fractured Hand?
Understanding Knee Weakness: Could Spinal Bone Spurs Be the Cause?
Knee My father is 60 years old. Yesterday, after squatting down, he suddenly couldn't stand up, saying that his knees felt weak. As a result, he is unable to bend or straighten his legs, and his knees do not feel sore. What could be the cause of this? The doctor mentioned th...
Dr. Zhou Lizhi reply Orthopedics
Dear user, the sudden inability to move the knee joint is most commonly caused by traumatic fractures or soft tissue injuries within the joint that lead to impingement. Based on your father's symptoms, it appears to be the latter (fractures typically cause severe pain and sw...[Read More] Understanding Knee Weakness: Could Spinal Bone Spurs Be the Cause?
Post-Surgery Stitch Allergy: Delayed Healing and Next Steps
Post-surgical deep suture allergy with delayed wound healing? It has been three weeks since the ligament reconstruction surgery, but the wound is not healing due to an allergy to the deep sutures. Is it necessary to return to the operating room for debridement? If we do not proce...
Dr. Zhou Lizhi reply Orthopedics
Dear netizens, The ligament reconstruction surgery can be categorized into autograft (using one's own ligament for reconstruction) and allograft (using an artificial ligament for reconstruction). Each type has its own advantages and disadvantages. Based on the description ...[Read More] Post-Surgery Stitch Allergy: Delayed Healing and Next Steps
Challenges After Knee Replacement: Addressing Tuberculosis and Recovery Issues
Correction after joint replacement and tuberculous arthritis? Dear Dr. Chou, I underwent a right knee arthroplasty two years ago. According to the medical timeline, I was supposed to be able to walk normally after six months of rehabilitation. However, things did not go as plann...
Dr. Zhou Lizhi reply Orthopedics
Based on your description, it seems that the primary culprit is indeed the infection caused by Mycobacterium tuberculosis. Infections, whether bacterial, tuberculous, or fungal, are a significant concern following joint replacement surgery, as they are often difficult to control ...[Read More] Challenges After Knee Replacement: Addressing Tuberculosis and Recovery Issues
Understanding Persistent Knee Pain After Injury: What to Do Next?
What could be causing this knee pain? Hello Doctor: My knee was swollen significantly due to a motorcycle accident. The doctor said that the skin and muscle had separated, and there was a collection of blood and fluid inside. About a month later, when I visited Chang Gung Hospita...
Dr. Zhou Lizhi reply Orthopedics
There is a bursa located in front of the kneecap, which functions to provide lubrication during movement. It is often injured, leading to bursitis and the accumulation of fluid. Although aspiration in the clinic may provide temporary relief, it frequently recurs, which may necess...[Read More] Understanding Persistent Knee Pain After Injury: What to Do Next?
Managing Back Pain During Pregnancy: Effects on Spine Health
Pregnancy Experiencing lower back pain during pregnancy, especially upon waking up in the morning and having difficulty straightening the body, can have implications for the spine. If there was a pre-existing condition such as scoliosis before pregnancy, it may potentially worsen...
Dr. Zhou Lizhi reply Orthopedics
During pregnancy, hormonal changes can lead to increased ligament laxity, which often results in lower back pain. Scoliosis does not affect delivery; however, as the weight of the fetus increases during pregnancy, it can indeed exacerbate discomfort. Therefore, it is advisable to...[Read More] Managing Back Pain During Pregnancy: Effects on Spine Health
Understanding Muscle Pain: Causes and Remedies for Hip Discomfort
Muscle soreness Hello Doctor, 1. When sitting, I experience soreness in my left buttock, but it feels normal when standing or walking. 2. In low temperatures, if I maintain a fixed position for too long, I hear cracking sounds when I move. Could you please explain the possib...
Dr. Zhou Lizhi reply Orthopedics
1. The two most common causes of general buttock pain are sciatica and piriformis syndrome. Sciatica occurs when nerves in the lower back are compressed by bone spurs, intervertebral discs, or ligamentum flavum, leading to symptoms such as numbness and tingling in the buttock, th...[Read More] Understanding Muscle Pain: Causes and Remedies for Hip Discomfort
Addressing Osteoporosis After Four Months of Leg Fracture Recovery
Four months after the fracture, osteoporosis? Hello Doctor: My husband (30 years old) had a fibula fracture in his left leg due to exercise and had the cast on for four months before it was removed. The doctor mentioned that he shows signs of osteoporosis, as seen in the X-ray, w...
Dr. Zhou Lizhi reply Orthopedics
A 30-year-old male patient with a fibula fracture in the lower extremity, if it is not close to the ankle joint, is mostly treated conservatively with cast immobilization. However, weight-bearing is allowed to prevent osteoporosis. If osteoporosis unfortunately occurs, it is reve...[Read More] Addressing Osteoporosis After Four Months of Leg Fracture Recovery
Exploring CCA Noto: Can It Really Help Increase Height?
Regarding CCA (Calcium, Cholecalciferol, and Amino acids) that is beneficial for height! I recently heard on FM 98.3 that Japan has invented something called CCA Noto, which supposedly allows people under 55 years old to still have a chance to grow taller. They mentioned that it ...
Dr. Zhou Lizhi reply Orthopedics
1. The website search did not reveal any information about this medication, and I am unsure of its ingredients. 2. The price is very high; be cautious of potential scams.[Read More] Exploring CCA Noto: Can It Really Help Increase Height?
Understanding Growth Plates: Can You Still Grow Taller?
Regarding height increase? I previously went to the hospital to get an X-ray of my growth plates, but every doctor who saw my health insurance card's birth date sent me away, telling me not to waste my money. However, I didn't give up and went to a private lab for an X-...
Dr. Zhou Lizhi reply Orthopedics
1. Once the growth plates have fused, it is difficult to achieve further height increase. 2. If individuals are determined to grow taller, they can try the following methods: performing pull-ups to relax the spinal joints, which may provide a chance of increasing height by abou...[Read More] Understanding Growth Plates: Can You Still Grow Taller?
Understanding Facial Bone Pain After Facial Nerve Recovery
Facial bone pain? Hello Dr. Zhou: I experienced facial nerve paralysis on the right side of my face this September, but I have since recovered. However, I have been experiencing persistent pain in the bones on the right side of my face, without any noticeable swelling or deformit...
Dr. Zhou Lizhi reply Orthopedics
Due to the uncertainty regarding the cause of the facial nerve paralysis (whether traumatic or neurological), it is not possible to determine if there is any bone injury. However, based on the symptoms described, there is no noticeable swelling or bruising on the right cheek, sug...[Read More] Understanding Facial Bone Pain After Facial Nerve Recovery
Understanding Growth Plates: When Do They Close in Males?
Regarding the growth plate? The growth plates in males close later, potentially up to the age of 25, which is what you previously mentioned. However, I see that when others ask different doctors, they often say that the growth plates close after reaching adulthood, making it unli...
Dr. Zhou Lizhi reply Orthopedics
In fact, if individuals undergo X-rays at the hospital, it will be observed that the growth plates completely close and disappear around the age of 25. Therefore, there is still a chance for height increase before closure, although the likelihood and extent of growth are not as s...[Read More] Understanding Growth Plates: When Do They Close in Males?
Understanding Growth Factors in Female Adolescents: Insights for Optimal Development
Regarding the previous response~ 1. Based on the user's age, gender (female?), and the height of their parents, it appears that the user is already considered to be a well-developed female (5% taller than the average height of their parents). 2. Females typically experience...
Dr. Zhou Lizhi reply Orthopedics
1. Males can be 10% taller than the average height of their parents. 2. Male growth plates close later, potentially up to age 25. 3. Exercise involving untrained muscles is beneficial. 4. The timing of growth hormone release is consistent. 5. The effects of acupuncture ar...[Read More] Understanding Growth Factors in Female Adolescents: Insights for Optimal Development