Understanding Chronic Back Pain: Causes and Solutions for Relief
Lower back pain? Hello, I often experience lower back pain and discomfort, and I can't tolerate standing or sitting for more than about five minutes before feeling sore. When I stand, I have difficulty maintaining proper posture and tend to sway. After exercising, I feel sig...
Dr. Zhou Lizhi reply Orthopedics
Based on the symptoms you described, there may be two areas that require detailed examination. The first is an issue with the lumbar spine; abnormal lumbar scoliosis can often lead to poor posture, and patients who are still growing need to be particularly vigilant about the pote...[Read More] Understanding Chronic Back Pain: Causes and Solutions for Relief
Can Ultrasound Effectively Diagnose Knee Cartilage Issues?
Ultrasound Doctor, if there is an issue with the knee cartilage, can an ultrasound examination determine the condition?
Dr. Zhou Lizhi reply Orthopedics
Orthopedic ultrasound examination primarily diagnoses and treats soft tissue lesions and cannot differentiate knee cartilage lesions. If there is indeed a knee cartilage lesion, an arthroscopic examination of the knee should be performed. Our hospital currently has complete arthr...[Read More] Can Ultrasound Effectively Diagnose Knee Cartilage Issues?
Post-Surgery Knee Pain: Can I Run and What Exercises Are Safe?
The knee that is called "BB." I would like to ask, three years ago I underwent surgery for a left knee medial ligament repair and an artificial posterior cruciate ligament replacement due to a car accident. For the first two years, my left knee was very painful, but it ...
Dr. Zhou Lizhi reply Orthopedics
You are a 24-year-old female who underwent anterior cruciate ligament (ACL) reconstruction three years ago. Currently, your activity level is good. If you have no issues with movement, you can engage in sports; however, if you still have concerns, you should continue to monitor y...[Read More] Post-Surgery Knee Pain: Can I Run and What Exercises Are Safe?
Rehabilitation After Knee Fracture Surgery: When to Start?
After a patellar fracture that requires surgical repair with pins, is rehabilitation necessary? Hello Dr. Chou, My mother slipped and fell at home in early April, resulting in a fracture of the upper part of her knee bone. She received immediate medical attention, underwent surg...
Dr. Zhou Lizhi reply Orthopedics
Patellar fractures depend on the degree of comminution and displacement. If properly stabilized, casting may not be necessary; however, in cases of comminuted fractures or in patients with osteoporosis, casting is required. Based on the information from online sources, this appea...[Read More] Rehabilitation After Knee Fracture Surgery: When to Start?
Understanding Unexplained Foot Symptoms: A Guide to Possible Causes
What is wrong with my foot? Hello Dr. Zhou, I have been experiencing strange symptoms in my legs for the past two years. Whenever I am very tired or have stayed up late without sleep, red spots start to appear on both of my legs, and they become swollen. The spots grow larger, ...
Dr. Zhou Lizhi reply Orthopedics
Dear A-Hua, Your symptoms are indeed quite unique. Simply attributing them to rheumatic diseases is insufficient. In short, this should be classified as an immune hypersensitivity disorder. When your body is fatigued, your immune function decreases, or the allergic mechanisms a...[Read More] Understanding Unexplained Foot Symptoms: A Guide to Possible Causes
Understanding Meniscus Tears and Cartilage Damage in the Knee
Meniscal cartilage injury and chondromalacia? Hello Dr. Chou, I apologize for taking up your time. I am currently an active-duty soldier, and due to the heavy training load, I have been experiencing pain on the outer side of my right knee, to the point that I limp while walking....
Dr. Zhou Lizhi reply Orthopedics
1. The meniscal cartilage serves as a cushion between the femur and the tibial plateau in the knee joint. Its function is to absorb pressure and friction during knee movements. When damaged or uneven, it can cause pain and a sensation of locking during motion. If medication does ...[Read More] Understanding Meniscus Tears and Cartilage Damage in the Knee
Understanding Complications and Recovery from Comminuted Knee Fractures
Comminuted fracture of the left knee joint? Hello Dr. Chou, In early August 2003, I was involved in a car accident that resulted in a comminuted fracture of my left knee joint. Since the treatment, I have experienced the following situations: (1) On August 6, I underwent surgery...
Dr. Zhou Lizhi reply Orthopedics
Hello: 1. Comminuted fractures around the joints are complex injuries, especially in the knee joint, which contains the anterior and posterior cruciate ligaments and the meniscus. A comprehensive approach is necessary to achieve good outcomes. 2. Generally, fractures take about t...[Read More] Understanding Complications and Recovery from Comminuted Knee Fractures
Understanding Knee Swelling After Intense Exercise: Is It Related to Bow Legs?
Knee After intense exercise, there is often a sensation of swelling in the left knee, and the knee cannot bend but does not hurt. Forcibly bending it only results in a feeling of pressure. Is this related to my bow legs?
Dr. Zhou Lizhi reply Orthopedics
Dear user: Generally speaking, if your symptoms occur in middle-aged individuals, the primary cause may be degenerative arthritis. However, since you are a young person, it is indeed related to bowlegs. I recommend that you visit an orthopedic clinic for a detailed examination. T...[Read More] Understanding Knee Swelling After Intense Exercise: Is It Related to Bow Legs?
Understanding Calf Pain: Is It Gout or an Old Sports Injury?
Calf pain? Hello Doctor: My boyfriend experiences soreness in his calves whenever there is a sudden change in weather. Could this be gout? He used to be on a badminton team and often engaged in intense physical activity, so I'm concerned it might be an old injury from sports...
Dr. Zhou Lizhi reply Orthopedics
Dear user: Based on your question, your boyfriend's injury is likely due to tendonitis caused by an old injury, which can flare up with changes in weather. It is recommended that he undergo rehabilitation, and proper warm-up before exercise is also very important. This shoul...[Read More] Understanding Calf Pain: Is It Gout or an Old Sports Injury?
Knee Pain and Numbness: Understanding Symptoms and Seeking Help
Knee pain Hello, Dr. Zhou. I am a soldier who has just started my service. My question is that I often feel pain on the inner side of my knee after doing jumping jacks, and sometimes I experience a tingling sensation from my buttocks down to my thighs. Additionally, when I squat ...
Dr. Zhou Lizhi reply Orthopedics
Young individuals who have just enlisted often experience various symptoms due to an increase in physical training compared to their usual activity levels. Here are the answers to your questions: 1. Pain on the inner side of the knee ligaments after jumping jacks may occur due ...[Read More] Knee Pain and Numbness: Understanding Symptoms and Seeking Help
Understanding Lower Back Pain: Causes and Solutions for Relief
Lower back pain? Dr. Zhou: Good evening! Hello! I am currently experiencing slight pain in my lower back, approximately below my navel. There is also a mild pain when I bend over, and a tight, painful sensation when I squat, although it feels somewhat relieving. I haven't ex...
Dr. Zhou Lizhi reply Orthopedics
Hello, A-Tong: Based on your description, you have a history of trauma that has resulted in a back injury. More than 90% of back injuries are due to muscle strains, characterized by localized pain and a specific tender point. However, according to your account, you need to squat ...[Read More] Understanding Lower Back Pain: Causes and Solutions for Relief
Understanding Purine Levels in Fish: Is Grouper Low or High?
Low-purine foods The purine level in "fish soil" (commonly referring to the fish species, such as grouper) is generally considered to be low. Thank you!
Dr. Zhou Lizhi reply Orthopedics
High uric acid level.[Read More] Understanding Purine Levels in Fish: Is Grouper Low or High?
Understanding Cartilage Disorders: Symptoms, Causes, and Treatments
Chondropathy Dr. Zhou: I would like to ask what cartilage disease is like? I previously saw a doctor who said I have cartilage disease, but I don't know how to treat it! When I am in pain, I feel numbness and soreness all over, especially in my hands, feet, and back.
Dr. Zhou Lizhi reply Orthopedics
Chondropathy refers to a condition characterized by delayed bone growth due to vitamin D deficiency or metabolic abnormalities. Symptoms include generalized pain and poor growth and development, which should be treated promptly (with vitamin D and calcium supplementation) to prev...[Read More] Understanding Cartilage Disorders: Symptoms, Causes, and Treatments
Understanding Knee Joint Noises: When to Worry and When to Exercise
Knee joint In the lower part of the left knee, there is a cracking sound when the calf swings, but there is no pain. Since I am exercising (cycling, walking, etc.), is there anything I should pay attention to?
Dr. Zhou Lizhi reply Orthopedics
When joints move, the cartilage should glide smoothly. If a cracking sound occurs, it can typically be considered from two perspectives: 1. In younger patients, it is often due to a medial meniscus tear that gets caught, which commonly occurs in athletes or individuals with a his...[Read More] Understanding Knee Joint Noises: When to Worry and When to Exercise
Chronic Lower Back Pain: Seeking Effective Treatment Options
Lower back pain? Hello Doctor: Two years ago, I fell in a car accident, resulting in bruising on the lower right side of my back, close to my hip. The bruise healed after applying ointment from the hospital, but since last year, I have frequently experienced pain in the injured a...
Dr. Zhou Lizhi reply Orthopedics
Hello: Based on your description, we can discuss several aspects. 1. Myofascial issues 2. Hip joint and bone problems 3. Lumbar spinal or tendon issues. Firstly, initial X-ray examinations after the car accident can rule out bone-related issues, while the most common sequelae are...[Read More] Chronic Lower Back Pain: Seeking Effective Treatment Options