Effective Treatment Options for Plantar Fasciitis in Older Adults
Plantar fasciitis What treatment options are available for elderly patients, and is it possible for them to fully recover? Should pain relief injections be administered?
Dr. Chen Xingyuan Reply:
Dear Readers, The occurrence of plantar fasciitis is related to age, physical condition, and usage patterns, making it difficult to completely cure. Since age and physical condition cannot be changed, we can only focus on careful usage to reduce the chances and intensity of its ...[Read More] Effective Treatment Options for Plantar Fasciitis in Older Adults
Understanding Gouty Tophi on the Heel: Surgical Options Explained
A sizable gouty tophus has developed on the heel? Dear Doctor, My father has developed a sizable gouty tophus on his heel, which often gets injured and requires medication, causing him a lot of trouble. We consulted a physician to see if there is a surgical option to remove it....
Dr. Wang Shouji Reply:
Hello: If the tophus is too large, there is still a risk of slow wound healing after surgery. It is necessary to actually assess the size of the tophus in order to provide appropriate recommendations. Thank you![Read More] Understanding Gouty Tophi on the Heel: Surgical Options Explained
Effective Treatments for High Arched Feet: A Patient's Guide
Treatment for Pes Cavus (High Arched Foot) Hello, Dr. Wang~ =) I am a patient with high arches, and I suspect the cause may be due to a period in my childhood when I walked on my tiptoes. My main symptoms are: (unstable walking, inability to stand for long periods, difficulty wit...
Dr. Wang Shouji Reply:
Hello: As mentioned in your text, this is likely a congenital issue. If there was no appropriate rehabilitation or correction during childhood, it could lead to some degree of functional impairment; the likelihood is high. If the Achilles tendon is too tight, an evaluation can be...[Read More] Effective Treatments for High Arched Feet: A Patient's Guide
Understanding the Sensation of Water Droplets on Legs: A Spine Connection?
There is a sensation of water dripping in the lower extremities? Hello, Doctor: Recently, I often feel drops of water on my legs while walking, but there are actually none. Could this be related to my spinal nerves? Please also consider the following related conditions: 1. During...
Dr. Shi Guozheng Reply:
Abnormal sensations in the lower limbs may be related to nerve conduction issues; however, if there is pain, the association with spinal nerves increases. 1. Shortened calf tendons may refer to a shortened Achilles tendon (tendo calcaneus), which can make squatting more difficult...[Read More] Understanding the Sensation of Water Droplets on Legs: A Spine Connection?
Understanding Flat Feet and Associated Conditions: A Guide to Foot Deformities
"Flatfoot with valgus deformity" I have congenital flatfoot, and my doctor has certified that the arch of my right foot is at 165.5 degrees. I have the following questions: 1. Does "foot eversion" refer to "hindfoot eversion," "hallux valgus,&qu...
Dr. Wang Shouji Reply:
1. "Foot eversion" refers to "hindfoot eversion." 2. One of the military service physical examination criteria includes "flatfoot with foot eversion." Here, does foot eversion refer to the condition where the Achilles tendon and the plantar surface a...[Read More] Understanding Flat Feet and Associated Conditions: A Guide to Foot Deformities
Effective Strategies to Reduce Swelling After Achilles Tendon Surgery
Achilles tendon rupture, currently undergoing rehabilitation post-surgery. How can swelling be reduced? Hello Dr. Hong, I accidentally ruptured my Achilles tendon while playing basketball. I underwent surgery approximately 4 to 5 hours after the incident, where a suturing proce...
Dr. Hong Ximing Reply:
Hello: Swelling after Achilles tendon rupture surgery is a normal phenomenon. You are currently about 6 weeks post-surgery, and you should begin rehabilitation gradually and not rush the process, as it may affect tendon healing. Please consult with your rehabilitation physician f...[Read More] Effective Strategies to Reduce Swelling After Achilles Tendon Surgery
Is It Too Early to Walk Without Crutches After an Ankle Fracture?
Medial malleolus fracture Hello doctor, I would like to ask about my situation. I suffered an ankle fracture due to a car accident on February 16 and had two metal screws inserted. After my follow-up appointment on April 7, the doctor said I could start to gradually put weight on...
Dr. Zhang Jiahao Reply:
Hello, theoretically, after two months, you should be able to bear partial weight. The use of crutches is still recommended. If the wound has completely healed, you should soak it in warm water, which should help alleviate any soreness. Currently, the bone may not be fully healed...[Read More] Is It Too Early to Walk Without Crutches After an Ankle Fracture?
Understanding Hip Muscle Fibrosis: Self-Assessment and Expert Insights
Please feel free to ask any questions? Hello, Doctor: 1. Is the examination for gluteal muscle fibrosis performed by having the legs together and the two angles flat on the ground? When I visited the military hospital, the doctor asked me to squat in a high kneeling position; i...
Dr. Hong Ximing Reply:
Hello: 1. Examination methods for gluteal muscle fibrosis and contracture: (1) The thigh must be abducted/externally rotated for the hip joint to flex to its maximum angle. (2) When the hip joint is flexed to its maximum angle, the thigh cannot perform adduction/internal rotation...[Read More] Understanding Hip Muscle Fibrosis: Self-Assessment and Expert Insights
Understanding Frog Leg Syndrome: Diagnosis and Treatment for Knee Pain
Frog leg syndrome? Hello Doctor: 1. How can we accurately differentiate between frog leg and Achilles tendon tightness, both of which can cause difficulty in squatting? 2. Why does frog leg lead to pain while running? Is frog leg related to the bones or the muscles? 3. How ...
Dr. Hong Ximing Reply:
Frog leg syndrome refers to muscle spasms in the gluteal region, while Achilles tendon spasms occur in the calf muscles. During running, muscle contractions can lead to pain. For frog leg syndrome, it is advisable to visit an orthopedic clinic for a thorough physical examination,...[Read More] Understanding Frog Leg Syndrome: Diagnosis and Treatment for Knee Pain
Understanding the Challenges of Squatting with Feet Together: A Medical Perspective
Squatting with feet together? Hello: I have difficulty squatting with my feet together. During my first visit to an orthopedic clinic, the doctor diagnosed me with "frog legs." However, during my second visit to an orthopedic hospital, the doctor determined that it was ...
Dr. Shi Guozheng Reply:
When the feet are together, it is possible to squat down; however, if there is a frog leg position or Achilles tendon spasm, this movement cannot be performed.[Read More] Understanding the Challenges of Squatting with Feet Together: A Medical Perspective
Understanding Limited Dorsiflexion in Ankle Joint: A Simple Explanation
Please provide the content you would like me to translate into English? Hello, Doctor: You mentioned that when you sit on the floor or bed with your thighs and knees extended, and you exert force to dorsiflex your foot (bringing the dorsum of the foot towards the abdomen), you wi...
Dr. Shi Guozheng Reply:
This means that the dorsiflexion of the foot is impaired; in a normal person, the ankle joint can easily flex upward. If there is a contraction of the Achilles tendon, upward flexion will be restricted.[Read More] Understanding Limited Dorsiflexion in Ankle Joint: A Simple Explanation
Understanding Muscle Shortening: Symptoms and Characteristics of Quadriceps and Achilles Tendon Issues
Please provide the content you would like me to translate into English? Hello, I am unable to squat due to my legs being together, and when I spread my legs with my heels flat on the ground, I tend to lean backward. A previous doctor mentioned it could be frog legs, but today ano...
Dr. Shi Guozheng Reply:
Achilles tendon tightness can prevent you from squatting down completely. If you attempt to squat forcefully, you may fall backward. When sitting on the ground or a bed, if you extend your thighs and knees and forcefully dorsiflex your feet towards your abdomen, you will notice t...[Read More] Understanding Muscle Shortening: Symptoms and Characteristics of Quadriceps and Achilles Tendon Issues
Understanding the Differences Between Achilles Tendonitis and Plantar Fasciitis
What is the difference between Achilles tendonitis and plantar fasciitis? What is the difference between Achilles tendonitis and plantar fasciitis? I noticed that when I got out of bed and walked, my heels were very painful. Initially, it was just one foot, but later it became bo...
Dr. Li Wenlin Reply:
Hello: In response to your question, the pain associated with Achilles tendonitis is located at the back of the heel, and generally, cases of Achilles tendonitis are less common. On the other hand, the pain from plantar fasciitis is felt beneath the heel and is more prevalent in ...[Read More] Understanding the Differences Between Achilles Tendonitis and Plantar Fasciitis
Understanding Achilles Tendon Tightness: Risks, Recovery, and Rehabilitation
Achilles tendon spasm Hello Dr. Li, my son is 11 years old and is an athlete. He has an inward foot posture and seems to drag his heels while walking. Six months ago, he started experiencing heel pain and walks like a penguin. We took him to a rehabilitation clinic where he was d...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is relatively uncommon for an 11-year-old boy to experience Achilles tendonitis due to intense physical activity. It may be caused by inflammation at the junction where the tendon attaches to the calcaneus, leading to pathological changes. ...[Read More] Understanding Achilles Tendon Tightness: Risks, Recovery, and Rehabilitation
Understanding Frog Leg Deformity: Causes, Diagnosis, and Treatment Options
Frog limb 1: Is there a classification of frog legs that is caused by tight Achilles tendons, resulting in an inability to place the heels on the ground? 2: If this is the reason for the inability to squat, is surgical correction necessary? 3: How can one easily determine whi...
Dr. Ye Qingnian Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Frog leg deformity is caused by fibrosis of the vastus lateralis muscle. When lying down with the knees bent at 90 degrees, check if the hip joint can flex beyo...[Read More] Understanding Frog Leg Deformity: Causes, Diagnosis, and Treatment Options
Understanding Ankle Pain: When Walking Causes Discomfort
Doctor, could you please take a look at this for me? Hello, Doctor. I apologize for bothering you, but I have a small issue I would like to ask for your help with. Could you please take a look at my ankle at the following link? When I walk about 100 to 200 meters, my ankle starts...
Dr. Shi Qiming Reply:
Based on the photo of your Achilles tendon, there is an observed valgus angle that affects your gait, which may cause pain while walking and impact the knee and hip joints. Symptoms may include pain and thickening of the skin on the inner side of the foot. It is advisable to cons...[Read More] Understanding Ankle Pain: When Walking Causes Discomfort
Understanding Heel Pain: Symptoms, Causes, and Treatment Options
Heel pain Hello, doctor. I have pain at the bottom of my left foot where it connects to the Achilles tendon. It hurts when I press on that bone, and I also feel pain in that area while walking. What symptoms could this be, and how should it be treated? (My heel pain is different ...
Dr. Wang Shouji Reply:
The area you are referring to is likely caused by Achilles tendonitis. It's important to pay attention to your daily activities and whether you are overusing your feet. If it does not heal after a period of time, an X-ray should be taken to rule out any bone issues. Wishing ...[Read More] Understanding Heel Pain: Symptoms, Causes, and Treatment Options
Understanding Heel Pain: Symptoms, Causes, and Treatment Options
Heel inflammation The outer surface of the heel shows no signs of inflammation or any symptoms, but there is a point on the heel that is very painful to the touch, causing significant discomfort, and there is also pain radiating along the calf nerve. The longer I walk, the more p...
Dr. Ye Qingnian Reply:
Hello Sir: Thank you for your inquiry. I would like to address your question and provide the following recommendations: The symptoms appear to be indicative of tendinitis. It is advisable to limit activities such as hiking and climbing stairs. Instead, wear comfortable casual sho...[Read More] Understanding Heel Pain: Symptoms, Causes, and Treatment Options
Recovering from Left Achilles Tendon Rupture: Rehab and Return to Sports
Left Achilles tendon rupture? Hello Doctor: I completely ruptured my left Achilles tendon while playing basketball in October this year, and I have already undergone surgery for repair. I would like to ask: 1. The doctor told me that I can start rehabilitation in about 6 weeks. W...
Dr. Wang Shouji Reply:
A: A complete rupture of the Achilles tendon requires at least 6 to 8 weeks for surgical suturing to heal. Walking without the aid of crutches typically takes at least 6 weeks. Engaging in intense physical activity will require a minimum of three months. Rehabilitation for ankle ...[Read More] Recovering from Left Achilles Tendon Rupture: Rehab and Return to Sports
Understanding Ligament Injuries: Causes, Treatments, and Recovery Options
Ligament? Hello, I have a question for you. Two years ago, I accidentally fell down the stairs (about 6-7 stories), and since then, I have experienced swelling and pain in both of my Achilles tendons. I did not seek medical attention immediately and only went to see an orthopedic...
Dr. Li Wenlin Reply:
Hello: In response to your question, please consult an orthopedic physician first. Based on your description, I personally believe that surgery may not be necessary; it could be a myofascial issue or a gout flare-up. It is best to seek medical attention as soon as possible. Wishi...[Read More] Understanding Ligament Injuries: Causes, Treatments, and Recovery Options