Understanding Retrocalcaneal Bursitis: Symptoms, Treatments, and Recovery
Retrocalcaneal bursitis Dear Director Shi, About a year and a half ago, I began experiencing pain in my left heel. During this time, I have consulted several orthopedic and rehabilitation specialists. I have undergone X-rays, ultrasounds, and blood tests, and I have also been re...
Dr. Shi Guozheng Reply:
Inflammation often occurs at the attachment of the Achilles tendon to the calcaneus, which can lead to pain and mobility issues. After receiving a corticosteroid injection, there should be some improvement; however, if one engages in inappropriate activities before fully recoveri...[Read More] Understanding Retrocalcaneal Bursitis: Symptoms, Treatments, and Recovery
Understanding Ankle Swelling: Causes and Treatment Options
Swelling of the ankle? My ankle is swollen only in the back, specifically the area where the shoe rubs against it. It's extremely uncomfortable and makes it very difficult to walk. Why is this happening? Which part is inflamed? Interestingly, it hurts less when I squat, but ...
Dr. Hong Ximing Reply:
The swelling in the heel is likely due to Achilles tendonitis, which can lead to bursitis in severe cases. Since the Achilles tendon attaches the calf muscles to the calcaneus, standing up can cause pain due to tension, especially noticeable when getting out of bed. The primary t...[Read More] Understanding Ankle Swelling: Causes and Treatment Options
Understanding Hallux Valgus and Osteoarthritis: A Patient's Dilemma
Degenerative arthritis Dear Doctor, Last month, I visited a physician due to severe friction and pain between my big toe and second toe while walking, which resulted in skin breakdown. It later formed a scab, and I noticed that the bone next to my big toe was severely protruding...
Dr. Shi Qiming Reply:
Hello: Based on your description, it seems that you are experiencing symptoms caused by hallux valgus, which leads to friction between the toes. I recommend that you visit our orthopedic outpatient clinic for further examination and assessment. Generally, you can start by using a...[Read More] Understanding Hallux Valgus and Osteoarthritis: A Patient's Dilemma
Understanding Ankle Joint Stiffness: Causes, Treatment, and Recovery
Inability to move the ankle joint? The ankle joint is unable to move normally, causing significant discomfort while walking. When squatting, the joint does not move as it should, and it feels as if the ankle joint is fused with the tibia, almost as if there is no joint at all. I ...
Dr. Ye Qingnian Reply:
Limited ankle joint mobility can lead to an inability to squat, primarily due to tightness in the Achilles tendon, which prevents dorsiflexion of the ankle. It is advisable to start with rehabilitation exercises.[Read More] Understanding Ankle Joint Stiffness: Causes, Treatment, and Recovery
Understanding Ligament Injuries: Recovery, Pain, and Rehabilitation Insights
Ligament injury Hello! When I was in the first year of junior high, I injured my ligament in a car accident. The doctor did not specify which ligament was injured and just advised me to rest at home and avoid movement. Therefore, my elders took me to see a traditional Chinese med...
Dr. Zhang Shengben Reply:
Injuries to the calf are mostly due to gastrocnemius muscle injuries. After the injury, a splint should be applied for immobilization, and crutches should be used along with rehabilitation therapy. Tightness and pain in the calf muscles are certainly abnormal. It is advisable to ...[Read More] Understanding Ligament Injuries: Recovery, Pain, and Rehabilitation Insights
Understanding Heel Pain: Causes, Diagnosis, and Treatment Options
Heel pain!! Hello, Doctor. I have been experiencing heel pain due to exercise. The affected area feels like something is pulling and there is a tearing pain. The pain became unbearable, so I sought medical attention. Since the pain is located on both sides of the calcaneus, the X...
Dr. Shi Guozheng Reply:
First, it is essential to confirm whether it is a fracture. If it is not caused by a fracture, the most likely condition is tendinitis. Pain may occur at the junction of the Achilles tendon and the calcaneus due to sports injuries. The treatment for tendinitis typically involves ...[Read More] Understanding Heel Pain: Causes, Diagnosis, and Treatment Options
Understanding Rare Symptoms in Orthopedic Conditions: A Case Study
Rare symptoms On October 31, 1992, I visited the hospital due to chondromalacia patellae. The doctor instructed me to perform some stretching exercises and quadriceps training. The next day (November 1), while doing the Achilles tendon stretching exercise, I heard a "pop&quo...
Dr. Shi Guozheng Reply:
This type is called a tear fracture. If the displacement is not severe, it can be treated with a cast. Of course, the cast should remain on until healing occurs, which typically takes about six to twelve weeks.[Read More] Understanding Rare Symptoms in Orthopedic Conditions: A Case Study
Understanding Tight Hamstrings: Implications for Military Service Eligibility
Tight calf muscles? Hello, doctor: I am unable to keep both feet flat on the ground. I went to the hospital for an examination, and it was determined that I do not have frog legs. The doctor informed me that it might be due to tight muscles. Are there any other military service r...
Dr. Shi Guozheng Reply:
I'm not very clear about the other regulations, but being unable to squat down can be due to several reasons. Besides frog legs, tight Achilles tendons are also a possibility. If the muscles and tendons at the back of the calf are too tight, it can restrict the upward flexio...[Read More] Understanding Tight Hamstrings: Implications for Military Service Eligibility
Achilles Tendon Rupture: Healing Time and Surgical Options Explained
Achilles tendon rupture? Is it possible for a ruptured Achilles tendon to heal on its own? How long does it typically take? Can surgery improve the condition? How many days would hospitalization require? How long is the recovery period?
Dr. Yang Zhengfan Reply:
Dear Ah-Hsien, a rupture of the Achilles tendon can generally be classified as either a complete or partial tear. A complete tear requires surgical intervention, while a partial tear can be treated with either surgery or a cast for six weeks. Typically, hospitalization lasts for ...[Read More] Achilles Tendon Rupture: Healing Time and Surgical Options Explained
Understanding Ankle Pain: When to Stretch and Strengthen Safely
Ankle pain!! I would like to ask you: I heard a "pop" sound while performing a calf stretch (pushing against a wall). Initially, I did not feel any pain and was able to walk normally. However, after putting on shoes, I started to experience pain, primarily located above...
Dr. Yang Zhengfan Reply:
Dear A-Dong, Although you have made an effort to describe your symptoms, to be honest, it's still not very clear how pushing against the wall is related to pulling on the Achilles tendon. If the pain you are describing is at the junction of the calf soleus muscle and the h...[Read More] Understanding Ankle Pain: When to Stretch and Strengthen Safely
Understanding Ankle Pain: When to Stretch and Strengthen Safely
Ankle pain!!!!!! I would like to ask you: I heard a "pop" sound while doing a calf stretch (pushing against a wall). Initially, I didn't feel any pain and was able to walk normally. However, after putting on shoes, I started to feel pain, primarily located above th...
Dr. Shi Qiming Reply:
Hello: Based on the symptoms you described, we suspect an Achilles tendon rupture. A further examination by a physician is necessary, and we recommend that you visit our orthopedic outpatient clinic for additional evaluation.[Read More] Understanding Ankle Pain: When to Stretch and Strengthen Safely
Understanding Frog Legs: Diagnosis and Military Exemption Criteria
Frog Leg Identification Hello, doctor: I would like to ask how to assess frog legs (methods of evaluation such as measuring with a ruler or taking X-rays) and how severe the condition must be to be exempt from military service. Thank you.
Dr. Lin Gengxiao Reply:
1. The term "frog legs" commonly refers to a condition where the patient falls backward when squatting. The main causes of this phenomenon are twofold: one is the spasm of the gluteal muscles, and the other is a shortened Achilles tendon (though most people tend to beli...[Read More] Understanding Frog Legs: Diagnosis and Military Exemption Criteria
Understanding and Addressing Toe Walking in Toddlers: A Guide for Parents
Pediatric Gait Abnormalities Dear Dr. Li, Hello. My daughter is currently 2 years old. Since she started walking, she has been walking on her tiptoes. Even now, she still walks on her tiptoes and runs a little that way, but she does not do it when standing still. We often correc...
Dr. Li Wenlin Reply:
Hello: In response to your question, there are five possible reasons why a child may prefer to walk on their toes: 1. Congenital: Such as clubfoot, where the shape of the foot is not normal and can usually be identified visually. 2. Neurological: Such as in cases of cerebral pals...[Read More] Understanding and Addressing Toe Walking in Toddlers: A Guide for Parents
Understanding Frog Legs: Treatment Options and Recovery in Orthopedics
Frog legs Doctor, does Yunlin Hospital offer treatment for frog leg syndrome? What is the surgical success rate? How many days of hospitalization are required after the surgery? Can I return to work immediately after discharge? What is the scar size? Thank you for your response.
Dr. Lin Gengxiao Reply:
1. The term "frog legs" commonly refers to a condition where patients fall backward when squatting. The main causes of this phenomenon are twofold: one is the spasm of the gluteal muscles, and the other is a shortened Achilles tendon (though most people tend to believe ...[Read More] Understanding Frog Legs: Treatment Options and Recovery in Orthopedics
Understanding Tight Hamstrings: Causes and Solutions for Knee Pain
My calf muscles are extremely tight! I have a condition where my legs are together and my feet are flat on the ground, making it difficult for me to squat. A doctor previously examined me and said that my calf muscles are too short, but I haven't done anything about it. Rece...
Dr. Xu Zhaoren Reply:
As you mentioned, it may be bilateral Achilles tendon contracture. If it does not affect normal daily activities, it can be left untreated. However, if it does have an impact, the only option is surgical lengthening of the Achilles tendon.[Read More] Understanding Tight Hamstrings: Causes and Solutions for Knee Pain
Understanding Ankle Adhesions and Lateral Collateral Ligament Reconstruction
Ankle joint adhesion and the transplantation method of the lateral collateral ligament of the knee joint? Dear Dr. Shi, Two years ago, I was involved in a car accident abroad that injured my left lower limb. Following surgery, I developed an infection, which led to a flap and sk...
Dr. Shi Guozheng Reply:
Ankle joint adhesions can be diagnosed through arthroscopic examination, which can also be used to perform adhesiolysis. However, since your joint issue has been longstanding, the effectiveness of the procedure is uncertain, but it may be worth trying. After Achilles tendon recon...[Read More] Understanding Ankle Adhesions and Lateral Collateral Ligament Reconstruction
Understanding Achilles Tendon Lengthening Surgery: Procedure and Techniques
Could you please provide more details about the Achilles tendon lengthening procedure? Thank you, doctor, for your previous response. I would like to ask: how is the surgical procedure for lengthening the Achilles tendon performed? If the tendon is originally only that length, ho...
Dr. Shi Guozheng Reply:
There are several methods for Achilles tendon lengthening, with the most commonly used technique being a Z-plasty, where the tendon is cut in a zigzag pattern, allowing the ends to be pulled to the appropriate length and tension before being reattached. The second method involves...[Read More] Understanding Achilles Tendon Lengthening Surgery: Procedure and Techniques
Understanding Achilles Tendon Lengthening and Soft Tissue Release Surgery
Achilles tendon lengthening surgery The Achilles tendon lengthening procedure and soft tissue release around the joint are surgical techniques used to address specific musculoskeletal issues. Achilles tendon lengthening is performed to increase the length of the Achilles tendon,...
Dr. Shi Guozheng Reply:
Achilles tendon lengthening surgery involves surgically lengthening the Achilles tendon, while soft tissue release refers to the incision or relaxation of the soft tissues near the heel or ankle joint, such as the joint capsule or fascia. These two surgical methods are typically ...[Read More] Understanding Achilles Tendon Lengthening and Soft Tissue Release Surgery
Understanding Right Ankle Pain: Insights on Achilles Tendon Issues
Regarding issues with the right ankle (Achilles tendon)? Hello Dr. Lin, I would like to ask you a question. My right ankle (Achilles tendon) has been experiencing intermittent pain for the past six months due to an injury I sustained five years ago. Not only is there pain, but I...
Dr. Lin Junliang Reply:
The right Achilles tendon has been intermittently painful for the past six months due to an injury sustained five years ago, which may be related. When no other issues are confirmed, the primary treatment approach will focus on rehabilitation. In addition to physical examination ...[Read More] Understanding Right Ankle Pain: Insights on Achilles Tendon Issues