Understanding Mysterious Sounds in the Head When Turning Right
When turning the head to the right, there is a sound in the brain? Hello, doctor. Recently, I've noticed that when I turn my head to the right, I hear a sound in my brain, but when I turn to the left, there is no sound (with both eyes looking straight ahead as the center poi...
Dr. Chen Bochen Reply:
Hello, abnormal sounds during left and right rotation are usually caused by friction between the first and second cervical vertebrae. It is generally advisable to try taking anti-inflammatory medication for a few days to reduce the friction. If medical attention is needed, you ca...[Read More] Understanding Mysterious Sounds in the Head When Turning Right
Sudden Swelling of the Fourth Toe: Causes and Treatment Options
The fourth toe of the right foot suddenly swelled? The fourth toe on both feet has been persistently swollen for about two years. A month ago, the fourth toe on my right foot suddenly became swollen. I visited the immunology department at Beihua Hospital, and after blood tests, t...
Dr. Chen Yongxue Reply:
Hello, sudden swelling of the fingers and toes should first rule out any immune-related issues. Additionally, individuals over the age of 50 are at a higher risk for degenerative arthritis. Please visit an orthopedic clinic for further diagnosis. Thank you.[Read More] Sudden Swelling of the Fourth Toe: Causes and Treatment Options
Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Decreased sacral and coccygeal curvature, S3 fracture, L5/S1 disc space narrowing, pubic symphysis diastasis? Dear Dr. Zhan, I am currently working in Southeast Asia and had a car accident two weeks ago, resulting in ruptures of my liver and spleen. I underwent transarterial emb...
Dr. Zhan Xian Reply:
Hello Mr. Bruce, whether surgical treatment for the pelvis is necessary mainly depends on the stability of the pelvic fracture. Since we only have a written report without imaging, it is difficult to assess the extent of the pubic symphysis separation and whether there is any dis...[Read More] Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Post-Surgery Issues with Trigger Finger: Pain and Recovery Insights
Postoperative Issues Following Trigger Finger Surgery Hello, doctor. I have trigger finger in both of my middle fingers. I underwent traditional surgery, and after the stitches were removed, my fingers no longer get stuck and can extend normally. However, now both of my middle fi...
Dr. Zhan Xian Reply:
Mr. Yang, if clenching your fist does not significantly increase the risk of tendon rupture, inflammation may persist for more than a month. It is advisable to reduce excessive use. If you still have concerns, please visit the orthopedic outpatient clinic.[Read More] Post-Surgery Issues with Trigger Finger: Pain and Recovery Insights
Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options
Giant cell tumor located on the lumbar vertebrae? After undergoing an MRI and biopsy, I was diagnosed with a giant cell tumor at the lumbar spine L3. Currently, my symptoms include occasional weakness in my legs, along with soreness in my lower back, thighs, and near the anal are...
Dr. Chen Bochen Reply:
First, an incision will be made on the side to remove the tumor and perform spinal reconstruction, followed by another incision in the back to insert screws. This is the standard procedure. The surgeons who operate on the spine and those who specialize in bone tumors are usually ...[Read More] Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options
Understanding Spinal Tumor Surgery Risks and Success Rates: What to Expect
What are the issues related to spinal tumors? What are the risks associated with surgery? Around the end of April this year, I suddenly experienced lower back pain. However, after resting for a few days, the pain subsided, so I didn't pay much attention to it. In July, while...
Dr. Chen Yongxue Reply:
Hello, I would like to understand how surgical success and failure are defined in medicine. Success is defined as complete tumor removal, no nerve damage, no infection, and secure implantation. Also, could my attending physician be negligent and let a student perform the surgery?...[Read More] Understanding Spinal Tumor Surgery Risks and Success Rates: What to Expect
Understanding Disc Herniation and Its Impact on Finger Sensation
Herniated disc finger issues Hello Doctor, since around mid to late October, I've been experiencing a peculiar sensation on the outer side of my left little toe, as if it's soft when it touches the floor. I consulted a doctor and had an X-ray taken, which revealed that ...
Dr. Wang Shouji Reply:
Hello, the symptoms in your hands and feet are likely not caused by the same issue. First, we need to assess the degree of scoliosis. Given your age, if the curvature is not significant, it is unlikely to affect the nerves, and treatment with medication and rehabilitation should ...[Read More] Understanding Disc Herniation and Its Impact on Finger Sensation
Understanding Humeral Shaft Fractures in Elderly Patients: Care and Recovery
Fall, mid-shaft humeral fracture? Hello Doctor: My grandmother (85 years old) fell and fractured the middle of her left humerus when she was admitted to the hospital. The doctor advised against surgery due to her age and poor recovery ability. She has been cared for for over a ye...
Dr. You Dianqi Reply:
Hello, the phenomenon you mentioned in medicine is called pseudoarthrosis. If there has been incomplete healing at the fracture site, this is a possibility. As for your grandmother, I would need to review some of her basic imaging before I can provide you with sound advice regard...[Read More] Understanding Humeral Shaft Fractures in Elderly Patients: Care and Recovery
Post-Hip Replacement: Managing Pain and Weakness After Surgery
Postoperative hip joint care In February of this year, I underwent a left hip joint replacement and a decompression surgery on the right side. My left thigh still feels numb, and by August, I started experiencing pain on the right side. In September, I had a right hip joint repla...
Dr. You Dianqi Reply:
Hello, you are quite young to undergo bilateral hip replacement, and the majority of cases are due to avascular necrosis of the femoral head. Given your recovery time, theoretically, you should be able to walk and return to a more normal condition. As a sincere suggestion, it is ...[Read More] Post-Hip Replacement: Managing Pain and Weakness After Surgery
Can Wrist Bone Dislocation Heal Completely in 2-3 Months? Effective Treatment Options
Can a wrist bone dislocation heal completely in two to three months? What is the effective treatment? Hello doctor, my wrist was injured from lifting heavy objects, and initially, only the outer side of my wrist (the side extending from the little finger) hurt. I had an X-ray tak...
Dr. Wang Shouji Reply:
Hello, if you have instability in the distal radioulnar joint that does not improve despite repeated attempts, further evaluation is necessary to determine if surgery is required. Please consult with a hand surgeon. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Can Wrist Bone Dislocation Heal Completely in 2-3 Months? Effective Treatment Options
Managing Complex Knee Issues After ACL Reconstruction: Pain and Solutions
How to address complex knee issues? Hello, doctor. I underwent a posterior cruciate ligament (PCL) reconstruction surgery last October, which was my second reconstruction. The first surgery resulted in ligament laxity after a year, leading to the need for a second operation. Init...
Dr. Chen Bochen Reply:
Hello, your issue is indeed complex and requires a meticulous and skilled physician along with a good rehabilitation team to assist you long-term. I recommend you consult with Dr. Luo Jian-Sheng, the orthopedic specialist at Chung Shan Medical University Hospital. He is an expert...[Read More] Managing Complex Knee Issues After ACL Reconstruction: Pain and Solutions
Understanding Foot Fractures: Recovery Tips and Pain Management
The bones in my foot are fractured and there seems to be some displacement issue. I have already seen a doctor and received a cast? On November 20, I accidentally broke the side panel (glass) of my computer. I went to clean it up, but some areas were difficult to reach, so I used...
Dr. Chen Bochen Reply:
1. If your toes turn purple or white, you should return for a follow-up appointment immediately. 2. Apply ice packs and elevate your feet to help reduce swelling; keep your feet elevated while sleeping as well. 3. Symptoms will gradually improve after the acute phase, which l...[Read More] Understanding Foot Fractures: Recovery Tips and Pain Management
Understanding L5 Spondylolysis: Causes, Symptoms, and Treatment Options
Lumbosacral spondylolysis of the fifth lumbar vertebra? Lumbosacral dissociation of the fifth lumbar vertebra, with no slippage of the sacrum. The diagnosis states (1. lumbar contusion, 2. dissociation of the fifth lumbar vertebra, requiring assistance for daily activities for 2 ...
Dr. Chen Bochen Reply:
Hello: 1. Spondylolysis is a congenital developmental issue, occurring in about 1 in 10 to 20 males, making it a common problem rather than a serious disease. 2. Regardless of whether there is slippage, core muscle training should be emphasized (initially consult a rehabilitation...[Read More] Understanding L5 Spondylolysis: Causes, Symptoms, and Treatment Options
Understanding Coccyx Issues: Pain, Tumors, and Treatment Options
Coccygeal issues Hello Doctor: I have found a hard lump just below my coccyx (slightly to the left, near the anus) that is painful when pressed. I had an X-ray, and the doctor said it might be a misaligned coccyx and prescribed pain medication for me. Can an X-ray detect if the l...
Dr. Chen Bochen Reply:
Hello: The treatment methods are quite simple (backed by real medical research): 1. Avoid constant pressure; excessive stimulation will delay healing. 2. If sitting causes pain, use a cushion. 3. If bowel movements are painful, increase vegetable intake, drink more water, or take...[Read More] Understanding Coccyx Issues: Pain, Tumors, and Treatment Options
Understanding Compression Fractures: Treatment Options and Concerns
Vertebroplasty for compression fractures? Hello Doctor, my father is 63 years old. Last month, he experienced severe back pain after lifting heavy objects. His daily activities remain normal, but when he lies down for a long time and tries to get up, the pain in his lower back pr...
Dr. Chen Bochen Reply:
1. Compression fractures are most painful when getting out of bed, sitting down, or standing up. 2. Bone stabilization with a brace typically takes close to two months to heal; however, if the pain is intolerable, vertebroplasty, commonly known as cement augmentation, can be co...[Read More] Understanding Compression Fractures: Treatment Options and Concerns
Persistent Pain After Bone Spur Surgery: Seeking Answers and Relief
Bone spurs have been surgically removed over a year ago? My mother had surgery for bone spurs over a year ago, but she still experiences pain in her bones all over her body, along with numbness in her hands, dizziness, and lower back pain. We have consulted both traditional Chine...
Dr. Wang Shouji Reply:
Hello, whether there are new lesions depends on the symptoms and if they are the same as before, or if there are new symptoms. After spinal surgery, nerve pain usually decreases, but numbness and weakness may take longer to recover or may not fully recover, depending on the condi...[Read More] Persistent Pain After Bone Spur Surgery: Seeking Answers and Relief
Understanding Clavicular Prominence: Causes and Treatment Options
Clavicular prominence I didn't have this issue before, but in the past three years, I've noticed that the area near the tip of my left clavicle is particularly prominent (the right shoulder appears normal without any noticeable protrusion). Beyond the acromion, it looks...
Dr. Wang Shouji Reply:
Hello, the prominence of the acromioclavicular joint is often caused by trauma or occupational factors, which can lead to compression and friction on the underlying rotator cuff tendons, resulting in symptoms. If there is no significant discomfort affecting daily life or work, no...[Read More] Understanding Clavicular Prominence: Causes and Treatment Options
Is It Normal to Feel the Coccyx Through the Vaginal Wall?
The coccyx can be palpated through the vaginal canal? A few months ago, I had a fall and experienced pain in my coccyx, but the pain subsided after a few days, and I didn't seek further medical attention. Today, I noticed that I can feel the coccyx bone through the posterior...
Dr. Chen Bochen Reply:
Hello, the vagina is separated from the coccyx by the rectum, and the distance is quite significant. What you are feeling is likely not the coccyx. The soreness you are experiencing may be due to ligament strain. It is advisable not to do this frequently, as it could lead to infl...[Read More] Is It Normal to Feel the Coccyx Through the Vaginal Wall?
Post-Operative Care and Rehabilitation After Knee Replacement Surgery
Postoperative care for total knee arthroplasty? Hello, Doctor! My mother underwent a total knee replacement surgery two months ago. She hasn't taken any pain or anti-inflammatory medication for over two weeks, approaching three months post-surgery. However, her knee is still...
Dr. Shi Guozheng Reply:
You can return to the hospital for the physician to reassess, as regular follow-up after surgery is necessary.[Read More] Post-Operative Care and Rehabilitation After Knee Replacement Surgery
Understanding Rib Fractures: Recovery and Post-Surgery Concerns
Rib issues Hello, doctor. I would like to ask about my condition. Approximately a month and a half ago, I was involved in a car accident that resulted in fractures of my left ribs 4 to 8. I was taken to the hospital for surgery, where they used the latest titanium alloy rib fixat...
Dr. Chen Bochen Reply:
1. The ribs are located closer to the skin, and it is common to experience a tight sensation after surgery, which should gradually improve over time. 2. Numbness and soreness extending from the lower back to the thighs are generally unrelated to rib surgery. The most common cau...[Read More] Understanding Rib Fractures: Recovery and Post-Surgery Concerns