Understanding Patellar Malalignment: Causes and Treatment Options
Patellar valgus Doctor, I have patellar valgus, with the patella shifting to the outer side of my thigh. The doctor helped to realign it, but it shifted back again. Could this be due to a ligament tear?
Dr. Shi Guozheng Reply:
The ligament may not be torn, but the medial joint capsule is injured. The lateral joint capsule and tendons are normal. As a result, when force is applied, the patellofemoral joint may tilt outward. If this outward tilting occurs frequently, surgical treatment may be necessary. ...[Read More] Understanding Patellar Malalignment: Causes and Treatment Options
Should You Consider Minimally Invasive Surgery for Shoulder Adhesions?
Is minimally invasive surgery necessary for shoulder muscle adhesion? Six months ago, I had an accident abroad where I fell in the bathroom and landed on my right hand. Since then, I have been experiencing severe pain in my right shoulder and arm. Two months after the fall, the p...
Dr. Shi Guozheng Reply:
Surgery is usually not necessary for your symptoms, which may be adhesive capsulitis of the shoulder joint. Treatment options include physical therapy or corticosteroid injections into the joint. Recovery typically takes about six months to a year. Clinical reports also indicate ...[Read More] Should You Consider Minimally Invasive Surgery for Shoulder Adhesions?
Persistent Chest and Hip Pain After Car Accident: What to Know
Hip pain and chest pain? Hello: Last Friday, I was involved in a collision, and afterward, I experienced left chest pain and shortness of breath, so I went directly to the emergency room. An X-ray was taken, and it was reported that there were no obvious rib fractures. I was pres...
Dr. Wang Shouji Reply:
Hello, chest contusion pain is quite common and may require a longer duration of analgesic use, typically alleviating after three to four weeks. If you continue to experience severe pain, it is advisable to undergo a re-evaluation. Changhua Hospital cares about your health. Since...[Read More] Persistent Chest and Hip Pain After Car Accident: What to Know
Understanding Unexplained Limb Pain: Possible Causes and Concerns
Unexplained pain in the limbs? Five days ago, I started experiencing unexplained pain in the bones of my hands and feet, including the palms and backs of my hands and feet. The pain feels similar to a tightness sensation. Other joints also experience pain, and sometimes when I mo...
Dr. Shi Guozheng Reply:
It could be due to overuse if there are symptoms of redness, swelling, heat, and pain. This may indicate rheumatism or arthritis, so it would be advisable to consult a physician.[Read More] Understanding Unexplained Limb Pain: Possible Causes and Concerns
Persistent Left Shoulder Dislocation: Understanding Symptoms and Next Steps
Repeated dislocations of the left shoulder, with abnormal sensations after reduction? Hello Dr. Chen, I have experienced multiple dislocations of my left shoulder over the years, all of which have reduced spontaneously. Recently, due to attention to my posture and training, I hav...
Dr. Chen Yongxue Reply:
Hello, based on your letter, it seems that you may be experiencing a subluxation due to a loose shoulder joint. A complete shoulder dislocation cannot self-reduce, but if it is a subluxation, prolonged episodes can lead to joint damage. It is advisable to engage in shoulder muscl...[Read More] Persistent Left Shoulder Dislocation: Understanding Symptoms and Next Steps
Understanding Strains and Fractures: When to Seek Orthopedic Advice
Inquire about the possibility of a strain or fracture? Hello, Doctor. While I was mopping the floor, I accidentally slipped a bit, but I didn't fall; I just twisted my body and spread my legs. I'm not sure if this could have caused a strain in my lower back or a fractur...
Dr. Shi Guozheng Reply:
It is normal to hear sounds; a strain is possible, but it is not easy for a bone to dislocate.[Read More] Understanding Strains and Fractures: When to Seek Orthopedic Advice
Postpartum Back Pain: Seeking Solutions for Unresolved Discomfort
Postpartum back pain Hello, doctor. I would like to ask you about an issue I've been experiencing. Two weeks after completing my postpartum confinement, which is six weeks after giving birth, I started having back pain. The pain is located in the middle of my back, neither h...
Dr. Shi Guozheng Reply:
You can consult a rehabilitation specialist for postpartum back and abdominal muscle weakness, which often leads to lower back pain. They can provide rehabilitation treatments and help strengthen your back and abdominal muscles.[Read More] Postpartum Back Pain: Seeking Solutions for Unresolved Discomfort
Recovery Timeline After Fibula Nail Removal: When Can You Walk Without Crutches?
A steel pin was fixed next to the fibula? I would like to ask, I have had my metal rod for a year, and I plan to have it removed this summer. After the removal, how long will it take before I can walk without crutches? How long will it take to fully recover?
Dr. You Dianqi Reply:
If you are already back to normal, I believe that removing the bone screws will not add any extra difficulty to your walking. Thank you.[Read More] Recovery Timeline After Fibula Nail Removal: When Can You Walk Without Crutches?
Post-Surgery Finger Issues: Bone Bump and Nail Growth Problems Explained
After finger surgery, there is a bone protrusion and the nail is not growing back? Around January, I underwent surgery on my ring finger's first phalanx due to a neuroma. Now, there is a slight protrusion on the back of the first phalanx where it connects to the nail, and th...
Dr. Chen Yongxue Reply:
It may be related to the surgery; it is advisable to consult the attending physician for further information.[Read More] Post-Surgery Finger Issues: Bone Bump and Nail Growth Problems Explained
Post-Spinal Compression: Safe Exercises and Precautions for Recovery
Due to spinal nerve compression, I want to ask if there are precautions to take after performing lumbar traction exercises? Doctor, I have a couple of questions: 1. Since I need to stretch my lower back every day, should the treatment process primarily focus on walking exercise...
Dr. Wang Shouji Reply:
Hello, during the rehabilitation treatment for spinal nerve compression, in addition to being cautious when bending down to lift heavy objects, walking, twisting the waist, and practicing Qigong should be fine as long as proper warm-up is done. Changhua Hospital cares about your ...[Read More] Post-Spinal Compression: Safe Exercises and Precautions for Recovery
Is Vertebroplasty Necessary for My Father's Spinal Compression Fracture?
What is the necessity of bone cement surgery? Hello Doctor: Two weeks ago, my father (90 years old) fell, and during the consultation, the physician indicated that one of his vertebrae was compressed. He was advised to undergo vertebroplasty to support and improve the condition, ...
Dr. Wang Shouji Reply:
Hello, if the symptoms have improved, you may continue with outpatient follow-up to monitor the status of the fracture and check for any ongoing deformity. Changhua Hospital cares about your health. Dr. Wang Shou-ji.[Read More] Is Vertebroplasty Necessary for My Father's Spinal Compression Fracture?
Is Your Spine Injured? Understanding Back Pain After a Pull
Is there a spinal injury in the lumbar region? Hello, doctor. One day at school, something happened that caused me to experience soreness in my lower back whenever I try to stand up straight. At that time, I was pulled forcefully and leaned back, feeling two cracking sounds in my...
Dr. Wang Shouji Reply:
Hello, young individuals have a low chance of experiencing fractures without significant external force; most injuries are related to muscle and soft tissue damage, which typically heal naturally. The pain caused by fractures is often very severe and usually intolerable. Changhua...[Read More] Is Your Spine Injured? Understanding Back Pain After a Pull
Understanding Slow Healing After L5S1 Fusion Surgery: Concerns and Solutions
L5-S1 vertebral arch fracture has been surgically treated? Hello Doctor, I underwent L5-S1 spinal fusion and internal fixation surgery due to a vertebral fracture at the end of last year. It has been three months since the surgery, and during my follow-up X-ray, it was found that...
Dr. Wang Shouji Reply:
Hello, if healing is not complete, continuous monitoring is necessary. With the current surgical techniques, the likelihood of completely removing intervertebral tissue is quite high. However, spinal fusion surgery can lead to early degeneration of adjacent joints, which is diffi...[Read More] Understanding Slow Healing After L5S1 Fusion Surgery: Concerns and Solutions
Understanding Hip Joint Pain: Causes, Symptoms, and Treatment Options
(Hip joint issues suspected due to stretching) Hello, doctor. Around July 2019, I first experienced pain in the area where my left thigh connects to my buttock while walking, which sometimes radiated to the front of my thigh, but I didn't have much lower back pain. When the ...
Dr. Wang Shouji Reply:
Hello, sciatica at your age is often associated with trauma or sports injuries. If there is no numbness or pain in the lower limbs, it is less likely to be a sciatica issue. If there is a noticeable pain point at the upper buttocks near the femoral joint, then piriformis syndrome...[Read More] Understanding Hip Joint Pain: Causes, Symptoms, and Treatment Options
Soft Lump on Elbow: Causes, Symptoms, and Treatment Options
There is a soft mass protruding from the elbow joint? Hello Doctor: I have a soft lump about the size of a coin on the back inner side of my left elbow. It is not painful, but I feel a soreness when I press on it from both sides. This has been going on for a while. It might have ...
Dr. Wang Shouji Reply:
Hello, it is likely that the discomfort you are experiencing is due to scar tissue formed after an injury and subsequent healing. However, if it affects your mobility, it is advisable to visit a hospital for an examination to determine if the issues mentioned are the cause. Chang...[Read More] Soft Lump on Elbow: Causes, Symptoms, and Treatment Options
Neck Pain After Cervical Impact: Seeking Solutions for Recovery
Cervical spine impact pain issues? Hello, Doctor. In mid-December 2019, I performed a backflip catch during a cheerleading competition, and my cervical spine directly hit the ground. At that moment, I experienced symptoms such as chest tightness and nausea. Due to the neck pain, ...
Dr. Shi Guozheng Reply:
Injuries to the cervical spine may not involve fractures of the bones, but there is a possibility of damage to the surrounding soft tissues, which typically requires more than three months to heal. Continued rehabilitation is necessary and may lead to improvement.[Read More] Neck Pain After Cervical Impact: Seeking Solutions for Recovery
Understanding Second to Fifth Metatarsal Fractures: Recovery Tips and Care
Fractures of the second, third, fourth, and fifth metatarsals? Hello Doctor, I was in a car accident yesterday and was taken to the Tri-Service General Hospital's emergency department. The physician diagnosed me with fractures of the second, third, fourth, and fifth metatars...
Dr. Zhan Xian Reply:
Hello, you can start walking in about 6 to 8 weeks. The forefoot should not bear weight at this time, but you can perform leg raises to strengthen your thigh muscles. Please return for regular follow-up appointments. Wishing you a safe recovery![Read More] Understanding Second to Fifth Metatarsal Fractures: Recovery Tips and Care
Understanding Hunchback Issues: Causes, Symptoms, and When to Seek Help
Hunchback issue Hello Doctor: I would like to ask, when I sit, my slouching is very noticeable. Whenever I relax, I tend to hunch forward, and if I try to sit up straight, I feel a sense of breathlessness. Both sides of my neck and shoulders become very stiff, extending to the ce...
Dr. Chen Yongxue Reply:
Do you have a habit of exercising? If possible, please strengthen your back muscles through exercise, as this can lead to a significant improvement. Thank you.[Read More] Understanding Hunchback Issues: Causes, Symptoms, and When to Seek Help
Understanding Lower Back Pain: Causes, Prevention, and Relief Tips
Lumbar issues Hello Doctor: I rarely exercise, and in recent years, I've noticed a condition. When I go out for leisure activities and walk around, if I stand or walk for a long time without sitting down to rest, I gradually feel pain in my lower back. Bending down helps rel...
Dr. Zhan Xian Reply:
Hello, if your lower back issues are affecting your daily life, you should see an orthopedic or neurosurgeon for an examination. As for regular care of your lower back, it is advisable to avoid prolonged standing or sitting, bending to lift heavy objects, and to engage in exercis...[Read More] Understanding Lower Back Pain: Causes, Prevention, and Relief Tips
Managing Pain from Degenerative Lumbar Osteophytes in Seniors
Pain caused by degenerative bone spurs in the lumbar spine? My mother is 86 years old and has recently been experiencing pain in her lower back and hips. After consulting an orthopedic doctor and undergoing X-rays, it was found that she has degenerative changes in her lumbar spin...
Dr. You Dianqi Reply:
Hello: Regarding degenerative issues, it is important to first assess the severity before deciding on a treatment method. There are various treatment options available, including medication, rehabilitation therapy, injections, and surgery. The choice should be based on the severi...[Read More] Managing Pain from Degenerative Lumbar Osteophytes in Seniors