Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Cervical spine issues Hello, Doctor! I have been experiencing pain and numbness in my cervical spine for six months. Initially, I had trouble sleeping and tried several different pillows. Later, I experienced alternating pain in various areas of my neck, usually characterized by ...
Dr. Li Yongheng Reply:
Hello, based on the X-ray alone, there are no obvious abnormalities in your cervical spine.[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Why Can't I Bend My Fingers After a Hand Injury?
The middle finger and ring finger of the left hand are unable to bend? Hello, Doctor. About a month ago, I had an accident with a wild dog and injured my finger. I went to see an orthopedic specialist, and an X-ray showed that my middle finger has a tear fracture, while my ring f...
Dr. Li Yongheng Reply:
Hello, one month ago you sustained a tear fracture of the middle finger and a contusion of the ring finger. You are experiencing limited finger mobility and are unable to fully extend or flex the fingers. It is recommended that you schedule an appointment with a rehabilitation sp...[Read More] Why Can't I Bend My Fingers After a Hand Injury?
Understanding Spondylolisthesis: Causes, Recovery, and Treatment Options
Inquiry about spondylolisthesis? Dear Vice Dean Li, I previously had a minor car accident where I collided with another vehicle. Although it was a simple bump, the other party was later diagnosed with spondylolisthesis (they indicated it was grade II). The individual did not req...
Dr. Li Yongheng Reply:
Hello, experiencing such an incident must have caused you significant psychological stress. 1. Spondylolisthesis may result from a car accident collision, or it is possible that the other party had pre-existing spondylolisthesis. If there are X-rays taken before the accident, it ...[Read More] Understanding Spondylolisthesis: Causes, Recovery, and Treatment Options
Assessing Tailbone Pain After Snowboarding: When to Seek Medical Attention
Pain near the coccyx after skiing? Hello, doctor. I am currently working and vacationing at a ski resort in Japan. Eight days ago, I attempted snowboarding for the first time and had a significant fall landing on my back. I think I may have injured my coccyx or the area just abov...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, as long as there is no severe pain or numbness and weakness in the lower limbs, it is mostly harmless, and you can continue to monitor the situation. As long as you do not experience pain during daily activities, you should be able to r...[Read More] Assessing Tailbone Pain After Snowboarding: When to Seek Medical Attention
Assessing Tailbone Pain After Snowboarding: When to Seek Medical Help
Pain near the coccyx after skiing? Hello, doctor. I am currently working and vacationing at a ski resort in Japan. Eight days ago, I attempted snowboarding for the first time and had a significant fall, landing on my back. I think I may have injured my coccyx or the area just abo...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, as long as there is no severe pain or numbness and weakness in the lower limbs, it is generally not a concern, and you can continue to monitor your condition. As long as you do not experience pain during daily activities, you should be ...[Read More] Assessing Tailbone Pain After Snowboarding: When to Seek Medical Help
Post-Operative Care and Recovery Tips for Patellar Fracture Patients
Patellar fracture - postoperative Hello, Doctor. Last month, I inquired about my patellar fracture - post-operative status. I am currently 6-7 weeks post-surgery. My attending physician allowed me to adjust the knee brace to a 90-degree angle after 6 weeks post-op, and I am permi...
Dr. Shi Guozheng Reply:
1. If you walk too much every day, the swelling in your feet may worsen. It is advisable to walk moderately, and if swelling occurs, elevate your feet to promote blood circulation. 2. You can continue training. 3. You can consult a rehabilitation specialist right now.[Read More] Post-Operative Care and Recovery Tips for Patellar Fracture Patients
Is Your Knee Pain Linked to ACL Reconstruction Hardware?
Issues with Anterior Cruciate Ligament Reconstruction Screws Hello, Doctor: I sustained an injury to my right knee in a car accident in 1994, resulting in a torn anterior cruciate ligament (ACL) and meniscus damage. In 1996, I underwent ACL reconstruction surgery, during which th...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is likely unrelated to the metal screws; the most probable issue remains with the meniscus. Therefore, attempting to remove the screws may not be beneficial for symptom improvement.[Read More] Is Your Knee Pain Linked to ACL Reconstruction Hardware?
Understanding Persistent Joint Clicking After Soft Tissue Surgery
Soft tissue is trapped in the joint, but it still makes a cracking sound after surgery? Hello, Doctor! At the end of March this year, I injured my right thumb due to external force. After undergoing X-rays and an MRI, I was diagnosed with a ligament tear. After more than half a y...
Dr. Li Yongheng Reply:
Q.1 There is a possibility, but it is indeed difficult to diagnose using MRI or ultrasound. Q.2 There is a possibility. Q.3 Multiple surgeries may adversely affect the recovery of finger joint mobility. Q.4 Currently, there is no arthroscope available with such fine specifi...[Read More] Understanding Persistent Joint Clicking After Soft Tissue Surgery
Could My Symptoms Indicate Ankylosing Spondylitis?
Ankylosing spondylitis? Hello Dr. Lee, thank you for taking the time to respond despite your busy schedule. Here are my symptoms: 1. In mid-September, I felt a warm and tight sensation under my left rib (upper left abdomen), as if a strap was wrapped around it, which was very u...
Dr. Li Yongheng Reply:
Based on the symptoms mentioned, the likelihood of myofascial inflammation is the highest. It does not resemble the symptoms of ankylosing spondylitis, and a blood test for HLA-B27 can diagnose ankylosing spondylitis. It is recommended that you visit a rheumatology clinic for exa...[Read More] Could My Symptoms Indicate Ankylosing Spondylitis?
Understanding Upper Back Pain: Causes and Solutions for Discomfort
Upper back pain Hello, doctor: I experience pain when pressing on the left side of my mid-spine, and when I turn my neck backward, I feel a tight, mild pain in the spinal area. What could this indicate?
Dr. You Dianqi Reply:
Hello: The area of tenderness (or tightness) you described in your article is likely located between the midline of the upper back spine and the left scapula, commonly referred to as "gāo huāng tòng" (膏肓痛). There are many potential causes, including muscle imbalances in...[Read More] Understanding Upper Back Pain: Causes and Solutions for Discomfort
Should I See a Doctor After My Shoulder Dislocation While Swimming?
Last Friday, I dislocated my right shoulder while swimming? Hello, doctor: Last Friday during my swimming class, I dislocated my right shoulder while doing the butterfly stroke. At that moment, I swung my arm back and forth, and it went back into place. After a while, I thought e...
Dr. Shi Guozheng Reply:
It may be necessary to see a physician because a shoulder dislocation in young individuals, if not properly managed, can lead to recurrent dislocations. Generally, a shoulder dislocation requires immobilization for about three months to allow the damaged soft tissues around the s...[Read More] Should I See a Doctor After My Shoulder Dislocation While Swimming?
Understanding Ligament Injuries: Impact of Delayed MRI on Recovery
Ligament issues I participated in a friendly match on November 25th as part of my school team. While cutting in, I twisted my left knee and fell to the ground. I have a history of anterior cruciate ligament (ACL) tear in my left knee. Since it was a Sunday, there were no orthoped...
Dr. You Dianqi Reply:
Hello: If you have not engaged in any strenuous exercise during this period, which could lead to further injury, then the nearly one-month waiting period should not result in any significant changes. This time allows the injured tissue to experience some reduction in swelling, an...[Read More] Understanding Ligament Injuries: Impact of Delayed MRI on Recovery
Understanding Post-ACL Reconstruction Loosening: Causes and Treatment Options
Postoperative laxity of the posterior cruciate ligament? Hello, doctor. I underwent posterior cruciate ligament reconstruction and meniscus repair surgery at the end of January this year. It has been almost a year, but my muscle strength has not returned, and my passive flexion i...
Dr. Shi Guozheng Reply:
It is possible that it did not heal properly, and a reoperation may be more appropriate. Regenerative therapy cannot tighten the ligaments.[Read More] Understanding Post-ACL Reconstruction Loosening: Causes and Treatment Options
Understanding Bone Grafting Options for Femoral Fracture Healing
Closed reduction femoral neck fracture for nearly nine months? Hello, doctor. I asked you a question here over two months ago. Please take a look at the link; it contains the X-ray I had taken at the hospital on November 6. My femur is not healing properly, and the doctor mention...
Dr. Shi Guozheng Reply:
Using one's own bone for grafting yields the best results; artificial bone may integrate less effectively and could take longer to heal. Additionally, artificial bone may incur extra costs, whereas autologous bone does not require additional payment. Most physicians prefer t...[Read More] Understanding Bone Grafting Options for Femoral Fracture Healing
Understanding Spinal Injuries: Why Leg Pain Can Occur Without Back Pain
Spinal injury from a fall? Hello, I would like to ask why, after my X-ray showed a fracture in the first vertebra of my spine, I am experiencing soreness and weakness in both legs that prevents me from walking, while the area where I sustained the injury does not hurt?
Dr. Wang Shouji Reply:
Hello, if there is an impact on both lower limbs, please pay attention to whether the spinal vertebrae are affecting the nerve areas. It is advisable to go to the hospital for further examination as soon as possible. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Spinal Injuries: Why Leg Pain Can Occur Without Back Pain
Understanding Patellar Fracture Recovery: Pain Management and Rehabilitation Tips
Patellar fracture Hello, Doctor! Thank you very much for your support over the past month and a half. I have been diligently practicing the exercises you recommended, and I am pleased to report that I can now lift my leg and bend it to 90 degrees. I am truly grateful. However, I ...
Dr. Li Yongheng Reply:
Hello: 1. You may consider seeing a rehabilitation specialist and ask them to teach you rehabilitation methods. 2. Swelling in the knee area and tightness when bending is a normal phenomenon, and it may take about 2-3 months for the swelling to subside. 3. Yes, this is a common a...[Read More] Understanding Patellar Fracture Recovery: Pain Management and Rehabilitation Tips
Dealing with Sudden Shoulder Pain After Previous Surgery: Expert Advice
Shoulder issues Hello Doctor, I would like to ask, about 10 years ago I had arthroscopic surgery on my shoulder. Recently, my shoulder has suddenly become very uncomfortable. Certain unintentional positions in my daily life cause my shoulder to hurt to the point where I cannot ex...
Dr. You Dianqi Reply:
Hello: In your message, you mentioned that you underwent arthroscopic shoulder surgery around the age of 23, but you did not specify the type of surgery or condition. It is difficult to provide precise or helpful feedback without more details. I hope you can elaborate further so ...[Read More] Dealing with Sudden Shoulder Pain After Previous Surgery: Expert Advice
Understanding Scaphoid Fractures: Recovery and Treatment Insights
Scaphoid fracture Hello Doctor, I slipped and fell in the bathroom on October 27 and injured my hand. After a diagnosis at the hospital on November 13, I was found to have a scaphoid fracture (with a crack, no complete break, and no displacement) and was immediately put in a cast...
Dr. You Dianqi Reply:
Hello: Given that some time has passed since your injury and subsequent medical treatment, this is understandably concerning. However, it is reassuring to note that you have a non-displaced scaphoid fracture. Scaphoid fractures, compared to fractures in other parts of the body, a...[Read More] Understanding Scaphoid Fractures: Recovery and Treatment Insights
Understanding Fibrous Dysplasia of Ribs: What You Need to Know
Health check-up issues Hello, doctor. I had a physical examination at school on October 2nd, and today the report came back indicating an abnormal chest X-ray, stating "suspected fibrous dysplasia of the left third and fourth ribs." What does this mean? Is it bone cance...
Dr. Li Yongheng Reply:
Hello: Fibrous dysplasia is a relatively common benign bone tumor. The main issue with the tumor is that normal bone is replaced by abnormal fibrous tissue and immature bone tissue, resulting in a "softer" bone structure. Fibrous dysplasia is often discovered incidental...[Read More] Understanding Fibrous Dysplasia of Ribs: What You Need to Know
Managing Sports-Related Issues After Neck and Back Injuries
Exercise-related issues? I was involved in a car accident that damaged my cervical spine (C5). For a while, I experienced pain in my left leg, from my calf to my thigh, and I'm uncertain if this is related to a herniated lumbar disc (since I didn't mention this issue du...
Dr. Li Yongheng Reply:
Hello: If it is indeed a case of lumbar disc herniation, you can still perform exercises like half squats. However, the "deadlift" mentioned in the text is not suitable.[Read More] Managing Sports-Related Issues After Neck and Back Injuries