Back, Orthopedics FAQ - Page 36

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Understanding Thumb Weakness: Causes and When to See an Orthopedist

Inability to exert force with the thumb? Hello, my left thumb at the joint connecting to the web space has a congenital condition that allows it to hyperextend backward, but it hasn't caused any issues in my daily life. However, about 2 to 3 weeks ago, I started experiencing...


Dr. Shi Guozheng Reply:
It could be joint inflammation or neuritis, so you might want to consult an orthopedic specialist.

[Read More] Understanding Thumb Weakness: Causes and When to See an Orthopedist


Understanding L2-L4 Lamina Fractures: Symptoms, Treatments, and Recovery

Vertebral arch fracture I have been diagnosed with a fracture of the lumbar vertebrae L2-L4, and most of the doctors I consulted recommended surgery. They mentioned that based on the condition of the maintenance, once the cartilage wears out and I get older, surgery will be inevi...


Dr. Shi Guozheng Reply:
1. Joint pain below the waist may not be related to the spine. 2. Due to posture, pain near the knee joint is related to movement and is associated with ligament or synovial inflammation. 3. Surgery for vertebral arch fractures must include spinal fusion; if spinal fusion is ...

[Read More] Understanding L2-L4 Lamina Fractures: Symptoms, Treatments, and Recovery


Managing Lumbar Spine Pain: Tips for Relief and Prevention

Lumbar spine issues? I have recently noticed some discomfort in my lumbar spine while sitting, accompanied by pain when I press on it with my fingers. The pain is less noticeable when I stand straight, but it becomes quite pronounced when I bend forward. I often sit for long peri...


Dr. Shen Boquan Reply:
Hello, everyone: Lower back pain is a common issue that many people encounter. Statistics show that 90% of individuals will experience this discomfort at some point in their lives, primarily due to inflammation and pain in the muscles, tendons, or ligaments, which are soft tissue...

[Read More] Managing Lumbar Spine Pain: Tips for Relief and Prevention


Chronic Muscle Pain and Numbness: Seeking Solutions for Better Sleep

Muscle pain, swelling, and numbness? Help: When I lie flat on my back, I need to turn my lower body to the left side to feel comfortable. During sleep, I constantly have to change positions; otherwise, my body becomes numb, stiff, and painful, waking me up, and I struggle to chan...


Dr. Wang Shouji Reply:
Hello: Based on your symptoms, it is important to clarify whether there is any compression of the spine and nerves. We need to identify the cause of the pain to determine if rehabilitation, medication, or surgical treatment is necessary. Joint degeneration and muscle changes can ...

[Read More] Chronic Muscle Pain and Numbness: Seeking Solutions for Better Sleep


Understanding Thigh Pain: Connection to Lumbar Spine Issues and Treatment Options

Thigh pain, lumbar spine issues? Four days ago, I experienced pain in the front and inner side of my thigh, primarily when cycling and going up and down stairs. There is also pain when pulling my leg backward (as shown in the image, extending the leg further back causes pain). Wa...


Dr. Wang Shouji Reply:
Hello: Spinal nerve compression often accompanies numbness symptoms. Given your age, the likelihood of nerve compression without trauma is low. If there is tenderness at the site of pain, applying pressure to both sides of the thigh may exacerbate the pain, suggesting a higher po...

[Read More] Understanding Thigh Pain: Connection to Lumbar Spine Issues and Treatment Options


Understanding Clavicle Overlap and Stabilization After Fracture

Clavicular overlap and fixation? Hello Doctor: In mid-October, I suffered a clavicle fracture due to a car accident. Recently, when I touched the fracture site, I noticed that the clavicle seems to be overlapping. Even when I use a figure-eight shoulder brace and try to hold my s...


Dr. Shi Guozheng Reply:
Overlapping of the clavicle fracture will not affect future function as long as the bone has healed. If the bone heals properly, the arm will not have limited range of motion. The figure-eight shoulder strap is tied around both sides of the shoulders. Insufficient force will not ...

[Read More] Understanding Clavicle Overlap and Stabilization After Fracture


Can Pull-Up Bars Help Relieve Back Pain? A Doctor's Insight

Regarding pull-ups? Hello, Doctor: Recently, I visited a clinic for X-rays due to long-term lower back pain. The doctor mentioned that there is a segment of my intervertebral disc that is compressed. After reviewing the X-ray images, I noticed that there is indeed a shorter space...


Dr. Cai Shanglin Reply:
Hello: In addition to being mindful of your posture, you can also strengthen your abdominal and back muscles (core muscles) as well as your thigh muscles to reduce spinal pressure. Relying solely on external forces cannot widen the narrowed areas (the same goes for rehabilitation...

[Read More] Can Pull-Up Bars Help Relieve Back Pain? A Doctor's Insight


Knee Clicking and Calf Pain After Injury: Causes and Solutions

Knee clicking and pain in the muscles at the back of the calf when bending the leg? Hello Dr. Shi: I hope you are well. I am the patient with the thigh fracture (114292) from last time. Thank you for your previous response and consultation. This time, I would like to ask about an...


Dr. Shi Guozheng Reply:
1. Yes. 2. If the calf muscles are not used for a long time, they can atrophy, but with rehabilitation, they may gradually recover. 3. Valgus deformity may be related to prolonged disuse, but it can also be caused by post-fracture degenerative changes. Osteoarthritis does not...

[Read More] Knee Clicking and Calf Pain After Injury: Causes and Solutions


Understanding Hip Joint and Pelvic Issues: Symptoms and Solutions

Pelvic cavity and hip joint issues? Hello, doctor. When I sit, I feel that the bone on the right side of my buttocks is more prominent. I usually find it more comfortable to sit with a slouched posture or at the edge of the chair while leaning against the backrest. If I sit up st...


Dr. Shi Guozheng Reply:
You should see a doctor for an examination, and possibly get an X-ray to determine if there are any issues with your hip joint.

[Read More] Understanding Hip Joint and Pelvic Issues: Symptoms and Solutions


Understanding Ankylosing Spondylitis: Blood Tests and Age Factors

I would like to inquire about ankylosing spondylitis? Hello Dr. Wang, I would like to ask about ankylosing spondylitis. If a blood test comes back positive, does that mean the disease will definitely develop? Also, is it true that only individuals under 40 can develop ankylosing ...


Dr. Wang Shouji Reply:
Hello: At this age, the pain is mostly likely due to ankylosing spondylitis. A positive HLA-B27 test does not necessarily mean that it is ankylosing spondylitis; there must also be evidence of enteropathic arthritis or even chronic inflammatory changes leading to fusion to make t...

[Read More] Understanding Ankylosing Spondylitis: Blood Tests and Age Factors


Understanding Shoulder Blade Pain: When to Seek Medical Help

Scapula (shoulder blade) in the back? Hello Doctor, I have some questions to ask you. Could you please suggest which specialty I should consult? Thank you. My mother has diabetes, and earlier this year, she experienced retinal disease with bleeding in the vitreous. She underwent ...


Dr. Shi Guozheng Reply:
If you experience chest pain radiating to the back while seeing an orthopedic specialist, you should consult a cardiologist.

[Read More] Understanding Shoulder Blade Pain: When to Seek Medical Help


How to Reduce Height: Seeking Solutions for Back Pain and Bone Issues

Methods to Become Shorter When I graduated from college, I was 168 cm tall, but at the age of 24, I measured 170 cm. The only connection I can think of is that I underwent chiropractic treatment twice during that period. I don't particularly like being taller, so I would lik...


Dr. Ye Qingnian Reply:
A height of 170 centimeters is a dream for many girls. Enjoy your height of 170 centimeters and be aware of any perceived leg length discrepancies. It is advisable to visit an orthopedic clinic to measure the length of both legs, and if necessary, to get an X-ray. If you experien...

[Read More] How to Reduce Height: Seeking Solutions for Back Pain and Bone Issues


Will Meniscus Regenerate After Surgery? Recovery and Rehab Insights

Post-meniscus removal surgery? Hello, doctor! About three months ago, I underwent a meniscectomy. Before the surgery, I asked the doctor if the meniscus would regenerate, and he said it would. However, I found that it rarely regenerates. Can the meniscus really grow back? The par...


Dr. Shi Guozheng Reply:
If it is removed, it will not grow back. However, if it is repaired, there is a possibility that it may grow back, and if it is painful, rehabilitation may be necessary.

[Read More] Will Meniscus Regenerate After Surgery? Recovery and Rehab Insights


Understanding Ankle Inversion Pain: Causes and Treatment Options

Pain occurs during ankle inversion? Hello Doctor, I sprained my left ankle in an inversion injury while playing basketball on the 21st of last month. At the time, there was almost no swelling, and I only experienced mild pain while walking. The pain occurs primarily when I perfor...


Dr. Shi Guozheng Reply:
Lateral ankle sprains typically require six to twelve weeks for recovery. Engaging in physical activity too early may lead to a re-injury. If the ligaments become lax, it can result in persistent pain in the future.

[Read More] Understanding Ankle Inversion Pain: Causes and Treatment Options


Knee and Back Pain: Understanding Post-Injury Symptoms and Triggers

Knee and lower back? Three years ago, I was hit from behind while running, which resulted in a scrape on my knee. The wound healed in about a month or two, but I started experiencing pain on one side of my knee. When I touched my knee, I noticed it was swollen, but it would resol...


Dr. Chen Yongxue Reply:
Hello, it is recommended to follow up at the orthopedic outpatient clinic. Only after an examination can we gain a clearer understanding.

[Read More] Knee and Back Pain: Understanding Post-Injury Symptoms and Triggers


Rehabilitation Insights for Post-Tibia-Fibula Fracture Recovery

Rehabilitation status after tibiofibular fracture-dislocation? Hello Doctor, it has been over five months since I fractured my left ankle fibula (with a plate on the outer side and screws on the inner side). At the four-month mark, an X-ray confirmed that the bone had fully heale...


Dr. Shi Guozheng Reply:
It is normal to experience soreness after the healing of a fibula fracture. Typically, fractures near the ankle take about six months to gradually recover, and it is also normal for joint mobility not to return to pre-injury levels. Rehabilitation should be done gradually to impr...

[Read More] Rehabilitation Insights for Post-Tibia-Fibula Fracture Recovery


Lower Back Injury from Cabinet Impact: Symptoms and Treatment Options

Lower back impact, pain? Hello, doctor. When I opened the cabinet, I squatted down to get something, and when I stood up, I hit the sharp corner of the cabinet hard on my lower back. I have a scrape and swelling, and I feel soreness and weakness when sitting, standing, or walking...


Dr. Shi Guozheng Reply:
Injuries of this nature typically do not result in fractures. Initial treatment should involve applying medication to the skin injury. If the pain does not alleviate, it is necessary to see a physician.

[Read More] Lower Back Injury from Cabinet Impact: Symptoms and Treatment Options


Post-Operative Challenges After Knee Replacement Surgery: A Patient's Journey

Postoperative care for total knee arthroplasty? My mother is 65 years old and underwent total knee arthroplasty in July 2015, with the artificial joint being covered by health insurance. She opted to pay out of pocket for high-strength bone cement and a minimally invasive tibial ...


Dr. Shi Guozheng Reply:
After total knee arthroplasty, poor joint mobility may lead to some functional decline, but it should not result in an inability to walk. If the knee flexion is less than 90 degrees for more than three months, it becomes more challenging to achieve further bending. If there is pe...

[Read More] Post-Operative Challenges After Knee Replacement Surgery: A Patient's Journey


Managing Ligament Injuries After a Car Accident: Care and Recovery Tips

Ligament sprain from a car accident? Hello, doctor. You mentioned that the reason could be (the ligament may have been severely injured, and although some time has passed, there may be laxity or instability in the ligament, which could lead to recurrent pain). What should I do? H...


Dr. Shi Guozheng Reply:
If wearing an ankle brace for rehabilitation doesn't help, go back to the hospital to consult with a physician for further evaluation.

[Read More] Managing Ligament Injuries After a Car Accident: Care and Recovery Tips


Swimming After a Finger Fracture: What You Need to Know

Swimming after a finger fracture? Around early September, I sustained a 40-degree fracture in my little finger. I did not undergo surgery. Next week, my school has swimming classes, and I would like to know if I can swim, as I really enjoy it. Currently, my finger tends to bend a...


Dr. Shi Guozheng Reply:
Phalanx fractures typically heal in about six weeks. If there is no pain, you can go swimming.

[Read More] Swimming After a Finger Fracture: What You Need to Know


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