Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Cyst after anterior cruciate ligament reconstruction? Hello, Doctor. Last November, after school, I had an accident while riding my electric scooter and slipped on construction sand. At that time, my backpack was heavy, and I was carrying other items. I realized I was going to fa...
Dr. Chen Yongxue Reply:
Hello, PVNS is actually quite rare. To confirm the diagnosis, it is essential to rely on the pathology report. PVNS should exhibit specific characteristics in MRI imaging and arthroscopic examination, especially during arthroscopy, where very distinctive colors are observed, maki...[Read More] Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Understanding Skull and Tailbone Changes: When to Seek Medical Advice
Head bone issues? 1. Doctor, may I ask if the skull continues to grow at my age? I recently noticed that my head shape is pointed after getting a haircut, and I'm not sure if it has changed recently. I never felt this way before and I'm worried it might continue to grow...
Dr. Chen Bochen Reply:
Your concerns are quite common and are often due to things that were previously overlooked. You can document the location and size of these bones, and if there are no changes after three months, there is no need to worry. However, if you are still very anxious, you can consider p...[Read More] Understanding Skull and Tailbone Changes: When to Seek Medical Advice
Does Masturbation Affect Growth and Development in Adolescents?
The impact of masturbation on development? Hello, doctor. I am currently 13 years old, in the first year of junior high school, and my height is about 152-153 cm. My dad is 174 cm tall and my mom is 163 cm. I weigh 38.2 kg. I started masturbating in early August after graduating ...
Dr. Li Wenhong Reply:
Hello: As long as you do not overexert yourself and it does not affect your rest and sleep, masturbation will not hinder physical development. Dr. Li Wen-Hong, Orthopedics, Changhua Hospital.[Read More] Does Masturbation Affect Growth and Development in Adolescents?
Understanding Left Lower Back Pain After Sleep: Causes and Solutions
Waking up with pain in the left lower back? Hello, I recently woke up with significant soreness in a spot just above my left lower back, around the area of the pelvis. However, once I get up and start moving, I feel completely fine. I've been sleeping on the same bed for a w...
Dr. Wang Shouji Reply:
You can inquire about consultations at the outpatient clinic.[Read More] Understanding Left Lower Back Pain After Sleep: Causes and Solutions
Chronic Ankle Pain: A Journey Through Misdiagnosis and Treatment
Ankle pain lasting over a year, with each episode of pain not exceeding one minute? The initial foot pain began over a year ago when I accidentally twisted my ankle after not noticing a pothole. Since I had a habit of treating ankle sprains with traditional Chinese medicine, I ap...
Dr. Chen Yongxue Reply:
Hello, based on your letter, it does not seem to be an issue related to autoimmune rheumatism. You should visit an orthopedic clinic for further examination. If the orthopedic evaluation shows no issues, it is recommended to see a rehabilitation specialist for further rehabilitat...[Read More] Chronic Ankle Pain: A Journey Through Misdiagnosis and Treatment
Understanding Symptoms and Treatment Options for Herniated Discs
Symptoms of suspected herniated disc? Hello Doctor, I have already gone to a major hospital for relevant examinations (X-ray, electromyography, MRI) and confirmed that there is a herniation at the third and fourth lumbar vertebrae. Following the doctor's advice, I started re...
Dr. Chen Yongxue Reply:
Hello, generally speaking, a herniated intervertebral disc between the third and fourth lumbar vertebrae typically presents with unilateral symptoms such as numbness, tingling, and pain in the inner side of the calf, as well as difficulty walking for extended periods. It is quite...[Read More] Understanding Symptoms and Treatment Options for Herniated Discs
Morning Back Pain: Is It a Spine Issue or Muscle Weakness?
Unable to bend over upon waking up in the morning? Hello Doctor: I am 39 years old and had minimally invasive surgery for bone spurs on my lumbar spine at L2 or L3 ten years ago. In recent years, I have been experiencing frequent episodes of lumbar strain, and every morning I wak...
Dr. Shi Guozheng Reply:
Muscle issues may be alleviated with heat therapy, and continuing rehabilitation could lead to improvement. Additionally, muscle relaxants can be taken to help relieve discomfort.[Read More] Morning Back Pain: Is It a Spine Issue or Muscle Weakness?
Understanding Pain and Swelling After Thoracic Spine Surgery: Causes and Solutions
Thoracic vertebral fracture with implanted fixation screws, swelling and pain? Hello, doctor. I had a car accident and underwent spinal fusion with steel rods placed in my thoracic vertebrae (T3, T4, T5) about 11 months ago. Recently, I've noticed a small area of muscle near...
Dr. You Dianqi Reply:
Recommendation for follow-up evaluation. Thank you.[Read More] Understanding Pain and Swelling After Thoracic Spine Surgery: Causes and Solutions
Post-Surgery Shoulder Issues: Understanding Pain and Stiffness
Issues After Right Shoulder Surgery Hello, Doctor. I fell in December last year and my clavicle was displaced. I had surgery in May this year to insert a plate, and in October, I had a second surgery to remove the plate. After the first surgery in May, I experienced the following...
Dr. You Dianqi Reply:
Please return for an evaluation by your attending/surgeon. Thank you.[Read More] Post-Surgery Shoulder Issues: Understanding Pain and Stiffness
How Long Should a Brace Be Worn After a Burst Fracture?
How long should a brace be worn for a burst fracture? Dr. Chen, greetings! I was involved in a car accident on the highway, resulting in a "burst fracture of the third lumbar vertebra." In addition to the fracture, there is a compression of 0.3 cm. Since there was no ne...
Dr. Chen Bochen Reply:
Hello, 1. A burst fracture requires wearing a brace for three months, with regular X-rays each month to monitor the healing process. 2. After three months, you can switch to a soft brace. 3. Initially wearing a soft brace, you can gradually increase walking and exercise, even...[Read More] How Long Should a Brace Be Worn After a Burst Fracture?
Understanding Lumbar Compression Fractures: Recovery and Brace Guidance
Vertebral fracture Hello, Doctor! I sustained a "burst fracture of the third lumbar vertebra" due to a car accident. In addition to the fracture, the third lumbar vertebra is compressed by 0.3 cm. Since there was no nerve damage, the attending physician determined that ...
Dr. Shi Guozheng Reply:
1. Approximately three to six. 2. You can give it a try. 3. Avoid bending over and lifting heavy objects. 4. You can try climbing, but the most important thing is to visit the outpatient clinic to check if the fracture is healing and whether the vertebral body of the lumbar...[Read More] Understanding Lumbar Compression Fractures: Recovery and Brace Guidance
Understanding Persistent Discomfort After Vertebroplasty: Causes and Solutions
Persistent soreness after bone cement surgery? Hello, Doctor! I would like to ask about my mother, who recently had an accident. She was diagnosed with osteoporosis at -2.5% and underwent vertebroplasty and hip surgery. Initially, she experienced severe pain, panic, and depressio...
Dr. Chen Bochen Reply:
Hello, bone cement itself does not cause acidity, but there are many injured joints, muscles, and ligaments that cannot be treated with bone cement. These injuries generally require a combination of rehabilitation, brisk walking exercises, and hot compress therapy, along with the...[Read More] Understanding Persistent Discomfort After Vertebroplasty: Causes and Solutions
Can X-rays Reveal Old Fractures Years After Injury?
Can traces of a fracture be seen on an X-ray years after the injury? Four years ago, I injured my nose. At that time, I used a bandage and didn't check for bruising. I would like to know if an X-ray now can reveal whether there was a fracture back then.
Dr. Wang Shouji Reply:
Hello, if it has already healed, it may not be visible, but it is possible to determine if the bones are misaligned, which can indicate whether a fracture has occurred. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Can X-rays Reveal Old Fractures Years After Injury?
Understanding Wrist Pain: Misalignment and Treatment Options
Dislocation of the bones in the back of the hand? Hello Doctor: Last July, I noticed that when I pressed my hand down in a position similar to a push-up, the area near my wrist on the back of my hand would hurt. After visiting an orthopedic and rehabilitation clinic and getting a...
Dr. You Dianqi Reply:
It is recommended to visit an orthopedic outpatient clinic for evaluation. Thank you.[Read More] Understanding Wrist Pain: Misalignment and Treatment Options
Effective Treatments for Chronic Pain in the Spine and Joints
Treatment options for chronic pain in the lumbar spine, cervical spine, and knees? I would like to ask about an issue I experienced over six years ago. Due to prolonged sitting, I had severe lower back pain and a tingling, electric shock-like sensation in one leg, which was so in...
Dr. Shi Guozheng Reply:
1. It could be a steroid. 2. The physician administering the injection would know best. 3. If it is a localized tendonitis, an injection can be administered.[Read More] Effective Treatments for Chronic Pain in the Spine and Joints
Understanding Compression Fractures: Diagnosis Challenges and Travel Insurance Issues
Compression fracture In April, my mother was traveling in Da Nang, Vietnam, when she lost her balance and fell to the ground. She was unable to get up due to pain, and the tour leader and guide contacted the local ambulance to take her to the emergency room. After arriving at the...
Dr. Zhan Xian Reply:
Please consult the original attending physician. Thank you.[Read More] Understanding Compression Fractures: Diagnosis Challenges and Travel Insurance Issues
Should You See an Orthopedist for Neck Bumps? Understanding Cervical Issues
Cervical-related issues? Hello, a few days ago, I accidentally touched the back of my neck and noticed that besides the seventh cervical vertebra being more prominent, either the second or third cervical vertebra feels larger than the others (it's quite noticeable, felt belo...
Dr. Chen Bochen Reply:
Hello, it is recommended to see an orthopedic specialist and get an X-ray for peace of mind. Generally, these are harmless structural variations that can be monitored.[Read More] Should You See an Orthopedist for Neck Bumps? Understanding Cervical Issues
Understanding Coccyx Pain: Symptoms, Causes, and When to Seek Help
Coccygeal issues In January of this year, I fell on the stairs and hit my coccyx on the ground. It was very painful at the moment, but after resting for a day or two, the pain subsided, and I did not seek medical attention. About two weeks ago, I noticed that the sensation on the...
Dr. Shi Guozheng Reply:
1. If there is numbness, it may indicate nerve compression. 2. It is possible. 3. It may be related. 4. Unlike cauda equina syndrome, there is no phenomenon of urinary or fecal incontinence.[Read More] Understanding Coccyx Pain: Symptoms, Causes, and When to Seek Help
Understanding Post-Surgery Spinal Issues: Pain, Risks, and Options
Post-spinal surgery Hello, doctor. I am an 8-year post-operative patient with scoliosis. Initially, my curvature was about 40 degrees, with an S-shaped curve extending from the thoracic to the lumbar spine, nearly 30 cm long. The last two segments of my lumbar spine were not fuse...
Dr. Chen Bochen Reply:
Hello, thank you for your hard work. Your issue is quite complex, and you should seek an in-person evaluation from a specialist in scoliosis. I recommend a few scoliosis specialists: Dr. Hsien-Te Chen, Chief of Orthopedics at China Medical University Hospital; Dr. Chien-Chun Chan...[Read More] Understanding Post-Surgery Spinal Issues: Pain, Risks, and Options
Understanding Lumbar Spine Issues: Causes, Symptoms, and Relief
Lumbar and sacral spine issues? Hello doctor, on September 4, 2023, I twisted my ankle while moving branches and hit the root of the branch. The trunk pressed against my groin area, but I have no bruising or external injuries. Currently, there is only slight pain in the groin are...
Dr. Shi Guozheng Reply:
A spinal contusion without a fracture typically heals within four weeks. Applying heat or taking pain relievers can help alleviate symptoms.[Read More] Understanding Lumbar Spine Issues: Causes, Symptoms, and Relief