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Understanding Rib Asymmetry: Causes and Concerns in Orthopedics

Rib issues Recently, I've noticed that my left rib seems to be more prominent than my right rib, creating an asymmetry in the lower chest area. There is a bony protrusion near the abdomen that feels movable when pressed, with a clicking sensation. Could this be related to sc...


Dr. Shi Guozheng Reply:
The lower ends of the ribs on the chest wall typically curve from the back to the front and downward, and there may be a noticeable protrusion at the bend. If pressing on this area causes pain, it could be due to prolonged sitting or poor posture. In cases of scoliosis, there is ...

[Read More] Understanding Rib Asymmetry: Causes and Concerns in Orthopedics


Understanding Disc Herniation: Causes, Symptoms, and Non-Surgical Treatments

Herniated disc Hello, doctor. Since last July, I have experienced a problem after a game of pool. When I bent down to play and then stood up, I felt a sudden pain in my lower back on the right side. At that time, I didn't think much of it, and after sleeping, the pain was go...


Dr. Shi Guozheng Reply:
If there is a lumbar disc herniation, it may compress the sciatic nerve, leading to symptoms that are not just lower back pain but pain in the buttocks that radiates down the back of the thigh and calf to the sole of the foot, accompanied by numbness. Symptoms may worsen when cou...

[Read More] Understanding Disc Herniation: Causes, Symptoms, and Non-Surgical Treatments


Understanding Recovery After ACL Surgery: Common Concerns and Questions

Anterior cruciate ligament (ACL) tear Hello Doctor: I had a car accident in February, and an MRI revealed that I had a torn right anterior cruciate ligament (ACL). At that time, I was preparing for a certification exam, and the doctor mentioned that the surgery could not be sched...


Dr. Chen Yongxue Reply:
Hello, 1. Swelling may still be present one week post-surgery. 2. The description of "black and red" is not very clear. It is advisable to have an orthopedic physician perform a physical examination, as there are general concerns about infection or necrosis. 3. If t...

[Read More] Understanding Recovery After ACL Surgery: Common Concerns and Questions


Coughing and Lower Back Pain: Understanding the Connection

Coughing can also cause lower back pain? Hello, I noticed that I had lower back pain during the Lunar New Year this year, which later became more severe to the point where I could not sit or walk for long periods. I have seen both an orthopedic specialist and a rehabilitation spe...


Dr. Chen Yongxue Reply:
Hello, some issues cannot be diagnosed through X-rays; it would be better to have a physician perform a physical examination. Based on your description, it is likely that you are experiencing inflammation of the fascia in the lower back. Please consult an orthopedic specialist. T...

[Read More] Coughing and Lower Back Pain: Understanding the Connection


Understanding Sciatica: Causes and Symptoms of Leg and Lower Back Pain

Regarding sciatica? I would like to ask, whenever I bend over, I experience pain in my lower back that radiates down to my left leg, but not my right leg. When I lie flat, lifting my left leg causes pain, while my right leg does not. However, when I am sitting, I do not experienc...


Dr. Shi Guozheng Reply:
It could be sciatica, and you should consult an orthopedic physician for an accurate diagnosis and treatment.

[Read More] Understanding Sciatica: Causes and Symptoms of Leg and Lower Back Pain


Heavy School Bags in Taichung: A Risk for Spinal Deformities in Students

Spine Students in Taichung City, particularly at Dazhi School, are subjected to daily spinal stress from carrying backpacks weighing 28 pounds, which can lead to scoliosis and spinal injuries.


Dr. Li Wenhong Reply:
Hello! There is no evidence to prove that a 28-kilogram backpack causes scoliosis. If you do have back problems, please visit a hospital for evaluation. Changhua Hospital, Orthopedics, Dr. Li Wen-Hong.

[Read More] Heavy School Bags in Taichung: A Risk for Spinal Deformities in Students


Understanding Bumps on the Back of Your Head: Causes and Concerns

Protrusion of the occipital region? I'm not sure why I have multiple bumps on the back of my head. There are two diagonal raised areas, and there are also smaller bumps in other places. They don't hurt when I press on them, but recently I've experienced sudden shar...


Dr. Li Wenhong Reply:
Hello! It may be a normal anatomical structure, the occipital protuberance. If there is pain, it is advisable to seek medical attention. Orthopedics, Changhua Hospital, Dr. Li Wen-Hong.

[Read More] Understanding Bumps on the Back of Your Head: Causes and Concerns


Chronic Left Lower Back Pain: Causes and Solutions for Relief

Left flank pain makes it difficult to turn over and get up! Hello, doctor! My left lower back has been a long-term issue for me! I always feel like there's something strange with a nerve on my left side, but I can't pinpoint where the discomfort is coming from! However,...


Dr. Shi Guozheng Reply:
An X-ray should be taken to check for any other issues. Chronic lower back pain is related to posture, and frequent bending or lifting may also be contributing factors. If no issues are found, you can consult a rehabilitation specialist to arrange some physical therapy treatments...

[Read More] Chronic Left Lower Back Pain: Causes and Solutions for Relief


Understanding Right Knee Pain: Causes and Treatment Options

Right knee pain? Hello, doctor. I have not had any injuries to my right knee, but over the past year, I suddenly started experiencing a small pain on the outer side of my right knee, which began at the back. The pain appeared overnight, and it hurts when I straighten or bend my k...


Dr. Shi Guozheng Reply:
Tendonitis may be caused by strains or overuse, which can result from excessive walking, climbing hills, or going up and down stairs. These activities can increase the stress on the knee joint ligaments, potentially leading to inflammation. The lateral aspect of the knee includes...

[Read More] Understanding Right Knee Pain: Causes and Treatment Options


Post-Surgery Pain and Bruising After Ganglion Cyst Removal

Even after surgery for a ganglion cyst, there is still a feeling of pain? I had surgery on the back of my right wrist 10 days ago. I rested for a week, but in the past few days, I've been experiencing some pain while working. This morning, I noticed a little bruising around ...


Dr. Wang Shouji Reply:
Hello: It is not uncommon to experience bruising after surgery for a ganglion cyst, which will typically resolve on its own. It is recommended to avoid extensive wrist activities for at least one to two months, and weight-bearing activities should be avoided for two months. Thank...

[Read More] Post-Surgery Pain and Bruising After Ganglion Cyst Removal


Understanding Back Pain: Is It a Result of Old Injuries?

Mild soreness in the back? Hello, doctor. Two weeks ago, I felt soreness in multiple areas of my back, but it was tolerable and not very painful. Today, an X-ray revealed that there is a missing corner on one of the vertebrae in my lower back. I had a fall six years ago that affe...


Dr. Wang Shouji Reply:
Hello: Since the extent of the bone angle deficiency is unknown, if it is cancer, it is often associated with severe pain. If it leads to a pathological fracture, it can cause bone deformity. If there is a suspicion of bone cancer, further examinations should be conducted. Thank ...

[Read More] Understanding Back Pain: Is It a Result of Old Injuries?


Is It Sciatica? Understanding Your Lower Back Pain Symptoms

I'm not sure if it's sciatica? Hello Dr. Wang, although I have seen many similar questions in the comments, I still cannot determine if I have sciatica. My symptoms are as follows: I have been experiencing pain in my lower back near the buttocks for 4 to 5 months. The p...


Dr. Wang Shouji Reply:
Hello: If the pain is localized only in the buttocks and does not radiate down the legs, it is unlikely to be sciatica. However, if the pain worsens with sneezing, an X-ray examination is necessary. If seeking medical attention is inconvenient, I recommend applying heat, minimizi...

[Read More] Is It Sciatica? Understanding Your Lower Back Pain Symptoms


Understanding Shoulder and Spine Injuries in New Fitness Routines

Sports injuries, shoulder joint, and spine? Hello, Doctor. I used to have no exercise habits, but I started bodyweight training three months ago, doing push-ups, sit-ups, jogging, and pull-ups (about 5 days a week, focusing on major muscle groups each day). I have two questions: ...


Dr. Shi Guozheng Reply:
If the pain persists and does not improve, it is necessary to seek medical attention.

[Read More] Understanding Shoulder and Spine Injuries in New Fitness Routines


Post-ACL Reconstruction and Meniscus Repair: Understanding Complications and Recovery

ACL reconstruction + meniscus repair suturing Hello Dr. Shih, good evening. I apologize for disturbing you. I am Professor Lai's nephew, and my surname is Lu. Due to my work in the Philippines this year, I am temporarily unable to return to Taiwan for medical consultation. I...


Dr. Shi Guozheng Reply:
The sequelae you mentioned can occur, but it's essential to have a physician evaluate the situation to determine the cause of the knee joint swelling. Applying ice and resting may help improve the condition. If there is no further injury, recovery typically progresses gradua...

[Read More] Post-ACL Reconstruction and Meniscus Repair: Understanding Complications and Recovery


Managing Tailbone Pain: Tips for Those with Sedentary Jobs

Coccydynia I'm sorry to hear about your discomfort. It sounds like you may be experiencing tailbone pain, also known as coccydynia, which can be exacerbated by prolonged sitting, especially in a work environment like food service. Given your history of a fall and the ongoing...


Dr. Hong Ximing Reply:
Coccydynia, if not due to acute injury, is likely caused by tendinitis around the coccyx due to work posture. It is advisable to pay attention to prolonged periods of sitting and to change positions regularly while working.

[Read More] Managing Tailbone Pain: Tips for Those with Sedentary Jobs


Understanding Back Swelling: Causes and When to Seek Orthopedic Care

Swelling on the left side of the spine? Hello Doctor, I recently discovered a swelling in the middle of my left back. Today, I went to see a family physician at the hospital, and after an X-ray, the doctor mentioned that the swelling is caused by spinal curvature and suggested th...


Dr. Hong Ximing Reply:
There is swelling in the middle of the left back. Since the X-ray can identify spinal curvature, it would be advisable to consult an orthopedic physician for a detailed examination. Whether an ultrasound examination is necessary should be determined by the treating physician.

[Read More] Understanding Back Swelling: Causes and When to Seek Orthopedic Care


Understanding Nighttime Back Pain: Causes and Next Steps for Relief

Lower back pain at night? Hello Doctor, I have been experiencing lower back pain for a month, located on both sides above the buttocks. For the first two months, the pain would occur at night while lying down, with continuous sharp pain. Sometimes it affects both sides, and other...


Dr. Shi Guozheng Reply:
First, it is important to identify the cause of the pain and avoid repetitive movements or postures. Medication can be helpful, and it is advisable to continue treatment for a period of time. Additionally, consulting a rehabilitation specialist may be necessary to determine if ph...

[Read More] Understanding Nighttime Back Pain: Causes and Next Steps for Relief


Discomfort Under Left Rib: Causes and Solutions for Posture-Related Pain

There is a slight protrusion of the lower left rib, causing discomfort when sitting? Hello: I have a protrusion on the left side of my lower rib cage, and I experience some soreness in the area below the rib and the corresponding part of my back when I sit in certain positions (s...


Dr. Chen Yongxue Reply:
Hello, please first check for any issues related to scoliosis. Additionally, maintaining a specific posture for an extended period (such as prolonged sitting or standing) may also be a contributing factor. Please visit the orthopedic clinic for further examination.

[Read More] Discomfort Under Left Rib: Causes and Solutions for Posture-Related Pain


Navigating ACL Tears: When to Consider Surgery or Rehabilitation

Torn posterior cruciate ligament (PCL) complete tear? Hello Doctor: Four years ago, during a competitive sports event, I collided with another athlete and was unable to fully extend my left knee. At that time, the sports medic assessed a ligament tear but was unsure of the severi...


Dr. Hong Ximing Reply:
A torn cruciate ligament can affect the stability of the knee joint, increase cartilage wear, and lead to joint degeneration and pain. Surgical reconstruction should be discussed in detail with the attending physician, and changing hospitals will only allow for a reevaluation.

[Read More] Navigating ACL Tears: When to Consider Surgery or Rehabilitation


Understanding Knee Surgery Recovery: Pain, Rehab, and Swelling Explained

Knee Surgery Techniques Hello, doctor. I had a car accident in December 2015, which resulted in a fracture of my right knee cap. I underwent surgery where two screws were inserted. The doctor mentioned it would take three months to heal, and now that almost three months have pass...


Dr. Ye Qingnian Reply:
After a patellar (kneecap) fracture surgery, there is swelling and pain in the ankle, which may be due to poor circulation in the lower limb and inadequate postoperative rehabilitation. The first step is to reduce the swelling. Lying flat with the injured leg elevated and perform...

[Read More] Understanding Knee Surgery Recovery: Pain, Rehab, and Swelling Explained


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