Back, Orthopedics FAQ

Addressing Hip Dysplasia Surgery Complications in Young Adults

Surgical correction of adult hip dysplasia? Hello Doctor: Over a year ago, I discovered that my left hip bone was underdeveloped, and I underwent corrective surgery. However, after the surgery, I developed a limp when walking, and my thigh muscles have remained weak from the fron...

Dr. Shi Guozheng Reply:
Weakness in the thigh may require rehabilitation to see if recovery occurs gradually. It is advisable to consult a rehabilitation specialist to arrange for physical therapy; it may not necessarily require immediate joint replacement surgery.

Managing Pain and Discomfort After Spinal Injuries: Tips for Better Sleep

Injury to the first and second cervical vertebrae? Hello Doctor, at the end of 2015, my mother fell while cleaning the windows at home. She was careful but stepped into empty space and landed on her back. Fortunately, there were no fractures, but she did sustain compression injur...

Dr. Shi Guozheng Reply:
Are you referring to the compression fractures of the first and second lumbar vertebrae? Typically, if the height of the vertebral body has not decreased significantly (greater than 50%), conservative treatment can be applied, which includes medication and a back brace for about ...

Understanding Hip Fracture Recovery: Pain and Healing Insights

The foot has not healed? On May 13, 2015, I had a femoral neck fracture and underwent the insertion of three bone screws. During a follow-up appointment two months later, the doctor did not provide any specific feedback. Currently, when sitting, I experience pain on the outer sid...

Dr. Hong Ximing Reply:
After surgery for a femoral neck fracture, scar tissue may form, leading to tightness around the joint. Patients can only perform rehabilitation exercises and should have follow-up evaluations of the femoral head every six months.

Understanding Multiple Ganglion Cysts: Symptoms and Treatment Options

Multiple ganglion cysts have developed? Hello, Doctor. My mother has developed several ganglion cysts on the back of her hands and wrists, one on the top of her foot, and even one on her shoulder. She has received acupuncture treatment for her shoulder. For the cysts on her hands...

Dr. Shi Guozheng Reply:
A ganglion cyst is a benign tumor that may not require treatment. If there is pain, analgesics can be taken for relief. Generally, it is advisable not to press on bruises, as this indicates subcutaneous bleeding, and frequent pressure should be avoided.

Understanding Spinal Bone Spurs and Their Connection to Chest Pain

Spinal bone spurs causing chest pain? A few days ago, I went to the hospital due to chest pain. The cardiologist arranged for a chest X-ray, which revealed scoliosis and the presence of bone spurs. I would like to know if this could cause severe chest pain. Additionally, I have c...

Dr. Shi Guozheng Reply:
Chest pain is not significantly related to scoliosis. It is advisable to consult a cardiologist to check for any issues with the coronary arteries. An electrocardiogram (ECG) should be performed to assess for any signs of cardiac ischemia. As for the possibility of being exempt f...

Morning Back Pain: Causes, Exercises, and Solutions for Relief

Unable to stand upright due to back pain upon waking up every day? Hello, For the past two weeks, I have been unable to stand up straight when I wake up in the morning. I need to support myself with my knees and slowly straighten up. When I walk, I can only stand upright and ca...

Dr. Shi Guozheng Reply:
Lower back pain is generally related to posture, and performing excessive bending movements can sometimes lead to muscle fatigue and pain. Waking up in the morning unable to stand upright is often due to muscle stiffness from sleeping the night before. Taking a hot shower or soak...

Understanding Ganglion Cysts: Symptoms, Treatment, and When to Consider Surgery

Ganglion cyst Hello doctor, I have a ganglion cyst on the back of my hand near the wrist that has been with me for over two years. During this time, I had it aspirated once with a syringe, but it recurred. After that, it spread and became quite large but soft, and then after some...

Dr. Shi Guozheng Reply:
The treatment for a ganglion cyst typically involves aspiration with a syringe. If the cyst recurs after several aspirations and affects your daily life or causes pain and discomfort, surgical intervention may be necessary. However, there is still a chance of recurrence after sur...

Should You Seek Medical Attention for Post-Car Accident Back Pain?

Car accident injuries? I would like to ask, I was in a car accident last week and my left hip bone has been hurting for about a week. I couldn't seek medical attention due to work, and now there is no pain, but it is quite swollen. Should I go to the hospital for this?

Dr. Shi Guozheng Reply:
If it is a lumbar contusion, it is advisable to get an X-ray to check for any fractures. If there are no fractures, it will typically take about four weeks for the swelling to completely subside.

Sudden Lower Back Discomfort When Standing: Causes and Solutions

When standing up, there is a sudden ache in the lower back, making it difficult to stand up? Since the year before last, I have suddenly experienced a sensation of soreness in my lower back when I stand up (I'm not sure if it's pain), which causes me to fall back down (...

Dr. Shi Guozheng Reply:
It may be a back sprain or strain, which typically occurs after sitting for a long time, upon waking up, or in colder weather when the back muscles suddenly contract strongly, leading to severe pain. It is recommended to perform some lumbar stretching exercises. Additionally, tak...

Relieving Coccydynia: Tips for Pain During Long Rides

Coccydynia can occur from prolonged sitting? Hello, Doctor: In the past six months, I have been experiencing pain in my coccyx while riding buses and trains. Each trip lasts about 2 hours, and I usually lean against the seat cushion, which causes pain after a while. However, if I...

Dr. Shi Guozheng Reply:
Coccydynia, or coccygeal pain, is often associated with previous injuries, but the pain is related to prolonged pressure on the coccyx. It is recommended to avoid sitting for extended periods or to use a softer cushion. Consulting an orthopedic specialist is advisable.

How to Alleviate Discomfort After a Tailbone Injury from Sports

If you experience discomfort in the lower back near the buttocks after hitting your coccyx, here are some steps you can take: 1. **Rest**: Avoid activities that may aggravate the pain. 2. **Ice Therapy**: Apply ice packs to the affected area for 15-20 minutes several times a day...

Dr. Wang Shouji Reply:
Hello: For a coccyx contusion, avoid prolonged sitting, and try to refrain from riding a bicycle or motorcycle. Apply heat as needed, and if it affects your mobility, medication treatment may be necessary for quicker symptom relief. Thank you!

Understanding Disc Herniation: Concerns and Surgical Options for Young Patients

Herniated disc Hello Doctor: I am a 21-year-old female. I have a herniated disc at the L5-S1 level with nerve compression (specifically a ruptured type herniation), which has been affecting the entire back of my left thigh for over a year. I have undergone three months of rehabil...

Dr. Wang Shouji Reply:
Hello: 1. If the resection area is relatively large, it may affect some stability, but generally, it is not severe. 2. This depends on how much intervertebral disc is removed; without disc protection, there is a higher risk of developing degenerative joint disease. 3. Statistical...

Recovering from Ankle Ligament Tear: When to Start Rehab?

Ligament tear Hello, I sprained my ankle while playing basketball. The doctor performed an ultrasound and found that my ligament is nearly completely torn. He advised me to reduce the swelling before starting rehabilitation. How long should I wait before going back for rehabilita...

Dr. Wang Shouji Reply:
Hello: Ligament injuries require at least two months for healing. During this two-month period, it is advisable to avoid excessive weight-bearing. You can start with mobility exercises to prevent joint stiffness. It is recommended to begin weight-bearing and strength training onl...

Recovery Timeline for Ankle Ligament Tear: When to Start Rehab?

Dr. Wang Shouji Reply:
Hello: Ligament injuries require at least two months for proper healing. During this two-month period, it is advisable to avoid excessive weight-bearing. You can start with mobility exercises to prevent joint stiffness. It is recommended to begin weight-bearing and strength train...

Recovering from Ankle Ligament Tear: When to Start Rehabilitation?

Understanding Ankylosing Spondylitis: Morning Stiffness and Pain Explained

Questions about ankylosing spondylitis? Hello Doctor: I have a question. In the morning, I am unable to bend forward and can only bend to about my knees, and I experience severe pain on the left side of my lower back. The doctor diagnosed it as ankylosing spondylitis, but during ...

Dr. Wang Shouji Reply:
Hello: If the symptoms persist for a longer duration, and HLA-B27 and sacroiliitis are not associated with arthritis, it may not be completely indicative of ankylosing spondylitis. Attention should be paid to posture and whether there is excessive activity. Thank you!

Understanding Leg Pain and Numb Toes: When to See a Specialist

Calf pain and numbness in the toes? My mother (70 years old) has recently been experiencing pain in the back of her right calf, and her toes are numb. The pain often keeps her awake at night. Which specialist should I take her to see? Thank you!

Dr. Wang Shouji Reply:
Hello: It may be a sciatic nerve compression issue, and you can consult either an orthopedic surgeon or a neurosurgeon. Thank you!

Neck Injury from Parking Barrier: Seeking Effective Treatment Options

Injury to the shoulder and neck due to impact from a fence? Hello doctor, I was hit on the head by a parking lot barrier last April. Although I was wearing a helmet, the force caused my neck to be pulled backward. I was diagnosed with slowed nerve conduction, and tests including ...

Dr. Wang Shouji Reply:
Hello: If nerve conduction is slowed due to a traction injury to the nerve, surgical intervention may not be effective. Generally, the cervical spine is a delicate structure, and excessive pulling may result in residual effects on the surrounding muscles, ligaments, or joints. If...

Post-Surgery Complications and Disability Certification in Orthopedics

Postoperative sequelae & disability certification More than two years ago, I accidentally fell from the third floor, resulting in what appears to be two fractured lumbar vertebrae and open fractures in both legs. I have undergone approximately ten surgeries, including hardwar...

Dr. Wang Shouji Reply:
Hello: Having a disability does not mean that one can apply for certification with just a slight functional impairment; there is a standardized criterion. Based on your symptoms, unless there is a noticeable difference in muscle size bilaterally, it may be difficult to demonstrat...

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