Managing Elbow Pain: Do You Need Surgery for Suspected Bone Spurs?
Suspected bone spur at the olecranon of the elbow? Hello, Doctor. I have been doing weight training, and recently I noticed that the area around the olecranon of both elbows hurts whenever I rest my arms on a table. Sometimes, I also feel pain if I accidentally bump into somethin...
Dr. Shi Guozheng Reply:
Coexisting with him without the need for surgery.[Read More] Managing Elbow Pain: Do You Need Surgery for Suspected Bone Spurs?
Understanding Bone Spurs After Tibia and Fibula Fractures
Fracture of the right calf? Hello Doctor: I had a surgery for a fracture of the tibia and fibula in my right lower leg due to a car accident, and it has been almost two months since then. Two weeks ago, I noticed pain when touching the back of my right heel. After consulting my o...
Dr. Shi Guozheng Reply:
Heel pain may occur due to prolonged pressure on the heel while lying down or resting the foot on a flat surface, leading to localized tissue inflammation. Typically, heel spurs on the calcaneus cause pain during walking or running. Elevating the calf with a pillow can help preve...[Read More] Understanding Bone Spurs After Tibia and Fibula Fractures
Shoulder Pain Dilemma: Seeking Solutions for Rotator Cuff and Bone Spurs
Shoulder issues Hello Dr. Lee, I had a significant shoulder injury from working with a hammer a long time ago, and I've experienced pain for several years. Recently, even sleeping on it causes pain. I have undergone X-rays and an MRI, but the opinions from the two doctors di...
Dr. Li Yongheng Reply:
Hello, bone spurs can cause rotator cuff tears. If both doctors recommend surgical treatment, you should carefully consider proceeding with it. Currently, minimally invasive arthroscopic shoulder surgery is available, which allows for quick recovery and smaller incisions, so ther...[Read More] Shoulder Pain Dilemma: Seeking Solutions for Rotator Cuff and Bone Spurs
Understanding Spinal Fractures: When Surgery is Necessary
Vertebral fracture Doctor, I'm sorry to bother you. A few days ago, I had an X-ray at Mackay Memorial Hospital, which revealed a fracture in my spine. I had previously undergone an X-ray at another hospital, but they did not detect the fracture; they only mentioned bone spur...
Dr. Wang Shouji Reply:
Hello: If there is a fracture in the vertebrae without trauma, it is necessary to consider whether it is due to congenital joint space deficiency or spina bifida, in which case urgent surgery may not be required. If the acute fracture is caused by trauma and does not affect spina...[Read More] Understanding Spinal Fractures: When Surgery is Necessary
Understanding Coccyx Injuries: Risks and Long-Term Effects After a Car Accident
The car accident impacted the last two segments of the coccyx? Hello, doctor. Last week, I fell and slid in a car accident, and my coccyx hit the wall. I went to the emergency room, and the doctor examined me. He said that as long as I can walk normally and it doesn't hurt t...
Dr. Li Yongheng Reply:
Generally, in cases of inward dislocation of the last two segments of the coccyx, if the displacement is minimal, medication for pain relief may suffice for recovery without any significant sequelae. However, if the displacement is excessive, manual reduction can be performed thr...[Read More] Understanding Coccyx Injuries: Risks and Long-Term Effects After a Car Accident
ACL Reconstruction vs. High Tibial Osteotomy: Which Surgery is Better?
Questions about Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy? Hello Doctor, I injured my knee 8 years ago and underwent anterior cruciate ligament (ACL) reconstruction surgery. After a sports-related sprain last year, I have been experiencing discomfort in ...
Dr. Shi Guozheng Reply:
Ligament reconstruction surgery should be performed first, as high tibial osteotomy (HTO) cannot improve the condition of ligament instability.[Read More] ACL Reconstruction vs. High Tibial Osteotomy: Which Surgery is Better?
Understanding Shoulder Tendonitis: Pain Management and Treatment Options
Shoulder issues, tendonitis, muscle pain? Hello Doctor: My mother is 59 years old and has a long-term issue with muscle pain that recurs. This time, she visited an orthopedic specialist who diagnosed her with inflammation of the tendon in the front of her left shoulder joint. She...
Dr. Shi Guozheng Reply:
Shoulder pain is a common condition in this age group, typically caused by tendon inflammation. Based on your description, it is likely related to the biceps tendon, which may be due to overuse or improper use. Conservative treatment options such as medication, rehabilitation, re...[Read More] Understanding Shoulder Tendonitis: Pain Management and Treatment Options
Understanding Pain Between the Left Shoulder Blade and Spine: Causes and Solutions
Pain between the left shoulder blade and the spine? Hello, Doctor: Pain location: Pain is located in the area between the left scapula and the spine (like a "point," not a widespread pain). Duration of pain: One year (the symptoms have remained the same for this yea...
Dr. Shi Guozheng Reply:
It is advisable to consult a physician for shoulder and neck pain to determine whether further examinations are necessary.[Read More] Understanding Pain Between the Left Shoulder Blade and Spine: Causes and Solutions
Understanding Lower Back and Hip Pain: Causes and Relief Strategies
Lower back and hip pain? Hello Doctor, I am experiencing soreness and pain in my left hip and lower back. Currently, I can only sleep on my side (the right side). If I lie flat, my hip becomes very sore, radiating down to my calf, which also feels painful. Lying on my stomach als...
Dr. Shi Guozheng Reply:
It could be sciatica, which is caused by a herniated disc or bone spurs in the spine that compress the sciatic nerve, resulting in pain. The symptoms can radiate from the back down to the buttocks, the back of the thigh, and into the calf and foot. Sometimes, there may be a sensa...[Read More] Understanding Lower Back and Hip Pain: Causes and Relief Strategies
Understanding Disc Herniation and Bone Spurs: Surgical Options Explained
Herniated disc and bone spur? Hello, doctor. I would like to ask about my husband (28 years old) who has been diagnosed with a herniated lumbar disc (bone spur). The doctor has recommended surgery and asked if we want to add a spacer, which is said to reduce the risk of recurrenc...
Dr. Li Yongheng Reply:
Due to advanced age, unless the patient is overweight, it is not recommended to use bone screws and interbody spacers, as this may lead to increased stress on the adjacent intervertebral disc, potentially resulting in a herniated disc. This condition is referred to as adjacent se...[Read More] Understanding Disc Herniation and Bone Spurs: Surgical Options Explained
Chronic Tendonitis: Treatment Options and Expert Advice for Knee Pain
Chronic tendinitis Hello Doctor, I have been suffering from patellar valgus since mid-last year, which made it nearly impossible for me to walk during severe episodes. After nearly a year of treatment, my condition has gradually improved. However, during the rehabilitation proces...
Dr. Hong Ximing Reply:
Patellar valgus can lead to joint wear and pain, where rehabilitation and medication injections serve only as adjunctive treatments. Once the cartilage layer is completely worn away, pain relief can only occur after bone spurs develop in the worn area. In addition to stretching t...[Read More] Chronic Tendonitis: Treatment Options and Expert Advice for Knee Pain
Understanding Knee Osteophytes: Treatment Options for Seniors
Could you please provide more details about the issue with bone spurs in the knee joint? Hello, Doctor. My mother visited the hospital about 20 years ago due to discomfort in her knees. After examination and X-rays, the doctor diagnosed her with bone spurs. Due to the widespread ...
Dr. Shi Guozheng Reply:
Severe degenerative arthritis of the knee may require surgery for complete resolution, as other treatment methods only address the symptoms and not the underlying issue. Conservative treatments include rehabilitation, medications, and intra-articular injections (such as hyaluroni...[Read More] Understanding Knee Osteophytes: Treatment Options for Seniors
Understanding Loose Ankle Ligaments: Treatment Options and Surgery Insights
Ankle ligament laxity? My ankle was injured in my twenties and thirties due to a misstep, resulting in a red heel. At that time, I did not seek medical attention and instead went to a traditional Chinese medicine clinic for massage. After the age of thirty-five, it gradually beca...
Dr. Shi Guozheng Reply:
Based on your description, it seems that surgery may be the only option. Whether the bone spur needs to be removed depends on the necessity of the surgery. You should discuss any related questions about the surgery with your attending physician, as they will have the best underst...[Read More] Understanding Loose Ankle Ligaments: Treatment Options and Surgery Insights
Chronic Lower Back Pain: Seeking Solutions After 10 Years of Discomfort
Lumbar issues? Hello, I have been suffering from lower back pain for a long time, for 10 years now. I have visited various medical institutions and traditional Chinese medicine practitioners, and I have undergone X-rays and MRIs of the left, right, and front sides, as well as ele...
Dr. Chen Yongxue Reply:
Hello, based on your letter, if all kinds of examinations have been conducted without any significant findings, it is likely a case of simple ligament inflammation. This is often related to the patient's work or lifestyle habits. Generally, it is most commonly seen in patien...[Read More] Chronic Lower Back Pain: Seeking Solutions After 10 Years of Discomfort
Understanding Neck Strains and Sprains: Causes, Symptoms, and Treatment
Cervical sprain and strain? I apologize if I accidentally submitted the consultation form twice. Doctor, I have some questions I would like to ask you. 1. About a month and a half ago, I was rolling in bed after just waking up, and while I was in a position with my head against...
Dr. Shi Guozheng Reply:
Typically, if a cervical spine bone spur compresses a nerve, there will be sensations of numbness and pain in the upper back. If these symptoms have improved, it may not be necessary to see a doctor.[Read More] Understanding Neck Strains and Sprains: Causes, Symptoms, and Treatment
Can Pelvic Tilt Be Corrected with Surgery? Understanding Your Options
Bone deformity Hello: My understanding is that bone spurs can be surgically removed, and fractures can be surgically repaired. However, I wonder if pelvic tilt can be corrected through surgery?
Dr. Shi Guozheng Reply:
There is no such surgical method.[Read More] Can Pelvic Tilt Be Corrected with Surgery? Understanding Your Options
Can PRP Therapy Effectively Treat Ankle Cartilage Necrosis?
Can PRP therapy be used to treat ankle cartilage necrosis? About two years ago, I experienced pain in my right ankle and went to the hospital for an examination. The doctor diagnosed it as osteochondral necrosis, and since the condition did not require surgery, I was advised to w...
Dr. Shi Guozheng Reply:
Cartilage necrosis is a somewhat vague term that typically refers to cartilage wear and bone spur formation, which is characteristic of osteoarthritis. In the second or third stage, administering PRP (platelet-rich plasma) may be effective, but the results can only last about nin...[Read More] Can PRP Therapy Effectively Treat Ankle Cartilage Necrosis?
Understanding Neck Pain: When to Seek X-Ray or MRI for Diagnosis
Neck issues Hello Doctor: Three weeks ago, I woke up one day with severe neck pain. I visited both a traditional Chinese medicine practitioner and a general orthopedic clinic. Both doctors diagnosed me with a stiff neck. The traditional Chinese medicine treatment included one ses...
Dr. Shi Guozheng Reply:
You can first check the X-ray to see if there are any issues with cervical osteophytes. The feelings of nausea and dizziness do not seem to be related to cervical osteophytes. As for the numbness in the hands, it could be due to poor circulation. If it is caused by cervical osteo...[Read More] Understanding Neck Pain: When to Seek X-Ray or MRI for Diagnosis
Struggling with Sitting and Limping: Seeking Solutions for Back Pain
Inability to sit for long periods (cannot sit for more than 30 minutes) and sudden onset of a limp while walking? Hello Dr. Wang, I suddenly find myself unable to sit for long periods (not able to sit for more than 30 minutes). I first went to an orthopedic clinic and had an X-...
Dr. Wang Shouji Reply:
Hello: There are many reasons for being unable to sit for long periods, including poor posture, weak back muscles, and spinal disorders. Additionally, sudden limping and inward bowing of the right knee may occur, but there is no indication of pain. If there are also symptoms of k...[Read More] Struggling with Sitting and Limping: Seeking Solutions for Back Pain
Left Thigh Pain While Lying Down: Causes and Treatment Options
Experiencing numbness and tingling in the front of the left thigh while lying flat during sleep can significantly affect sleep quality? Hello Doctor, my father is 60 years old and has been experiencing pain in his left thigh for the past two months, which has severely affected hi...
Dr. Shi Guozheng Reply:
First, let's review the MRI report to determine if there are any issues with the spine. It may be beneficial to take some active vitamin B12 to see if it improves the condition.[Read More] Left Thigh Pain While Lying Down: Causes and Treatment Options