Degenerative arthritis, Orthopedics FAQ

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Understanding the Progression of Osteoarthritis: When to Seek Further Treatment

Degenerative arthritis My degenerative arthritis started in the soles of my feet. Why did it spread to other joints? It has moved to my knee joints, cervical spine joints, temporomandibular joints, and finger joints. I am receiving formal treatment at a large hospital, where the ...


Dr. Shi Guozheng Reply:
If taking the medication improves the symptoms, continue the medication and return for a follow-up appointment after finishing it. If there is a sudden worsening of the condition, seek medical attention promptly.

[Read More] Understanding the Progression of Osteoarthritis: When to Seek Further Treatment


Managing Degenerative Arthritis of the Spine: Treatment Options for Young Adults

Spinal degenerative arthritis After undergoing an MRI, I was diagnosed with degenerative arthritis of the spine, specifically at the L4 and L5 levels. The physician I consulted mentioned that the intervertebral discs have lost most of their hydration and appear dark. I have tried...


Dr. Wang Shouji Reply:
Hello, if lying down without any weight does not alleviate your back pain, in addition to degenerative spinal arthritis, it is important to consider your daily spinal activity, such as prolonged sitting or heavy lifting. Generally speaking, surgery is not typically recommended fo...

[Read More] Managing Degenerative Arthritis of the Spine: Treatment Options for Young Adults


Understanding Hip Labral Tears: Symptoms, Treatment Options, and Recovery

Issues related to hip labral tears? **Symptoms and Medical Consultation Process:** Last July, I underwent a lateral hip abduction procedure and felt some discomfort. The next day, I woke up with tightness and soreness around my left hip, along with a squeezing sensation when lift...


Dr. Zhan Xian Reply:
Hello, you can ask your surgeon about your concerns. There is still a possibility of rupture worsening.

[Read More] Understanding Hip Labral Tears: Symptoms, Treatment Options, and Recovery


Understanding Knee Pain: Is It Degenerative Arthritis After Vaccination?

Knee joint pain Hello Doctor, I started receiving vaccinations last year, and initially, I experienced mild pain in my finger joints. I consulted a rheumatologist, and the blood tests came back normal. I didn't pay much attention to it and continued with the vaccinations. Af...


Dr. Shi Guozheng Reply:
Joint degeneration is possible, and if medication can provide relief, it is advisable to take some. Additionally, engaging in rehabilitation can help improve the condition gradually.

[Read More] Understanding Knee Pain: Is It Degenerative Arthritis After Vaccination?


Understanding Knee Pain After Injury: Expert Insights and Treatment Options

Inquiry Consultation Dear Dr. Chen, Hello. At the end of 2017, I was involved in a motorcycle accident that injured my right knee (resulting in bleeding and bruising). I went to an orthopedic doctor for an X-ray, and after reviewing the images, the doctor stated that there were ...


Dr. Chen Bochen Reply:
Hello: Regarding your questions, Q1: Orthopedic diagnosis must be accompanied by physical examination, ultrasound, X-rays, and MRI, so I cannot provide a diagnosis or the underlying cause. Common causes include patellar ligament inflammation and cartilage inflammation. Q2: Un...

[Read More] Understanding Knee Pain After Injury: Expert Insights and Treatment Options


Managing Knee Pain: Can Kudona Capsules Help with Patellar Inflammation?

Follow-up question #182498 Knee inquiry consultation? Dear Dr. Shi, Thank you very much for your response and explanation in the consultation regarding my knee issues (#182498). I have learned a lot. I understand that my "pain when kneeling" is caused by patellar synov...


Dr. Shi Guozheng Reply:
The supplement you mentioned that contains glucosamine is a health product and not a medication, so it may not necessarily help with your symptoms. I recommend consulting a physician, as some anti-inflammatory medications (NSAIDs) might be effective in addressing your condition.

[Read More] Managing Knee Pain: Can Kudona Capsules Help with Patellar Inflammation?


Understanding Degenerative Disc Disease: Treatment Options and Insights

Degenerative arthritis of the spine Hello Doctor, I would like to seek your advice regarding my situation: I fell on my buttocks while sitting down in the first year of junior high school. By the second year, I started experiencing back pain. Since I was still young at the time, ...


Dr. Wang Shouji Reply:
Hello, if there is an injury to a single vertebral segment and associated neuropathic pain, it is important to address the issue of nerve compression causing the pain. If the intervertebral disc is completely damaged, consideration should be given to spinal fusion with instrument...

[Read More] Understanding Degenerative Disc Disease: Treatment Options and Insights


Understanding Degenerative Arthritis: Treatment Options and Pain Relief

Degenerative arthritis of the spine I would like to ask the doctor, I was diagnosed with a herniated disc at the age of 14, and recently, due to persistent pain, I considered surgery. However, after undergoing an MRI at the hospital, I discovered that I have degenerative arthriti...


Dr. Cai Shanglin Reply:
Hello, online friend. There are many causes of lower back pain, and statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high levels of stress can all contribut...

[Read More] Understanding Degenerative Arthritis: Treatment Options and Pain Relief


Finding Relief from Chronic Knee Pain: Options Beyond Surgery

Suffering from knee pain. Please advise on effective remedies? Hello, Dr. Shi. I have been suffering from degenerative arthritis for about ten years. I have been receiving hyaluronic acid injections for approximately five years, but I feel there has been little improvement and no...


Dr. Shi Guozheng Reply:
1. Normal function can be restored; during the surgery, the deformed joint will be corrected to a straight position. 2. If the knee joint is currently difficult to bend, then after surgery, in order to be able to squat, it is essential to commit to rehabilitation. 3. Performi...

[Read More] Finding Relief from Chronic Knee Pain: Options Beyond Surgery


Sudden Swelling of the Fourth Toe: Causes and Treatment Options

The fourth toe of the right foot suddenly swelled? The fourth toe on both feet has been persistently swollen for about two years. A month ago, the fourth toe on my right foot suddenly became swollen. I visited the immunology department at Beihua Hospital, and after blood tests, t...


Dr. Chen Yongxue Reply:
Hello, sudden swelling of the fingers and toes should first rule out any immune-related issues. Additionally, individuals over the age of 50 are at a higher risk for degenerative arthritis. Please visit an orthopedic clinic for further diagnosis. Thank you.

[Read More] Sudden Swelling of the Fourth Toe: Causes and Treatment Options


Understanding Disability Qualifications for Knee Valgus Conditions

Regarding the disability qualifications for knee valgus? I have congenital genu valgum in both knees, and there is a certain degree of cartilage wear. Years ago, due to knee pain, I sought medical attention and was referred to a teaching hospital, where an orthopedic physician is...


Dr. Cai Shanglin Reply:
Generally, patellar valgus or degenerative arthritis may qualify for disability assessment only if there is severe impairment in knee joint mobility. It is recommended that you visit a medical facility for a re-evaluation and assessment; this will provide a clearer understanding ...

[Read More] Understanding Disability Qualifications for Knee Valgus Conditions


Post-Operative Care for Patellar Fractures: Managing Swelling and Recovery

Postoperative care for patellar fracture? Hello, doctor. My mother is currently 70 years old. On April 3rd, she accidentally fell to her knees, resulting in a patellar fracture. The orthopedic surgeon advised her to keep her leg straight at home without bending it, but she was no...


Dr. You Dianqi Reply:
Hello: Currently, your mother's main issue is stiffness following her patellar fracture surgery. The primary focus will likely be on restoring her range of motion to what it was before the fracture. As for the degenerative arthritis, we will consider that after this primary ...

[Read More] Post-Operative Care for Patellar Fractures: Managing Swelling and Recovery


Long-Term Tendon Rupture: Treatment Options and Care for Ankle Pain

Chronic tendon rupture? Dear Vice Dean Li, Hello. My father, who is 71 years old, has recently been experiencing discomfort in his right ankle. Externally, there appears to be swelling on the right side, and there is tenderness upon pressure. He experiences soreness while walkin...


Dr. Li Yongheng Reply:
Hello, your father's right ankle tendon has been ruptured for a long time, and it is unlikely that it can be reattached. Daily care should involve avoiding prolonged standing and weight-bearing activities. It is advisable to purchase some supportive braces to provide stabili...

[Read More] Long-Term Tendon Rupture: Treatment Options and Care for Ankle Pain


Understanding Hip Pain: Is It Fasciitis or Arthritis?

Hip joint issues Hello Doctor: My question is: I experience stiffness and pain in the groin area when I suddenly stand up after sitting for a long time. This has been happening for about 1-2 weeks. Yesterday, I visited an orthopedic clinic, and the doctor diagnosed it as myofasci...


Dr. Shi Guozheng Reply:
If there is an issue with the hip joint, the range of motion is usually limited, making it difficult to bend. Additionally, arthritis does not typically resolve pain in just one or two weeks; it is often chronic and can cause pain for several years. Hip arthritis can be diagnosed...

[Read More] Understanding Hip Pain: Is It Fasciitis or Arthritis?


Is Surgery Necessary for Femoral Necrosis? Understanding Your Options

Is surgery always necessary for femoral head necrosis? Hello, Doctor Shi: About 12 years ago, I suffered a femoral fracture due to a car accident. The injury was located near the knee. I underwent surgery for fracture fixation at that time, and the bone screws were removed six mo...


Dr. Shi Guozheng Reply:
The treatment methods for osteonecrosis of the femoral condyle in the knee joint include decompression and bone grafting. In severe cases, total knee arthroplasty may be necessary, as non-surgical options may not lead to improvement.

[Read More] Is Surgery Necessary for Femoral Necrosis? Understanding Your Options


Post-ACL Surgery: Understanding Knee Swelling and Pain Issues

Post-operative knee effusion following anterior cruciate ligament (ACL) surgery? Hello, doctor. I underwent anterior cruciate ligament reconstruction and partial meniscus repair on October 1st last year, and it has been 9 months since the surgery. MRI scans taken at the 3-month a...


Dr. Cai Shanglin Reply:
The presence of effusion is generally a result of inflammation in the joint tissues. The redness is likely due to the severity of the inflammation. It is difficult to determine whether it is degenerative arthritis or periostitis. If both MRI scans show no issues with the ligament...

[Read More] Post-ACL Surgery: Understanding Knee Swelling and Pain Issues


Managing Degenerative Arthritis: Effective Treatments and Exercises

Degenerative arthritis of the spine Hello doctor, I have had this condition since I was in the ninth grade after an injury, but every time I go to a different hospital, I receive different answers. Most of the time, they only take X-rays and I’m not sure if I can request more in-...


Dr. Li Yongheng Reply:
Hello, chronic back pain is usually due to inflammation of the back muscles, with a minority caused by intervertebral disc injuries or diseases of the vertebrae themselves. At the age of 20, degenerative arthritis of the spine is quite rare. Currently, using a Roman chair to stre...

[Read More] Managing Degenerative Arthritis: Effective Treatments and Exercises


Can PRP Therapy Help Treat Degenerative Arthritis After Stroke?

Can degenerative arthritis be treated with PRP? Hello Dr. Shih, Last March, I brought my father to Miaoli Hospital for a total hip replacement surgery performed by you, and he has been recovering well since then. Thank you, Dr. Shih. However, on December 3rd of last year, my fa...


Dr. Shi Guozheng Reply:
Degenerative joint disease can be treated with medications, with non-steroidal anti-inflammatory drugs (NSAIDs) being the first choice. Additionally, glucosamine supplements can be taken for support. Hyaluronic acid injections may also be considered. If these options are insuffic...

[Read More] Can PRP Therapy Help Treat Degenerative Arthritis After Stroke?


Struggling with Knee Pain: Seeking Solutions for Weakness and Discomfort

Inability to bear weight on the knee? I have been experiencing knee pain in both legs for two years. I have consulted many doctors (orthopedics, rehabilitation, rheumatology, and neurology) at major hospitals. Some doctors indicated that I have patellar malalignment, while others...


Dr. Shi Guozheng Reply:
It could be a spinal issue compressing the nerves, leading to weakness in both knees. Typically, if it were degenerative arthritis of the knee, there would usually be pain and some degenerative changes in the knee joint. Medication treatment can also provide improvement. If sympt...

[Read More] Struggling with Knee Pain: Seeking Solutions for Weakness and Discomfort


Understanding Calf Pain and Knee Noises After Injury: What to Know

Calf soreness and frequent knee noises? Hello Doctor, my mother recently sprained the sole of her foot. After seeing a doctor, the sprained area has healed, but she later noticed that her leg from behind the knee to the ankle is abnormally sore and cannot bend. She even wakes up ...


Dr. Shi Guozheng Reply:
There may be degenerative arthritis in the knee joint. When the knee bends, the joint surface between the patella and the femur slides. If the cartilage on the joint surface has degenerated and is uneven, they will rub against each other, producing sound, and inflammation may occ...

[Read More] Understanding Calf Pain and Knee Noises After Injury: What to Know


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