Understanding Wrist Surgery: Insights on DRUJ Dislocation and Arthritis
Director, I would like to inquire about wrist issues? Dear Director Shih, I suffered a wrist injury four years ago when I fell from a height of about one meter, resulting in a dislocation of the distal radioulnar joint (DRUJ) and degenerative arthritis. Due to financial constrai...
Dr. Shi Guozheng Reply:
If the wrist joint has already suffered severe wear, a synovectomy may be considered. Ultimately, wrist fusion surgery might resolve your issue.[Read More] Understanding Wrist Surgery: Insights on DRUJ Dislocation and Arthritis
Knee Clicking and Calf Pain After Injury: Causes and Solutions
Knee clicking and pain in the muscles at the back of the calf when bending the leg? Hello Dr. Shi: I hope you are well. I am the patient with the thigh fracture (114292) from last time. Thank you for your previous response and consultation. This time, I would like to ask about an...
Dr. Shi Guozheng Reply:
1. Yes. 2. If the calf muscles are not used for a long time, they can atrophy, but with rehabilitation, they may gradually recover. 3. Valgus deformity may be related to prolonged disuse, but it can also be caused by post-fracture degenerative changes. Osteoarthritis does not...[Read More] Knee Clicking and Calf Pain After Injury: Causes and Solutions
Can Chinese Glucosamine Capsules Be Safely Taken Long-Term for Joint Health?
Can the 250 mg bone health capsules from China Chemical Pharmaceutical be taken long-term as a dietary supplement? Is it possible to take glucosamine supplements long-term for the purpose of supporting cartilage tissue and joint fluid, even if one does not have degenerative arthr...
Dr. Shi Guozheng Reply:
Young people typically do not experience degenerative joint issues, and if there is no joint pain, supplementation is not necessary.[Read More] Can Chinese Glucosamine Capsules Be Safely Taken Long-Term for Joint Health?
Addressing O-Shape Legs in Young Athletes: Concerns and Solutions
Could you please provide more details regarding the issues faced by athletes with bowlegs (O-shaped legs)? Hello Doctor, I apologize for the interruption. I am a senior high school girl, and I am a member of both the baseball and volleyball teams. I run, play, and engage in a sig...
Dr. Shi Guozheng Reply:
Bow legs do not necessarily indicate a problem if the alignment of the knee joints is not significantly deviated. If X-rays show no narrowing of the joint space and no signs of degenerative arthritis, correction is not needed. If you are concerned, you can get an X-ray at the hos...[Read More] Addressing O-Shape Legs in Young Athletes: Concerns and Solutions
Knee Pain After Volleyball: Causes and Solutions for Athletes
Knee issues Since school has started, I began playing volleyball the day before yesterday. After practice, I made sure to stretch. However, the next day my thighs were still sore, and I experienced pain when bending my knees, as well as pain when going up and down stairs. I appli...
Dr. Shi Guozheng Reply:
It is most likely an episode of medial tendonitis, and heat application should be avoided. Rest is necessary, and it is important to have a physician evaluate the issue, as it may not be related to patellar problems. The likelihood of degenerative arthritis is lower due to the pa...[Read More] Knee Pain After Volleyball: Causes and Solutions for Athletes
Fear of Walking: Understanding Sudden Knee Instability and Pain
I'm so scared to walk... it feels like I could dislocate a joint or tear a tendon at any moment? I often experience sudden episodes while walking where it feels like my right knee is dislocating, causing me to squat down as if my ligaments are tearing. When I bend down and t...
Dr. Shi Guozheng Reply:
You may want to consult another physician to determine if there is an issue with the ligaments or the meniscus within the joint. Additionally, patellar valgus can also lead to such conditions.[Read More] Fear of Walking: Understanding Sudden Knee Instability and 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 Degenerative Arthritis in the Thumb: Causes and Treatments
Finger osteoarthritis Hello, doctor. I would like to ask about an issue with my right thumb. In the past, my thumb was frequently hit by a ball, and I thought it would heal on its own. However, many years have passed, and now I have a persistent problem where I cannot hold onto o...
Dr. Shi Guozheng Reply:
Degenerative arthritis of the finger joints is primarily managed through symptomatic treatment, meaning that treatment is only necessary when pain is present. Typically, medications are used, and it is important to avoid excessive use to prevent rapid deterioration. Additionally,...[Read More] Understanding Degenerative Arthritis in the Thumb: Causes and Treatments
Do Orthopedic Treatments Use Regenerative Membranes Like Dentistry?
Orthopedic treatment inquiries? I would like to ask if orthopedic treatment processes, similar to dentistry, involve the use of products like regenerative membranes?
Dr. Shi Guozheng Reply:
The so-called regenerative membrane you mentioned is not clearly defined. If bone regeneration is inadequate, there are certain materials or substances that can enhance the healing process. For example, the recently popular PRP (Platelet Rich Plasma) has the ability to promote bo...[Read More] Do Orthopedic Treatments Use Regenerative Membranes Like Dentistry?
Choosing the Right Specialist for Severe Spine Issues in Taipei
Spinal issues? Hello Dr. Wang: My father has worn out the cartilage in his lumbar vertebrae L2, L3, L4, and L5. The intervertebral discs are protruding and pressing on the nerves, causing bone spurs. He is currently experiencing severe back pain and has difficulty standing, and t...
Dr. Wang Shouji Reply:
Hello: In cases of degenerative arthritis of the spine with associated conditions, if conservative treatment (medication and rehabilitation) is ineffective, and MRI shows spinal compression, surgical decompression is necessary to restore neurological function and reduce pain. In ...[Read More] Choosing the Right Specialist for Severe Spine Issues in Taipei
Understanding Inversion Therapy for Osteoarthritis and Back Pain Relief
Degenerative arthritis. Lower back pain and the "inversion table." Hello: I have osteoarthritis and am currently undergoing hyaluronic acid treatment, which is in the fourth phase of therapy. I also have a chronic lower back pain condition (left lumbar region - middle l...
Dr. Shi Guozheng Reply:
If degenerative arthritis is not severe, it can be treated with medication. If this is ineffective, intra-articular hyaluronic acid injections may be considered, although their effectiveness is not guaranteed. In cases of severe arthritis that do not improve, surgical interventio...[Read More] Understanding Inversion Therapy for Osteoarthritis and Back Pain Relief
Understanding Your Symptoms: Neck and Back Pain Diagnosis and Treatment
What symptoms should I have? Hello Dr. Wang, I have been experiencing pain in my neck and lower back for over a month. Today, I went to a larger clinic for an X-ray, and they told me that I have small bone spurs and that the bones connecting to my lower back have degenerated and ...
Dr. Wang Shouji Reply:
Hello: The presence of bone spurs indicates that degenerative arthritis of the spine is already present. It is important to be cautious with weight-bearing activities, bending, and posture. Using analgesics can only provide temporary relief from discomfort and is not a long-term ...[Read More] Understanding Your Symptoms: Neck and Back Pain Diagnosis and Treatment
Understanding Osteoarthritis: Symptoms, Severity, and Treatment Options
Degenerative arthritis Hello, my grandmother has a lot of pain and swelling in her foot joints. Would osteoarthritis cause significant swelling and pain in the knees, or is it considered mild? My grandmother mentioned that the doctor said it was mild arthritis and that the bones ...
Dr. Shi Guozheng Reply:
Degenerative arthritis is a condition commonly seen in older individuals. Some symptoms can become more severe, potentially due to an acute exacerbation that leads to sudden inflammation and swelling, making it difficult to walk. This may also be caused by inflammation of the syn...[Read More] Understanding Osteoarthritis: Symptoms, Severity, and Treatment Options
Is ACP Injection Painful for Knee Treatment in Teens?
ACP injection issues? Will the ACP injection be very painful when administered in the knee area? Or at my age, is it unnecessary to receive the injection? [13 years old]
Dr. Shi Guozheng Reply:
The injection site is slightly painful, similar to getting a shot. What is your concern? Is it arthritis? Typically, the indications for this are more effective for degenerative arthritis. Other conditions like chronic tendinitis or fasciitis may also respond well. You might need...[Read More] Is ACP Injection Painful for Knee Treatment in Teens?
Managing Post-Fracture Recovery: Tips for Preventing Arthritis After a Radial Head Injury
Radial head comminuted fracture (Mason type III) Hello, Doctor. I was in a car accident on November 26, resulting in a comminuted fracture of the left radial head. The physician diagnosed it as a Mason Type III fracture, which required surgical intervention to insert a steel plat...
Dr. Shi Guozheng Reply:
Your maintenance methods may potentially delay the onset of arthritis. Additionally, some suggest that taking glucosamine may improve conditions, as it can promote cartilage growth. In the event that degenerative arthritis does occur, high-concentration platelet-rich plasma (PRP)...[Read More] Managing Post-Fracture Recovery: Tips for Preventing Arthritis After a Radial Head Injury
Exploring PRP Therapy and Glucose Injection for Joint Pain Relief
PRP therapy, integrated multi-point injection of high-concentration glucose solution? Doctor, PRP therapy is applicable for treating degenerative arthritis, tennis elbow, etc. May I ask: 1. Is PRP therapy currently applicable for treating cervical degeneration or shoulder and nec...
Dr. Wang Shouji Reply:
Hello: Regarding your first question, there is currently no such treatment available. For your second and third questions, it is recommended that you consult a pain specialist. Thank you![Read More] Exploring PRP Therapy and Glucose Injection for Joint Pain Relief
Understanding Treatment Options for Degenerative Knee Arthritis: A Patient's Guide
Treatment of Degenerative Knee Osteoarthritis My father has pain in his left knee. He has seen the director of Zhudong Hospital twice and has taken Sulinton tablets and the muscle relaxant AN-AN, but he still does not require surgery. However, after about a month of medication, h...
Dr. Shi Guozheng Reply:
Degenerative arthritis can occur in a single knee joint, but it may also affect both knees, especially if there are old injuries or degeneration present. The use of arthroscopy for debridement in cases of degenerative arthritis has significantly decreased in recent years due to i...[Read More] Understanding Treatment Options for Degenerative Knee Arthritis: A Patient's Guide
Understanding Ankle Swelling and Pain: Causes and Treatment Options
Ankle swelling and pain? Hello, Doctor. I would like to inquire about an issue regarding the ankle. My father has some swelling around his ankle, and he experiences pain when walking, as well as pain when standing and putting pressure on his heel. However, he mentioned that he ha...
Dr. Zhang Shengben Reply:
Hello, A-Gua: 1. There are many causes of ankle joint swelling, which may include injury, gout, or degenerative arthritis, all of which can lead to swelling and pain. Heel pain may not necessarily be related to the same issue. It could also be due to plantar fasciitis or heel s...[Read More] Understanding Ankle Swelling and Pain: Causes and Treatment Options
Understanding Shoulder Joint Replacement: Benefits, Risks, and Costs
Total shoulder arthroplasty? Hello Doctor: My father is 76 years old and is experiencing pain in his right shoulder joint due to degenerative arthritis. He can only raise his arm to about 75 degrees. I would like to ask the doctor: 1. What is the outcome of shoulder arthroplasty?...
Dr. Fan Hongbin Reply:
Hello: Regarding your inquiry, here is the response: For degenerative arthritis of the shoulder joint, if it is related to ligament or fascia issues, conservative treatment is generally recommended, which includes oral medication and rehabilitation therapy. If there is avascular ...[Read More] Understanding Shoulder Joint Replacement: Benefits, Risks, and Costs
Can Frequent Walking and Standing Lead to Osteoarthritis?
Degenerative arthritis My job requires me to walk and stand frequently. Will this lead to osteoarthritis? I feel weak when climbing stairs.
Dr. Zhang Jiahao Reply:
Hello: Degenerative arthritis is usually caused by overuse. For the knee joint, excessive weight-bearing (including lifting heavy objects and being overweight), prolonged squatting, and long-distance activities (such as stair climbing and hiking) can increase the load on the knee...[Read More] Can Frequent Walking and Standing Lead to Osteoarthritis?