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
Elbow Ligament Surgery: Options and Hospitals in Taichung
Elbow ligament surgery Hello Dr. Wang, In October of this year, I unfortunately had a car accident that injured my elbow. After examination and assessment at the hospital, it was determined that I have a partial tear of the elbow ligaments (the hospital did not have the equipme...
Dr. Wang Shouji Reply:
Hello: The need for surgery in cases of ligament injuries depends on the stability of the joint and the extent of the ligament tear; not all cases require surgery. Medical centers in Taichung, such as Veterans General Hospital and the Department of Sports Medicine at China Medica...[Read More] Elbow Ligament Surgery: Options and Hospitals in Taichung
Understanding Ankylosing Spondylitis: Blood Tests and Age Factors
I would like to inquire about ankylosing spondylitis? Hello Dr. Wang, I would like to ask about ankylosing spondylitis. If a blood test comes back positive, does that mean the disease will definitely develop? Also, is it true that only individuals under 40 can develop ankylosing ...
Dr. Wang Shouji Reply:
Hello: At this age, the pain is mostly likely due to ankylosing spondylitis. A positive HLA-B27 test does not necessarily mean that it is ankylosing spondylitis; there must also be evidence of enteropathic arthritis or even chronic inflammatory changes leading to fusion to make t...[Read More] Understanding Ankylosing Spondylitis: Blood Tests and Age Factors
Post-Surgery Pain in Uninjured Areas of the Hand: What to Know
Postoperative issue: Pain in the hand without any injury? Three weeks ago, I fell down the stairs and fractured the bones in my left wrist joint. I have already undergone surgery to insert bone screws and am currently in a cast while the bones heal. However, there is a painful ar...
Dr. Shi Guozheng Reply:
It is common to experience pain near a fracture of the elbow joint, and there is usually no need for further X-ray examination. You should follow up with your original surgeon's clinic. A large cast can also be evaluated with X-rays.[Read More] Post-Surgery Pain in Uninjured Areas of the Hand: What to Know
Understanding Radial Fractures: Joint Replacement and Recovery Tips
Right radial bone fracture with artificial joint replacement? Hello, Director Shi. I sustained an injury while playing basketball, resulting in a comminuted fracture of the right radius and the need for a joint replacement. It has been three weeks since my surgery. I would like t...
Dr. Shi Guozheng Reply:
Are you referring to the artificial joint as the prosthetic radial head in the elbow joint? In that case, it is advisable to avoid intense physical activities, as prolonged use may lead to wear and tear. However, daily activities should generally not pose any issues.[Read More] Understanding Radial Fractures: Joint Replacement and Recovery Tips
Understanding Post-Accident Limb Weakness and Tremors: A Guide
Car accident injuries Hello, doctor. I was involved in a motorcycle accident on September 5th. I was riding on the back of the motorcycle when a car suddenly cut into our lane from the right side, causing a collision. The impact was so sudden that both vehicles were almost at ful...
Dr. Shi Guozheng Reply:
If it is just a bruise, you can see a neurologist to check for any potential neurological issues.[Read More] Understanding Post-Accident Limb Weakness and Tremors: A Guide
Post-Car Accident Pain: When to Seek X-Ray for Hidden Injuries
Almost a month after the car accident, there are no visible injuries on my arms and legs, but they hurt when pressed? I would like to ask about my condition. It has been almost a month since my car accident, and I have visited a traditional Chinese medicine clinic multiple times....
Dr. Shi Guozheng Reply:
It is due to a localized contusion that an X-ray may not be necessary, and recovery is expected in about six weeks.[Read More] Post-Car Accident Pain: When to Seek X-Ray for Hidden Injuries
Understanding Wrist Fusion Surgery: What to Expect and Limitations
Hello, Director. I would like to inquire about issues related to arthrodesis? Hello, Director Shi. Three years ago, I suffered a wrist injury involving the distal radioulnar joint, which has resulted in chronic dislocation and pain. X-rays show that the ulnar bone is dislocated a...
Dr. Shi Guozheng Reply:
There is a slight limitation in external rotation and internal rotation (pronation and supination). The rotation of the wrist is not solely dependent on the wrist itself; the elbow is also involved. Therefore, the radius and ulna can still achieve some minor rotation at the wrist...[Read More] Understanding Wrist Fusion Surgery: What to Expect and Limitations
Understanding Lateral Epicondyle Ligament Tears: Causes, Symptoms, and Treatment
Regarding the avulsion fracture of the lateral collateral ligament of the left elbow? Hello, Doctor. I was involved in a motorcycle collision previously. On the day of the incident, I took the other party to the emergency room, where X-rays were taken. The emergency physician sta...
Dr. Shi Guozheng Reply:
Lateral humeral epicondylar avulsion fractures can be treated by fixing larger bone fragments with bone screws, which can lead to good functional outcomes. The ideal surgical intervention typically occurs around two weeks post-injury. Unlike tennis elbow, which is usually caused ...[Read More] Understanding Lateral Epicondyle Ligament Tears: Causes, Symptoms, and Treatment
Understanding Elbow Mobility Loss: Is It Considered Disability?
Loss of elbow mobility Hello, doctor. I was recently involved in a car accident, and the other party is requesting compensation for disability. I would like them to undergo a disability assessment, but they only provided me with a hospital diagnosis certificate stating that (the ...
Dr. Shi Guozheng Reply:
Your statement cannot be determined; you still need to go to the hospital for evaluation.[Read More] Understanding Elbow Mobility Loss: Is It Considered Disability?
Impact on Bone Length After External Fixation: What You Need to Know
I had an external fixation device and accidentally bumped it, causing it to become slightly shorter. Will this have any impact? I have a metacarpal fracture that was treated with an external fixation. I accidentally bumped it, and it has shortened slightly, but there is no pain. ...
Dr. Shi Guozheng Reply:
If the injury is on the hand, wrist, fingers, or elbow joint and there is no bleeding or nerve damage, then it is generally not a concern. However, if there is severe pain or signs of wound infection, it is advisable to consult a physician for evaluation.[Read More] Impact on Bone Length After External Fixation: What You Need to Know
Rehabilitation After Olecranon Fracture: Tips for Recovery and Pain Management
Rehabilitation for Olecranon Fracture Hello, Dr. Shi. I would like to ask about my left elbow, which I fractured at the olecranon in March. After a follow-up visit, it was found to be displaced, and I underwent surgery on the 17th to have a metal screw inserted. It has now been f...
Dr. Shi Guozheng Reply:
It is normal to experience pain when continuing rehabilitation, as there are bone screws stabilizing the fracture site. If the force of the impact is not significant, it should not cause any adverse effects.[Read More] Rehabilitation After Olecranon Fracture: Tips for Recovery and Pain Management
Knee and Elbow Pain: Understanding Common Orthopedic Issues
Knee issues. Elbow issues? Since around middle school, I have had pain in my knees when squatting, but I have no issues walking, sitting, or exercising. I have not experienced any fractures or serious injuries, and I cannot touch my shoulders, but again, I have not had any fractu...
Dr. Shi Guozheng Reply:
Knee joint issues may be related to the patella, and insufficient flexion of the elbow joint should also be evaluated by a physician.[Read More] Knee and Elbow Pain: Understanding Common Orthopedic Issues
Rehabilitation for Left Wrist Radius Fracture: Home Care or Hospital Visits?
Rehabilitation for Left Radial Fracture Rehabilitation for a left radius fracture: Doctor, can I do this at home by myself, or do I need to report to the hospital every day? Currently, my wrist is able to move, but my elbow is at a 95-degree angle. Is it okay to remove the splint...
Dr. Shi Guozheng Reply:
I suggest you first go to the hospital for a few sessions, and then follow up at home. Start with heat therapy, and gradually move your wrist joint. Removing the splint will help improve wrist mobility. Begin with up-and-down movements, then progress to inward and outward bending...[Read More] Rehabilitation for Left Wrist Radius Fracture: Home Care or Hospital Visits?
Is Periosteal Tear the Same as a Bone Fracture? Understanding the Difference
Hello, is a periosteal tear considered a bone fracture? Hello Doctor: Regarding the issue mentioned above, my uncle fell and got injured a while ago, and he is experiencing significant pain in his elbow. He mentioned that it feels like the periosteum is torn. Does this indicate a...
Dr. Shi Guozheng Reply:
The periosteum is a thin membrane that covers the outer surface of bones. It is thinner in adults and tends to be thicker in children. Typically, it cannot be seen on X-rays. During surgery, when we need to expose the bone, we will incise the periosteum. It has the ability to gen...[Read More] Is Periosteal Tear the Same as a Bone Fracture? Understanding the Difference
Understanding Knee Pain: When to Seek Traditional vs. Orthopedic Treatment
Knee pain In May of this year, I started doing some Tabata exercises (squats and lunges) and after about a month, I noticed pain in my knees. I went to see a traditional Chinese medicine practitioner for treatment. The treatment included acupuncture, which felt very sore, followe...
Dr. Chen Yongxue Reply:
Hello, based on your description, it is possible that you are experiencing symptoms of patellar malalignment, which is common among young women. Additionally, excessive exercise in a short period may have exacerbated the symptoms. Please visit an orthopedic clinic for an examinat...[Read More] Understanding Knee Pain: When to Seek Traditional vs. Orthopedic Treatment
Understanding Elbow Microfractures: Recovery and Rehabilitation Insights
Elbow microfracture Hello, doctor. A few days ago, I was in a car accident where my left arm was impacted from the side, causing my left forearm to be compressed. As a result, I am unable to fully extend or bend my arm. The X-ray showed that there is a small fracture at the joint...
Dr. Shi Guozheng Reply:
The optimal position for immobilizing the elbow joint is typically at a 90-degree flexion. If the elbow joint is fixed in a fully extended position, it is prone to contracture and may be difficult to stabilize. If there is minimal pain in the joint, occasional extension is permis...[Read More] Understanding Elbow Microfractures: Recovery and Rehabilitation Insights
Managing Multiple Joint Injuries: Elbow and Wrist Pain Solutions
Wrist issues Elbow issues Hello, doctor. I apologize for having multiple questions. I have three injuries: my right elbow, left elbow, and right wrist. My right elbow was injured six months ago, and it has improved a lot with medication and rehabilitation, but I still have weakne...
Dr. Hong Ximing Reply:
The injury on your body appears to be an old one, and you should focus on protecting it to avoid re-injury, which could lead to permanent damage. It is advisable to consult a rehabilitation specialist.[Read More] Managing Multiple Joint Injuries: Elbow and Wrist Pain Solutions
Helping Your Toddler Recover from Elbow Injury: Tips for Parents
Elbow injury in a child over one year old? Hello, doctor. My daughter is over one year old and fell from the bed on February 17th this year, injuring her elbow. It was diagnosed with a small fracture, bone displacement, and dislocation, and she was put in a cast. She is currently...
Dr. Shi Guozheng Reply:
Children over one year old typically heal from fractures in about six weeks. After that, rehabilitation is necessary to return to normal function, so continuous rehabilitation therapy is essential.[Read More] Helping Your Toddler Recover from Elbow Injury: Tips for Parents
Emergency Care for Pain After Elbow Surgery: What to Do?
Nail problems Hello, doctor. Last year, I had a nail inserted into my elbow joint due to a car accident. It has improved somewhat, but recently I fell while walking and landed on the injured area. Now I am experiencing some intermittent pain. What are some emergency management me...
Dr. Ye Qingnian Reply:
Please return to the orthopedic department for an X-ray examination to assess the fracture status, and then determine the appropriate course of treatment.[Read More] Emergency Care for Pain After Elbow Surgery: What to Do?