Knee Noises and Stiffness: Understanding Your Symptoms and Solutions
The knee makes a tight sound? Dear Director: During my middle school years, I frequently fell while learning to skate, often landing on my knees. For over five years now, my knee makes a loud noise during movement, but it is not painful. Recently, my right knee feels as if it i...
Dr. Shi Guozheng Reply:
When the knee joint makes sounds during movement, it may be due to the ligaments sliding over each other, and if there is no pain, it is generally not a concern. However, if there is a clicking or catching sensation, it may indicate tight tendons, and applying heat may help to lo...[Read More] Knee Noises and Stiffness: Understanding Your Symptoms and Solutions
Understanding Risks and Success Rates of C1-C2 Spinal Fusion Surgery
Surgical fixation of the cervical spine at levels C1 and C2? Hello Dr. Su: My mother went to the hospital for examinations (at three different hospitals). The doctors said that my mother has a dislocation at the C1 and C2 vertebrae, which is compressing blood vessels or nerves. S...
Dr. Su Yiren Reply:
Dear Xiao Ke: It is uncommon for individuals to experience dislocation of the first and second cervical vertebrae. This condition is typically not caused by trauma but rather by rheumatoid arthritis. Furthermore, instability of the first and second cervical vertebrae (Atlanto-axi...[Read More] Understanding Risks and Success Rates of C1-C2 Spinal Fusion Surgery
Understanding Open Ankle Fractures: Recovery, Pain Management, and Rehabilitation
Open ankle fracture Hello, Doctor! I was in a car accident at the end of February this year and later discovered that I had an open fracture in my ankle with bone displacement and a crack in the ankle bone. I underwent surgery three days after the accident, where they inserted si...
Dr. Li Wenlin Reply:
Hello, handsome: 1. An ankle fracture can sometimes cause injury to the interosseous membrane between the tibia and fibula, leading to separation. If this is the case, a long steel nail may be placed at an appropriate position to span the fibula, interosseous membrane, and tibi...[Read More] Understanding Open Ankle Fractures: Recovery, Pain Management, and Rehabilitation
Understanding Shoulder Dislocation: Symptoms, Recovery, and Complications
Shoulder dislocation Hello, my husband dislocated his shoulder about a month ago after falling and landing directly on it. He was immediately taken to the Veterans General Hospital and later received acupuncture treatment from a traditional Chinese medicine practitioner. Currentl...
Dr. Ye Qingnian Reply:
Shoulder dislocation will inevitably cause injury to the ligaments connecting to the humeral head. It has been one month since the injury, and there are still limitations in movement. Rehabilitation therapy is necessary; otherwise, shoulder joint mobility will be affected. At the...[Read More] Understanding Shoulder Dislocation: Symptoms, Recovery, and Complications
Understanding Calf Pain After Basketball: Causes and Solutions
After playing basketball for 10 to 20 minutes, my calves hurt a lot? Hello Doctor: I am currently 20 years old and weigh 140 kg. I am trying to lose weight, so I play basketball every day. After about 10 to 20 minutes of running and jumping, I start to feel pain in my left calf. ...
Dr. Shi Qiming Reply:
Hello: 1. Please refrain from playing basketball. 2. It is recommended that you visit an orthopedic outpatient clinic for a detailed examination of your injury and to receive further treatment. 3. You may consider other forms of exercise such as swimming or cycling, which are gen...[Read More] Understanding Calf Pain After Basketball: Causes and Solutions
Understanding Persistent Lower Back Pain After Cold Medication
Lower back pain (present for two weeks)? Hello Doctor: Two weeks ago, I had a cold and took cold medicine, but after taking four packets, I experienced symptoms of rapid heartbeat and hand tremors. I reported this to my doctor, who advised me to stop taking one of the medications...
Dr. Lin Xiaoyi Reply:
Hello: The pain you are experiencing seems to be more related to a musculoskeletal issue, with soreness and weakness extending from the lower back down to the legs, resembling symptoms of spinal nerve root compression. There is a suspicion of a herniated disc, possibly caused by ...[Read More] Understanding Persistent Lower Back Pain After Cold Medication
Can You Feel a Dislocation Immediately or Days Later?
Will a dislocation be felt immediately? Is it possible to not feel a dislocation immediately, or does it take several days to realize it? Is the likelihood of a shoulder dislocation high? A few days ago, I was in a car accident, and three days later, the other party mentioned tha...
Dr. Hong Ximing Reply:
Sister Ji: Generally, a dislocation is felt immediately, with severe pain, joint deformity, and inability to move the joint. Based on what you described, it seems more likely that you have a ligament sprain, strain, or contusion three days later. As for riding a bicycle, it is ce...[Read More] Can You Feel a Dislocation Immediately or Days Later?
Understanding Wegener's Granulomatosis: Symptoms, Treatment, and Prognosis
Wegener's granulomatosis, now more commonly referred to as granulomatosis with polyangiitis (GPA), is a rare autoimmune condition characterized by inflammation of the blood vessels (vasculitis) that can affect various organs, particularly the lungs, kidneys, and sinuses? Weg...
Dr. Lin Xiaoyi Reply:
Wegener’s granulomatosis, also known as granulomatosis with polyangiitis, is a type of vasculitis that falls under autoimmune diseases. The most commonly affected areas include the upper and lower respiratory tracts, kidneys, and nervous system. If inflammatory markers in the blo...[Read More] Understanding Wegener's Granulomatosis: Symptoms, Treatment, and Prognosis
Understanding the Impact of Pelvic Changes on Leg Alignment and Growth
excuse me? Dear Dr. Lee, I originally had very straight legs, but they have since developed into a condition similar to bowlegs (where the knees are angled outward). I am wondering if an increase in pelvic size could affect the legs. Additionally, I previously took height-increa...
Dr. Li Wenlin Reply:
Hello: In response to your question, humans are upright animals, and the lower limbs physiologically undergo a normal process of knee varus (inward angulation), valgus (outward angulation), and slight external rotation. However, not everyone experiences this to the same degree; a...[Read More] Understanding the Impact of Pelvic Changes on Leg Alignment and Growth
Post-Arthroscopy Recovery: Understanding Pain and Rehabilitation for ACL Injuries
Post-arthroscopic surgery My father is 52 years old. He had a fall ten months ago and underwent acupuncture, traditional Chinese medicine, hyaluronic acid injections, and an MRI, but no ligament tear was detected. Later, he had arthroscopic surgery, which revealed a torn anterior...
Dr. Hong Ximing Reply:
Hello Kyle: You have a torn cruciate ligament along with cartilage damage, and you underwent arthroscopy. The physician should provide a detailed explanation, as they are the most knowledgeable about your case. Generally, the need for reconstruction depends on the severity of the...[Read More] Post-Arthroscopy Recovery: Understanding Pain and Rehabilitation for ACL Injuries
Understanding Spinal Arthritis: Symptoms, Treatment, and Dietary Tips
Intervertebral disc inflammation? Recently, I underwent a second MRI at Tungs' Taichung MetroHarbor Hospital in Hsinchu County, which revealed a mild protrusion of the L4-L5 intervertebral disc, but there was no evidence of nerve compression. I have been experiencing numbnes...
Dr. Wang Shouji Reply:
Hello Xiao Hu, I apologize for the delayed response due to business commitments, and I appreciate your understanding. The intervertebral discs are part of the spinal joints, which is why it is referred to as degenerative spinal arthritis. The treatment for this condition is simi...[Read More] Understanding Spinal Arthritis: Symptoms, Treatment, and Dietary Tips
Unexplained Orthopedic Issues: Seeking Solutions for Persistent Pain
Unexplained etiology? Hello, I would like to consult a doctor regarding some issues. 1. I was in a car accident about five years ago, where the first point of impact was my right elbow, and I landed on my right shoulder. I have seen a doctor for this. 2. For the past five yea...
Dr. Shi Guozheng Reply:
Based on your description, it seems to be an injury caused by exercise, involving damage to the joints or ligaments due to overuse. This condition may not be visible on X-rays, and general orthopedic care may not provide effective treatment. Consider consulting a specialist who f...[Read More] Unexplained Orthopedic Issues: Seeking Solutions for Persistent Pain
Addressing My Daughter's Left Foot In-Toeing Issue: A Parent's Concern
Regarding my daughter's left foot being pigeon-toed? Hello, Doctor: My daughter is 1 year and 11 months old. Previously, she walked and ran normally, but her preschool teacher noticed that her left foot has a slight inward turn, and she falls while running. From my observati...
Dr. Shi Guozheng Reply:
You can consult a pediatric orthopedic specialist. Generally, a child's in-toeing (internal rotation of the feet) is not a significant concern. However, if there are signs of difficulty while walking, it cannot be solely attributed to in-toeing. There may be issues related t...[Read More] Addressing My Daughter's Left Foot In-Toeing Issue: A Parent's Concern
Understanding Persistent Joint Pain: Possible Causes and Next Steps
Joint pain in the limbs..? I have been experiencing foot pain for the past month. Initially, it was pain in both knees, but then the pain spread to the soles of my feet, and sometimes my calves and thighs hurt as well. Now, even my hip joints and fingers hurt, with different area...
Dr. Xu Zhaoren Reply:
First, go to the hospital to see a rheumatologist for an examination to determine whether it is rheumatoid arthritis or fibromyalgia.[Read More] Understanding Persistent Joint Pain: Possible Causes and Next Steps
Post-Surgery Rehabilitation Tips for Distal Humerus Fracture Recovery
I would like to consult a doctor regarding rehabilitation after surgery for a distal humeral fracture. Thank you very much? Hello Dr. Li, I suffered a distal humeral fracture due to a fall about two weeks ago. After surgery, I had an internal fixation with a steel plate and six s...
Dr. Li Wenlin Reply:
Hello: In response to your question, the ancient saying "It takes a hundred days to heal a muscle or bone injury" means that it takes at least a hundred days for a fracture or muscle strain to heal. Even with modern medical advancements, the healing of fractures or reco...[Read More] Post-Surgery Rehabilitation Tips for Distal Humerus Fracture Recovery
Understanding Coccyx Pain: Causes, Symptoms, and When to Seek Help
Could you please provide more context or specific information regarding the spinal terminus? I injured my tailbone when I was in the fourth or fifth grade (around 10 or 11 years old) after falling on my buttocks. It was very painful at the time, but I didn't think much of it...
Dr. Zhou Hongzhi Reply:
1. It may be a coccygeal fracture; an X-ray examination should be performed. If there is an inward curvature of the coccygeal fracture, it may affect natural childbirth. 2. Insufficient exercise can also cause pain. 3. Lumbar muscle fatigue and poor posture can lead to spinal cur...[Read More] Understanding Coccyx Pain: Causes, Symptoms, and When to Seek Help
Understanding Foot Development Issues in Infants: A Pediatric Perspective
Foot problems Dear Dr. Lee, My daughter is currently eight and a half months old. Recently, she has started trying to pull herself up to stand using the wall, but she is not yet able to stand completely and often falls back down from a half-standing position. When it comes to cr...
Dr. Li Wenlin Reply:
Hello: In response to your question, please seek an evaluation from an orthopedic specialist in your area regarding your daughter's condition. Online consultations can lead to inaccuracies, so it is advisable to seek medical attention as soon as possible. I believe your conc...[Read More] Understanding Foot Development Issues in Infants: A Pediatric Perspective
Cost and Considerations for Pectus Carinatum Surgery in Students
Regarding chicken breast..? Hello, I would like to ask what the typical cost is for surgery on pectus excavatum (chicken breast). Since I am still a student, will I need my parents to accompany me if I undergo surgery?
Dr. Shi Qiming Reply:
Hello: This issue falls under the management of thoracic surgery. I have forwarded your case to the thoracic surgery department. Please wait for their response. Thank you![Read More] Cost and Considerations for Pectus Carinatum Surgery in Students
Understanding Forehead Depressions: When to See a Specialist
Inquire again about the indentation on the forehead (referring to previous articles)? Dear Dr. Lee, I have a similar condition as the previous patient, with a depression on the upper left side of my forehead. However, it seems to be more severe, and I have also noticed a depress...
Dr. Li Wenlin Reply:
Hello: In response to your question, the field of orthopedics encompasses bones, joints, muscles, and the nervous system; however, some areas fall under other specialties, such as the skull, which is associated with neurosurgery, and the facial bones, which are related to plastic...[Read More] Understanding Forehead Depressions: When to See a Specialist
Understanding MRI for Knee Pain: Diagnosis and Treatment Options
About Magnetic Resonance Imaging (MRI) Examination Dear Director Shih, Since the end of February this year, I have been experiencing severe pain in a specific area on the outer side of my right knee (I cannot pinpoint the exact location because I cannot touch it). The pain worse...
Dr. Shi Guozheng Reply:
If there is a tear in the meniscus of the knee, there is usually a sensation of the joint getting stuck, or pain may occur when bending at a certain angle. Additionally, a history of knee joint injury increases the likelihood of this condition; it is rare to experience such sympt...[Read More] Understanding MRI for Knee Pain: Diagnosis and Treatment Options