Understanding Ankle Pain in Seniors: Causes and Treatment Options
Elderly individuals often experience ankle pain? Hello, doctor. Thank you for taking the time to answer my questions. My mother, who is in her 70s and has a history of hypertension, started experiencing pain on the outer side of her left little toe about a week ago (without any s...
Dr. Shen Boquan Reply:
Hello, if you suspect a bone injury, you can consult an orthopedic doctor for an examination. During the period of right foot fracture, the left foot may bear more weight, which could lead to poor posture or inflammation of the tendons. Hyperuricemia does not necessarily cause go...[Read More] Understanding Ankle Pain in Seniors: Causes and Treatment Options
Post-Surgery Challenges: Understanding Recovery After Spinal Fusion
Postoperative care after spinal spondylolisthesis surgery? My mother underwent surgery for lumbar spondylolisthesis, including bone grafting and instrumentation, at Chang Gung Memorial Hospital in Chiayi on October 3, 2023. After the surgery, she has been unable to walk due to a ...
Dr. Shi Guozheng Reply:
Further examination may be needed to check for any neurological issues. Generally, symptoms should improve or progress after surgery.[Read More] Post-Surgery Challenges: Understanding Recovery After Spinal Fusion
Does Bone Necrosis Affect Height Development in Gout Patients?
Does bone necrosis affect height development? Earlier this year, I experienced sudden pain and swelling in my arches and the tops of my feet. When there is no pain, there is slight swelling and discomfort in the posterior part of the arch, especially after standing for long perio...
Dr. Shi Guozheng Reply:
1. Gout does not cause bone necrosis. 2. It does not affect height in the ankle region; however, it can impact height if it occurs in the hip or knee joints.[Read More] Does Bone Necrosis Affect Height Development in Gout Patients?
Understanding Anterior Shin Swelling: Causes and When to Seek Help
Tibialis anterior muscle swelling Hello, doctor. About two days ago, I noticed swelling in my calf (anterior and lateral sides) that is painful when pressed. The next day, I found a small protruding spot in the swollen area, and now it only hurts when I press that spot. The whole...
Dr. Chen Yongxue Reply:
Hello, it appears to be inflammation of the tibialis anterior muscle. I recommend monitoring the situation for now. If there is no improvement after two weeks, you may follow up at an orthopedic clinic. Thank you, it is not gout.[Read More] Understanding Anterior Shin Swelling: Causes and When to Seek Help
Understanding Periostitis and Ankle Ligament Injuries in Teens
Periostitis and ankle ligament injury? I am a fifteen-year-old child. Recently, while playing tag with my classmates, I accidentally twisted my ankle. My doctor said I have periostitis and a ligament injury in my right ankle. The medications prescribed are as follows: Acetaminoph...
Dr. Chen Bochen Reply:
Hello, A-Kai. The most common injury site for an ankle sprain is the anterior talofibular ligament, but most cases are mild tears that can heal naturally. The healing time typically takes six weeks. During this period, it is important to rest and minimize walking for the first tw...[Read More] Understanding Periostitis and Ankle Ligament Injuries in Teens
Understanding Third Metatarsal Fractures: Healing Without Immobilization?
Closed fracture of the third metatarsal? At the beginning of June, I experienced severe pain and swelling in the top of my foot, which made walking extremely difficult. After enduring the pain for three days, I went to a small clinic where the doctor diagnosed me with gout, admin...
Dr. You Dianqi Reply:
Hello, it is recommended to promptly visit an orthopedic outpatient clinic at a regional hospital or a medical center for examination, in order to avoid delaying treatment and missing the critical window for recovery. Thank you.[Read More] Understanding Third Metatarsal Fractures: Healing Without Immobilization?
Understanding Finger Joint Pain: Causes and Treatment Options
Finger joints Hello Doctor, previously I experienced pain in the joint of my ring finger when pressed, and also pain when bending the finger. I went to the hospital's Allergy, Immunology, and Rheumatology department for blood tests and X-rays. The doctors said it was neither...
Dr. Wang Shouji Reply:
Hello, Madam: Arthritis in the finger joints is quite common due to their high usage. If the hands are used frequently, it is advisable to first reduce the intensity and duration of use, and to take anti-inflammatory pain relievers and muscle relaxants, which can alleviate most s...[Read More] Understanding Finger Joint Pain: Causes and Treatment Options
Understanding Finger Joint Pain: Causes and Treatment Options
Finger joints Hello Doctor, previously I experienced pain in the joint of my ring finger when pressed, and also pain when bending the finger. I went to the hospital's Allergy, Immunology, and Rheumatology department for blood tests and X-rays. The doctors said it was neither...
Dr. Wang Shouji Reply:
Hello, ladies: Arthritis in the finger joints is quite common due to high usage. If the hands are used frequently, it is advisable to first reduce the intensity and duration of use, and to take anti-inflammatory pain relievers and muscle relaxants, which can alleviate most sympto...[Read More] Understanding Finger Joint Pain: Causes and Treatment Options
Redness and Pain on the Inner Side of the Foot: What to Do?
The inner side of the foot is red? Hello Doctor: The inner side of my right foot (between the big toe and the ankle) is a bit red and painful when I press it with my fingers. It doesn't hurt when I walk, but it feels a bit warm to the touch. However, it doesn't seem to ...
Dr. Shi Guozheng Reply:
Applying ice and resting can help alleviate swelling and pain. It is advisable to see a physician, as it could potentially be gout or joint inflammation.[Read More] Redness and Pain on the Inner Side of the Foot: What to Do?
Sudden Knee Tightness and Pain: Causes and Concerns
The knee suddenly feels very tight and walking is extremely painful? Hello, doctor. I suddenly felt a lot of soreness in my knee the day before yesterday, which later turned into tightness. It hurts when I straighten my leg, and walking is very painful. What could be the problem?...
Dr. Shi Guozheng Reply:
Gout typically presents with redness, heat, and pain, along with elevated uric acid levels in the blood. If these symptoms are not present, it may only be inflammation. Resting may help, and if recovery occurs, there is usually no cause for concern.[Read More] Sudden Knee Tightness and Pain: Causes and Concerns
Challenges in Healing: Managing Severe Bone Defects and Nerve Damage
Bone defects, nerve injuries, ligament tears, and vascular ruptures! Prolonged non-healing? Hello Dr. Wang! I would like to ask about a serious car accident I had in early November last year, where my leg was trapped inside the vehicle. When the firefighters rescued me, I saw tha...
Dr. Wang Jiacheng Reply:
If the bone does not grow back after a full year, it may be considered nonunion, and at that point, it will be necessary to consider bone grafting, which means another surgery will be required.[Read More] Challenges in Healing: Managing Severe Bone Defects and Nerve Damage
Managing Bone Defects After Severe Leg Injury: Expert Advice
Defect of the right calf bone? Hello, doctor! I would like to ask about a serious car accident I had in early November last year, where my leg was trapped inside the vehicle. When the firefighters rescued me, I saw that my right calf was completely mangled and bloodied. Later, at...
Dr. Shi Guozheng Reply:
If the bone does not grow back after a full year, it may be considered non-union, and at that point, surgical intervention to promote bone healing may be necessary. This would involve another surgery to address the issue.[Read More] Managing Bone Defects After Severe Leg Injury: Expert Advice
Sudden Knee Pain and Joint Discomfort: Seeking Solutions for Relief
Sudden pain in the left knee while sleeping, along with pain in the finger joints? I suddenly woke up one night with pain in my left knee and was unable to put weight on it when getting out of bed. I went to the orthopedic department at Asia University Hospital, where they took X...
Dr. Shen Boquan Reply:
Hello, if you suddenly experience pain in your left knee and both hands, it is important to consider whether you have sustained an injury or if your workload has been excessive. If this occurs occasionally and improves with rest or pain relief medication, you should take care to ...[Read More] Sudden Knee Pain and Joint Discomfort: Seeking Solutions for Relief
Can Surgery Help Relieve My Persistent Foot Pain?
Can surgery be performed? Hello Doctor: The bone just below my right big toe didn't hurt much last year, so I didn't pay much attention to it. However, starting in January, it suddenly became swollen (sometimes so swollen that I can hardly move it) and painful (sharp pa...
Dr. Wang Shouji Reply:
Hello, if there is no history of trauma, one should pay attention to gout. Hallux valgus rarely presents symptoms at such a young age. If there is no improvement with medication and rest, further examination by an orthopedic specialist is necessary. Changhua Hospital cares about ...[Read More] Can Surgery Help Relieve My Persistent Foot Pain?
Understanding Joint Swelling and Deformation: Possible Causes and Solutions
Joint swelling, pain, and deformity? Hello Dr. Wang, I would like to ask you a question. My finger joints are swollen and deformed, with the joints being 2-3 times larger than normal. I have been examined and found no signs of gout or rheumatoid arthritis, but I experience pain f...
Dr. Wang Shouji Reply:
Hello, joint swelling and deformity are not uncommon in the elderly, often related to long-term wear and tear leading to cartilage degeneration. However, due to the relatively low activity levels in older adults, they may not experience significant discomfort. I recommend startin...[Read More] Understanding Joint Swelling and Deformation: Possible Causes and Solutions
Is It a Toe Fracture? Symptoms and Treatment Options Explained
Is it a toe fracture? Two days ago, I used a worn-out insole, and as a result, I injured my foot. Yesterday, the area at the base of my big toe and second toe became swollen, and walking has become extremely painful. I need to elevate my foot, and when I put it down, it becomes c...
Dr. Chen Bochen Reply:
Hello Yoyo, 1. Generally, walking is less likely to cause fractures. If there is any suspicion, getting an X-ray will provide immediate answers, so you won't have to worry continuously. 2. It is recommended to elevate and apply ice for at least 3-5 days. If there is redn...[Read More] Is It a Toe Fracture? Symptoms and Treatment Options Explained
Water Choices for Gout Patients: What You Need to Know
Water for gout patients? Dear Doctor, is there a restriction on the type of water that gout patients can consume? I am currently drinking spring water sourced from the mountains, boiled before consumption, and I drink about 2000 cc daily. I also pay attention to my diet, but I st...
Dr. Shi Guozheng Reply:
Water, when boiled, has minimal impact. Gout is caused by elevated levels of uric acid in the blood. It is important to stay adequately hydrated, as insufficient water intake can increase the likelihood of gout attacks.[Read More] Water Choices for Gout Patients: What You Need to Know
Understanding Gout Symptoms: Can Pain Be Intermittent?
I would like to ask the doctor about the symptoms of gout? Hello, Doctor. Yesterday afternoon, while going down the stairs, I suddenly felt discomfort in my left ankle halfway down. Although it was bearable at first, since my job requires me to walk frequently and go up and down ...
Dr. Shi Guozheng Reply:
Gout attacks typically present with localized joint redness, swelling, heat, and pain. If these symptoms are absent, it is less likely to be gout. Patients with chronic hyperuricemia may not necessarily experience an attack. It may be advisable to consult an orthopedic specialist...[Read More] Understanding Gout Symptoms: Can Pain Be Intermittent?
Understanding Knee Pain: Causes and Treatment Options for Swelling
Pain in the popliteal region? Hello, doctor. I would like to ask about my right knee, which appears to be somewhat swollen, and I have been experiencing unexplained pain in the popliteal area for several years. I am unable to squat fully; bending to about 90 degrees causes signif...
Dr. Shi Guozheng Reply:
Is there a possibility of a cyst in the popliteal area if there is swelling in the knee joint? The bones are fine, so it could be a soft tissue issue such as a ligament or meniscus injury. Additionally, could it be related to gout (high uric acid levels)? It may be necessary to c...[Read More] Understanding Knee Pain: Causes and Treatment Options for Swelling
Managing Chronic Osteomyelitis and Open Wounds: A Patient's Guide
Chronic osteomyelitis and open wounds? Hello, Doctor. My father is 58 years old and has a history of high uric acid and gout. Several years ago, he underwent a procedure to remove bone screws from his calf, which left a wound approximately 1.5 cm in diameter (deep enough to expos...
Dr. Shi Guozheng Reply:
If osteomyelitis is confirmed, surgical intervention to remove necrotic bone and perform bone grafting may improve the condition. Additionally, hyperbaric oxygen therapy has been used for treatment, and antibiotic therapy is also necessary.[Read More] Managing Chronic Osteomyelitis and Open Wounds: A Patient's Guide