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
Pain in Both Big Toes: Understanding Proximal Interphalangeal Joint Discomfort
There is pain when pressing down on the big toe of both feet at the first metatarsophalangeal joint? Both of my big toes experience pain when pressure is applied to the first joint (the one closest to the nail). If I press hard and massage it, the pain intensifies, but I don'...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, the possible causes could be a gout attack, hallux valgus, tendinitis, or arthritis. Therefore, it is recommended that you visit an orthopedic outpatient clinic for examination. Wishing you a speedy recovery.[Read More] Pain in Both Big Toes: Understanding Proximal Interphalangeal Joint Discomfort
Chronic Knee Pain and Swollen Fingers: Seeking Further Medical Guidance
Knee joint pain, finger swelling, elevated white blood cell count? Hello Doctor: I had a cold in mid-December 2017, and it didn't fully resolve until the end of February 2018. During that time, I visited the emergency room several times due to a fever that lasted for three m...
Dr. Shi Guozheng Reply:
You can see an orthopedic specialist.[Read More] Chronic Knee Pain and Swollen Fingers: Seeking Further Medical Guidance
Understanding Finger Inflammation: Causes and Treatment Options
Inflammation of the fingers on the right hand? Last week, I felt some pain in my hand, but I didn't pay much attention to it. After several days, it became swollen and bending it causes pain, so I can't make a fist. It seems like the adjacent fingers are also affected a...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have developed right hand finger tendon fasciitis due to frequent finger bending or overuse of your right hand. The likelihood of young women developing gout is low. I recommend resting your right hand, applying ice, and usin...[Read More] Understanding Finger Inflammation: Causes and Treatment Options
Post-Surgery Knee Pain: Understanding Recovery After Meniscus Removal
Post-operative care after knee plica excision? Hello, doctor. A family member in their sixties underwent a medial plica excision surgery four months ago due to chronic knee pain. Online sources suggest a quick recovery post-surgery, but we are experiencing increased pain, especia...
Dr. Shi Guozheng Reply:
If the knee pain is not caused by issues with the meniscus, then such surgery may not alleviate the symptoms. If pain persists after the surgery, it is important to investigate other potential causes, which could include arthritis, cartilage degeneration, meniscal tears, ligament...[Read More] Post-Surgery Knee Pain: Understanding Recovery After Meniscus Removal
Managing Hallux Valgus: Understanding Symptoms and Treatment Options
Hallux valgus Hello Doctor: My father has a history of gout, which has caused his big toe to develop a valgus deformity for over ten years. Due to long-term friction from shoe wear, a prominent bone has formed a thick callus. Recently, after trimming and smoothing the callus, we ...
Dr. Li Yongheng Reply:
Hello, as long as there are no open wounds, it is unlikely to cause cellulitis, but it is still recommended that you take your father to an orthopedic outpatient clinic to check for any subcutaneous inflammation. Regarding hallux valgus, if walking is not painful and it does not ...[Read More] Managing Hallux Valgus: Understanding Symptoms and Treatment Options
Is It Gout? Understanding Symptoms and Important Considerations
Is it gout? Hello doctor, this morning around 4 AM, I suddenly felt a lot of pain in my big toe. The pain is so severe that I can barely walk. Could this be gout? If it is gout, what should I be aware of?
Dr. Shi Guozheng Reply:
Gout can cause sudden episodes of redness, swelling, heat, and pain in the affected joints without any apparent reason. Patients with gout typically have elevated levels of uric acid in their blood. If diagnosed with gout, it is essential to manage uric acid levels to prevent the...[Read More] Is It Gout? Understanding Symptoms and Important Considerations
Concerns About Using Celebrex for Stroke Patients with Hypertension
Questions regarding the use of Cilostazol in stroke patients? Hello Dr. Shih, I previously brought my father to Miaoli Hospital for a consultation regarding his left knee pain. After taking the medication you prescribed, one month later, on August 11, my uncle went to National Ta...
Dr. Shi Guozheng Reply:
Celebrex is used as needed for pain relief and does not need to be taken daily. Its impact on stroke risk is minimal. Typically, if there are concerns during the initial use, it is advisable to discontinue the medication.[Read More] Concerns About Using Celebrex for Stroke Patients with Hypertension
Understanding Meniscus Wear and Medial Ligament Injury in Athletes
Meniscus degeneration and medial collateral ligament injury? Hello Dr. Shen, A month ago, after finishing a boxing aerobic workout, I noticed pain on the inner side of my right knee the next day. During the workout, there was no external impact, but there were many movements in...
Dr. Shen Boquan Reply:
Hello, netizen: The knee is the largest joint in the human body, and it bears a significant amount of load due to its high level of activity. There are many causes and conditions associated with knee pain, including ligament sprains, tendon strains, joint inflammation, such as os...[Read More] Understanding Meniscus Wear and Medial Ligament Injury in Athletes
Managing Talocalcaneal Coalition: Pain Relief and Care Tips
Talocalcaneal coalition (tarsal coalition) of the right foot? Hello Doctor, for the past three years, I have been experiencing intermittent pain in my ankle. Initially, I thought it was gout (with a uric acid level of 10), and the pain would usually subside after 3-4 days. Later,...
Dr. Shen Boquan Reply:
Hello, everyone: The issue of foot distance and joint fusion can be quite troubling, as it may lead to recurrent sprains and pain symptoms. Using medication during painful episodes is probably the most straightforward approach. However, when there is no pain, it is still advisabl...[Read More] Managing Talocalcaneal Coalition: Pain Relief and Care Tips
Managing Chronic Ankle Pain: Causes and Care Tips for Relief
Ankle issues Hello Doctor, I have been suffering from pain for many years and hope you can provide some advice. My symptoms are as follows: I have been experiencing pain for the past three years, located in the middle and lower part of my ankle. It hurts when I apply light pressu...
Dr. Shi Guozheng Reply:
The cause of joint space narrowing is difficult to determine; it may be due to cartilage wear. Taking glucosamine can help supplement the materials needed for cartilage and reduce the load on the joints or avoid intense exercise.[Read More] Managing Chronic Ankle Pain: Causes and Care Tips for Relief
Understanding Knee Pain: Causes, Diagnosis, and Relief Strategies
Knee issues I have been unable to bend or straighten my knee for the past two months. Initially, there was only mild soreness, but it has progressively worsened. I went for physical therapy, but they only provided electrical stimulation and heat therapy, which did not help much (...
Dr. Shi Guozheng Reply:
For pain relief, anti-inflammatory medications can be taken, but if there is swelling and fever, it may be necessary to consult a rheumatologist. Blood tests might be needed to check for signs of inflammation or other types of arthritis issues.[Read More] Understanding Knee Pain: Causes, Diagnosis, and Relief Strategies
Understanding Bone Contusions: Causes, Symptoms, and Treatment Options
After the injury, I saw a doctor and took medication for two days, but my foot is still swollen and painful? Two days ago, I had a car accident, and my big toe bone was injured at the joint where the foot connects to the toe. Yesterday, my foot became swollen, resembling gout, fe...
Dr. Shi Guozheng Reply:
After a bone or toe contusion, there will be localized bleeding, resulting in swelling and pain. Typically, this will gradually subside after a few days. On the first day, it is important to apply ice, and after the third day, cold compresses can be used. Taking pain relievers an...[Read More] Understanding Bone Contusions: Causes, Symptoms, and Treatment Options
Understanding Ankle Sprains: Healing Time and Potential Complications
Ankle sprain Doctor, may I ask a question? I sprained my ankle two months ago and consulted an orthopedic specialist. Recently, I mentioned to the doctor that I still experience mild pain when squatting. An ultrasound was performed, and the doctor noted a dark spot that could pos...
Dr. Luo Zhongwei Reply:
It is recommended that you schedule an appointment for further examination and evaluation.[Read More] Understanding Ankle Sprains: Healing Time and Potential Complications
Post-Surgery Recovery: Dietary Restrictions After ACL and Ligament Repair
Ligament surgery I just had surgery a month ago for an artificial anterior cruciate ligament (ACL) and a repair of the medial meniscus. Due to a history of gout, I experienced an acute gout attack three days post-surgery. My ankle has been swollen and has limited range of motion....
Dr. Chen Yongxue Reply:
For Western medicine, there are no dietary restrictions required after cruciate ligament and meniscus repair. Thank you.[Read More] Post-Surgery Recovery: Dietary Restrictions After ACL and Ligament Repair
Understanding Gouty Tophi on the Heel: Surgical Options Explained
A sizable gouty tophus has developed on the heel? Dear Doctor, My father has developed a sizable gouty tophus on his heel, which often gets injured and requires medication, causing him a lot of trouble. We consulted a physician to see if there is a surgical option to remove it....
Dr. Wang Shouji Reply:
Hello: If the tophus is too large, there is still a risk of slow wound healing after surgery. It is necessary to actually assess the size of the tophus in order to provide appropriate recommendations. Thank you![Read More] Understanding Gouty Tophi on the Heel: Surgical Options Explained
Understanding Cervical and Spinal Bone Spurs: Treatment Options Beyond Pain Relief
Cervical osteophytes and spinal osteophytes with calcification? Hello, Doctor! Recently, I visited a local hospital due to pain and stiffness in my neck, shoulders, back, and lower back, which restricted my upper body movement and required me to move slowly. The hospital performe...
Dr. Shi Guozheng Reply:
Shoulder, neck, and back pain is often related to poor posture or prolonged sitting, which are the main causes. Bone spurs are commonly found on the spine, and if they are not causing symptoms, they can be ignored. Medication can be effective, but it is not necessary to take it l...[Read More] Understanding Cervical and Spinal Bone Spurs: Treatment Options Beyond Pain Relief
Understanding Joint Pain: Causes, Treatments, and Recovery Options
Joint pain I previously sought medical attention for my joint inflammation during my first visit, where it was determined that I had hyperuricemia. The physician likely prescribed pain relief and anti-inflammatory medication, but after taking it repeatedly for a while, the pain s...
Dr. Xu Zhiqin Reply:
1. Based on the symptoms you described, it indeed appears to be gout, which is a metabolic disorder caused by the accumulation of uric acid crystals in the soft tissues surrounding the joints, leading to acute symptoms such as redness, swelling, heat, and pain due to white blood ...[Read More] Understanding Joint Pain: Causes, Treatments, and Recovery Options
Understanding Wrist Pain: Causes, Symptoms, and Dietary Considerations
Swelling, redness, and pain in the wrist joint? Hello Doctor: I have a question to ask you. Currently, my left wrist is red, swollen, and painful. Initially, it wasn't the wrist joint that hurt, and my left hand wasn't swollen. The first symptom was slight discomfort in...
Dr. Wang Shouji Reply:
Little Guo: Your symptoms are quite unique, but it's important to understand that normal uric acid levels in the blood do not rule out the possibility of gout. Avoid foods that may trigger symptoms, and I recommend seeing a rheumatologist to evaluate the cause of your joint ...[Read More] Understanding Wrist Pain: Causes, Symptoms, and Dietary Considerations
Understanding Gout Flare-Ups: Causes and Prevention Strategies
Gout has relapsed again? Hello Dr. Zhou, I apologize for bothering you again during your busy schedule. I have followed your advice and drink a large amount of water, about 1000 cc, after each workout. I also try to drink more water to increase my bathroom visits. However, I have...
Dr. Zhou Lizhi Reply:
The main causes of gout formation can be divided into two categories: excessive production of uric acid and inability to metabolize and excrete it. Based on the information shared by netizens, your lifestyle seems relatively normal. I recommend that you get a blood test to determ...[Read More] Understanding Gout Flare-Ups: Causes and Prevention Strategies