Understanding Back Muscle Pain in Students: Causes and Concerns
Spinal muscle soreness? Hello, doctor. As a student, I sit for long periods every day, and when I get up, I often twist and stretch my body, which frequently makes sounds. I'm not sure if this is due to excessive use, but the next day when I wake up, my back muscles along th...
Dr. Shi Guozheng Reply:
Back pain is a common issue often associated with prolonged sitting or standing. Additionally, frequently bending over to perform tasks or lifting heavy objects can lead to similar symptoms. If there is a sound when twisting the back, it is related to the friction between tendons...[Read More] Understanding Back Muscle Pain in Students: Causes and Concerns
Understanding Spinal Sounds: Impact on Growth and Prevention Tips
Spinal sounds Hello, doctor. Recently, I've noticed that my spine makes sounds when I sit down and then stand up, and sometimes when I twist my body. I'm currently in my teenage years. Will this affect my development? How can I prevent it? Also, I've been experienc...
Dr. Wang Shouji Reply:
Joint sounds during movement do not necessarily indicate a problem and typically do not affect development, so prevention is not applicable. Growth plates do not get injured without reason; however, if accompanied by pain, it is advisable to visit an orthopedic specialist for fur...[Read More] Understanding Spinal Sounds: Impact on Growth and Prevention Tips
Challenges in Recovery from Tibial Fracture and ACL Injury: Knee Extension Issues
Tibial shaft fracture with an intact anterior cruciate ligament injury, unable to fully extend the knee? Hello Doctor: I had a motorcycle accident on October 20 of last year, resulting in continuous swelling below my right knee, and I did not undergo surgery until November 17. My...
Dr. Li Wenlin Reply:
Hello: In response to your questions, you can consult your attending physician in person. If you still have concerns, you may also seek advice from another orthopedic surgeon nearby. The old saying goes, "It takes a hundred days to heal injuries to muscles and bones," a...[Read More] Challenges in Recovery from Tibial Fracture and ACL Injury: Knee Extension Issues
Understanding Unexplained Bone Growth on the Nose: Causes and Next Steps
A small bone has grown on the nasal bridge? Hello Doctor: A few days ago, I noticed a small round bone growing on my nasal bridge, right between my eyes, and it hurts. I initially thought it was going to develop into a pimple, but upon closer inspection, I realized it feels like ...
Dr. Wang Shouji Reply:
Ying Lun: Based on your situation, the swelling has appeared for only a few days and has quickly subsided. The hard lump you feel may be fibrotic soft tissue. If there are concerns about bone issues, X-rays and CT scans can reveal any problems. In addition to the ENT department, ...[Read More] Understanding Unexplained Bone Growth on the Nose: Causes and Next Steps
Do Wrist Ganglions Require Surgery? Insights and Hospitalization Needs
Wrist ganglion cyst Hello, Doctor Shi: My friend has a wrist ganglion cyst. Is surgery necessary for this condition? Will hospitalization be required?
Dr. Shi Guozheng Reply:
Surgery is usually not necessary; however, if the growth becomes large or affects wrist function, surgery may be required. The procedure is performed on an outpatient basis and does not require hospitalization.[Read More] Do Wrist Ganglions Require Surgery? Insights and Hospitalization Needs
Understanding Height Issues: Hormonal Factors in Growth Stagnation
Insufficient height Doctor, I haven't grown at all since the first year of junior high school, and even with the onset of secondary sexual characteristics, my height has remained at 160 cm. My father is 168 cm and my mother is 158 cm, so I'm only 2 cm taller than my mot...
Dr. Shi Guozheng Reply:
You can take your child to see a pediatrician to check for any related issues.[Read More] Understanding Height Issues: Hormonal Factors in Growth Stagnation
Understanding Toe Fractures: Risks and Recovery After an Accident
Fracture of the right toe? Hello Dr. Lee, I am still a student. On July 28th, around noon, I was involved in a car accident in Hsinchu that resulted in a fracture of the fourth toe and an open fracture of the fifth toe (I could see the white bone). I was immediately taken to Hsin...
Dr. Li Wenlin Reply:
Hello, in response to your question: 1. Don't worry about the possibility of amputation for now. Focus on cooperating fully with your attending physician; there will definitely be a positive turning point. 2. There are several things you can do at this time: First, mainta...[Read More] Understanding Toe Fractures: Risks and Recovery After an Accident
Does Hunchback Affect Height? Understanding Posture and Growth
The issue of kyphosis? Does having a hunchback affect height? I am 172 cm tall and weigh 96 kg, which is overweight, and I have a severe hunchback. If I improve my posture, can I increase my height? (If the growth plates are already closed, as the doctor mentioned, it’s almost do...
Dr. Wang Shouji Reply:
Appearance is a very subjective issue. If someone is overweight and has a hunchback, it can indeed affect their appearance. Improving the hunchback can certainly enhance height, but it depends on the severity of the hunchback. There is no precise measurement for height; different...[Read More] Does Hunchback Affect Height? Understanding Posture and Growth
Challenges in Healing a Complex Femur Fracture: Seeking Solutions
Regarding the delayed healing of a femoral fracture? Hello Dr. Lee, when I was 21 years old, I was involved in a car accident that resulted in a comminuted fracture of my right femur (the right thigh was broken into three segments). Over a year after the surgery, the recovery sit...
Dr. Li Wenlin Reply:
Hello: In response to your question, your situation is quite unique. Even if I provide you with a lot of relevant information, it may not alleviate your concerns. My personal recommendation is to consult some renowned orthopedic specialists, such as Dr. Ching-Chuan Chiang at Nati...[Read More] Challenges in Healing a Complex Femur Fracture: Seeking Solutions
Can You Still Grow Taller at 22? Exploring Height Growth Options
Bone growth Hello Doctor: After this summer vacation, I will be 22 years old, but I have always wanted to grow taller (currently my height is 166 cm). At my current age, do I still have a chance to grow taller? Would taking calcium supplements, medications, or other supplements h...
Dr. Shi Qiming Reply:
The importance of character outweighs height, so please do not worry about height issues; it is more important to enrich yourself. It is recommended to maintain a balanced diet and engage in regular exercise.[Read More] Can You Still Grow Taller at 22? Exploring Height Growth Options
Understanding Nail Bed Reconstruction Surgery in Orthopedics
Nail bed reconstruction surgery Dear Dr. Tan, What is nail bed reconstruction? Is it necessary to include bone repair, grafting, and microsurgical techniques for it to be considered nail bed reconstruction? I would greatly appreciate your guidance on this matter. Thank you.
Dr. Tan Zhuowen Reply:
Hello, Xiao Meng: Ingrown toenails that become infected are common among individuals with flat feet, those who wear shoes that are too tight, and diabetic patients, leading to a condition known as "paronychia." The simplest preventive measure for paronychia is to trim t...[Read More] Understanding Nail Bed Reconstruction Surgery in Orthopedics
Understanding Growth Plates: Can You Still Grow Taller at 19?
Age of cessation Hello, Director. I am a 19-year-old male, standing at 163 cm tall. I regret not having sufficient sleep and exercise during my youth, which has resulted in my less-than-ideal height. I have come across various information online regarding height increase; some so...
Dr. Shi Guozheng Reply:
Theoretically, once the growth plates close, it is impossible to grow taller. There is no method that can increase height after this point.[Read More] Understanding Growth Plates: Can You Still Grow Taller at 19?
Can I Still Grow Taller at 18? Options and Considerations
I want to grow taller? Hello Dr. Shih, I am now eighteen years old. A few years ago, I had an X-ray at the hospital, and the doctor said that my growth plates had already closed. However, I am only 147 cm tall, and I really want to grow taller. Are there any methods or surgeries ...
Dr. Shi Guozheng Reply:
Currently, there is no method to increase height once the growth plates have closed. Some individuals may choose to undergo limb lengthening surgery if their lower limbs are too short; however, this does not increase the height of the torso, resulting in an unusual body proportio...[Read More] Can I Still Grow Taller at 18? Options and Considerations
Challenges in Healing Lumbar Fractures: Seeking Solutions After 9 Months
Spinal fractures that do not heal? Hello Dr. Wang, my situation is that I suffered a burst fracture of the fifth lumbar vertebra due to a car accident, with the fifth vertebra broken into two pieces. The treatment involved the use of steel screws to stabilize the fourth and fifth...
Dr. Wang Shouji Reply:
Perseus: In cases of vertebral burst fractures, after surgical fixation, nonunion is generally rare except in elderly patients. Most cases result in malunion. If there is persistent pain at the fracture site and it remains unhealed for an extended period, the metal screws may eve...[Read More] Challenges in Healing Lumbar Fractures: Seeking Solutions After 9 Months
Can Stress and Hormones Affect Height Growth in Young Men?
Growth issues Hello Dr. Chen: I am a 23-year-old male, but I am only 165 cm tall. When I was 20, I played basketball almost every day in hopes of reaching 170 cm. However, at 21, due to stress and bipolar disorder (which causes elevated mood), my forehead started to recede and my...
Dr. Li Wenlin Reply:
Hello, in response to your question: A male height of 165 cm is not considered very short; it is still within the 95th percentile. Additionally, by the age of 20, the growth plates have already matured and will not close prematurely due to other factors (as they are already close...[Read More] Can Stress and Hormones Affect Height Growth in Young Men?
Understanding Knee Pain in Children: Causes and Concerns
Knee pain inquiry! Hello, Dr. Wang. My son is 5 years old this year. I would like to ask about the issue of muscle soreness in his knees. Recently, I occasionally hear him say that his left knee hurts a lot! Sometimes the pain is so severe that he cannot walk. What could be the r...
Dr. Wang Shouji Reply:
Mom Jiang: There are many causes of joint pain in children. The key is to rule out some serious issues, such as infections or tumors. If those are not the case, it may be growing pains, which are generally not a concern. Symptomatic treatment is sufficient. I recommend visiting a...[Read More] Understanding Knee Pain in Children: Causes and Concerns
Understanding a Hard Bump on the Front of the Knee: Causes and Concerns
There is a noticeable bump or hard mass on the front of the knee? Recently, I noticed a prominent bump on the front of my husband's right knee. It feels like an extra piece of bone, is very hard, and is not painful or itchy. It does not move with the joint, as if it is fixed...
Dr. Shi Guozheng Reply:
The protrusion at the front of the knee joint should be assessed for its hardness or softness, mobility, clarity of boundaries, duration of presence, whether it has continued to grow, and its size. It is likely either soft tissue or a bony growth. Additionally, swelling can occur...[Read More] Understanding a Hard Bump on the Front of the Knee: Causes and Concerns
Understanding Pain in the Lower Right Occipital Bone: Possible Causes and Diagnosis
Issues with the occipital bone? Could the bony protrusion in the lower right area of the back of my head that hurts when pressed be related to a muscle issue, or could it be a lump? Would an X-ray be able to detect this? Thank you.
Dr. Shi Guozheng Reply:
It is likely folliculitis, but we cannot rule out the possibility of a mass in the bone or soft tissue. An X-ray can determine if there is bone growth. Of course, tumors can also develop in the scalp itself. It is best to consult a specialist for peace of mind.[Read More] Understanding Pain in the Lower Right Occipital Bone: Possible Causes and Diagnosis
What to Do If Your Growth Plates Are Closed?
What should be done if the growth plates have fused? I am currently in my second year of high school (almost 17 years old), but I am still 2 centimeters short of 170 centimeters. I recently had an X-ray, and the doctor said that my growth plates have fused, but he mentioned that ...
Dr. Shi Qiming Reply:
We recommend that you engage in regular exercise and maintain a balanced diet, as there is still a chance for growth. Please do not lose hope.[Read More] What to Do If Your Growth Plates Are Closed?
Understanding Growth Plate X-rays: Where and How Much in Hsinchu?
I would like to have an X-ray of the growth plates? I would like to ask the doctor~~ I am currently 22 years old (in Chinese age) and my height is only 167 cm. I have always wanted to grow taller but have neglected the best time for growth. I want to get an X-ray of my growth pla...
Dr. Shi Qiming Reply:
1. A frontal X-ray of the left hand is sufficient, but it should be interpreted in conjunction with the reference chart. 2. A trained radiologist or pediatric orthopedic specialist can interpret the X-ray. 3. The fee for one X-ray at our hospital is approximately NT$200. 4....[Read More] Understanding Growth Plate X-rays: Where and How Much in Hsinchu?