Growth, Orthopedics FAQ

Preventing and Managing Scoliosis: Key Insights for Patients

Prevention of Scoliosis Hello, doctor. I have a 20-degree scoliosis. What should I do to prevent and treat it? Also, at what age does scoliosis typically worsen? I've heard that after the age of 20, the skeletal structure is already fixed and won't worsen until after 60...

Dr. Wang Shouji Reply:
Ben: At the age of 23, your skeletal growth has generally reached a plateau, and the chances of significant deterioration are low. However, there is a possibility of worsening due to spinal degeneration in middle to older age. Chiropractic adjustments are unlikely to correct the ...

Understanding Height Growth: Myths and Facts About Exercise and Development

Growing taller? Dr. Shi: I would like to ask you a few questions! 1. Why does weight training hinder height growth? 2. Will sitting down to practice with dumbbells affect my development? 3. In the first year of junior high, I grew 2.3 cm each semester, but in the third year, I on...

Dr. Shi Guozheng Reply:
The claim that strength training can stunt growth has not been proven. Performing seated dumbbell exercises will not affect development. At your current age of seventeen, if your growth plates have already closed, you will not grow taller. Developing arm muscles does not impact h...

Concerns About Long-Term Effects of Bone Plates and Screws After Fracture

What are the issues related to a left humeral fracture with intramedullary nailing? On March 13 of this year, I was involved in a car accident that resulted in an open fracture of my left humerus. Last week, I consulted with my doctor regarding the need to remove the metal screws...

Dr. Chen Xingyuan Reply:
Dear Readers, In principle, temporary fixation devices such as steel plates and screws implanted in the body should be removed as soon as possible after the fracture has healed. While it is possible to leave these fixation devices in place, there are several considerations: 1. ...

Should You Remove Metal Plates After Bone Surgery? Risks and Recovery Explained

Will there be any sequelae after the removal of the metal plate? Hello, Dr. Chen! I had surgery for a right humeral fracture (with plates and screws) nearly two years ago. I've been considering whether I should have the hardware removed, but I'm concerned about potentia...

Can Hitting Growth Plates with Books Stimulate Height Growth?

Height increase Can tapping the growth plate with a book every day stimulate growth?

Dr. Shi Guozheng Reply:
There have been no reports indicating that this method is effective. Height is related to genetics, followed by nutrition and exercise. Striking the growth plates, if done incorrectly, may lead to imbalances in growth, resulting in one side growing faster than the other, which co...

Managing Long-Term Scoliosis: Seeking Relief and Understanding Treatment Options

I have had scoliosis for over ten years, currently at a 35-degree curvature. I have tried countless methods without success, and I feel very depressed? Hello Doctor: Thank you very much for taking the time to respond. I have been diagnosed with scoliosis since I was 20 years old,...

Dr. Shi Qiming Reply:
Hello: Scoliosis that develops during adolescence is classified as idiopathic scoliosis. Generally, after growth is completed around the age of 16-17, the curvature does not increase significantly. Engaging in appropriate exercises, such as swimming, typically results in minimal ...

Understanding Shinbone Inflammation: Treatment Options for Young Athletes

Tibial osteitis Hello, I am a high school student who has loved sports since childhood. However, after joining the track and field team in fifth grade and practicing daily, I developed a hard bone growth below my knee in sixth grade. Initially, I sought treatment from both tradit...

Dr. Wang Shouji Reply:
Xiao Zhong: This condition is Osgood-Schlatter disease, which is a disorder of the tibial tuberosity's bone development, accompanied by localized pain. Most individuals will be asymptomatic after reaching adulthood, while a small portion may undergo surgery due to pain. Appl...

Understanding Post-Surgery Complications After HIVD: A Patient's Journey

Post-operative complications of HIVD are unhelpful? Hello Doctor: In December 2005, I experienced pain and numbness below my right buttock due to a herniated intervertebral disc (HIVD). Under the diagnosis of Dr. Chiu from the neurosurgery department at Chi Mei Medical Center in ...

Dr. Wang Shouji Reply:
Xiao Yuan: Your condition is indeed somewhat complex. Here is my response: 1. Given your age, it is unlikely to have severe hip and knee joint degeneration, unless there has been a history of injury, steroid use, or excessive alcohol consumption leading to skeletal joint issues. ...

Understanding Elbow Fractures in Children: Rehabilitation and Recovery Insights

Elbow fracture Dear Director Li, First of all, I must sincerely ask for the understanding of the Taiwan e-Hospital medical consultation team, as I only discovered this medical consultation platform yesterday. I immediately sent an email to Dr. Shih Kuo-Cheng and today I eagerly ...

Dr. Li Wenlin Reply:
Hello, In response to your question, Director Shi may have already provided you with a satisfactory answer. Here’s a brief response to your inquiries: 1. Regarding your child's condition, rehabilitation therapy is generally not necessary. Recovery of joint range of motion...

Understanding Height Issues: Causes and Solutions for Growth Concerns

Short stature Hello, may I ask... why is it that I am not growing taller... even though I am eating normally? Is it because of... genetics? Or is it due to... irregular sleeping patterns? Are there any methods or medications that can help increase height?

Dr. Shi Qiming Reply:
Hello: Height is largely influenced by genetics, but a balanced diet and regular exercise can improve it. Additionally, height does not define everything; it is important to have self-confidence and strive to be a person who contributes to society. Thank you!

Understanding Pediatric Elbow Fracture Rehabilitation and Treatment Options

Elbow fracture Hello, Doctor: After browsing the "Online Q&A," I found that others have asked you similar questions, so I would like to inquire about related issues: Situation 1: My child suffered an injury six months ago, with a laceration near the elbow joint of...

Dr. Shi Guozheng Reply:
1. Careful execution should help improve the range of motion in the joints. 2. The assessment involves observing the changes in elbow joint range of motion before and after the mobilization technique, typically performed once, but it can be repeated if necessary. The effects can ...

Do Height-Increasing Exercises Really Work? Expert Insights

Are the following height-increasing exercises effective? I am currently in the second year of junior high school. I have been growing slowly for about a year now, and I am 164 cm tall. I developed earlier than most, having shown secondary sexual characteristics in sixth grade. Th...

Dr. Shi Guozheng Reply:
The growth plates in males typically close around the ages of sixteen to seventeen, after which it is unlikely for them to grow taller. Prior to this, exercise and adequate nutrition can help with height. Engaging in sports, particularly ball games and running, is beneficial. A b...

Can Military Service Really Help You Grow Taller?

Military service can promote height growth? Hello, doctor: I would like to ask—I've often heard people say that males can still grow taller during their military service. My cousin, who is the same age as me and also 21 years old, should have passed the growth phase, but he ...

Dr. Shi Qiming Reply:
Hello: Height is related to genetic factors and not influenced by military service. However, maintaining a balanced diet and engaging in regular exercise can positively impact your height. Thank you!

Understanding Clavicle Issues in Children: A Case Study

Clavicle My daughter is 10 years old. PROCEDURE DONE & FINDINGS: She walks in with no pain. The right clavicle is swollen at the right sternal end, with a lump approximately 2.5 cm, no local redness, no local warmth, and non-tender. INVESTIGATION: X-ray of the right clavicle ...

Dr. Li Wenlin Reply:
Hello: In response to your question, a 10-year-old girl has a prominent left clavicle center. X-ray examination did not reveal any changes in the bone, and there are no symptoms (no redness, no heat, no pain). It is recommended to follow up in an outpatient setting. If the promin...

Uneven Leg Thickness in Toddlers: Causes and Concerns

Unequal circumference of the left and right legs? My son's legs are of different thicknesses. At the age of one year and nine months, the thickest part of his calves (gastrocnemius) measures 22 cm on the right leg and 21.5 cm on the left leg. The thinnest part of his thighs ...

Dr. Chen Houquan Reply:
Hello Charm: I apologize for the delay in responding to your question as I was in Indonesia for disaster relief. During the developmental process of young children, it is common to observe discrepancies in the growth of the left and right feet. In most cases, these differences ar...

Understanding Bone Growth Changes After Age 30: What to Do?

There is a condition of bone growth. I am 30 years old? Hello Doctor: I have already passed the bone growth period, but in the past two years, I have noticed a continuous widening trend in my shoulder and pelvis. What should I do about this? Do you have similar cases in orthopedi...

Dr. Chen Xingyuan Reply:
Dear User: You are 30 years old, and your skeletal development or growth should be complete, with no further increase in bone length expected unless there are specific diseases such as endocrine disorders or bone tumors that could cause abnormal bone growth. It is recommended tha...

Challenges After Knee Replacement: Addressing Tuberculosis and Recovery Issues

Correction after joint replacement and tuberculous arthritis? Dear Dr. Chou, I underwent a right knee arthroplasty two years ago. According to the medical timeline, I was supposed to be able to walk normally after six months of rehabilitation. However, things did not go as plann...

Dr. Zhou Lizhi Reply:
Based on your description, it seems that the primary culprit is indeed the infection caused by Mycobacterium tuberculosis. Infections, whether bacterial, tuberculous, or fungal, are a significant concern following joint replacement surgery, as they are often difficult to control ...

Understanding Tibia and Fibula Fractures: Recovery and Concerns

Fracture of the tibia and fibula in the left lower leg? Hello Dr. Lee, Last December, I was involved in a car accident that resulted in fractures of my left tibia (broken in two places) and fibula. It was an open fracture, and I underwent surgery on the same day using an externa...

Dr. Li Wenlin Reply:
Hello: In response to your questions, first of all, congratulations. Although the car accident resulted in a severe open fracture, based on your description, the physician handling your case has done an excellent job, and I believe there will be a good outcome. Question 1: Prol...

Understanding Knee Pain in Growing Teens: Causes and Solutions

Hello, doctor? Doctor, may I ask? My sister is in the second year of junior high school, and her knees often feel sore. Is this due to her growth spurt, or is there another reason? She hasn't had any injuries.

Dr. Shi Guozheng Reply:
At around fourteen years old, during the second year of junior high school, it is possible to experience knee pain due to growth spurts. However, there are other potential causes, such as issues with the patella or ligaments. Additionally, problems with the meniscus within the kn...

Post-Surgery Complications After Elbow Growth Plate Fracture in Children

What are the potential complications after surgery for a fractured growth plate in the elbow? Hello, Director Li: A five-year-old child fell on January 12 of this year, resulting in a fracture of the growth plate in the right elbow. The child was taken to the hospital, where su...

Dr. Li Wenlin Reply:
Hello: In response to your question, based on your description, your son likely has a fracture of the right humeral condyle, either the medial or lateral epicondyle. The surgical treatment has been very effective and is less likely to result in long-term complications. Additional...

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