Understanding Creaking Sounds After Hip Replacement: Causes and Solutions
After hip replacement, a clicking sound may occur during movement, and there may often be a sensation of misalignment without the ability to exert force? Hello, doctor. I had a hip replacement 10 years ago (made of metal). Since last year, I've been experiencing a clicking s...
Dr. Chen Yongxue Reply:
Hello, after ten years post artificial hip joint surgery, the noise may be due to bone proliferation or wear of the metal joint. Metal artificial hip joints were once very popular, but subsequent issues arose, primarily due to wear occurring at a greater extent than expected. Cur...[Read More] Understanding Creaking Sounds After Hip Replacement: Causes and Solutions
Can Scoliosis Treatment Help Increase Height? A 19-Year-Old's Inquiry
Inquiry about scoliosis and physical height increase? Hello doctor, I am currently 19 years old, 165 cm tall, and weigh 59 kg. My height has not increased much since the third year of junior high school. I had X-rays of my hand joints during my sophomore year of high school and f...
Dr. Li Yongheng Reply:
Hello, after treatment for scoliosis, it is indeed possible to gain height. Scoliosis and shoulder asymmetry require rehabilitation therapy.[Read More] Can Scoliosis Treatment Help Increase Height? A 19-Year-Old's Inquiry
Understanding Height Changes: Growth Plate Closure and Aging Effects
Height issues Hello, Doctor, may I ask you a question? If we do not consider posture adjustments or the temporary increase in intervertebral disc hydration that can lead to a slight increase in height, is it impossible for an adult whose growth plates have already closed to grow ...
Dr. Shi Guozheng Reply:
Theoretically, once the growth plates have closed, an individual will no longer grow taller. As people age, their bones can become osteoporotic, leading to a decrease in height. Some individuals may experience compression fractures in their vertebrae, which can also result in a r...[Read More] Understanding Height Changes: Growth Plate Closure and Aging Effects
Understanding Genetic and Environmental Factors in Height Growth
Height: Genetic and Environmental Factors Hello Doctor: Based on a rough height formula (with no potential for inherited tall genes from the family, as the elder males are mostly below 170 cm and females below 165 cm), it can be estimated that the son would be around an average h...
Dr. Li Yongheng Reply:
Indeed, when it comes to height, genetic factors (heredity) have a greater influence than environmental factors (diet, exercise, lifestyle).[Read More] Understanding Genetic and Environmental Factors in Height Growth
Understanding Growth Plates: Pelvis Closure and Height Changes
Questions about growth plates? Hello Dr. Lee, I would like to ask you, you mentioned last time that the pelvis is the last growth plate to close in the human body. If the pelvis is completely closed, does that mean the spinal growth plates are also completely closed? My second qu...
Dr. Li Yongheng Reply:
Hello, 1. The pelvis is the last growth plate to close in the human body; therefore, if the pelvis is fully closed, it indicates that the spinal growth plates have also completely closed. 2. Measuring height in the morning is typically about 2-3 centimeters taller than in the eve...[Read More] Understanding Growth Plates: Pelvis Closure and Height Changes
Understanding Surgery Risks and Costs for Mild X-Leg Correction
Surgical issues related to mild genu varum (bowleggedness)? I have mild genu varum (bow-leggedness), with X-ray measurements of 3° and 5°. The doctor mentioned that it was caused by insufficient muscle development during my growth period (173 cm). The growth plates have fused, an...
Dr. You Dianqi Reply:
Hello: If the angle you mentioned is accurate, the normal valgus angle of the knee for most individuals is 5-7 degrees, while you stated yours is approximately 3-5 degrees. Therefore, what is the necessity for valgus correction? Our physical characteristics are inherited from our...[Read More] Understanding Surgery Risks and Costs for Mild X-Leg Correction
Understanding Growth Plate Closure in Adolescents: What You Need to Know
The growth plates in the legs of a second-year junior high school student are closing rapidly? Hello Doctor, I am currently in the second year of junior high school, 14 years old, with a height of 163.2 cm and a weight of 73 kg. Last year, I was diagnosed with acquired bilateral ...
Dr. Li Yongheng Reply:
Hello, you are 14 years old, male, and entered puberty when transitioning from sixth grade to seventh grade. X-rays show that most of the growth plates have closed. Therefore, it is recommended that you drink more milk, go to bed before 11 PM, and engage in activities such as run...[Read More] Understanding Growth Plate Closure in Adolescents: What You Need to Know
Can Adult Height Increase Through Spinal Exercises? A Medical Inquiry
Inquiry about height increase (related to the spine) (Terlipressin) Hello Doctor: I am a 22-year-old student, currently about 167 cm tall, and my growth rate has been very slow. It seems that my growth plates have closed. Recently, I came across a company (Tolo Gao) that promotes...
Dr. Li Yongheng Reply:
Hello, I do not understand the system theory you mentioned regarding the company. Please forgive me.[Read More] Can Adult Height Increase Through Spinal Exercises? A Medical Inquiry
Understanding Hip Joint Issues: Symptoms, Diagnosis, and Treatment Options
Hip joint issues? Hello, I started noticing something unusual with my right foot when I was around 10 to 11 years old. I could feel the bones rubbing against each other when walking (I can feel it if I place my hand on my right hip joint). I mentioned this to my parents, but they...
Dr. Shi Guozheng Reply:
The conditions you mentioned could all be potential issues, so it's best to go to a major hospital for an examination. An X-ray can reveal whether there is hip dysplasia. Additionally, if there is a snapping hip phenomenon, you may hear a sound when bending the joint, which ...[Read More] Understanding Hip Joint Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Growth Guidance Surgery for Limb Length Discrepancy in Children
Treatment for leg length discrepancy? Hello Doctor, my daughter has congenital clubfoot on her left foot, and she has been receiving treatment since birth. She is currently 8 years old. Aside from a noticeable size difference in the soles of her feet, she also has a leg length di...
Dr. Li Wenhong Reply:
Hello: 1. The risks associated with reverse growth guidance surgery are similar to those of general orthopedic surgeries; however, children tend to have faster healing times and lower risks of nonunion or infection. Side effects may include excessive growth suppression or uneven ...[Read More] Understanding Growth Guidance Surgery for Limb Length Discrepancy in Children
Understanding Height Stagnation: Tips for Growth During Adolescence
Height stagnation? Hello Doctor, I am a 15-year-old freshman in high school. My height has been around 168 cm from the end of middle school to now. I am very worried that I might not grow any taller, so I asked my mom to look up information online. She said she would give me her...
Dr. Shi Guozheng Reply:
Height is related to genetic inheritance from parents. If the parents are taller, the children are likely to be taller as well. A height of 168 cm is actually not considered short. If the growth plates have not yet closed, there is still a possibility for further growth. Paying a...[Read More] Understanding Height Stagnation: Tips for Growth During Adolescence
Understanding Surgical Options for Slow-Healing Femur Fractures
Inquiry about reoperation for femoral fracture and bone grafting? Hello, Doctor. I had a comminuted fracture in my thigh a year and a half ago. Currently, I am seeing two doctors for follow-up appointments. Both doctors mentioned that my bone is healing, but the progress is slow....
Dr. Shi Guozheng Reply:
In my experience, comminuted fractures typically heal more slowly, sometimes taking two to three years for complete healing. If you currently do not experience any pain and can walk 5-6 kilometers, it is reasonable to continue monitoring the situation. It is possible that bone gr...[Read More] Understanding Surgical Options for Slow-Healing Femur Fractures
Understanding Mild Knee Pain: Possible Causes and Solutions
Mild knee pain? I've been experiencing some soreness in my knee over the past couple of days. Could it possibly be related to the following issues: 1. I previously had an injury to my anterior cruciate ligament (ACL) but did not seek any treatment. 2. My growth plates have f...
Dr. Shi Guozheng Reply:
The closure of growth plates is not related to knee pain. If a person experiences rapid growth during puberty, the ligaments may be stretched, leading to growing pains. A tear in the anterior cruciate ligament (ACL) can cause anterior-posterior instability in the knee, resulting ...[Read More] Understanding Mild Knee Pain: Possible Causes and Solutions
Understanding Growth Plate Closure in Spine and Pelvis Development
Growth plate issues Hello Dr. Lee, thank you for your response! May I ask: 1. At what age do the growth plates of the spine typically close completely? 2. Once the growth plates of the spine are closed, does that mean spinal development is complete and will not grow anymore? 3. I...
Dr. Li Yongheng Reply:
1. The growth plates completely close by around the age of 25. 2. Once the growth plates of the spine close, the spine will no longer grow. 3. The pelvis is the last growth plate to close in the human body; therefore, if the pelvic growth plates have closed, it indicates that ove...[Read More] Understanding Growth Plate Closure in Spine and Pelvis Development
Understanding Growth Plates: Key Questions About Spinal Development
Issues with growth plates? Hello, Doctor. I have three questions to ask you. Thank you for your patience and enthusiasm! 1. Is it true that each cervical vertebra and the proximal thoracic vertebra also have growth plates? 2. I have heard a claim that after the growth plates i...
Dr. Li Yongheng Reply:
Hello, 1. Each vertebra (including cervical, thoracic, and lumbar vertebrae) has a growth plate located near the intervertebral disc. 2. Indeed, there is literature confirming that after the growth plates in the feet close, the spine can still increase by 14 mm. (Howell et al....[Read More] Understanding Growth Plates: Key Questions About Spinal Development
Can I Still Grow Taller? Understanding Height Concerns in Adolescents
Could you please provide more details about the height issue? I am a third-year junior high school student, and my height is only 165 cm. I had a bone age assessment, and the doctor said that my height is almost at its maximum and that I cannot receive growth hormone injections o...
Dr. Li Wenhong Reply:
Hello: Your height is normal, and there is no need for further injection treatment. Just let it be, thank you! Changhua Hospital Orthopedics Dr. Li Wen-Hong[Read More] Can I Still Grow Taller? Understanding Height Concerns in Adolescents
Understanding Titanium Alloy Fixation for Pediatric Femur Fractures
Femoral fracture treated with self-funded titanium alloy fixation? Hello Doctor: My 4.5-year-old child has suffered a femoral shaft fracture due to a fall and has had a titanium alloy plate inserted for stabilization. I have several questions to ask you (the child is too young to...
Dr. Li Yongheng Reply:
Hello: 1. There will be no foreign body sensation. 2. The fractured limb may experience overgrowth. 3. It may affect skeletal development. 4. It will not impact mobility. I still recommend that you have the bone plate removed after the fracture has healed.[Read More] Understanding Titanium Alloy Fixation for Pediatric Femur Fractures
Can I Still Grow Taller at 16? Understanding Growth Plates and Height Potential
Growth plate elongation I just turned 16 this year and I'm a first-year high school student. My growth plates seem to have fused, and my height is only 163 cm. My mom is 155 cm and my dad is 168 cm. I drink milk every day, but I haven't been skipping rope, and sometimes...
Dr. Li Yongheng Reply:
Hello, it is difficult to grow another 7 centimeters after just turning 16 and with the growth plates nearly fused.[Read More] Can I Still Grow Taller at 16? Understanding Growth Plates and Height Potential
Understanding Joint and Cervical Spine Issues: UC-II and Bone Growth Concerns
Joint and cervical spine issues? Hello Doctor, I would like to ask: I have been experiencing knee discomfort (a tight feeling) due to osteoarthritis and have been taking UC-II (undenatured type II collagen) for about 6 to 7 years to alleviate the discomfort. Although the knee dis...
Dr. Li Yongheng Reply:
Hello, taking UC-II (undenatured type II collagen) does not cause bone spurs as a side effect. Poor posture resulting from long-term work (as a watchmaker) is the actual cause of cervical spine bone spurs.[Read More] Understanding Joint and Cervical Spine Issues: UC-II and Bone Growth Concerns
Do I Need Bone Graft After Removing Plate from Distal Radius Fracture?
After the removal of the plate for a distal radius fracture in the left hand, is it necessary to use bone graft to fill the gaps left by the screws? Hello Doctor: I had a distal radius fracture in my left hand last June, and I underwent surgery to have a plate inserted. I am now ...
Dr. Chen Yongxue Reply:
Hello, after the removal of the metal plate, there will be screw holes left in the bone. Generally, you should be cautious for three months to avoid injury or putting weight on it. Typically, the screw holes will heal on their own, and there is no need for further implants. Thank...[Read More] Do I Need Bone Graft After Removing Plate from Distal Radius Fracture?