Fifth Metatarsal Neck Fracture: To Operate or Not?
Is surgical reduction necessary for a fracture-dislocation of the fifth metatarsal head and neck? Hello, Doctor. Currently, I have a dislocated fracture of the neck of the fifth metatarsal in my left foot, which has been 10 days. I have consulted several doctors: 1. Last Saturday...
Dr. Chen Bochen Reply:
1. If there is a dislocation of the neck of the fifth metatarsal, is surgery necessary? >>> If it is completely displaced, surgery is generally recommended to reduce the risk of complications and to accelerate healing. If surgery is not performed, observing for two weeks...[Read More] Fifth Metatarsal Neck Fracture: To Operate or Not?
Understanding Fifth Toe Bunion: Causes, Treatment, and Management Options
Ulnar deviation of the little finger Hello, doctor: I have been experiencing foot pain for about a year now. Today, I finally went to a large hospital for an X-ray examination. I had previously researched online and suspected that I might have fifth toe varus due to the prominenc...
Dr. Zhan Xian Reply:
If conservative treatment for fifth toe valgus and bone protrusion is ineffective, surgical intervention may be considered. Conservative treatment includes taking anti-inflammatory pain relievers, avoiding tight shoes, and minimizing prolonged standing. If symptoms do not improve...[Read More] Understanding Fifth Toe Bunion: Causes, Treatment, and Management Options
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
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
Understanding Calcification in the Second Toe: Causes and Treatment Options
Ligament, calcification Hello, doctor. My right foot, specifically the second toe area on the dorsum, has been painful for over a month whenever I walk and stretch that area or walk barefoot on the floor. I don't recall any trauma or injury during this time. I visited a trad...
Dr. Wang Shouji Reply:
Hello: This condition depends on whether you have other foot deformities, such as hallux valgus. Joint dislocations are unlikely to occur without significant injury, especially considering your age. Continuous manipulation may not be very helpful.[Read More] Understanding Calcification in the Second Toe: Causes and Treatment Options
Understanding Post-Surgery Complications of Flatfoot Surgery in Teens
Post-operative complications of flatfoot surgery? Hello, I would like to ask about my child (18 years old, female) who has had flat feet and hallux valgus for three years, experiencing pain. After examinations at Taipei Medical University Hospital and Shin Kong Wu Ho-Su Memorial ...
Dr. Chen Yongxue Reply:
Postoperative pain should be treated by the surgeon who performed the procedure, as they are the one who truly understands the circumstances during the surgery.[Read More] Understanding Post-Surgery Complications of Flatfoot Surgery in Teens
Understanding Bunions: Symptoms, Causes, and Treatment Options
Doctor, is it hallux valgus? What should be the treatment? Hello Doctor, I would like to ask about my mother's foot. There is a protrusion at the joint near her big toe, causing what should be a smooth foot shape to bulge outward near the big toe and then curve back in tow...
Dr. Hong Ximing Reply:
Based on your description, it appears to be hallux valgus. If the angle is greater than 30 degrees, there are indications for surgical correction. If the symptoms are severe, it may compress the second toe, and surgical intervention would be necessary for correction.[Read More] Understanding Bunions: Symptoms, Causes, and Treatment Options
Understanding Titanium Screws in Hallux Valgus Surgery: Risks and Benefits
Titanium screw surgery Hello Doctor: I would like to ask about the titanium screws that are inserted during surgery for hallux valgus. Once they are placed, is it necessary to remove them? Will leaving them in the body increase the risk of other skeletal issues or cancer? Are the...
Dr. Shi Guozheng Reply:
If there are no other issues, it can remain in place without the risk of any pathological changes occurring.[Read More] Understanding Titanium Screws in Hallux Valgus Surgery: Risks and Benefits
Understanding Hallux Valgus Surgery: Risks, Recovery, and Long-term Care
Hallux Valgus Hello Doctor: Following up on your last response, I have a few more questions. If the bone screws are not protruding or inflamed, can they be left in place? Is it possible that they may not be protruding immediately after surgery, but could become prominent in the f...
Dr. Shi Guozheng Reply:
Over time, there is a possibility that the bone screws may protrude, indicating insufficient correction, as the alignment remains crooked and has not straightened. There are multiple factors contributing to pain; if pain persists for an extended period, joint degeneration may als...[Read More] Understanding Hallux Valgus Surgery: Risks, Recovery, and Long-term Care
Understanding Hallux Valgus Surgery: Risks and Recurrence Concerns
Hallux valgus Hello Doctor, I would like to ask about hallux valgus surgery. If a steel pin is placed inside and does not need to be removed, what are the potential complications after the surgery? Will there be a chance of recurrence, meaning the big toe bending again? Thank you...
Dr. Shi Guozheng Reply:
If the bone screws are not protruding or inflamed, they may not need to be surgically removed. Potential complications from surgery include pain, infection, or inadequate correction. If proper care is not taken after the surgery, there is still a chance of recurrence. After the p...[Read More] Understanding Hallux Valgus Surgery: Risks and Recurrence Concerns
Understanding Flat Feet and Associated Conditions: A Guide to Foot Deformities
"Flatfoot with valgus deformity" I have congenital flatfoot, and my doctor has certified that the arch of my right foot is at 165.5 degrees. I have the following questions: 1. Does "foot eversion" refer to "hindfoot eversion," "hallux valgus,&qu...
Dr. Wang Shouji Reply:
1. "Foot eversion" refers to "hindfoot eversion." 2. One of the military service physical examination criteria includes "flatfoot with foot eversion." Here, does foot eversion refer to the condition where the Achilles tendon and the plantar surface a...[Read More] Understanding Flat Feet and Associated Conditions: A Guide to Foot Deformities
Understanding Severe Hallux Valgus in Elderly Patients: Treatment Options
Hallux valgus My father is 84 years old and has had hallux valgus (bunion) for a long time (since he was young), but recently the condition has suddenly worsened to about 45 degrees (it was previously around 30 degrees), and it is pressing against his index finger, making it diff...
Dr. Wang Shouji Reply:
Age is not the only criterion for considering surgery. However, the success rate and risks of the procedure must be taken into account to provide the most appropriate recommendations. Medications and physical therapy can alleviate symptoms to some extent. If these options do not ...[Read More] Understanding Severe Hallux Valgus in Elderly Patients: Treatment Options
Pain in the Top of Foot When Lifting Big Toe: Causes and Solutions
When lifting the left big toe, there is pain on the dorsum of the foot? Hello Doctor: I am a graphic designer who has been sitting in an office for a long time. I usually wear flat shoes, sneakers, and casual shoes, and to keep my feet comfortable, I intentionally choose shoes th...
Dr. Shi Guozheng Reply:
There are many causes of pain in the big toe. Since you did not describe any redness, swelling, or warmth, gout cannot be ruled out. Additionally, if there is hallux valgus, the toe may bend outward and deform. Inflammation of the periosteum or tendons can also cause pain. It is ...[Read More] Pain in the Top of Foot When Lifting Big Toe: Causes and Solutions
Effective Treatment Options for Early Stage Hallux Valgus (Bunion)
Hallux Valgus If someone is currently in the first stage of hallux valgus (bunion), what treatment options are available? Is it possible to use a corrective device to realign the big toe to its normal position?
Dr. Shi Guozheng Reply:
Although it cannot restore him to normal, it can at least slow down the progression of the condition. The use of braces or orthotics is intended to achieve this effect.[Read More] Effective Treatment Options for Early Stage Hallux Valgus (Bunion)
Understanding Flat Feet and Hallux Valgus: Treatment Options and Advice
Hallux valgus with flatfoot? Recently, I have been experiencing pain on the outer side and bottom of my right foot and have sought medical attention. The doctor diagnosed me with flat feet, but my symptoms include thickened skin and calluses on the heel and forefoot, with a hollo...
Dr. Li Wenhong Reply:
Based on the symptoms you described, it may not be flatfoot; a detailed evaluation should be conducted in person at a clinic. For your symptoms, you can start using cushioned shoes or custom orthotics. As for the treatment of hallux valgus, it depends on whether there are symptom...[Read More] Understanding Flat Feet and Hallux Valgus: Treatment Options and Advice
Understanding Thumb Joint Pain: Causes and Solutions for Bunions
Thumb joint pain? Dr. Wang: Hello, I have hallux valgus, and I have not experienced any pain until recently when I suddenly developed redness and pain in the joint of my big toe. Could you please explain under what circumstances this pain might occur? Sincerely, an elderly person...
Dr. Wang Shouji Reply:
Elderly person: Be careful not to wear pointed shoes; the shoes should also be soft. If there is no improvement after a period of time, it is recommended to go to the hospital for an X-ray to confirm whether arthritis has developed. Wishing you a speedy recovery.[Read More] Understanding Thumb Joint Pain: Causes and Solutions for Bunions
Managing Foot Pain and Bunions: Insights on Short Leg Syndrome and Bone Spurs
Leg length discrepancy and hallux valgus? I have bone spurs in my lower back, and when I walk in shoes, I often get blisters and skin breakdown on the arches of both feet and the area below the big toes. During rehabilitation, I consulted a physician who mentioned that due to agi...
Dr. Chen Xingyuan Reply:
Dear Netizen: The presence of bone spurs in the lumbar region is a manifestation of degeneration and is not likely to cause scoliosis. However, it is important to pay attention to the use, protection, and maintenance of the lower back to prevent further degeneration and the onset...[Read More] Managing Foot Pain and Bunions: Insights on Short Leg Syndrome and Bone Spurs
Non-Surgical Treatments for Flat Feet and Bunions: Expert Advice
Hello, how can I assist you today? I would like to ask the doctor, I have flat feet and hallux valgus, and I measured an angle of about 35 degrees. However, in the many years I have seen orthopedic doctors, none have mentioned that I have a hallux valgus issue. I only realized th...
Dr. Shi Qiming Reply:
In the case of flatfoot, a final diagnosis requires a measurement of the arch angle exceeding 165 degrees on a lateral X-ray of the ankle joint. As for hallux valgus, an angle of 23 degrees or greater can be diagnosed as valgus. It is recommended that you visit an orthopedic outp...[Read More] Non-Surgical Treatments for Flat Feet and Bunions: Expert Advice
Managing Painful Bunions: Seeking Effective Treatment Options
If I live to be 80 years old, I don't want to suffer from bunions for another 55 years..? I apologize! I have a problem with bunions that I would like to ask about. I visited your hospital for a consultation last time, but the doctor only took a quick look and said it wasn&#...
Dr. Shi Qiming Reply:
Regarding the correction surgery for hallux valgus, it is generally considered for patients with a larger angle and severe pain when conservative treatments have not provided improvement. In your case, you may want to visit an orthopedic outpatient clinic or consult with a foot a...[Read More] Managing Painful Bunions: Seeking Effective Treatment Options
Understanding Flat Feet and Bunions: Causes and Solutions
Flatfoot and Hallux Valgus I have hereditary flatfoot and hallux valgus issues. I originally had difficulty walking for long periods, but this feeling has gradually worsened. The soreness has extended from my calves to my thighs, and now I sometimes experience cramping in my hips...
Dr. Hong Ximing Reply:
Flat feet and hallux valgus can affect gait, leading to pain at multiple tendon attachment sites, with no fundamental solution available. The only options are to rely on physical principles, such as changing insoles and footwear for improvement. There are also custom-made options...[Read More] Understanding Flat Feet and Bunions: Causes and Solutions