Understanding Shoulder Pain: Causes and Treatment Options
Shoulder issues Hello, Doctor: Last year, while throwing a child up in the air and catching them, I experienced severe pain in my left shoulder that almost made me drop the child. Since then, any similar movements have caused pain. I have been receiving treatment at a rehabilitat...
Dr. Shi Guozheng Reply:
It is possible that there is a soft tissue injury within the shoulder joint. The soft tissues include ligaments, tendons, and the labrum, among others. If rehabilitation does not lead to improvement, further evaluation may be necessary. An MRI (Magnetic Resonance Imaging) is a di...[Read More] Understanding Shoulder Pain: Causes and Treatment Options
Understanding Hand Numbness: Causes and When to Seek Help
Numbness in the fingers of both hands? Hello, Doctor. I often carry heavy objects with both hands or shoulders. Recently, I woke up one day to find that my left hand fingers were numb. After a few days, the fingers of my right hand also started to feel numb. For the left hand, th...
Dr. Shi Guozheng Reply:
Numbness in the fingers is related to the nerves in the hand. If the median nerve near the wrist is compressed, the second, third, and fourth fingers may experience numbness. Pressing on the palm side of the wrist can elicit numbness (carpal tunnel syndrome). If the compression o...[Read More] Understanding Hand Numbness: Causes and When to Seek Help
Post-Cast Removal: Understanding Swelling and Pain in Your Toe
Swelling and throbbing pain after removing the cast? Hello, I was in a car accident on November 6, which resulted in a fracture of the fifth toe and slight displacement of the fourth toe on my left foot. I had a cast applied for stabilization. During my follow-up appointment on D...
Dr. Chen Yongxue Reply:
Hello, after a fracture, a fixation period of approximately four to six weeks is required. Of course, the longer the fixation period, the higher the possibility of joint stiffness. Therefore, for fractures of the extremities (hands and feet), the principle is to fix for four week...[Read More] Post-Cast Removal: Understanding Swelling and Pain in Your Toe
Can Glucosamine and Collagen Supplements Affect Throat Cysts?
Is it safe to take glucosamine if you have a throat cyst? About one or two years ago, she developed a cyst in her throat, which was treated, leaving two small lumps the size of grains of rice. The doctor she consulted at that time advised her not to eat seafood. However, recently...
Dr. Li Yongheng Reply:
Hello, glucosamine or other fish-derived collagen supplements should not affect water tumors. However, it is uncertain whether these types of supplements are effective for joint pain or discomfort in your hands and feet.[Read More] Can Glucosamine and Collagen Supplements Affect Throat Cysts?
Understanding Patellar Fractures: Recovery and Rehabilitation Tips
Patellar fracture Doctor, thank you for your previous response. Regarding my earlier question: On October 13, 2018, I slipped and fractured my patella into three pieces. I underwent surgery for internal fixation and was discharged five days later. I returned for a follow-up appoi...
Dr. Li Yongheng Reply:
Condition 1: 1. At 21 days post-surgery, the knee can only bend approximately 30 degrees, which indicates that the range of motion has not progressed to normal levels. However, is it possible to use passive assistance by leveraging the strength of the hand to support the thigh an...[Read More] Understanding Patellar Fractures: Recovery and Rehabilitation Tips
Managing Shoulder Pain After a Car Accident: Expert Advice
Car accident injuries Hello, Dr. Lee. I was hit from behind by a left-turning taxi while crossing the crosswalk on October 16. I fell to the ground with both hands supporting me and was taken to the emergency room where X-rays of my right thigh and calf were taken, which showed n...
Dr. Li Yongheng Reply:
Hello, it is normal to still experience lingering pain 11 days after a shoulder contusion. I recommend starting heat therapy and considering physical therapy. Typically, it should heal within 4 to 6 weeks.[Read More] Managing Shoulder Pain After a Car Accident: Expert Advice
Understanding Arm Pain: Causes, Symptoms, and Treatment Options
Arm pain Last summer, I tried weight training, and while doing diamond push-ups, I suddenly felt pain in the ulnar nerve area of my left hand. At that time, I thought it was just a strain and didn’t pay much attention to it. After undergoing six sessions of electrical therapy, ul...
Dr. Shen Boquan Reply:
Hello, based on your description, the pain caused by a sports injury, combined with work-related fatigue, has persisted for a long time. During this period, aside from rehabilitation, have you considered any other treatments? Rehabilitation therapy typically requires patience and...[Read More] Understanding Arm Pain: Causes, Symptoms, and Treatment Options
Understanding Bone Pain: Is It a Sign of Bone Cancer?
Bone cancer pain? Hello, doctor. Recently, I've been experiencing irregular pain in my hands and feet for over two weeks. Sometimes the pain is in the thumb joint, other times in the calves, and sometimes in the soles of my feet or shoulders. The pain comes in sharp bursts o...
Dr. Li Yongheng Reply:
Hello, based on your age and the symptoms you described, the likelihood of developing bone cancer is low. In young individuals, the most common site for bone cancer is around the knee joint, while the probability of bone cancer occurring in the hands is extremely low. You do not ...[Read More] Understanding Bone Pain: Is It a Sign of Bone Cancer?
Why Do My Finger Joints Hurt After Running at Night?
Finger joint pain Why do my finger joints feel slightly painful for about 15 minutes to half an hour after running at night and then waking up the next morning? However, it always seems to be the same fingers that are affected. I haven't exercised in a long time and have jus...
Dr. Shi Guozheng Reply:
The pain in the finger joints is likely not related to running but may be associated with excessive use of the hands. Overuse can lead to tightness or swelling the next day. Performing several finger and hand exercises can help alleviate the discomfort. However, if the symptoms d...[Read More] Why Do My Finger Joints Hurt After Running at Night?
Understanding Hip and Thigh Muscle Issues After a Fall: Key Insights
Hip joint and thigh muscle issues? Hello, doctor! On March 16, during my trip, I accidentally fell to the right while pushing a large suitcase on an escalator. At that time, I was unable to stand on my right leg at all, and my family had to carry me back home. Four hours later, m...
Dr. Shi Guozheng Reply:
1. It may not be necessary to do so. 2. A contusion of the right hip is the most likely diagnosis. 3. It is possible. 4. If it is not very painful, medication may not be needed. 5. Gradually resuming movement will help the muscles recover. 6. It is advisable to seek med...[Read More] Understanding Hip and Thigh Muscle Issues After a Fall: Key Insights
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 Congenital Thoracic Spine Abnormalities and Their Implications
Congenital thoracic vertebral anomalies Hello, doctor. I would like to ask a few questions. During my high school years, an X-ray revealed that my thoracic vertebrae T4-6 are not developing normally (the doctor diagnosed it as mild scoliosis). Recently, I went to National Taiwan ...
Dr. Chen Yongxue Reply:
Hello, I'm not sure what the correct diagnosis for the "thoracic spine structural abnormality" you mentioned is. I wouldn't want to jump to conclusions, so please visit an orthopedic clinic for an examination. Thank you.[Read More] Understanding Congenital Thoracic Spine Abnormalities and Their Implications
Understanding Nonunion Fractures: To Operate or Not?
Incomplete fracture healing: to undergo surgery or not? Hello, Doctor. On December 29, I asked about an open fracture of the right forearm that underwent surgery with titanium alloy nails and plates. Eleven months later, X-rays show incomplete healing with dark gaps at the fractu...
Dr. Shi Guozheng Reply:
1. If there are no signs of healing nearly a year after fracture surgery, the final management option is to perform another surgery and augment the bone. 2. The risks associated with the surgery, such as infection and nerve injury, are similar to those of general surgeries. 3...[Read More] Understanding Nonunion Fractures: To Operate or Not?
Do Hand Growth Plate Closure and Foot Closure Occur Together?
If the growth plates in the hands have fused, will the growth plates in the feet also fuse? If the growth plates in the hands have fused, will the growth plates in the feet also fuse?
Dr. Xie Hongjia Reply:
Hello Mr. Qiu: The closure of growth plates occurs at a fixed time, but there can be slight variations as it differs from person to person and may not happen simultaneously. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Do Hand Growth Plate Closure and Foot Closure Occur Together?
Understanding Chronic Neck and Shoulder Pain: Causes and Solutions
Could you please provide more details about the issue of shoulder and neck pain? Hello, doctor. I have been experiencing shoulder and neck pain for almost a month. I visited a spine specialist who only took X-rays and said there was nothing wrong, but the pain persists. I went ba...
Dr. Li Yongheng Reply:
Hello, if you have been undergoing treatment for a while and still experience shoulder and neck pain along with numbness in your hands, it may be necessary to undergo an MRI scan. If the diagnosis is a herniated disc, cervical traction therapy will need to be implemented. Wishing...[Read More] Understanding Chronic Neck and Shoulder Pain: Causes and Solutions
Chronic Shoulder and Neck Pain: When to Consider MRI for Diagnosis
Chronic shoulder and neck pain is difficult to treat? Hello, doctor. I have been experiencing shoulder and neck pain for two to three years, but recently, in the past month, the pain has become unbearable and has shown no improvement. Pain relief medications, anti-inflammatory tr...
Dr. Li Yongheng Reply:
Hello, if you are experiencing shoulder and neck pain and pain relief medications, rehabilitation, exercise, and posture improvement have not been effective, it is recommended to undergo an MRI examination. This is because a herniated disc cannot be detected through X-rays.[Read More] Chronic Shoulder and Neck Pain: When to Consider MRI for Diagnosis
Understanding Thumb Stiffness After Distal Radius Fracture Surgery
Postoperative abnormal flexion of the thumb following distal radius fracture? Hello Dr. Chen, four years ago I had a distal radius fracture in both wrists and underwent surgery with a self-funded bone plate. The recovery was good until two years ago when I suddenly lost the abili...
Dr. Chen Yongxue Reply:
Hello, it sounds like you may have trigger finger, which is unrelated to the previous surgery. Local injection can be attempted, as it serves both diagnostic and therapeutic purposes. Thank you.[Read More] Understanding Thumb Stiffness After Distal Radius Fracture Surgery
Understanding Wrist and Elbow Pain After a Car Accident: When to Seek Further Imaging
The wrist cannot rotate, and the elbow feels stiff? A car accident occurred in July, and I was taken to a nearby hospital where they examined a fracture in the inner bone of my elbow (I was put in a cast). There was no specific mention of my wrist at that time. After a week, I re...
Dr. Li Yongheng Reply:
Hello, the car accident injury has resulted in an elbow fracture, and there may also be damage to the wrist, particularly with regard to potential injuries such as scaphoid fractures, triangular fibrocartilage complex (TFCC) tears, and distal radioulnar joint dislocations. It has...[Read More] Understanding Wrist and Elbow Pain After a Car Accident: When to Seek Further Imaging
Understanding Cartilage Issues Near the Wrist After a Fracture
Cartilage issues near the wrist radius? Hello Doctor, I have read a bit about historical issues but I am uncertain, so I would like to gather more information. I had a car accident and suffered a fracture of the radial bone in my right wrist. After a month and a half, the bone he...
Dr. Wang Shouji Reply:
Hello: (1) Avoid actions that compress the joints as much as possible, especially those that cause pain, and regularly monitor the cartilage space. (2) Traumatic arthritis can lead to decreased joint cushioning ability, resulting in pain from bone-on-bone contact. (3) Glucosamine...[Read More] Understanding Cartilage Issues Near the Wrist After a Fracture
Conflicting Medical Advice on Tibia Fracture Recovery: What to Do?
Questions about tibial fractures? Hello Doctor: I was in a car accident on the evening of October 13, 2016, which resulted in an open fracture of my right tibia and fibula. I was taken to the hospital for treatment and had bone screws and plates installed. Since then, I have been...
Dr. Shi Guozheng Reply:
A tibial fracture that has not healed after a year is considered to be healing slowly. However, in the case of an open fracture, it may take a year and a half to two years to heal. If there is significant bone loss, bone grafting may be necessary. The physician recommends weight-...[Read More] Conflicting Medical Advice on Tibia Fracture Recovery: What to Do?