Proper Walking Posture: Should You Start with Your Feet or Thighs?
Regarding walking posture? Hello, doctor. Could you please tell me whether the correct walking posture starts from the feet or the thighs? Should we walk using our feet or our thighs?
Dr. Tan Zhuowen Reply:
The correct walking posture is as follows: 1. Keep your shoulders parallel to the ground, with your chest out and abdomen in, which helps to raise your body's center of gravity. 2. When taking a step forward, ensure that your toes and knees are pointing straight ahead, avo...[Read More] Proper Walking Posture: Should You Start with Your Feet or Thighs?
Side Effects of Bone Strengthening Injections: Should You Continue?
What are the side effects of receiving a bone-strengthening injection? Hello, doctor: I received a bone-strengthening injection last year, but I didn't notice any improvement. Instead, I've been experiencing frequent bone pain, lower back pain, nausea, and headaches, an...
Dr. Chen Xingyuan Reply:
Dear Online Friends, Every medication has its indications and side effects. The Bone Strength injection is primarily used for the treatment of osteoporosis, aimed at reducing bone loss and consequently lowering the incidence of fractures. Acute phase reactions following Bone Str...[Read More] Side Effects of Bone Strengthening Injections: Should You Continue?
Do Rib Fractures Require Hospitalization? Pain Management Options Explained
Do rib fractures require hospitalization? Dear Dr. Chang: My father is 73 years old and suffered three rib fractures, a clavicle fracture, and a head contusion from a car accident. He is experiencing severe pain and is taking warfarin. The doctor administered a KETO injection and...
Dr. Zhang Jiahao Reply:
Hello: If a rib fracture is not associated with pneumothorax or hemothorax, it is advisable to rest and manage pain control while regularly following up at the outpatient clinic. Pain management can be categorized into various levels and can be tailored to the patient's cond...[Read More] Do Rib Fractures Require Hospitalization? Pain Management Options Explained
Understanding Occipital Bone Irregularities: Normal Variations or Concerns?
Recently, I noticed an area on the back of my head that appears both sunken and raised? I recently discovered a spot on the back of my head that feels both like a depression and a protrusion. I think it might be due to the sleeping position I had as a baby, which caused a dent in...
Dr. Shi Guozheng Reply:
The occipital protuberance is usually normal and should not be overly prominent if it is located in the midline of the occipital bone. If you are very concerned, you may consult a neurosurgeon.[Read More] Understanding Occipital Bone Irregularities: Normal Variations or Concerns?
Stroke Recovery: Managing Hip Fractures in Elderly Patients
Stroke and bone fracture? Hello Doctor, my father (67 years old) had an acute stroke on March 14 (his first). His condition is now stable, but he cannot move his right hand and right leg, and he needs rehabilitation. However, on March 29, a fracture was found in the bone around h...
Dr. Li Wenlin Reply:
It is described as a linear fracture of the femoral neck. If conservative treatment is administered, the fracture should heal after 6 weeks. If there is an increase in fracture displacement, internal fixation with a steel pin is required, and weight-bearing should only be allowed...[Read More] Stroke Recovery: Managing Hip Fractures in Elderly Patients
Complex Hip Replacement: Challenges and Solutions for Patients
Complex Hip Replacement Hello, doctor. I am from Taiwan, and my patient is my girlfriend, who is 24 years old and from Mainland China. She was diagnosed with avascular necrosis of the left femoral head due to a car accident at the age of 12. The surgical procedure at that time is...
Dr. Shi Guozheng Reply:
Surgery is possible, but it is more challenging and carries the risk of damaging the sciatic nerve. Larger medical centers have the capability to perform this type of surgery.[Read More] Complex Hip Replacement: Challenges and Solutions for Patients
Is Your Baby's Shoulder Clicking Normal? Understanding Joint Sounds in Infants
It is common for infants to produce sounds during shoulder joint movement? Hello, doctor. My daughter is currently 1 year and 1 month old. Since she was a few months old, whenever I lift her by placing my hands under her armpits, I often hear a cracking sound from her right shoul...
Dr. Li Wenlin Reply:
Please seek consultation at a pediatric orthopedic clinic as soon as possible.[Read More] Is Your Baby's Shoulder Clicking Normal? Understanding Joint Sounds in Infants
Failed Removal of Fracture Nail: What to Do Next?
Failed removal of fracture fixation nails? Last July, I slipped and suffered a closed fracture of the right humerus. The doctor fixed it with a steel nail. Last month, the doctor informed me that I could have the nail removed. On July 22, the nail was removed, but only the head o...
Dr. Li Wenlin Reply:
Please don't worry. Your attending physician is indeed correct. When removing internal fixation, there may be instances of broken screws. If it is assessed that removing the screws would require sacrificing too much bone (not necessarily needing to break it), the attending p...[Read More] Failed Removal of Fracture Nail: What to Do Next?
Can Hip Joint Necrosis Be Treated Without Surgery?
Avascular necrosis of the hip joint? Hello, I would like to ask: I currently have avascular necrosis in both of my hip joints. The left side is probably in stages 3 or 4, while the right side has just begun. Is it true that I can avoid surgery? Will extracorporeal shock wave ther...
Dr. Wang Shouji Reply:
Ms. Chen: The majority of cases of avascular necrosis of the femoral head have unknown causes. Risk factors include alcohol consumption, medications such as corticosteroids, certain occupations, as well as diseases and sequelae from trauma. If the bone has already necrosed and is...[Read More] Can Hip Joint Necrosis Be Treated Without Surgery?
Understanding Shoulder Pain: Strain or Injury After Tennis?
Shoulder pain? Last Friday, while playing tennis, I felt a slight strain in my shoulder, which has been uncomfortable. I'm not sure if it's a sprain or a muscle strain. When I got home, I took a hot shower and applied some ointment. Recently, when I wake up and pull the...
Dr. Luo Zhongwei Reply:
Dear Big Head: Based on your description, it seems to be a muscle strain. I must reiterate that a diagnosis cannot be made solely from written correspondence; a comprehensive clinical examination, along with imaging or biochemical data, is necessary for a definitive diagnosis. It...[Read More] Understanding Shoulder Pain: Strain or Injury After Tennis?
Is a Bump on the Back of the Skull Normal or a Cause for Concern?
Occipital bone protrusion? There is a raised area on the back of the head, located slightly above the line drawn between the two eyes, with a diameter of about 1.5 cm and a height of approximately 0.3 to 0.5 cm. It feels bony and is not painful or itchy. Is this normal, or could ...
Dr. Shi Guozheng Reply:
There is normally a protrusion at the midline of the back of the head, but if it becomes larger, it may be necessary to consult a neurosurgeon for an examination and, if needed, to obtain an X-ray to confirm the diagnosis.[Read More] Is a Bump on the Back of the Skull Normal or a Cause for Concern?
Understanding Neck Pain: When to See a Neurologist or Orthopedist
From neck pain to the back of the head? Hello Doctor, I have been experiencing a condition over the past few years where I occasionally feel soreness in the back of my neck. When I press on it, there is also a sensation of pain. This discomfort gradually spreads to the back of my...
Dr. Wang Shouji Reply:
Ms. Tsai: Your symptoms are mostly not related to the vertebrae. They are likely caused by poor posture, muscle fatigue, and other factors. If you wish to go to the hospital for an examination, you can see either a neurologist, an orthopedic specialist, or a rehabilitation specia...[Read More] Understanding Neck Pain: When to See a Neurologist or Orthopedist
Surgery for Underdeveloped Left Shoulder: Can Artificial Bone Restore Function?
Left shoulder humeral head hypoplasia seeks surgery? I have developmental dysplasia of the left shoulder humeral head and am considering surgery. My arm cannot rotate normally due to the left shoulder issue. I would like to know if undergoing surgery to implant an artificial hume...
Dr. Li Wenlin Reply:
Hello: In response to your question, your situation is quite unique, and I cannot ascertain your diagnosis, let alone comment on what surgery to perform. However, based on what you mentioned, you must have consulted a senior orthopedic physician who suggested surgery to improve y...[Read More] Surgery for Underdeveloped Left Shoulder: Can Artificial Bone Restore Function?
Concerns About Removing Steel Plates and Screws from Humerus Fracture
Please inquire about the removal of humeral intramedullary nails and plates? Hello Dr. Lee, I would like to briefly describe my situation. I am a 26-year-old female. In January 2010, I suffered a "humeral shaft fracture" due to a car accident. At that time, I underwent...
Dr. Li Wenlin Reply:
Hello: In response to your question, there is an unwritten rule in the orthopedic field that a patient is always considered a patient for life. Moreover, since you have previously undergone surgery performed by your attending physician, and given that you chose to have a plate fi...[Read More] Concerns About Removing Steel Plates and Screws from Humerus Fracture
Understanding Femoral Neck Fractures: Recovery and Concerns for Young Adults
Femoral neck fracture Hello Doctor: I am 22 years old. I suffered a non-displaced fracture of the left femoral neck in a car accident on December 11. The physician I consulted recommended a treatment approach without the use of nails, and I have been using crutches. I took anti-i...
Dr. Shi Guozheng Reply:
It has been almost a month since the fracture, and fractures typically do not heal within this timeframe. Healing usually takes about three months. The range of motion in the hip joint may be reduced and will take some time to recover. There is a risk of avascular necrosis of the...[Read More] Understanding Femoral Neck Fractures: Recovery and Concerns for Young Adults
Understanding Shoulder Joint Replacement: Benefits, Risks, and Costs
Total shoulder arthroplasty? Hello Doctor: My father is 76 years old and is experiencing pain in his right shoulder joint due to degenerative arthritis. He can only raise his arm to about 75 degrees. I would like to ask the doctor: 1. What is the outcome of shoulder arthroplasty?...
Dr. Fan Hongbin Reply:
Hello: Regarding your inquiry, here is the response: For degenerative arthritis of the shoulder joint, if it is related to ligament or fascia issues, conservative treatment is generally recommended, which includes oral medication and rehabilitation therapy. If there is avascular ...[Read More] Understanding Shoulder Joint Replacement: Benefits, Risks, and Costs
Chronic Lower Back Pain: Seeking Answers Beyond X-rays and Medications
Low back pain I have been suffering from lower back pain for over a year. I have visited nearly ten hospitals (both large and small, traditional and Western medicine). After X-rays, doctors have said there are no significant issues. Blood tests also indicated no signs of inflamma...
Dr. Shi Guozheng Reply:
It is possible that no clear cause can be identified. Your symptoms resemble myofascial pain syndrome, which is an inflammation of the muscle fascia. Typically, X-rays do not reveal any issues, but the pain is related to muscle activity and can radiate from the neck down to the l...[Read More] Chronic Lower Back Pain: Seeking Answers Beyond X-rays and Medications
Understanding the Connection Between Back Pain and Muscle Tension Issues
Spinal pain Hello Doctor, I have the following questions, but I'm unsure how to clarify where the issues lie, so I would like to ask about possible causes. 1. In recent months, I sometimes wake up with pain in my lumbar spine. 2. I have noticed that in crowded places or w...
Dr. Shi Guozheng Reply:
Prolonged use of computers or typing can easily lead to shoulder and neck pain. Additionally, improper sitting posture can cause spinal pain as well as lower back and upper back discomfort. To alleviate these issues, it is important to maintain proper posture while sitting and to...[Read More] Understanding the Connection Between Back Pain and Muscle Tension Issues
Understanding Hip Replacement Materials and Longevity: Key Insights
Artificial hip joints... materials inquiry? Hello, Doctor... Thank you for taking the time to address my questions... 1. I had a total hip arthroplasty at Linkou Chang Gung Memorial Hospital in January 2008, using a metal ball head and a polyethylene (PE) liner. Could the plastic...
Dr. Zhou Lizhi Reply:
Dear netizens: 1. Generally, artificial hip joints consist of metal balls and polymer liners, and there are also ceramic balls and liners. The ultra-durable liners cannot be identified through X-rays; this information will be documented in the surgical records. 2. Typically, ...[Read More] Understanding Hip Replacement Materials and Longevity: Key Insights
Understanding Neck Cracking Sounds: Causes and Solutions
There is a sound when turning the neck? Hello Doctor: My neck makes a cracking sound every time I turn it, such as when I turn my head while driving to check the road or when talking to someone. This has been happening for about six months (it started after a stiff neck incident)...
Dr. Shi Guozheng Reply:
These sounds may be due to the tendons sliding over the bones, and if there is no pain associated, it is not a concern. Applying heat or performing gentle movements may help improve the situation.[Read More] Understanding Neck Cracking Sounds: Causes and Solutions