Guidelines for Assisting Patients with Spinal Fractures and Cancer
Care for Spinal Fractures Hello Doctor, my family member has osteoporosis and fractures in the fourth and fifth lumbar vertebrae due to cancer, which also affects the thoracic spine and hip joints. The pain has made it impossible for them to get up or lie down independently, requ...
Dr. Wang Jiacheng Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or dietitian.[Read More] Guidelines for Assisting Patients with Spinal Fractures and Cancer
Is Hip Replacement Surgery Safe for My 90-Year-Old Mother?
My mother is 90 years old and has hip joint degeneration. The doctor has recommended a hip replacement? My mother is 90 years old and has hip joint degeneration. She visited the Songshan Air Force Hospital, where the doctor recommended a hip replacement. I would like to know if i...
Dr. Shi Guozheng Reply:
1. Age is not a problem. 2. Health status must be good, such as having mobility. 3. Cardiopulmonary function should be adequate to withstand such surgery. 4. After a successful surgery, normal walking ability can usually be restored. 5. It is preferable to use minimally invasive ...[Read More] Is Hip Replacement Surgery Safe for My 90-Year-Old Mother?
How to Differentiate Between Ankylosing Spondylitis and Other Joint Pain Causes?
How to determine whether joint pain is caused by an outbreak of ankylosing spondylitis or other factors? Hello Doctor, I was recently diagnosed with ankylosing spondylitis (X-ray showing bilateral grade 2 sacroiliitis, HLA-B27 positive), but I am already 52 years old. My age-rela...
Dr. Shi Guozheng Reply:
You should first see an orthopedic specialist and get an X-ray to check. If the joint is already damaged, it could be due to degenerative changes or ankylosing spondylitis. The X-ray findings for these two conditions are different, so it's advisable to consult a specialist f...[Read More] How to Differentiate Between Ankylosing Spondylitis and Other Joint Pain Causes?
Post-Operative Hip Replacement: Addressing Stiffness and Recovery Concerns
Postoperative Issues After Hip Arthroplasty Hello, Doctor. My mother is nearly 80 years old. Last February, she fell and fractured her left leg, undergoing traditional hip joint surgery. However, over a year later, she still feels stiffness in her left leg post-surgery. She has c...
Dr. Shi Guozheng Reply:
Typically, recovery after surgery takes about two to three months, and stiffness is related to the healing of soft tissues. Additionally, if the artificial joint is too tight, this phenomenon may also occur. It is advisable to consult a rehabilitation specialist for physical ther...[Read More] Post-Operative Hip Replacement: Addressing Stiffness and Recovery Concerns
Post-Hip Replacement Surgery: Understanding Left Calf Numbness and Nerve Damage
Loss of sensation in the left calf following hip replacement surgery? I underwent left hip joint replacement surgery on November 14th of last year. After the surgery, I noticed that the back of my left calf, from below the knee to the ankle, had no sensation. Touching it feels li...
Dr. Chen Yongxue Reply:
Hello, according to the letter, the electromyography findings indicate: (1) left sciatic neuropathy, (2) coexisting chronic lumbosacral radiculopathy, and (3) an underlying sensorimotor polyneuropathy may also be considered. Thank you.[Read More] Post-Hip Replacement Surgery: Understanding Left Calf Numbness and Nerve Damage
Post-Operative Hip Replacement: Understanding Numbness and Recovery Time
Postoperative hip joint care Hello, doctor. I underwent left hip replacement surgery at the end of November last year. After the surgery, I did not experience any numbness in my foot or toes. However, after my right hip replacement in April this year, I noticed numbness in my foo...
Dr. Shi Guozheng Reply:
The occurrence of numbness in the leg after hip joint surgery may be related to the sciatic nerve. If foot movement is normal, it indicates that there is only slight compression of the sensory nerve. However, if there is a drop foot phenomenon, further examination and treatment a...[Read More] Post-Operative Hip Replacement: Understanding Numbness and Recovery Time
Understanding Hip Joint Pain: Causes, Symptoms, and Care Tips
Hip joint used for 5 years? Hello, Doctor. Recently, I have been experiencing severe foot pain that makes it difficult to walk. I'm not sure what the cause is. I take good care of my feet and haven't had any injuries. Could alcohol consumption be related? Does fatigue f...
Dr. Shen Boquan Reply:
Hello, there are many possible causes for discomfort and pain in the lower limbs, including muscle pain, joint inflammation, and lumbar nerve compression commonly known as sciatica. Avascular necrosis of the femoral head is also a possibility. Sometimes, these conditions can occu...[Read More] Understanding Hip Joint Pain: Causes, Symptoms, and Care Tips
Misdiagnosis in Orthopedics: From Hip Avascular Necrosis to Unnecessary Spinal Fusion
Avascular necrosis of the femoral head, yet underwent total lumbar fusion? In October 2022, I experienced sudden pain in my left lower limb and groin, along with a sensation of leg length discrepancy and limping. I went to the neurosurgery department at Tainan Medical Center, whe...
Dr. Shen Boquan Reply:
There are many possible causes of discomfort and pain in the lower limbs, including muscle pain, joint inflammation, and lumbar nerve compression commonly known as sciatica. Avascular necrosis of the femoral head is also a possibility. Sometimes, these conditions can occur simult...[Read More] Misdiagnosis in Orthopedics: From Hip Avascular Necrosis to Unnecessary Spinal Fusion
Understanding Multiple Pain Symptoms: Back, Abdomen, and Hip Issues
Multiple areas of pain in the body, including back pain, abdominal pain, hip joint pain, and lower back pain? Hello Doctor: My mother has been experiencing abdominal discomfort and pain daily, along with upper back pain, right shoulder pain, hip joint pain, lower back pain, and u...
Dr. Shi Guozheng Reply:
Lumbar degenerative stenosis can present with the aforementioned symptoms; however, imaging studies such as MRI (Magnetic Resonance Imaging) are necessary to confirm the diagnosis before treatment can be initiated.[Read More] Understanding Multiple Pain Symptoms: Back, Abdomen, and Hip Issues
Managing Left Hip Pain: Cycling, Sitting Positions, and Running Tips
Pain in the left hip joint while cycling/sitting cross-legged/with legs crossed? Hello Doctor: After stopping jogging and weight training for six months, I experienced a low probability of left hip joint pain for a few seconds after sitting for a long time. Two months ago, I felt...
Dr. Shi Guozheng Reply:
You can apply heat, take pain relievers, and avoid crossing your legs, sitting in a lotus position, or riding a bicycle until the symptoms subside. Only then should you resume those activities.[Read More] Managing Left Hip Pain: Cycling, Sitting Positions, and Running Tips
Post-Hip Surgery: Understanding Bowel Changes and Concerns
Postoperative hip joint care I underwent left hip joint surgery on November 7th. I have a routine of taking magnesium oxide daily. On November 9th, after three days without a bowel movement, the nurse administered a stool softener. Since then, I have been experiencing watery stoo...
Dr. Shi Guozheng Reply:
Stopping the use of laxatives may lead to improvement.[Read More] Post-Hip Surgery: Understanding Bowel Changes and Concerns
Understanding Meniscus Repair, ACL Fold Repair, and Hyaluronic Acid Injections
Meniscus repair and anterior cruciate ligament (ACL) fold repair, confusion regarding the number of hyaluronic acid injections for hip displacement? Hello, Doctor. Due to a sports injury, my right knee MRI has shown that I need to undergo meniscus repair and anterior cruciate lig...
Dr. You Dianqi Reply:
Each type of hyaluronic acid treatment is different; please discuss with your attending physician. Thank you.[Read More] Understanding Meniscus Repair, ACL Fold Repair, and Hyaluronic Acid Injections
How to Alleviate Foot Numbness After Hip Surgery?
How to improve foot numbness after hip joint surgery? Hello, doctor. I had a car accident on July 16 and underwent hip joint surgery for a comminuted fracture of the left hip joint. I have been doing rehabilitation exercises and leg lifts every day. However, I still experience so...
Dr. Shi Guozheng Reply:
Numbness in the feet may be related to sciatic nerve issues, and taking active B12 may help improve this condition. Additionally, for calf cramps, pain relievers and muscle relaxants can be taken.[Read More] How to Alleviate Foot Numbness After Hip Surgery?
How to Alleviate Foot Numbness After Hip Surgery?
How to improve foot numbness after hip joint surgery? Hello, doctor. I had a car accident on July 16 and underwent hip joint surgery for a comminuted fracture of the left hip joint. I have been doing rehabilitation exercises and leg lifting exercises every day. However, I still e...
Dr. Shi Guozheng Reply:
Foot numbness may be due to nerve compression, and taking vitamin B12 may have some effect. For calf cramps, anti-inflammatory pain relievers can be used to improve the condition.[Read More] How to Alleviate Foot Numbness After Hip Surgery?
Understanding Hip Joint Weakness: Causes and Solutions for Discomfort
Hip joint issues? Hello doctor, I have been experiencing a feeling of weakness on the right side of my thigh near the greater trochanter. It's not that I can't exert force; rather, it feels weak, but I can perform all movements normally and there is no pain. This sensat...
Dr. Shi Guozheng Reply:
1. It is difficult to assess feelings of weakness; it is recommended to consult a physician to check for signs of myasthenia or any nerve compression issues. 2. Identifying the diagnosis is essential before potential solutions can be found. 3. There may be a connection. 4. Consid...[Read More] Understanding Hip Joint Weakness: Causes and Solutions for Discomfort
Post-Surgery Recovery Tips for Tibial Fractures: What to Expect
Post-operative care for tibial fractures? On July 19, I was involved in a car accident that resulted in a comminuted fracture of the left femur, with the fracture extending approximately 30 centimeters from above the knee joint to below the hip joint. I also sustained a fracture ...
Dr. Shi Guozheng Reply:
The duration for which a walker is needed depends on the healing status of the bone, which should be assessed through follow-up X-rays. If it is not a comminuted fracture, typically, one can start walking within three months, but a walker will still be necessary. To safely discon...[Read More] Post-Surgery Recovery Tips for Tibial Fractures: What to Expect
Understanding Asymmetrical Buttocks: Causes and Solutions
Hip problems Hello, Doctor. I would like to inquire about the issue of having one side of my buttocks larger than the other. I first noticed this condition at the beginning of this year. My left buttock appears larger, while my right buttock seems smaller. I can clearly feel the ...
Dr. Shi Guozheng Reply:
It may be necessary to consider whether there are neurological issues or problems with the hip joint, or if there is a tendency to use the left thigh more and the right thigh less, which could result in one side being smaller. If there is pain, it is advisable to seek medical att...[Read More] Understanding Asymmetrical Buttocks: Causes and Solutions
Understanding Hip and Pelvic Issues: When to Seek Treatment
Hip joint issues and pelvic problems? Hello Doctor, I have been experiencing some discomfort lately, possibly due to prolonged sitting and poor posture. Sometimes when I sit cross-legged, my right leg feels tense and I can't fully relax it. After a while, it becomes a bit so...
Dr. You Dianqi Reply:
You can consult with an orthopedic or rehabilitation specialist. Thank you.[Read More] Understanding Hip and Pelvic Issues: When to Seek Treatment
Managing Osteoarthritis: Hyaluronic Acid Injections and Rehabilitation Tips
Regarding case #195715, recommendations for hyaluronic acid injection and rehabilitation for osteoarthritis? Hello Dr. Shi, I am the one who previously inquired in post #195715. Recently, after considering your advice, my mother decided to rest and take medication. However, last ...
Dr. Shi Guozheng Reply:
If there is inflammation of the ligaments or tendons near the knee joint, corticosteroid injections can provide improvement. In cases of joint degeneration, hyaluronic acid injections may be beneficial. For joint pain, anti-inflammatory medications can be taken to alleviate sympt...[Read More] Managing Osteoarthritis: Hyaluronic Acid Injections and Rehabilitation Tips
Hyaluronic Acid Injections and Rehab Tips for Osteoarthritis Relief
Hyaluronic acid injection and rehabilitation recommendations for osteoarthritis? Hello Doctor, my mother is nearly 74 years old. In 2015, she received hyaluronic acid injections in her right knee due to osteoarthritis, which improved her condition. She hasn't had any special...
Dr. Shi Guozheng Reply:
1. Arthritis can cause pain. 2. In cases of severe pain, medication treatment should be prioritized. 3. The severity of arthritis needs to be assessed through X-rays. If it is very severe, hyaluronic acid injections are not recommended; if it is mild, medication treatment can...[Read More] Hyaluronic Acid Injections and Rehab Tips for Osteoarthritis Relief