Understanding Nighttime Hip Pain: Causes and Solutions for Recovery
Waking up in the middle of the night with buttock pain for a week? Around early February of this year, after adding self-training with cycling and using a treadmill, I experienced a sharp pain in my coccyx area that night, which gradually affected the surrounding gluteal muscles....
Dr. Shi Guozheng Reply:
It is most likely an injury to the muscles or tendons near the hip joint. It may be necessary to temporarily stop the activity, and in addition to medication, rehabilitation can be included. Typically, a tendon injury takes about six to twelve weeks to fully heal, and sometimes i...[Read More] Understanding Nighttime Hip Pain: Causes and Solutions for Recovery
Dealing with Complications After Pelvic Fracture Surgery
Nail problems Hello doctor, I previously fell while riding a bicycle, which resulted in a fracture of my pelvis and femur. I underwent surgery to have metal screws inserted. Three months post-surgery, I visited the doctor, who said I had resumed weight-bearing activities too earl...
Dr. Wang Shouji Reply:
Hello: We need to assess whether your X-ray shows any impact on healing or the hip joint. If there is no impact, you can wait for healing, and the pain will gradually decrease. If there is an impact, further surgery may be necessary.[Read More] Dealing with Complications After Pelvic Fracture Surgery
How to Care for Bone Calcification After Hip Surgery
Regarding bone calcification? Three years ago, I had surgery on my hip joint due to a car accident, and I have been returning for follow-up appointments every six months. The doctor mentioned that my bones have some calcification. How should I take care of my bones or what should...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, the slight calcification of the bones should not be a major concern, and there are no specific supplements or foods that are particularly effective. It is recommended to continue follow-up visits every six months. Thank you for your inquiry.[Read More] How to Care for Bone Calcification After Hip Surgery
Post-Total Hip Replacement: Essential Guidelines for Recovery and Care
Total Hip Replacement I underwent surgery on May 7, 2016, for a "right pelvic fracture with associated right hip dislocation," which led to post-traumatic arthritis nearly two years later, resulting in a total hip arthroplasty on March 27, 2018. I have some questions as...
Dr. Shi Guozheng Reply:
1. No. 2. Rehabilitation is necessary and is usually well understood. 3. Strength training for the muscles helps to stabilize the joints. 4. Driving should be avoided for six weeks post-surgery; the seat should be elevated to prevent dislocation. 5. Dental treatments may cause tr...[Read More] Post-Total Hip Replacement: Essential Guidelines for Recovery and Care
Addressing Complications After Pelvic Fracture Surgery: A Patient's Dilemma
Bone screw issues Hello doctor, my dad fell off his bicycle and fractured his pelvis along with the thigh bone, which resulted in his inability to stand. He underwent surgery where steel pins were used. After three months post-surgery, we visited the doctor, who mentioned that we...
Dr. Li Yongheng Reply:
Hello, based on your father's condition, he appears to have an intertrochanteric fracture of the femur at the hip joint, and it has been three months since his surgery. The doctor mentioned that your father engaged in activities on the ground too soon, which caused the steel...[Read More] Addressing Complications After Pelvic Fracture Surgery: A Patient's Dilemma
Understanding Congenital Limb Length Discrepancy and Surgical Options
Congenital limb length discrepancy, with the left calf noticeably more curved than the right? Hello, I am 27 years old. I have a congenital leg length discrepancy, with my right leg being approximately 5-6 cm shorter than my left. I underwent examinations as a child, which reveal...
Dr. Shi Guozheng Reply:
If there is a dislocation of the left hip joint accompanied by pain symptoms and medication treatment is ineffective, a total hip arthroplasty on the left side may be considered. If the dislocation is not severe and there are no pain symptoms, then consideration can be given to w...[Read More] Understanding Congenital Limb Length Discrepancy and Surgical Options
Post-Operative Hip Joint Swelling and Pain: One Year Later
Hip joint swelling and pain one year after surgery? It has been a year since I underwent hip replacement surgery, but recently the area around the incision has been swollen and painful, and I have noticed that it is getting larger. I am unsure why there is swelling.
Dr. Shi Guozheng Reply:
It could be joint inflammation or synovitis, which may also be caused by an infection. Additionally, there could be a possibility of joint instability. It is recommended to consult a physician for examination and evaluation.[Read More] Post-Operative Hip Joint Swelling and Pain: One Year Later
Post-Surgery Complications: Unremoved Fragments in Femoral Osteochondral Fracture
After the surgery for a right femoral condyle fracture, it was found that some fragments of bone were not completely removed. Is this considered a malpractice? Dear Doctor, My mother underwent surgery for a right femoral condyle fracture, but she has been experiencing persistent...
Dr. Shi Guozheng Reply:
The cartilage on the femur is located at the knee joint or hip joint, but it is not clearly stated in the document. It does not specify how long after the surgery the patient may experience pain. Typically, there will be a varying period of time post-surgery during which pain may...[Read More] Post-Surgery Complications: Unremoved Fragments in Femoral Osteochondral Fracture
Can Walking Be Possible Without a Hip Joint After Removal?
Is it possible to walk after completely removing an artificial hip joint without replacing it with a new one? Hello Dr. Shih, my father is 78 years old and is on dialysis. A couple of years ago, after suffering from inflammation of a prosthetic hip joint that he had for over twen...
Dr. Shi Guozheng Reply:
1. You are correct, but walking is still possible with the use of assistive devices (this surgical method is called the Girdlestone operation). 2. This approach is available; if an infection occurs and the artificial joint cannot be healed or preserved, it can be managed this wa...[Read More] Can Walking Be Possible Without a Hip Joint After Removal?
Choosing the Right Artificial Hip Joint: Ceramic vs. Polyethylene Options
Surgical Issues Related to Artificial Hip Joints Hello, Doctor. About 2 to 3 years ago, I was on long-term corticosteroid medication due to skin issues. Recently, I experienced pain while walking and went to an orthopedic specialist for an X-ray, which revealed avascular necrosis...
Dr. Shi Guozheng Reply:
The two materials you mentioned have a similar lifespan, and both can be used. Please refer to the attached reference for additional information. Note that the success rate of bone grafting surgery is not very high, so it may be worth considering a direct total hip replacement su...[Read More] Choosing the Right Artificial Hip Joint: Ceramic vs. Polyethylene Options
Understanding Osteoporosis: Calcium and Vitamin D Intake for Joint Health
Hip joint - Osteopenia Hello, doctor. I underwent a bone density test this year and found that I have osteopenia in the hip joint with a score of -2.1. The doctor recommended that I take calcium supplements. I have some questions regarding a calcium supplement I purchased, which ...
Dr. Li Yongheng Reply:
Hello, based on your age, your intake of calcium and vitamin D should be sufficient. Chewing calcium tablets before swallowing can enhance absorption. Additionally, spending 5 to 10 minutes in the sun daily is adequate, so there is no need to purchase additional vitamin D supplem...[Read More] Understanding Osteoporosis: Calcium and Vitamin D Intake for Joint Health
Safe Exercises After Hip Dislocation: Running, Stretching, and More
Hip dislocation In late November last year, I had a motorcycle accident that resulted in a dislocated right hip joint. After treatment by the emergency physician, the joint was successfully reduced without surgery. About a month later, I was able to walk normally, and approximate...
Dr. Ye Qingnian Reply:
The hip joint has been dislocated for 9 months. While it is possible to return to normal life, it is still advisable to avoid excessive hip flexion angles and to exercise with caution to prevent avascular necrosis of the femoral head. If there is any hip pain, it is important to ...[Read More] Safe Exercises After Hip Dislocation: Running, Stretching, and More
Impact of Hip Replacement on Pregnancy and Fetal Health
Does having a hip replacement affect pregnancy? Hello Doctor: I underwent a right hip joint replacement due to avascular necrosis in August 2015 and a left hip joint replacement in August 2016 (both with ceramic prostheses). I became pregnant in March 2017. Will this have any imp...
Dr. Shi Guozheng Reply:
Ceramic artificial joints typically have a lower risk of heavy metal release, which does not affect pregnancy or the fetus.[Read More] Impact of Hip Replacement on Pregnancy and Fetal Health
Can I Use Heat Therapy at Home After Hip or Knee Replacement Surgery?
Can I apply heat therapy at home after surgery? After recently undergoing hip joint replacement surgery due to a car accident, is it safe to apply heat at home? Additionally, my grandmother had knee joint replacement surgery and has been using ice packs in the hospital; can she s...
Dr. Cai Shanglin Reply:
Depending on the situation, if there is persistent swelling, ice therapy should be the primary approach, and this applies to the knee joint as well. Once the swelling has subsided, you can switch to heat therapy. Regarding heat conduction, ceramic hip joints still contain metal c...[Read More] Can I Use Heat Therapy at Home After Hip or Knee Replacement Surgery?
Understanding Synovial Chondromatosis: Treatment and Recovery Insights
Synovial chondromatosis Hello, Doctor, I am a patient with synovial chondromatosis, and the affected area is my right hip joint. I have experienced a progression from initial symptoms of a stiff gait and mild pain to mid-stage joint effusion, and ultimately to the removal of gran...
Dr. Shi Guozheng Reply:
1. Currently, rehabilitation therapy is the only option available. 2. This condition typically only allows for synovectomy or removal of the proliferative loose bodies, with no other treatment methods available.[Read More] Understanding Synovial Chondromatosis: Treatment and Recovery Insights
Understanding Weakness After Hip Replacement Surgery: Is It Normal?
Lack of strength after hip joint surgery? Hello Doctor, I was in a car accident on January 28th of this year. I have undergone three surgeries, with the last one being a total hip replacement on March 27th. Additionally, I recently had surgery for a comminuted fracture of the kne...
Dr. Shi Guozheng Reply:
After multiple surgeries, recovery may be slower, but ongoing rehabilitation could potentially improve the situation.[Read More] Understanding Weakness After Hip Replacement Surgery: Is It Normal?
Will Hip Replacement Surgery Lead to Limping? Insights and Prevention
Will there be a limp after a hemiarthroplasty hip replacement surgery? Hello, Doctor! My father (60 years old) underwent a partial hip replacement surgery (right leg, metal material) last month due to a femoral neck fracture from a car accident, and he is currently in recovery. P...
Dr. Shi Guozheng Reply:
Typically, most patients do not experience this phenomenon after surgery; however, individuals who already have pre-existing issues with their knee joints or spine are more likely to encounter this situation.[Read More] Will Hip Replacement Surgery Lead to Limping? Insights and Prevention
Can Orthopedic Splints Prevent Dislocation of Artificial Hip Joints?
Dislocation of the artificial hip joint? Hello, I would like to ask if a splint covered by health insurance can be used to create a device to prevent dislocation in the case of an artificial hip joint dislocation. I have seen splint devices used for hands and feet, but I haven&#x...
Dr. Shi Guozheng Reply:
You must see a rehabilitation specialist to inquire if there is coverage for such braces.[Read More] Can Orthopedic Splints Prevent Dislocation of Artificial Hip Joints?
Understanding Hip Joint Pain After Partial and Total Replacement Surgery
Artificial joint Dear Dr. Shi, Thank you for taking the time to read my question amidst your busy schedule. I underwent a hemiarthroplasty for avascular necrosis of the right hip in 1997 due to a fracture, and in 2008, I had a total hip arthroplasty (THA) at Chang Gung Memorial ...
Dr. Shi Guozheng Reply:
1. Postoperative thigh pain after total hip arthroplasty is commonly observed clinically and is usually due to stress shielding caused by the femoral stem of the prosthesis, which can lead to a portion of the femur becoming less dense, resulting in pain. However, this is typicall...[Read More] Understanding Hip Joint Pain After Partial and Total Replacement Surgery
Can Surgery Correct Hip Joint Misalignment for Better Flexibility?
The location of the hip joint? Hello doctor, my right hip is significantly abducted when standing on my right leg, which makes it difficult to maintain balance. I can only achieve a split with my legs at about 60 to 70 degrees. I have been diagnosed with leg length discrepancy an...
Dr. Shi Guozheng Reply:
Cerebral palsy often presents issues with joint contractures, which can limit the normal range of motion in the joints. To increase the range of motion, surgery may be necessary; however, a thorough evaluation by a physician is required to make a definitive determination.[Read More] Can Surgery Correct Hip Joint Misalignment for Better Flexibility?