Understanding Revision Hip Replacement: Key Concerns and Insights
Revision of total hip arthroplasty Hello, Doctor, thank you for your previous response regarding the materials used in artificial hip joints. I later realized that you had addressed similar questions before, and I apologize for the repetition. I am a patient with systemic lupus e...
Dr. Shi Guozheng Reply:
The test results indicate a high likelihood of infection. The materials you mentioned are usable. However, your hip joint may require a complete set, but the prerequisite is to effectively control the infection issue.[Read More] Understanding Revision Hip Replacement: Key Concerns and Insights
Navigating Joint Replacement Surgery Risks in Elderly Patients with Complications
My father wants to undergo joint replacement surgery, but his physical condition seems to be unsuitable? Hello Doctor! My father, born in 1970, suffers from ankylosing spondylitis and, due to severe pulmonary tuberculosis many years ago, has almost lost function in his left lung,...
Dr. Shi Guozheng Reply:
Patients with ankylosing spondylitis are generally less suitable for lumbar anesthesia; however, a regional femoral nerve block can be used for surgical procedures near the hip joint on one side. This approach eliminates the need for spinal anesthesia. We have had numerous cases ...[Read More] Navigating Joint Replacement Surgery Risks in Elderly Patients with Complications
Managing Pain in Avascular Necrosis of the Femoral Head: What to Expect
Pain from avascular necrosis of the femoral head? Hello, Doctor: Thank you for your prompt response! You mentioned that avascular necrosis of the femoral head typically worsens over time, often leading to the need for joint replacement, and that recovery is unlikely with medicati...
Dr. Shi Guozheng Reply:
To reduce the load on the hip joint and alleviate pain, it is advisable to minimize exertion, limit walking, and avoid vigorous activities against walls. Additionally, using a cane or walking stick as an assistive device can help relieve some symptoms. Engaging in rehabilitation ...[Read More] Managing Pain in Avascular Necrosis of the Femoral Head: What to Expect
Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Outlook
Avascular necrosis of the femoral head I have been experiencing pain in both hip joints while walking for the past month or two. The MRI report confirmed that there is some avascular necrosis of the femoral head due to steroid use. The doctor explained that it is still in the ear...
Dr. Shi Guozheng Reply:
In the early stages, some cases may have a possibility of recovery, although the chances are slim. Pharmacological treatments are usually ineffective. In the past, some have used Fosamax for treatment, but the results are not guaranteed. Before undergoing joint replacement, there...[Read More] Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Outlook
Understanding Hip and Thigh Pain After Running: Causes and Solutions
Hip and thigh pain after exercise? Hello, Doctor: I apologize for bothering you, but I have a question. I am determined to become a firefighter, and physical fitness is very important. Last month, while training for jogging, I experienced pain in my hip and the back of my right l...
Dr. Shi Guozheng Reply:
Snapping hip syndrome, if it only produces sound without pain, is generally not a concern. However, if there is pain associated with it, medication may be necessary. If joint movement is normal and there are no functional impairments, it can usually be ignored. Surgery is typical...[Read More] Understanding Hip and Thigh Pain After Running: Causes and Solutions
Understanding Hip Joint Dislocation: Recovery Tips for Limited Leg Mobility
Inability to bend the thigh? Hello Dr. Shi: My friend was in a car accident at the end of last year and was taken to the hospital via emergency services. The doctor diagnosed a closed dislocation of the right hip joint. During the emergency treatment, he received general anesthes...
Dr. Shi Guozheng Reply:
Recovery from a hip joint dislocation reduction typically takes about three months, and rehabilitation may be necessary to facilitate gradual recovery. If there is significant pain, medication treatment should still be administered.[Read More] Understanding Hip Joint Dislocation: Recovery Tips for Limited Leg Mobility
Understanding Persistent Hip Pain After Hip Replacement Surgery
Artificial hip joint Hello doctor, I would like to ask about my grandmother. She has been experiencing significant pain in the hip joints of both thighs. The left side has already undergone surgery for a hip replacement, but she is still in pain. It has been 7 months since the su...
Dr. Shi Guozheng Reply:
After hip joint surgery, it usually takes about two to three months for recovery, during which pain typically decreases. If pain persists, further evaluation is necessary, and medication can be prescribed for pain management. If surgery is also needed on the other side, it is imp...[Read More] Understanding Persistent Hip Pain After Hip Replacement Surgery
Understanding Knee Pain: Causes and Connections to Thigh Injuries
Knee problems Hello Doctor: Since I strained my right thigh last year, my knee has started to feel uncomfortable. An MRI revealed slight valgus of the knee and a small amount of effusion. An ultrasound showed inflammation of the medial collateral ligament. Currently, I experience...
Dr. Shi Guozheng Reply:
A thigh strain may affect the soft tissues near the knee joint, including the medial collateral ligament (MCL). Mild valgus of the knee does not necessarily present with symptoms. You can visit a larger hospital to consult with an orthopedic physician.[Read More] Understanding Knee Pain: Causes and Connections to Thigh Injuries
Chronic Hip Pain: Seeking Answers for Unresolved Joint Issues
Joint pain My husband has to stand for long periods due to his job, and he has been experiencing pain in a specific point at the top and outer part of his right thigh (this should be near the hip joint, right?). The pain radiates throughout his entire thigh, and he has developed ...
Dr. Shi Guozheng Reply:
It could be hip joint pain or sciatica. You can consult an orthopedic specialist or a rehabilitation physician for medication treatment. If that is not effective, consider trying physical therapy to see if it improves.[Read More] Chronic Hip Pain: Seeking Answers for Unresolved Joint Issues
Understanding Mild Pain in the Front of the Left Thigh Near the Hip
Mild pain between the left thigh's anterior side and the hip bone? Hello Doctor, I have been doing the Zheng Duoyan exercise every day during my winter break. About five days ago, I woke up feeling a slight pain in the front of my left thigh near the hip joint. It hurts a bi...
Dr. Shi Guozheng Reply:
It is most likely a muscle or tendon strain. Rest for a few days and apply heat. If it does not improve, you will need to see a doctor.[Read More] Understanding Mild Pain in the Front of the Left Thigh Near the Hip
Understanding Hip Labral Tears: Symptoms, Diagnosis, and Treatment Options
Labral tear of the hip joint Hello, Doctor. Last year, I fell from a height of 3 meters while lifting heavy objects. Since then, I have experienced swelling on the outer side of my left hip joint, and there is a clicking sound on the inner side that is painful. I have been receiv...
Dr. Shi Guozheng Reply:
Further evaluation with ultrasound or MRI can be considered. It's advisable to have a physician assess the situation before making any plans regarding potential regrowth, as some conditions may not allow for regrowth and may require surgery.[Read More] Understanding Hip Labral Tears: Symptoms, Diagnosis, and Treatment Options
Why High Carbon Steel is No Longer Used in Hip Implants
Artificial hip joint made of high carbon steel material? Previously, artificial hip joints were made from high-carbon steel, but I recently inquired with an orthopedic surgeon and learned that high-carbon steel is no longer used. I would like to know if there are any issues with ...
Dr. Shi Guozheng Reply:
All metallic materials have wear issues, which may be related to their material properties. Additionally, if new materials emerge that are superior, the older materials will gradually be phased out.[Read More] Why High Carbon Steel is No Longer Used in Hip Implants
Which Specialist Should You See for Persistent Back and Leg Pain?
Which specialist should I see for the following pain? Hello Doctor: I have been experiencing lower back pain for three months. Currently, I cannot bend over while washing my hair, and light tapping on the outer side of my right thigh causes numbness and pain. If I sleep on my rig...
Dr. Shi Guozheng Reply:
It could be due to an issue with the hip joint, so it would be advisable to consult an orthopedic specialist to check for any potential problems.[Read More] Which Specialist Should You See for Persistent Back and Leg Pain?
Post-Surgery Pain in Toes After Lateral Collateral Ligament Repair
Pain in the toes after lateral collateral ligament surgery? Hello, Doctor. I was in a car accident recently and suffered tears to my left knee's anterior and posterior cruciate ligaments, as well as the lateral collateral ligament. After evaluation, the doctor decided to fir...
Dr. Shi Guozheng Reply:
Post-surgical pain is normal and it may take about six weeks for the pain to lessen. Complete recovery may take up to three months.[Read More] Post-Surgery Pain in Toes After Lateral Collateral Ligament Repair
Understanding Ankylosing Spondylitis: Treatment Options and When to Consider Surgery
Ankylosing spondylitis Hello, I was diagnosed with ankylosing spondylitis while serving in the military. My right foot swelled up, making it difficult to stand for long periods, and every step I took was painful. At that time, the doctor said I could only take steroids to relieve...
Dr. Shi Guozheng Reply:
If the hip joint is affected and medication treatment is ineffective, surgery may be considered. First, it is essential to check for the presence of arthritis, assess whether there is joint space narrowing, and determine if there is significant functional impairment before making...[Read More] Understanding Ankylosing Spondylitis: Treatment Options and When to Consider Surgery
Understanding Hip Bone Issues in Children: Surgery, Care, and Recovery
Hip bone issues? I would like to ask about a child whose left hip bone is close to the bone, and the right hip bone is not dislocated. I only know that the surgical incision is less than two centimeters and that screws were inserted. I am unsure about the different materials of t...
Dr. Li Wenhong Reply:
Hello NANA: Your question is not very clear, making it difficult to provide a specific answer. Typically, surgical incisions for hip joint procedures are usually greater than 2 centimeters. Please discuss the choice of implant material, surgical duration, and care methods with yo...[Read More] Understanding Hip Bone Issues in Children: Surgery, Care, and Recovery
Recovering from Hip Joint Pain: Tips for Athletes After Sprinting
Hip joint pain I am an athlete. Last Monday, I did a 300-meter sprint, and the next day, my right hip joint was very painful. I'm not sure if it's a strain. Now, when I lift my leg or jog slowly, my hip joint hurts. Can you tell me how to recover? Also, my right knee hu...
Dr. Wang Shouji Reply:
Hello: After sprinting, if you experience pain in the hip and pelvic area, aside from a possible muscle strain, given your age, you should be cautious about the possibility of an avulsion fracture of the pelvis. Thank you![Read More] Recovering from Hip Joint Pain: Tips for Athletes After Sprinting
Understanding Suspected Bone Tumors: Diagnosis and Next Steps
Suspected bone tumor? Hello Doctor: Today I had an X-ray at the hospital, and the doctor found something near my hip joint close to the groin area. He mentioned it might be an osteoma. Can you tell me if it is definitely an osteoma, or could it be something else? If a bone scan i...
Dr. Shi Guozheng Reply:
The diagnosis of a bone tumor relies on initial assessment through X-rays. If there are suspicions, further imaging studies such as MRI (Magnetic Resonance Imaging), CT scan (Computed Tomography), or bone scan may be conducted. You don't need to be overly anxious; generally,...[Read More] Understanding Suspected Bone Tumors: Diagnosis and Next Steps
Preventing Further Deterioration of Hip Joint Health
Preventing further deterioration of the hip joint? 1. X-rays show sclerosis and narrowing of the hip joint, making it difficult to cross the legs and slightly challenging to abduct the thigh. Standing up after squatting requires assistance to rise quickly. Occasionally, there is ...
Dr. Shi Guozheng Reply:
Based on your description, the hip joint likely has severe arthritis if the joint space is already narrowed. The effectiveness of PRP injection therapy may not be very good in this case. Swimming is not necessarily detrimental to the joint, but it is important to avoid excessive ...[Read More] Preventing Further Deterioration of Hip Joint Health
Post-Surgery Guidelines for Hip Joint Replacement: Sports Activities and Recovery Time
Postoperative hip joint care? Dear Dr. Wang, Due to the use of steroids, I have developed avascular necrosis of both hip joints (I had a partial hip replacement on my right leg in January, and I will also have a partial hip replacement on my left leg in July). I am very passiona...
Dr. Wang Shouji Reply:
Hello: After hip joint replacement surgery, normal activities can gradually resume within two to three months. However, it is recommended to wait six months before engaging in vigorous exercise, as excessive high-impact activities can affect the longevity of the artificial joint....[Read More] Post-Surgery Guidelines for Hip Joint Replacement: Sports Activities and Recovery Time