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-Hip Replacement Knee Pain: Causes and Treatment Options Explained
Knee pain after hip replacement surgery? Hello Doctor, two years ago I underwent a left total hip arthroplasty. Aside from slight improvement in thigh numbness, I have the following concerns: 1. Upon waking and getting out of bed, my left knee makes a popping sound when I stand...
Dr. Shi Guozheng Reply:
1. If there is loosening of the femoral stem, it can also cause knee joint pain. 2. This has been documented. 3. If it is severe, reoperation may be necessary; if it is not severe, medication treatment will suffice. 4. Continued outpatient follow-up is required to monitor its cha...[Read More] Post-Hip Replacement Knee Pain: Causes and Treatment Options Explained
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
Effective Treatment Options for Finger Joint Pain After Injury
Pain at the distal interphalangeal joint of the fingers? Hello, doctor. I previously sustained a bruise from external force, initially thinking it was due to eating radishes. However, after two months of taking anti-inflammatory medication, undergoing rehabilitation, and receivin...
Dr. Shi Guozheng Reply:
Injuries to the wrist typically take a longer recovery time, usually over twelve weeks. Currently, you can continue with rehabilitation or apply heat therapy. If there is significant pain, you may intermittently take pain relievers to alleviate discomfort.[Read More] Effective Treatment Options for Finger Joint Pain After Injury
Understanding Knee Pain: Causes and Solutions for Persistent Discomfort
Knee problems Hello, Doctor: I have been experiencing pain behind my knee since February 26. The pain occurs whenever I sit for a prolonged period and then get up to walk. It has been hurting for two weeks now. What could be the cause of this? Thank you!
Dr. Chen Yongxue Reply:
Hello, there are many causes of knee joint pain. It is advisable to visit an orthopedic clinic for an examination. Thank you.[Read More] Understanding Knee Pain: Causes and Solutions for Persistent Discomfort
Delayed Diagnosis of Finger Fracture: Treatment Options Explored
Delayed diagnosis of finger fracture? Hello Doctor: In May 2023, I had a motorcycle accident and went to the emergency department at Changhua Christian Hospital in Douliu. At that time, no fractures in my fingers were detected. I later visited an orthopedic clinic, but the doctor...
Dr. You Dianqi Reply:
After the emergency visit, you should have been scheduled for a follow-up appointment at the orthopedic outpatient clinic for evaluation. Thank you.[Read More] Delayed Diagnosis of Finger Fracture: Treatment Options Explored
Effective Treatments for Meniscus Tears and Joint Pain in the Knee
Meniscus tear with immune system issues, what treatment options are available? Hello Doctor, last year in May and June 2023, I fell three times on a brick path, landing on my right knee. During this time, I consulted Western medicine, underwent rehabilitation, took medications, a...
Dr. Chen Yongxue Reply:
The degree of damage to the meniscus varies significantly, and the treatment methods differ accordingly. It is advisable to conduct further examinations.[Read More] Effective Treatments for Meniscus Tears and Joint Pain in the Knee
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 High Arches: Effective Treatments for Foot Pain Relief
Joint pain At the age of 25, I had an ankle sprain, and prior to that, I had no discomfort from my high arches. I was able to engage in various intense sports such as basketball, badminton, and rock climbing without any issues. However, after spraining my right ankle, I developed...
Dr. Shi Guozheng Reply:
If there were no issues previously, then once the sprained ankle heals along with rehabilitation treatment, it typically improves. Resorting to non-standard medical methods is usually inappropriate.[Read More] Managing High Arches: Effective Treatments for Foot Pain Relief
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
Understanding Knee Surgery Options: Traditional vs. Minimally Invasive
Knee joint surgery-related issues? Hello, doctor. My family member underwent traditional total knee replacement surgery over a month ago and has been experiencing significant soreness and discomfort postoperatively. We are concerned about the possibility of surgical failure. Howe...
Dr. Shi Guozheng Reply:
1. Currently, most physicians perform total knee arthroplasty using a minimally invasive approach, and they usually explain this to the patients beforehand; communication is essential. 2. Minimally invasive surgery involves smaller incisions, less muscle dissection, and reduced...[Read More] Understanding Knee Surgery Options: Traditional vs. Minimally Invasive
Understanding Thumb Joint Pain: Causes, Treatment, and Recovery Tips
Thumb issues Hello Doctor, my right thumb's interphalangeal joint started hurting about a week ago, and I would like to ask you some questions: Currently, the symptoms are that when viewed from the back of the hand, the right side of the interphalangeal joint is particularly...
Dr. Shi Guozheng Reply:
1. It could be ligament inflammation. If there is an issue with the bone, an X-ray will be needed to confirm it. 2. You can rest and take some anti-inflammatory medication. 3. Try to avoid using your thumb as much as possible. 4. If there is no improvement after two weeks, consul...[Read More] Understanding Thumb Joint Pain: Causes, Treatment, and Recovery Tips
Unexplained Joint Pain: Understanding Chronic Bone Discomfort
Pain in various joints throughout the body for unknown reasons? I have been experiencing bone pain for about ten years, but my family told me it was growing pains. Even after turning 18, I still frequently have unexplained bone pain in my wrists, elbows, ankles, knees, calves, an...
Dr. You Dianqi Reply:
Hello, it is recommended to visit an orthopedic clinic for evaluation. Thank you.[Read More] Unexplained Joint Pain: Understanding Chronic Bone Discomfort
Can Weather Changes Cure Sacroiliac Pain in Ankylosing Spondylitis Patients?
Can the pain caused by weather changes in patients with sacroiliitis (ankylosing spondylitis) be completely cured? Hello Dr. Li, I am a patient with ankylosing spondylitis (20 years old), and I have been experiencing symptoms for 3.5 years. Currently, under the treatment of a rhe...
Dr. Li Wenhong Reply:
Hello: Ankylosing spondylitis cannot be cured, please cooperate with the treatment from the rheumatology department for proper management. Thank you! Changhua Hospital, Orthopedics, Dr. Li Wen-Hong.[Read More] Can Weather Changes Cure Sacroiliac Pain in Ankylosing Spondylitis Patients?
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
Managing Sacroiliac Joint Pain in Ankylosing Spondylitis: Weather Sensitivity Solutions
Can the pain in the sacroiliac joint due to sudden weather changes (in patients with ankylosing spondylitis) be treated? Hello Dr. Shi, I am a 20-year-old patient with ankylosing spondylitis, and I have been experiencing symptoms for 3.5 years. Currently, under the treatment of a...
Dr. Shi Guozheng Reply:
1. If it is ankylosing spondylitis, it will not improve, but if there are symptoms, medication can be used for treatment, which can still lead to some improvement. 2. When symptoms appear, it is important to rest more and reduce activity; local heat application may have some eff...[Read More] Managing Sacroiliac Joint Pain in Ankylosing Spondylitis: Weather Sensitivity Solutions
Understanding Hip Joint Pain After Titanium Screw Surgery: Causes and Solutions
Hip joint fracture Hello doctor, I had a femoral fracture a while ago and underwent a self-funded surgery to fix it with titanium alloy screws. It has been about six months since the surgery. 1. I would like to ask if the soreness near my buttocks and the area of the fracture (...
Dr. Shi Guozheng Reply:
1. It is necessary to take an X-ray to determine if the pain is caused by the bone screw. 2. Sometimes, the bone screw can rub against the muscle or bursa, leading to pain.[Read More] Understanding Hip Joint Pain After Titanium Screw Surgery: Causes and Solutions
Does Sacroiliac Joint Pain Syndrome Cause Elevated Inflammatory Markers?
Does sacroiliac joint pain syndrome cause an abnormal increase in inflammatory markers? Hello Doctor, I have been experiencing pain in my sacroiliac joint for six months, and rehabilitation has not been effective. After consulting a rheumatologist and undergoing some tests, I was...
Dr. Chen Bochen Reply:
Hello, the patients with sacroiliac joint pain syndrome typically do not show elevated levels of CRP or ESR.[Read More] Does Sacroiliac Joint Pain Syndrome Cause Elevated Inflammatory Markers?
Understanding Sacroiliac Joint Pain Syndrome and Its Symptoms
About Sacroiliac Joint Pain Syndrome Hello Doctor, I have been experiencing pain in my sacroiliac joint for six months, and rehabilitation has not been effective. After consulting a rheumatologist and undergoing some tests, I was diagnosed with ankylosing spondylitis. However, I ...
Dr. Li Wenhong Reply:
Hello: Sacroiliac joint pain and inflammation are often the first symptoms of ankylosing spondylitis. If X-rays reveal arthritis and blood tests show a positive HLA-B27 reaction, it is likely ankylosing spondylitis. You should have it detected early; please follow the recommendat...[Read More] Understanding Sacroiliac Joint Pain Syndrome and Its Symptoms
Does Running Cause Knee Pain and Arthritis? Understanding Joint Health
Joint pain Does running damage the knees and lead to arthritis? Thank you.
Dr. Shi Guozheng Reply:
Young people generally have healthy joints and can run. However, as they age, if joint pain occurs, they should stop running or reduce their running activities.[Read More] Does Running Cause Knee Pain and Arthritis? Understanding Joint Health