Joints, Orthopedics FAQ

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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


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?


Is Your Finger Injury from a Car Door Serious? Expert Advice Needed

The middle finger was severely pinched by a car door? Hello Dr. Shen, My sister was caught in a car door, injuring her middle finger at the joint between the two phalanges. Upon visual inspection, there is a dent and skin abrasion at the site of the injury, while the surroundin...


Dr. Shen Boquan Reply:
Hello, if a car door has injured your sister's middle finger and there is a suspicion of a fracture, it is advisable to seek medical attention. A physician should evaluate the injury to determine if a fracture is present. If a fracture is confirmed, early movement is not rec...

[Read More] Is Your Finger Injury from a Car Door Serious? Expert Advice Needed


Understanding Fifth Metatarsal Base Fractures: Treatment Options and Recovery

Base of the fifth metatarsal fracture? Hello Doctor, I sustained an injury from a fall on March 1st, and on March 2nd, an orthopedic evaluation diagnosed me with a fracture at the base of the fifth metatarsal. During my follow-up on March 16th, it was noted that the fracture gap ...


Dr. Chen Yongxue Reply:
Generally, fractures of the base of the fifth metatarsal typically do not require surgery. They usually heal well with approximately 8 to 10 weeks of cast immobilization, followed by about 4 to 6 weeks of rehabilitation after the cast is removed. However, a small number of patien...

[Read More] Understanding Fifth Metatarsal Base Fractures: Treatment Options and Recovery


Understanding Knee Issues: Causes, Symptoms, and Dietary Solutions

Knee issues Hello Doctor, my joints in my hands and feet have been making noises more frequently over the past year. My knees also crack when I squat, and my shoulders make sounds when I stretch, but there is no pain. During a recent health check, the doctor mentioned that I have...


Dr. Shi Guozheng Reply:
If joints make sounds without accompanying pain, it is not a concern. Increase protein intake, perform some joint flexion exercises, apply heat, and keep the joints warm. A balanced diet is important.

[Read More] Understanding Knee Issues: Causes, Symptoms, and Dietary Solutions


Can Surgery Correct Genetic Curvature of the Pinky Finger?

Flexion of the little finger joint? I was born with the joints at the tips of my little fingers bent like those of my ring fingers, and my grandmother has the same issue. It seems to be hereditary. Is it possible to restore the appearance of a normal little finger through surgery...


Dr. Zhan Xian Reply:
Recommendation for orthopedic outpatient evaluation. Thank you.

[Read More] Can Surgery Correct Genetic Curvature of the Pinky Finger?


Post-Fracture Joint Issues: Understanding Complications After Surgery

Postoperative joint issues following fractures of the tibia, fibula, and clavicle? 1. The occasional numbness and burning sensation in the ankle, foot, and toe joints two months after the fracture surgery may be due to nerve irritation or compression, possibly related to swelling...


Dr. Shi Guozheng Reply:
After a lower limb fracture and surgery, it is normal for swelling to persist if blood circulation has not yet returned, which may take more than three months to recover. For a clavicle fracture, do not elevate the arm as it may cause the metal pins to shift. It is normal to feel...

[Read More] Post-Fracture Joint Issues: Understanding Complications After Surgery


Post-Fracture Rehabilitation: Understanding Wrist Recovery After Surgery

Postoperative fracture of the radius and ulna? Dear Doctor, I suffered a fracture of the distal radius and ulnar on December 20, underwent surgery on December 22, and was hospitalized for 5 days before being discharged. During rehabilitation, I was only able to perform hand grip ...


Dr. Shi Guozheng Reply:
After surgery, it is important to start wrist joint exercises as early as possible. Additionally, the hand should perform fist clenching and opening movements to help loosen the finger joints. Regular follow-up appointments are necessary to monitor the healing of the fracture. If...

[Read More] Post-Fracture Rehabilitation: Understanding Wrist Recovery After Surgery


Post-Surgery Challenges: Addressing Lower Body Sensation Loss After Thoracic Spine Surgery

After thoracic spine surgery, there is reduced sensation in the lower body, and the patient is unable to exert force and get out of bed? My mother-in-law underwent surgery on December 22 for her thoracic spine. After the surgery, she has experienced reduced sensation and weakness...


Dr. Wang Shouji Reply:
Hello, if postoperative neurological symptoms (such as numbness, pain, or weakness) worsen, is it advisable to immediately check for any compression, or is it a temporary phenomenon after surgery? Changhua Hospital cares about your health. Wang Shou-ji.

[Read More] Post-Surgery Challenges: Addressing Lower Body Sensation Loss After Thoracic Spine Surgery


Do Finger Bending and Ganglion Cysts Have a Connection?

Is there a connection between a wrist fracture and tenosynovitis? I recently came across an interesting news article stating that a doctor in the United States conducted an experiment for sixty years on cracking his fingers and concluded that there was no difference between finge...


Dr. Shen Boquan Reply:
Hello, it's unlikely that a single incident of finger fracture would cause a tendon sheath cyst; you may have already had the cyst and just discovered it. If it is not very painful or bothersome, rest or observation is sufficient. If discomfort occurs, you can take or apply ...

[Read More] Do Finger Bending and Ganglion Cysts Have a Connection?


Understanding Hard Lumps on Finger Joints: When to Seek Medical Advice

Finger joints Hello: I feel a hard lump in the joint of my left pinky finger, which causes the pinky to bend upwards about 45 degrees when my palm is facing down. However, it is not painful, and the finger's function is normal. Is it necessary to seek medical attention?


Dr. Shi Guozheng Reply:
Continue to monitor for symptoms and seek medical attention if they occur.

[Read More] Understanding Hard Lumps on Finger Joints: When to Seek Medical Advice


Understanding and Treating Widespread Bone and Muscle Pain: A Guide

Generalized bone pain? Starting Friday night, I experienced bone pain in both legs, and I was awakened in the middle of the night by pain throughout my entire body, making it difficult to walk and move. This included pain in both finger joints and wrists, spine, sacrum, buttocks,...


Dr. Shi Guozheng Reply:
It could be a cold or a viral infection, and influenza is also a possibility. You should visit a hospital to consult a physician for an evaluation, especially if the symptoms persist.

[Read More] Understanding and Treating Widespread Bone and Muscle Pain: A Guide


Cracking Elbow Sounds After Car Accident: Causes and When to Seek Help

There is a popping sound on the outer side of the elbow after the car accident? Hello doctor, about 23 days ago I was in a car accident and when I flew forward, I landed on my hands. At that time, both my wrist and elbow were very painful, and I had a large bruise near the outer ...


Dr. Wang Shouji Reply:
Hello, if there are abnormalities in the joints without accompanying pain, it is mostly not a concern, and rehabilitation can be performed. If there are still questions, it is recommended to have a follow-up examination with an orthopedic specialist to confirm whether there are a...

[Read More] Cracking Elbow Sounds After Car Accident: Causes and When to Seek Help


Post-Surgery Stiffness in Proximal Phalanx Fracture: Seeking Solutions

Stiffness issues following surgery for a proximal phalanx fracture of the right little finger? Hello Dr. You, I was involved in a car accident on July 31 of this year, which resulted in a fracture of the proximal phalanx of my right little finger. The doctor in Hualien recommende...


Dr. You Dianqi Reply:
It is advisable to discuss your concerns with your original attending physician (surgeon), as each individual's injury severity and recovery situation can vary. Please return for a follow-up appointment to discuss your concerns with the doctor, and ask them to evaluate the s...

[Read More] Post-Surgery Stiffness in Proximal Phalanx Fracture: Seeking Solutions


Post-Surgery Concerns: Understanding Recovery After a Boxer’s Fracture

Postoperative issues Hello, doctor. At the end of September, I accidentally injured my right pinky finger. I was afraid of surgery, so I waited a month before going to the hospital. The doctor said it was a boxer’s fracture. I followed the doctor's advice and opted for self-...


Dr. Shi Guozheng Reply:
Post-operative pain is a normal phenomenon, and stiffness in the joints is also normal. Gradually bending the joints and increasing the range of motion can help improve the situation.

[Read More] Post-Surgery Concerns: Understanding Recovery After a Boxer’s Fracture


Common Toe and Finger Deformities: Causes and Treatment Options

Toe problems Overlapping and crowded toes often cause discomfort, and the nails have become prone to ingrown toenails or paronychia. I would also like to inquire about my fingers, which are not straight and have a noticeable lateral curvature. It seems that the first joints of bo...


Dr. Shi Guozheng Reply:
It is essential to first determine whether there is any displacement before deciding if treatment is necessary; therefore, it is recommended to consult a physician for a clear diagnosis.

[Read More] Common Toe and Finger Deformities: Causes and Treatment Options


Understanding Persistent Discomfort After Vertebroplasty: Causes and Solutions

Persistent soreness after bone cement surgery? Hello, Doctor! I would like to ask about my mother, who recently had an accident. She was diagnosed with osteoporosis at -2.5% and underwent vertebroplasty and hip surgery. Initially, she experienced severe pain, panic, and depressio...


Dr. Chen Bochen Reply:
Hello, bone cement itself does not cause acidity, but there are many injured joints, muscles, and ligaments that cannot be treated with bone cement. These injuries generally require a combination of rehabilitation, brisk walking exercises, and hot compress therapy, along with the...

[Read More] Understanding Persistent Discomfort After Vertebroplasty: Causes and Solutions


Does Bone Necrosis Affect Height Development in Gout Patients?

Does bone necrosis affect height development? Earlier this year, I experienced sudden pain and swelling in my arches and the tops of my feet. When there is no pain, there is slight swelling and discomfort in the posterior part of the arch, especially after standing for long perio...


Dr. Shi Guozheng Reply:
1. Gout does not cause bone necrosis. 2. It does not affect height in the ankle region; however, it can impact height if it occurs in the hip or knee joints.

[Read More] Does Bone Necrosis Affect Height Development in Gout Patients?


Effective Treatments for Chronic Pain in the Spine and Joints

Treatment options for chronic pain in the lumbar spine, cervical spine, and knees? I would like to ask about an issue I experienced over six years ago. Due to prolonged sitting, I had severe lower back pain and a tingling, electric shock-like sensation in one leg, which was so in...


Dr. Shi Guozheng Reply:
1. It could be a steroid. 2. The physician administering the injection would know best. 3. If it is a localized tendonitis, an injection can be administered.

[Read More] Effective Treatments for Chronic Pain in the Spine and Joints


Understanding Occasional Leg Pain: When to Seek Medical Advice

Intermittent pain in the leg bones or joints? Hello Doctor, in the past year or two, I have occasionally experienced a dull ache in my lower limb joints or bones, similar to growing pains, mostly occurring in the evenings before sleep. I would like to ask if it is necessary to se...


Dr. Shi Guozheng Reply:
You can first use heat therapy or massage to relieve the discomfort; if it doesn't improve, then consult a physician.

[Read More] Understanding Occasional Leg Pain: When to Seek Medical Advice


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