Understanding Intermittent Pain in the Left Calf: Causes and When to Seek Help
Intermittent soreness in the left calf? The patient has congenital heart disease with moderate regurgitation and suffered a car accident 13 years ago, during which an EMG revealed C5 injury. Since the accident, the patient has noticed decreased responsiveness in the left leg. In ...
Dr. Shi Guozheng Reply:
Pain in the lower extremities may be related to the lumbar spine. It is advisable to consult a physician and get an X-ray to check for any issues with the lumbar vertebrae. Additionally, it is important to assess whether there are any problems with the knee joints as well.[Read More] Understanding Intermittent Pain in the Left Calf: Causes and When to Seek Help
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
Understanding and Treating Persistent Lower Back Pain: A Guide
I feel a sharp pain in my lower back at certain angles, as if a nerve is being pinched? I would like to consult a doctor about my stiff muscles and joints. During winter, I occasionally wake up feeling discomfort in my lower back due to poor sleeping posture, and I find it diffic...
Dr. Shi Guozheng Reply:
You can see an orthopedic specialist for lower back pain, which is usually caused by poor posture or sprains and strains. Most cases improve with medication and rest; if the pain persists, it's advisable to consult a physician.[Read More] Understanding and Treating Persistent Lower Back Pain: A Guide
Understanding Clavicle Fractures: Recovery Challenges and Treatment Options
Clavicle fracture Hello, doctor! It has been 36 days since my right clavicle fracture. During my second follow-up appointment at the hospital, the physician suggested that surgery could be an option, but I opted for conservative treatment with a sling. However, I still cannot lif...
Dr. Shi Guozheng Reply:
A clavicle fracture that does not have significant displacement may not require surgery. However, if surgery is performed, the pain duration is typically shorter, allowing for a quicker return to work. Currently, the situation is manageable; since surgery is not being done, we wi...[Read More] Understanding Clavicle Fractures: Recovery Challenges and Treatment Options
Understanding Knee Pain: Early Onset Osteoarthritis in Young Adults
Knee problems Hello Doctor: I injured my right thigh in September of last year, and two weeks later, I suddenly started experiencing knee pain (initially, it felt like there was air inside my knee when standing, which was quite uncomfortable). Eventually, I found it difficult to ...
Dr. Shi Guozheng Reply:
Based on your age, the likelihood of osteoarthritis is quite low; the pain is usually caused by inflammation of the ligaments or tendons near the knee joint. Medication, rest, and rehabilitation typically lead to improvement. Chondromalacia generally occurs at the patellofemoral ...[Read More] Understanding Knee Pain: Early Onset Osteoarthritis in Young Adults
Thank You for Your Response on Standing Issues in Orthopedics
Thank you for your response? Thank you for your response regarding the issue of standing.
Dr. Shi Guozheng Reply:
Standing for one or two hours should ideally be followed by a break to allow the ankles and knee joints some rest. It is generally not advisable to bear weight for extended periods; however, with practice, one can gradually increase standing duration.[Read More] Thank You for Your Response on Standing Issues in Orthopedics
Can You Run with a Mild Disc Bulge? Insights for Runners
Intervertebral disc protrusion and jogging? Hello Doctor, about a month ago I sought medical attention due to severe lower back pain. After X-ray and MRI examinations, both the neurosurgeon and the rehabilitation specialist indicated that there were no issues with my spine or ner...
Dr. Shi Guozheng Reply:
If it is a mild herniation, rest and medication can lead to recovery in about six weeks to three months, and rehabilitation will also help in the recovery process.[Read More] Can You Run with a Mild Disc Bulge? Insights for Runners
Could It Be Ankylosing Spondylitis? Understanding Your Back Pain
Is this ankylosing spondylitis? Hello Doctor, I have been experiencing stiffness in my lower back for almost a week. It’s not sore or painful, and I don’t feel particularly stiff in the morning. The stiffness varies in timing, but it tends to improve after taking a hot shower. Ho...
Dr. Shi Guozheng Reply:
Typically, an X-ray can reveal changes in the spine and sacroiliac joints. Additionally, a blood test for the presence of the HLA-B27 antigen can also be useful for reference. It is necessary to visit a hospital for these examinations.[Read More] Could It Be Ankylosing Spondylitis? Understanding Your Back Pain
Can You Lift Weights and Run After Clavicle Surgery? Expert Advice
Can I temporarily lift heavy objects and run after surgery for a clavicle fracture? Hello Dr. Hong, I was involved in a car accident that resulted in a fractured clavicle on my left shoulder. I opted for surgery to stabilize it with a steel plate. It has been about a month and a...
Dr. Hong Ximing Reply:
After a clavicle fracture, six weeks post-surgery, arm mobility should not be an issue. However, heavy lifting should be avoided initially. A progressive rehabilitation approach should be adopted, with follow-up X-rays every four weeks to monitor healing and prevent complications...[Read More] Can You Lift Weights and Run After Clavicle Surgery? Expert Advice
Whiplash Syndrome: Understanding Symptoms and Recovery After a Car Accident
Whiplash syndrome from a car accident? Doctor, I would like to ask you about an incident that occurred three months ago. I was in a car accident and did not sustain any external injuries, but my neck was whipped around. I had an X-ray of my neck, which showed no dislocations. Ove...
Dr. Shi Guozheng Reply:
If there was an impact during the car accident, there may be some soreness in the bones and joints, which typically recovers within one and a half to three months. Muscle or joint tightness can be alleviated with heat therapy or gentle stretching exercises, and there is usually n...[Read More] Whiplash Syndrome: Understanding Symptoms and Recovery After a Car Accident
Unexplained Joint Pain: Causes and When to Seek Medical Help
Joint pain Recently, I've been experiencing unexplained soreness in my hands, knees, and ankle joints, even though I haven't sustained any injuries. Could this be related to the change in weather, or is there an underlying issue? If I need to get checked, which specialt...
Dr. Shi Guozheng Reply:
Changes in weather can sometimes cause joint pain due to insufficient warmth. The first step is to determine if there is symmetrical involvement, meaning whether the same joints on both sides of the body are affected simultaneously. Additionally, it is important to assess the dur...[Read More] Unexplained Joint Pain: Causes and When to Seek Medical Help
Understanding Ankle Fractures and Bone Spurs: Your Recovery Questions Answered
Ankle fracture with bone spur? Hello Doctor, I had a car accident on February 28 this year, resulting in a fracture and dislocation of my right ankle. During my follow-up on December 2, it was found that there are more bone spurs near the talus (there were a few in October). My a...
Dr. Hong Ximing Reply:
Hello: After an ankle bone injury, hard bone (bone spurs) may develop during the healing process, which is a repair phenomenon. Surgical removal is only necessary if it affects joint mobility. However, the joint may still develop new spurs when subjected to stress again. Since yo...[Read More] Understanding Ankle Fractures and Bone Spurs: Your Recovery Questions Answered
Elbow Dislocation Recovery: Why Can't I Fully Bend or Straighten?
Inability to flex or extend the elbow after dislocation? I was diagnosed with an elbow dislocation after a fall on August 26. I underwent two X-ray scans, and the bones were fine. However, two weeks later, I still couldn't fully extend or bend my elbow. Now, almost three mon...
Dr. Chen Yongxue Reply:
Hello, the elbow joint is one of the joints in the human body that is most prone to stiffness and often fractures. After a dislocation, patients who work hard on rehabilitation may still experience some stiffness issues, making complete recovery difficult. If it is confirmed that...[Read More] Elbow Dislocation Recovery: Why Can't I Fully Bend or Straighten?
Understanding Neck and Back Sounds: Are They Signs of Aging?
Hello, doctor? Hello, Doctor. I'm not sure why, but recently the bones in my cervical spine (specifically the first joint that can be seen when I slightly lower my head) have been making sounds. I often find myself unconsciously slouching, and whenever I become aware of it, ...
Dr. Shi Guozheng Reply:
This may be the sound of bones and ligaments or nearby synovial tissue rubbing against each other, which is not related to pain. If you are very concerned, you can get an X-ray to check for any other issues.[Read More] Understanding Neck and Back Sounds: Are They Signs of Aging?
Understanding Post-Fracture Care: Activity, Healing, and Nutrition
Fracture issues Hello, my family member had a fracture in their arm last week and has already undergone surgery. The surgeon placed a steel pin (the kind that doesn't need to be removed), but they mentioned that it's important to move the hand frequently to reduce swell...
Dr. Shi Guozheng Reply:
Humeral fractures typically heal about three months after surgical fixation with bone screws. During this period, it is important to maintain appropriate movement in the elbow and shoulder joints. If the joints are immobilized for too long, it can lead to contractures and joint s...[Read More] Understanding Post-Fracture Care: Activity, Healing, and Nutrition
Understanding Knee Pain: Arthritis or Old Injury?
Knee pain and weakness due to weather changes? Two years ago, I started experiencing soreness and weakness in my knees every time the weather changes. I'm not sure if it's arthritis or related to an old injury. I would like to see a doctor, but I'm unsure which spe...
Dr. Shi Guozheng Reply:
You can see an orthopedic specialist. Changes in weather can cause soreness and weakness, which may be due to cartilage damage or arthritis. Additionally, misalignment of the joints can also lead to pain.[Read More] Understanding Knee Pain: Arthritis or Old Injury?
Should You Consider Surgery for Wrist TFCC and Ganglion Cyst?
Wrist TFCC (Triangular Fibrocartilage Complex) I would like to ask the doctor if there is a ganglion cyst and TFCC injury in the left hand, would you recommend surgical treatment? An MRI has been done, and the doctor mentioned that surgery is optional. If surgery is performed, a ...
Dr. Shi Guozheng Reply:
If the pain is not severe, surgery may not be necessary. After applying a cast, it is important to monitor for tightness; it should not be too tight or too loose. Additionally, the cast should be kept dry and clean to prevent odor or itching, which can cause discomfort. Joints th...[Read More] Should You Consider Surgery for Wrist TFCC and Ganglion Cyst?
Understanding Ankle Pain from Prolonged Standing in Service Jobs
Ankle joint pain caused by prolonged standing? Hello, doctor. I recently started a job in the service industry that requires me to stand for long periods, about 10 hours a day. Due to the nature of the job, there is very little time to sit and rest. Recently, I have been experien...
Dr. Shi Guozheng Reply:
The load on the joints has a certain threshold, and if it is exceeded, it may lead to pain. Therefore, the best preventive measure is to avoid overuse. If pain persists despite reducing activity, it is essential to consult a physician.[Read More] Understanding Ankle Pain from Prolonged Standing in Service Jobs
Managing Wrist Stiffness and Swelling After Cast Removal
Wrist fracture Hello Dr. Yeh, I have a wrist fracture and had a cast for a period of time. The cast has been removed, but my hand is stiff. How should I address this? Additionally, my wrist is also swollen. What should I do about that? Please respond quickly, thank you.
Dr. Ye Qingnian Reply:
After the removal of the cast, joints often become stiff and swollen. If possible, it's advisable to visit a rehabilitation clinic. However, if you have a busy work schedule and need to rehabilitate on your own, it's important to address joint stiffness promptly. The lo...[Read More] Managing Wrist Stiffness and Swelling After Cast Removal
Recovery Timeline for Right Hand Metacarpal Fracture: What to Expect
Fracture of the joints in the right hand? Hello, doctor. I have a fracture in the joints of my right hand. After the metal hardware is removed, how long will it take for the wound to heal? How long until I can get it wet? Will I still be able to move the joint after the hardware ...
Dr. Li Wenhong Reply:
Hello! Generally, sutures can be removed around 10 days after surgery, and you can get the wound wet after an additional 2-3 days. Once the fixation device is removed, you can start to move the area, but please consult your attending physician for further details. Dr. Li Wen-Hong...[Read More] Recovery Timeline for Right Hand Metacarpal Fracture: What to Expect