Overcoming Ankle Injury Healing Challenges in Special Needs Patients
Challenges in Healing Ankle Sprains? Dear Dr. Lee, My 23-year-old son, who has severe intellectual disabilities, suffered a torn ankle ligament from a fall while walking in mid-July this year. He was treated at a hospital where the physician advised that the ankle should be immo...
Dr. Li Wenlin Reply:
Hello, in response to your question, if the injury from mid-July has not healed by October, it indicates a slower healing process. The treatment of fractures must take into account the range of motion of the joints. If immobilization lasts too long, although the fracture may heal...[Read More] Overcoming Ankle Injury Healing Challenges in Special Needs Patients
Morning Finger and Toe Swelling: Causes and When to See a Doctor
Swollen fingers upon waking, accompanied by pain that prevents bending? Hello, Doctor: In the past few weeks, I have been experiencing swelling in my finger and toe joints upon waking up. They are painful and I cannot bend them immediately, but after about 30 seconds, I can move ...
Dr. Li Wenlin Reply:
Hello, in response to your question, it is not possible to determine which specialty is involved based on your description. If you have a regular family physician, please consult them for an evaluation. If not, you can find a nearby physician to conduct a comprehensive assessment...[Read More] Morning Finger and Toe Swelling: Causes and When to See a Doctor
Understanding Foot Pain: Challenges with Ligaments and Mobility After Injury
Ligaments near the soles of the feet, the medial and lateral malleoli, and the arches of the foot? Hello Dr. Wang: About six months ago, I accidentally inverted my foot and then applied pressure to my body. Since then, I have been unable to stand on my toes on the left affected s...
Dr. Wang Shouji Reply:
Cindy: For foot and ankle injuries, it is essential to first determine whether there is damage to the bones or joints. Ligament injuries typically improve with conservative treatment and rehabilitation. If there is no recovery after six months of treatment, further examination is...[Read More] Understanding Foot Pain: Challenges with Ligaments and Mobility After Injury
Managing Pain and Recovery After Ankle Surgery with Screws
Nail pain Hello, Doctor. On August 13, I missed a step on the company stairs, resulting in a dislocated fracture of the left ankle involving the talus and the tibiofibular joint. After seeking medical attention, the doctor inserted three steel pins for stabilization. One of the p...
Dr. Zhou Lizhi Reply:
According to the information provided by a netizen, the complications mentioned are typical aftercare issues following a general fracture treatment. Here are the responses to the netizen's questions: 1. It is unlikely that all fragments can be completely removed; usually, o...[Read More] Managing Pain and Recovery After Ankle Surgery with Screws
Understanding Inability to Cross Legs: Causes and Treatment Options
Leg? The inability to sit cross-legged from a young age may be due to various factors, including anatomical variations or musculoskeletal issues. The observation of your legs appearing to be in an "external rotation" or "duck-footed" position could indicate a ...
Dr. Li Wenlin Reply:
Hello: In response to your inquiry regarding your hip and knee joints, I recommend that you consult an orthopedic physician nearby. I believe you will receive the best answers to your concerns. Wishing you all the best! Dr. Li Wen-Lin, Orthopedic Department, Keelung Hospital.[Read More] Understanding Inability to Cross Legs: Causes and Treatment Options
Understanding Knee Pain: When to Seek Medical Advice for Relief
Knee joint pain Hello Doctor: My knee joints sometimes feel sore and painful, which I believe has been happening since high school. It's more of a dull ache, and since I'm not familiar with gout, I don't know the specifics of the situation. Being young, I haven...
Dr. Hong Ximing Reply:
Knee pain in young individuals is often related to the knee cartilage. Proper understanding of daily activities and exercise is essential for self-protection and injury prevention. As for gout, it is characterized by redness, swelling, heat, and pain, along with elevated uric aci...[Read More] Understanding Knee Pain: When to Seek Medical Advice for Relief
Understanding Lateral Knee Pain: Causes and Implications for Your Health
Sometimes there is pain in the outer bone of the left foot? Hello, doctor. I started noticing a popping sound in my joints while walking about two years ago, and it's even more pronounced when going up stairs. I can also feel it if I place my hand on the area. Initially, I d...
Dr. Zhou Lizhi Reply:
Dear netizens: (1) On the lateral side of the left knee, the upper end is the distal end of the femur (thigh bone), and the lower end is the proximal end of the fibula. The joint is located in between, and the structure connecting them is the lateral collateral ligament. Sometime...[Read More] Understanding Lateral Knee Pain: Causes and Implications for Your Health
Understanding Hip Replacement Materials and Longevity: Key Insights
Artificial hip joints... materials inquiry? Hello, Doctor... Thank you for taking the time to address my questions... 1. I had a total hip arthroplasty at Linkou Chang Gung Memorial Hospital in January 2008, using a metal ball head and a polyethylene (PE) liner. Could the plastic...
Dr. Zhou Lizhi Reply:
Dear netizens: 1. Generally, artificial hip joints consist of metal balls and polymer liners, and there are also ceramic balls and liners. The ultra-durable liners cannot be identified through X-rays; this information will be documented in the surgical records. 2. Typically, ...[Read More] Understanding Hip Replacement Materials and Longevity: Key Insights
Understanding Frog Legs: A Guide to Hip Joint Measurement and Diagnosis
Regarding frog legs? Hello Dr. Yeh. I previously visited an orthopedic doctor due to issues with my inability to squat during military service physical examinations. At that time, the diagnosis was commonly referred to as "frog leg," which indicates symptoms of gluteal ...
Dr. Ye Qingnian Reply:
Hello, sir: Thank you for your inquiry. In response to your question, the inability to squat may be related to issues with the frog leg position and the ankle joints, and a clinic examination is necessary to determine the cause. Wishing you safety and happiness.[Read More] Understanding Frog Legs: A Guide to Hip Joint Measurement and Diagnosis
Managing Hip Dysplasia: Options for Pain Relief and Treatment
Congenital hip dysplasia leads to ligament wear? Hello Doctor: My mother has developmental dysplasia of the left hip, which has led to ligament wear and tear in the hip joint, eventually affecting the femur. After long-term medication, she finally decided to undergo surgery in mi...
Dr. Shi Guozheng Reply:
Injections are less commonly used for the treatment of hip joints; instead, mobility aids can be utilized along with medication management. Generally, simultaneous surgery on both hip joints is performed by some practitioners, and the recovery outcomes are quite favorable. There ...[Read More] Managing Hip Dysplasia: Options for Pain Relief and Treatment
Understanding Scoliosis: Causes, Consequences, and Treatment Options
Issues related to axial deviation? Hello, I would like to ask about issues related to scoliosis. I heard that if a male has a scoliosis greater than 15 degrees, he is exempt from military service (although this has been abolished). I would like to know what problems and consequen...
Dr. Wang Shouji Reply:
Most cases of scoliosis have an unknown cause. In adults, if the curvature is between 15-35 degrees, only symptomatic treatment is necessary. If the curvature exceeds 35-40 degrees, surgery may be required. There is no definitive treatment that can "cure" scoliosis; it ...[Read More] Understanding Scoliosis: Causes, Consequences, and Treatment Options
Effective Treatments for Knee and Ankle Pain Relief
Knee and ankle joint pain? Your mother has been experiencing knee and ankle joint pain for some time, requiring her to rest after walking for a while. The asymmetry in her ankle joints makes it difficult to find suitable shoes. Are there any better medications or treatments avail...
Dr. Tan Zhuowen Reply:
Hello Mrs. Jiang, you are experiencing pain in your knee and ankle joints. This may be due to tendon degeneration or cartilage wear leading to degeneration. An X-ray examination should be performed first. If cartilage wear is confirmed, the effectiveness of medication treatment m...[Read More] Effective Treatments for Knee and Ankle Pain Relief
Understanding the Risks of Knee Bursitis and Joint Replacement Surgery
Right knee bursa frequently accumulates fluid and requires aspiration? I am nearly 53 years old. My right knee's bursa often swells and accumulates fluid, requiring aspiration. I have consulted multiple doctors on several occasions. Some physicians have suggested surgical re...
Dr. Shi Guozheng Reply:
Baker's cysts are typically treated with aspiration, while a small number may require surgical excision to prevent recurrence. On the other hand, the need for joint replacement arises from severe osteoarthritis that cannot be managed through other methods; these are two diff...[Read More] Understanding the Risks of Knee Bursitis and Joint Replacement Surgery
Understanding Knee Pain After Running: Causes and Solutions
excuse me? Every time I finish running, I feel a sharp pain in the "inside" of my knee and thigh joints (it feels like it's right in the center of the bone). Why is this happening? (I rarely exercise, and the last time I ran was about 400 meters before this occurre...
Dr. Chen Zhenhui Reply:
It is recommended to progress gradually with exercise. Warm up before starting, and stretch your joints. Begin at a moderate pace and limit the duration of your workout. Your issue seems to resemble patellar tendonitis. After each workout, apply ice to the painful area. If sympto...[Read More] Understanding Knee Pain After Running: Causes and Solutions
Will Daily Step Machine Use Harm My Knees Over Time?
I would like to inquire about knee problems? I want to control my weight, so I use a step machine for 40 minutes every day at a moderate pace—not too fast, but not too slow. Will this long-term activity cause knee injuries? I’m not used to wearing knee braces because they feel un...
Dr. Li Wenlin Reply:
Hello: In response to your question, using a stair stepper is indeed not good for the knee joints. I personally recommend swimming or walking to control weight, or using a treadmill (but only for slow walking and without increasing the incline), as these options are less harmful ...[Read More] Will Daily Step Machine Use Harm My Knees Over Time?
Understanding Comminuted Ulnar Fractures and Disability Claims
Ulnar wrist comminuted fracture? Hello, I was injured while riding a bike and have a comminuted fracture. I am currently waiting to have the metal pins removed. Can I apply for disability? If so, what level would it be? My last two fingers on my right hand currently cannot fully ...
Dr. Chen Xingyuan Reply:
Dear netizens: The determination of disability must wait until treatment has ceased and it is confirmed that the condition cannot be corrected, resulting in a significant impairment of bodily function. Generally speaking, patients with fractures typically wait about 1 to 2 years ...[Read More] Understanding Comminuted Ulnar Fractures and Disability Claims
Understanding Foot Swelling: Causes, Symptoms, and Treatment Options
Foot edema Hello Dr. Lee, I have some questions I would like to ask. About two months ago, I went to a martial arts center to adjust my ankle. Initially, the discomfort in my ankle improved; at that time, my ankle was not injured, just a little uncomfortable. After a few sessio...
Dr. Li Wenlin Reply:
Hello: In response to your question. Based on your description, since I cannot thoroughly review your blood test results, X-rays, or see the affected area online or perform any physical examinations, any conclusions drawn would merely be speculation, which is not ideal. I wonder ...[Read More] Understanding Foot Swelling: Causes, Symptoms, and Treatment Options
Understanding Cervical Osteophytes: Treatment Options and Insurance Coverage
Cervical osteophytes My mother is 70 years old and underwent an MRI examination, which revealed severe nerve compression due to bone spurs at the C4 and C5 vertebrae, causing numbness and pain in her hands that prevents her from sleeping. The doctor recommended surgery to remove ...
Dr. Wang Zikang Reply:
The cervical spine degeneration has led to the proliferation of the facet joints, compressing the nerves at each vertebral segment, resulting in neurological symptoms. If examinations (such as MRI) reveal significant compression and instability, surgical intervention may be neces...[Read More] Understanding Cervical Osteophytes: Treatment Options and Insurance Coverage
Understanding Knee Extension Issues After Injury: Causes and Treatments
Inability to fully extend the knee? Hello, doctor. I previously had a car accident and experienced swelling in my knee. The swelling has now subsided, and I can walk without pain. No matter how I touch my knee, it doesn't hurt; however, I cannot fully extend it (the injury i...
Dr. Shi Guozheng Reply:
The inflammatory state has not yet resolved, so it is certain that the joints cannot move normally. Once the inflammation completely subsides, it will naturally improve. Of course, engaging in some rehabilitation can be beneficial.[Read More] Understanding Knee Extension Issues After Injury: Causes and Treatments
Unexplained Joint Pain: Seeking Answers for Persistent Discomfort
No identifiable cause? Hello, my finger joints, the joints in the soles of my feet, and the joints near my knees, as well as the joints connecting my thighs to my hips, often experience pain in the bones and muscles around these areas. I have undergone X-ray examinations at the h...
Dr. Zhou Lizhi Reply:
In cases of multiple joint ligament pain, systemic diseases should first be considered, such as gout, rheumatoid arthritis, and ankylosing spondylitis. Among these, it is important to inquire about any history of gout. Rheumatoid arthritis is most commonly seen in young women, wh...[Read More] Unexplained Joint Pain: Seeking Answers for Persistent Discomfort