Understanding Recovery After Arm Fracture Surgery: Key Questions Answered
Fracture Hello Dr. Hong, I was in a car accident on March 10 and underwent surgery at Chungli Tiansheng. The doctor diagnosed me with a "right humeral fracture; shoulder contusion with rotator cuff tear." I had surgery on the morning of March 11 and stayed in the hospi...
Dr. Hong Ximing Reply:
Based on your medical condition, it appears that after the first surgery, the fracture did not heal and has shifted. It has been approximately four weeks since the second surgery, and the fracture still has not healed. Therefore, it is important to be particularly cautious during...[Read More] Understanding Recovery After Arm Fracture Surgery: Key Questions Answered
Understanding Avascular Necrosis: Causes, Symptoms, and Treatment Options
Osteonecrosis Hello Dr. Hong, I had a serious illness a year and a half ago. It started with a cold that led to aspiration pneumonia, for which I was treated with antibiotics. About a month later, I developed meningitis (an X-ray also revealed inflammation in the brainstem) and...
Dr. Hong Ximing Reply:
Based on the current situation, it is essential to first determine the extent of avascular necrosis, including the right hip and shoulder joints. This cannot be resolved solely with medication; a prompt examination at the hospital is necessary, including MRI and nuclear medicine ...[Read More] Understanding Avascular Necrosis: Causes, Symptoms, and Treatment Options
Managing Cervical Cartilage Wear: Prevention and Treatment Options
Regarding cervical cartilage wear issues? Hello Dr. Chang, my father has been troubled for a long time by abnormal sounds when turning his neck. Last week, he went to Tzu Chi Hospital for an examination, and after imaging, the doctor indicated that it was due to severe cartilage ...
Dr. Zhang Shengben Reply:
Hello Penny: The sound produced when turning the neck may be due to cartilage wear caused by degeneration, but it can also result from the compression of joint synovial fluid. Currently, there are no effective treatment options, but taking glucosamine (also known as chondroitin) ...[Read More] Managing Cervical Cartilage Wear: Prevention and Treatment Options
Understanding Finger Joint Pain: Causes and Solutions
Finger joint pain Hello Dr. Chen: I do not have any sports injuries or trauma, but my fingers cannot bend or straighten properly. I am unable to hold a pen or use chopsticks, and the joints in my fingers experience sharp pain. Pressing on them increases the pain and weakness. My ...
Dr. Chen Xingyuan Reply:
Dear Netizens: There are many causes of finger joint pain. Common causes include tendon and ligament inflammation due to overuse or injury, degenerative arthritis of the small joints, arthritis caused by rheumatic autoimmune diseases, and bone pathologies. Less common causes may ...[Read More] Understanding Finger Joint Pain: Causes and Solutions
Understanding Elbow Dislocation: Recovery and Care Tips
Left elbow dislocation? On the afternoon of May 4th, my left elbow dislocated. I first went to the martial arts gym behind my house for treatment, where they applied medication and a bandage. However, I still couldn't bend or move my elbow, and bending it was extremely painf...
Dr. Ye Qingnian Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestion: It is recommended to visit the orthopedic outpatient clinic for an examination. Please have an orthopedic physician explain the details. Wishing you safety and ...[Read More] Understanding Elbow Dislocation: Recovery and Care Tips
Understanding Unexplained Joint Swelling: Causes and Solutions
Unexplained joint swelling? Hello, Doctor: This morning when I woke up, I experienced pain in the joints above both knees whenever I bent them, and it seems like there is some swelling. I'm wondering if this is related to my recent cycling, as the type of bike I ride require...
Dr. Wang Shouji Reply:
It is recommended to stop all vigorous activities, including cycling. If there is no improvement after a week of rest, it is advised to promptly visit a hospital for further evaluation by a physician. Wishing you a speedy recovery![Read More] Understanding Unexplained Joint Swelling: Causes and Solutions
Managing Leg Atrophy and Stroke Recovery: Surgical Options Explained
The left leg has atrophied and deformed due to a car accident, compounded by a stroke? Hello Dr. Yeh, my father is currently about 58 years old. When he was 20, he was involved in a serious car accident that caused injury to his left leg. After surgery, he was able to walk normal...
Dr. Ye Qingnian Reply:
Hello, sir: Thank you for your inquiry. I would like to address your questions and provide the following suggestions: 1. Generally speaking, it is unclear whether the atrophy in your knee is due to the artificial joint. Artificial joints are typically indicated for knee pain. I...[Read More] Managing Leg Atrophy and Stroke Recovery: Surgical Options Explained
Can I Apply for Disability Certification After Hip Replacement?
Please ask an orthopedic surgeon specializing in joint replacement a question? Hello, doctor. I have been diagnosed with vasculitis, specifically granulomatosis with polyangiitis, for three years and have been receiving treatment at Chang Gung Memorial Hospital. Due to corticoste...
Dr. Shi Guozheng Reply:
If the function after joint replacement is still good, it does not meet the criteria for applying for disability status. The application form contains detailed regulations, and only if the functional impairment is significant may it qualify.[Read More] Can I Apply for Disability Certification After Hip Replacement?
Correcting Finger Joint Deformities: Solutions for Writing Posture Issues
Improper writing posture can lead to growth plate issues? Hello, Doctor! Generally, the bones in a person's finger joints may protrude slightly, or may not even appear to be protruding at all! However, the joint of my right little finger is quite prominent, forming a noticea...
Dr. Shi Guozheng Reply:
Incorrect posture can indeed compress bone development, and if it leads to deformities that hinder function, then correction is necessary. You should consult an orthopedic physician for solutions.[Read More] Correcting Finger Joint Deformities: Solutions for Writing Posture Issues
Can I Resume Martial Arts Training After a Severe Open Fracture?
Comminuted and open fractures? I would like to ask about my calf, which suffered a comminuted open fracture due to a car accident last year. I currently have a metal rod implanted. I practice martial arts; can I continue training during this recovery period? I am already able to ...
Dr. Huang Longde Reply:
Hello Mr. Zheng: Open comminuted fractures of the tibia and fibula can be classified into three grades based on the severity of the wound, muscle, and vascular damage, as well as the degree of comminution. The third grade is further divided into A, B, and C categories, with highe...[Read More] Can I Resume Martial Arts Training After a Severe Open Fracture?
Psoriasis and Joint Pain: Should You See a Rheumatologist or Dermatologist?
Psoriasis Hello Doctor! In September and October, I visited the Veterans General Hospital to see Dr. Lin for joint pain. Blood and urine tests were normal, and I was diagnosed with osteoarthritis, with rheumatoid arthritis to be monitored. However, I have noticed symptoms of psor...
Dr. Lin Xiaoyi Reply:
Vicky: Hello! Since you still have issues related to your joints, I recommend that you see a rheumatologist first.[Read More] Psoriasis and Joint Pain: Should You See a Rheumatologist or Dermatologist?
Understanding Shoulder and Clavicle Dislocation: Symptoms and Treatment Options
Shoulder joint and clavicular dislocation? In March of this year, I suffered a dislocation due to an accident and delayed seeking medical attention for two weeks. I felt that my shoulder joint was about to drop out, so I visited a traditional Chinese medicine clinic. The doctor a...
Dr. Luo Zhongwei Reply:
Answered in the mini private mailbox on the same day.[Read More] Understanding Shoulder and Clavicle Dislocation: Symptoms and Treatment Options
Understanding Knee Pain in Middle-Aged Adults: Causes and Solutions
Bone pain Hello, my mother (45 years old) has recently been experiencing soreness and pain in her knee joints. What could be the reason for this?
Dr. Huang Longde Reply:
Degeneration of the knee joint typically begins in the 40s or 50s. The causes of degeneration, aside from natural aging, include obesity, overuse, misalignment of the joints, and previous injuries to the knee, among others. In cases of natural aging, the initial symptoms primaril...[Read More] Understanding Knee Pain in Middle-Aged Adults: Causes and Solutions
Understanding the Differences Between Osteoarthritis and Rheumatoid Arthritis
Joint pain Hello, Doctor! Since mid-August, I have been experiencing joint and bone pain that started with pharyngitis, and it has been over two months now. I have consulted the immunology department at the Veterans General Hospital, and on October 13, I had blood and urine tests...
Dr. Shi Guozheng Reply:
Degenerative arthritis typically occurs in middle-aged and older individuals, primarily affecting the large joints such as the knees, hips, and shoulders. Additionally, the distal joints of the fingers may also be involved. It generally presents with pain and deformity that devel...[Read More] Understanding the Differences Between Osteoarthritis and Rheumatoid Arthritis
Understanding Gout: Symptoms, Causes, and Treatment Options
Gout My brother experiences numbness in his legs, along with cramping pain that sometimes becomes severe enough to prevent him from walking. He also has a habit of drinking alcohol and has lost his appetite, resulting in significant muscle wasting in his calves. What could be the...
Dr. Zhou Lizhi Reply:
Gout is caused by the deposition of uric acid in the joints, leading to redness, swelling, and pain. This condition is related to diet, genetics, and alcohol consumption. The symptoms experienced by the user's brother may be more associated with nerve compression. It is reco...[Read More] Understanding Gout: Symptoms, Causes, and Treatment Options
Understanding Narrow Joint Spaces and Their Impact on Osteoarthritis
Issues related to smaller cartilage areas? I visited a doctor due to lower back pain, and after examining my lumbar X-rays, the doctor mentioned that my joints are fine but noted that I have a naturally narrower joint space, which results in smaller cartilage areas and a higher r...
Dr. Shi Qiming Reply:
Hello: The lumbar intervertebral joints differ from the general knee and hip joints. In addition to the bone (intervertebral disc) components, it is also important to consider factors such as the stiffness of the associated stabilizing muscles. Relying solely on X-ray examination...[Read More] Understanding Narrow Joint Spaces and Their Impact on Osteoarthritis
Morning Back Pain: Understanding Causes and Seeking Relief
Every morning, I experience internal soreness in my lower back and back, which causes me difficulty sleeping due to the pain? Dear Doctor, I really don't know what to do. Please help me with these questions. I am unsure about my condition, and it feels like the range of issu...
Dr. Wang Shouji Reply:
Dear Mr. Yeh, Based on your description, you are experiencing lower back pain upon waking in the morning, and since you are a male patient, it is important to rule out ankylosing spondylitis. Most patients with ankylosing spondylitis experience morning lower back pain and stiffn...[Read More] Morning Back Pain: Understanding Causes and Seeking Relief
Understanding Urate Crystals in Gouty Arthritis: Key Insights
Regarding urate crystals in gouty arthritis? Hello, Dr. Lin. I would like to ask you about my condition. I have been diagnosed with gouty arthritis and it has been about 7 years since my first gout attack. I have been undergoing treatment for some time, but recently, for the past...
Dr. Lin Xiaoyi Reply:
Hello: 1. During a gout attack, injections are typically non-steroidal anti-inflammatory drugs (NSAIDs). If administered locally, corticosteroids are usually used. The commonly used urate-lowering medications are oral, and patients who are not on urate-lowering therapy should not...[Read More] Understanding Urate Crystals in Gouty Arthritis: Key Insights
Understanding Systemic Muscle and Joint Issues: Seeking Answers for Chronic Pain
Systemic musculoskeletal issues? Hello Doctor: I have had a problem with muscle fatigue since childhood, which has worsened over the past few years. Even riding a motorcycle for half a day causes me to experience full-body soreness the next day due to the vibrations, and my muscl...
Dr. Lin Xiaoyi Reply:
Hello: Your symptoms do raise suspicion for fibromyalgia; however, the diagnosis of this condition must first rule out other diseases. Many conditions, especially connective tissue diseases, may present with these symptoms. It is recommended to consult a rheumatologist for furthe...[Read More] Understanding Systemic Muscle and Joint Issues: Seeking Answers for Chronic Pain
Understanding Joint Pain in the Big Toe: Is It Gout?
The joint of the left big toe is painful? This morning, I suddenly experienced pain in the joint of my left big toe, which only hurts when I walk. Recently, I have been consuming more meat (three slices of pork daily, which I am unsure if this is a lot), and I have also been eati...
Dr. Zhou Lizhi Reply:
Gout is caused by abnormal metabolism of uric acid, leading to its deposition in the joints, resulting in inflammation and pain, most commonly occurring in the big toe joint. Individuals can first have a blood test to check if their uric acid levels are normal (this can be done a...[Read More] Understanding Joint Pain in the Big Toe: Is It Gout?