Post-Hip Replacement Complications: Understanding Bone Fractures and Leg Length Discrepancy
Postoperative hip joint fracture? Hello Dr. Tsai, I would like to consult you. In November of last year, I underwent surgery to replace my left hip joint. Post-operative X-rays during follow-up visits showed everything was normal. On December 17, I used a walker to go up and down...
Dr. Cai Shanglin Reply:
If everything was normal immediately after the surgery but later developed a leg length discrepancy, this indicates that the prosthetic joint may be loose or sinking. Generally, a revision surgery is recommended in such cases. This time, the procedure would theoretically involve ...[Read More] Post-Hip Replacement Complications: Understanding Bone Fractures and Leg Length Discrepancy
Post-Surgery Rehabilitation Challenges After Knee Joint Replacement
Rehabilitation Issues After Joint Replacement Surgery Hello, Doctor. My mother underwent a right knee arthroplasty and is currently two weeks post-surgery. On the second day after the surgery, her knee was bent, and the nurse informed us that it needs to be straightened. They ass...
Dr. Shi Guozheng Reply:
Are you referring to artificial joints, specifically that after total knee arthroplasty, it is important for the knee joint to achieve full extension for better mobility? If full extension is not possible, then it is essential to perform rehabilitation exercises to help straighte...[Read More] Post-Surgery Rehabilitation Challenges After Knee Joint Replacement
Understanding Right Knee Heaviness and Weakness: Causes and Solutions
The right knee often feels heavy and weak? Hello Doctor: Since I can remember, I have noticed that my right knee tends to feel swollen and heavy during activities such as walking or cycling, without any pain. I have never had a knee injury, only a sprained ankle when I was a chil...
Dr. Wang Shouji Reply:
Hello: It is recommended to first visit an orthopedic specialist to examine the joint structure, patellofemoral joint, and any potential issues with the internal ligaments and meniscus, in order to assess the source of your problem. Thank you![Read More] Understanding Right Knee Heaviness and Weakness: Causes and Solutions
Addressing Limb Discrepancy: Treatment Options for Uneven Calf Size
The calves of the left and right legs have different sizes? I have had a leg length discrepancy since birth, and my right ankle joint is completely unable to perform flexion and extension movements, while my left leg is normal. Since I can walk, my parents did not take me for tre...
Dr. Chen Yongxue Reply:
The difference in the thickness of the legs is often observed and is mostly related to the development of nerves or blood vessels. By the age of 24, growth is typically complete. In terms of aesthetic symmetry, one option is to use botulinum toxin injections to reduce the thickne...[Read More] Addressing Limb Discrepancy: Treatment Options for Uneven Calf Size
Understanding Non-Displaced Pelvic Fractures: Key Care Tips
Bone issues In the case of a pelvic fracture without displacement, it is important to follow your doctor's advice regarding bed rest. Here are some key points to consider: 1. **Follow Medical Advice**: Adhere strictly to the recommendations provided by your healthcare provi...
Dr. Shi Guozheng Reply:
It is important to avoid weight-bearing temporarily, and the healing process also depends on the location of the fracture. If the fracture is not within a joint, recovery may be faster, and it typically does not result in leg length discrepancy.[Read More] Understanding Non-Displaced Pelvic Fractures: Key Care Tips
Understanding Limb Length Discrepancy Due to Growth Plate Issues
Leg length discrepancy caused by growth plate issues? Hello doctor, I am currently 25 years old. The growth plate in my right leg has already closed, but the one in my left leg has not. I previously consulted a doctor who told me that it would close, but it has been over two year...
Dr. Wang Shouji Reply:
Hello: It is very rare for a 25-year-old to have unclosed growth plates; most males typically close them by age 18. It is important to confirm whether the growth plates are indeed still open. If they are not closed, surgical intervention may be necessary. Thank you![Read More] Understanding Limb Length Discrepancy Due to Growth Plate Issues
Can Spinal Injury from a Fall Cause Sciatica Symptoms?
Can hitting your spine on a table potentially cause sciatica? Hello Doctor: My girlfriend accidentally slipped and hit her spine on the right side (approximately at the level of the navel) while out for a walk. Pressing on that area causes a sensation like electric shock in her t...
Dr. Shi Guozheng Reply:
Currently, there are symptoms of sciatica, but they are mild. If you can still dorsiflex your foot, then an MRI is not necessary. While chiropractic treatment may not be effective, muscle soreness can benefit from massage therapy.[Read More] Can Spinal Injury from a Fall Cause Sciatica Symptoms?
Understanding Pelvic Fractures and Leg Length Discrepancy After Surgery
Pelvic fracture with limb length discrepancy? Hello, I had surgery for a comminuted fracture of my left knee with the placement of steel nails and plates on September 30. A month later, I discovered that I also have a pelvic fracture, and since then, I have noticed that the crack...
Dr. Wang Shouji Reply:
Hello: Limb length discrepancy may be caused by pelvic fracture displacement. It is necessary to assess the degree of displacement to determine if surgical correction is required. If the displacement of the pelvic fracture is minimal, conservative treatment may be sufficient. Tha...[Read More] Understanding Pelvic Fractures and Leg Length Discrepancy After Surgery
Understanding Hip Replacement: Options, Recovery, and Costs Explained
Artificial hip joint I have been experiencing pain in both hip joints for over ten years. In recent years, my doctor has recommended a hip replacement surgery, stating that I would be hospitalized for seven days post-surgery. Currently, I have a noticeable leg length discrepancy ...
Dr. Shi Guozheng Reply:
The materials used in health insurance can last for several years, typically ranging from 5 to 10 years, provided that they are used correctly (avoiding excessive forceful movements). They can be durable and will not cause leg length discrepancies during surgery if measurements a...[Read More] Understanding Hip Replacement: Options, Recovery, and Costs Explained
Post-Surgery Walking Issues: Understanding Limb Length Discrepancy and Swelling
After surgery, I am walking with a limp without the crutches? Hello Doctor, on July 13th of this year, I underwent surgery to remove the accessory navicular bone from my left foot and to correct the outward angulation of my entire left foot. Bone grafting was also performed. Duri...
Dr. Shi Guozheng Reply:
Leg length discrepancy is related to pelvic tilt; for example, if the left side is tilted downward, it may feel like the left lower limb is slightly longer. After surgery, there may be swelling in the leg for a period of time, and elevating the leg or lower limb can help improve ...[Read More] Post-Surgery Walking Issues: Understanding Limb Length Discrepancy and Swelling
Can My Daughter with DDH Take Ballet Classes? Expert Advice Inside
Can individuals with developmental dysplasia of the hip (DDH) participate in ballet? Hello, Dr. Shi. My daughter is now in first grade (7 years old). She was diagnosed with developmental hip dislocation (left leg) at the age of 1, and underwent corrective surgery, which had a goo...
Dr. Shi Guozheng Reply:
If the hip joint functions normally and the femoral head is properly positioned within the acetabulum, and the shape of the femoral head is normal, then engaging in physical activity is permissible.[Read More] Can My Daughter with DDH Take Ballet Classes? Expert Advice Inside
Does a Car Accident Affect Growth Plates in Children?
Can a car accident affect the growth plates? Hello, Doctor. My child is seven years old, and recent examination results have shown that his right leg is growing slower than the left, resulting in a leg length discrepancy. He has been walking well since childhood, but he tends to ...
Dr. Shi Guozheng Reply:
If a car accident injures the growth plates of the bones, it may result in a discrepancy in leg length of up to four centimeters. Surgical intervention may be necessary, but it is important to be cautious as there is a possibility of further discrepancies arising in the future. C...[Read More] Does a Car Accident Affect Growth Plates in Children?
Effective Treatments for Leg Length Discrepancy: A Guide
Regarding leg length discrepancy? Hello, my leg length discrepancy is affecting my walking. My right leg is noticeably longer than my left leg, and when I walk, it feels awkward and unsteady. It seems like I don't know how to walk properly. Are there any treatment options av...
Dr. Chen Yongxue Reply:
Hello: In response to your question about the correction of leg length discrepancy, it is essential to first identify the underlying cause of the discrepancy. This can vary depending on the patient's age, and there is no one-size-fits-all answer. If you have any concerns, it...[Read More] Effective Treatments for Leg Length Discrepancy: A Guide
How to Self-Check for Leg Length Discrepancy and Treatment Options
How to detect leg length discrepancy? Hello, how can I self-assess whether I have leg length discrepancy? If I do have a leg length discrepancy, what are the methods for correction and treatment? I would appreciate Dr. Chen taking the time to respond. Thank you!
Dr. Chen Yongxue Reply:
Hello: In response to your inquiry regarding the measurement of leg length discrepancy, there are generally two main categories: manual measurement and imaging measurement. Manual measurement is convenient and quick but may lead to errors, while imaging measurement is more accura...[Read More] How to Self-Check for Leg Length Discrepancy and Treatment Options
Understanding Right Knee and Ankle Pain: Causes and Solutions
Right ankle and knee pain? Hello Dr. Wang, I experience soreness and pain in my right knee and right ankle whenever I sit down. When I stand, my knee feels okay, but my right ankle still hurts a lot. There is no swelling, but I have to use pain relief patches every day. Could yo...
Dr. Wang Shouji Reply:
This issue involves whether there is a history of injury, what type of work is usually performed, and whether there is a need for prolonged standing or walking. This is not significantly related to osteoporosis; whether there is a leg length discrepancy should be evaluated by a p...[Read More] Understanding Right Knee and Ankle Pain: Causes and Solutions
Complex Hip Replacement: Challenges and Solutions for Patients
Complex Hip Replacement Hello, doctor. I am from Taiwan, and my patient is my girlfriend, who is 24 years old and from Mainland China. She was diagnosed with avascular necrosis of the left femoral head due to a car accident at the age of 12. The surgical procedure at that time is...
Dr. Shi Guozheng Reply:
Surgery is possible, but it is more challenging and carries the risk of damaging the sciatic nerve. Larger medical centers have the capability to perform this type of surgery.[Read More] Complex Hip Replacement: Challenges and Solutions for Patients
Understanding Leg Length Discrepancy After Knee Arthroscopy Surgery
After undergoing arthroscopy of the knee, it was discovered that there is a leg length discrepancy? Hello, Doctor: I would like to ask if undergoing arthroscopy on the knee can cause leg length discrepancy. I can confirm that I did not have this issue before the arthroscopy. The ...
Dr. Hong Ximing Reply:
Hello Tina! Undergoing arthroscopic surgery should not cause a leg length discrepancy. Based on your description, it seems that the difference in the extension angles between your legs may be due to muscle or ligament fibrosis post-surgery, which can create the sensation of havin...[Read More] Understanding Leg Length Discrepancy After Knee Arthroscopy Surgery
Key Rehabilitation Strategies After Hip Replacement Surgery
Rehabilitation Issues After Hip Joint Replacement Hello, Doctor: My father fractured his femur eight years ago and had it fixed with a steel rod. Due to poor rehabilitation post-surgery, it became deformed. Five years ago, the rod was removed, resulting in a leg length discrepanc...
Dr. Shi Guozheng Reply:
After hip replacement surgery, recovery typically occurs between one and a half to three months. Since the patient has not yet reached one month post-surgery, some pain is a normal phenomenon. Rehabilitation is still necessary; usually, practicing walking is sufficient, but the u...[Read More] Key Rehabilitation Strategies After Hip Replacement Surgery
Understanding Flat Feet in Children: Impact on Running and Jumping
The child has an abnormal running posture and is unable to jump high? The child has flat feet, so they always think that it feels strange when jumping, which is normal for them. The teacher also mentioned that the child runs differently compared to other kids. A simple measuremen...
Dr. Wang Shouji Reply:
Flat feet mostly result in slightly poorer athletic performance and flexibility. The issues you mentioned are not very clear, so I recommend consulting a pediatric orthopedic specialist for an evaluation.[Read More] Understanding Flat Feet in Children: Impact on Running and Jumping
Understanding Congenital Hip Dysplasia and Frog Legs: Symptoms and Diagnosis
Congenital hip dislocation and frog leg position? Hello, doctor. I would like to ask about symptom assessment. I have always thought I had frog legs, but when I visited a traditional Chinese medicine practitioner for massage, he asked if my feet came out first at birth. After inq...
Dr. Li Wenhong Reply:
Hello Anthony: Infants delivered via cesarean section due to abnormal fetal positioning (such as breech presentation, where the buttocks or feet are positioned downward) are at a higher risk for congenital hip dislocation or hip dysplasia compared to those born through normal vag...[Read More] Understanding Congenital Hip Dysplasia and Frog Legs: Symptoms and Diagnosis