Should You Delay Hip Replacement Surgery for Osteoarthritis?
Replacement of hip joint liner? Doctor's diagnosis: OA (unspecified)/Osteoarthrosis/Osteoarthritis. Currently experiencing pain while walking, with a 2 cm leg length discrepancy. The doctor suggested that a total hip replacement surgery could be performed when the pain becom...
Dr. Shi Guozheng Reply:
Based on your current condition, you should be able to undergo joint replacement surgery. Delaying the procedure too long could lead to significant bone wear, making the surgery more complicated. Moreover, you already have a leg length discrepancy. Under the National Health Insur...[Read More] Should You Delay Hip Replacement Surgery for Osteoarthritis?
Managing Hip Joint Necrosis: Tips for Pain Relief and Mobility
Hip joint Symptoms: Left hip joint necrosis, pain while walking, leg length discrepancy (limping), orthopedic surgeon recommends joint replacement. Due to age factors, planning to endure as long as possible before undergoing replacement. Questions: (1) Regarding the leg length di...
Dr. Shi Guozheng Reply:
Custom-made insoles can be beneficial and can be ordered from stores that provide crutch supports or prosthetics. Exercises for thigh extension, adduction, abduction, and flexion can be performed to strengthen the muscles. If the degree of joint necrosis is not severe, considerin...[Read More] Managing Hip Joint Necrosis: Tips for Pain Relief and Mobility
Can I Regain Normal Walking After Iliac Fracture Recovery?
Iliac fracture Hello, I sustained a right iliac bone fracture in a car accident on March 26. I am undergoing conservative treatment without surgery, allowing the bone to heal on its own. The displacement is not significant. Now, nearly a month later, while resting at home, I have...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is best for you to consult an orthopedic physician as soon as possible. After a thorough examination, the orthopedic doctor will advise on the appropriate treatment (such as whether medication alone is sufficient or if rehabilitation therap...[Read More] Can I Regain Normal Walking After Iliac Fracture Recovery?
Managing Limb Length Discrepancy and Multiple Osteochondromas: Treatment Options
excuse me? I am 18 years old and have a leg length discrepancy of 4.6 centimeters, along with multiple osteochondromas. Since childhood, I have undergone surgeries for multiple osteochondromas on my hands, feet, knees, and shoulders. I have discovered that the leg length discrepa...
Dr. Shi Qiming Reply:
In cases of limb length discrepancy, accurate measurement of lower limb length is necessary for diagnosis. If the difference is 4.5 centimeters or more, it may affect walking and could lead to mild disability. It is recommended to visit an orthopedic clinic for a thorough examina...[Read More] Managing Limb Length Discrepancy and Multiple Osteochondromas: Treatment Options
Treating Pseudoleg Length Discrepancy: Surgical vs. Non-Surgical Options
Treatment for leg length discrepancy? Hello, doctor: May I ask about the causes of functional leg length discrepancy, which is not due to structural issues? If it is caused by trauma or compression of the hip joint or pelvis leading to displacement, is surgical reduction the only...
Dr. Ye Qingnian Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: The pelvis is a very stable joint, and issues such as leg length discrepancy typically arise only from severe trauma leading to unstable pelvic fractures. Since...[Read More] Treating Pseudoleg Length Discrepancy: Surgical vs. Non-Surgical Options
Understanding Leg Length Discrepancy: Causes, Symptoms, and Treatment Options
Leg length discrepancy Hello, doctor. I have noticed that I have a leg length discrepancy, with my hips appearing uneven—my right side is higher than my left. The cause is unclear. Sometimes, after standing or walking for a long time, my left foot feels uncomfortable and experien...
Dr. Wang Shouji Reply:
Based on your age, if you have not had a history of leg length discrepancy, it is likely not an issue of leg length but rather caused by posture or pain. It is advisable to visit an orthopedic clinic as soon as possible for further evaluation to determine the underlying issue. Wi...[Read More] Understanding Leg Length Discrepancy: Causes, Symptoms, and Treatment Options
Understanding Complications After Open Fracture Surgery: What to Expect
I have a fracture. Boohoo? Director, I have a question. I suffered an open fracture of my lower leg in a car accident in March this year. The doctor said that the bone was severely shattered, so I received external fixation with a steel rod and plaster cast. After a long wait of ...
Dr. Shi Guozheng Reply:
Open fractures are inherently difficult to treat, and I believe the physicians are doing their utmost. If the bones are misaligned, a corrective surgery can be performed. To determine if the legs are of equal length, an X-ray examination can be conducted (scanogram). Limited rang...[Read More] Understanding Complications After Open Fracture Surgery: What to Expect
Recovery Insights for Femur and Clavicle Fractures After Accident
A 20-year-old female has sustained fractures of the left femur and clavicle, and has undergone surgical fixation? Hello: I was in a car accident on October 7, resulting in fractures of my left femur and left clavicle, with no external injuries. The femur was fractured in the midd...
Dr. Chen Xingyuan Reply:
Dear Reader, The primary purpose of surgery is to reduce pain and promote functional recovery. Therefore, surgery is just the first step; you must also take good care of yourself and engage in active rehabilitation to minimize the losses caused by the injury. Below are the answe...[Read More] Recovery Insights for Femur and Clavicle Fractures After Accident
Understanding Long-Term Effects of Ligament Tears After Injury
What are the sequelae after a ligament tear? Three months ago, I suffered a ligament tear and a tibial fracture due to a car accident. The bone has healed well, but my doctor has specifically advised me to pay attention to the recovery of the ligament. I am very concerned about t...
Dr. Shi Guozheng Reply:
First, it is important to identify which ligament is affected and the extent of the injury—whether it is a complete tear or an incomplete tear. If the injury is not severe, recovery typically takes about one and a half to three months. However, if it involves ligaments within the...[Read More] Understanding Long-Term Effects of Ligament Tears After Injury
Managing Long-Term Scoliosis: Seeking Relief and Understanding Treatment Options
I have had scoliosis for over ten years, currently at a 35-degree curvature. I have tried countless methods without success, and I feel very depressed? Hello Doctor: Thank you very much for taking the time to respond. I have been diagnosed with scoliosis since I was 20 years old,...
Dr. Shi Qiming Reply:
Hello: Scoliosis that develops during adolescence is classified as idiopathic scoliosis. Generally, after growth is completed around the age of 16-17, the curvature does not increase significantly. Engaging in appropriate exercises, such as swimming, typically results in minimal ...[Read More] Managing Long-Term Scoliosis: Seeking Relief and Understanding Treatment Options
Post-HIVD Surgery Complications: Understanding Leg Length Discrepancy and Pain
Post-operative complications of HIVD are not helpful? Hello Dr. Wang, I apologize for missing a few questions. I'm sorry. 1. I did not have a leg length discrepancy issue before, but after my second surgery, my right leg became longer. The orthopedic and neurosurgeons sai...
Dr. Wang Shouji Reply:
Hsieh: Spinal surgery does not cause leg length discrepancies. The sensation of having one leg shorter than the other is often due to limping, pain avoidance, or muscle weakness gait. Back pain or deformities that cause pelvic tilt can also be easily misinterpreted as leg length ...[Read More] Post-HIVD Surgery Complications: Understanding Leg Length Discrepancy and Pain
Post Hip Replacement: Persistent Pain and Mobility Issues Explained
One month after total hip replacement surgery, the patient is still unable to walk? My mother underwent left hip joint replacement surgery last month, and she has been experiencing severe pain in her left calf. The calf and its sides are very painful when pressed, and she is stil...
Dr. Shi Guozheng Reply:
After hip replacement surgery, if there is a phenomenon of foot drop (where the toes or ankle cannot be lifted), it is important to consider whether there is an impairment of the sciatic nerve or common peroneal nerve. If the nerve is damaged, there will typically be sensations o...[Read More] Post Hip Replacement: Persistent Pain and Mobility Issues Explained
Understanding Left Lower Back and Leg Pain: Causes and Solutions
Pain in the lower left back (near the hip) and left leg? Hello Doctor: For the past two weeks, I have been experiencing soreness in my lower left back and a tingling sensation in my left leg, particularly around the ankle and tibia area. I can walk normally, but there is a persis...
Dr. Shi Guozheng Reply:
It could be sciatica, so it is best to visit a hospital for a physician's examination. Sciatica is caused by compression of the spinal nerves as they pass through the intervertebral foramen due to a herniated disc or bone spurs. The pain typically radiates from the buttocks ...[Read More] Understanding Left Lower Back and Leg Pain: Causes and Solutions
Can Fracture Healing Cause Limb Length Discrepancy?
Question Question: Can a healed fracture cause leg length discrepancy? When will my depression improve?
Dr. Shi Qiming Reply:
Hello: 1. If a fracture is severe, it may heal improperly and result in leg length discrepancy. If the difference in length is minor (less than 2 centimeters), you can use shoe lifts to compensate. However, if the difference is significant (greater than 4 centimeters), it is reco...[Read More] Can Fracture Healing Cause Limb Length Discrepancy?
Recovery Insights for Open Fractures: Healing Time and Supplements
Could you please provide the content you would like me to translate? Hello, doctor. I had an accident while riding my motorcycle and injured my left ankle joint, resulting in an open fracture of the fibula and ligament tears. I have already undergone surgery and my ankle is curre...
Dr. Li Wenlin Reply:
Miss Lan: 1. The effectiveness of calcium and collagen supplements in aiding recovery after a fracture is still inconclusive. Orthopedic surgeons neither recommend nor oppose their use; you may decide for yourself. 2. If the fracture requires a cast for 3 months, a rehabilitation...[Read More] Recovery Insights for Open Fractures: Healing Time and Supplements
Concerns About Hip Joint Dysplasia and Surgical Complications
Issues with wide joints? Hello, Director. I have a question regarding congenital hip dysplasia on my right side, which has caused a slight leg length discrepancy. My doctor mentioned that there is insufficient coverage of the acetabulum. This year, I underwent surgery to insert a...
Dr. Shi Guozheng Reply:
The situation you described is not very clear, but if the bone screw has broken and remains embedded in the bone, it is generally not a major concern. If the bone screw is protruding, then it can be removed afterward.[Read More] Concerns About Hip Joint Dysplasia and Surgical Complications
Finding Custom Shoes for Leg Length Discrepancy in Taitung, Taiwan
Leg length discrepancy Hello Dr. Chou! Four years ago, I had a car accident that resulted in a leg length discrepancy of about 3 centimeters. Walking has become quite difficult for me. I would like to ask where I can find custom-made shoes for leg length discrepancy in Taitung? (...
Dr. Zhou Hongzhi Reply:
1. Generally, for every 3 centimeters of height difference, a 1-centimeter sole lift is recommended. 2. You can contact a medical supply store for assistance.[Read More] Finding Custom Shoes for Leg Length Discrepancy in Taitung, Taiwan
Understanding Osteoarthritis: Pain from Leg Length Discrepancy
Degenerative arthritis! Hello Dr. Li! Four years ago, I was in a car accident that resulted in a leg length discrepancy; my left leg is about 3 centimeters longer than my right leg. I fractured my right leg, while my left leg is fine. Now, when I walk, my left leg (the longer one...
Dr. Li Wenlin Reply:
Hello: In response to your question. A 3 cm difference in leg length can indeed lead to an unstable gait, resulting in uneven pressure on the joints and potentially causing degenerative arthritis. I recommend the following: 1. First, consult an orthopedic physician nearby, prefer...[Read More] Understanding Osteoarthritis: Pain from Leg Length Discrepancy
Understanding Scoliosis and Leg Length Discrepancy: Treatment Options and Concerns
Scoliosis and leg length discrepancy? I have scoliosis of about 30 degrees, which has also resulted in leg length discrepancy. Recently, I found some information online regarding non-invasive spinal manipulation therapy (which seems to involve electrical treatment and wearing a b...
Dr. Shi Guozheng Reply:
Scoliosis occurring in the thoracolumbar region may lead to pelvic tilt, resulting in discrepancies in leg length. Correcting the scoliosis can improve the phenomenon of leg length inequality. Both the theoretical and clinical methods you mentioned lack significant evidence of ef...[Read More] Understanding Scoliosis and Leg Length Discrepancy: Treatment Options and Concerns
Understanding Limb Lengthening Surgery: Key Questions and Insights
Bone lengthening surgery Hello Dr. Yang, When I was younger, I sustained an injury that resulted in a leg length discrepancy of approximately 4-5 cm. I would like to ask the following questions: 1. Is this surgery covered by health insurance? 2. How long is the rehabilitation p...
Dr. Yang Zhengfan Reply:
Dear Hendry, the limb lengthening surgery requires a significant amount of time (approximately six to twelve months to complete) and a lot of manpower (you will need to take care of your apparatus daily). It is covered by health insurance, but I still suggest you think it over. T...[Read More] Understanding Limb Lengthening Surgery: Key Questions and Insights