Understanding Congenital Limb Length Discrepancy and Surgical Options
Congenital limb length discrepancy, with the left calf noticeably more curved than the right? Hello, I am 27 years old. I have a congenital leg length discrepancy, with my right leg being approximately 5-6 cm shorter than my left. I underwent examinations as a child, which reveal...
Dr. Shi Guozheng Reply:
If there is a dislocation of the left hip joint accompanied by pain symptoms and medication treatment is ineffective, a total hip arthroplasty on the left side may be considered. If the dislocation is not severe and there are no pain symptoms, then consideration can be given to w...[Read More] Understanding Congenital Limb Length Discrepancy and Surgical Options
Post-Exercise Discomfort in Legs: Understanding Symptoms and When to Seek Help
Discomfort in the thigh, calf, and toes being aligned after exercise? Hello, doctor. I apologize for bothering you, but I would like to consult you about a situation I experienced. I have a history of type 2 diabetes. The night before last, after going for a brisk walk, I returne...
Dr. Shi Guozheng Reply:
If the sensation of numbness and tingling extends from the thigh down to the calf, it may indicate sciatic nerve compression, and it would be advisable to consult a physician for evaluation.[Read More] Post-Exercise Discomfort in Legs: Understanding Symptoms and When to Seek Help
Understanding Lower Back Pain: When to See a Doctor
Lumbar pain I have recently been experiencing some pain from my lower back to my hips, especially noticeable when I get up from bed. I also feel some unexplained pain and weakness in my legs when I cough. I'm not sure if this is due to overexertion or if I might have an inju...
Dr. Shi Guozheng Reply:
If the pain persists without improvement, it is necessary to consult a physician.[Read More] Understanding Lower Back Pain: When to See a Doctor
Single-Stage Limb Lengthening Surgery: Options and Costs in Taiwan
Single-stage bone lengthening surgery Doctor, could you please tell me which hospital can perform a one-time lengthening surgery for the thigh or calf by 3 to 6 centimeters? Will there be any complications from a one-time lengthening procedure? I saw that there is a one-time leng...
Dr. Shi Guozheng Reply:
Limb lengthening surgery is typically applied to patients with limb length discrepancies, and very few doctors are willing to perform lengthening procedures on normal limbs. This surgery can extend the length of a limb by approximately one-tenth of its original length, but it may...[Read More] Single-Stage Limb Lengthening Surgery: Options and Costs in Taiwan
Effective Physical Therapy Techniques to Improve O-Shaped Legs
Please advise on methods to improve bow legs (genu varum) through physical therapy or stretching? Hello, doctor. I have bow legs with a normal knee distance of about 4 cm. Although it's not severe, it appears relatively noticeable due to my height (162 cm). After researching...
Dr. Shi Guozheng Reply:
Bow legs are due to an inward bending of the knee joint (tibia vara). If there are no symptoms, it is not necessary to take any action. Currently, there are no other non-invasive treatment options. If you are concerned, you can consult an orthopedic physician to obtain X-rays to ...[Read More] Effective Physical Therapy Techniques to Improve O-Shaped Legs
Understanding Pain Behind the Knee and Groin: Possible Causes and Solutions
Pain in the muscles behind the knee and in the groin area? Hello: After squatting for five minutes and then standing up (to have a bowel movement), I experience soreness in the back of my "right knee" as if there is a tendon that is painful, and at that moment, my knee ...
Dr. Shi Guozheng Reply:
If the muscle tendon feels tight or there is a possibility of inflammation, you can try rehabilitation. If that doesn't help, then consider consulting a physician.[Read More] Understanding Pain Behind the Knee and Groin: Possible Causes and Solutions
Managing Pain from Herniated Discs and Ankylosing Spondylitis: Tips and Solutions
Herniated disc ankylosing spondylitis I would like to ask about my condition. During play, I fell from the bed to the floor and injured my buttocks, which caused pain. The doctor said I have a herniated lumbar disc. Initially, I experienced numbness in my legs, but now it has imp...
Dr. Wang Shouji Reply:
It is recommended to consult a neurosurgeon.[Read More] Managing Pain from Herniated Discs and Ankylosing Spondylitis: Tips and Solutions
Knee Issues After Car Accident: Understanding Pain and Recovery
Knee issues after a car accident? Hello, Doctor. Five months ago, I suffered a left femoral fracture due to a car accident. I have been undergoing physical therapy for two months, primarily focusing on knee flexion rehabilitation. The angle has improved to nearly match my healthy...
Dr. Li Yongheng Reply:
Hello: 1. Femoral fractures are often associated with injuries to the knee's cruciate ligaments, with clinical manifestations primarily including weakness and instability in the affected limb. It is recommended to perform magnetic resonance imaging (MRI) for evaluation. 2. A...[Read More] Knee Issues After Car Accident: Understanding Pain and Recovery
Understanding Recovery from Comminuted and Open Fractures: What to Expect
Comminuted fractures of the thigh and knee with open fractures? I apologize, but I have suffered a comminuted and open fracture in my thigh and knee, and it has been exactly two months. The doctor said that I can start rehabilitation in another month. My parents are saying that I...
Dr. Wang Shouji Reply:
Hello: The management of comminuted and open fractures depends on the presence of infection and the status of bone healing. Generally, if there is no infection and the fracture is healing well, with no severe damage to the joint, most patients can regain over 90% of their origina...[Read More] Understanding Recovery from Comminuted and Open Fractures: What to Expect
Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Knee issues I have been experiencing pain above my right knee for two weeks. The pain feels like a needle prick and worsens when going up and down stairs or when getting up from a seated position. I have researched online and suspect it might be quadriceps tendinitis. I don'...
Dr. Hong Ximing Reply:
Hello: Pain above the knee for two weeks may be due to osteomalacia of the hip. Going up and down stairs tends to be more painful. During this time, it is advisable to minimize pressure on the knee and avoid stairs as much as possible. With time, it should gradually improve. Wish...[Read More] Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Understanding XO Legs and Thumb Extension Issues: Non-Surgical Solutions
XO-shaped legs and congenital inability to extend the thumb straight? Hello, doctor. I previously learned that conditions like genu varum (bow-legged) and genu valgum (knock-kneed) can be categorized as O-shaped legs, X-shaped legs, and XO-shaped legs. It seems that my legs are w...
Dr. Chen Yongxue Reply:
Hello, 1. An improper leg alignment can lead to an increased rate of wear on the knee cartilage over time. In severe cases, surgical correction may be necessary. The treatment approach should consider the patient's age, the degree of deformity, and the length of the lower ...[Read More] Understanding XO Legs and Thumb Extension Issues: Non-Surgical Solutions
Can I Remove Metal Pins from My Legs in Taiwan After Surgery Abroad?
Do not return to the original hospital for the steel nail removal surgery? Hello, doctor. I would like to ask: I had a car accident in mainland China in 2013 that resulted in fractures in both legs. Now I want to undergo surgery to remove the metal screws in Taiwan. Is this feasi...
Dr. Xie Hongjia Reply:
Hello Mr. Paul: Regarding your question, traditional steel plates and screws from different manufacturers generally adhere to standard specifications. However, if a company has its own specialized materials, there are usually some differences. It is best to know the brand, as X-r...[Read More] Can I Remove Metal Pins from My Legs in Taiwan After Surgery Abroad?
Managing Swelling and Discomfort in Patients with Leg Casts
Caring for Patients with Fractures 2 Hello Doctor, I previously inquired about an issue in <a href="https://adoctor.tw/article/127757">#127757</a>, and now I have another question to ask you. My girlfriend has recently experienced swelling in both of her fee...
Dr. Li Yongheng Reply:
Hello, generally speaking, swelling and pain in the affected limb after a fracture may persist for 2-3 months. Therefore, when sitting in a wheelchair with the legs hanging down, this is more pronounced and should be considered a normal phenomenon. It is recommended that the pati...[Read More] Managing Swelling and Discomfort in Patients with Leg Casts
Post-Surgery Ankle Pain: Understanding Symptoms After Fracture Repair
After ankle fracture surgery, there is pain on the dorsum of the foot? Hello, on August 21, I was hit by a car while walking, resulting in a closed fibula fracture about five centimeters above my right ankle. I underwent surgery on August 22. Now, at the beginning of September, t...
Dr. Li Yongheng Reply:
Hello Mr. Li, based on your symptoms, there is a high possibility of peripheral neuropathy. It is recommended that you continue to elevate your legs and follow up with your surgeon for further examination. Wishing you a speedy recovery.[Read More] Post-Surgery Ankle Pain: Understanding Symptoms After Fracture Repair
Caring for a Loved One with Broken Bones: Essential Tips and Advice
Caring for patients with fractures? Hello Doctor, my girlfriend had a car accident two weeks ago and fractured both of her legs, which are now in casts. I have no experience in caring for someone with fractures, but as a boyfriend, I really want to take care of her. Could you ple...
Dr. Li Yongheng Reply:
Hello Henry, if both feet are fractured and in a cast, the principle is to use a wheelchair for mobility and not to walk on them. The legs should be elevated to reduce swelling, and moving and massaging the toes can also promote blood circulation. Wishing your girlfriend a speedy...[Read More] Caring for a Loved One with Broken Bones: Essential Tips and Advice
Managing Osteoarthritis Pain: Medication, Rehabilitation, or Surgery?
Medications for osteoarthritis? Rehabilitation? Hello Doctor, my father is 57 years old. He was hospitalized for peritonitis and underwent surgery in early July. During his hospital stay, he experienced unbearable knee pain, and after an X-ray, he was diagnosed with mild osteoart...
Dr. Li Yongheng Reply:
Hello Miss Bibi, based on your father's reported condition, I recommend that he should not delay seeking medical attention and should return to the orthopedic outpatient clinic for an X-ray examination to check for any conditions other than osteoarthritis. If it is indeed on...[Read More] Managing Osteoarthritis Pain: Medication, Rehabilitation, or Surgery?
Post-Operative Care and Recovery from Knee Arthroscopy for Plica Syndrome
Postoperative Pterygium Syndrome Hello, Doctor! I just underwent arthroscopic plica excision surgery on my left knee on August 21 (Monday). I was able to get out of bed and practice walking with an assistive device the day after the surgery. Today marks the fourth day post-operat...
Dr. Li Yongheng Reply:
Dear Ms. Chen, You underwent a left knee arthroscopy for plica excision on August 21 (Monday). It is normal to experience soreness and a feeling of weakness in your leg four days post-surgery. Typically, you can gradually return to normal activities within two weeks after the pr...[Read More] Post-Operative Care and Recovery from Knee Arthroscopy for Plica Syndrome
Understanding Knee Pain: Symptoms, Diagnosis, and Treatment Options
Regarding knee pain issues? Hello Doctor, around July 28, while exercising outdoors, I jumped down from a height and felt something unusual in my right knee. That night, when I went to bed and slept on my left side, I suddenly experienced severe pain at the lateral joint line of ...
Dr. Shi Guozheng Reply:
First, adopt conservative treatment by taking medication or undergoing rehabilitation. If there is no improvement after six weeks, then consult a physician for examination and further management.[Read More] Understanding Knee Pain: Symptoms, Diagnosis, and Treatment Options
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Becoming prone to numbness in the hands and feet? Hello, doctor. I'm not sure when it started, but I've begun to experience numbness during movements that didn't cause it before. For example, when I sleep with my hands on my chest, my hands become numb; when I slee...
Dr. Li Yongheng Reply:
Based on your age and symptoms, these numb sensations are typically related to poor posture. Therefore, it is recommended that you pay attention to your standing and sitting posture, maintain a light diet, and drink plenty of water. Most symptoms should improve. Wishing you a spe...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Correcting X-shaped Legs: Methods, Risks, and Outcomes
Correction Methods and Risks for Bow Legs (X-shaped Legs) Hello Doctor: I have X-shaped legs. When my feet are together, my knees touch, but my ankles cannot align, and when I walk, my ankles tilt outward, causing the outer sides of my shoes to wear down. If I want to correct thi...
Dr. Shi Guozheng Reply:
If there are no symptoms of knee pain, correction is not necessary. However, if there are knee joint abnormalities, such as varus deformity, and the lateral joint space is narrowed, then corrective surgery may be required. While surgery can correct the issue, there is a possibili...[Read More] Correcting X-shaped Legs: Methods, Risks, and Outcomes