Choosing the Right Hip Implant Material: Ceramic vs. Metal for Young Patients
Materials for artificial hip joints? Dear Dr. Shih, I am the patient who asked you a question on March 2nd. I had a right hip arthroplasty with a ceramic prosthesis last June and am about to undergo surgery for a left hip arthroplasty. I would like to know which is more suitable...
Dr. Shi Guozheng Reply:
The purpose of both is to reduce wear, and currently, the follow-up duration is not as long as that of traditional artificial joints, making comparisons difficult. However, both theoretical and experimental evidence demonstrate that their wear is indeed less. Both are suitable fo...[Read More] Choosing the Right Hip Implant Material: Ceramic vs. Metal for Young Patients
Understanding Postpartum Pelvic Pain: Causes and Solutions
excuse me? Hello Doctor: My situation is as follows: After giving birth at the end of December last year, a week later, I experienced severe pain in the left side of my pelvis and lower back, akin to nerve pain, which rendered me unable to walk. Any movement triggered intense pai...
Dr. Shi Guozheng Reply:
Lower back pain can indeed be quite bothersome and difficult to diagnose. In cases like yours, where both X-rays and MRI results are normal, it can be challenging to determine the diagnosis. However, postpartum lower back pain can sometimes be attributed to the relaxation and wea...[Read More] Understanding Postpartum Pelvic Pain: Causes and Solutions
Understanding Leg Pain and Weakness: Causes and Treatment Options
The legs feel sore, numb, and weak? Since the beginning of the year, I have been experiencing pain and numbness in my right leg, starting from the hip down to the calf. This is especially pronounced when I sleep with my legs straight, as my calf muscles cramp and feel very painfu...
Dr. Zhang Shengben Reply:
Hello Jing: Based on your description, it is possible that you have a lumbar disc herniation causing nerve compression. You should seek medical attention as soon as possible for a detailed examination. The treatment options will depend on the severity of the nerve compression, an...[Read More] Understanding Leg Pain and Weakness: Causes and Treatment Options
Understanding Surgical Treatment Options for Patellar Malalignment
Patellar chondromalacia Hello, I have seen your previous response regarding "patellar chondromalacia." According to my physician's diagnosis, I have congenital valgus deformity of the patella (and both legs are affected). I have also undergone rehabilitation, but t...
Dr. Shi Qiming Reply:
Hello: Traditionally, a 3.95 cm incision is made on the lateral side of the knee, followed by a surgical incision of the lateral knee fascia. The potential complications include a 5% risk of knee hematoma, knee weakness, wound infection, among others. Thank you![Read More] Understanding Surgical Treatment Options for Patellar Malalignment
Choosing the Right Surgeon for Hip Replacement: Key Considerations
Artificial hip joint Dear Dr. Shi, I am the patient who consulted you last year on August 1st. I underwent surgery to have an artificial hip joint implanted due to avascular necrosis of my right hip joint in early June of last year. Later, at the end of June, I discovered that m...
Dr. Shi Guozheng Reply:
There is generally no particular issue with consulting different physicians, as long as the doctors are meticulous in ensuring that the legs are as equal in length as possible. The materials for artificial joints are available at various hospitals, but it is still important to co...[Read More] Choosing the Right Surgeon for Hip Replacement: Key Considerations
Understanding Right-Sided Abdominal Pain: Causes and Treatment Options
The pain is located at the level of the navel, on the right side, approximately 10 to 15 centimeters from the side of the waist? Hello Dr. Wang: I have pain located at the level of my navel, about 10 to 15 centimeters to the right side of my waist. In addition to general soreness...
Dr. Wang Shouji Reply:
JEFF: Sciatica is defined as pain that radiates along the path of the sciatic nerve, typically affecting the lower back and extending down the legs. If there is only lower back pain without any neurological symptoms in the lower extremities, it does not meet the medical definitio...[Read More] Understanding Right-Sided Abdominal Pain: Causes and Treatment Options
Understanding Leg Pain in Children: Causes and Concerns
Leg pain My daughter has frequently experienced leg pain (specifically in the calf area) since she was young. Some doctors have said it is "growing pains." However, recently she has been complaining of pain in various different areas, but she cannot specify how it hurts...
Dr. Chu Baijun Reply:
Hello: 1. May I ask how old your daughter is? Is she very active? Has she sustained any injuries or overexerted herself? 2. "Concentrating on the legs, almost all positions are quite different," makes it difficult to determine the cause. Would it be possible to bring he...[Read More] Understanding Leg Pain in Children: Causes and Concerns
Understanding Knee Stability: Impact of Past Injuries and Muscle Atrophy
Knee stability Hello, Director Yeh: I have a few questions regarding my previous left calf fracture. I used crutches for eight months, which resulted in severe atrophy of my quadriceps. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and the adjacent...
Dr. Ye Qingnian Reply:
1. The tibia and the bone it connects to are misaligned, and based on your description, it's difficult to determine which bone it is, so I cannot provide a detailed explanation. 2. If the bones are misaligned, it can easily lead to knee osteoarthritis, resulting in pain. ...[Read More] Understanding Knee Stability: Impact of Past Injuries and Muscle Atrophy
Understanding Spondylolisthesis: When to Seek Medical Attention
Spondylolisthesis Hello, my mother was diagnosed with spondylolisthesis during a bone density test last year. However, she did not experience any pain due to her regular aerobic exercise. Over the past two weeks, she has paused her exercise routine because of thyroid surgery, and...
Dr. Wang Shouji Reply:
Eva: Spondylolisthesis can be classified as congenital or acquired. If there is no back pain or symptoms of spinal stenosis (such as lower limb numbness or pain), observation is recommended. If symptoms develop, treatment (surgical decompression and internal fixation fusion) can ...[Read More] Understanding Spondylolisthesis: When to Seek Medical Attention
Understanding Joint Sounds in Infants: When to Worry?
Joint issues? Hello doctor... My child is now five months old. Recently, I've noticed that when I hold him, I can hear sounds coming from his joints. Also, when I lift his legs up and down, there are sounds as well. It sounds a bit strange. Although there are sounds from the...
Dr. Wang Shouji Reply:
If there are sounds in the joints but no discomfort, it is usually not a major concern. However, if you are worried, it is advisable to take the child to a pediatric orthopedic specialist for a thorough examination. Wishing you good health.[Read More] Understanding Joint Sounds in Infants: When to Worry?
Understanding Limb Length Discrepancy in Children with Spina Bifida
Leg length discrepancy in children? Dear Dr. Lee, My daughter is a patient with congenital spina bifida, which has resulted in her left calf bone being thinner and shorter than her right calf (currently, the difference is nearly one centimeter). I would like to ask Dr. Lee: 1. ...
Dr. Li Wenlin Reply:
Hello: In response to your question, may I ask how old your daughter is now? If she is a patient with congenital spina bifida, you may need a multidisciplinary medical consultation team, including a pediatrician, pediatric neurosurgeon, pediatric orthopedic surgeon, pediatric reh...[Read More] Understanding Limb Length Discrepancy in Children with Spina Bifida
Understanding Pain Above the Knee: Causes and Solutions
Pain near the knee, but not directly on the knee itself? I have been consistently exercising, but about a month ago, after running, I started to feel a dull pain below my knee, specifically on the outer side just above the tibia in both legs. There is tenderness upon palpation, b...
Dr. Zhang Shengben Reply:
Hello Amin: This is likely an inflammation of the hip ligaments, commonly seen after injuries from jumping or running activities. Initial treatment should include ice application, rest, and avoiding actions such as running, jumping, or squatting. After three days, apply heat and ...[Read More] Understanding Pain Above the Knee: Causes and Solutions
Understanding and Treating Frog Legs: Options Beyond Surgery
I want to completely cure frog legs..? Hello Dr. Hong, I would like to ask you some questions regarding my frog legs condition. I've had this issue since childhood, but I never paid much attention to it. However, in recent years, as I've been practicing Taekwondo and ...
Dr. Hong Ximing Reply:
Hello, A-Ren. The term "frog leg" refers to the fibrosis of the gluteus maximus muscle, which requires abduction to achieve maximum hip flexion. This condition does not necessarily indicate the need for surgery, but it is essential to have a diagnosis from an orthopedic...[Read More] Understanding and Treating Frog Legs: Options Beyond Surgery
Effective Ways to Increase Height: Tips from Orthopedic Experts
How to increase height? I am only 163 cm tall and I really want to grow taller. I wonder if doctors have any suggestions or if there are any resources that could help me. I just want to reach 170 cm.
Dr. Ye Qingnian Reply:
Human height growth is regulated by the growth plates in the bones. Once the growth plates fuse, it is no longer possible to increase height. At 22 years old, your growth plates have completely fused, and you cannot grow taller. Some individuals have undergone surgical procedures...[Read More] Effective Ways to Increase Height: Tips from Orthopedic Experts
Understanding Persistent Joint Pain in Adolescents: Causes and Solutions
Persistent joint pain Hello, doctor. I am currently a high school sophomore, and I have been experiencing joint pain frequently since last year (during my freshman year). Sometimes, while walking, I suddenly feel sharp pain (sudden weakness), but after a short while, I can walk a...
Dr. Shi Guozheng Reply:
It seems that many joints are experiencing pain, which is more indicative of conditions related to rheumatoid arthritis or myofascial pain syndrome. I recommend that you consult a rheumatologist for further evaluation.[Read More] Understanding Persistent Joint Pain in Adolescents: Causes and Solutions
Can O-Shaped Legs Be Corrected at My Age?
bow legs Is it still possible to correct my bow legs at my current age?
Dr. Zhou Lizhi Reply:
X-rays are required to measure the angle in cases of bow legs. If the condition is severe, surgical correction may be necessary; however, if it is only a cosmetic issue, correction is not required. At 19 years old, the growth plates in the knee have already fused, making it impos...[Read More] Can O-Shaped Legs Be Corrected at My Age?
Misdiagnosed Joint Issues: A Patient's Journey Through Multiple Surgeries
It took three surgeries to finally identify the issue with the spine? Hello Doctor, I had surgery for HIVD in December 2005, and my recovery was good. However, prior to radiation therapy, my wound may have come into contact with water, and I experienced unexplained fevers three...
Dr. Shi Guozheng Reply:
After total hip arthroplasty, patients typically need to rely on a cane for about three to six months. Using a walker allows for some weight-bearing, but it is advisable to discontinue the walker only after three to six months when there is no pain. Muscles that are not used for ...[Read More] Misdiagnosed Joint Issues: A Patient's Journey Through Multiple Surgeries
Understanding Your Child's Leg Pain: Causes and When to Seek Help
Children often complain of leg fatigue and weakness? Hello Doctor, my daughter is 4 years and 4 months old and often complains of leg pain, soreness in her feet, and weakness in her legs, especially in the morning when she wakes up and at night before going to bed. She has poor b...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is advisable for your daughter to first see a pediatrician. The pediatrician will provide a diagnosis and may recommend referrals to various specialists as needed. Wishing you all the best![Read More] Understanding Your Child's Leg Pain: Causes and When to Seek Help
Understanding ACL and LCL Reconstruction: Key Questions Answered
Ligament reconstruction Hello Dr. Lee, I previously had a car accident and underwent examinations and an MRI. The doctor determined that I have a partial tear of the posterior cruciate ligament (PCL) in my left leg, and a complete tear of the PCL and a lateral collateral ligamen...
Dr. Li Wenlin Reply:
Hello, in response to your questions: 1. The purpose of the surgery is to restore your original function. Your description did not mention your symptoms. In some cases, even if the posterior cruciate ligament (PCL) and lateral ligaments are torn, clinical outcomes can still be s...[Read More] Understanding ACL and LCL Reconstruction: Key Questions Answered
Understanding Knee Weakness: Could Spinal Bone Spurs Be the Cause?
Knee My father is 60 years old. Yesterday, after squatting down, he suddenly couldn't stand up, saying that his knees felt weak. As a result, he is unable to bend or straighten his legs, and his knees do not feel sore. What could be the cause of this? The doctor mentioned th...
Dr. Zhou Lizhi Reply:
Dear user, the sudden inability to move the knee joint is most commonly caused by traumatic fractures or soft tissue injuries within the joint that lead to impingement. Based on your father's symptoms, it appears to be the latter (fractures typically cause severe pain and sw...[Read More] Understanding Knee Weakness: Could Spinal Bone Spurs Be the Cause?