Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Outlook
Avascular necrosis of the femoral head I have been experiencing pain in both hip joints while walking for the past month or two. The MRI report confirmed that there is some avascular necrosis of the femoral head due to steroid use. The doctor explained that it is still in the ear...
Dr. Shi Guozheng Reply:
In the early stages, some cases may have a possibility of recovery, although the chances are slim. Pharmacological treatments are usually ineffective. In the past, some have used Fosamax for treatment, but the results are not guaranteed. Before undergoing joint replacement, there...[Read More] Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Outlook
Can You Run with a Mild Disc Bulge? Insights for Runners
Intervertebral disc protrusion and jogging? Hello Doctor, about a month ago I sought medical attention due to severe lower back pain. After X-ray and MRI examinations, both the neurosurgeon and the rehabilitation specialist indicated that there were no issues with my spine or ner...
Dr. Shi Guozheng Reply:
If it is a mild herniation, rest and medication can lead to recovery in about six weeks to three months, and rehabilitation will also help in the recovery process.[Read More] Can You Run with a Mild Disc Bulge? Insights for Runners
Recovering from ACL Reconstruction: Managing Setbacks and Concerns
Slipping during rehabilitation after anterior cruciate ligament reconstruction? Hello, Doctor. I previously asked you about the rehabilitation progress after my anterior cruciate ligament (ACL) reconstruction and bilateral meniscus repair surgery on February 2nd. Now, three month...
Dr. Shi Guozheng Reply:
Your MRI report is not very clear, and the extent of the knee joint injury is uncertain. However, the conditions you mentioned are all possible. The most important thing now is to establish a diagnosis before determining the treatment or rehabilitation plan. There is still a chan...[Read More] Recovering from ACL Reconstruction: Managing Setbacks and Concerns
Choosing the Right Intervertebral Spacer: Wallis vs. Coflex for Disc Herniation
Intervertebral spacer Hello Dr. Chang, I have a herniated disc and recently had an MRI. I consulted two doctors, both of whom recommended surgery and the insertion of an intervertebral spacer. My question is, one doctor suggested using Wallis, while the other said Coflex is too r...
Dr. Zhang Jiahao Reply:
Hello: Whether to use a brace depends on the condition of your disc degeneration, which can be assessed through the MRI report. As for which type of brace to use, to my knowledge, there are currently no long-term and large-scale studies available to compare the differences betwee...[Read More] Choosing the Right Intervertebral Spacer: Wallis vs. Coflex for Disc Herniation
Understanding Labral Tears: Healing Options and Surgical Considerations
Labral tear type II Hello Doctor: My MRI report shows that one of the screws inserted has an area of surrounding tissue that has completely failed to grow. The doctor mentioned that the area around the screw appears empty, almost like a hole, and there seems to be abnormalities i...
Dr. Shi Guozheng Reply:
The screw may have loosened, and the likelihood of natural healing is low. For the surgical options, it is advisable to consult the surgeon to determine which method is more suitable, as the recovery period may be extended.[Read More] Understanding Labral Tears: Healing Options and Surgical Considerations
Innovative ACL Reconstruction: Enhancing Healing with Bone Membrane Technique
Anterior cruciate ligament reconstruction Hello, Director Shih. I would like to consult you again, and thank you for your response a few days ago. Yesterday, I returned to the Tri-Service General Hospital to review my MRI report. After examining the images, the doctor determined ...
Dr. Shi Guozheng Reply:
The article you have read has explained everything clearly, and it is correct. The surgery is performed with the assistance of arthroscopy, resulting in smaller incisions and faster recovery; however, active rehabilitation is essential for success. After the surgery, hospitalizat...[Read More] Innovative ACL Reconstruction: Enhancing Healing with Bone Membrane Technique
Do I Really Need Surgery for My ACL Injury? Expert Insights
This is a medical record diagnosed by National Taiwan University Hospital. Is surgery absolutely necessary? The patient is a 26-year-old male who is slightly overweight and needs to lose weight. He recently sought medical attention at National Taiwan University Hospital due to kn...
Dr. Luo Zhaozhong Reply:
Hello: According to the MRI report, there is evidence of anterior cruciate ligament injury, although the extent is unclear. Clinically, if conservative treatment is ineffective, it is still recommended to perform an arthroscopic examination of the knee joint for confirmation. Thi...[Read More] Do I Really Need Surgery for My ACL Injury? Expert Insights