Managing Persistent Back Pain After Tuberculosis Treatment: Insights and Solutions
The MRI shows a slight herniation between the lumbar vertebrae L1 and L5, causing pain and discomfort at night while sleeping? I was treated for tuberculosis from December 6, 2019, to June 5, 2020, for a duration of six months. During this time, I have been experiencing lower bac...
Dr. Cai Shanglin Reply:
Hello, Teacher Lin. If you have been experiencing long-term discomfort due to lower back pain and suspect a spinal infection, an MRI can help determine the cause of your back pain, which can be quite complex. Most conservative treatments (non-surgical methods such as medication a...[Read More] Managing Persistent Back Pain After Tuberculosis Treatment: Insights and Solutions
Managing Post-Surgery Pain: Hip Replacement Complications and Solutions
Pain in the lower back, a specific point in the buttocks, and thigh pain? Hello Doctor, my mother underwent a left hip joint replacement surgery in early November. Initially, she did not experience much pain during her hospital stay or upon discharge, but by December, she started...
Dr. Wang Shouji Reply:
Hello, after hip joint surgery, if you experience severe pain again, it is important to be aware of potential issues such as infection or dislocation. It is advisable to reassess your condition. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Managing Post-Surgery Pain: Hip Replacement Complications and Solutions
Post-Operative Care and Rehabilitation for Humerus Fractures: Key Insights
Postoperative care for humeral fracture? I apologize, but Dr. Chen has some questions to ask. My mother (around 60 years old) was in a car accident in mid-September 2020, and she was taken to the emergency room and underwent surgery. Currently, the doctor has advised aggressive r...
Dr. Chen Yongxue Reply:
1. The X-ray taken at the end of December 2020 shows a bone fragment in the shoulder joint, which likely corresponds to the attachment site of the supraspinatus muscle. This could be a primary reason for the inability to raise the arm. Such findings can occasionally be seen in pa...[Read More] Post-Operative Care and Rehabilitation for Humerus Fractures: Key Insights
Managing Post-Surgery Pain: Insights on Hip Replacement Complications
Pain in the lower back, a specific point in the buttocks, and thigh pain? Hello Doctor, my mother underwent a left hip joint replacement surgery at the beginning of November. Initially, she did not experience much pain during her hospital stay and upon discharge. However, in Dece...
Dr. Wang Shouji Reply:
Hello, after hip joint surgery, if you experience severe pain again, it is important to be aware of issues such as infection and dislocation. It is recommended to reassess your condition. Changhua Hospital cares about your health. Dr. Wang Shou-ji.[Read More] Managing Post-Surgery Pain: Insights on Hip Replacement Complications
Understanding Lower Back Pain: Causes and Solutions for Relief
Lower back pain? Hello, Dr. Tsai. Recently, whenever I lie down, both sides of my lower back easily feel sore (the right side more often). My right leg has also been experiencing occasional weakness while walking.
Dr. Cai Shanglin Reply:
Hello, the causes of lower back pain are numerous and complex. In most young individuals, it is often due to discomfort in soft tissues such as muscles, tendons, and ligaments. Paying attention to posture and engaging in appropriate exercise, along with conservative treatments (n...[Read More] Understanding Lower Back Pain: Causes and Solutions for Relief
Understanding Knee Injuries: Causes, Treatment, and Rehabilitation Tips
Knee contusion/swelling Hello Doctor: I was in a car accident and injured my right knee. Initially, I couldn't bend it at all, and bending it caused pain, making it feel like the strength couldn't transfer from my knee to my calf. If I lift my leg without support, my ca...
Dr. Shi Guozheng Reply:
1. Knee joint contusions typically take one to two months to heal; if there is a fracture, it may take three to four months. 2. If the knee joint is still warm, ice therapy should be applied. If the joint is just very tight and cannot bend, then heat therapy can be used. 3. R...[Read More] Understanding Knee Injuries: Causes, Treatment, and Rehabilitation Tips
Managing Ulnar Styloid Fractures: When to Seek Medical Advice
Radius and ulna fracture Hello doctor, last June I slipped and fell, which resulted in a fracture of the left ulnar styloid process after a hospital examination. I rested for a few months and it improved significantly, but in the past few days, due to work, I have been using my h...
Dr. Shi Guozheng Reply:
You should consult a physician to assess whether the fracture has healed before proceeding with any further treatment.[Read More] Managing Ulnar Styloid Fractures: When to Seek Medical Advice
Understanding Recovery from Radial Bone Fracture: Concerns and Rehabilitation
Radial fracture Hello Doctor, I fractured my right radius on January 24th (approximately in the middle) and underwent surgery to implant a steel plate on January 25th. I had my stitches removed a few days ago. Since I am an artist, I am very anxious about my recovery. I have seve...
Dr. Chen Yongxue Reply:
1. Difficulty in flipping the arm and extending it, with a noticeable protrusion at the site of the steel plate that feels hard to the touch. I would like to know if this indicates that the plate may need to be removed later. You are still very young, and it would be better to re...[Read More] Understanding Recovery from Radial Bone Fracture: Concerns and Rehabilitation
Post-Operative Care and Daily Living Tips After Total En Bloc Spondylectomy
What are the care considerations after a total vertebral body resection and spinal fusion surgery? I have a giant cell tumor on my lumbar vertebra L3, and the most suitable treatment is a Total En Bloc Spondylectomy (TES). I later found a physician at National Taiwan University H...
Dr. Chen Bochen Reply:
During your hospitalization, a consultation with the rehabilitation department will take place. Physical and occupational therapists will guide you on how to overcome daily challenges. The professional therapists will tailor their instruction based on your current condition. At t...[Read More] Post-Operative Care and Daily Living Tips After Total En Bloc Spondylectomy
Ankle Sprain: Persistent Bump on Outer Foot After Two Months
Ankle sprain with swelling on the outer side of the foot? After a sprained ankle, the swelling has subsided after two months, but there is a noticeable bump on the outer side of the foot, close to the fifth metatarsal. There is no pain during normal walking, but there is discomfo...
Dr. Chen Bochen Reply:
You may consider visiting an orthopedic or rehabilitation clinic for an ultrasound to clarify what the protrusion is. X-rays do not need to be repeated within a short period of time.[Read More] Ankle Sprain: Persistent Bump on Outer Foot After Two Months
Understanding Leg Pain When Climbing Stairs: Causes and Solutions
Soreness in the thighs when climbing stairs? Hello, Director Chen! I have a troubling question to ask: I have a daily exercise routine that includes hiking, jogging, cycling, and climbing mountains. However, for the past two to three months, I've noticed that whenever I go u...
Dr. Chen Bochen Reply:
Activities such as climbing hills and cycling that involve forward bending of the spine can cause soreness, which may be due to a herniated intervertebral disc. It is recommended to strengthen core muscles. Using a lumbar support and anti-inflammatory medications may provide shor...[Read More] Understanding Leg Pain When Climbing Stairs: Causes and Solutions
Chronic Ankle Shortening and Muscle Tension After Old Leg Fracture
The muscle and tendon tissue at the site of an old fracture in the calf is being pulled, resulting in a persistent shortening of the ankle extension? Approximately 30 years ago, I sustained an open fracture of the left tibia in a car accident. The steel rod that was placed to sup...
Dr. Shi Guozheng Reply:
It may be related to tissue adhesions, so you can try rehabilitation to see if it alleviates the symptoms. If there is no improvement, further evaluation will be needed to determine if surgery is necessary.[Read More] Chronic Ankle Shortening and Muscle Tension After Old Leg Fracture
Understanding Ligament Injuries: Types and Recovery Tips
Ligaments are classified as soft tissue injuries? A few weeks ago, I jumped and landed with my foot inverted. When I got home, I consulted a traditional Chinese medicine practitioner who said I had injured the most superficial and easily injured ligament, as well as a deeper liga...
Dr. Wang Shouji Reply:
Hello, the most common injury is to the anterior tibiofibular ligament of the ankle. It is recommended to use a brace for protection. If the injury is severe, you should visit a rehabilitation specialist for balance training and strength exercises. Changhua Hospital cares about y...[Read More] Understanding Ligament Injuries: Types and Recovery Tips
Understanding Neck and Shoulder Pain: Spine Issues vs. Muscle Strain
Spinal and muscle soreness? I have been experiencing shoulder and neck pain for two months, usually occurring upon waking up, and sometimes it can last for a morning or even a whole day! I would like to ask: 1. Could this be related to a spinal issue, such as misalignment, or is ...
Dr. Chen Bochen Reply:
Hello: Cervical spine injuries can cause symptoms such as numbness, pain, weakness, muscle atrophy, and unsteady gait. Even mild cases can lead to myofascial pain. It is recommended to use medication, undergo rehabilitation, and wear a soft cervical collar to accelerate recovery.[Read More] Understanding Neck and Shoulder Pain: Spine Issues vs. Muscle Strain
Post-Thoracic Surgery: Why Can't My Left Heel Support My Weight?
After thoracic spine surgery, the left heel is unable to bear weight? Hello Doctor: I suffered a burst fracture of the twelfth thoracic vertebra last October and had steel rods and bone cement implanted. Currently, I am able to walk with both legs. However, my left heel cannot su...
Dr. Chen Bochen Reply:
Based on the information you provided, it appears that the primary injury is to the L5 nerve. The MRI shows no stenosis at the L4/5 level, but the L5 nerve may have been injured at the T12 level. It is recommended that, in addition to investigating the cause, active rehabilitatio...[Read More] Post-Thoracic Surgery: Why Can't My Left Heel Support My Weight?
Understanding Heel Pain: Causes, Symptoms, and Treatment Options
Heel pain Doctor, my foot pain occasionally radiates to my toes and the sole of my foot. The pain points are located at the heel and the bony prominence on the inner side of the foot near the heel. Both of these areas are extremely painful when pressed lightly. My big toe tremble...
Dr. Shi Guozheng Reply:
Typically, conservative treatment methods such as medication, local steroid injections, or shockwave therapy can be used to treat conditions that do not require surgery.[Read More] Understanding Heel Pain: Causes, Symptoms, and Treatment Options
Understanding Recovery from Distal Toe Fractures: Key Questions Answered
Fracture of the distal phalanges of the right foot, toes 2 to 4? Hello, I sustained an injury to my toes on January 7th when a heavy table fell on them, resulting in fractures of the distal phalanges of toes 2 to 4. The toenail on toe 2 has fallen off, and the toenail on toe 3 is...
Dr. Shi Guozheng Reply:
1. You can start walking in about two to four weeks without the need for assistive devices. An X-ray can be taken again one month after the fracture. 2. Surgery for pinning is not required. 3. Rehabilitation is not necessary. 4. You should be able to return to work in appro...[Read More] Understanding Recovery from Distal Toe Fractures: Key Questions Answered
Post-Surgery Recovery Tips for Knee Reconstruction Patients
Post-operative recovery related questions? Hello Doctor: Three years ago, I injured my knee while playing basketball, and after initially undergoing conservative treatment, I chose to have surgery for reconstruction due to persistent weakness in my leg. This year, I have been exp...
Dr. Shi Guozheng Reply:
Before the surgery, it is advisable to perform strength training for the right knee joint, typically focusing on the quadriceps through flexion and extension exercises to enhance muscle strength. After the surgery, it is essential to follow the physician's instructions for r...[Read More] Post-Surgery Recovery Tips for Knee Reconstruction Patients
Sudden Disappearance of Ganglion Cyst After Exercise: What to Know
The ganglion cyst suddenly disappears after exercise? Hello Doctor, about a month ago I discovered a lump next to my left ankle. After seeing a doctor, I was told it was a ganglion cyst measuring approximately 1.5 x 1.5 x 0.8 cm (according to ultrasound data). I then underwent a ...
Dr. Shi Guozheng Reply:
It may have ruptured; there's no need for a follow-up appointment. Just wait until he has a recurrence to see a doctor.[Read More] Sudden Disappearance of Ganglion Cyst After Exercise: What to Know
Sudden Swelling of the Fourth Toe: Causes and Treatment Options
The fourth toe of the right foot suddenly swelled? The fourth toe on both feet has been persistently swollen for about two years. A month ago, the fourth toe on my right foot suddenly became swollen. I visited the immunology department at Beihua Hospital, and after blood tests, t...
Dr. Chen Yongxue Reply:
Hello, sudden swelling of the fingers and toes should first rule out any immune-related issues. Additionally, individuals over the age of 50 are at a higher risk for degenerative arthritis. Please visit an orthopedic clinic for further diagnosis. Thank you.[Read More] Sudden Swelling of the Fourth Toe: Causes and Treatment Options