Rheumatoid arthritis, Orthopedics FAQ

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Understanding Heel Pain: Risks and Treatments for Rheumatoid Arthritis Patients

Heel pain Hello Dr. Wang, I would like to ask if my aunt has rheumatoid arthritis, do I have a risk of developing ankylosing spondylitis? Thank you 🙏 I was preparing for graduate school and spent almost every day studying at home, which involved prolonged sitting and a lack of ...


Dr. Wang Shouji Reply:
You can visit the outpatient clinic for a check-up.

[Read More] Understanding Heel Pain: Risks and Treatments for Rheumatoid Arthritis Patients


Understanding Ankle Joint Replacement: Risks and Considerations for Rheumatoid Patients

Artificial ankle joint Hello, Doctor! I have rheumatoid arthritis, and the cartilage in my ankle joint is severely worn down. I am scheduled for a joint replacement surgery, but I have some concerns: 1. The surgical options are fusion and joint replacement (the cost for one foo...


Dr. Shi Guozheng Reply:
1. You can still walk. 2. Usually not. 3. You should ask the specialist who performed your surgery; typically, edema is related to kidney issues. 4. The results of the fusion procedure are also quite good.

[Read More] Understanding Ankle Joint Replacement: Risks and Considerations for Rheumatoid Patients


Understanding Muscle Issues: Managing Stiff Neck and Pain in the Upper Back

Stiff neck due to muscle issues? Hello Doctor, I have cervical spine hyperlordosis. On May 7th, I experienced a stiff neck on the right side. After visiting an orthopedic doctor, I was told that aside from the hyperlordosis, there were no other issues, and it was a muscle problem...


Dr. Wang Shouji Reply:
Hello, regarding muscle issues and loss of curvature in the cervical spine, it is important to pay attention to your head posture, especially if you often look down, such as when using a mobile phone for extended periods or using a pillow that is too high while sleeping. Applying...

[Read More] Understanding Muscle Issues: Managing Stiff Neck and Pain in the Upper Back


Ankle Fusion vs. Artificial Joint: Which Surgery is Right for You?

Ankle fusion or ankle joint replacement? Hello Dr. Wang! I have rheumatoid arthritis, and the cartilage in my ankle is severely worn down, leading to deformity and osteoporosis. I have undergone PRP treatment once without any effect. I have a few questions: 1. Should I consider...


Dr. Wang Shouji Reply:
Hello, with a fusion of the ankle joint, the range of motion is 0, which will definitely affect gait. A prosthetic ankle joint offers a better range of motion; however, if osteoporosis is severe, there is indeed a higher risk of dislocation. Additionally, patients with rheumatic ...

[Read More] Ankle Fusion vs. Artificial Joint: Which Surgery is Right for You?


Understanding Chronic Finger Joint Pain: Causes and Treatment Options

Chronic pain in the finger joints? Hello, doctor! I have a question regarding pain in my finger joints. I have already checked the Q&A section on this site and have a general understanding. However, I would like to inquire further about my situation and choose the correct spe...


Dr. Shen Boquan Reply:
Hello, the pain in the proximal interphalangeal joint of your right middle finger has been increasing over time and is affecting your daily activities. It does not hurt when at rest, but it does hurt when using the middle finger, such as when washing dishes, cups, wringing towels...

[Read More] Understanding Chronic Finger Joint Pain: Causes and Treatment Options


Understanding Knee Pain: Is It Degenerative Arthritis After Vaccination?

Knee joint pain Hello Doctor, I started receiving vaccinations last year, and initially, I experienced mild pain in my finger joints. I consulted a rheumatologist, and the blood tests came back normal. I didn't pay much attention to it and continued with the vaccinations. Af...


Dr. Shi Guozheng Reply:
Joint degeneration is possible, and if medication can provide relief, it is advisable to take some. Additionally, engaging in rehabilitation can help improve the condition gradually.

[Read More] Understanding Knee Pain: Is It Degenerative Arthritis After Vaccination?


Understanding Finger Joint Inflammation: Causes, Treatments, and Concerns

Finger joint inflammation Hello Doctor: I have no history of trauma, and my dominant hand is my right hand. Initially, I noticed pain in the middle joint of my ring finger when bending it. After a week, the pain intensified during bending, so I visited an orthopedic specialist. B...


Dr. Shi Guozheng Reply:
1. It is possible and will not deform. 2. Usually, it will not. 3. Let's wait a few months and then check again.

[Read More] Understanding Finger Joint Inflammation: Causes, Treatments, and Concerns


Understanding Forteo: Efficacy in Bone Regeneration and Osteoporosis Treatment

The efficacy of bone formation with Forteo (teriparatide)? I underwent lumbar fusion surgery (with screws and Romeo) on July 11 due to rheumatoid arthritis, after a previous surgery in June resulted in bone collapse. An X-ray on August 19 showed that the surgery was successful, b...


Dr. You Dianqi Reply:
Hello Amin! Each person's health condition is different, so it is advisable to discuss the subsequent treatment options with your attending (surgeon) physician. Thank you.

[Read More] Understanding Forteo: Efficacy in Bone Regeneration and Osteoporosis Treatment


Am I Suffering from Rheumatoid Arthritis? Understanding Joint Pain Symptoms

Am I suffering from rheumatoid arthritis? A 45-year-old female, 158 cm tall, weighing 45 kg: (1) Menopause occurred in May 2022. (2) No chronic diseases, no hereditary diseases, no allergies. (3) Diagnosed with a gastric ulcer via endoscopy in July 2021; chronic gastric acid has ...


Dr. Wang Shouji Reply:
Hello, based on your symptoms, it seems very much like rheumatoid arthritis. If there is no excessive use of the joints in daily activities, we need to consider whether it is due to intrinsic factors in your body. The pain in the soles of your feet is more likely to be plantar fa...

[Read More] Am I Suffering from Rheumatoid Arthritis? Understanding Joint Pain Symptoms


Morning Upper Back Pain: Causes and Solutions for Better Sleep

Upper back pain upon waking? For the past six months, I have frequently woken up with pain in my upper back, specifically on both sides of the spine rather than the spine itself. However, the pain tends to ease after I move around. I have consulted an orthopedic doctor and had X-...


Dr. Shi Guozheng Reply:
Rheumatoid arthritis (RA) can cause joint pain, which can be managed with medication. To check for lung cancer, you can undergo an X-ray or a low-dose computed tomography (CT) scan.

[Read More] Morning Upper Back Pain: Causes and Solutions for Better Sleep


Understanding Inflammation in Toe Joints: Causes and Treatments

Toe joint inflammation Hello Doctor: Two days ago, around 7 AM, I suddenly felt pain in my left foot. Upon inspection, I found that the second joint of my third toe was inflamed, red, and swollen. I have been experiencing poor sleep quality recently, only able to fall asleep arou...


Dr. Shi Guozheng Reply:
Rheumatoid arthritis typically presents as a polyarticular condition, affecting multiple joints rather than just one. Once it flares up, it can persist for several weeks. Your current condition may be indicative of some form of arthritis, and it is advisable to start medication w...

[Read More] Understanding Inflammation in Toe Joints: Causes and Treatments


Am I at Risk for Rheumatoid Arthritis? Understanding My Joint Pain

Do I have rheumatoid arthritis? Hello Doctor: This past week, when I wake up in the morning (not every day, about twice), I experience pain in the proximal interphalangeal joint of my right ring finger, while other joints are not painful. The pain subsides with movement, but it h...


Dr. Wang Shouji Reply:
Hello, rheumatoid arthritis is mostly characterized by polyarticular small joint inflammation, where multiple small joints (such as those in the fingers and toes) can become hot and painful during flare-ups. If there is only a single joint pain, it is advisable to observe it firs...

[Read More] Am I at Risk for Rheumatoid Arthritis? Understanding My Joint Pain


Sudden Knee Pain and Joint Discomfort: Seeking Solutions for Relief

Sudden pain in the left knee while sleeping, along with pain in the finger joints? I suddenly woke up one night with pain in my left knee and was unable to put weight on it when getting out of bed. I went to the orthopedic department at Asia University Hospital, where they took X...


Dr. Shen Boquan Reply:
Hello, if you suddenly experience pain in your left knee and both hands, it is important to consider whether you have sustained an injury or if your workload has been excessive. If this occurs occasionally and improves with rest or pain relief medication, you should take care to ...

[Read More] Sudden Knee Pain and Joint Discomfort: Seeking Solutions for Relief


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


Sudden Finger Pain: Understanding Causes and Seeking Relief

Frequent sudden pain in the fingers? This year, I've noticed that sometimes my fingers feel uncomfortable when I wake up, whether they are bent or straight. By the evening, the pain tends to worsen. The next day, I even have difficulty braking while riding my scooter. Today ...


Dr. Shi Guozheng Reply:
Based on your description, it could be tendonitis or trigger finger. It's important to consult a specialist for further evaluation. If the diagnosis is confirmed, medication treatment is possible, and injections may be necessary. You should also be mindful of any issues rela...

[Read More] Sudden Finger Pain: Understanding Causes and Seeking Relief


Understanding Genetic Risks of Ankylosing Spondylitis: Key Questions Answered

Genetic Issues Related to Ankylosing Spondylitis Hello Dr. Wang, 1. I have ankylosing spondylitis, but neither of my parents has this condition; only my aunt has rheumatoid arthritis. Is the likelihood of inheritance high, or are there other ways to develop this disease? 2. The...


Dr. Wang Shouji Reply:
Hello, in addition to X-rays, the diagnosis of ankylosing spondylitis also involves testing for HLA-B27. If both tests are positive, a definitive diagnosis can be made. Regarding its diagnosis and genetic implications, it is recommended to consult a rheumatologist. Symptoms of an...

[Read More] Understanding Genetic Risks of Ankylosing Spondylitis: Key Questions Answered


Understanding Joint Swelling and Deformation: Possible Causes and Solutions

Joint swelling, pain, and deformity? Hello Dr. Wang, I would like to ask you a question. My finger joints are swollen and deformed, with the joints being 2-3 times larger than normal. I have been examined and found no signs of gout or rheumatoid arthritis, but I experience pain f...


Dr. Wang Shouji Reply:
Hello, joint swelling and deformity are not uncommon in the elderly, often related to long-term wear and tear leading to cartilage degeneration. However, due to the relatively low activity levels in older adults, they may not experience significant discomfort. I recommend startin...

[Read More] Understanding Joint Swelling and Deformation: Possible Causes and Solutions


Understanding Temporary Joint Pain: Causes and When to Seek Help

Transient joint pain Hello, two days ago I noticed that my finger joints in my hands experience brief pain (lasting about 1 to 2 seconds, occurring once or twice, then disappearing). There is no pain when using the joints, and there is no redness or swelling, but when I forcefull...


Dr. Shi Guozheng Reply:
There's no need to rush; just wait for your appointment time to return for your consultation. Rheumatoid arthritis can still be treated effectively.

[Read More] Understanding Temporary Joint Pain: Causes and When to Seek Help


Understanding Finger Pain: Possible Causes and When to Seek Help

Inquiry about finger issues? Hello doctor, yesterday I washed my hands with soap and while rubbing between my fingers, I felt slight pain at the base of my right ring finger. Although there is no swelling, I later noticed a specific point near the base close to my palm that is mo...


Dr. Wang Jiacheng Reply:
I recommend that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health!

[Read More] Understanding Finger Pain: Possible Causes and When to Seek Help


Understanding Swollen and Painful Finger Joints: Causes and Treatments

Swollen and painful finger joints that cannot bend? Hello Doctor: Three days ago, I felt stiffness (a clicking sensation) in the joints of my left index finger (the distal and middle joints), which was different from the normal movement of my other finger joints. I used to occasi...


Dr. Shi Guozheng Reply:
1. If rheumatoid arthritis is suspected, it is appropriate to check for rheumatoid factor (RF) in the blood. 2. This approach is correct. 3. If necessary, X-rays can be taken. 4. If there is redness, swelling, heat, and pain, ice packs can be applied, but heat should not be...

[Read More] Understanding Swollen and Painful Finger Joints: Causes and Treatments


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