Recovery Insights for Open Fractures: Healing Time and Supplements
Could you please provide the content you would like me to translate? Hello, doctor. I had an accident while riding my motorcycle and injured my left ankle joint, resulting in an open fracture of the fibula and ligament tears. I have already undergone surgery and my ankle is curre...
Dr. Li Wenlin Reply:
Miss Lan: 1. The effectiveness of calcium and collagen supplements in aiding recovery after a fracture is still inconclusive. Orthopedic surgeons neither recommend nor oppose their use; you may decide for yourself. 2. If the fracture requires a cast for 3 months, a rehabilitation...[Read More] Recovery Insights for Open Fractures: Healing Time and Supplements
Understanding Joint Pain: Causes, Symptoms, and Specialist Guidance
Joint redness, swelling, and pain? Hello, my joints often hurt for no reason. Usually, the painful areas become red and warm, mostly affecting my knee joints, as well as my wrists and elbows. Sometimes, the joints in my fingers also hurt, and I experience swelling in my fingers o...
Dr. Wang Shouji Reply:
Hello, Rain: I apologize for the delay in my response due to a busy schedule. I appreciate your understanding. The joint pain you described, accompanied by redness, swelling, heat, and tenderness, is indicative of a typical inflammatory response. Whether this is due to general ov...[Read More] Understanding Joint Pain: Causes, Symptoms, and Specialist Guidance
Understanding Knee Effusion: RA Impact and Treatment Insights
Knee posterior flexion with effusion? Hello Dr. Lin: I have been diagnosed with rheumatoid arthritis (RA) based on some blood test results, but I have no clinical symptoms. I was originally taking methotrexate (MTX) and steroids (for six months), but in February of this year, I e...
Dr. Lin Xiaoyi Reply:
Hello, This symptom is likely a Baker's cyst, which is mostly caused by issues within the knee joint (such as knee joint inflammation or injuries to the cartilage or ligaments within the knee) leading to fluid accumulation. This fluid extends out from the weaker area of th...[Read More] Understanding Knee Effusion: RA Impact and Treatment Insights
To Operate or Not: Navigating Joint Replacement Decisions in RA
To undergo surgery or not? Hello, doctor. I am 26 years old and have been diagnosed with rheumatoid arthritis for 10 years. My condition has been manageable with medication, but I have been experiencing persistent pain in my right knee. Currently, I find it very difficult to walk...
Dr. Shi Guozheng Reply:
Basically, your understanding is correct; you may be suffering from juvenile rheumatoid arthritis. This condition typically occurs in adolescence and is generally more severe compared to adult rheumatoid arthritis, leading to more significant joint damage. Patients with rheumatoi...[Read More] To Operate or Not: Navigating Joint Replacement Decisions in RA
Understanding Persistent Joint Pain: Possible Causes and Next Steps
Joint pain in the limbs..? I have been experiencing foot pain for the past month. Initially, it was pain in both knees, but then the pain spread to the soles of my feet, and sometimes my calves and thighs hurt as well. Now, even my hip joints and fingers hurt, with different area...
Dr. Xu Zhaoren Reply:
First, go to the hospital to see a rheumatologist for an examination to determine whether it is rheumatoid arthritis or fibromyalgia.[Read More] Understanding Persistent Joint Pain: Possible Causes and Next Steps
Understanding Joint Pain: Causes and Tests for Hands, Feet, and Knees
Pain and discomfort in the hands, feet, and knee joints? Symptoms: My hands and feet, as well as my knee joints, feel somewhat achy, especially the foot joints. I experience pain in one or two fingers when pressure is applied to the hand joints, and my fingers feel numb after hol...
Dr. Shi Guozheng Reply:
First, check if there is overuse, or if standing too long or walking too far could be the cause. If there are no signs of redness or swelling and blood tests are normal, then consider getting an X-ray to see if there is joint degeneration or other changes.[Read More] Understanding Joint Pain: Causes and Tests for Hands, Feet, and Knees
Understanding Unexplained Joint Pain and Redness in Fingers and Toes
Unexplained swelling and pain? Hello Doctor: My fingers and toes often develop small red spots about 0.5 cm in size on the sides of the fingertips and the last joint. These red spots then expand into a larger area that becomes red and swollen, and they are painful to touch. In se...
Dr. Lin Xiaoyi Reply:
Hello: The sudden onset of redness, swelling, and pain in the fingers and toes, if gout is ruled out, should consider other causes, including other types of arthritis and vasculitis. These conditions rarely resolve on their own within three to four days. Based on your situation, ...[Read More] Understanding Unexplained Joint Pain and Redness in Fingers and Toes
Understanding Knee Pain: Causes, Treatments, and Recovery Tips for Young Adults
My knee hurts so much! Hello, doctor. A few days ago, I asked a question but didn't see your response, so I would like to ask again! I am 24 years old, and five years ago, I was rear-ended while riding a scooter, causing both of my knees to hit the ground with force. I was t...
Dr. Shi Qiming Reply:
Hello: The symptoms in your knees following the motorcycle accident suggest that there may be internal damage to your knees, and further examination is recommended. Possible injuries include posterior cruciate ligament (PCL) and anterior cruciate ligament (ACL) injuries, meniscus...[Read More] Understanding Knee Pain: Causes, Treatments, and Recovery Tips for Young Adults
Understanding Knee Pain: Insights and Remedies for Young Adults
My knee hurts so much! I am 24 years old, and five years ago, I was rear-ended by another motorcycle while riding. My knees hit the ground with significant force, and I was taken to the hospital for treatment and followed up daily. However, five years later, I still experience sw...
Dr. Hong Ximing Reply:
Based on your description, it seems to be intra-articular effusion. Generally, after a joint injury, engaging in more vigorous activities can lead to this condition, but it usually resolves on its own after a few days of rest. However, it is best to accurately determine the under...[Read More] Understanding Knee Pain: Insights and Remedies for Young Adults
Understanding the Differences Between Gout and Rheumatoid Arthritis
Arthritis Hello, doctor. Could you please explain the differences between gout and rheumatoid arthritis? My joints often ache; is there a chance for healing?
Dr. Xu Zhaoren Reply:
Gout is a metabolic disease characterized by elevated levels of uric acid in the blood, leading to the deposition of urate crystals in the synovial membranes of joints or tendons, causing pain. Rheumatoid arthritis is an autoimmune disease, which means it involves the body's...[Read More] Understanding the Differences Between Gout and Rheumatoid Arthritis
Understanding Patellar Dislocation: Pain Management and Treatment Options
Patella Hello Doctor: Here’s the situation. Occasionally, my right knee joint hurts when I bend it. I went to the hospital for an examination; one doctor said it was gout, while another said it was a sports injury, so I left it unresolved. Two days ago, my left foot suddenly made...
Dr. Shi Qiming Reply:
Hello: Misalignment of the knee (patella) can lead to knee pain, including recurrent subluxation and dislocation. Sometimes the appearance may not be obvious, and a detailed examination is necessary to determine whether it is caused by muscle asymmetry or skeletal abnormalities. ...[Read More] Understanding Patellar Dislocation: Pain Management and Treatment Options
Understanding Sudden Arthritis: Symptoms, Diagnosis, and Next Steps
Arthritis Around mid-April, I woke up one morning and started to notice that I couldn't open my mouth very well. The joint near my temple was painful. Later, I also experienced pain in the soles of my feet when I got out of bed in the morning, but it would improve after an h...
Dr. Lin Xiaoyi Reply:
Hello: The diagnosis your physician provided is likely Palindromic Rheumatism. This condition is a type of arthritis that does not cause joint deformity. However, your symptoms should still be monitored for the potential progression to Rheumatoid Arthritis. It is important to con...[Read More] Understanding Sudden Arthritis: Symptoms, Diagnosis, and Next Steps
Understanding Spinal Imaging: Concerns About Scoliosis and Inflammation
Skeletal imaging I previously underwent a bone scan, and I was referred to the rheumatology department. The results showed that my spine appears as follows... <=== The first vertebra is slightly misaligned)______)______)___)___ p.s. This is a side view (of course, it’s not as ...
Dr. Zhou Lizhi Reply:
In your letter, you mentioned three diseases: 1. Scoliosis 2. Ankylosing Spondylitis 3. Rheumatoid Arthritis. Since you did not provide information about your age, symptoms, etc., it is difficult to determine which disease you may have. Therefore, here is an overview of these thr...[Read More] Understanding Spinal Imaging: Concerns About Scoliosis and Inflammation
Understanding Early Rheumatoid Arthritis: Concerns and Treatment Options
Please ask again? Dear Dr. Lin, Thank you for your detailed response last time. During my follow-up appointment on May 17, my rheumatoid factor was 196, and my inflammatory index was 3.67 (from blood tests taken on May 4). There was no redness or swelling in my joints, but I exp...
Dr. Lin Xiaoyi Reply:
Hello: Although the symptoms you described do not include swollen, red, hot, and painful joints, it is impossible to confirm the presence of arthritis without a direct physical examination. Additionally, while the lab results do show abnormalities, they cannot definitively diagno...[Read More] Understanding Early Rheumatoid Arthritis: Concerns and Treatment Options
Understanding Atypical Rheumatoid Arthritis Symptoms and Treatment
Consult a physician? Since last September, I have been experiencing pain in both sides of my upper back, which led me to consult an orthopedic doctor. The doctor indicated that I needed to take medication for two to three months, and I stopped the medication in December. However,...
Dr. Lin Xiaoyi Reply:
Hello: Based on your described symptoms of bilateral upper back pain without accompanying joint redness or swelling, it indeed does not appear to be rheumatoid arthritis. It is more consistent with myofascial pain syndrome, which is often related to muscle overuse, poor posture, ...[Read More] Understanding Atypical Rheumatoid Arthritis Symptoms and Treatment
Understanding Wrist, Elbow, and Finger Pain: Causes and Solutions
10 fingers / wrist / elbow Dear Dr. Yeh, My left wrist, elbow, and fingers hurt all the time when I cook, crochet, knit, write letters, or clean the house. I always used cold water to wash my hands when I was in Taiwan. I wonder if it is arthritis or osteoporosis! I’m married an...
Dr. Ye Qingnian Reply:
Pain in the left wrist, elbow, and fingers during work in middle-aged women with multiple joint pain should raise suspicion for rheumatoid arthritis. The primary symptoms include symmetrical involvement of both hands, swelling and pain in the distal finger joints, and stiffness. ...[Read More] Understanding Wrist, Elbow, and Finger Pain: Causes and Solutions
Understanding Intermittent Pain in Multiple Body Areas: Possible Causes
Intermittent pain in various body parts? Hello, Doctor. Over the past week, I have been experiencing increasing pain throughout my body without a specific location. Initially, it felt like each segment of my spine was stuck together, and I had a sense of fatigue in my back. When ...
Dr. Zhou Hongzhi Reply:
At just 25 years old, experiencing so many ailments is concerning. You should be cautious and consider further examinations, such as tests for rheumatoid arthritis or ankylosing spondylitis. You can go to the hospital for blood tests.[Read More] Understanding Intermittent Pain in Multiple Body Areas: Possible Causes
Understanding Knee Replacement: Concerns and Recovery for RA Patients
Artificial knee joint I am a patient with rheumatoid arthritis (RA) and underwent surgeries on my left and right knee joints in July and October of this year. The left knee joint had more severe wear, and the doctor mentioned that a second-generation material was used, with a few...
Dr. Shi Guozheng Reply:
This phenomenon is normal because the hardness of artificial joints is greater than that of bone and cartilage, so it is inevitable that there will be some sounds during joint movement. If there is no pain, it is not a concern. The second set of materials will not affect joint fu...[Read More] Understanding Knee Replacement: Concerns and Recovery for RA Patients
Could My Foot Pain and Swelling Indicate Rheumatoid Arthritis?
Rheumatoid Arthritis I have swelling on the dorsum of my foot at the joint of the second toe, and the second toe feels a bit stiff. It hurts when I walk, and this condition has been present for over six months. Could this be rheumatoid arthritis?
Dr. Lin Xiaoyi Reply:
Mr. Zhang: Hello! Regarding your question, I would like to ask how long your stiffness lasts each day? How severe is the stiffness? Typically, rheumatoid arthritis does not only affect the toe joints and usually presents bilaterally. If your condition has not improved, I recommen...[Read More] Could My Foot Pain and Swelling Indicate Rheumatoid Arthritis?
Understanding Rheumatoid Arthritis: Diagnosis and Next Steps for Patients
Rheumatoid Arthritis A year ago during a health check-up, rheumatoid arthritis tests came back positive, but further examinations showed no issues. This year, I have been experiencing widespread bone pain that prevents me from sleeping. After another examination, the results were...
Dr. Lin Xiaoyi Reply:
Hello: A positive rheumatoid factor does not necessarily mean that you have rheumatoid arthritis. Even if you experience symptoms of widespread joint pain, it is essential to determine whether you have rheumatoid arthritis based on the classification criteria set by the American ...[Read More] Understanding Rheumatoid Arthritis: Diagnosis and Next Steps for Patients