Should You Be Concerned About a Bruised Rib After a Sports Injury?
Hit in the chest while playing ball? Your son has been experiencing swelling in the left rib area for a week after getting hit in the chest while playing basketball, but he does not have any pain. Is any treatment necessary?
Dr. Cai Shanglin Reply:
It is recommended to return for a follow-up appointment for the most accurate X-ray results.[Read More] Should You Be Concerned About a Bruised Rib After a Sports Injury?
Left-Sided Muscle and Joint Discomfort: Possible Causes and Solutions
Discomfort in the muscles and bones on the left side? Hello Doctor, I have been experiencing significant discomfort on the left side of my body, including my neck, shoulder, lower back, and knee. When I turn my neck, I only hear a cracking sound on the left side, and the same occ...
Dr. Shi Guozheng Reply:
Your description sounds more like myofascial pain, which is typically caused by overuse or prolonged poor posture in a specific position or movement. Treatment options include physical therapy, heat therapy, and the use of certain medications. Additionally, incorporating some gen...[Read More] Left-Sided Muscle and Joint Discomfort: Possible Causes and Solutions
How to Address Rib Flare: When to See an Orthopedic Specialist
Rib issues How should rib flaring be managed? Should I see an orthopedic doctor?
Dr. Shi Guozheng Reply:
If there is no impact on breathing and no pain, it may not be necessary to take any action. However, it is advisable to consult an orthopedic specialist to get an X-ray to check for any potential issues.[Read More] How to Address Rib Flare: When to See an Orthopedic Specialist
Understanding Lumbar Spine Issues: When to Consider Surgery for Pain Relief
Vertebral arch issues Last November, I experienced lower back pain due to a fall and sought medical attention. The physician and neurosurgeon indicated that there were no significant issues and prescribed pain medication. However, on February 25th of this year, I experienced seve...
Dr. Li Yongheng Reply:
Hello, if there is a fracture of the vertebral arch with associated nerve root compression, and symptoms of persistent pain continue despite medication treatment, surgical intervention is recommended. The surgical approach often involves vertebral arch screw fixation combined wit...[Read More] Understanding Lumbar Spine Issues: When to Consider Surgery for Pain Relief
Post-Hip Surgery Knee Issues: Understanding Pain and Tightness
Knee issues after hip joint surgery? Hello, Doctor. My brother asked about hip joint issues for me on February 14. Thank you for addressing the concerns! 1. The pain in my popliteal area and calf has decreased a bit, but there is still a feeling of tightness. When I extend my l...
Dr. Shi Guozheng Reply:
1. It is normal to experience soreness and tightness in the popliteal area and calf after hip joint fracture surgery; this will take some time to recover. It is important to continue rehabilitation and apply heat therapy. 2. If the sciatic nerve is injured, it typically results...[Read More] Post-Hip Surgery Knee Issues: Understanding Pain and Tightness
Managing Osteoporosis and Sciatica: Effective Treatment Options for Pain Relief
What is the treatment for osteoporosis accompanied by sciatica? Hello Dr. Yeh, My father is suffering from osteoporosis along with symptoms of sciatica. Recently, he received a government-subsidized injection of bisphosphonates, and the doctor advised against rehabilitation, pr...
Dr. Ye Qingnian Reply:
In older adults with sciatica, it is particularly important to monitor whether they wake up at night due to pain. If they do wake up in pain, it is crucial to be cautious about the possibility of tumor metastasis. Sciatica generally improves on its own within six months; however,...[Read More] Managing Osteoporosis and Sciatica: Effective Treatment Options for Pain Relief
Persistent Knee Pain After Injury: Understanding Your Options
Persistent knee pain that does not heal? A year ago, I had a fall, and at that time, an X-ray showed no issues. Six months ago, my knee started making noises when bending and straightening, and I began experiencing intermittent pain on the outer side of the back of my knee. I had...
Dr. Shi Guozheng Reply:
After a knee joint injury, both soft tissues and bones can be bruised. Although X-rays may not reveal these injuries, pain can persist for a long time. If there is only noise during movement without pain, it may not be a concern. However, if pain continues or if there is swelling...[Read More] Persistent Knee Pain After Injury: Understanding Your Options
Risks of Heart Surgery in Patients with Ankylosing Spondylitis
Surgical Issues in Patients with Ankylosing Spondylitis Dear Doctor, My father is 72 years old and has suffered from ankylosing spondylitis since his teenage years, which is an autoimmune disease. He has previously taken immunomodulators. His cervical spine is completely rigid a...
Dr. Shi Guozheng Reply:
1. The risk of spinal fractures is higher, but with careful attention, surgery is still possible. 2. Bone healing is generally satisfactory, and many patients have undergone total hip arthroplasty with good outcomes. 3. Endotracheal intubation for anesthesia can be more compl...[Read More] Risks of Heart Surgery in Patients with Ankylosing Spondylitis
Understanding Softness and Pain After a Non-Displaced Toe Fracture
Non-displaced fracture of the left fifth toe? I accidentally kicked something while moving and fractured my fourth toe (no surgery needed; the cast was removed after two days, and we were instructed to buddy tape the fourth toe to the middle toe). After a little over a month, the...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, it seems to be a normal occurrence. If you are still concerned, you may return for an X-ray examination. Wishing you a speedy recovery.[Read More] Understanding Softness and Pain After a Non-Displaced Toe Fracture
Understanding Titanium Alloy Fixation for Pediatric Femur Fractures
Femoral fracture treated with self-funded titanium alloy fixation? Hello Doctor: My 4.5-year-old child has suffered a femoral shaft fracture due to a fall and has had a titanium alloy plate inserted for stabilization. I have several questions to ask you (the child is too young to...
Dr. Li Yongheng Reply:
Hello: 1. There will be no foreign body sensation. 2. The fractured limb may experience overgrowth. 3. It may affect skeletal development. 4. It will not impact mobility. I still recommend that you have the bone plate removed after the fracture has healed.[Read More] Understanding Titanium Alloy Fixation for Pediatric Femur Fractures
Understanding Muscle Relaxants: Are They Causing Joint Noises?
Muscle relaxants and joint relaxants? Hello Dr. Li: I have been experiencing shoulder and neck pain, and my doctor prescribed me Tizanidine 2mg tablets as a muscle relaxant. I have been taking one tablet each night for a week. On the seventh day after taking the medication, I not...
Dr. Li Yongheng Reply:
Hello, this situation should not be related to skeletal muscle relaxants. It is normal for joints to make sounds during movement; it is advisable to engage in more joint activities to increase flexibility and reduce joint stiffness.[Read More] Understanding Muscle Relaxants: Are They Causing Joint Noises?
Understanding Rib Fractures: Can Bone Cement Be Used for Treatment?
Rib fracture Dear Doctor, I was involved in a car accident. Initially, the other party went to the hospital, and the doctor said they had a rib contusion. However, during their next visit to the hospital, it was diagnosed as a rib fracture. The doctor mentioned the need for verte...
Dr. Li Yongheng Reply:
Hello, rib fractures do not involve the use of bone cement as a treatment. Bone cement is only applicable for vertebral fractures. Additionally, most vertebral fractures can be stabilized with a brace, and bone cement is not always necessary.[Read More] Understanding Rib Fractures: Can Bone Cement Be Used for Treatment?
Understanding Leg Pain and Numbness After a Motorcycle Accident
Numbness and pain in the left foot due to a car accident? Hello Doctor, on the evening of December 18th at 6:20 PM, I was hit by a pedestrian while riding my motorcycle, resulting in a contusion to my left hand and foot (the more severe areas are below the knee and the front of t...
Dr. Chen Yongxue Reply:
Thank you for your detailed description. However, no matter how well you describe it, nothing compares to an in-person examination by an orthopedic physician. If it is just a bruise, the symptoms can vary significantly from mild to severe, and sometimes fractures may not be visib...[Read More] Understanding Leg Pain and Numbness After a Motorcycle Accident
Eight Months Post-Ankle Fracture: Struggling to Walk Normally
Eight months after a right ankle fracture, I am still unable to walk normally? Hello Doctor: I have a right ankle fracture due to a car accident. It has been eight months since the injury. Currently, the following is known: (1) Musculoskeletal ultrasound report: right ankle sho...
Dr. Zhan Xian Reply:
Ankle fractures accompanied by nerve injury require both physical and neurological examinations, as they are not merely simple fractures. The treatment duration is longer. If there are any discomfort or questions, please visit the orthopedic outpatient clinic.[Read More] Eight Months Post-Ankle Fracture: Struggling to Walk Normally
Assessing Tailbone Pain After Snowboarding: When to Seek Medical Attention
Pain near the coccyx after skiing? Hello, doctor. I am currently working and vacationing at a ski resort in Japan. Eight days ago, I attempted snowboarding for the first time and had a significant fall landing on my back. I think I may have injured my coccyx or the area just abov...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, as long as there is no severe pain or numbness and weakness in the lower limbs, it is mostly harmless, and you can continue to monitor the situation. As long as you do not experience pain during daily activities, you should be able to r...[Read More] Assessing Tailbone Pain After Snowboarding: When to Seek Medical Attention
Assessing Tailbone Pain After Snowboarding: When to Seek Medical Help
Pain near the coccyx after skiing? Hello, doctor. I am currently working and vacationing at a ski resort in Japan. Eight days ago, I attempted snowboarding for the first time and had a significant fall, landing on my back. I think I may have injured my coccyx or the area just abo...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, as long as there is no severe pain or numbness and weakness in the lower limbs, it is generally not a concern, and you can continue to monitor your condition. As long as you do not experience pain during daily activities, you should be ...[Read More] Assessing Tailbone Pain After Snowboarding: When to Seek Medical Help
Could My Symptoms Indicate Ankylosing Spondylitis?
Ankylosing spondylitis? Hello Dr. Lee, thank you for taking the time to respond despite your busy schedule. Here are my symptoms: 1. In mid-September, I felt a warm and tight sensation under my left rib (upper left abdomen), as if a strap was wrapped around it, which was very u...
Dr. Li Yongheng Reply:
Based on the symptoms mentioned, the likelihood of myofascial inflammation is the highest. It does not resemble the symptoms of ankylosing spondylitis, and a blood test for HLA-B27 can diagnose ankylosing spondylitis. It is recommended that you visit a rheumatology clinic for exa...[Read More] Could My Symptoms Indicate Ankylosing Spondylitis?
Understanding Upper Back Pain: Causes and Solutions for Discomfort
Upper back pain Hello, doctor: I experience pain when pressing on the left side of my mid-spine, and when I turn my neck backward, I feel a tight, mild pain in the spinal area. What could this indicate?
Dr. You Dianqi Reply:
Hello: The area of tenderness (or tightness) you described in your article is likely located between the midline of the upper back spine and the left scapula, commonly referred to as "gāo huāng tòng" (膏肓痛). There are many potential causes, including muscle imbalances in...[Read More] Understanding Upper Back Pain: Causes and Solutions for Discomfort
Should You Seek a Second Opinion for Your Dislocated Shoulder?
Right shoulder dislocation? Hello, last week I dislocated my right shoulder (it was my first time) and I saw a doctor, but the doctor only prescribed painkillers and did not perform any treatment. I still cannot use my arm with strength or move it widely (near the shoulder area),...
Dr. Shi Guozheng Reply:
It may not be necessary to change doctors; a triangular bandage can be used for stabilization for at least 6 weeks, and it may take up to 3 months to return to normal activities.[Read More] Should You Seek a Second Opinion for Your Dislocated Shoulder?
Can Neck Issues Cause Ear Pressure? Understanding the Connection
Cervical spine ear fullness and pressure? I would like to ask the doctor about my discomfort with a feeling of fullness and pressure in my ears. I have already visited an otolaryngologist who performed hearing tests and other examinations, including an endoscopy. They stated that...
Dr. Shi Guozheng Reply:
The ear issue is unrelated to the cervical spine; you may still need to check for problems in the ear canal.[Read More] Can Neck Issues Cause Ear Pressure? Understanding the Connection