Why Non-Surgical Treatment for Scapula Fractures is Effective?
Why is surgery not necessary for treating fractures? My older brother had a motorcycle accident on the morning of the 11th, where he fell while turning. After going to the emergency room and getting an X-ray, the emergency doctor said he has a fractured right scapula that does no...
Dr. Shi Guozheng Reply:
Typically, fractures that are non-displaced usually heal without the need for surgery. Additionally, if a fracture is not located on a joint surface and can heal without surgery, then surgical intervention may not be necessary. The scapula is a flat, plate-like bone, and if the f...[Read More] Why Non-Surgical Treatment for Scapula Fractures is Effective?
Understanding Shoulder Pain: Strain or Injury After Tennis?
Shoulder pain? Last Friday, while playing tennis, I felt a slight strain in my shoulder, which has been uncomfortable. I'm not sure if it's a sprain or a muscle strain. When I got home, I took a hot shower and applied some ointment. Recently, when I wake up and pull the...
Dr. Luo Zhongwei Reply:
Dear Big Head: Based on your description, it seems to be a muscle strain. I must reiterate that a diagnosis cannot be made solely from written correspondence; a comprehensive clinical examination, along with imaging or biochemical data, is necessary for a definitive diagnosis. It...[Read More] Understanding Shoulder Pain: Strain or Injury After Tennis?
Rehabilitation Timeline and Exercises After Shoulder Surgery
Rehabilitation after Acromioplasty and Ligament Repair What should be the rehabilitation timeline and exercises after acromioplasty and ligament repair of the right shoulder? Thank you.
Dr. Zhang Shengben Reply:
Hello JJ: After approximately 2 to 4 weeks following acromioplasty and ligament repair, shoulder joint movements can be initiated, but should be guided by pain (stop exercising if pain occurs). Passive range of motion exercises are recommended. Sincerely, Director Chien Jin-Cheng...[Read More] Rehabilitation Timeline and Exercises After Shoulder Surgery
Understanding the Rapid Development of Scoliosis: Causes and Concerns
excuse me? Hello Doctor: As mentioned, I had a normal frontal chest X-ray (CXR) in July 2009, but the report from a frontal CXR in March 2011 indicated mild scoliosis. I am puzzled as to whether scoliosis could develop within a year and a half. I would like to know what could cau...
Dr. Wang Shouji Reply:
Niu Niu: Mild scoliosis usually refers to a slight curvature of the spine. Poor posture can indeed contribute to a minor curvature as well. To confirm, it is advisable to visit an orthopedic specialist for a full spinal X-ray.[Read More] Understanding the Rapid Development of Scoliosis: Causes and Concerns
Effective Solutions for Shoulder Stiffness and Lower Back Pain
Shoulder stiffness, lower back pain, and discomfort in the back! Dear Director Shih, My mother has been experiencing stiffness and pain in her shoulders, as well as soreness in her lower back, due to work-related fatigue. Although she has consulted an orthopedic physician, the e...
Dr. Shi Guozheng Reply:
Shoulder pain in middle-aged individuals is most commonly caused by arthritis and shoulder bursitis, which can lead to joint stiffness or limited mobility. Lower back pain is often associated with aging or osteoporosis of the vertebrae, which can result in fractures. Treatment ca...[Read More] Effective Solutions for Shoulder Stiffness and Lower Back Pain
Surgery for Underdeveloped Left Shoulder: Can Artificial Bone Restore Function?
Left shoulder humeral head hypoplasia seeks surgery? I have developmental dysplasia of the left shoulder humeral head and am considering surgery. My arm cannot rotate normally due to the left shoulder issue. I would like to know if undergoing surgery to implant an artificial hume...
Dr. Li Wenlin Reply:
Hello: In response to your question, your situation is quite unique, and I cannot ascertain your diagnosis, let alone comment on what surgery to perform. However, based on what you mentioned, you must have consulted a senior orthopedic physician who suggested surgery to improve y...[Read More] Surgery for Underdeveloped Left Shoulder: Can Artificial Bone Restore Function?
Understanding Knee Pain and Related Joint Discomfort
Pain in the heel and hand? I have pain when pressing on my knee, and it also hurts when I press in the middle of the kneecap while my leg is bent. I can't run, and I feel pain near the bones beside my hip. Sometimes, I also experience pain in my shoulder bones when I turn. C...
Dr. Fan Hongbin Reply:
Hello: Regarding your inquiry, I would like to ask a few questions first: First, have you engaged in any intense exercise or overuse recently? Second, have you ever had any collisions or injuries in the past? Third, may I ask how old you are? Fourth, does your knee pain extend fr...[Read More] Understanding Knee Pain and Related Joint Discomfort
Understanding Shoulder Joint Replacement: Benefits, Risks, and Costs
Total shoulder arthroplasty? Hello Doctor: My father is 76 years old and is experiencing pain in his right shoulder joint due to degenerative arthritis. He can only raise his arm to about 75 degrees. I would like to ask the doctor: 1. What is the outcome of shoulder arthroplasty?...
Dr. Fan Hongbin Reply:
Hello: Regarding your inquiry, here is the response: For degenerative arthritis of the shoulder joint, if it is related to ligament or fascia issues, conservative treatment is generally recommended, which includes oral medication and rehabilitation therapy. If there is avascular ...[Read More] Understanding Shoulder Joint Replacement: Benefits, Risks, and Costs
Understanding Shoulder Pain: Causes and Solutions for Morning Discomfort
Shoulder pain? Doctor, I woke up this morning with a sharp pain in my left shoulder when I take a breath. The deeper I breathe, the more it hurts, and it feels similar to the pain of sensitive teeth when exposed to cold water! However, pressing on it or moving my shoulder does no...
Dr. Wang Shouji Reply:
Patient P: I have pain in my left shoulder, but I'm not sure how long it has been hurting; it could be all day or just for a moment. Deep tendon or joint inflammation may not always present with tenderness, but some discomfort can occur with movement. Based on your symptoms,...[Read More] Understanding Shoulder Pain: Causes and Solutions for Morning Discomfort
Understanding Left Arm Pain and Numbness: Causes and Next Steps
Sharp pain in the elevated left upper arm? Hello, Doctor. For the past two years, I have often experienced pain in the outer side of my upper arm (near the shoulder joint) when raising my left arm. Sometimes, I also feel pain on the inner side of my upper arm (near the armpit), a...
Dr. Chen Xingyuan Reply:
Dear Reader: Shoulder pain is often related to inflammation of soft tissues such as tendons and ligaments. This inflammation can be influenced by factors such as age, usage, posture, and whether there has been an injury. The numbness in the 4th and 5th fingers of the left hand re...[Read More] Understanding Left Arm Pain and Numbness: Causes and Next Steps
Shoulder Pain After Spine Injury: Causes and Potential Consequences
Injury to the spine, causing shoulder pain? If the protrusion of the spine was struck by a door handle that rebounded due to pressure, and you initially felt some soreness followed by a later onset of sharp pain in the left shoulder, it is possible that this could be related to t...
Dr. Shi Guozheng Reply:
It should not be a concern if there is no decrease in muscle strength.[Read More] Shoulder Pain After Spine Injury: Causes and Potential Consequences
Chronic Lower Back Pain: Seeking Answers Beyond X-rays and Medications
Low back pain I have been suffering from lower back pain for over a year. I have visited nearly ten hospitals (both large and small, traditional and Western medicine). After X-rays, doctors have said there are no significant issues. Blood tests also indicated no signs of inflamma...
Dr. Shi Guozheng Reply:
It is possible that no clear cause can be identified. Your symptoms resemble myofascial pain syndrome, which is an inflammation of the muscle fascia. Typically, X-rays do not reveal any issues, but the pain is related to muscle activity and can radiate from the neck down to the l...[Read More] Chronic Lower Back Pain: Seeking Answers Beyond X-rays and Medications
Understanding Downward Instability in Shoulder Joints: Key Measurement Points
Assessment of Inferior Shoulder Instability Hello, doctor. I recently underwent a shoulder joint inferior instability X-ray stress test at a hospital, and the report indicated an inferior dislocation of 8mm on the right shoulder. However, upon visual inspection of the X-ray, it a...
Dr. Ye Qingnian Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: After taking X-rays of both shoulders while lifting heavy objects, a comparison of the heights of the scapulae on both sides can be made. Wishing you peace and happi...[Read More] Understanding Downward Instability in Shoulder Joints: Key Measurement Points
Understanding the Connection Between Back Pain and Muscle Tension Issues
Spinal pain Hello Doctor, I have the following questions, but I'm unsure how to clarify where the issues lie, so I would like to ask about possible causes. 1. In recent months, I sometimes wake up with pain in my lumbar spine. 2. I have noticed that in crowded places or w...
Dr. Shi Guozheng Reply:
Prolonged use of computers or typing can easily lead to shoulder and neck pain. Additionally, improper sitting posture can cause spinal pain as well as lower back and upper back discomfort. To alleviate these issues, it is important to maintain proper posture while sitting and to...[Read More] Understanding the Connection Between Back Pain and Muscle Tension Issues
Understanding Neck Cracking Sounds: Causes and Solutions
There is a sound when turning the neck? Hello Doctor: My neck makes a cracking sound every time I turn it, such as when I turn my head while driving to check the road or when talking to someone. This has been happening for about six months (it started after a stiff neck incident)...
Dr. Shi Guozheng Reply:
These sounds may be due to the tendons sliding over the bones, and if there is no pain associated, it is not a concern. Applying heat or performing gentle movements may help improve the situation.[Read More] Understanding Neck Cracking Sounds: Causes and Solutions
Endoscopic Treatment Options for Habitual Dislocation in Orthopedics
Endoscopic treatment for habitual dislocation? Hello Doctor: Is it possible to treat habitual dislocation using arthroscopy? I would prefer not to use traditional medical methods. Thank you!
Dr. Shi Guozheng Reply:
It is a habitual dislocation of a specific joint. If it is the shoulder joint, you can consult a specialist in sports injuries to discuss whether this approach is feasible.[Read More] Endoscopic Treatment Options for Habitual Dislocation in Orthopedics
Understanding Right Chest Pain: Causes, Treatments, and Recovery Tips
Right chest pain? Hello Dr. Wang, Symptoms: Pain in the right chest (near the armpit), uncertain whether it is due to rib or muscle tissue. Duration: One to two days. Additional information: 1. A few days ago, I occasionally sneezed, but it was not continuous. The right chest d...
Dr. Wang Zikang Reply:
In response to the above, the relevant area is the pectoralis major. If there is a tendon strain due to improper use, it may produce the symptoms you described. In addition to the aforementioned tendonitis, it is also important to check for any issues within the thoracic cavity, ...[Read More] Understanding Right Chest Pain: Causes, Treatments, and Recovery Tips
Understanding Comminuted Ulnar Fractures and Disability Claims
Ulnar wrist comminuted fracture? Hello, I was injured while riding a bike and have a comminuted fracture. I am currently waiting to have the metal pins removed. Can I apply for disability? If so, what level would it be? My last two fingers on my right hand currently cannot fully ...
Dr. Chen Xingyuan Reply:
Dear netizens: The determination of disability must wait until treatment has ceased and it is confirmed that the condition cannot be corrected, resulting in a significant impairment of bodily function. Generally speaking, patients with fractures typically wait about 1 to 2 years ...[Read More] Understanding Comminuted Ulnar Fractures and Disability Claims
Understanding Shoulder Dislocation: Traditional vs. Arthroscopic Surgery Options
Right shoulder dislocation? Hello, Director Shi. I accidentally fell and dislocated my joint in November 2008, and it seems to have developed into habitual dislocation, as I have dislocated it four times so far. I would like to ask you, if surgery is necessary, should I opt for t...
Dr. Shi Guozheng Reply:
You must discuss in detail with your attending physician to determine which method is better. Arthroscopic surgery typically allows for a quicker recovery.[Read More] Understanding Shoulder Dislocation: Traditional vs. Arthroscopic Surgery Options
Understanding Orthopedic Issues: Pain Management After an Accident
Understanding Orthopedic Issues Twelve days ago, I fell off my motorcycle, and starting the next day, I began experiencing pain in my upper back. I initially planned to see a traditional Chinese medicine practitioner for herbal patches, but by the fourth day, some areas improved ...
Dr. Li Wenlin Reply:
Hello, in response to your question, the ingredients of Yajie joint injection are hyaluronic acid. Its indications are for osteoarthritis of the knee joint. The symptoms you mentioned are not the primary indications for Yajie joint injection. I personally recommend that you seek ...[Read More] Understanding Orthopedic Issues: Pain Management After an Accident