Understanding Avascular Necrosis: Causes and Management Options
Avascular necrosis of the femoral head? Hello Dr. Shi, I have a troubling issue that has persisted for nearly 10 years, and I would like to seek your advice. Ten years ago, I was diagnosed with idiopathic thrombocytopenic purpura (ITP) and underwent treatment with corticosteroi...
Dr. Shi Guozheng Reply:
If the shoulder and knee joints have similar conditions with a relatively small area of damage, bone grafting can be used to repair the necrotic bone. However, if the area of damage is too large, this approach may not be feasible. Typically, after discontinuing corticosteroids, t...[Read More] Understanding Avascular Necrosis: Causes and Management Options
Understanding Shoulder Pain: Causes and Treatment Options
Arm pain The left arm can only be raised to shoulder level and cannot be lifted above the shoulder without severe pain. This symptom has persisted for six months, and numerous visits to traditional Chinese medicine have not resulted in improvement. (The pain is located at the bac...
Dr. Chen Xingyuan Reply:
Dear Netizen: Shoulder pain accompanied by limited range of motion is most commonly caused by tendon inflammation such as frozen shoulder, rotator cuff tears, ligament sprains, or skeletal disorders. It is recommended that you first visit an orthopedic clinic for an examination t...[Read More] Understanding Shoulder Pain: Causes and Treatment Options
Understanding Bone Growth Changes After Age 30: What to Do?
There is a condition of bone growth. I am 30 years old? Hello Doctor: I have already passed the bone growth period, but in the past two years, I have noticed a continuous widening trend in my shoulder and pelvis. What should I do about this? Do you have similar cases in orthopedi...
Dr. Chen Xingyuan Reply:
Dear User: You are 30 years old, and your skeletal development or growth should be complete, with no further increase in bone length expected unless there are specific diseases such as endocrine disorders or bone tumors that could cause abnormal bone growth. It is recommended tha...[Read More] Understanding Bone Growth Changes After Age 30: What to Do?
Managing Comminuted Shoulder Fractures: Expert Advice on Recovery
Comminuted fracture of the shoulder? Hello, doctor: Three weeks ago, I was in a car accident and suffered a comminuted fracture of my right shoulder blade. The doctor at Chi Mei Medical Center in Tainan said that surgery and casting are not necessary, and that it will heal on its...
Dr. Xu Zhaoren Reply:
A fracture of the right scapula typically does not require surgery; rest is sufficient. After the fracture heals, shoulder joint rehabilitation exercises can be performed. Whether to receive treatment from a massage therapist is not critical; the most important thing is to engage...[Read More] Managing Comminuted Shoulder Fractures: Expert Advice on Recovery
Managing Fracture Recovery: Should You See a Chiropractor?
Hello, may I ask about issues related to fractures? Hello, Doctor: I had a car accident three weeks ago, and I fractured my right shoulder blade! It is a comminuted fracture. The doctor said I don't need surgery or a cast, and that it will heal on its own. I was only prescri...
Dr. Shi Guozheng Reply:
If the scapula fracture does not involve the joint surface, surgery is not necessary, and it will gradually heal on its own. With appropriate rehabilitation, recovery is usually possible without the need for chiropractic treatment. Please have your mother accompany you to see an ...[Read More] Managing Fracture Recovery: Should You See a Chiropractor?
Struggling to Stand: Understanding Knee, Leg, and Back Pain Issues
Inability to stand for long periods, knee, leg, and other issues? I have been in pain for several months. I can't stand for seven or eight hours, and even standing in the shower for a short time causes discomfort. I can hardly stand for five minutes without feeling very unco...
Dr. Chu Baijun Reply:
Hello: Such complex multiple pain cannot be discussed on paper; it is recommended to seek immediate medical attention at the nearest hospital. Thank you![Read More] Struggling to Stand: Understanding Knee, Leg, and Back Pain Issues
Chronic Shoulder Pain: Exploring Alternative Medical Specialties for Relief
Chronic shoulder pain with heat? My father has been suffering from shoulder pain for over 15 years. He has seen both orthopedic and neurosurgery specialists, but they all said there is no major issue, and the symptoms are likely: soreness, weakness, and heat. I would like to ask ...
Dr. Shi Qiming Reply:
Hello: It is recommended that you visit the Rehabilitation Medicine outpatient clinic for further examination and treatment. Thank you![Read More] Chronic Shoulder Pain: Exploring Alternative Medical Specialties for Relief
Understanding Shoulder Dislocation: Symptoms, Recovery, and Complications
Shoulder dislocation Hello, my husband dislocated his shoulder about a month ago after falling and landing directly on it. He was immediately taken to the Veterans General Hospital and later received acupuncture treatment from a traditional Chinese medicine practitioner. Currentl...
Dr. Ye Qingnian Reply:
Shoulder dislocation will inevitably cause injury to the ligaments connecting to the humeral head. It has been one month since the injury, and there are still limitations in movement. Rehabilitation therapy is necessary; otherwise, shoulder joint mobility will be affected. At the...[Read More] Understanding Shoulder Dislocation: Symptoms, Recovery, and Complications
Can a 9-Degree Scoliosis Cause Uneven Shoulders and Discomfort?
A 9-degree scoliosis can lead to shoulder asymmetry, commonly referred to as high and low shoulders? Hello Dr. Wang, I have some questions regarding scoliosis. Can a 9-degree curvature cause shoulder asymmetry or an uneven body structure? I have a condition where my right shoul...
Dr. Wang Zikang Reply:
Hello: Obvious symptoms of scoliosis include uneven shoulders and pelvis, as well as a protruding back. However, an angle of only 9 degrees is considered mild and should not cause significant shoulder height discrepancies. It is advisable to pay attention to posture and to have r...[Read More] Can a 9-Degree Scoliosis Cause Uneven Shoulders and Discomfort?
Understanding Upper Left Back Pain: Causes and When to Seek Help
Pain in the upper left back? Dear Dr. Wang, For the past six months, I have been experiencing discomfort in my back and shoulder blades. Whenever I move my neck, I feel pain. Initially, I thought it was due to frequent computer use, but recently, the discomfort in my back has in...
Dr. Wang Shouji Reply:
Ms. Chen: The symptoms you described are common among office workers and computer users, generally related to musculoskeletal issues. It is recommended to stand up and move for at least five to ten minutes after sitting for an hour, and to pay attention to your posture. Appropria...[Read More] Understanding Upper Left Back Pain: Causes and When to Seek Help
Can You Feel a Dislocation Immediately or Days Later?
Will a dislocation be felt immediately? Is it possible to not feel a dislocation immediately, or does it take several days to realize it? Is the likelihood of a shoulder dislocation high? A few days ago, I was in a car accident, and three days later, the other party mentioned tha...
Dr. Hong Ximing Reply:
Sister Ji: Generally, a dislocation is felt immediately, with severe pain, joint deformity, and inability to move the joint. Based on what you described, it seems more likely that you have a ligament sprain, strain, or contusion three days later. As for riding a bicycle, it is ce...[Read More] Can You Feel a Dislocation Immediately or Days Later?
Minimally Invasive Fracture Fixation: Solutions for Shoulder Pain After Injury
Minimally invasive fracture fixation system Hello Dr. Yeh, About three years ago, I fractured my right clavicle while playing basketball. Initially, I was only fitted with a figure-of-eight brace for stabilization. Due to not consistently wearing the brace during the early stage...
Dr. Ye Qingnian Reply:
The clavicle fracture has a slight protrusion, which does not affect function or cause pain; it is merely an aesthetic concern. If there is pain or functional limitation, it is advisable to visit an orthopedic clinic for an X-ray to check if the bone has healed properly. If the b...[Read More] Minimally Invasive Fracture Fixation: Solutions for Shoulder Pain After Injury
Understanding Elbow Fusion in Children: Treatment Options and Concerns
The right hand cannot be fully extended? Dear Dr. Wang, My son is currently 1 year and 1 month old. Previously, we noticed that he is unable to fully extend his right arm and cannot perform rotational movements. When he was six months old, he had an X-ray that revealed the two b...
Dr. Wang Shouji Reply:
Your child's issue is radial-ulnar synostosis, which is often unilateral and sporadic, with a minority being related to genetics. Due to the mobility of the hand, shoulder, and elbow, most functional limitations can be compensated for. Therefore, not many patients undergo su...[Read More] Understanding Elbow Fusion in Children: Treatment Options and Concerns
Understanding Old Clavicle Fractures: Surgical Risks and Treatment Options
I have an old fracture issue with my left clavicle? I was involved in a car accident on April 29 of last year, which resulted in dislocation of the sternum in the left chest area, particularly at the junction of the left neck and the first clavicle, where the ligaments are protru...
Dr. Chen Xingyuan Reply:
Dear readers: Whether a clavicle fracture requires surgical treatment can vary among physicians. The benefits of surgery include proper alignment and stabilization of the fracture, which can shorten the duration of pain and allow for earlier rehabilitation. However, there are ris...[Read More] Understanding Old Clavicle Fractures: Surgical Risks and Treatment Options
Understanding Sports Injuries: Managing Chronic Arm and Wrist Pain
Regarding sports injuries? Hello Doctor, I have a few questions I would like to ask: 1. My right arm has been injured since high school and has not healed yet. Back then, I was young and active, playing basketball, baseball, and engaging in arm wrestling. Not long after, I star...
Dr. Shi Qiming Reply:
Hello: Your condition may be due to excessive vigorous exercise without adequate rest. If your situation does not improve, it is recommended that you visit our orthopedic sports medicine specialist, Dr. Zhuang Yongqing, for further examination and treatment. Thank you![Read More] Understanding Sports Injuries: Managing Chronic Arm and Wrist Pain
Understanding Clavicle Fractures: Treatment Options and Recovery Insights
Clavicle fracture Hello Doctor: I am a patient from a car accident, currently suffering from an open fracture of the right clavicle along with brachial plexus injury, resulting in temporary loss of function in my right shoulder. I would like to ask you about my condition. My clav...
Dr. Ye Qingnian Reply:
Most clavicle fractures do not require surgery unless there is significant displacement at the fracture site. Since the bone needs to heal, the fracture ends must be aligned together; once stabilized, the bone will heal on its own. I believe the following conditions may warrant s...[Read More] Understanding Clavicle Fractures: Treatment Options and Recovery Insights
Understanding Shoulder Joint Noises After Injury: Causes and Solutions
Shoulder joint sounds Dear Dr. Shi, I would like to ask you a question regarding my right shoulder. I suffered a comminuted fracture of my right clavicle in a car accident last June, which required surgery to stabilize it with a plate. My recovery has been good; X-rays show no v...
Dr. Shi Guozheng Reply:
Your attending physician's response is correct; if there are sounds during joint movement without pain, it is not a concern. However, if an injury occurs and it does not involve the joint surface of the shoulder, there should be no issues. After a clavicle fracture surgery, ...[Read More] Understanding Shoulder Joint Noises After Injury: Causes and Solutions
Understanding Chest and Shoulder Blade Pain: Causes and Concerns
Chest pain and shoulder blade pain? My girlfriend (29 years old) started experiencing a sensation of tightness and pain around 3 PM yesterday (November 9th) in the area near her shoulder blades, close to the spine. She also began to feel chest pain, similar to the sensation of ha...
Dr. Wang Shouji Reply:
Hello, Aboogi: I apologize for the delayed response due to a busy schedule, and I appreciate your understanding. The pain you described could range from simple upper back pain (caused by muscle or spinal issues) to gastrointestinal or cardiac problems. Given your age, the likelih...[Read More] Understanding Chest and Shoulder Blade Pain: Causes and Concerns
Understanding Clavicle Fractures: Recovery Challenges and Disability Benefits
Clavicle fracture Hello, Dr. Chang. I was in a car accident on September 25th, resulting in an open fracture of my left clavicle, a comminuted fracture, and ligament tears. I underwent surgery on the same day. It has been almost three months now, and I have been undergoing rehabi...
Dr. Zhang Shengben Reply:
1. Bone healing is necessary before engaging in aggressive rehabilitation; until healing is complete, gentle rehabilitation is appropriate. This should be discussed with a rehabilitation physician. 2. The cause of shoulder pain may be due to stiffness from limited mobility or fro...[Read More] Understanding Clavicle Fractures: Recovery Challenges and Disability Benefits
Understanding Left Shoulder Swelling: Causes and Concerns
Swelling in the left shoulder? Hello Dr. Wang: My mother is about 55 years old, 157 cm tall, and weighs around 45 kg (possibly due to severe weight loss from depression). Recently, she has been frequently complaining of pain near her left shoulder joint (the entire left arm hurts...
Dr. Wang Shouji Reply:
Hello Rain: I apologize for the delayed response due to a busy schedule, and I appreciate your understanding. The shoulder joint is the most mobile joint in the human body, which also means it is more susceptible to accidental injuries. A sudden swelling in the shoulder joint (as...[Read More] Understanding Left Shoulder Swelling: Causes and Concerns