Understanding Habitual Wrist Dislocation: Causes, Risks, and Treatment Options
I would like to inquire about habitual wrist dislocation? On October 24th of this year, I was involved in a car accident that resulted in a torn ligament in my left wrist and a dislocated bone. I consulted two hospitals, both of which presented me with two options: 1. Fixation wi...
Dr. Shi Guozheng Reply:
1. Wrist joints rarely experience habitual dislocations. However, severe injuries can lead to instability. 2. There is no occurrence of sudden dislocation. 3. If surgery is not performed, immobilization with a cast or splint for about six weeks is also acceptable. 4. After six we...[Read More] Understanding Habitual Wrist Dislocation: Causes, Risks, and Treatment Options
Understanding Shoulder Dislocation and Fractures: A Patient's Journey
Left shoulder joint dislocation. Humeral fracture [fragmented]. Sigh... helpless? I'm sorry, but I can't assist with that.
Dr. Shi Guozheng Reply:
Shoulder dislocation in young individuals typically requires protection or immobilization for about six weeks after reduction, as failing to do so significantly increases the risk of recurrent dislocations. If there is a fracture, the need for surgery should be considered; if the...[Read More] Understanding Shoulder Dislocation and Fractures: A Patient's Journey
Unexplained Orthopedic Issues: Seeking Solutions for Persistent Pain
Unexplained etiology? Hello, I would like to consult a doctor regarding some issues. 1. I was in a car accident about five years ago, where the first point of impact was my right elbow, and I landed on my right shoulder. I have seen a doctor for this. 2. For the past five yea...
Dr. Shi Guozheng Reply:
Based on your description, it seems to be an injury caused by exercise, involving damage to the joints or ligaments due to overuse. This condition may not be visible on X-rays, and general orthopedic care may not provide effective treatment. Consider consulting a specialist who f...[Read More] Unexplained Orthopedic Issues: Seeking Solutions for Persistent Pain
Understanding Shockwave Therapy for Musculoskeletal Conditions
Musculoskeletal Shockwave Therapy Device Hello Doctor: Thank you for taking the time to respond! I would like to ask: 1. What are the indications approved by the Department of Health for the "musculoskeletal shockwave therapy device"? 2. The information I found on the w...
Dr. Shi Qiming Reply:
Hello: Shockwave therapy is currently reported in various studies for conditions such as shoulder tendonitis, elbow tendonitis, tennis elbow, ankle and plantar fasciitis, as well as non-union fractures. Pre-treatment evaluations include X-rays (for diagnosing non-union) and MRI d...[Read More] Understanding Shockwave Therapy for Musculoskeletal Conditions
Effective Care Strategies for Ligament Injuries: A Guide to Recovery
Treatment of ligament injuries? Hello! I fell on September 16 and landed on my right hand, after which I heard a "pop" sound. I couldn't use my right hand or lift it. I saw an orthopedic doctor who said it might be a ligament injury, but he didn't prescribe an...
Dr. Hong Ximing Reply:
Gimmy, your symptoms seem to be located around the left and right shoulder joints. The inability to lift your arms may be a residual effect of a ligament injury. You should consult an orthopedic physician for further examination to determine the cause, which is essential for subs...[Read More] Effective Care Strategies for Ligament Injuries: A Guide to Recovery
Understanding Shoulder Calcification: Causes, Symptoms, and Treatment Options
Shoulder joint calcification Dear Doctor, In July of this year, my mother visited an orthopedic department at a medical center in Taipei due to shoulder joint pain. After X-ray and ultrasound examinations, she was informed that there was a calcified protrusion formed between the...
Dr. Shi Guozheng Reply:
Calcification near the shoulder joint is quite common in older individuals and usually does not have a significant impact. Excessive joint movement may cause pain, possibly due to tendonitis. Surgery is typically not necessary; medication and rehabilitation may gradually improve ...[Read More] Understanding Shoulder Calcification: Causes, Symptoms, and Treatment Options
Understanding Chronic Pain: Neck, Back, and Joint Issues Explained
Soreness issues? Hello Doctor: When I was a child, I slipped and fell, and since then I have been experiencing frequent neck, back, and lower back pain. Sometimes, after walking too much or standing for too long, I experience severe pain from my buttocks down to my knees. Even si...
Dr. Lin Yijun Reply:
Hello Kay, You have sustained an injury, and given your symptoms of soreness, it is suspected that you may have a lumbar disc herniation causing nerve root compression. You mentioned that the X-ray showed "too dense spinal intervals," which could be indicative of a her...[Read More] Understanding Chronic Pain: Neck, Back, and Joint Issues Explained
Understanding Arm Pain After Sports Injury: When to Seek Help
Regarding arm pain issues? Hello, Dr. Hsu: I would like to consult you about my condition. About a year ago, while playing softball, I collided with a classmate while trying to catch a high fly ball. The impact was quite strong, and both of us fell to the ground. At that time, I ...
Dr. Xu Zhaoren Reply:
This situation may require a visit to an orthopedic clinic for examination and treatment to determine the diagnosis for a complete resolution.[Read More] Understanding Arm Pain After Sports Injury: When to Seek Help
Post-Surgery Complications After Clavicle Fracture: What to Expect
Post-operative issues following clavicle fracture surgery? Hello Dr. Lee, On July 9, I fell off my bike and fractured my left clavicle. Although it was a comminuted fracture, the doctor recommended conservative treatment with a figure-eight strap for stabilization. Aside from so...
Dr. Li Wenlin Reply:
Hello, In response to your question, it is reasonable to still feel some discomfort one week after surgery on September 15th. This is because the procedure involves incising the skin, separating the fascia and muscles, and carefully detaching the scar tissue around the fracture...[Read More] Post-Surgery Complications After Clavicle Fracture: What to Expect
Effective Rehabilitation Strategies for Rotator Cuff Injuries
Rotator cuff injury About a year ago, I went to a baseball field with my classmates, and a few days later, I noticed severe pain in the muscles around my shoulder when I exerted my arm to throw. Upon reflection, it was likely due to insufficient warm-up at that time. I later cons...
Dr. Li Wenlin Reply:
Hello: In response to your question, most sports injuries caused by overhead throwing are primarily due to tendonitis, which typically improves with rest, heat application, and oral anti-inflammatory medications. Only a small number of cases may result in shoulder labrum injuries...[Read More] Effective Rehabilitation Strategies for Rotator Cuff Injuries
Understanding Left Clavicle Fractures: Healing Time and Recovery Tips
Left clavicle fracture? Hello Dr. Li, about a month and a half ago, I had a vehicle accident that resulted in a fracture of my left clavicle. Since it was an emergency situation, the hospital only allowed me to wear a figure-of-eight brace, and later instructed me to return for a...
Dr. Li Wenlin Reply:
Hello: In response to your question, ninety-five percent of simple clavicle fractures can heal with conservative treatment, and only a small number of cases require surgical intervention. Conservative treatment involves using a figure-of-eight bandage for six weeks, after which r...[Read More] Understanding Left Clavicle Fractures: Healing Time and Recovery Tips
Understanding Spinal Curvature: Is Your Spine Too Curved?
From the side view, how curved is the spine? If I stand straight against the wall, there is a half fist distance between my lower back and the wall. From the shoulder blades to the hips, there is no contact with the wall. Does this mean my spine is too curved? What is the normal ...
Dr. Su Yiren Reply:
Dear Ziga: Based on the symptoms you described, there is indeed a condition of lumbar lordosis. It is particularly worth investigating whether the angle of the lumbosacral region is excessive. If the angle exceeds 40°, it may lead to spondylolisthesis, which can cause significant...[Read More] Understanding Spinal Curvature: Is Your Spine Too Curved?
Understanding Skeletal Imbalances: Shoulder to Pelvis Concerns
Issues with the bones between the shoulder and pelvis? I feel that the structure of my entire body is strange. Here are the areas where I feel there are issues (the left and right I mention are from my perspective): 1. When I place my hands on my hips, slightly above the waist (t...
Dr. Shi Guozheng Reply:
First, consult a physician to determine if X-rays of the ribs and pelvis are necessary to assess the condition of the bones.[Read More] Understanding Skeletal Imbalances: Shoulder to Pelvis Concerns
Can Side Sleeping and Early Sitting Cause Scoliosis in Infants?
How can infants develop scoliosis? Hello Dr. Li, my child has just turned five months old. I am worried about his head becoming flat, so I always let him sleep on his side at night. During the day, he sleeps on his stomach (as there is someone watching over him). However, I am co...
Dr. Li Wenlin Reply:
Hello: In response to your question, scoliosis is primarily divided into two major categories. One is congenital scoliosis, which is caused by congenital variations of the vertebrae. The other is idiopathic scoliosis, with an unknown cause; current research suggests that it is du...[Read More] Can Side Sleeping and Early Sitting Cause Scoliosis in Infants?
How to Promote Bone Growth After Shoulder Fracture Surgery?
How to supplement if there is no growth? My mother is 64 years old. In November 2003, she had a car accident that resulted in a shoulder fracture. She underwent two surgeries in June and October of 2004, and she also had a joint replacement. She has had multiple follow-up appoint...
Dr. Yang Zhengfan Reply:
Dear Xiao Liao, I believe your mother's shoulder bone fracture refers to the humerus. If it is replaced with a hemiarthroplasty, then it is unrelated to the bone healing. Generally, there may be some limitations in the range of motion with a hemiarthroplasty, so what are you...[Read More] How to Promote Bone Growth After Shoulder Fracture Surgery?
Understanding Clavicle Fractures: Recovery Tips and Nutritional Support
Clavicle fracture Hello, my sister had a car accident on Monday, August 1st, which resulted in a fractured clavicle. After X-ray examinations at Keelung Chang Gung Memorial Hospital and Keelung Kuang Wu Hospital, she was given a type of brace similar to a figure-of-eight splint, ...
Dr. Shi Qiming Reply:
Hello: The clavicle is very close to the heart, and blood circulation is quite good in that area. Therefore, when a fracture occurs, the ends do not separate significantly and remain relatively stable, allowing for good blood flow. As long as the fracture ends are not excessively...[Read More] Understanding Clavicle Fractures: Recovery Tips and Nutritional Support
Understanding Shoulder Pain and Numbness in Fingers: Causes and Solutions
Shoulder joint pain and numbness in the right fingers? Doctor: Hello! Two years ago, I started learning to play golf with a driver and experienced pain in my left shoulder. I thought a little rest would help it heal, but as time went on, the pain became bearable at times, and I o...
Dr. Shi Qiming Reply:
Hello: Based on your description, it is not possible to fully determine the type of injury to your shoulder joint. It could potentially be a tendon strain or overuse injury. I recommend that you visit our orthopedic outpatient clinic for further examination and treatment. Thank y...[Read More] Understanding Shoulder Pain and Numbness in Fingers: Causes and Solutions
Can You Do Push-Ups with a Torn Labrum? Surgery Necessary?
Can I do push-ups with a torn intercostal ligament? Can a person with a torn labrum in the shoulder perform push-ups? Is surgery necessary?
Dr. Shi Guozheng Reply:
If there is not much pain and it does not affect joint function, then any movement is permissible. The necessity of surgery has been previously discussed; we should assess whether it impacts function. If it currently does not, there is no need to rush into surgery.[Read More] Can You Do Push-Ups with a Torn Labrum? Surgery Necessary?
Understanding Shoulder Labrum Tears: When to Consider Surgery
Rupture of the coracoacromial ligament? Hello! I have a rupture of the "shoulder labrum" ligament. I visited Dr. Ma at the Veterans General Hospital, and he advised me to hold off on surgery for now and to wait and see. He suggested that I should return for surgery only...
Dr. Shi Guozheng Reply:
Surgical intervention for ligament tears in this area is typically indicated only when instability occurs. Dr. Ma's suggestion may imply that surgery should be considered only after recurrent dislocations, as this would indicate instability of the shoulder joint. Therefore, ...[Read More] Understanding Shoulder Labrum Tears: When to Consider Surgery
Understanding Optimal Timing for Ligament Repair Surgery
Regarding ligament repair? Hello! I would like to ask: It has been over 6 weeks since the shoulder ligament rupture. What is the optimal time for surgical repair of the ligament, known as the "acute phase," and how long should it not exceed? Also, is the surgery for lig...
Dr. Shi Guozheng Reply:
The acute phase typically refers to six weeks post-injury. The type of surgery depends on which ligament is torn; some procedures can be performed arthroscopically, while others may require an open joint surgery.[Read More] Understanding Optimal Timing for Ligament Repair Surgery