Sudden Swelling of the Fourth Toe: Causes and Treatment Options
The fourth toe of the right foot suddenly swelled? The fourth toe on both feet has been persistently swollen for about two years. A month ago, the fourth toe on my right foot suddenly became swollen. I visited the immunology department at Beihua Hospital, and after blood tests, t...
Dr. Chen Yongxue Reply:
Hello, sudden swelling of the fingers and toes should first rule out any immune-related issues. Additionally, individuals over the age of 50 are at a higher risk for degenerative arthritis. Please visit an orthopedic clinic for further diagnosis. Thank you.[Read More] Sudden Swelling of the Fourth Toe: Causes and Treatment Options
Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options
Giant cell tumor located on the lumbar vertebrae? After undergoing an MRI and biopsy, I was diagnosed with a giant cell tumor at the lumbar spine L3. Currently, my symptoms include occasional weakness in my legs, along with soreness in my lower back, thighs, and near the anal are...
Dr. Chen Bochen Reply:
First, an incision will be made on the side to remove the tumor and perform spinal reconstruction, followed by another incision in the back to insert screws. This is the standard procedure. The surgeons who operate on the spine and those who specialize in bone tumors are usually ...[Read More] Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options
Managing Severe Cervical Spine Degeneration: Treatment Options and Insights
Cervical spine (upper cervical vertebrae) Hello doctor, I have been suffering for 11 years with symptoms including eye strain, pressure, pain, tearing, blurred vision, and headaches. The doctor mentioned that I have severe degeneration at the C2-C3 levels on the left side, which ...
Dr. Cai Shanglin Reply:
Hello, based on your description of severe cervical spine degeneration causing discomfort, and considering that you have already tried various conservative treatments (non-surgical methods) with unsatisfactory results, I recommend consulting a spine specialist to discuss the pote...[Read More] Managing Severe Cervical Spine Degeneration: Treatment Options and Insights
Understanding Spinal Tumor Surgery Risks and Success Rates: What to Expect
What are the issues related to spinal tumors? What are the risks associated with surgery? Around the end of April this year, I suddenly experienced lower back pain. However, after resting for a few days, the pain subsided, so I didn't pay much attention to it. In July, while...
Dr. Chen Yongxue Reply:
Hello, I would like to understand how surgical success and failure are defined in medicine. Success is defined as complete tumor removal, no nerve damage, no infection, and secure implantation. Also, could my attending physician be negligent and let a student perform the surgery?...[Read More] Understanding Spinal Tumor Surgery Risks and Success Rates: What to Expect
Post-Surgery Hip Joint Pain: Seeking Answers for Ongoing Discomfort
After decompression surgery for the left hip joint, there is an inability to walk normally? Hello, Doctor. I underwent left hip joint decompression surgery and artificial bone grafting under general anesthesia at the end of July this year. During a follow-up appointment in mid-Oc...
Dr. Shi Guozheng Reply:
Hip joint decompression is performed from the lateral side of the femur, and the nerves are located behind the bone at a certain distance, typically avoiding contact with the nerves. However, it is possible that avascular necrosis of the femoral head may continue to progress, ren...[Read More] Post-Surgery Hip Joint Pain: Seeking Answers for Ongoing Discomfort
Understanding Mild Cervical Spine Issues: Treatment and Risks Explained
Cervical spine issues Hello Doctor, recently my family member (male, 46 years old) underwent a cervical spine X-ray as part of a health check-up. The report indicates Mild Marginal Spur at C5-6, Grade I Retrolisthesis at C5-6, C6-7 Interspace Narrowing, and Mild Reduced Body Heig...
Dr. Chen Bochen Reply:
Hello, the issues you described are quite common. Whether they need to be addressed primarily depends on the presence of symptoms. Mild symptoms include neck pain, limited neck mobility, and frequent neck stiffness. Moderate symptoms involve numbness in the arms and neck movement...[Read More] Understanding Mild Cervical Spine Issues: Treatment and Risks Explained
Understanding Hip Joint Pain: Causes, Symptoms, and Treatment Options
Hip joint pain Hello Doctor, my friend is 18 years old and around early July, he started experiencing hip joint pain that progressed to pain in the entire leg, including the hip joint, knee, and ankle, along with scoliosis. He experiences pain whenever he walks. He took painkille...
Dr. Chen Bochen Reply:
Hello, the solution is quite simple. Find a specialist who focuses on the spine and hip joints to help you with an examination. Also, try not to switch doctors frequently, as physicians need time to gradually clarify the issues you are experiencing.[Read More] Understanding Hip Joint Pain: Causes, Symptoms, and Treatment Options
Understanding Compression Fractures: Treatment Options and Concerns
Vertebroplasty for compression fractures? Hello Doctor, my father is 63 years old. Last month, he experienced severe back pain after lifting heavy objects. His daily activities remain normal, but when he lies down for a long time and tries to get up, the pain in his lower back pr...
Dr. Chen Bochen Reply:
1. Compression fractures are most painful when getting out of bed, sitting down, or standing up. 2. Bone stabilization with a brace typically takes close to two months to heal; however, if the pain is intolerable, vertebroplasty, commonly known as cement augmentation, can be co...[Read More] Understanding Compression Fractures: Treatment Options and Concerns
Understanding Shoulder Pain: Causes, Treatments, and When to Seek Help
Shoulder pain? Hello doctor, my right shoulder has been occasionally sore since May and June, but it would feel better the next day. In early July, I woke up one day with sudden soreness, so I went to the hospital for an X-ray. The doctor said the bones looked normal and it might...
Dr. Chen Bochen Reply:
Hello Wenwen: If frozen shoulder lasts for more than three months, the success rate of treatment through rehabilitation alone is very low. It is recommended to consider the "New Joint Mobilization Technique," which includes many successful treatment cases for frozen sho...[Read More] Understanding Shoulder Pain: Causes, Treatments, and When to Seek Help
Scoliosis and Foot Issues: Understanding Impact and Treatment Options
Scoliosis and Foot Problems Hello Doctor, thank you for taking the time to read my question. I have had uneven shoulders since I was 12 years old, but I didn't pay much attention to it. It wasn't until I was 19 that I went to see a specialist about my spine, and I found...
Dr. Chen Bochen Reply:
Hello, Ms. Hsu. 1. To assess the pressure on both feet, it is best to use a professional pressure plate for testing (manufacturers specializing in orthotics and insoles will have this), or visit a medical center with gait analysis and motion analysis laboratories (such as Dr. K...[Read More] Scoliosis and Foot Issues: Understanding Impact and Treatment Options
Understanding Tailbone Pain: Causes, Recovery, and When to Seek Help
Experiencing pain near the coccyx when rising? In late June, I traveled for five days in Hualien and Taitung by tour bus. The first two days were fine, but starting on the third day, I experienced pain when trying to stand up after sitting down. Initially, I thought it was due to...
Dr. Chen Bochen Reply:
Hello, Ms. Lin. The coccyx has many ligaments and pelvic floor muscles connected to it. Inflammation in this area is not easy to resolve and can recur frequently. I recommend the following: 1. Avoid prolonged sitting. 2. Pay attention to your sitting posture; make sure to sit ful...[Read More] Understanding Tailbone Pain: Causes, Recovery, and When to Seek Help
Understanding Sharp Pain in the Back: Causes and Treatments
Sharp pain in the back? Hello doctor, starting last Monday, I began experiencing a sharp pain in the middle of my back, slightly to the right of the spine. My job requires me to lift heavy objects, but I don't recall any specific incident of straining myself. On Thursday, I ...
Dr. Chen Bochen Reply:
Hello Mr. Huang, muscle fascia strains may not be felt immediately and can start to manifest two to three days later; this is known as "delayed onset muscle soreness." In addition to the muscle fascia strain, you should also have someone check your back skin for any sig...[Read More] Understanding Sharp Pain in the Back: Causes and Treatments
Understanding Labral Tears of the Hip: Symptoms, Treatment, and Recovery
Left acetabular labrum injury Hello, Dr. Chen. Since I started weight training last September, I initially experienced lower back pain and frequent soreness in my left piriformis muscle. Rehabilitation therapy provided some relief, but when I resumed exercising in October, I sudd...
Dr. Chen Yongxue Reply:
Hello, since your condition has undergone surgery, it would be best to consult your attending physician for answers.[Read More] Understanding Labral Tears of the Hip: Symptoms, Treatment, and Recovery
Can You Still Experience Paralysis After a Fall Days Later?
Is it possible to experience paralysis four days after a fall? After the fall, I don't feel any pain when I touch my spine, but I'm worried about the possibility of paralysis. Sometimes, I experience pain on the top of my right foot, and at times my foot feels numb.
Dr. Chen Bochen Reply:
Hello: In short, absolutely not. An injury that could potentially cause paralysis is already severe at the moment of injury, to the extent that you cannot ignore it; it won't just feel "painful" or "numb." However, if your symptoms continue to worsen, see...[Read More] Can You Still Experience Paralysis After a Fall Days Later?
Is Spine Surgery Safe for Dialysis Patients? Key Considerations
Is it suitable for dialysis patients to undergo spinal surgery? Doctor, my mother is currently undergoing dialysis and is experiencing significant body pain due to a misalignment of her spine. The physician has determined that her spinal vertebrae are too far apart, and given her...
Dr. Chen Bochen Reply:
Hello Ting: Dialysis patients can undergo spinal surgery, but the risks are relatively higher compared to the general population. In addition to dialysis, it is important to monitor for hypertension, heart disease, diabetes, and lung and liver diseases. The more organs that are a...[Read More] Is Spine Surgery Safe for Dialysis Patients? Key Considerations
Managing Spinal Compression Fractures in Elderly Lung Cancer Patients
Lung adenocarcinoma metastasizing to the spine? An 85-year-old male with lung adenocarcinoma has metastasized to the spine, resulting in a compression fracture of the 12th vertebra. He is currently experiencing right hip joint pain and is unable to sit for long periods due to sev...
Dr. Chen Bochen Reply:
Hello, regarding the treatment options for cancer-related bone metastasis, please consider the following: 1. Chemotherapy or targeted therapy that should be continued as per your attending physician's instructions. 2. If there is only a compressive fracture without nerve ...[Read More] Managing Spinal Compression Fractures in Elderly Lung Cancer Patients
Post-Surgery Complications After Minimally Invasive Spine Surgery
Complications of Minimally Invasive Spine Surgery I underwent minimally invasive decompression surgery on T10-T12 and L3, L4, and L5 in October 2016. After the surgery, I experienced stiffness in my hip joint. I had a follow-up surgery on T10-T12 in August 2017, which improved th...
Dr. Chen Yongxue Reply:
Decompression surgery is performed to relieve nerve compression. Although complete recovery may not be guaranteed after the surgery, if you experience new symptoms postoperatively, it is advisable to undergo further evaluation.[Read More] Post-Surgery Complications After Minimally Invasive Spine Surgery
Understanding Lower Spine and Right Lower Back Pain: Causes and Solutions
Lower spine and right lower back pain? In the past, if I kept my back straight, my lower spine would hurt. Pressing down on my spine also causes pain. Recently, I started doing some stretching, including lying on my stomach and lifting my head back. This movement causes significa...
Dr. Cai Shanglin Reply:
Online diagnosis is not possible; it is recommended to visit a hospital or clinic for a physical examination and X-ray. It is advisable to consult an orthopedic specialist.[Read More] Understanding Lower Spine and Right Lower Back Pain: Causes and Solutions
Understanding Intermittent Finger Swelling: Causes and Treatment Options
Intermittent swelling of the fingers? Subject: Inquiry Regarding Persistent Finger Swelling and Associated Symptoms Dear Doctor, I would like to seek your advice regarding a health issue I have been experiencing since February. Both of my fingers have been intermittently swelli...
Dr. Shi Guozheng Reply:
Arthritis of the fingers can generally be managed with conservative treatment. It is advisable to consult an orthopedic physician for medication management, starting with a specific medication for continuous treatment, followed by adjustments in dosage and type of medication. Pat...[Read More] Understanding Intermittent Finger Swelling: Causes and Treatment Options
Understanding Hip Joint Issues: Should You Seek Treatment?
Hip joint issues Hello, doctor! I am seventeen years old. Six years ago, I fell while riding a snake board and landed on my right side. I experienced pain for about a week, but it eventually went away. However, I still feel like my right leg is slightly shorter than my left, by l...
Dr. Wang Shouji Reply:
Hello, based on your condition, you should first go to the hospital for an examination to determine if there are any issues with your spine and lower limb joints before discussing the need for treatment. Changhua Hospital cares about your health. Sincerely, Wang Shou-ji.[Read More] Understanding Hip Joint Issues: Should You Seek Treatment?