Understanding Nail Changes: What Your Symptoms Might Indicate
Nail changes are beginning to occur? I would like to ask the doctor, I recently went to the hospital for knee pain, and the doctor said I have gout. However, I indirectly discovered that the big toes on both of my feet have turned black from the base (the white part), and there a...
Dr. Zhou Lizhi Reply:
First, let's talk about gout. Gout is caused by an excess of uric acid in the body, which cannot be excreted in a timely manner and accumulates in the peripheral joints. About 70% of the affected sites are in the lower limbs, typically in the metatarsophalangeal joint of the...[Read More] Understanding Nail Changes: What Your Symptoms Might Indicate
Understanding Hallux Valgus and Osteoarthritis: A Patient's Dilemma
Degenerative arthritis Dear Doctor, Last month, I visited a physician due to severe friction and pain between my big toe and second toe while walking, which resulted in skin breakdown. It later formed a scab, and I noticed that the bone next to my big toe was severely protruding...
Dr. Shi Qiming Reply:
Hello: Based on your description, it seems that you are experiencing symptoms caused by hallux valgus, which leads to friction between the toes. I recommend that you visit our orthopedic outpatient clinic for further examination and assessment. Generally, you can start by using a...[Read More] Understanding Hallux Valgus and Osteoarthritis: A Patient's Dilemma
Rehabilitation Tips for Stiff Toe After Car Accident Injury
Toe dislocation and joint dislocation due to a car accident? Hello Dr. Lee, about a month and a half ago, I had a car accident that caused my right foot's second toe to dislocate at the joint. The doctor was able to reduce it in the emergency room, but now that toe is not be...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is best for you to first visit an orthopedic outpatient clinic for an evaluation by an orthopedic physician to determine if there are any fractures, ligament injuries, tendon injuries, or joint capsule laxity. If none of these conditions ar...[Read More] Rehabilitation Tips for Stiff Toe After Car Accident Injury
Understanding Pediatric Hallux Valgus: Causes and Treatment Options
The thumb is abducted? My child is currently 1 year and 10 months old, and I have noticed that the big toe on their foot is significantly longer than the second toe. Recently, I observed that when my child walks barefoot, the big toe tends to splay outward and does not align with...
Dr. Xu Zhaoren Reply:
Thumb-inversion is congenital and can be corrected, but it is necessary to first consult a pediatric orthopedic clinic to determine the specific type.[Read More] Understanding Pediatric Hallux Valgus: Causes and Treatment Options
Understanding Foot Pain and Deformed Toes: Causes and Solutions
Foot Hello, doctor. I don't know why my feet hurt after walking for a long time, and it's strange that the joints in my toes are bending and taking on a "Q" shape. Please advise. Thank you.
Dr. Chen Weiming Reply:
Please refer to the answer for the other question regarding "toes."[Read More] Understanding Foot Pain and Deformed Toes: Causes and Solutions
Understanding Deformed Toe Joints: Causes and Solutions for Pain Relief
Toe Hello, doctor. Could you please tell me why the joints in my toes have become deformed, resembling the shape of a "Q"? It becomes very uncomfortable after running for a long time. Thank you for your response.
Dr. Chen Weiming Reply:
Hello, if your toes have become shaped like a "ㄑ", it is likely due to a condition known as Hallux Valgus (bunion). This is often caused by wearing pointed shoes. Please make sure to switch to wide-toed shoes, and consider consulting an orthopedic specialist to avoid th...[Read More] Understanding Deformed Toe Joints: Causes and Solutions for Pain Relief
Understanding Left Toe Numbness: Causes and Treatments for Sciatica
Numbness and pain in the toes of the left foot? Sciatic nerve pain extending to the soles of the feet with numbness and pain in the toes, with no improvement after surgery for bone spurs.
Dr. Lin Xiaoyi Reply:
Hello, A-Qing: If it is confirmed that you have undergone surgery for spinal osteophytes and are experiencing a recurrence of sciatica, please consult the surgeon who performed your operation. Medication treatment may be an option, and you should ask the physician whether a refer...[Read More] Understanding Left Toe Numbness: Causes and Treatments for Sciatica
Understanding Persistent Joint Pain: Possible Causes and Solutions
Joint pain Hello Dr. Yang: I have been experiencing pain in the joint of my right toe for quite some time. I have consulted both a gout specialist and a traditional Chinese medicine practitioner, but the condition remains similar. The gout specialist confirmed that I do not have ...
Dr. Yang Nanping Reply:
Hello: The most common condition is still gout, followed by tendinitis, and stress fractures are also possible. You may return to the outpatient clinic for repeat blood tests and X-rays. Sincerely, Dr. Yang Nanping, Orthopedics.[Read More] Understanding Persistent Joint Pain: Possible Causes and Solutions
Understanding Thumb Deformity: Non-Surgical Correction Options
Thumb abduction orthosis Hello, doctor: Although hallux valgus can be corrected through orthopedic surgery, I am concerned because not only is my big toe deviated, but my big toe and second toe are also deformed. I am worried about the risk of postoperative walking difficulties. ...
Dr. Ye Qingnian Reply:
Hallux valgus, commonly known as bunions, is currently treated primarily through surgical intervention, as there are no braces available that can effectively correct the condition. Additionally, the second toe has also become deformed, which may be due to prolonged wearing of poi...[Read More] Understanding Thumb Deformity: Non-Surgical Correction Options
Understanding and Treating Bow Legs: Causes, Symptoms, and Solutions
Bow legs Hello, Doctor Shi: If my heels and toes are together, and there is a gap of about 6 to 7 centimeters between my thighs, knees, calves, and ankles, and when I squat, my knees bend inward, does this count as bow legs (genu varum)? Although I don't have much pain, it d...
Dr. Shi Qiming Reply:
Hello: Based on your description, it should be within the normal range. There are many reasons for bow legs in young individuals. Most cases are due to congenital rotation or curvature at the hip, femur, or knee, and generally do not require treatment. If correction is necessary,...[Read More] Understanding and Treating Bow Legs: Causes, Symptoms, and Solutions
Importance of Proper Toe Alignment in Orthopedic Treatments
If the toe is not properly realigned, other treatment methods will be ineffective, right? [Date] March 4, 2005 [Question] Asked by: Sam / Male / 35 Is open reduction or closed reduction recommended for simple closed fractures and dislocated fractures of the toes? If only a pi...
Dr. Shi Guozheng Reply:
Improper alignment during fracture reduction can have some impact on function, but healing will still occur. I'm not sure what other treatment methods you are referring to. In fact, it is important to start mobilization before the fracture has completely healed; if a joint r...[Read More] Importance of Proper Toe Alignment in Orthopedic Treatments
Open vs. Closed Reduction for Toe Fractures: Which is Best?
For simple closed fractures of the toes and fractures with joint dislocation, both open reduction and closed reduction are recommended for treatment? For simple closed fractures and fracture-dislocations of the toes, both open reduction and internal fixation (ORIF) and closed red...
Dr. Shi Guozheng Reply:
Both options are possible, but it depends on the situation. If closed reduction can achieve proper alignment, then it is sufficient to insert the bone screws for fixation. However, if closed reduction does not result in a satisfactory position, then open reduction must be perform...[Read More] Open vs. Closed Reduction for Toe Fractures: Which is Best?
Can Joint Fluid Analysis Help Prove Inflammation in Toe Injuries?
Is it possible to extract synovial fluid from the tissues surrounding the toe joints to assess the level of inflammation? Currently, my application for labor injury benefits has been denied due to a dislocated fracture of my toe joint. The initial reduction was not very successfu...
Dr. Shi Guozheng Reply:
Toe fractures typically heal within a short period, with three months being considered a long recovery time. If pain persists, rehabilitation or anti-inflammatory medications can be used to alleviate symptoms. Regarding your question about aspirating tissue fluid for examination,...[Read More] Can Joint Fluid Analysis Help Prove Inflammation in Toe Injuries?
Understanding Foot and Back Pain: Possible Connections and Conditions
excuse me? Hello, Doctor. Four months ago, one of my toes was red and swollen, and it hurt when I walked. Now, after resting for many days and walking very little, that toe is still swollen, but it doesn't hurt anymore. Additionally, my lower back hurts when I stand up after...
Dr. Yang Zhengfan Reply:
This is not related to lower back pain, to be honest. A virtual consultation cannot provide a definitive diagnosis; I recommend that you see an orthopedic specialist directly.[Read More] Understanding Foot and Back Pain: Possible Connections and Conditions
Recovery Timeline for Dislocated Toe After Car Accident: What to Expect
Toe dislocation due to a car accident? I would like to ask about my condition after a car accident on January 30th, where I dislocated the second joint of my left big toe and sustained a laceration on the second toe with dislocations at the second and third joints. After reductio...
Dr. Ye Qingnian Reply:
If a finger joint is immobilized for more than three weeks, rehabilitation becomes more difficult. Therefore, finger exercises should begin after three weeks. More intense activities should ideally wait for at least six months before gradually increasing the level of activity.[Read More] Recovery Timeline for Dislocated Toe After Car Accident: What to Expect
Chronic Back Pain and Toe Inflammation: Seeking Effective Solutions
excuse me? I experience severe pain in my spine when bending down to lift things, and my spine is currently inflamed. One of my toes hurts so much when I stand for a long time that it feels like the bone is about to break. This toe has been inflamed for over six months now. I hav...
Dr. Shi Guozheng Reply:
Back pain, especially when bending down, may be due to tendonitis or spinal instability. It is advisable to get an X-ray to check for these issues. Of course, a physician should evaluate for other potential problems such as sciatica or infections. Additionally, pain in the toes c...[Read More] Chronic Back Pain and Toe Inflammation: Seeking Effective Solutions
Understanding Health Insurance Coverage for Toe Fracture Treatments
excuse me? Hello Director Shih: I would like to ask about a toe fracture where a steel pin is only inserted from the tip of the toe, without performing surgery at the fracture site. Is this considered one of the items covered under the National Health Insurance for closed reducti...
Dr. Shi Guozheng Reply:
The surgical method involves closed reduction combined with the use of bone pins, which is a common approach for treating fractures of the fingers or toes. This technique achieves similar results to open reduction, where the skin is incised to visualize the bone for realignment a...[Read More] Understanding Health Insurance Coverage for Toe Fracture Treatments
Understanding Bunions: Causes, Symptoms, and Treatment Options
Hallux valgus Hello doctor, recently I have noticed a soft, bump-like growth on my big toe. It feels soft and somewhat numb to the touch. Could this be a bunion? It is located on the edge of the big toe, near the index toe.
Dr. Shi Qiming Reply:
Hello: Hallux valgus refers to an excessive angle between the bones of the big toe, which can cause pain on the inner side of the toe, but it does not form a bunion-like growth. If there is a bunion-like growth between the big toe and the second toe that feels numb to the touch, ...[Read More] Understanding Bunions: Causes, Symptoms, and Treatment Options
Understanding Hallux Valgus: Symptoms, Diagnosis, and Treatment Options
Hallux valgus Hello, I previously experienced sudden and severe pain while wearing shoes, but it has recently improved (the symptoms have lasted about 5 to 6 months). I have always had a wider foot, particularly with the area near the big toe being more prominent. I'm not su...
Dr. Shi Guozheng Reply:
Hallux valgus, commonly known as a bunion, can cause pain or swelling, often related to footwear. The friction from shoes can exacerbate the discomfort. A thorough examination can be conducted by an orthopedic specialist, who may recommend an X-ray to assess the degree of angulat...[Read More] Understanding Hallux Valgus: Symptoms, Diagnosis, and Treatment Options
Could My Foot Pain and Swelling Indicate Rheumatoid Arthritis?
Rheumatoid Arthritis I have swelling on the dorsum of my foot at the joint of the second toe, and the second toe feels a bit stiff. It hurts when I walk, and this condition has been present for over six months. Could this be rheumatoid arthritis?
Dr. Lin Xiaoyi Reply:
Mr. Zhang: Hello! Regarding your question, I would like to ask how long your stiffness lasts each day? How severe is the stiffness? Typically, rheumatoid arthritis does not only affect the toe joints and usually presents bilaterally. If your condition has not improved, I recommen...[Read More] Could My Foot Pain and Swelling Indicate Rheumatoid Arthritis?