X-ray, Orthopedics FAQ

Understanding Chronic Upper Back and Lower Back Pain: Causes and Solutions

Frequent soreness or pain above the waist? Hello, doctor. I have two questions I'd like to ask. Question 1: I have a persistent ache on the right side of my lower back, specifically along two lines of discomfort. One is located at the far right side, where I typically plac...

Dr. Shi Guozheng Reply:
1. If it is a herniated disc, there will be pain radiating from the back down to the thigh, calf, and foot, often accompanied by a tingling sensation. The knee may also be unable to fully extend, and lifting the thigh can be difficult, which is characteristic of sciatica caused b...

Understanding Ulnar Proximal Fractures: Surgical vs. Conservative Treatment

Proximal ulnar fracture Hello Dr. Shi, I sustained an injury on December 31, and the diagnosis is a proximal ulnar fracture. The emergency physician informed me that there is considerable debate regarding the treatment for this type of injury. One perspective suggests that surger...

Dr. Shi Guozheng Reply:
1. Surgery is not recommended. 2. Immobilization for three to four weeks is sufficient. 3. Rehabilitation is needed after the swelling of the joint subsides.

Morning Upper Back Pain: Causes and Solutions for Better Sleep

Upper back pain upon waking? For the past six months, I have frequently woken up with pain in my upper back, specifically on both sides of the spine rather than the spine itself. However, the pain tends to ease after I move around. I have consulted an orthopedic doctor and had X-...

Dr. Shi Guozheng Reply:
Rheumatoid arthritis (RA) can cause joint pain, which can be managed with medication. To check for lung cancer, you can undergo an X-ray or a low-dose computed tomography (CT) scan.

Understanding Rib Sclerosis: Causes, Treatment, and Future Implications

Rib sclerosis lesions Hello, doctor. Recently, during a military service physical examination, an X-ray revealed sclerotic lesions on the right fourth rib, suspected to be a bone condition (the word after "bone" is unclear due to smudging). Ultimately, it was stated to ...

Dr. Chen Bochen Reply:
Hello: Without seeing the X-ray, it is impossible to make a diagnosis or provide you with advice (insufficient information could lead to incorrect recommendations that may harm you). I suggest you consult an orthopedic physician for an examination and have another X-ray taken, th...

Should You Get an X-Ray After a Fall on Your Elbow?

Fell and hit the elbow on the floor? Hello Doctor: The day before yesterday, I slipped forward in my bathroom and immediately turned to my side, causing my right elbow to impact the ground near the elbow area. I have checked and found no external injuries or bruising, but there i...

Dr. Shi Guozheng Reply:
If possible, please get an X-ray as soon as possible.

Understanding the Link Between Clavicle Deformity and Scoliosis

Clavicle and spinal scoliosis Hello, Doctor: A few years ago, I noticed that my left clavicle is noticeably more prominent. The physician I consulted believed it was caused by scoliosis, and an initial examination did not reveal any significant symptoms. Upon reviewing the X-ray,...

Dr. Shi Guozheng Reply:
Scoliosis occurring in the thoracic region can lead to a rotational deformity of the spine, which may cause the ribs or clavicles to protrude. There is no need for special attention if the skeletal growth has already stabilized at age 26, as it will not worsen.

Understanding Slow Healing in Fibula Fractures: Key Questions Answered

Questions about slow healing of fibula fractures? Hello Dr. Wang, I am currently working in Vietnam and unable to return to Taiwan due to the pandemic. I have some questions I would like to ask you regarding my condition, which is summarized as follows: On September 15, I sus...

Dr. Wang Jiacheng Reply:
1. Slow recovery. 2. It will still heal. 3. The cast will be in place for about three months. 4. Just wait for it to heal. 5. No medication is needed.

Understanding Delayed Healing in Fibula Fractures: Key Questions Answered

Right leg fracture? Hello Doctor, I am currently working in Vietnam and unable to return to Taiwan due to the pandemic. I have some questions I would like to ask you regarding my condition, which is summarized as follows: On September 15, I sustained an injury to the outer side...

Dr. Shi Guozheng Reply:
1. Slow recovery. 2. It will still heal. 3. The cast will be in place for about three months. 4. Just wait for it to heal. 5. No medication is needed.

Understanding Hip Pain After Total Hip Replacement Surgery

Artificial hip joint Hello, doctor. I had a total hip replacement surgery six years ago, and everything has been fine since then. This month, I've been experiencing mild soreness and pain on the side of my hip. The pain is not constant; it occurs occasionally. I'm unsur...

Dr. Shi Guozheng Reply:
It is possible that if there are other issues, an X-ray may need to be taken to investigate further.

Understanding Patellar Fractures: Recovery, Rehabilitation, and Complications

Patellar fracture Hello, Doctor! In September of this year, I unfortunately had a car accident that resulted in a patellar fracture. Initially, it was a hairline fracture, and the emergency doctor applied a cast, stating that surgery was not necessary and that I should wait for t...

Dr. You Dianqi Reply:
Hello, I would like to clarify that responses on the internet, without direct patient contact, should primarily rely on the opinions of the operating surgeon. If misunderstandings arise in the doctor-patient relationship due to online responses, it is not the intended purpose of ...

Understanding ACL Injuries: Symptoms, Diagnosis, and Treatment Options

Anterior cruciate ligament (ACL) Hello, Doctor: I apologize for bothering you. I was in a car accident on August 30 of this year, which resulted in a femur fracture. At the time, I did not feel any pain in my knee. After being discharged on September 6, I suddenly experienced sev...

Dr. Shi Guozheng Reply:
If a complete tear of the ligament is confirmed through arthroscopy and there is significant laxity in the knee joint, surgery may be necessary. You can consult with a physician at a sports medicine center for further evaluation to determine if surgery is required.

Understanding Clavicle Fractures: Recovery, Treatment, and When to Seek Help

Clavicle fracture Hello Dr. Chen, I had a car accident on October 23 that resulted in a fracture of my right clavicle. I did not undergo surgery and opted for conservative treatment (using a figure-eight brace and arm sling). The doctor advised me to rest for six months, but duri...

Dr. Chen Bochen Reply:
Hello, if your clavicle fracture is not significantly displaced, conservative treatment has about a 70-90% chance of healing on its own (approximately three months). However, if the pain persists, it is advisable to seek medical attention. You may also consider consulting a diffe...

Understanding Left-Sided Mid-Back Pain: Causes and Solutions

Sharp pain in the middle of the back, slightly to the left? Hello Doctor, I am the person who asked about #159640 last year. After that, I did feel better for a while, but after finishing my part-time job in January this year (I stopped working after the Lunar New Year in Februar...

Dr. Chen Bochen Reply:
Hello: The symptoms you described are more likely caused by poor posture (such as frequently looking down or hunching). Engaging in more physical activity, reducing the time spent looking down, and regularly stretching can help your body mostly self-repair. If you're still c...

Understanding Post-Surgery Hip Pain: When to Seek Medical Advice

May I ask the doctor? Hello, doctor. I had hip surgery six years ago and recovered well. Recently, I've been experiencing occasional mild pain on the outer back of the same leg. The pain is not very severe, but I am concerned about the possibility of an infection.

Dr. Shi Guozheng Reply:
You can go to the hospital for an X-ray to check for any issues. If you need to confirm an infection, a blood test for CRP (C-reactive protein) and ESR (erythrocyte sedimentation rate) may be necessary. Both of these tests are reference indicators related to bacterial infections....

Understanding Ulnar Shortening Surgery for Tendonitis Relief

Ulnar shortening surgery The patient currently has calcific tendinitis in the right thumb and wrist, along with pain near the ulnar side of the wrist, and mild discomfort in the left hand as well. An X-ray has confirmed that the right ulnar bone is elongated. Due to work-related ...

Dr. Shi Guozheng Reply:
The repetitive gripping actions can affect the joint, so it is advisable to reduce these activities to see if there is any improvement. You should ask your doctor whether surgery will alleviate the pain and clarify the expected recovery time, which is approximately three months.

Understanding Left Femoral Neck Fractures: Surgery, Recovery, and Pain Management

Left femoral neck fracture? Hello, doctor. I had a car accident on February 2nd of this year, which resulted in a fracture of my left femoral neck. I had three screws inserted. The doctor mentioned that the screws can be removed or left in place, and I would like to know if there...

Dr. Shi Guozheng Reply:
Femoral neck fractures are typically stabilized with three bone screws, which can usually be removed after more than a year. Leaving the screws in the hip may cause a tingling sensation. Screw removal usually requires about a week of rest.

Morning Back Pain: Causes and Solutions for Office Workers

Waking up with lower back pain? The individual works in an office and has a sedentary lifestyle with irregular exercise habits. They have been experiencing pain (aching) on both sides of the lower back and in the back for a long time, particularly upon waking (sometimes waking up...

Dr. Shi Guozheng Reply:
It could be a muscle issue, so you can see an orthopedic specialist. You may also request an X-ray of the lumbar region to check for any other problems.

Clavicle Fracture: Non-Surgical Treatment and Healing Time for Young Adults

Clavicle fracture Dear Doctor: I was in a car accident on December 17, which resulted in a fractured clavicle. I am currently leaning towards non-surgical treatment. A few days ago, I showed my X-rays to a traditional Chinese medicine doctor, who advised me to use an 8-shaped sho...

Dr. Shi Guozheng Reply:
If surgery is not performed, it will take about three months for it to heal, but if it does not heal, surgery will be necessary. On the other hand, if immediate surgery is performed, there are benefits such as quicker recovery and faster pain relief. The downside is that it requi...

Understanding Wrist Fractures: Post-Cast Care and Common Concerns

Radial fracture A few days ago, I fractured my right wrist while playing basketball and have some questions for the doctor: 1. What is the purpose of using a sling for immobilization after the cast is applied? If other positions are comfortable, is it necessary to use the sling...

Dr. Li Wenhong Reply:
Hello: 1. A sling is used to support or distribute the weight of a cast, preventing prolonged drooping that can lead to edema in the distal extremities. It does not need to be worn continuously. 2. It is not necessary to wear the sling while sleeping. The area of the fracture tha...

Why Does My Lower Back Hurt While Sleeping? Causes and Solutions

Experiencing back pain while sleeping can make it difficult to rest? I have been sleeping on this bed for over a year, but for the past three months, I have started to experience severe lower back pain while sleeping. It has become unbearable, making it difficult to sleep. Whethe...

Dr. Wang Shouji Reply:
Hello, if you experience pain in your lower back while sleeping but not during the day, you should pay attention to whether your bed provides adequate support for your lower back. It is advisable to apply heat, maintain good posture by keeping your head up and chest out, and enga...

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