Understanding Coccydynia: When to Seek Further Evaluation
Coccyx contusion About 7 to 8 years ago, I fell off a table and landed on my buttocks. At that time, I experienced severe pain when standing up or sitting down for a while, but after visiting an orthopedic doctor and taking muscle relaxants, the pain significantly eased. After a ...
Dr. Chen Bochen Reply:
1. The injury from 7-8 years ago is not significantly related to the current pain. 2. Young people often experience lower back pain, which is usually associated with poor posture habits. It is recommended to avoid prolonged sitting and to maintain a regular exercise routine. ...[Read More] Understanding Coccydynia: When to Seek Further Evaluation
Sudden Knee Pain and Joint Discomfort: Seeking Solutions for Relief
Sudden pain in the left knee while sleeping, along with pain in the finger joints? I suddenly woke up one night with pain in my left knee and was unable to put weight on it when getting out of bed. I went to the orthopedic department at Asia University Hospital, where they took X...
Dr. Shen Boquan Reply:
Hello, if you suddenly experience pain in your left knee and both hands, it is important to consider whether you have sustained an injury or if your workload has been excessive. If this occurs occasionally and improves with rest or pain relief medication, you should take care to ...[Read More] Sudden Knee Pain and Joint Discomfort: Seeking Solutions for Relief
Recovery Time for Walking with AIRCAST After Fifth Metatarsal Fracture
Fracture of the fifth metatarsal bone of the right foot? The fifth metatarsal fracture of the right little toe has been stabilized with an AIRCAST for 12 days, and the affected limb has not borne weight. I would like to know how long it will take before I can walk with the AIRCAS...
Dr. Chen Bochen Reply:
If you need to use crutches for a month and get an X-ray during that time, you can discontinue the crutches if there is initial healing. You can then wear an Aircast and walk directly.[Read More] Recovery Time for Walking with AIRCAST After Fifth Metatarsal Fracture
Persistent Swelling and Pain in 8-Year-Old's Foot: Causes and Solutions
An 8-year-old child presents with swelling and pain in the dorsum of the foot? Hello, I have an 8-year-old child whose foot has been swollen for about three weeks, specifically on the top of the foot near the fourth toe. It hurts when pressed, and X-rays show no bone issues. We h...
Dr. Li Wenhong Reply:
Hello: Please elevate your left foot and apply local ice or heat (it has been three weeks; if there is no redness or warmth, heat application is recommended). If there is no improvement, you should return for a follow-up appointment. Thank you! Changhua Hospital Orthopedics Dr. L...[Read More] Persistent Swelling and Pain in 8-Year-Old's Foot: Causes and Solutions
Understanding Seed Bone Fractures: Recovery Time and Diagnosis Explained
Questions about seed bone fractures? Hello, doctor. At the end of last month, after exercising, I experienced foot pain. After seeing a doctor and getting an X-ray, the doctor said it was a fracture of the sesamoid bone. Since there are not many similar cases online, I have two q...
Dr. Shi Guozheng Reply:
A bone crack and a fracture are both referred to as fractures in orthopedics, which is a disruption of the continuity of the bone. What you refer to as a bone crack may indicate a fracture without significant displacement, while a fracture typically involves some degree of displa...[Read More] Understanding Seed Bone Fractures: Recovery Time and Diagnosis Explained
Understanding Chronic Neck and Shoulder Pain: Diagnosis and Treatment Options
Shoulder and neck pain (2) I previously inquired about my shoulder and neck pain, but the doctor's response seemed somewhat off-target. Could you please clarify the issues I raised? Additionally, when the doctor mentioned, "If you can't afford the tests, it might b...
Dr. Chen Bochen Reply:
I have been experiencing shoulder and neck pain for at least 10 years. Once, I visited a pain management specialist who performed an ultrasound on my right shoulder and found a small bone that was different from the left side. The doctor prescribed a topical ointment, saying that...[Read More] Understanding Chronic Neck and Shoulder Pain: Diagnosis and Treatment Options
Understanding Ankle Ligament Injuries: Symptoms, Diagnosis, and Treatment Options
Ankle ligament injury Hello, Doctor. On April 15th, I twisted my ankle while playing basketball. After seeing a doctor and getting an X-ray, I was told that there were no bone issues, but it is still very swollen. The next day, April 16th, I went to another hospital where the doc...
Dr. Chen Bochen Reply:
1. Ligament sprains typically involve partial tears, and with appropriate protection, the body can heal itself without the need for surgery. However, subsequent rehabilitation is still necessary. 2. Within the first week of a sprain, it is important to actively apply ice, elevate...[Read More] Understanding Ankle Ligament Injuries: Symptoms, Diagnosis, and Treatment Options
Why Shockwave Therapy May Worsen Knee Pain: A Patient's Experience
After shockwave therapy, it may actually feel more uncomfortable? My boyfriend (34 years old) experienced knee discomfort on April 18. By April 19, he felt somewhat better, but since this was not the first occurrence of knee discomfort, he decided to see an orthopedic specialist ...
Dr. Shi Guozheng Reply:
Extracorporeal shock wave therapy may cause some discomfort during the procedure, and it is important to reduce activity for a few days afterward to allow the tissues to recover. The shock wave therapy can be performed by other healthcare professionals and does not necessarily re...[Read More] Why Shockwave Therapy May Worsen Knee Pain: A Patient's Experience
Post-Surgery Challenges After Car Accident: Orthopedic Insights
Post-operative issues following a car accident? Dear Doctor, I apologize for bothering you with some questions. I previously inquired about post-surgery issues following a car accident and will consult the hospital again, but I still have some doubts and would like to hear differ...
Dr. You Dianqi Reply:
Hello: 1. In my personal opinion, the reason for the incomplete reduction of the greater tuberosity, where the rotator cuff attaches, may lead to functional limitations that cannot be fully restored. However, there are many reasons for the malposition, such as various difficult...[Read More] Post-Surgery Challenges After Car Accident: Orthopedic Insights
Persistent Coccyx Pain One Year After Injury: Treatment Options
Coccyx issues - Pain persists one year after injury? Hello, I injured my coccyx over a year ago. At that time, I visited an orthopedic specialist and had an X-ray, which confirmed that there was no bone damage. However, over the past year, if I sit for a long time on a hard chair...
Dr. Shi Guozheng Reply:
Let's take another X-ray to check if the coccyx is protruding, which could be compressing the nearby soft tissues, potentially causing inflammation and pain. You may seek treatment from an orthopedic specialist, which could include medication or local injections.[Read More] Persistent Coccyx Pain One Year After Injury: Treatment Options
Understanding Heel Pain: Causes, Treatments, and Home Remedies
Hello doctor, I have been experiencing pain in my heel for a long time? Hello Doctor, I would like to ask about some discomfort I have been experiencing in my heel. Around February 21st of this year, I started feeling pain after I ran to catch a garbage truck while wearing flip-f...
Dr. Li Wenhong Reply:
Hello: Based on your description, it seems you may be experiencing Achilles tendinitis or plantar fasciitis due to overuse of the heel. For acute pain, you should apply ice and take oral anti-inflammatory pain relievers. Improvement methods include using insoles and wearing shoes...[Read More] Understanding Heel Pain: Causes, Treatments, and Home Remedies
Understanding Sudden Coccyx Protrusion: Causes and Considerations
Coccygeal protrusion issue? Hello doctor, my wife recently noticed that her coccyx is more prominent than before. It feels very noticeable to the touch, and it feels hard like bone. When she bends over, it is also visibly apparent. However, she says it doesn't hurt, and ther...
Dr. Shi Guozheng Reply:
Usually, there shouldn't be any issues. If there are concerns, you can visit an orthopedic specialist to get an X-ray to check for any abnormalities.[Read More] Understanding Sudden Coccyx Protrusion: Causes and Considerations
Understanding Elbow Dislocation: Challenges and Healing Without Surgery
Elbow dislocation that cannot be reduced or surgically repaired? Hello, Doctor: I would like to ask about my right elbow. On February 8, I was diagnosed with an elbow dislocation and a fracture below the elbow at the hospital. I went to the emergency room because the area below m...
Dr. Shi Guozheng Reply:
You may need to visit a medical center to consult with a more experienced physician, specifically a specialist in shoulder and elbow joints, to see if there are options for managing the potential decrease in function if the dislocation is not reduced.[Read More] Understanding Elbow Dislocation: Challenges and Healing Without Surgery
Understanding Osteoporosis: Lifestyle Factors Affecting Bone Health
Osteoporosis-related issues Hello Doctor, I would like to ask about osteoporosis. For the past two years, my health check reports have shown that I have mild bone loss (this year it has reached -1.6). However, I have many questions. I work as a lifeguard at an outdoor swimming po...
Dr. Cai Shanglin Reply:
Hello, Yang. A 31-year-old active male is unlikely to have osteoporosis. I'm not sure which measurement method you used, but the currently recognized most accurate method is Dual-Energy X-ray Absorptiometry (DEXA). Using ultrasound to measure heel bone density is generally l...[Read More] Understanding Osteoporosis: Lifestyle Factors Affecting Bone Health
Understanding Elbow Dislocation: Healing Without Surgery and Risks
Elbow dislocation without reduction and without surgery? Hello, Doctor: I would like to ask about my right elbow. On February 8 of this year, I was diagnosed with an elbow dislocation and a fracture below the elbow at the hospital. I went to the emergency room because the area be...
Dr. Chen Yongxue Reply:
Hello, 1. Nerve fiber tunnels do not affect the healing of fractures. 2. An elbow dislocation should be reduced; if closed reduction fails, surgical reduction may be necessary. 3. The degree of comminution in a fracture can affect the healing time, which typically requires more t...[Read More] Understanding Elbow Dislocation: Healing Without Surgery and Risks
Understanding Knee Pain: Ligament vs. Cartilage Inflammation Concerns
Knee issues Hello Doctor: I have been experiencing knee pain for about two months, with pain on both sides but more severe on the left. The main pain point is in the outer indentation area, and occasionally I feel discomfort in the middle of the knee while walking, but that only ...
Dr. Shi Guozheng Reply:
Based on your description, it is difficult to determine the specific issue. Typically, an X-ray is needed to check for patellar valgus. If there is valgus deformity, it may lead to cartilage wear. Therefore, you should visit a hospital to consult a physician for an accurate diagn...[Read More] Understanding Knee Pain: Ligament vs. Cartilage Inflammation Concerns
Understanding Meniscus Issues: Symptoms, Treatment, and Recovery
Meniscus issues Hello, Doctor: I discovered at the end of December last year that my right knee often makes a popping sound. Later, I experienced pain when going up and down stairs for about 2-3 weeks. In mid-January 2021, I went to the hospital, and the doctor prescribed a 14-da...
Dr. Chen Yongxue Reply:
Hello, 1. Whether the condition will worsen without surgery depends on the extent of the meniscal damage. Generally speaking, it is possible for the condition to become more severe. 2. Is there an option for insurance coverage for the surgery, or is it only out-of-pocket? The...[Read More] Understanding Meniscus Issues: Symptoms, Treatment, and Recovery
Can Herniated Discs Heal with Exercise and Rehabilitation?
Can a herniated disc heal? Hello doctor, I had an X-ray and MRI that confirmed I have a herniated disc, but the doctor said it's mild. Can I recover through exercise and rehabilitation?
Dr. Wang Shouji Reply:
Hello, the symptoms can be alleviated by medication and rehabilitation. Afterwards, you can strengthen your core muscles and be mindful of reducing the intensity of work and activities to decrease the chances of recurrence. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Can Herniated Discs Heal with Exercise and Rehabilitation?
Understanding Chronic Shoulder and Neck Pain: Diagnosis and Treatment Options
Shoulder and neck pain? I have been experiencing shoulder and neck pain for at least 10 years. During a visit to a pain management clinic, the doctor performed an ultrasound on my right shoulder and found a small bone that is not aligned with the left side. He prescribed a topica...
Dr. Chen Bochen Reply:
It has been painful for ten years, so it is indeed advisable to get checked. I recommend that you consider paying out of pocket for a cervical spine MRI and a shoulder and neck ultrasound. If these self-funded examinations show no issues, then you should modify your lifestyle: av...[Read More] Understanding Chronic Shoulder and Neck Pain: Diagnosis and Treatment Options
Treatment Options for Coccyx Fracture in Seniors: Rehab vs Surgery
Fracture of the first coccygeal vertebra (coccyx) - what treatment is recommended? Hello, doctor. My mother is in her 70s and generally mobile, but recently she fell backward while standing at home in the morning (suspected due to low blood pressure and dizziness; her blood press...
Dr. Chen Bochen Reply:
1. The fracture of the first lumbar vertebra seen on X-ray may not necessarily be an acute fracture; it could also be an old injury or a chronic deformity due to osteoporosis. 2. To determine whether the fracture was caused by the recent fall, an MRI is needed, which can also ass...[Read More] Treatment Options for Coccyx Fracture in Seniors: Rehab vs Surgery