Clarifying Deformity Assessment in Fracture Cases for Disability Benefits
Discrepancies in Fracture Deformity Assessment Hello Dr. Chen, 1. Regarding the disability payment standards for labor insurance, the item 8-4 specifies that "significant deformity of the sternum, ribs, clavicle, scapula, or pelvic bones" refers to a noticeable deform...
Dr. Chen Yongxue Reply:
Hello, regarding labor insurance matters, it is advisable to consult with the Labor Insurance Bureau for guidance.[Read More] Clarifying Deformity Assessment in Fracture Cases for Disability Benefits
Chest Pain Near Armpit When Coughing: Is It a Muscle Strain or Fracture?
Coughing causes pain near the right chest, close to the armpit? Hello, doctor. I've been experiencing a severe cough for the past week or two, and recently I've started feeling a sharp pain near my right chest close to the armpit every time I cough, to the point where I...
Dr. Chen Yongxue Reply:
Hello, if there is a fracture without any injury, it is very rare. Usually, the pain is caused by a muscle strain. If you are really concerned, you can get an X-ray examination. Applying a warm compress can help the strain heal faster. Thank you.[Read More] Chest Pain Near Armpit When Coughing: Is It a Muscle Strain or Fracture?
Post-Car Accident: Severe Numbness in Calf After Hematoma
After a car accident, there is a hematoma in the calf, and one week later, there is severe numbness in the calf? Hello Doctor: After my car accident, I developed a hematoma in my left calf, but it wasn't severe enough to require surgery. I applied ice for the first 1-3 days ...
Dr. Shen Boquan Reply:
Hello, due to a car accident, you have a hematoma in your calf. If the swelling is severe enough to compress the distal circulation, known as compartment syndrome, orthopedic or plastic surgeons typically recommend a fasciotomy for decompression. If your orthopedic surgeon determ...[Read More] Post-Car Accident: Severe Numbness in Calf After Hematoma
Understanding Finger Control Issues: Bone Spurs and Tendon Damage
Difficulty in controlling the fingers? Hello Doctor, I recently noticed that I have difficulty controlling my middle finger, ring finger, and pinky finger. A relative who is a doctor examined me and mentioned that if there are bone spurs, they could potentially be rubbing against...
Dr. Chen Bochen Reply:
Hello, I recommend that you consult a hand surgeon for an evaluation. The written description may not accurately reflect your actual condition, so it is advisable to see an orthopedic hand surgeon for an in-person assessment.[Read More] Understanding Finger Control Issues: Bone Spurs and Tendon Damage
Managing Post-Surgery Back Pain After Scoliosis Surgery
Postoperative care for scoliosis surgery? It has been nearly 500 days since my surgery. Initially, I only experienced lower back pain when standing or sitting, but recently I have been feeling lower back pain even while lying in bed, and the intensity of the pain is quite high. I...
Dr. Chen Bochen Reply:
The solution should be determined based on the surgical condition and postoperative X-rays. It is recommended that you return for a follow-up appointment with the surgeon who performed your operation, or ask the physician to refer you to a rehabilitation specialist for a rehabili...[Read More] Managing Post-Surgery Back Pain After Scoliosis Surgery
Affordable Treatment Options for Low-Income Families with Back Pain Issues
Regarding the economic capacity of low-income households? Four years ago, I underwent relevant examinations at the hospital, including an MRI, which diagnosed me with a herniated disc causing sciatica and radiculopathy. The doctor recommended minimally invasive surgery, which wou...
Dr. Chen Bochen Reply:
Many physicians can assist you in applying for health insurance medical equipment; it is not necessary to use minimally invasive surgery, as traditional surgery can also effectively aid in your recovery. If you are facing financial difficulties, you can inform your doctor about y...[Read More] Affordable Treatment Options for Low-Income Families with Back Pain Issues
Persistent Bruising and Pain After Leg Injury: When to Seek Medical Attention?
Bruising for a week with tenderness upon palpation? About a week ago, when I got off my motorcycle, I lost my balance and the motorcycle fell over, causing the front side of my right calf to hit the ground directly. The bruising has not subsided, and there is pain upon pressure. ...
Dr. Chen Bochen Reply:
If you can walk, there's no need to worry, because even a slight hairline fracture would cause enough pain to prevent walking. If it's just a bruise, it should gradually stop hurting in about two weeks.[Read More] Persistent Bruising and Pain After Leg Injury: When to Seek Medical Attention?
How Long Does It Take to Walk Normally After Ankle Fracture Surgery?
The average time to walk normally after an ankle fracture surgery is typically around 6 to 12 weeks, depending on the severity of the fracture and the individual's healing process? Hello: I underwent surgery for a right ankle fracture on October 2nd of last year (with a plat...
Dr. Chen Bochen Reply:
1. Walking will not worsen your scoliosis. 2. 4-6 weeks. 3. Walk more for rehabilitation, perform ankle pump exercises, and do lower limb stretches.[Read More] How Long Does It Take to Walk Normally After Ankle Fracture Surgery?
Understanding First Metatarsal Fractures: Recovery and Walking Advice
First metatarsal fracture Hello Doctor, this is my X-ray from early January https://ppt.cc/f6Vmzx. Additionally, this time https://ppt.cc/fC8nBx the doctor said I can wear a splint and try walking. The X-ray doesn't show much change. Will walking like this make it worse? Tha...
Dr. Chen Bochen Reply:
After one month, you can walk with a splint, and gentle movement can actually promote bone growth.[Read More] Understanding First Metatarsal Fractures: Recovery and Walking Advice
Understanding the Differences Between Hematomas and Ganglion Cysts in Orthopedics
Hematoma and tenosynovial cyst? Hello, Doctor: May I ask about the differences between a hematoma and a ganglion cyst? Aside from the fact that the former is caused by blood and the latter by mucus, what other differences exist? Both are swellings caused by fluid in the body, so ...
Dr. Chen Yongxue Reply:
Hello, may I ask: What are the differences between a hematoma and a ganglion cyst, aside from the fact that the former is caused by blood and the latter by mucin? What are the fundamental differences? A hematoma is caused by trauma, lacks a surrounding sheath, can be resolved by ...[Read More] Understanding the Differences Between Hematomas and Ganglion Cysts in Orthopedics
Understanding Chest and Rib Pain After Skiing Injuries: When to Seek Help
Regarding pain in the chest and ribs due to a fall while skiing, which causes pain during breathing and movement? Hello Doctor, I fell while skiing in Japan, which has caused pain in my chest and ribs. The pain has persisted for nearly 12 days since the day of the fall, and it is...
Dr. Chen Bochen Reply:
It is recommended to get an X-ray and to consult either a thoracic surgeon or an orthopedic surgeon.[Read More] Understanding Chest and Rib Pain After Skiing Injuries: When to Seek Help
Can Finger Joint Dislocation Be Treated Effectively?
Finger joint dislocation In childhood, the little finger was suddenly pulled by a curtain, causing a slight dislocation of the distal joint. Visually, the distal phalanx of the little finger is displaced towards the middle finger, but there are no other abnormalities. The rehabil...
Dr. Chen Yongxue Reply:
Hello, finger injuries should be addressed immediately for the best outcome. If the deformity has persisted for more than three weeks, it often cannot be corrected. If the deformity affects daily life, surgical correction may be necessary, which could lead to joint stiffness as a...[Read More] Can Finger Joint Dislocation Be Treated Effectively?
Concerns About Skull Shape and Size: Seeking Medical Insights
Skull issues Hello, doctor. I recently noticed that my forehead is particularly slanted and my brow ridge is prominent. I'm wondering if the strong impacts to my forehead during the first and second grades of elementary school could have led to poor development or a flattene...
Dr. Chen Yongxue Reply:
Hello, regardless of the cause, as long as the protective functions of the brain tissue are intact, there is no need to worry.[Read More] Concerns About Skull Shape and Size: Seeking Medical Insights
Post-TFCC Surgery: Dealing with Persistent Swelling and Rehab Concerns
What should I do if swelling does not subside after TFCC surgery? Hello, five years after my car accident, my TFCC has not healed. While I can manage my daily life, I experience pain at certain angles, which has become quite exhausting. To avoid future issues with lifting heavy o...
Dr. Shen Boquan Reply:
Hello, after TFCC surgery, it is usually necessary to immobilize and protect the area for a period of time. Your physician should have a good understanding of when to start rehabilitation activities, ensuring that there is a low risk of re-tearing and that stiffness and swelling ...[Read More] Post-TFCC Surgery: Dealing with Persistent Swelling and Rehab Concerns
Understanding Pain After Vertebroplasty: Causes and Solutions
Vertebroplasty with bone cement? 1. Yes, it is possible for bone cement to not fully coalesce and remain in separate pieces. This can occur due to various factors, including the technique used during the procedure, the quality of the bone, or the presence of osteoporosis, which m...
Dr. Chen Yongxue Reply:
Hello, 1. The bone cement should be a single mass; it is rarely divided into two pieces. 2. The cause of the pain should be identified, such as through palpation; it should not rely solely on X-ray examination. If the pain is due to inflammation of the muscles adjacent to the spi...[Read More] Understanding Pain After Vertebroplasty: Causes and Solutions
Can Leg Length Discrepancy Cause Numbness and Weakness?
Can having one leg shorter than the other cause numbness in the feet? Doctor, I have a noticeable leg length discrepancy (left leg longer than the right). It is most apparent when I lie down. I also feel a tingling sensation on the outer side of my right thigh, and there is not m...
Dr. Wang Shouji Reply:
Hello, sometimes the feeling of having one leg shorter than the other may not necessarily be an issue with the lower limbs. If there are also symptoms of lower limb weakness, numbness, or spinal conditions, further evaluation is needed. Changhua Hospital cares about your health. ...[Read More] Can Leg Length Discrepancy Cause Numbness and Weakness?
Post-Surgery Challenges: Addressing Lower Body Sensation Loss After Thoracic Spine Surgery
After thoracic spine surgery, there is reduced sensation in the lower body, and the patient is unable to exert force and get out of bed? My mother-in-law underwent surgery on December 22 for her thoracic spine. After the surgery, she has experienced reduced sensation and weakness...
Dr. Wang Shouji Reply:
Hello, if postoperative neurological symptoms (such as numbness, pain, or weakness) worsen, is it advisable to immediately check for any compression, or is it a temporary phenomenon after surgery? Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Post-Surgery Challenges: Addressing Lower Body Sensation Loss After Thoracic Spine Surgery
Understanding the Necessity of Autologous Matrix in Ganglion Cyst Surgery
Surgical Issues Related to Ganglion Cysts Hello! Since my first aspiration of the ganglion cyst, it reappeared two weeks later. Today, I visited the orthopedic clinic, and the doctor suggested that I need surgery to remove it. My concern is that the doctor mentioned the surgery c...
Dr. Wang Shouji Reply:
Hello, even after surgical removal, the recurrence rate of a ganglion cyst is high. As for postoperative adhesions, as long as you maintain activity after the surgery, it should not be a concern. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding the Necessity of Autologous Matrix in Ganglion Cyst Surgery
Understanding Post-Operative Sounds After Arthroscopic Knee Surgery
Arthroscopic surgery I have a sports injury and underwent surgery for meniscus repair, anterior cruciate ligament reconstruction, and medial collateral ligament tightening. Currently, it has been three weeks since the surgery. I have noticed that when bending my knee, there is a ...
Dr. Wang Shouji Reply:
Hello, it is not uncommon to experience joint stiffness and reduced mobility after surgery due to decreased activity. It is recommended to engage in more heat therapy and rehabilitation exercises. Most patients find relief within two to three months. Changhua Hospital cares about...[Read More] Understanding Post-Operative Sounds After Arthroscopic Knee Surgery
Understanding Right Rib Pain: When to Seek Medical Attention
Right rib pain? Hello, doctor. I would like to ask about a pain I started experiencing about three days ago. It occurs when I inhale and is felt in my right rib area (it's not a dull pain). I've also noticed that it hurts when I yawn. Should I seek medical attention, or...
Dr. Wang Shouji Reply:
Hello, if there is no chest trauma, most cases will improve. You can start with warm compresses and apply medicated patches. If there is no relief after three to five days, it is recommended to visit a hospital for an examination to determine if medication assistance is needed. C...[Read More] Understanding Right Rib Pain: When to Seek Medical Attention