Understanding Open Finger Fractures: Recovery and Nerve Sensation Issues
Open fracture of the finger? Hello doctor, on August 29, 2023, I had an open fracture of the third and fourth fingers due to work. I underwent emergency surgery where two steel pins were inserted into the proximal phalanx of the third finger and one steel pin into the proximal ph...
Dr. Shi Guozheng Reply:
Numbness may be due to nerve damage, which could take some time to improve. Additionally, you may ask your doctor to prescribe medication to alleviate the numbness, typically vitamin B12 or similar supplements.[Read More] Understanding Open Finger Fractures: Recovery and Nerve Sensation Issues
Managing Lumbar Disc Herniation: Tips for Safe Movement and Strength Training
Lumbar disc herniation at the L4-L5 level? Hello Doctor: It has been 8 months since my herniated discs at the L4-L5 level were confirmed by a physician. The orthopedic doctor at the clinic arranged for me to undergo traction therapy, but I stopped returning for follow-ups after a...
Dr. Shi Guozheng Reply:
You can bend slightly but should avoid lifting heavy objects. If there is a slip while bending, the treatment will depend on the grade. If it is grade two or below, surgery may not be necessary. Additionally, surgery is only required in cases of severe pain or lower limb weakness...[Read More] Managing Lumbar Disc Herniation: Tips for Safe Movement and Strength Training
Understanding Uneven Rib Structure: Causes and Concerns
Unexplained vertical line on the rib? The ribs on the chest are uneven in height and firmness on both sides. When pressure is applied to the chest, a vertical hard lump appears along the ribs, which is not present on the left side. It feels like a vertical tendon or a blood vesse...
Dr. Chen Bochen Reply:
Hello, your issue is more likely related to a congenital deformity of the sternum or a diaphragmatic or abdominal wall hernia. I recommend that you consult a thoracic surgeon for a detailed examination.[Read More] Understanding Uneven Rib Structure: Causes and Concerns
Understanding Morning Mid-Back Pain: Causes and Solutions
Mid-back pain? For the past six months, I have only experienced soreness in my mid-back and upper abdomen while lying in bed during the early morning hours. However, all symptoms disappear upon getting up.
Dr. Chen Bochen Reply:
Hello, pain originating from the stomach and gallbladder is more likely to present with simultaneous pain in the abdomen and back. It is recommended that you consult a gastroenterologist for an examination.[Read More] Understanding Morning Mid-Back Pain: Causes and Solutions
Managing Complex Foot Injuries: Challenges and Treatment Options
Closed fracture of the right navicular bone with associated tarsal joint dislocation? Since the car accident on April 14, 2020, I have undergone continuous rehabilitation therapy, acupuncture, and traditional Chinese medicine treatment. Currently, I have limited range of motion i...
Dr. Wang Shouji Reply:
Hello, severe trauma cannot fully restore to the pre-injury state; it can only be managed with physical therapy and attention to the type of footwear. Certain activities may indeed be restricted. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Managing Complex Foot Injuries: Challenges and Treatment Options
Concerns About Spinal Screw Loosening After Minimally Invasive Surgery
The spinal fixation screws fell out two weeks after surgery? Hello, doctor. I suffered a spinal fracture from lifting heavy objects, and the doctor said he would only perform minimally invasive surgery, which would cost about 210,000 NTD out of pocket. The doctor mentioned that a...
Dr. Wang Shouji Reply:
Hello, generally speaking, it is important to be cautious with activities until complete bone healing occurs before the removal of the bone screws. The surgery for the removal of bone screws is covered by health insurance and does not require additional out-of-pocket expenses. Ch...[Read More] Concerns About Spinal Screw Loosening After Minimally Invasive Surgery
Understanding Thumb Joint Pain: Causes, Treatment, and Recovery Tips
Thumb issues Hello Doctor, my right thumb's interphalangeal joint started hurting about a week ago, and I would like to ask you some questions: Currently, the symptoms are that when viewed from the back of the hand, the right side of the interphalangeal joint is particularly...
Dr. Shi Guozheng Reply:
1. It could be ligament inflammation. If there is an issue with the bone, an X-ray will be needed to confirm it. 2. You can rest and take some anti-inflammatory medication. 3. Try to avoid using your thumb as much as possible. 4. If there is no improvement after two weeks, consul...[Read More] Understanding Thumb Joint Pain: Causes, Treatment, and Recovery Tips
Post-Operative Concerns After Achilles Tendon Repair Surgery
Postoperative Issues Following Achilles Tendon Rupture Surgery Dear Dr. You, I experienced an Achilles tendon rupture while playing badminton on the evening of August 7th, and I underwent traditional repair surgery on August 15th. I am currently resting at home and would like to...
Dr. You Dianqi Reply:
Each individual's condition and recovery process varies. Generally, it is recommended to consult with a rehabilitation specialist about physical therapy and related precautions approximately six months after the initial treatment. Thank you.[Read More] Post-Operative Concerns After Achilles Tendon Repair Surgery
Understanding Recovery from Posterior Cruciate Ligament Tear and Fracture
Tear of the posterior cruciate ligament with associated fracture? I would like to ask the doctor, I had a car accident on August 14 and was diagnosed with a torn cruciate ligament and a fracture. The posterior cruciate ligament of the tibia is displaced by about 5mm. It has been ...
Dr. Chen Yongxue Reply:
Hello, due to the fracture, it is necessary to keep the affected area immobilized, which often leads to swelling, numbness, and other discomfort in the lower limbs. This will naturally improve once you begin to engage in weight-bearing activities later on. In the short term, elev...[Read More] Understanding Recovery from Posterior Cruciate Ligament Tear and Fracture
Understanding Cuboid Bone Fractures: Recovery, Pain Management, and Exercises
Cuboid bone fracture Hello doctor, I fell on July 29 due to numbness in my leg when getting out of bed, resulting in a fracture of the talus bone. I went to the emergency room immediately, and the doctor applied a removable cast to stabilize it. On August 28, I had an X-ray, and ...
Dr. Chen Yongxue Reply:
Hello, regarding your inquiry about the so-called "dice bone," are you referring to the femur (thigh bone) or the patella (kneecap)? You also mentioned the ankle and heel. If it is a fracture of the femur or patella, most cases require surgical treatment, as surgery can...[Read More] Understanding Cuboid Bone Fractures: Recovery, Pain Management, and Exercises
Chronic Knee Pain: Five Years of Unexplained Discomfort and Failed Treatments
Deep pain in the popliteal fossa, at the junction of the tibial plateau and the lateral femur, has persisted for over five years with no identifiable cause? Dear Doctor, I have been suffering from knee pain for five years, which is a persistent issue that lasts 24 hours a day. Du...
Dr. You Dianqi Reply:
Hello, online consultations cannot replace in-person diagnoses. We recommend that you bring your medical history, imaging, and other relevant information to an orthopedic or neurosurgery outpatient clinic for evaluation. Thank you.[Read More] Chronic Knee Pain: Five Years of Unexplained Discomfort and Failed Treatments
Post-Microdiscectomy Recovery: Addressing Pain and Mobility Issues
Postoperative Issues Following Microscopic Minimally Invasive Discectomy Hello Doctor, I have a herniated disc at the L4-L5 level and underwent microdiscectomy about a month ago. The doctor mentioned that the procedure involved decompression and removal of the nucleus pulposus, a...
Dr. You Dianqi Reply:
Please trust that your attending physician can also schedule an earlier follow-up appointment to discuss whether additional tests and evaluations are necessary. Thank you.[Read More] Post-Microdiscectomy Recovery: Addressing Pain and Mobility Issues
Post-Surgery Swelling and Concerns After Trigger Finger Surgery
Postoperative swelling after trigger finger surgery? Hello Doctor: I underwent outpatient trigger thumb surgery on August 25. After the doctor administered anesthesia, he used a needle for a few seconds and bent my thumb backward, saying it was okay and that I didn't need a ...
Dr. Zhan Xian Reply:
It is recommended to return for a follow-up appointment with the attending (surgical) physician for evaluation, and to also inquire about rehabilitation-related questions. Thank you.[Read More] Post-Surgery Swelling and Concerns After Trigger Finger Surgery
Impact of Oblique Fracture on Grip Strength and Weightlifting Performance
Oblique fracture of the fourth metacarpal bone in the right hand? Hello, Doctor You. A week ago, I suffered a blunt force injury to my right hand, resulting in a diagonal fracture of the fourth metacarpal. The displacement is minimal, but due to work-related reasons, I opted for ...
Dr. You Dianqi Reply:
It is recommended to consult your attending physician. Thank you.[Read More] Impact of Oblique Fracture on Grip Strength and Weightlifting Performance
Understanding Non-Displaced Humerus Fractures: Recovery and Pain Management
Closed fracture of the right humerus greater tuberosity, non-displaced? On May 11, 2023, I suffered a fall resulting in a non-displaced closed fracture of the right greater tuberosity of the humerus. When I was taken to the hospital, the emergency physician informed me that it wa...
Dr. You Dianqi Reply:
If you have any concerns, it is advisable to schedule an earlier appointment to consult with your attending physician. Thank you.[Read More] Understanding Non-Displaced Humerus Fractures: Recovery and Pain Management
Understanding Elevated Alkaline Phosphatase: Causes and Concerns
Alkaline phosphatase The normal range for alkaline phosphatase is 25-130 U/L, and my level is 132 U/L. My liver function tests, including GOT, GPT, CEA, and CA 19-9, are all normal. I underwent dental implants in March and April of this year, and the procedure is not yet complete...
Dr. Shi Guozheng Reply:
A slight elevation in alkaline phosphatase levels is not a concern; it may return to normal after rechecking in three months. If there are significant symptoms from a herniated disc, treatment is necessary; however, if there is no severe pain, conservative management is sufficien...[Read More] Understanding Elevated Alkaline Phosphatase: Causes and Concerns
Understanding Hip Pain: Causes and Management After Judo Injuries
Pain above the hip bone? I previously experienced a collision above my hip bone while practicing judo, and since then, I have been experiencing pain above my hip bone during more intense physical activities.
Dr. Chen Bochen Reply:
If the pain lasts for more than two weeks, you should consult an orthopedic or rehabilitation physician for an examination.[Read More] Understanding Hip Pain: Causes and Management After Judo Injuries
Understanding Knee Pain and Movement Sensations After Injury
When the body is lying flat or the knees are straightened, and then the knees are bent, there is a sensation of something moving forcefully near the indentation on the outer side of the knee? Dear Dr. Chen, I have experienced two sprains in my right knee over the past two years,...
Dr. Chen Bochen Reply:
Hello, based on your symptoms, it is initially assessed that you may have a ligament injury around the patella caused by external force. You will need to rest for 3-6 weeks, and performing isometric exercises for the quadriceps can aid in your recovery.[Read More] Understanding Knee Pain and Movement Sensations After Injury
White Bumps on Heels: When to See an Orthopedic Specialist?
The pressure on the heel causes the formation of small white particles? When pressure is applied to the foot while standing on the floor, there are white protrusions on the heel that resemble lymphatic tissue. These only appear when weight is placed on the floor and are not painf...
Dr. Chen Bochen Reply:
If there is a continuous increase, you should seek medical attention.[Read More] White Bumps on Heels: When to See an Orthopedic Specialist?
Treatment Options for Deformed Finger Joints from Piano Playing
Finger joint deformity Learning to play the piano at a young age with improper posture may have caused hypertrophy in a certain area of the little finger's joint, resulting in an inability to fully extend the finger. I would like to inquire about possible treatment options.
Dr. Chen Yongxue Reply:
Hello, learning to play the piano should not cause deformity of the fifth finger. If the inability to bend it has not lasted long, it may be due to trigger finger. It is advisable to visit an orthopedic clinic for further examination. Thank you.[Read More] Treatment Options for Deformed Finger Joints from Piano Playing