Conflicting Diagnoses: Understanding Fibula Fractures from Two Clinics
Fibula fracture, but two clinics provided different diagnoses? Hello Doctor, I had an accident while hiking on November 11th and twisted my right ankle. At that time, I went to a nearby clinic for an emergency consultation, where the doctor diagnosed it as a fracture. The report ...
Dr. Shi Guozheng Reply:
Your X-ray is not very clear, but the initial assessment shows no visible fractures. If you have further concerns, you may consider getting another X-ray at a different hospital.[Read More] Conflicting Diagnoses: Understanding Fibula Fractures from Two Clinics
Challenges in Recovery from Lateral Malleolus Fractures
Issues related to the recovery from distal fibula fractures? In mid-August, I experienced severe ankle inversion, and my outer ankle had previously collided with a hard object. Although an X-ray at that time showed no fractures, recently in mid-November, after running and cycling...
Dr. Chen Bochen Reply:
If the fracture gap widens and does not heal properly, surgical reduction and fixation are recommended. For ligament injuries, ultrasound, MRI, and physical examination are needed to assist in diagnosis. Mild ligament injuries can be treated with ankle braces, prolotherapy inject...[Read More] Challenges in Recovery from Lateral Malleolus Fractures
Understanding Scaphoid Fractures and Triangular Fibrocartilage Tears
Right scaphoid fracture and triangular fibrocartilage complex tear due to a car accident? Hello, I am a long-term care worker. In April, while I was visiting a client, I was struck by a falling air duct from a truck and got caught in a motorcycle, resulting in a fracture of my ri...
Dr. Zhan Xian Reply:
Hello, surgical treatment is required depending on the condition of the triangular fibrocartilage tear; whether there is any impairment of labor capacity: cannot be assessed.[Read More] Understanding Scaphoid Fractures and Triangular Fibrocartilage Tears
Understanding Neck Issues: Sounds, Symptoms, and When to Seek Help
Neck issues? Recently, I have been experiencing a cracking sound in my neck when I move my shoulders or take deep breaths after showering at night. I have a history of a car accident that resulted in damage to my C5 vertebra, although X-rays at that time appeared normal. Both of ...
Dr. Shi Guozheng Reply:
Brachial plexus injury can affect the shoulder, and rehabilitation is possible.[Read More] Understanding Neck Issues: Sounds, Symptoms, and When to Seek Help
Understanding Hip Labral Tears: Symptoms, Treatment Options, and Recovery
Issues related to hip labral tears? **Symptoms and Medical Consultation Process:** Last July, I underwent a lateral hip abduction procedure and felt some discomfort. The next day, I woke up with tightness and soreness around my left hip, along with a squeezing sensation when lift...
Dr. Zhan Xian Reply:
Hello, you can ask your surgeon about your concerns. There is still a possibility of rupture worsening.[Read More] Understanding Hip Labral Tears: Symptoms, Treatment Options, and Recovery
Understanding Bruising and Recovery Time After Sports Injuries
Sports injury, contusion, tibia? Yesterday during the competition (100m hurdles), I hit the hurdle, and right after that, I felt some pain even while walking. Today, I noticed bruising from my knee down to my shin. Is this normal? How long will it take to heal?
Dr. Chen Bochen Reply:
Hello, for a bruise, please actively apply ice and elevate your leg within three days. If you still have difficulty walking, it is recommended to visit a hospital or clinic for an X-ray.[Read More] Understanding Bruising and Recovery Time After Sports Injuries
Post-Surgery Knee Rehabilitation: Tips for Straightening and Recovery
Inability to fully extend the knee while bent? Hello, doctor. I had knee surgery at the end of September and have been recovering for two months. My knee is still in the process of bending, and I need to perform leg extension exercises. I would like to know how long I should hold...
Dr. Shi Guozheng Reply:
1. The duck leg exercise should be done for about 5 seconds and can be performed multiple times a day. It is recommended to do it for about ten minutes every hour, followed by a rest. 2. It is normal for the surgical site to feel warm during rehabilitation.[Read More] Post-Surgery Knee Rehabilitation: Tips for Straightening and Recovery
Post-Surgery Concerns After Pelvic Fracture: What to Expect
Postoperative Issues Following Pelvic Fracture Surgery Hello, Doctor. Last month, I suffered a left pelvic fracture due to a car accident. About a week before the surgery, the hospital performed pelvic traction on me. I had surgery where I opted for the implantation of a steel pl...
Dr. Shi Guozheng Reply:
1. There may be issues related to nerve injury, and poor circulation is also a possibility. 2. Improvement is also possible. 3. Whether the plate should be removed should be discussed with the surgeon, as some plates are difficult to remove.[Read More] Post-Surgery Concerns After Pelvic Fracture: What to Expect
Understanding Crush Injuries: Recovery Insights for Foot and Leg Fractures
Bilateral foot crush fractures? Hello Doctor, I would like to ask about my condition. I suffered a fall from a height and have sustained comminuted fractures in both feet, as well as comminuted fractures in my right leg and tailbone, along with cauda equina syndrome. 1. I have ...
Dr. Shi Guozheng Reply:
Even while on bed rest, rehabilitation exercises can still be performed. If there is no movement, muscles can quickly atrophy.[Read More] Understanding Crush Injuries: Recovery Insights for Foot and Leg Fractures
Understanding Ulnar Issues After an Accident: Common Questions Answered
Radial and ulnar bone issues (car accident) Q1: Can the ulnar styloid process be visually assessed for excessive prominence compared to the other hand? Q2: Can the ulnar styloid process be palpated to determine if it is deformed or normal? Q3: When I rotate my forearm, there ...
Dr. Zhan Xian Reply:
Hello, sir. Q1: Obvious protrusion can Q2: Physical examination can Q3-Q8: Require physical examination and imaging studies for assessment.[Read More] Understanding Ulnar Issues After an Accident: Common Questions Answered
Understanding Ulnar Pain and Limitations After Distal Radius Fracture
Radius and ulna fracture, suspected distal radioulnar joint dislocation? Hello, Doctor. I was originally scheduled for a follow-up appointment on November 22, but I have unfortunately tested positive for COVID-19. I have some urgent questions that I would like to ask. First: Wh...
Dr. Zhan Xian Reply:
Hello Mr. Chang: There are many factors that can cause redness and swelling. Whether it is a reasonable situation needs to be assessed through a physical examination. Other issues cannot be evaluated without X-rays and a physical examination. It is recommended to avoid forearm ro...[Read More] Understanding Ulnar Pain and Limitations After Distal Radius Fracture
Understanding Pelvic and Thigh Pain After a Sports Injury
The pelvis has been impacted and the pain is increasing. There is also pain at the junction between the pelvis and the thigh? I injured myself while playing basketball, and after a day, the pain has intensified. The area around my thigh joint is also very painful. What could be t...
Dr. Shi Guozheng Reply:
A possible bruise to the head of the femur or the surrounding soft tissue typically causes pain for one to two weeks. If the pain worsens, it is necessary to see a physician. An X-ray may be needed to determine if there is a fracture.[Read More] Understanding Pelvic and Thigh Pain After a Sports Injury
Understanding Knee Pain: When to Seek Medical Attention After an Injury
Knee problems About three years ago, I tripped over something and my knees directly hit the floor. Even now, I still experience a sharp pain when I bump them lightly. I'm not sure if I should get it checked out.
Dr. Shi Guozheng Reply:
If the pain persists and does not alleviate, it is necessary to see a doctor.[Read More] Understanding Knee Pain: When to Seek Medical Attention After an Injury
Understanding Ulnar Fractures: Pain, Healing, and Recovery Insights
Radial and ulnar fractures Hello Doctor, I was supposed to have a follow-up appointment on November 22, but unfortunately, I tested positive for COVID-19. I have some urgent questions, so I would like to ask the following: First: What could be the reason for pain when pressing o...
Dr. Shi Guozheng Reply:
1. There will be tenderness as long as the fracture has not healed. 2. Excessive rotation can indeed be a risk. 3. Whether there is displacement can only be determined through an X-ray. 4. It will not heal automatically if there is displacement. 5. Have you had a cast app...[Read More] Understanding Ulnar Fractures: Pain, Healing, and Recovery Insights
Slow Recovery from Fibula Fracture: Causes and Solutions
Fibula fractures heal slowly? Hello, doctor. I had a fibula fracture from a car accident nearly three months ago. It is a proximal closed fibula fracture located about 10 centimeters below the knee. I did not undergo surgery. For the first month, I used a long leg cast, and in th...
Dr. Chen Yongxue Reply:
Hello, 1) Will walking all day affect fracture healing? Are elastic bandages and compression stockings suitable for use? 2) For a typical fibula fracture that does not require surgery, how long does it usually take to see callus formation on X-rays? From the X-ray, does it see...[Read More] Slow Recovery from Fibula Fracture: Causes and Solutions
Recovery Tips for Thumb Fracture: When to Start Rehabilitation
Right thumb (at the joint! Including the fractured parts of the thumb bone) Hello, I would like to inquire: I have a fracture at the joint of my thumb, which involved shattered joint bones. I had three steel pins, one steel plate, and possibly artificial bone placed during surger...
Dr. Chen Yongxue Reply:
Hello, after a fracture, there will be metal pins for fixation, which means you cannot bend the affected area. You can only start moving once the pins are removed. Please do not start activities too early, and it is advisable to consult your attending physician. Thank you.[Read More] Recovery Tips for Thumb Fracture: When to Start Rehabilitation
Concerns About Exposed Talus Screw After Fracture Surgery
Issues with talus screws? Hello Dr. Chen, I would like to ask about my right talus fracture with partial dislocation from last month (I had surgery with two steel pins inserted, with about 5mm exposed). The doctor advised that after 8 weeks post-surgery, if the X-ray shows no iss...
Dr. Chen Yongxue Reply:
Hello, the breakage of the intramedullary nail in patients with fractures who bear weight too early is a common occurrence. Managing such a broken nail can be relatively complicated, so please discuss this with the attending physician. Thank you.[Read More] Concerns About Exposed Talus Screw After Fracture Surgery
Essential Rehab Techniques for Preventing Muscle Atrophy After Surgery
Rehabilitation treatment methods I have a question: after my discharge, my physical therapist only taught me to do 20 repetitions of ankle dorsiflexion and plantarflexion and 10 repetitions of hip abduction and adduction each day. If I only do these two exercises, will my thigh m...
Dr. Shi Guozheng Reply:
The specific approach depends on the location of the surgery or joint involved. Generally, these movements aim to maintain the activity of the calf and thigh muscles. If it is after a fracture, the timing of healing will determine how much activity is necessary to prevent muscle ...[Read More] Essential Rehab Techniques for Preventing Muscle Atrophy After Surgery
Could Back Pain When Leaning Back Indicate Spinal Arthritis?
Is it arthritis related to the spine? Hello, Doctor: I experience pain in my lower back (around the level of my navel) when leaning backward, but surprisingly, I do not feel pain when bending forward. The exact reason will likely be determined after further examination at the hos...
Dr. Shi Guozheng Reply:
Usually, this type of pain is more commonly caused by muscle soreness, but it can also occur due to spinal degeneration. You can go to the hospital for an X-ray to get a diagnosis from a physician.[Read More] Could Back Pain When Leaning Back Indicate Spinal Arthritis?
Post-Operative Care for Hip Labral Repair and Joint Resurfacing
Postoperative hip joint care? Hello, Doctor! I have been diagnosed with "femoroacetabular impingement" and "labral tear," and I recently underwent "labral repair" and "hip arthroscopy" surgery two weeks ago at the Veterans General Hospital....
Dr. Shi Guozheng Reply:
1. Swelling and bruising after surgery are normal and will subside with rest in about one to two weeks. 2. Alternating cold and hot compresses can improve blood circulation, which may help reduce the swelling. It is advisable to avoid excessive movement for the time being.[Read More] Post-Operative Care for Hip Labral Repair and Joint Resurfacing