Severe Staircase Fall: Understanding Fractures and Recovery Options
Staircase fall resulting in fracture? I'm sorry to hear about your situation. Here’s the translation: I apologize, but recently while going down the stairs, my thigh suddenly cramped. I sat down to check and found that the muscles in both of my thighs had cramped to the poi...
Dr. Shi Guozheng Reply:
1. Surgical reduction and fixation of fractures. 2. If the blood vessels are not injured, amputation is usually not necessary. 3. It is somewhat serious. 4. Follow the physician's advice and undergo treatment.[Read More] Severe Staircase Fall: Understanding Fractures and Recovery Options
Understanding Wrist Bone Protrusion: Causes, Treatment, and Recovery
Wrist bone protrusion? The middle finger of my left hand was forcefully pulled, raising my entire arm. Subsequently, my wrist was pressed down, resulting in complete swelling at the wrist. Visually, it appears that the bone on the outer side of the wrist has been displaced and is...
Dr. Chen Yongxue Reply:
Hello, based on your letter, the injury seems to be quite severe. If there is a bone displacement, it would result in immobility and abnormal pain. Personally, I believe the likelihood of that is low; it could possibly be a joint capsule injury leading to joint effusion. Please v...[Read More] Understanding Wrist Bone Protrusion: Causes, Treatment, and Recovery
Understanding Hallux Valgus: Causes, Symptoms, and Treatment Options
Long-standing hallux valgus? Hello, doctor. I have an 80-year-old woman at home who has had severe hallux valgus for many years, causing her second toe to overlap the big toe. However, she has a very low willingness to undergo surgery, so her condition has been left untreated unt...
Dr. Chen Yongxue Reply:
Hello, hallux valgus can vary significantly in severity. In mild cases, there may only be pain on the medial side of the first metatarsophalangeal joint. As the condition worsens, pain may begin to occur beneath the second metatarsophalangeal joint, and the second toe may be push...[Read More] Understanding Hallux Valgus: Causes, Symptoms, and Treatment Options
Should You See a Doctor for Swollen Thumb Joint After a Fall?
Fall Finger Joint Hello, doctor. I injured my thumb three weeks ago when I fell and hit it. At first, I thought I could just use a bandage, but recently I've noticed that the bone area is becoming increasingly swollen, and it hurts significantly when pressed at certain angle...
Dr. Chen Yongxue Reply:
Hello, please visit the orthopedic outpatient clinic for further examination. Thank you.[Read More] Should You See a Doctor for Swollen Thumb Joint After a Fall?
Can Blood Tests Detect HLA-B27 in Asymptomatic Children?
Can a blood test detect B27 in children? Hello Doctor: I was diagnosed with ankylosing spondylitis 20 years ago while serving in the military, and I tested positive for HLA-B27. After that, I was discharged. I later got married and have two children, an 11-year-old son and a 9-ye...
Dr. Wang Shouji Reply:
Hello, the HLA-B27 tissue antigen is a hereditary trait that can be detected through a blood test. However, if there are no symptoms, engaging in regular exercise is generally acceptable. You may consult with a rheumatologist for further advice. Changhua Hospital cares about your...[Read More] Can Blood Tests Detect HLA-B27 in Asymptomatic Children?
Could Volleyball Collision Cause Tailbone Injury? Understanding Your Pain
Due to a collision while playing volleyball, I fell and landed on my buttocks? Hello doctor, on September 23rd, I collided with someone while playing volleyball and fell, landing on my buttocks. I applied ice initially. Today, the pain has decreased a bit and is within tolerable ...
Dr. Chen Bochen Reply:
Hello, the pain you described in that area is usually caused by inflammation of the ligaments connecting to the coccyx. It typically takes about 3-4 weeks to heal, but if there is a fracture, it may take 1-2 months to recover. Generally, surgical treatment is not required.[Read More] Could Volleyball Collision Cause Tailbone Injury? Understanding Your Pain
Managing Spinal Degeneration Pain: Surgical Options for Seniors
Surgical pain relief for spinal degeneration? Hello Dr. Chen, My mother is 71 years old and has recently been complaining of foot and lower back pain. An MRI performed by an orthopedic doctor revealed degenerative spine changes causing nerve compression. Given her medical histor...
Dr. Chen Bochen Reply:
Hello, Zhiwen. Minimally invasive spine surgery generally refers to endoscopic spine surgery or minimally invasive decompression and fusion surgery. Neurolysis/thermal coagulation therapy can also be an effective treatment if the treatment site and technique are correct, typicall...[Read More] Managing Spinal Degeneration Pain: Surgical Options for Seniors
Can I Stop Using Crutches After a Femur Fracture Surgery?
Femoral fracture and the ability to use crutches? I suffered a femur fracture in a car accident on August 22 and underwent minimally invasive surgery where a titanium alloy rod was placed. Today is October 4, and I have been recovering for over a month. This week, I need to go to...
Dr. Chen Bochen Reply:
Hello, Hou Fei: If it is a simple femoral fracture and you have undergone intramedullary nailing with good reduction, you can gradually start using crutches one month post-surgery. However, if you are unsure about the type of surgery you had or the status of your reduction, it is...[Read More] Can I Stop Using Crutches After a Femur Fracture Surgery?
Understanding Mid-Shaft Humerus Fractures: Surgery vs. Natural Healing
Mid-shaft fracture of the right humerus? Currently in the second week post-injury, aside from feeling bone displacement while sleeping, I can still move my fingers normally at other times (no nerve damage). The X-ray shows complete displacement, which has been realigned with a ca...
Dr. Shi Guozheng Reply:
1. If the physician determines that treatment with a cast is appropriate, it will also heal. 2. There is no specific "golden period" for treatment; fractures should be stabilized as soon as possible, whether with a cast or through surgery. 3. Surgery does carry a ri...[Read More] Understanding Mid-Shaft Humerus Fractures: Surgery vs. Natural Healing
Understanding Clavicle Plate Fractures: Causes and Treatment Options
The clavicle brace is broken? In January, I fractured my right clavicle due to a car accident. After being taken to the hospital, the doctor recommended surgery to install a clavicle plate. There were options for both National Health Insurance coverage and self-pay. I chose the s...
Dr. Shi Guozheng Reply:
After a clavicle fracture, surgery typically involves the use of a titanium alloy plate for fixation. It is usually necessary to wait until the bone has healed before applying greater force during work. The plate may break because the bone has not fully healed, leading to excessi...[Read More] Understanding Clavicle Plate Fractures: Causes and Treatment Options
Understanding Absorbable Bone Materials: Recovery and Comparisons in Orthopedic Surgery
Biodegradable bone graft materials Hello, doctor. On September 11, I slipped and fell, landing on my left knee, resulting in a patellar fracture in two pieces with a displacement of 7.5 mm. I underwent a reduction surgery that same day and opted for absorbable bone screws at my o...
Dr. Shi Guozheng Reply:
1. There is basically not much difference. 2. Healing in about three months is considered normal. 3. Some materials may cause tissue reactions during the healing process, but this is rare. If inflammation occurs, it must be addressed.[Read More] Understanding Absorbable Bone Materials: Recovery and Comparisons in Orthopedic Surgery
Persistent Pain After Foot Injury: Healing Tips and Recovery Insights
The dorsum of the foot was injured by a physical therapy electrode wire, and it has been 7 weeks, yet the pain persists? Hello, Doctor! On August 5, 2022, I accompanied a family member to a rehabilitation clinic, and I accidentally caught my foot on the electrical stimulation wir...
Dr. Shi Guozheng Reply:
If there are no fractures, recovery usually occurs gradually over about six weeks. There are many treatment options available, so I recommend consulting a specialist for ongoing follow-up. With the passage of time, improvement is certainly expected.[Read More] Persistent Pain After Foot Injury: Healing Tips and Recovery Insights
Can You Safely Administer Osteoporosis and Shingles Vaccines Together?
Osteoporosis prevention vaccine and shingles vaccine? Hello Doctor: My mother received her first dose of the Shingrix vaccine for shingles on the evening of September 23rd. She is scheduled to receive her regular Prolia injection (for osteoporosis treatment) on the morning of Oct...
Dr. Chen Bochen Reply:
Hello, it is generally recommended to have a 7-day interval between receiving the Shingrix vaccine and other vaccines.[Read More] Can You Safely Administer Osteoporosis and Shingles Vaccines Together?
Understanding the Differences Between Osteomyelitis and Cellulitis After Fracture Surgery
Postoperative inflammation symptoms were observed following tibia and fibula fracture surgery? Hello Doctor: In early July, I sustained a closed fracture of the lower fibula in my right leg due to a car accident. I underwent internal fixation surgery on the same day, and all the ...
Dr. Shi Guozheng Reply:
Osteomyelitis is an infection and inflammation of the bone itself, while cellulitis refers to the inflammation of the soft tissues of the limbs, where the bone itself is not infected.[Read More] Understanding the Differences Between Osteomyelitis and Cellulitis After Fracture Surgery
Understanding Ganglion Cysts: When to Consider Surgery and Recovery Time
Ganglion cyst surgery Hello Doctor, I have a lump resembling a large blister at the joint of my second toe. After evaluation by dermatology and orthopedics, it was diagnosed as a ganglion cyst. It is very painful during movement. The dermatologist suggested that if the pain is ma...
Dr. Chen Bochen Reply:
Hello, Xiaoye. 1. Generally, conservative treatment is the first approach; however, if pain significantly affects daily life or physical activity, surgical intervention may be considered (with a recurrence rate of 30%). 2. Health insurance coverage is available. 3. Wishing yo...[Read More] Understanding Ganglion Cysts: When to Consider Surgery and Recovery Time
Understanding Ankle Pain After Surgery: Is It Normal?
Ankle fracture At the end of July, I sustained a closed fracture with dislocation of both ankles in my right calf and underwent surgery, during which steel pins and plates were inserted. By the end of August, I stopped using a walker, and I began rehabilitation in early September...
Dr. Chen Bochen Reply:
Hello, Xiaoxue. Generally, after more than 1.5 months, there should not be severe pain when walking. If there is no improvement after taking medication and resting for three days, it is important to seek medical attention for further examination as soon as possible.[Read More] Understanding Ankle Pain After Surgery: Is It Normal?
Understanding Fifth Metatarsal Base Fractures: Healing and Care Tips
Fracture of the base of the fifth metatarsal? I fell while walking on August 10 and sustained a fracture at the base of the fifth metatarsal in my right foot. I consulted a doctor on August 15, who advised me to wear an air cast for 6 weeks but said I don't need crutches. Wi...
Dr. Chen Bochen Reply:
Hello Ray, 1. If the fracture line is not significant, there is a chance of healing in 6 weeks. 2. If there is no pain, you can start walking without a brace; however, a safer approach is to get an X-ray to have the doctor confirm that it has healed before walking. 3. Swellin...[Read More] Understanding Fifth Metatarsal Base Fractures: Healing and Care Tips
Understanding Wrist Bumps: When to Worry About Tendonitis
Protrusion near the wrist? As shown in the attached image, the area with the black pigment spots is raised. However, I visited a doctor two weeks ago, and the doctor diagnosed it as tendinitis and applied Dexamethasone tape for two weeks, but there are still no signs of reduction...
Dr. Shi Guozheng Reply:
It can be observed for a while to see if it is indeed tendinitis, which sometimes can be accompanied by a tendon sheath cyst.[Read More] Understanding Wrist Bumps: When to Worry About Tendonitis
Understanding Abnormal Bone Position After Forearm Fracture
Abnormal bone alignment after a hand fracture? Hello: About three to four years ago, I had an accident that resulted in a fracture of the forearm bones. Initially, the healing time and condition seemed good, but I have been experiencing a persistent issue. After the forearm fract...
Dr. Shi Guozheng Reply:
It should be a normal phenomenon; you can consider undergoing rehabilitation to see if it improves.[Read More] Understanding Abnormal Bone Position After Forearm Fracture
Understanding Lower Back Pain: Causes and Solutions for Long Hours of Standing
Lower back pain? Hello Dr. Chen: Currently, due to long hours of standing at work, I am experiencing lower back pain. Sometimes my lower back feels strange, as if the bones are misaligned. When I twist from side to side, I hear popping sounds, which provide some relief. Stretchin...
Dr. Chen Yongxue Reply:
Hello, the reasons you mentioned are numerous, with the most common being fascial inflammation. However, conditions such as vertebral slippage and lamina fractures are also not uncommon. It is advisable to visit an orthopedic clinic for further examination. Thank you.[Read More] Understanding Lower Back Pain: Causes and Solutions for Long Hours of Standing