Managing Pain After Knee Replacement: Options for Seniors
Years after total knee arthroplasty, recent onset of pain? Hello Doctor, my grandmother is currently 90 years old. She underwent a total knee arthroplasty over 20 years ago and had a good recovery, experiencing only occasional discomfort with weather changes. However, she has rec...
Dr. Chen Yongxue Reply:
Hello, after 20 years of total joint replacement surgery, the likelihood of wear is quite high. 1. Is it necessary to replace the artificial joint again? 2. If surgery is not performed again, are there any methods to alleviate pain? This requires careful evaluation by a physician...[Read More] Managing Pain After Knee Replacement: Options for Seniors
Understanding Rib Protrusion and Scoliosis: When to Seek Orthopedic Care
The left rib cage is more prominent, and there is scoliosis of the spine? I have always had prominent ribs, and when I stand straight and look at myself in the mirror from the side, there is a noticeable protrusion, with the left side being more pronounced. Occasionally, I feel s...
Dr. Chen Bochen Reply:
Coccydynia is not related to scoliosis but is associated with sitting posture (slouching is the most likely to trigger it). Using a posture-correcting seat cushion can help improve the condition.[Read More] Understanding Rib Protrusion and Scoliosis: When to Seek Orthopedic Care
Post-Surgery Challenges: Managing Pain and Rehabilitation After Wrist Surgery
Radial Osteotomy Plate Removal and Postoperative Issues of Carpal Tunnel Syndrome Hello Doctor: I suffered a comminuted fracture of the distal radius in my left hand due to a car accident last year. After surgery, where a plate was installed, I soon began to experience numbness i...
Dr. Shen Boquan Reply:
Hello, after the removal of the plate and the nerve decompression surgery following a distal radius fracture, it generally takes some time for nerve recovery, usually between three to six months, or even longer. However, since you mentioned that there has been improvement, it is ...[Read More] Post-Surgery Challenges: Managing Pain and Rehabilitation After Wrist Surgery
Understanding Fractured Cuboid and Grade 2 Sprain: Recovery Insights
Scaphoid fracture and Grade II sprain? Hello Doctor, I fell on April 22, resulting in a fracture of the cuboid bone and a grade 2 sprain. I have been in a cast and have been resting at home for 4 weeks. 1. Currently, I have bruising on the bases of four toes, and they are painf...
Dr. Chen Yongxue Reply:
Hello, I have a fracture of the fibula along with a grade 2 sprain. I have been using a cast for immobilization and have been resting at home for 4 weeks. Bruising is expected with fractures, and it seems to have pooled in my toes, likely due to not elevating my leg. The bruising...[Read More] Understanding Fractured Cuboid and Grade 2 Sprain: Recovery Insights
Understanding Post-Surgery Pain in Femoral Osteonecrosis: What to Expect
Avascular necrosis of the femur Hello Doctor: I underwent femoral decompression last month! The doctor used two types of bone grafts, one is bone allograft and the other is osteoconductive bone graft. It should be better to use these two together, right? On the 20th, it has been ...
Dr. Chen Yongxue Reply:
Hello, avascular necrosis of the femoral head can be treated with decompression surgery in the early stages, a hemiarthroplasty in the mid-stages, and a total hip arthroplasty in the late stages. Each individual's condition is different, so please trust your attending physic...[Read More] Understanding Post-Surgery Pain in Femoral Osteonecrosis: What to Expect
Post-Surgery Foreign Body Sensation After Distal Radius Fracture
After surgery for a distal radius fracture in the right hand, there is a sensation of foreign body presence? On March 18, I underwent a self-funded surgery to have a steel plate installed. Since then, I still feel a foreign body sensation in my hand, and occasionally the scar (wh...
Dr. Chen Yongxue Reply:
Hello, after surgery for a distal radius fracture, there should be minimal foreign body sensation. Any discomfort is likely due to joint stiffness and surgical scarring. Therefore, please focus on rehabilitation to reduce stiffness. As for the hardness of the scar, it will gradua...[Read More] Post-Surgery Foreign Body Sensation After Distal Radius Fracture
Understanding Clavicle Fractures: Recovery Tips and Surgical Considerations
Clavicle fracture Due to a car accident, I sustained a fracture of the distal clavicle on my left shoulder. It has been approximately 11 days since the injury. The doctor advised that I use a figure-eight brace for six weeks and that I do not need to use a sling. During my last f...
Dr. Zhan Xian Reply:
The figure-eight shoulder strap is used to stabilize a non-displaced clavicle fracture to prevent displacement and alleviate pain. The affected arm should not lift heavy objects, and when sleeping, it is recommended to lie flat and avoid sleeping on the side of the fracture. For ...[Read More] Understanding Clavicle Fractures: Recovery Tips and Surgical Considerations
Effective Treatment Options for L5S1 Calcification: Key Considerations
L5S1 calcification What is the treatment for calcification at the L5-S1 level shown on a CT scan? What should be taken into consideration? Thank you.
Dr. Wang Shouji Reply:
Hello, calcification generally occurs due to excessive weight-bearing degeneration. If there is no nerve compression, no special treatment is needed. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Effective Treatment Options for L5S1 Calcification: Key Considerations
Impact of Gravity on Recovery After Humerus Fracture Surgery
One month post humeral fracture surgery? Hello, doctor. I was in a car accident in April 2024 and sustained a fracture at the junction of my humerus and shoulder. I underwent surgery on the same day. However, after my follow-up appointment six weeks post-surgery, it was noted tha...
Dr. Chen Yongxue Reply:
The current period is the golden time for bone healing after a fracture. Please ensure proper immobilization using slings or braces, and supplement with calcium. Once the callus has formed, there may be stiffness in the shoulder joint, at which point diligent rehabilitation will ...[Read More] Impact of Gravity on Recovery After Humerus Fracture Surgery
Understanding Thumb Swelling: Surgical Risks and Alternative Treatments
The doctor said that surgery is needed for the swollen and painful thumb? Hello Doctor: My mother is 70 years old. Last year, her left thumb swelled up for no apparent reason. She is right-handed and primarily uses her right hand, but the swelling is only in her left hand, and we...
Dr. You Dianqi Reply:
It is difficult to assess the patient's actual condition based solely on text. If there are any concerns, it is recommended to discuss them with the patient's attending physician or to take the patient for a medical consultation and seek opinions from other doctors in p...[Read More] Understanding Thumb Swelling: Surgical Risks and Alternative Treatments
Understanding Left Ankle Fractures: Surgery, Healing, and Recovery
Fracture of the left medial malleolus? Hello, I apologize for the inconvenience. I suffered a fracture (hairline fracture) of my left ankle on April 12 due to a car accident. An X-ray taken on May 2 showed slight displacement. Here is the link to the X-ray: https://lurl.cc/WYawY1...
Dr. Chen Bochen Reply:
1. If this condition remains stable and does not shift, there is a high chance it will heal on its own. 2. The correct term is avulsion fracture. 3. After healing, walking should gradually return to a natural state. 4. Normal.[Read More] Understanding Left Ankle Fractures: Surgery, Healing, and Recovery
Is Your Finger Injury from a Car Door Serious? Expert Advice Needed
The middle finger was severely pinched by a car door? Hello Dr. Shen, My sister was caught in a car door, injuring her middle finger at the joint between the two phalanges. Upon visual inspection, there is a dent and skin abrasion at the site of the injury, while the surroundin...
Dr. Shen Boquan Reply:
Hello, if a car door has injured your sister's middle finger and there is a suspicion of a fracture, it is advisable to seek medical attention. A physician should evaluate the injury to determine if a fracture is present. If a fracture is confirmed, early movement is not rec...[Read More] Is Your Finger Injury from a Car Door Serious? Expert Advice Needed
Understanding Growth Plate Injuries: Impact of Playing Baseball on Recovery
Growth plate and fracture at the junction of the fingers? Hello Doctor: I am 14 years old. While playing sports, I accidentally injured my finger by hitting it against a carrot. I went to a nearby hospital for treatment, and after an X-ray, it was found that there is a crack in t...
Dr. Shen Boquan Reply:
Hello, after the X-ray, it was found that there is a crack in the growth plate of the left thumb joint and the bone above it, indicating a fracture. If it is indeed a fracture, early activity is not recommended to avoid improper healing. Wishing you good health, Shen Boquan.[Read More] Understanding Growth Plate Injuries: Impact of Playing Baseball on Recovery
Understanding Pin Displacement After Finger Fracture Rehabilitation
Dislocation of the little finger? Hello, I fractured my little finger in mid-April. After the stitches were removed, the doctor taught me how to rehabilitate it myself. Recently, after rehabilitation, a certain point on my little finger has become very painful and swollen. After ...
Dr. Chen Yongxue Reply:
Hello, a fracture of the little finger generally requires fixation with a steel pin. However, the bone quality of the little finger is not very good, so the fixation effect is naturally poorer compared to other bones. The displacement of the pin is not ideal and may be related to...[Read More] Understanding Pin Displacement After Finger Fracture Rehabilitation
Where to Get Accurate Head Measurements for Orthodontic Treatment in Taiwan
Head measurement Hello doctor, I would like to inquire about where in Taiwan or which hospitals offer services to measure head dimensions (such as the length from the chin to the top of the head, facial width, and facial length). I am planning to undergo orthodontic treatment soo...
Dr. Chen Bochen Reply:
You can look for oral and maxillofacial surgery, plastic surgery, or visit a health check-up center for self-paid services.[Read More] Where to Get Accurate Head Measurements for Orthodontic Treatment in Taiwan
Understanding Navicular Bone Avascular Necrosis: Surgery and Rehabilitation Insights
Scaphoid bone necrosis Hello Dr. Shen, my mother had a car accident in her childhood that resulted in the amputation of her right leg. For the past 7-8 years, she has been experiencing frequent swelling and pain in her left ankle, and after a medical evaluation, she was diagnosed...
Dr. Shen Boquan Reply:
Hello, I apologize for not having experience with surgery for navicular bone necrosis in the foot. If conservative treatment is not effective, surgery may be the next option. If you have any concerns or questions, you can discuss them with a foot and ankle specialist. Wishing you...[Read More] Understanding Navicular Bone Avascular Necrosis: Surgery and Rehabilitation Insights
Assessing the Need for Dynamic Intramedullary Nail Surgery After Two Years of Nonunion
Is surgery for dynamization necessary for a femoral nonunion that has persisted for two years? Hello Dr. Chen, Two years ago, in February 2022, I was involved in a car accident and underwent surgery for an intramedullary nail fixation of the femur. Since then, the results have ...
Dr. Chen Yongxue Reply:
Hello, the attached X-ray shows a nonunion of the right femoral shaft fracture after treatment with intramedullary nailing. At this point, a "dynamization" approach can be utilized (removing the locking screws at the ends to promote compression at the fracture site), wh...[Read More] Assessing the Need for Dynamic Intramedullary Nail Surgery After Two Years of Nonunion
Risks of Leaving Bone Screws and Plates in After Fracture Surgery
Risks of leaving bone screws and plates in place? Hello Doctor, I had a tibial plateau fracture in my left leg due to a car accident in 2019. At that time, I had a titanium alloy plate and screws inserted at my own expense, with plans to remove them after a year. However, I becam...
Dr. Chen Yongxue Reply:
Hello, 1. In the future, if osteoporosis occurs with age, will it have an impact? No. 2. If a severe injury leads to a fracture, will the existing bone screws affect the fracture surgery? This is possible. Additionally, implants do not provide benefits when placed in the body...[Read More] Risks of Leaving Bone Screws and Plates in After Fracture Surgery
Recovery Timeline for Distal Radius Fracture After Surgery
Distal radius fracture I had a car accident on April 28, resulting in a distal radius fracture in my left wrist. I underwent surgery to have a titanium alloy plate inserted at my own expense. It has been 11 days since the surgery, and I would like to ask the doctor how long it wi...
Dr. Chen Yongxue Reply:
Hello, the action of "riding a bike" is manageable, but pulling the bike requires too much strength. Additionally, in case of an emergency, your wrist is not suitable for exerting force. Therefore, it is advisable not to take any risks for the next two months. Thank you...[Read More] Recovery Timeline for Distal Radius Fracture After Surgery
Understanding Plantar Fat Pad Inflammation: Causes, Treatments, and Recovery
Inflammation of the plantar fat pad? Hello, I am a 44-year-old female. I have been experiencing plantar pain since mid-March. I underwent traditional physical therapy for three weeks, and then I had an ultrasound, where the doctor informed me that I have fat pad inflammation. It ...
Dr. Wang Shouji Reply:
Hello, midlife plantar pain is mostly caused by plantar fasciitis, which is often related to prolonged standing, excessive walking, improper footwear, and being overweight. Shoes should have soft soles and arch support; avoid flat shoes, slippers, and rubber boots. Soaking your f...[Read More] Understanding Plantar Fat Pad Inflammation: Causes, Treatments, and Recovery