Optimal Sitting Posture for Spinal Health: A Guide for Patients
The impact of sitting posture on the spine? I would like to ask the doctor about the correct sitting posture, as I have spinal stenosis issues. I had an injury to my coccyx when I was younger, and I have been feeling better after recent workouts. Now, I want to adjust my sitting ...
Dr. Chen Bochen Reply:
Hello, both sitting postures are correct and suitable for different situations. Besides the sitting posture, it is more important to get up and move around after sitting for more than 30 minutes to protect the spine.[Read More] Optimal Sitting Posture for Spinal Health: A Guide for Patients
Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates
Regarding intramedullary nailing of the femur and plate fixation of the metacarpals postoperatively? Dear Doctor, I have a few questions regarding my recovery one month after my femur fracture surgery, and I would like to seek your expertise: 1. When I fully extend my knee, I ca...
Dr. Zhan Xian Reply:
Hello Mr. Lin, the X-ray you provided cannot be opened, and I am unable to give feedback on the images. Since it has been about a month post-fracture surgery and the fracture has not yet healed, you can discuss your concerns with the surgeon during your follow-up appointment.[Read More] Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates
Assessing Bone Displacement: When to Consider Surgery?
Assessment of Bone Displacement Degree Because my bone initially was just a hairline fracture, but I didn't take care of it properly. When I returned to the hospital the next day, the doctor said there was a slight displacement, and even if it heals on its own, the function ...
Dr. Zhan Xian Reply:
Please go to the orthopedic outpatient clinic![Read More] Assessing Bone Displacement: When to Consider Surgery?
Understanding Knee Noises: Are They a Sign of Injury?
There is a sound coming from the right knee joint while walking? Hello, doctor. I hear a cracking sound in my right knee joint when walking, but there is no pain. When I move the joint up and down in a half-squat position, there is also sound, but after repeating the motion a few...
Dr. Chen Yongxue Reply:
Hello, this may be a symptom of patellar valgus. Please visit the orthopedic clinic for further examination. Thank you.[Read More] Understanding Knee Noises: Are They a Sign of Injury?
Understanding Clicking Sounds in Your Thumb Joint: Causes and Insights
Sound in the left thumb joint? Hello, Doctor. I've been experiencing a clicking and popping sound in the joint of my left thumb (the one closer to the nail) for about five years now when I bend it. The sound resembles the friction noise made when someone cracks their knuckle...
Dr. Shi Guozheng Reply:
The sound of finger tendons sliding past each other is usually not a cause for concern if there is no inflammation or pain; it can be ignored.[Read More] Understanding Clicking Sounds in Your Thumb Joint: Causes and Insights
Post-Surgery Recovery: Six Months After Fifth Toe Surgery
Six months post-operative for fifth toe valgus correction? Hello, Doctor: I underwent a significant osteotomy and titanium screw surgery on my right foot in early January this year due to the hallux varus of my fifth toe. During my second follow-up appointment, I asked the doctor...
Dr. Shi Guozheng Reply:
You can return for regular follow-up appointments to have X-rays taken to check if the bone has healed.[Read More] Post-Surgery Recovery: Six Months After Fifth Toe Surgery
Innovative Treatments for Wrist Osteoarthritis After Fractures
Comminuted wrist fracture Hello, doctor. I have a question regarding my condition. Several years ago, I experienced an accident that left me unconscious, so I am not very clear about what happened. I sustained multiple fractures, which resulted in the loss of cartilage in my wris...
Dr. Wang Shouji Reply:
Hello, for post-traumatic arthritis of the wrist, if there is still a need for strength, joint fusion surgery is often performed. If there is not much demand for strength, most cases are treated symptomatically. If you have further questions, it is advisable to seek a second opin...[Read More] Innovative Treatments for Wrist Osteoarthritis After Fractures
Am I Suffering from Rheumatoid Arthritis? Understanding Joint Pain Symptoms
Am I suffering from rheumatoid arthritis? A 45-year-old female, 158 cm tall, weighing 45 kg: (1) Menopause occurred in May 2022. (2) No chronic diseases, no hereditary diseases, no allergies. (3) Diagnosed with a gastric ulcer via endoscopy in July 2021; chronic gastric acid has ...
Dr. Wang Shouji Reply:
Hello, based on your symptoms, it seems very much like rheumatoid arthritis. If there is no excessive use of the joints in daily activities, we need to consider whether it is due to intrinsic factors in your body. The pain in the soles of your feet is more likely to be plantar fa...[Read More] Am I Suffering from Rheumatoid Arthritis? Understanding Joint Pain Symptoms
Can Minor Impact After Shoulder Surgery Cause Titanium Screw Failure?
Post-operative care for fracture surgery? I recently underwent surgery for a displaced proximal humeral fracture on my right shoulder, using plates and screws for fixation, about three to four days ago. However, while walking, I accidentally bumped my right shoulder against a wal...
Dr. Shi Guozheng Reply:
If the upper arm can still move, it may not be fractured. The safest approach is to get an X-ray to confirm the diagnosis.[Read More] Can Minor Impact After Shoulder Surgery Cause Titanium Screw Failure?
Recovery After Elbow Dislocation and Distal Humerus Fracture in Children
Right elbow dislocation with comminuted fracture of the distal humerus? Hello, my daughter had an accident on July 30 while returning home from work, resulting in a dislocated left elbow and a comminuted fracture of the distal humerus. She underwent emergency surgery at the hospi...
Dr. Shi Guozheng Reply:
Sure![Read More] Recovery After Elbow Dislocation and Distal Humerus Fracture in Children
Post-Surgery Pain and Swelling: Understanding Complications After Finger Injury
Two years post-surgery, the healing site still experiences pain and swelling? Hello Doctor, in 2020, I had an accident that resulted in a rupture of the flexor tendon in my ring finger. After suturing, although the wound healed after a few months, there is a translucent protrusio...
Dr. Shi Guozheng Reply:
1. Hand surgery 2. May improve 3. May not be visible[Read More] Post-Surgery Pain and Swelling: Understanding Complications After Finger Injury
Understanding Nonunion of Femoral Fractures: Treatment Options and PRP Efficacy
Nonunion of femoral fracture Since the surgery in May 2021, the fracture has not healed properly. The X-ray showing the entire bone screw placement can be viewed here: https://i.imgur.com/IWr30qa.jpg. More than a year has passed, and it still hasn't healed: https://i.imgur.c...
Dr. Shi Guozheng Reply:
The location of your fracture is just below the intertrochanteric region of the femur, where the bone is particularly dense and has a slower healing rate. It typically takes about one and a half to two years for this type of fracture to heal. If you are currently not experiencing...[Read More] Understanding Nonunion of Femoral Fractures: Treatment Options and PRP Efficacy
Signs of Achilles Tendon Rupture: When to Seek Orthopedic Care
The symptoms of an Achilles tendon rupture include: 1. Sudden pain in the back of the ankle or calf. 2. A popping or snapping sound at the time of injury. 3. Swelling and bruising around the heel and ankle. 4. Difficulty Hello, Doctor. Yesterday at work, I accidentally got hit o...
Dr. Shi Guozheng Reply:
After a rupture, the continuity of the Achilles tendon may be disrupted. Upon palpation, there may be a noticeable defect or gap, and sometimes pain may be present. There is also a possibility of weakness when the foot is dorsiflexed.[Read More] Signs of Achilles Tendon Rupture: When to Seek Orthopedic Care
Understanding Femoroacetabular Impingement and Labral Tears: Symptoms and Treatment
Femoroacetabular impingement and labral tear of the hip? Doctor, I was recently diagnosed with femoroacetabular impingement and a labral tear of the hip. Initially, I only experienced pain in my left groin, but over time, it has gradually developed into stiffness and pain in my l...
Dr. Shi Guozheng Reply:
1. It is possible. 2. Consult an orthopedic surgeon for advice; surgery may be necessary.[Read More] Understanding Femoroacetabular Impingement and Labral Tears: Symptoms and Treatment
Managing Pain in the Distal Finger Joint: Causes and Solutions
Pain in the distal phalanx joint of the index finger? Recently, I have been working at an after-school care center, which requires me to use an eraser for extended periods to help children with their workbooks. I hold the eraser with my thumb and index finger, and as a result, I ...
Dr. Shi Guozheng Reply:
Reducing the strain on the affected joint may help alleviate the pain. Additionally, taking some pain relievers could be beneficial. If the pain persists, it will be necessary to consult a physician.[Read More] Managing Pain in the Distal Finger Joint: Causes and Solutions
Do You Need Surgery to Remove a Steel Plate After Arm Fracture?
Removal of fracture plate? After one year post-surgery for an upper limb fracture, the bone has healed. Since the internal plate is made of health insurance-approved material, is it necessary to undergo another surgery to remove it? (Currently 43 years old)
Dr. Wang Shouji Reply:
Hello, if there are no specific discomforts or foreign body sensations, it is not necessarily required to remove it. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Do You Need Surgery to Remove a Steel Plate After Arm Fracture?
Managing Ankle Fractures: Using Braces and Returning to Sports
Issues with the use of ankle fracture braces and engaging in sports? Hello, Doctor. I sustained an injury two weeks ago while exercising, resulting in a fracture of the posterior talus and a ligament tear in my right ankle. After evaluation, the doctor determined that surgery is ...
Dr. Wang Shouji Reply:
Hello, bone healing takes at least three months. If the fracture is not severe and there is some healing, it still requires at least two months before progressing to full weight-bearing activities. For exercises like walking, it is safer to wait for three months. However, non-wei...[Read More] Managing Ankle Fractures: Using Braces and Returning to Sports
Post-Surgery Rehabilitation Tips for Patellar Fracture Recovery
Rehabilitation Issues After Patellar Fracture Surgery My mother is 77 years old and fractured her patella into four pieces due to a fall. It has been seven weeks since her surgery, and yesterday she returned for a follow-up appointment where her cast was removed and replaced with...
Dr. Li Wenhong Reply:
Hello: Based on your description, your mother's patellar fracture is comminuted, and she also has osteoporosis. Therefore, the postoperative cast fixation is required for a longer duration. The transition to a knee brace is made when the attending physician determines that s...[Read More] Post-Surgery Rehabilitation Tips for Patellar Fracture Recovery
Understanding Neck and Shoulder Pain: Causes and Solutions
Neck muscle, bone, and nerve issues? For the past two to three years, I have frequently experienced soreness from the left side of my neck, extending through the trapezius muscle to the scapula. The inner side of my elbow also often feels sore. When I raise and rotate my arm, I c...
Dr. Shi Guozheng Reply:
Shoulder and neck pain accompanied by hand numbness can be evaluated by a neurosurgeon to check for any cervical spine issues.[Read More] Understanding Neck and Shoulder Pain: Causes and Solutions
Understanding Right Foot Pain and Weakness in the Achilles Tendon
Pain on the dorsum of the right foot and weakness in the Achilles tendon while walking? I have been experiencing pain on the dorsum of my right foot for three days, and it hasn't improved; in fact, it has gotten worse! My ankle hurts significantly with even slight movement, ...
Dr. Chen Bochen Reply:
For acute inflammation and sprains, remember to apply ice for 3 to 5 days and use a bandage for stabilization. If there is no improvement after a week, you should see a doctor for an X-ray.[Read More] Understanding Right Foot Pain and Weakness in the Achilles Tendon