Optimal Timing for Removing Fibula Fracture Fixation Nails
The time for the removal of fixation screws after a fibula fracture varies depending on the healing process and the specific case. Generally, it is recommended to wait about 6 to 12 months post-surgery, or until the bone has sufficiently healed and the physician determines it is ...
Dr. Chen Xingyuan reply Orthopedics
Dear User: Congratulations on your recovery progress! The timing for the removal of the hardware ultimately depends on the results of the X-ray examination; the X-ray must show that the fracture has healed before considering the removal of the implant. Generally, for fibula fract...[Read More] Optimal Timing for Removing Fibula Fracture Fixation Nails
Effective Strategies for Managing Shoulder Pain After Injury
Shoulder pain I injured my shoulder in a car accident over ten years ago and have been unable to lift it high since then. Although I have seen a doctor and undergone rehabilitation, I recently started experiencing weakness and difficulty applying force. What should I do? My injur...
Dr. Chen Xingyuan reply Orthopedics
Dear User: The inability to exert force may be related to factors such as inflammation or damage to the tendons. It is advisable to reduce the use of the shoulder, avoid strenuous activities or exertion, and rest more. If there is no improvement, you should visit an orthopedic cl...[Read More] Effective Strategies for Managing Shoulder Pain After Injury
Understanding Back Injuries: Key Insights on Treatment and Recovery
About lumbar contusion? Hello Dr. Chen, Recently, I was involved in a car accident and the other party is accusing me of negligent injury. They presented a medical certificate stating that due to external force, they suffered a lumbar contusion that requires surgical treatment,...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: Based on what you described, it does seem a bit unreasonable that the other party sustained injuries severe enough to require surgery! However, a lumbar contusion is only a preliminary diagnosis. If surgical treatment is necessary, there must be a more specific diag...[Read More] Understanding Back Injuries: Key Insights on Treatment and Recovery
How to Treat Unconscious Left Leaning of the Body: Orthopedics vs. Rehab
Body leaning to the left? If your body tends to unconsciously lean to the left and you are seeking treatment, should you first make an appointment with an orthopedic specialist or a rehabilitation specialist?
Dr. Chen Xingyuan reply Orthopedics
Dear online friend: You can schedule an appointment with a neurologist or a rehabilitation specialist for an examination! Wishing you health and safety! Sincerely, Dr. Chen[Read More] How to Treat Unconscious Left Leaning of the Body: Orthopedics vs. Rehab
Post-Surgery Complications from Plantar Warts: Pain and Swelling Explained
What are the potential complications of surgery for plantar warts? After undergoing surgery for a corn on the sole of my foot, I have experienced some complications, including swelling and pain in the dorsum of my foot. It feels like the tendons are hurting. I consulted an orthop...
Dr. Chen Xingyuan reply Orthopedics
Dear Online Friends, Post-surgical scar tissue can sometimes be more sensitive, and excessive irritation may lead to discomfort or the recurrence of calluses. Therefore, reducing activity levels and wearing appropriate footwear are very important. Additionally, swelling in the f...[Read More] Post-Surgery Complications from Plantar Warts: Pain and Swelling Explained
Understanding Hip Pain After Ankle Injury: Next Steps for Recovery
Bone issues Dr. Chen: At the end of January this year, I accidentally fell from a step while getting off a vehicle, landing on my left foot first. I held onto the handrails on both sides to prevent myself from falling completely, but I twisted my left ankle. The next morning, the...
Dr. Chen Xingyuan reply Orthopedics
Dear Reader: This may be a sprain or strain of the pelvic tissues. The pelvis is a very strong structure, and if there were a fracture, walking would definitely be problematic. The injury has already occurred, and the current approach should focus on reducing activity levels, min...[Read More] Understanding Hip Pain After Ankle Injury: Next Steps for Recovery
Understanding Bumps on the Hand After Minor Trauma: When to Seek Help
A protrusion on the back of the hand after impact? The back of my right hand was hit by a pen, and immediately a small hard lump appeared at the location near the bone of my index finger. It has been a week, and I can still feel the hard lump on the back of my hand, but pressing ...
Dr. Chen Xingyuan reply Orthopedics
Dear user: This may just be localized tissue swelling, with no functional issues or obvious symptoms. The likelihood of a bone injury or fracture is very low, and there is no need for an X-ray. I recommend applying a warm compress and gently massaging the area. If you still have ...[Read More] Understanding Bumps on the Hand After Minor Trauma: When to Seek Help
Understanding Osteoporosis and Treatment Options for Spinal Fractures
The bone's structure is nearly hollow? My father-in-law is eighty years old. After being grazed by a motorcycle last year, he started experiencing unusual pain in his lumbar spine. Over the past year, he has intermittently visited both traditional and Western medicine clinic...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen, Your father-in-law's issue is primarily due to osteoporotic compression fractures of the lumbar spine, which is a common condition in the elderly. The treatment during the acute phase focuses on pain management, including the use of analgesics, back support, c...[Read More] Understanding Osteoporosis and Treatment Options for Spinal Fractures
Understanding Left Chest Bone Pain: Causes and Concerns
Pain in the bones of the left chest? Hello, may I ask why there is pain in the bones of the left chest? Could it be related to wearing a bra, or is there another reason? I am quite anxious as I have been experiencing discomfort in the lower left chest and the upper right chest fo...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: Pain in the left chest wall indicates localized tissue inflammation, which can commonly be caused by factors such as trauma, persistent coughing, localized pressure, poor posture, heavy lifting, or sports injuries. Wearing a bra that is too tight or that exerts pres...[Read More] Understanding Left Chest Bone Pain: Causes and Concerns
Understanding Shockwave Therapy for Plantar Fasciitis: Pain Concerns
Sole shockwave therapy Dear Doctor, I started experiencing plantar fasciitis in both feet last October. I have undergone various treatments without success. In January of this year, I received three shockwave therapy sessions for my more painful right foot, with the last session ...
Dr. Chen Xingyuan reply Orthopedics
Dear Readers, Musculoskeletal shockwave therapy primarily utilizes high-energy shockwaves to carry energy and transmit it to the body's tissues, concentrating on areas that require treatment such as bones, muscles, and fascia. This process helps restore blood supply to hypo...[Read More] Understanding Shockwave Therapy for Plantar Fasciitis: Pain Concerns
Understanding Recovery Time for Right Ankle Lateral Malleolus Fracture
Regarding right ankle joint lateral malleolus fracture? Hello Dr. Chen: Regarding the lateral malleolus fracture of the right ankle that did not require surgery, how long is the recommended duration for the cast immobilization before it can be removed? (It was applied on December...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: For an ankle joint lateral malleolus fracture that does not require surgery, it is recommended to use a cast for six weeks, and the affected limb should not bear weight during this time. After the cast is removed, gradually start bearing weight to walk more normally...[Read More] Understanding Recovery Time for Right Ankle Lateral Malleolus Fracture
Recovery Time and Complications After Right Ankle Fracture Surgery
Fracture surgery What is the recovery period and potential complications after surgery for a right ankle joint lateral malleolus fracture? How long does it take?
Dr. Chen Xingyuan reply Orthopedics
Dear Readers: After ankle joint fracture surgery, appropriate protection and rehabilitation are necessary to restore function to its optimal state. How long should protection be maintained? It depends on the severity of the injury. In principle, the affected limb should avoid wei...[Read More] Recovery Time and Complications After Right Ankle Fracture Surgery
Unexplained Right Thigh Pain in a 64-Year-Old Male: Causes and Treatment
Unexplained pain in the right thigh bone? Hello, Dr. Shi. My elder relative is a 64-year-old male who has recently been experiencing unexplained sharp pain on the outer side of his right thigh. The frequency of the pain is irregular; sometimes it occurs 4-5 times a day, while oth...
Dr. Chen Xingyuan reply Orthopedics
Dear User: The sharp pain on the outer side of your right thigh may be related to neurological sensory abnormalities or musculoskeletal disorders of the leg. It is recommended that you visit an orthopedic clinic for a physical examination and further evaluation. Wishing you healt...[Read More] Unexplained Right Thigh Pain in a 64-Year-Old Male: Causes and Treatment
Understanding Left Arm Pain and Numbness: Causes and Next Steps
Sharp pain in the elevated left upper arm? Hello, Doctor. For the past two years, I have often experienced pain in the outer side of my upper arm (near the shoulder joint) when raising my left arm. Sometimes, I also feel pain on the inner side of my upper arm (near the armpit), a...
Dr. Chen Xingyuan reply Orthopedics
Dear Reader: Shoulder pain is often related to inflammation of soft tissues such as tendons and ligaments. This inflammation can be influenced by factors such as age, usage, posture, and whether there has been an injury. The numbness in the 4th and 5th fingers of the left hand re...[Read More] Understanding Left Arm Pain and Numbness: Causes and Next Steps
Understanding Potential Bleeding from Sacral Fractures After a Fall
The possibility of bleeding due to a sacral fracture resulting from a car accident? Hello, Dr. Chen: I would like to ask you about a bruise caused by landing on my buttocks (without visible bruising). After two X-ray examinations, a crack was found on my coccyx and sacrum. The or...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: If it is merely a fracture of the coccyx or sacrum, there should be localized swelling and pain, but there should not be any reddish-brown foreign material. Unless there is an epidermal injury or associated damage to the reproductive or digestive systems. I suggest ...[Read More] Understanding Potential Bleeding from Sacral Fractures After a Fall
Managing Foot Pain and Bunions: Insights on Short Leg Syndrome and Bone Spurs
Leg length discrepancy and hallux valgus? I have bone spurs in my lower back, and when I walk in shoes, I often get blisters and skin breakdown on the arches of both feet and the area below the big toes. During rehabilitation, I consulted a physician who mentioned that due to agi...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: The presence of bone spurs in the lumbar region is a manifestation of degeneration and is not likely to cause scoliosis. However, it is important to pay attention to the use, protection, and maintenance of the lower back to prevent further degeneration and the onset...[Read More] Managing Foot Pain and Bunions: Insights on Short Leg Syndrome and Bone Spurs
Chronic Knee Pain in Young Adults: Causes and Solutions
I've been experiencing knee pain since childhood, and it continues into my twenties! Since I was about six or seven years old, I have frequently experienced knee pain. My parents said it was due to growing pains, so they would rub in some liniment, which would help alleviate...
Dr. Chen Xingyuan reply Orthopedics
Dear User: Based on your description, if your knee pain is not related to activity, it is important to consider whether it may be a rheumatologic or immunological issue, or a pathology of the knee joint. I recommend that you visit an orthopedic clinic or a rheumatology clinic (pr...[Read More] Chronic Knee Pain in Young Adults: Causes and Solutions
Understanding Severe Pain in the Toe After a Foot Injury
Bone pain Hello doctor, over a month ago, my left foot was run over by the rear wheel of a small truck. An X-ray at the hospital showed no fractures. I have been resting at home since then, and all the bruising has completely disappeared. However, whenever I engage in slightly vi...
Dr. Chen Xingyuan reply Orthopedics
Dear User: You have suffered a compression injury from a wheel. Although the X-ray shows no fractures, there is still some degree of injury. The most important thing after an injury is to avoid further harm, so the recovery of activity should be gradual and not rushed; otherwise,...[Read More] Understanding Severe Pain in the Toe After a Foot Injury
Choosing Between Plates and Pins for Colles Fracture Treatment: A Guide
Colles' Fracture (Distal Radius Fracture) Hello Director Chen, I have a closed fracture of the radius due to a car accident, and I have osteoporosis. Currently, my doctor has recommended using a plate for fixation because the bone is somewhat fragmented. If I manage my house...
Dr. Chen Xingyuan reply Orthopedics
Dear Readers: Distal radius fractures are commonly seen in postmenopausal women due to falls, resulting in osteoporotic fractures. Treatment options include closed reduction with cast immobilization, closed reduction with percutaneous pinning and cast immobilization, closed reduc...[Read More] Choosing Between Plates and Pins for Colles Fracture Treatment: A Guide
Understanding Finger Stiffness: Causes and When to See a Doctor
Finger stiffness My mother is 52 years old and has recently been experiencing stiffness in her fingers at night, making them difficult to move. She says it takes about 20 minutes after waking up for them to return to normal. What could be the cause of this, and should she see a d...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: There are many causes of finger stiffness, with the most common being overuse leading to tendon inflammation, which can slow the return of tissue fluid and result in finger stiffness or swelling. It is recommended to reduce hand activities, such as avoiding heavy li...[Read More] Understanding Finger Stiffness: Causes and When to See a Doctor