Understanding Pain When Squatting Deep: Right Knee Issues Explained
There is pain and discomfort on the inside of the right knee when bending it fully? Doctor, I usually exercise and engage in activities without discomfort, but I cannot squat all the way down with my right knee. Squatting all the way down causes significant soreness, and when I e...
Dr. Chen Xingyuan reply Orthopedics
Dear User: Since you are not experiencing discomfort during exercise and daily activities, there should generally be no significant issues with your bones, muscles, or nervous system; otherwise, you would likely feel discomfort during these activities. When squatting, the knee jo...[Read More] Understanding Pain When Squatting Deep: Right Knee Issues Explained
Understanding Comminuted Ulnar Fractures and Disability Claims
Ulnar wrist comminuted fracture? Hello, I was injured while riding a bike and have a comminuted fracture. I am currently waiting to have the metal pins removed. Can I apply for disability? If so, what level would it be? My last two fingers on my right hand currently cannot fully ...
Dr. Chen Xingyuan reply Orthopedics
Dear netizens: The determination of disability must wait until treatment has ceased and it is confirmed that the condition cannot be corrected, resulting in a significant impairment of bodily function. Generally speaking, patients with fractures typically wait about 1 to 2 years ...[Read More] Understanding Comminuted Ulnar Fractures and Disability Claims
One Year Post-Car Accident: Struggling with Severe Orthopedic Issues
Over a year since the car accident? Hello doctors, I had a car accident over a year ago, resulting in a comminuted fracture of the right femur, as well as fractures in my pelvis and sacrum. My arm was also broken. Currently, the issue is that my pelvis is misaligned, and I am una...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: You have suffered severe trauma, which has resulted in multiple fractures. The purpose of surgery, rehabilitation, and other treatments is to minimize the extent of sequelae, reduce pain, and promote functional recovery, rather than to guarantee a return to the pre-...[Read More] One Year Post-Car Accident: Struggling with Severe Orthopedic Issues
Recovery Insights for Humeral Shaft Fracture After Surgery
Fracture of the right humeral shaft? Dear Dr. Chen, I recently suffered a "humeral shaft fracture" due to a car accident and have undergone "open reduction and internal fixation" surgery. I would like to ask the following questions: 1. At the time of the acc...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizens, In cases of humeral shaft fractures accompanied by radial nerve injury, most patients can expect a good recovery of the radial nerve after rehabilitation treatment, typically requiring about six months. However, if there is no significant progress after two to thr...[Read More] Recovery Insights for Humeral Shaft Fracture After Surgery
Understanding Finger Joint Replacement: Key Questions Answered
Questions about artificial finger joints? A month ago, I injured the joint of my right hand's ring finger in an accident. The doctor diagnosed it as a fracture causing joint surface damage. I was informed that in order to regain normal movement and bending, I would need to u...
Dr. Chen Xingyuan reply Orthopedics
Dear Reader, Finger joint replacement is not common and has only been sporadically reported at academic conferences. This is related to the specific patient population suitable for the procedure and the suboptimal postoperative outcomes. Previous reports have indicated that whil...[Read More] Understanding Finger Joint Replacement: Key Questions Answered
Managing Tailbone Pain After Injury: Treatment Options and Pregnancy Concerns
Bone injury Two years ago, I was injured in a car accident, and the doctor said I have a fracture in my coccyx. Since then, whenever I lift heavy objects, I experience significant pain the next day. Is there a definitive treatment for this? If not, will this pain worsen during fu...
Dr. Chen Xingyuan reply Orthopedics
Dear readers: A coccyx injury is a fact that has occurred, but with careful use of proper protection and maintenance, and by avoiding repeated injuries, it is possible to minimize the sequelae. Generally, please pay attention to the following: 1. Avoid stimulating the painful are...[Read More] Managing Tailbone Pain After Injury: Treatment Options and Pregnancy Concerns
Understanding Clavicle Fractures: Recovery Challenges and Surgical Options
Fracture I had a car accident at the end of March, resulting in a fracture of my left clavicle near the shoulder. I did not undergo surgery and used a figure-eight shoulder strap for one month. After that, I went to a military hospital for an X-ray, which showed some bone growth....
Dr. Chen Xingyuan reply Orthopedics
Dear Reader, The treatment for clavicle fractures can be divided into conservative treatment and surgical treatment. Surgical intervention is necessary in cases of open fractures, associated neurovascular injuries, mid-shaft clavicle fractures with significant displacement, frac...[Read More] Understanding Clavicle Fractures: Recovery Challenges and Surgical Options
Finding a Specialist for Minimally Invasive Hip Surgery in Taiwan
There are physicians specializing in minimally invasive hip joint surgery over there? I apologize for the intrusion, but I would like to ask the physician for some advice. Recently, I visited a large hospital in Taichung for an examination, and the doctor mentioned that they do n...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizens: There are very few physicians in the country who specialize in minimally invasive or arthroscopic surgery for treating hip joint disorders. Dr. Yen-Sheng Jan, an attending physician in the Department of Orthopedics and Sports Medicine at Chang Gung Memorial Hospita...[Read More] Finding a Specialist for Minimally Invasive Hip Surgery in Taiwan
Understanding Scoliosis and Military Service Eligibility in Taiwan
Scoliosis ~ Military Service Issues Hello, doctor. I would like to ask you about military service issues related to scoliosis. During my military physical examination, the orthopedic department requested a re-evaluation. After my second re-evaluation, I inquired and found out tha...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: According to the "Standards for Classification of Physical Condition" (Republic of China, No. 0960000797 issued by the Ministry of National Defense on December 31, and No. 0960830450 issued by the Ministry of the Interior), a spinal curvature of 24 degrees...[Read More] Understanding Scoliosis and Military Service Eligibility in Taiwan
Understanding Sudden Leg Weakness After Knee Surgery: Causes and Treatments
Sudden onset of weakness in the legs? About a year ago, I had surgery on my knee. After the recovery, whenever I go shopping or attend a concert, the next day I suddenly experience weakness in my legs. What could be the cause of this? Should I seek treatment or take medication?
Dr. Chen Xingyuan reply Orthopedics
Dear User: Your issue involves joint or ligament pathology or injury, which may be related to your previous knee surgery. It is advisable to limit your activity and avoid strenuous movements for the time being. Using a knee brace for protection may be beneficial, and medication m...[Read More] Understanding Sudden Leg Weakness After Knee Surgery: Causes and Treatments
Understanding Trigger Thumb in Children: Causes, Treatments, and Surgery Risks
Please inquire about the issue related to pediatric board games? Hello Doctor: I would like to ask about a 2-year-and-1-month-old child who was hospitalized for gastroenteritis and received IV fluids. On the second day of hospitalization, the child began to complain of pain in th...
Dr. Chen Xingyuan reply Orthopedics
Dear Readers, Trigger finger, also known as stenosing tenosynovitis, occurs when the flexor tendon in the finger forms a nodule at the base of the finger, causing the finger to catch or lock when trying to straighten it. This results in an inability to fully extend the finger or...[Read More] Understanding Trigger Thumb in Children: Causes, Treatments, and Surgery Risks
Can Surgery Help with Heel Spurs? Solutions for Foot Pain
Can surgery be performed? How can I address bone spurs on the soles of my feet? Is surgery an option?
Dr. Chen Xingyuan reply Orthopedics
Dear readers: The exact cause of heel spurs is not very clear. Recent studies suggest that it is a manifestation of degeneration, possibly a skeletal response to counteract the stress experienced during standing or walking, aimed at preventing microfractures. There is no absolute...[Read More] Can Surgery Help with Heel Spurs? Solutions for Foot Pain
Understanding Patellar Fractures: Healing Time, Recovery Tips, and Muscle Rehab
Patellar fracture Hello Doctor, Subject: 1. Five months ago, I fractured my left patella (in three major pieces) due to a fall. I underwent surgery where screws and wires were used for fixation, and the cast has now been removed. Questions: 1. An X-ray shows that the bone h...
Dr. Chen Xingyuan reply Orthopedics
Dear Readers: After a patellar comminuted fracture surgery, it is crucial to pay special attention to protection and rehabilitation. Firstly, 1.5 months post-surgery, X-rays generally do not show bone growth, unless it is a child. The primary purpose of X-ray follow-ups is to che...[Read More] Understanding Patellar Fractures: Healing Time, Recovery Tips, and Muscle Rehab
Understanding Bone Edema After Surgery: Causes and Treatment Options
Post-surgical fluid accumulation in the bone after removal of metal screws? Dear Dr. Chen, My son underwent surgery in July 2006 due to unexplained bone necrosis around the growth plate of his ankle. The necrotic tissue was excised, and a bone graft was taken from his hip to fil...
Dr. Chen Xingyuan reply Orthopedics
Dear Reader: Bone marrow edema is a manifestation of changes in signal intensity observed during magnetic resonance imaging (MRI). It appears as decreased signal intensity on T1-weighted images and increased signal intensity on T2-weighted images, which is a non-specific finding....[Read More] Understanding Bone Edema After Surgery: Causes and Treatment Options
How Long Should We Monitor Recovery After Open Finger Fracture Surgery?
How long should we observe? Hello Doctor: I previously asked about my boyfriend who suffered a work-related injury resulting in an open fracture of his left pinky finger. After surgery and the insertion of a pin, he has been experiencing a tingling sensation when touching his lef...
Dr. Chen Xingyuan reply Orthopedics
Dear User: It is recommended that you observe for 2 to 3 months, at least until the condition of the locally injured tissue stabilizes. If, at that time, the left little finger still has no sensation, it may indicate a rupture of the digital nerve or a severe crush injury, which ...[Read More] How Long Should We Monitor Recovery After Open Finger Fracture Surgery?
Understanding Numbness in the Pinky Finger After Open Fracture Surgery
Pinky finger numbness? Hello Doctor: My boyfriend sustained an open fracture of the left little finger due to a work-related injury. After surgery to insert a pin and close the wound, he noticed numbness in the left little finger. When he consulted the doctor, he was informed tha...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen, Is it necessary to perform surgery for nerve ruptures? In principle, it is best to reconnect the nerves whenever possible. However, some superficial nerve injuries that only result in localized sensory loss and do not affect overall function may not require surgica...[Read More] Understanding Numbness in the Pinky Finger After Open Fracture Surgery
Understanding Finger Joint Pain: Causes and Solutions
Finger joint pain Hello Dr. Chen: I do not have any sports injuries or trauma, but my fingers cannot bend or straighten properly. I am unable to hold a pen or use chopsticks, and the joints in my fingers experience sharp pain. Pressing on them increases the pain and weakness. My ...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizens: There are many causes of finger joint pain. Common causes include tendon and ligament inflammation due to overuse or injury, degenerative arthritis of the small joints, arthritis caused by rheumatic autoimmune diseases, and bone pathologies. Less common causes may ...[Read More] Understanding Finger Joint Pain: Causes and Solutions
Understanding Wrist Pain: Causes and Treatment Options for Rotation Issues
Wrist pain with a clicking sensation during external rotation? Doctor, I previously injured my wrist while weight training. I saw an orthopedic doctor and received a few anti-inflammatory injections, about 2 or 3 times, and my hand improved significantly. However, when I rotate m...
Dr. Chen Xingyuan reply Orthopedics
Dear User: Based on your description, it is possible that you have a wrist ligament sprain or a triangular fibrocartilage complex (TFCC) injury. As a general principle, initial management should include protection, cautious use, heat therapy, and pharmacological treatment as cons...[Read More] Understanding Wrist Pain: Causes and Treatment Options for Rotation Issues
Managing Shoulder Tendonitis: Effective Pain Relief Strategies
Suspected work-related tendinitis? Family members report pain at the shoulder and upper arm junction (the joint that moves when raising the arm), which makes it difficult to lift the arm even when turning in bed during sleep. They need to assist with the other hand to move it. Th...
Dr. Chen Xingyuan reply Orthopedics
Dear User: Based on your description, the pain you are experiencing may be caused by tendonitis. The causes of tendonitis can include overuse, improper use, injury, and poor posture. Generally speaking, avoiding these situations, getting plenty of rest, applying heat, and perform...[Read More] Managing Shoulder Tendonitis: Effective Pain Relief Strategies
What to Do If Your Bone Pins Break: A Guide for Young Patients
What should I do if a nail implanted in my body breaks? This year, I had spinal fusion surgery and had four screws placed. This month, I had an X-ray and found that two of the screws have broken. The doctor said that since two screws are broken, they do not need to be removed. Ho...
Dr. Chen Xingyuan reply Orthopedics
Dear User: Whether or not to remove a broken screw depends on whether it causes you significant discomfort or harm. If the broken screw is causing particular discomfort or injury, then removal should certainly be considered. The purpose of the fixation with screws is to provide i...[Read More] What to Do If Your Bone Pins Break: A Guide for Young Patients