Understanding Pelvic Fractures and Hip Replacement Recovery
Pelvic hip joint fracture Hello, three years ago I was in a car accident that resulted in a complete fracture of my right pelvis down to the acetabulum. I also suffered a torn anterior cruciate ligament in my left knee, which required two surgeries. After the reconstruction, it i...
Dr. Chen Yongxue reply Orthopedics
Hello, a complete pelvic fracture to the acetabulum has resulted in a total hip arthroplasty. The pelvis will still influence weight-bearing pressure; it will not change due to the total hip prosthesis. The discomfort mentioned may require diligent rehabilitation. If there are an...[Read More] Understanding Pelvic Fractures and Hip Replacement Recovery
Post-Car Accident: Left Chest Pain When Breathing Explained
Left chest pain during breathing after a car accident? Last Monday (11/28), I was involved in a car accident that resulted in a closed fracture of the distal left clavicle. The doctor recommended using a sling and figure-eight bandage for stabilization. I have been mostly inactiv...
Dr. Chen Yongxue reply Orthopedics
Hello, clavicle fractures often accompany fractures of the ribs and scapula. Additionally, even in the absence of other fractures, pleuritis is commonly observed after contusions. It is advisable to rule out other fractures. Furthermore, using some analgesics can help alleviate d...[Read More] Post-Car Accident: Left Chest Pain When Breathing Explained
Slow Recovery from Fibula Fracture: Causes and Solutions
Fibula fractures heal slowly? Hello, doctor. I had a fibula fracture from a car accident nearly three months ago. It is a proximal closed fibula fracture located about 10 centimeters below the knee. I did not undergo surgery. For the first month, I used a long leg cast, and in th...
Dr. Chen Yongxue reply Orthopedics
Hello, 1) Will walking all day affect fracture healing? Are elastic bandages and compression stockings suitable for use? 2) For a typical fibula fracture that does not require surgery, how long does it usually take to see callus formation on X-rays? From the X-ray, does it see...[Read More] Slow Recovery from Fibula Fracture: Causes and Solutions
Recovery Tips for Thumb Fracture: When to Start Rehabilitation
Right thumb (at the joint! Including the fractured parts of the thumb bone) Hello, I would like to inquire: I have a fracture at the joint of my thumb, which involved shattered joint bones. I had three steel pins, one steel plate, and possibly artificial bone placed during surger...
Dr. Chen Yongxue reply Orthopedics
Hello, after a fracture, there will be metal pins for fixation, which means you cannot bend the affected area. You can only start moving once the pins are removed. Please do not start activities too early, and it is advisable to consult your attending physician. Thank you.[Read More] Recovery Tips for Thumb Fracture: When to Start Rehabilitation
Concerns About Exposed Talus Screw After Fracture Surgery
Issues with talus screws? Hello Dr. Chen, I would like to ask about my right talus fracture with partial dislocation from last month (I had surgery with two steel pins inserted, with about 5mm exposed). The doctor advised that after 8 weeks post-surgery, if the X-ray shows no iss...
Dr. Chen Yongxue reply Orthopedics
Hello, the breakage of the intramedullary nail in patients with fractures who bear weight too early is a common occurrence. Managing such a broken nail can be relatively complicated, so please discuss this with the attending physician. Thank you.[Read More] Concerns About Exposed Talus Screw After Fracture Surgery
Post-Surgery Issues After Distal Radius Fracture: Recovery Insights
Postoperative Issues Following Distal Radius Surgery Hello Dr. Chen, I suffered a distal radius fracture in my left wrist due to a fall on June 14. I underwent surgery with a titanium alloy plate fixation and had a cast for six weeks. I have been doing rehabilitation, but it has...
Dr. Chen Yongxue reply Orthopedics
Hello, distal radius fractures are very common, and the surgical methods are well-established. Of course, the prognosis is significantly related to the degree of fracture comminution. Generally speaking, if the fracture is not too comminuted, the cast can usually be removed after...[Read More] Post-Surgery Issues After Distal Radius Fracture: Recovery Insights
Chronic Posterior Tibial Tendon Injury: Treatment Options and Solutions
Tear of the Achilles tendon? I have an injury to the Achilles tendon in my left ankle, and I have undergone PRP therapy three times without improvement. The tendon in my calf still feels uncomfortable, and I cannot walk normally like I do with my right foot; I still have a notice...
Dr. Chen Yongxue reply Orthopedics
Hello, calf muscle injuries can vary in severity from strains to ruptures. The treatment methods also differ accordingly. It is advisable to undergo examinations (ultrasound or MRI) first to determine the appropriate course of treatment. Thank you.[Read More] Chronic Posterior Tibial Tendon Injury: Treatment Options and Solutions
Can I Lift Heavy Objects After Surgery for Mom's Hand Syndrome?
Mommy's thumb issue Hello, doctor. I had surgery for De Quervain's tenosynovitis (also known as "mommy's thumb"), and due to work requirements, I need to lift heavy objects. Is it safe to lift heavy objects after the surgery?
Dr. Chen Yongxue reply Orthopedics
Hello, mommy's thumb, also known as de Quervain's tenosynovitis, is caused by overuse. Surgery involves opening the sheath of the affected tendons to relieve inflammation. In principle, after the surgical wound heals, you should be able to move freely, but please be cau...[Read More] Can I Lift Heavy Objects After Surgery for Mom's Hand Syndrome?
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 Orthopedics
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 Orthopedics
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 Orthopedics
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?
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 Orthopedics
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
Understanding Nonunion of Femoral Fractures: Treatment Options Explained
Nonunion of femoral fracture Hello Dr. Chen: In May 2021, I underwent surgery on my femur, and the area marked in red in the image has not healed since then. A CT scan revealed a gap in the middle of the originally fractured area, with the bone on both sides forming a white appea...
Dr. Chen Yongxue reply Orthopedics
Hello, it is advisable to follow the doctor's recommendations to avoid delaying treatment. If you still have concerns, you may consult another orthopedic clinic. Thank you.[Read More] Understanding Nonunion of Femoral Fractures: Treatment Options Explained
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 Orthopedics
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?
Challenges After Ankle Fracture: Recovery and Rehabilitation Insights
Four months after an ankle fracture, the injury has not healed, and surgical ligament reconstruction is performed? In late July 2021, the doctor diagnosed a right ankle sprain and administered shockwave therapy. By mid-November, it was discovered that there was a fracture in the ...
Dr. Chen Yongxue reply Orthopedics
You should consult your attending physician. Thank you.[Read More] Challenges After Ankle Fracture: Recovery and Rehabilitation Insights
Post-Surgery Work Considerations for Neurofibroma Patients
Postoperative Care for Neurofibromatosis Surgery I would like to ask about my situation. I have a neurofibroma located at the level of my L3-L4 vertebrae. I have undergone surgery to remove it and have been resting for four months. I am currently working, and my job involves heav...
Dr. Chen Yongxue reply Orthopedics
According to the letter, the function of the nerves needs to be evaluated. The surgical approach and the method of spinal stabilization also require assessment. It is advisable to consult with the attending physician. Thank you.[Read More] Post-Surgery Work Considerations for Neurofibroma Patients
Can Calcium Supplements Prevent Osteoporosis from Long-term Medication?
Osteoporosis and Calcium Supplementation Issues Hello, doctor. After undergoing an upper gastrointestinal endoscopy, I took the medication "Dexilant." The gastroenterologist mentioned that long-term use could lead to osteoporosis. I have been taking it for about three m...
Dr. Chen Yongxue reply Orthopedics
Hello, osteoporosis is not as simple as just supplementing calcium. Long-term use of medications like gastric motility agents can not only contribute to osteoporosis but also harm the kidneys and cause low magnesium levels. Therefore, if your gastric condition improves, please di...[Read More] Can Calcium Supplements Prevent Osteoporosis from Long-term Medication?
Understanding Thigh Pain: Causes and Solutions for Office Workers
Sharp pain in the thigh while walking? Hello doctor, I work long hours sitting in an office. When I stand up and walk around, I notice a sharp pain in my left thigh, around the hip joint area. When I put weight on my left foot while walking, it hurts significantly, making me hesi...
Dr. Chen Yongxue reply Orthopedics
The pain described in your letter can have many causes, so it is advisable to visit an orthopedic clinic for evaluation.[Read More] Understanding Thigh Pain: Causes and Solutions for Office Workers
Is That a Bump on My Cheekbone? When to See an Orthopedic Specialist
Suspected tumor on the zygomatic bone? Recently, I noticed a small round bump under my cheekbone that feels about the size of a BB pellet when I push on it, but there are no visible abnormalities on the surface. Is this normal, doctor? If it’s not normal, should I see an orthoped...
Dr. Chen Yongxue reply Orthopedics
Please visit the orthopedic outpatient clinic for an examination. Thank you.[Read More] Is That a Bump on My Cheekbone? When to See an Orthopedic Specialist
Severe Pain from Right Knee Ligament Injury: When to Seek Medical Help?
Severe pain from the lumbar spine to the toes in the right leg caused by a rupture of the medial collateral ligament of the right knee? Hello, I had a motorcycle accident on March 22, 2022, and after examinations at a clinic and currently at Mackay Memorial Hospital, it has been ...
Dr. Chen Yongxue reply Orthopedics
Hello, it seems that your pain may not be a direct symptom of a collateral ligament tear, but rather a result of altered movement due to the ligament injury. It is recommended to rest, take pain relievers, and minimize walking as much as possible. Thank you.[Read More] Severe Pain from Right Knee Ligament Injury: When to Seek Medical Help?