Understanding Subacromial Impingement and Avascular Necrosis in Shoulders
Subacromial impingement syndrome, avascular necrosis? Hello, doctor. I have been experiencing limited mobility and pain in my left shoulder. After getting an X-ray at the hospital, the doctor diagnosed me with subacromial impingement syndrome. The X-ray showed some cracks in the ...
Dr. Hong Ximing reply Orthopedics
Ischemic necrosis of the acromion is rarely encountered and requires confirmation. Pain and limited mobility may also be caused by surrounding tendonitis. Please discuss in detail with the attending physician before deciding on the best treatment approach.[Read More] Understanding Subacromial Impingement and Avascular Necrosis in Shoulders
Managing Ligament Swelling After Ankle Sprain: Recovery Tips
Ligament swelling? Hello, doctor. I would like to ask you about an injury I sustained in August when I accidentally slipped and twisted my right big toe (the left side of the toe), which has since swollen. I went to the hospital, and the X-ray results showed no bone issues, but t...
Dr. Hong Ximing reply Orthopedics
A sprain of the right big toe with swelling and pain is normal. Since the X-ray shows no issues with the bones, it should gradually heal. It is advisable to soak it in warm water to improve circulation, which will help accelerate the healing process.[Read More] Managing Ligament Swelling After Ankle Sprain: Recovery Tips
Can Extracorporeal Shock Wave Therapy Help My Stiff Elbow?
Extracorporeal Shock Wave Therapy (ESWT) It has been 7 months since the injury, and my elbow is still stiff. Is extracorporeal shock wave therapy effective? Is there any way for my arm angle to return to normal?
Dr. Hong Ximing reply Orthopedics
Hello: The elbow joint has been injured for 7 months, and scar tissue has formed, which may result in poorer rehabilitation outcomes. Extracorporeal shock wave therapy can be attempted, but the effects may be limited. You may discuss with your attending physician the option of un...[Read More] Can Extracorporeal Shock Wave Therapy Help My Stiff Elbow?
Concerns About Displaced Exposed Pins in Orthopedic Surgery
Issues Related to the Movement of Exposed Steel Pins Hello Doctor, five days ago I had surgery at the hospital, and two exposed pins were placed at the tip of my right little finger. However, one of the pins slightly retracted into the finger last night while I was changing the d...
Dr. Hong Ximing reply Orthopedics
Hello: It is normal for the exposed steel pin in the finger to move, as long as it is not completely removed, it will not affect bone growth. However, it is still important to pay attention to stabilization and cleanliness to prevent pin site infection. Hong Hsi-Ming[Read More] Concerns About Displaced Exposed Pins in Orthopedic Surgery
Understanding Ankle Fractures and Bone Spurs: Your Recovery Questions Answered
Ankle fracture with bone spur? Hello Doctor, I had a car accident on February 28 this year, resulting in a fracture and dislocation of my right ankle. During my follow-up on December 2, it was found that there are more bone spurs near the talus (there were a few in October). My a...
Dr. Hong Ximing reply Orthopedics
Hello: After an ankle bone injury, hard bone (bone spurs) may develop during the healing process, which is a repair phenomenon. Surgical removal is only necessary if it affects joint mobility. However, the joint may still develop new spurs when subjected to stress again. Since yo...[Read More] Understanding Ankle Fractures and Bone Spurs: Your Recovery Questions Answered
Understanding Clavicle Fracture Recovery: Can I Start Rehab and Light Training?
Hello doctor, I had a clavicle fracture a month ago. The doctor said I don't need to return for a follow-up or undergo rehabilitation. Is that correct? Hello Doctor, I am a young athlete. A month ago, I sustained a clavicle fracture during a basketball game. After a month of...
Dr. Hong Ximing reply Orthopedics
Hello: A clavicle fracture is equivalent to a bone fracture, and it typically takes at least 8 weeks for the fracture to heal. X-rays are needed to assess the extent of the fracture in detail. It is recommended that you rest for 8 weeks and confirm the healing of the fracture bef...[Read More] Understanding Clavicle Fracture Recovery: Can I Start Rehab and Light Training?
Understanding Delayed Healing After Autologous Bone Grafting
Bone healing can be challenging? I had an autologous bone graft two months ago, and the doctor said there is insufficient nutrition. Since I already had the autologous bone graft, why hasn't the bone fusion healed? The area around my elbow where the surgery was performed fee...
Dr. Hong Ximing reply Orthopedics
Bone grafting is only necessary for bone defects to aid in fracture healing. Since there are no X-rays available for reference, please consult with your attending physician or seek a third-party opinion.[Read More] Understanding Delayed Healing After Autologous Bone Grafting
Understanding Patellar Chondromalacia: Causes, Symptoms, and Treatment Options
Patellar chondromalacia Doctor, six months ago, without any trauma or exercise, I started experiencing pain in the upper sides of both knees, significant soreness in the outer sides of my calves, and aching in my ankles. The pain persists throughout the day, and my right foot fee...
Dr. Hong Ximing reply Orthopedics
Hello: Based on what you described, the symptoms are quite evident, and with the presence of scoliosis, the imbalance in body weight will further exacerbate the wear on the patella. Arthroscopic lavage treatment could be considered, followed by rehabilitation. The specific situat...[Read More] Understanding Patellar Chondromalacia: Causes, Symptoms, and Treatment Options
Is Numbness and Pain Normal After Wrist Surgery with Pins?
Numbness in the hand after receiving a steel pin (screw) insertion? I would like to ask if it is normal to experience numbness and occasional pain in the right wrist after a car accident, following a fracture and the placement of a metal plate for stabilization, before the screws...
Dr. Hong Ximing reply Orthopedics
After fixation of a wrist fracture with steel pins, the surgical scar often experiences numbness or pain. The true cause should be thoroughly examined by the surgeon to determine whether it is due to the fracture or the surgery itself that is causing the numbness and pain.[Read More] Is Numbness and Pain Normal After Wrist Surgery with Pins?
Understanding Wrist Pain: Causes and When to See an Orthopedic Specialist
Right wrist pain? Hello doctor, I have a swollen area on my wrist, located just below the thumb, and it has been present for about four months. I recall that during my time working part-time at a noodle shop, I frequently used my right hand to hold long chopsticks for cooking noo...
Dr. Hong Ximing reply Orthopedics
The swelling and pain in your right wrist may be due to chronic overuse, resulting in tendinitis of the hand and wrist. You can consult either an orthopedic specialist or a hand surgeon.[Read More] Understanding Wrist Pain: Causes and When to See an Orthopedic Specialist
Open Fractures of the Fibula and Metatarsals: Treatment Options and Recovery
There is an open fracture of the fibula in the left lower leg along with fractures of the second, third, and fourth metatarsals in the left foot? Hello Doctor, I had a car accident on October 31, resulting in an open fracture of the left fibula and fractures of the second, third,...
Dr. Hong Ximing reply Orthopedics
Hello: The open fractures of the ribs along with the second, third, and fourth metatarsals indicate that the injury displacement is quite severe. If the trauma is stable, it is recommended to proceed with surgical reduction as soon as possible to restore the original position, in...[Read More] Open Fractures of the Fibula and Metatarsals: Treatment Options and Recovery
Post-Surgery Recovery: Understanding Clavicle Fracture Healing and Pain
Please provide more details about the fracture surgery you would like to inquire about? Hello Dr. Hong, thank you for your response regarding rehabilitation. I would like to ask another question. Since the X-ray taken five weeks after the clavicle fracture surgery shows that the ...
Dr. Hong Ximing reply Orthopedics
Hello: Five weeks after clavicle fracture surgery, X-rays should show that the bone neck has not yet healed. Rehabilitation can be initiated, but it is important to consult a specialist to gradually perform the correct rehabilitation exercises, without needing to wait for complet...[Read More] Post-Surgery Recovery: Understanding Clavicle Fracture Healing and Pain
Rehabilitation Tips After Clavicle Fracture Surgery: What You Need to Know
Rehabilitation Considerations After Clavicle Fracture Hello Dr. Hong: I previously had a fracture of the left clavicle and underwent surgery to insert a plate about 7 weeks ago (the wound is approximately 12 cm with 8 screws). I am no longer using a sling. However, there is an is...
Dr. Hong Ximing reply Orthopedics
Hello: According to what you mentioned, after 7 weeks post-clavicle fracture surgery, if the X-ray shows stable bone healing, you should consult a rehabilitation specialist to gradually increase the intensity of rehabilitation to prevent shoulder joint stiffness. Hong Hsi-Ming[Read More] Rehabilitation Tips After Clavicle Fracture Surgery: What You Need to Know
Understanding Post-Thrombotic Syndrome and Tendinitis After DVT
Post-thrombotic syndrome (venous insufficiency) and tendinitis? Dear Doctor, four months ago I developed deep vein thrombosis (DVT) in my calf due to tight bandaging from an injury. After taking anticoagulants, a follow-up ultrasound two weeks later showed no thrombosis. However,...
Dr. Hong Ximing reply Orthopedics
For calf vein thrombosis, it is advisable to consult a vascular surgeon, and in severe cases, vascular imaging may be necessary. Tendonitis typically occurs near the joint area, and you can consult a rehabilitation physician to understand the condition better.[Read More] Understanding Post-Thrombotic Syndrome and Tendinitis After DVT
Post-Surgery Rehab for Clavicle Fracture: Exercises to Do and Avoid
After a clavicle fracture surgery on October 2, what type of rehabilitation exercises are needed? Hello, doctor. I had surgery for a clavicle fracture on October 2nd. There have been no other side effects post-surgery. I would like to know if I can start rehabilitation now. What ...
Dr. Hong Ximing reply Orthopedics
The need for surgery for a clavicle fracture depends on the severity of the fracture. It is advisable to consult with the attending physician or a rehabilitation specialist to determine the appropriate rehabilitation exercises based on the extent of the fracture.[Read More] Post-Surgery Rehab for Clavicle Fracture: Exercises to Do and Avoid
Managing Hand Injuries and Chronic Pain: A Guide for Basketball Players
The hand was hit by a basketball? 1. My classmate was hit on the hand by a basketball a few days ago. Initially, it didn't hurt, but later it became swollen. I would like to ask the doctor what to do since my classmate is allergic to topical medications. He has visited sever...
Dr. Hong Ximing reply Orthopedics
For sports injuries with swelling, in addition to standard ice and heat therapy, medications should not be used if there is a history of allergies. Injuries sustained during elementary school are generally not related to menstrual pain.[Read More] Managing Hand Injuries and Chronic Pain: A Guide for Basketball Players
Is ACL Surgery Necessary for Active Athletes? Understanding Your Options
The necessity of surgery for anterior cruciate ligament (ACL) injuries? Hello, Doctor: I completely tore my anterior cruciate ligament (ACL) and my meniscus is fine. I delayed getting an MRI for nearly six months because I initially thought it wasn't a big deal; I felt like ...
Dr. Hong Ximing reply Orthopedics
Hello: A complete tear of the anterior cruciate ligament (ACL) will definitely lead to instability in the knee joint. Autograft ligament reconstruction requires sacrificing another ligament. Currently, artificial ligaments have advanced significantly, and the surgical techniques ...[Read More] Is ACL Surgery Necessary for Active Athletes? Understanding Your Options
Alternative Treatments for Delayed Healing in Radius Fractures
Artificial bone Dr. Hong, I would like to ask about a closed comminuted fracture of the radial head that occurred 5 months ago. The fracture was stabilized with a plate on the day of the injury. The physician has assessed it as delayed healing, and I am personally okay with that....
Dr. Hong Ximing reply Orthopedics
A radial head fracture has been present for 5 months. If it has not healed after surgery, bone grafting may be considered to promote healing. Therefore, it depends on the specific needs of the fracture. Since X-rays can provide a clear assessment, it is advisable to discuss the s...[Read More] Alternative Treatments for Delayed Healing in Radius Fractures
Understanding Hamstring Pain: Causes, Recovery Time, and Running Tips
Pain in the hamstring muscles? Since I finished the 100 (five weeks ago), I've been experiencing pain in the muscles at the back of my thigh. It hurts every time I sprint, and sometimes the pain is so intense that I can barely apply pressure on my foot. When I press down, it...
Dr. Hong Ximing reply Orthopedics
A hamstring strain in the back of the thigh typically requires 2 to 4 weeks for recovery. A rest period of 4 days is insufficient. During the recovery phase, it is advisable to avoid running and instead engage in some isotonic muscle exercises. Only resume running after complete ...[Read More] Understanding Hamstring Pain: Causes, Recovery Time, and Running Tips
Managing Poor Wound Healing After Clavicle Fracture Surgery
Poor wound healing after clavicle fracture surgery? Hello Doctor: I have fractured my left clavicle twice due to car accidents. The first fracture was at the distal end (November 3, 2014), for which I underwent surgery that involved self-paying for internal fixation with a steel ...
Dr. Hong Ximing reply Orthopedics
Multiple fractures of the clavicle have resulted in poor skin healing after surgery. The subcutaneous tissue in that area is relatively thin, but circulation is good. However, due to the inability to assess the actual condition of the wound, a definitive judgment cannot be made. ...[Read More] Managing Poor Wound Healing After Clavicle Fracture Surgery