Dr. Hong Ximing reply Orthopedics Question - Page 13

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Post-ACL Surgery: Why Is My Foot Numb and Painful?

After posterior cruciate ligament surgery, there may be pain and numbness in the foot? I underwent surgery to reconstruct my anterior cruciate ligament on January 17, 2013. It has been three weeks since the surgery, and recently I have been experiencing pain and numbness in the f...


Dr. Hong Ximing reply Orthopedics
Three weeks post-reconstruction surgery, the swelling should have subsided. It is possible that decreased muscle strength is causing poor circulation in the lower extremities. You may try elevating the legs or engaging in muscle strengthening activities. For further evaluation, i...

[Read More] Post-ACL Surgery: Why Is My Foot Numb and Painful?


How Often Should You Get X-Rays for Rib Fractures?

How often should X-rays be taken? Hello, doctor. How long should I wait to get an X-ray for follow-up after a rib fracture? Should it be done continuously for a year to avoid excessive radiation? If there are discontinuous images, is further follow-up necessary? Thank you.


Dr. Hong Ximing reply Orthopedics
If there are no complications with a rib fracture, follow-up X-rays can be performed in 4 to 6 weeks.

[Read More] How Often Should You Get X-Rays for Rib Fractures?


Concerns About Ankle Fracture Recovery After Minor Impact: What to Expect

Hello, I had a car accident in early November 2012, resulting in a fracture and dislocation of my right ankle? I would like to ask the physician about my current situation. I have a cast on my ankle (it is only an L-shaped cast with an elastic bandage wrapped around it, not cover...


Dr. Hong Ximing reply Orthopedics
Ankle joint fracture, after surgery with the placement of screws and plates, is additionally stabilized with a cast. Light touch will not cause displacement. Not being able to bear weight means that you cannot walk as you normally would while supporting your weight. Moving the fo...

[Read More] Concerns About Ankle Fracture Recovery After Minor Impact: What to Expect


Ankle Screw Removal: What to Expect After One Year Post-Fracture

It has been a year since the ankle fracture fixation with screws, and now there are concerns regarding the removal of the screws? Hello Dr. Hong: My right ankle was fractured a year ago and I had a screw inserted. It has now been a full year, and I believe it is time to remove th...


Dr. Hong Ximing reply Orthopedics
Mr. Chang: One year after ankle fracture surgery, the fracture has healed, and the steel pins can be removed. Hospitalization should not require 12 days. Rehabilitation is not necessary; just protect the wound.

[Read More] Ankle Screw Removal: What to Expect After One Year Post-Fracture


Effective Pain Relief and Recovery Tips for Knee Injuries

How to manage a knee injury? Hello Dr. Hong, my boyfriend's right knee was hit by a car a couple of days ago, causing it to swell to about twice the size of his left knee. He saw a doctor who said there is a bone injury. He is currently in so much pain that he can't wal...


Dr. Hong Ximing reply Orthopedics
Knee injuries with swelling should first undergo an X-ray examination to check for fractures. Additionally, it is important to assess for any ligament or cartilage damage that may cause intra-articular hematoma. These conditions require evaluation by a specialist in a hospital se...

[Read More] Effective Pain Relief and Recovery Tips for Knee Injuries


Understanding Rib Deformities After Trauma: Why X-rays May Not Show Damage

Rib...2..? Doctor, I apologize for bothering you with my concerns. Thank you for your help. My left and right ribs were originally parallel, but after a car accident, my left rib became protruded due to the impact. I was taken to the emergency room, where an X-ray was performed, ...


Dr. Hong Ximing reply Orthopedics
After the impact of the car accident, if you notice protrusion, it may indicate a rib fracture. However, since the fracture is located in the cartilaginous area, the X-ray may not show any issues. If there are no other symptoms, please wait for healing and have a follow-up examin...

[Read More] Understanding Rib Deformities After Trauma: Why X-rays May Not Show Damage


Understanding Clavicle Prominence: Causes and Treatment Options

Clavicular prominence About two weeks ago, I experienced right shoulder pain due to work-related reasons. Last week, I noticed that the entire right clavicle is protruding, and when I move my right shoulder up and down, I can clearly see the inner end of the clavicle moving as we...


Dr. Hong Ximing reply Orthopedics
The protrusion of the clavicle at the shoulder may indicate a possible injury to the coracoclavicular ligament. It is recommended to see an orthopedic specialist immediately for evaluation to determine the extent of the injury and to decide on the appropriate treatment.

[Read More] Understanding Clavicle Prominence: Causes and Treatment Options


Why Is My Left Rib Protruding After a Car Accident?

After a collision..? Doctor, excuse me, may I ask why the left rib became very prominent after the car accident? The emergency room's orthopedic department took X-rays and found no issues, and they said no further tests are needed. Why did the left rib become prominent after...


Dr. Hong Ximing reply Orthopedics
The prominence of the rib after impact is due to the healing process of the rib injury, which involves periosteal proliferation. If there are no other symptoms, no further examination is necessary.

[Read More] Why Is My Left Rib Protruding After a Car Accident?


Understanding Lateral Ligament Laxity and Treatment Options for Knee Pain

Lateral collateral ligament laxity Hello Doctor: My left knee has severe patellar valgus. Since January 12 of this year, it has been about six months, and the lateral pain has not improved significantly despite physical therapy. I can walk on flat surfaces, but going up and down ...


Dr. Hong Ximing reply Orthopedics
Severe patellar valgus, combined with training, will definitely lead to cartilage damage. It is advisable to seek evaluation from a sports medicine specialist at a medical center to determine whether surgical correction is the best course of action.

[Read More] Understanding Lateral Ligament Laxity and Treatment Options for Knee Pain


Effective Strategies to Reduce Swelling After Achilles Tendon Surgery

Achilles tendon rupture, currently undergoing rehabilitation post-surgery. How can swelling be reduced? Hello Dr. Hong, I accidentally ruptured my Achilles tendon while playing basketball. I underwent surgery approximately 4 to 5 hours after the incident, where a suturing proce...


Dr. Hong Ximing reply Orthopedics
Hello: Swelling after Achilles tendon rupture surgery is a normal phenomenon. You are currently about 6 weeks post-surgery, and you should begin rehabilitation gradually and not rush the process, as it may affect tendon healing. Please consult with your rehabilitation physician f...

[Read More] Effective Strategies to Reduce Swelling After Achilles Tendon Surgery


Missed Early Detection of Shoulder Ligament Tear: A Cautionary Tale

Shoulder ligament tear, missed early detection? Hello Doctor: My grandmother is in her seventies. About a year ago, she fell and landed on her left arm, after which she has been complaining of left shoulder pain. Initially, she visited an orthopedic clinic where the doctor sugges...


Dr. Hong Ximing reply Orthopedics
Hello: Grandma's old shoulder injury has resulted in limited joint mobility, preventing her from lifting. I can only suggest that she actively engage in rehabilitation exercises. Most of these exercises are focused on weight-bearing knee joints, and ligament replacement is n...

[Read More] Missed Early Detection of Shoulder Ligament Tear: A Cautionary Tale


Understanding Knee Ligament Issues: Causes and Treatment Options

Knee ligament issues Hello doctor, I injured my knee while playing basketball three months ago. I have seen both traditional Chinese medicine and Western medicine, but my knee still feels unstable when applying force. When I squat down to a certain angle (when my calf is almost t...


Dr. Hong Ximing reply Orthopedics
Knee ligament injuries should be initially protected, and if symptoms persist after some time, consideration can be given to using arthroscopy or magnetic resonance imaging (MRI) for diagnosis. It is advisable to consult an orthopedic specialist to avoid any delay in treatment.

[Read More] Understanding Knee Ligament Issues: Causes and Treatment Options


Understanding Tibial Osteotomy: When Surgery is Necessary and What to Expect

Tibial osteotomy surgery Hello, Doctor: I would like to ask under what circumstances surgery is necessary to correct a misaligned tibia? My doctor mentioned wanting to perform an osteotomy, where he plans to remove the upper edge of the tibia, realign it, and then secure it with ...


Dr. Hong Ximing reply Orthopedics
Based on your description, it seems to be a lateral displacement of the patella, causing the patella to be out of its normal position and resulting in cartilage wear. Generally, if there is a patellar subluxation or greater, a patellar ligament realignment surgery is required; ot...

[Read More] Understanding Tibial Osteotomy: When Surgery is Necessary and What to Expect


Understanding Leg Length Discrepancy After Knee Arthroscopy Surgery

After undergoing arthroscopy of the knee, it was discovered that there is a leg length discrepancy? Hello, Doctor: I would like to ask if undergoing arthroscopy on the knee can cause leg length discrepancy. I can confirm that I did not have this issue before the arthroscopy. The ...


Dr. Hong Ximing reply Orthopedics
Hello Tina! Undergoing arthroscopic surgery should not cause a leg length discrepancy. Based on your description, it seems that the difference in the extension angles between your legs may be due to muscle or ligament fibrosis post-surgery, which can create the sensation of havin...

[Read More] Understanding Leg Length Discrepancy After Knee Arthroscopy Surgery


How Long Does It Take to Recover from Ligament or Meniscus Injuries?

The recovery time for collateral ligament or meniscus injuries can vary significantly depending on the severity of the injury. Generally, mild sprains or tears may take about 4 to 6 weeks to heal, while more severe injuries could take several months, often ranging from 3 to 6 mon...


Dr. Hong Ximing reply Orthopedics
Injuries to the collateral ligaments and meniscus require magnetic resonance imaging (MRI) for diagnosis. Please visit a hospital equipped with MRI facilities for evaluation.

[Read More] How Long Does It Take to Recover from Ligament or Meniscus Injuries?


Understanding Hip Muscle Fibrosis: Self-Assessment and Expert Insights

Please feel free to ask any questions? Hello, Doctor: 1. Is the examination for gluteal muscle fibrosis performed by having the legs together and the two angles flat on the ground? When I visited the military hospital, the doctor asked me to squat in a high kneeling position; i...


Dr. Hong Ximing reply Orthopedics
Hello: 1. Examination methods for gluteal muscle fibrosis and contracture: (1) The thigh must be abducted/externally rotated for the hip joint to flex to its maximum angle. (2) When the hip joint is flexed to its maximum angle, the thigh cannot perform adduction/internal rotation...

[Read More] Understanding Hip Muscle Fibrosis: Self-Assessment and Expert Insights


Ultrasound-Assisted Bone Healing System: Is It Available at Your Hospital?

Ultrasound Bone Healing Assistance System Does your hospital have an ultrasound bone healing assistance system? Thank you.


Dr. Hong Ximing reply Orthopedics
Hello Mr. Huang: We apologize, but our hospital does not have an ultrasound bone healing assistance system. Thank you!

[Read More] Ultrasound-Assisted Bone Healing System: Is It Available at Your Hospital?


Understanding Frog Leg Syndrome: Diagnosis and Treatment for Knee Pain

Frog leg syndrome? Hello Doctor: 1. How can we accurately differentiate between frog leg and Achilles tendon tightness, both of which can cause difficulty in squatting? 2. Why does frog leg lead to pain while running? Is frog leg related to the bones or the muscles? 3. How ...


Dr. Hong Ximing reply Orthopedics
Frog leg syndrome refers to muscle spasms in the gluteal region, while Achilles tendon spasms occur in the calf muscles. During running, muscle contractions can lead to pain. For frog leg syndrome, it is advisable to visit an orthopedic clinic for a thorough physical examination,...

[Read More] Understanding Frog Leg Syndrome: Diagnosis and Treatment for Knee Pain


Understanding ACL Injuries: Common Questions and Answers

Anterior cruciate ligament injury issues? Hello Doctor: After injuring my knee on September 9th, I asked the following five questions on Yahoo Knowledge, but I received no helpful responses. I hope you can take the time to read my questions and reply when you are available. Thank...


Dr. Hong Ximing reply Orthopedics
Thank you for your letter. It has been over 8 weeks since your injury, and the hematoma in your knee should have resolved. However, without the results of an MRI, it is difficult to assess the extent of your injury. Most of the information regarding cruciate ligament injuries has...

[Read More] Understanding ACL Injuries: Common Questions and Answers


Understanding Shoulder Pain and Friction in Baseball Pitchers

Sports Injuries (Shoulder) I experience a sensation of bone friction in the internal area of my right shoulder (where the arm connects to the shoulder) when throwing a baseball. There is pain when I exert force to throw the ball. After warming up my shoulder, the friction sensati...


Dr. Hong Ximing reply Orthopedics
Your shoulder joint injury is likely confirmed. X-rays may not necessarily reveal any abnormalities. It is recommended to allow the injured area to rest completely for four weeks before starting rehabilitation. If there is persistent pain and limited range of motion, an MRI or di...

[Read More] Understanding Shoulder Pain and Friction in Baseball Pitchers


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