Dr. Hong Ximing reply Orthopedics Question - Page 3

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Understanding Tibia and Fibula Fracture Healing Challenges

Issues with healing of tibial and fibular fractures? Hello Doctor, I sustained a closed fracture of the tibia and fibula in the lower third of my right leg on December 18, 2016. I underwent surgery and had an intramedullary nail inserted. During my follow-up appointment on Februa...


Dr. Hong Ximing reply Orthopedics
A fracture of the distal one-third of the tibia and fibula may have a slower blood supply and circulation; however, since surgical reduction and fixation have been performed, it should heal properly. As for the ankle being darker red, this is a normal phenomenon associated with w...

[Read More] Understanding Tibia and Fibula Fracture Healing Challenges


Should You See a Doctor for Knee Bruises from Sports Injuries?

Sports Injuries (Knee) Recently, during a competition, I wore knee pads with sponge padding. However, while diving for the ball, I knelt down several times, and the edge of the sponge padding pressed against my knee, causing a bruise on the front side of my knee (it hurt so much ...


Dr. Hong Ximing reply Orthopedics
Due to kneeling on the ground, the stitching of the knee pad was compressed, resulting in bruising, which is likely a contusion. You can apply heat therapy to promote circulation and absorption.

[Read More] Should You See a Doctor for Knee Bruises from Sports Injuries?


Understanding Clavicle Fracture Recovery: Timeline and Precautions

Clavicle fracture? Hello Doctor, I was in a car accident on October 25 and was diagnosed with a broken clavicle after being taken to the hospital. I chose to pay out of pocket for surgery to have a plate and screws installed. The surgery was very successful, and since the operati...


Dr. Hong Ximing reply Orthopedics
Clavicle fracture, fixed with surgical screws, has been six weeks; normal rehabilitation exercises can be performed, and there is no need to use a sling. However, it is important to avoid excessive movements. As for activities like cycling or basketball, they should be determined...

[Read More] Understanding Clavicle Fracture Recovery: Timeline and Precautions


Post-ACL Surgery Rehab: Overcoming Limping While Walking and Running

Rehabilitation Issues After Anterior Cruciate Ligament (ACL) Reconstruction Surgery I had my anterior cruciate ligament surgery 9 months ago, but I still have a limp when walking and running, especially when running. What rehabilitation exercises can I do to resolve this issue?


Dr. Hong Ximing reply Orthopedics
Nine months after anterior cruciate ligament reconstruction surgery, one should be able to engage in general physical activities; however, running with a limp should be avoided or protected as much as possible.

[Read More] Post-ACL Surgery Rehab: Overcoming Limping While Walking and Running


Understanding Prominent Screws in Knee Surgery: What You Need to Know

Protruding nail? Hello doctor, I would like to ask about my knee where two curved metal rods have been inserted. One of the rods is noticeably protruding, but pressing on it does not cause pain. Will this have any impact?


Dr. Hong Ximing reply Orthopedics
If the steel pin is protruding from the knee and the fracture has healed, it may be possible to remove it. For further details, please consult the attending physician.

[Read More] Understanding Prominent Screws in Knee Surgery: What You Need to Know


Can Height Reach Over 160 cm? Insights on Growth and Development

Will my height reach over 160 centimeters? This year, I am a freshman in high school, currently 15 years old and 154.1 cm tall. Last Friday, I measured 153.9 cm. If I jump rope every day, take calcium supplements, and maintain a regular sleep schedule, is it possible for me to re...


Dr. Hong Ximing reply Orthopedics
Based on your current height status, it seems that you are still in the growth phase. Continuing to maintain regular exercise will be beneficial. However, it is not possible to predict how much taller you will grow.

[Read More] Can Height Reach Over 160 cm? Insights on Growth and Development


Understanding Knee Pain: ACL Injuries and Related Issues in Volleyball

Sports injuries, knee issues, ligaments? I play volleyball, and after jumping down, I felt pain inside my left knee, similar to a strain. I visited a traditional Chinese medicine doctor, who diagnosed it as a cruciate ligament strain. There is no pain or swelling when standing, b...


Dr. Hong Ximing reply Orthopedics
Knee joint sports injuries, such as anterior cruciate ligament (ACL) tears or meniscus tears, are quite common. If you are experiencing symptoms, please consult an orthopedic specialist for a thorough examination to prevent any impact on your future athletic function.

[Read More] Understanding Knee Pain: ACL Injuries and Related Issues in Volleyball


Will I Grow Taller? Understanding Growth Plates and Height Potential

Height, growth plates I am currently in the ninth grade and my height is 173 cm. However, from February to September of this year, I only grew 1.4 cm at school. I hope to reach a height of 178 cm. Will I still grow taller? Do I need to get a bone age X-ray? Thank you.


Dr. Hong Ximing reply Orthopedics
Normal growth is sufficient; exercise can stimulate growth, but it is important to avoid injuries, as they may affect growth.

[Read More] Will I Grow Taller? Understanding Growth Plates and Height Potential


Understanding Pain After Clavicle Surgery: What to Expect and Recovery Tips

Comminuted fracture Hello, doctor. My boyfriend just underwent clavicle surgery today after a car accident that resulted in his clavicle being fractured into three pieces. The doctor recommended using a steel pin to secure the broken bones together. Since the surgery yesterday, h...


Dr. Hong Ximing reply Orthopedics
Post-operative wound pain is normal and can last for at least 2 weeks. The first 6 to 8 weeks are necessary for fracture healing, followed by rehabilitation to return to normal activities.

[Read More] Understanding Pain After Clavicle Surgery: What to Expect and Recovery Tips


Concerns After Fracture Surgery: What to Do If You Fall Again

Falling again after fracture surgery? I twisted my ankle and fractured my fibula while playing soccer. I underwent internal fixation surgery in the UK and have been in a cast for four weeks. Yesterday, I accidentally fell while taking a shower, and my toes hit the ground. However...


Dr. Hong Ximing reply Orthopedics
A follow-up X-ray should be done after 4 weeks of the fracture. Since there are concerns, it would be advisable to take another X-ray as well.

[Read More] Concerns After Fracture Surgery: What to Do If You Fall Again


Understanding Knee Pain: Diagnosing Ligament and Soft Tissue Injuries

Ligament issues I would like to ask the doctor, in August, I started feeling discomfort in my knees when going up and down stairs. I went to a rehabilitation orthopedic doctor who said it was knee inflammation. In September, while going up the stairs, I suddenly felt pain so seve...


Dr. Hong Ximing reply Orthopedics
Discomfort in the knees when going up and down stairs in young women is often due to patellofemoral syndrome. This condition is caused by cartilage wear and softening, leading to knee pain. During this period, it is advisable to avoid stairs and squatting as much as possible, whi...

[Read More] Understanding Knee Pain: Diagnosing Ligament and Soft Tissue Injuries


How Soon Can I Return to Work After Tibial Fracture Surgery?

How long after surgery for a tibial fracture from a car accident can one return to work? Hello Dr. Hong: I was involved in a car accident last month that resulted in a comminuted open fracture of the distal tibia in my left ankle. Due to the wound on my ankle, the doctor first pe...


Dr. Hong Ximing reply Orthopedics
After a comminuted fracture of the ankle joint, follow-up X-rays are necessary to monitor the healing process of the fracture. Rehabilitation exercises can be initiated to prevent muscle atrophy. For detailed information, please consult your attending physician.

[Read More] How Soon Can I Return to Work After Tibial Fracture Surgery?


Understanding Plica Syndrome: Surgery and Rehabilitation Insights

Syndrome of Wrinkles Surgical Issues Hello, I was involved in a car accident on June 16 of this year. My external injuries have mostly healed, and in mid-August, I started rehabilitation for my right knee (electrical stimulation and infrared heat therapy). However, my condition h...


Dr. Hong Ximing reply Orthopedics
Patients with pterygium syndrome can be discharged three days after joint surgery. During the surgery, it is important to also check for any injuries to the ligaments and meniscus, as these may require rehabilitation.

[Read More] Understanding Plica Syndrome: Surgery and Rehabilitation Insights


Post-Operative Hip Pain: Understanding Recovery Variability in Elderly Patients

Postoperative Pain Issues After Hip Joint Surgery The patient is 86 years old, with a height of 165 cm and a weight of 67 kg. On September 23, they underwent a right total hip replacement. To date, transitioning from sitting to standing still causes groin pain, and after standing...


Dr. Hong Ximing reply Orthopedics
Total hip replacement surgery was performed less than two months ago, and the patient is 86 years old. A period of rehabilitation is needed before they can move around easily.

[Read More] Post-Operative Hip Pain: Understanding Recovery Variability in Elderly Patients


Can Removing Pins Improve Finger Mobility After Fracture?

Does the removal of the steel nail allow for greater mobility? In July of this year, I fractured the fifth metacarpal bone in my right hand, with the fracture site being very close to the little finger but not involving the joint. In August, I underwent surgery to repair the frac...


Dr. Hong Ximing reply Orthopedics
A fracture of the fifth metacarpal, particularly near the joint, will inevitably affect joint function. Rehabilitation efforts should be maximized to minimize the impact. As for the removal of the metal pins, this will need to be assessed through X-rays, so please consult your at...

[Read More] Can Removing Pins Improve Finger Mobility After Fracture?


Managing Inflammation and Fluid in the Left Knee: A Recovery Guide

Inflammation of the lateral collateral ligament of the left knee with a small amount of effusion? I sprained my left knee around 2010, and at that time, I couldn't bend my knee, but it returned to normal after three days, so I didn't see a doctor. By the end of 2013, I ...


Dr. Hong Ximing reply Orthopedics
Joint ligaments should be protected from repeated injuries, as this can lead to subsequent joint degeneration. As for plantar fasciitis, in addition to some rehabilitation treatments, it is important to pay attention to arch support in the footwear to prevent recurrent episodes.

[Read More] Managing Inflammation and Fluid in the Left Knee: A Recovery Guide


Understanding Coccyx Pain: Causes, Symptoms, and Treatment Options

Coccydynia (tailbone pain) issues? Can a coccyx injury lead to an inability to walk? Why is there a sensation of severe pain? Are anti-inflammatory medications available for purchase at the pharmacy?


Dr. Hong Ximing reply Orthopedics
After a coccyx injury, walking can strain the surrounding ligaments, causing pain. Taking sitz baths along with a few days of pain relievers can help alleviate discomfort.

[Read More] Understanding Coccyx Pain: Causes, Symptoms, and Treatment Options


Concerns About Height Growth at 15: Seeking Medical Advice

At 15 years old, the height is 166 cm? Hello Doctor, I have been one of the shorter students in my class since elementary school. Although I experienced significant growth during my transition from junior high school to high school, I still consider myself on the shorter side as ...


Dr. Hong Ximing reply Orthopedics
At 15 years old, with a height of 166 cm and a weight of 55 kg, the individual appears to be developing normally based on body type and BMI. It is recommended to allow for natural and healthy growth without the need for growth hormone treatment.

[Read More] Concerns About Height Growth at 15: Seeking Medical Advice


Understanding Recovery and Long-Term Effects of Sports Injuries

I sustained an injury while playing basketball last week? Hello, doctor. I injured myself during a basketball game at school last week, resulting in a sprain of the medial collateral ligament in my right foot and an avulsion fracture of the tibial tuberosity. I'm very concer...


Dr. Hong Ximing reply Orthopedics
In the case of an ankle medial collateral ligament sprain accompanied by an avulsion fracture, the principle is to first immobilize the area to allow for healing, and then gradually restore joint function to prevent any long-term complications.

[Read More] Understanding Recovery and Long-Term Effects of Sports Injuries


Severe Blistering One Year Post-Skin Grafting: What to Do?

It has been a year since I underwent a skin graft surgery, but recently I have developed severe blisters? Hello Doctor, about a year ago I had a skin graft on my left leg, from above the knee to about one-third of my thigh, due to a car accident. The original injury has healed we...


Dr. Hong Ximing reply Orthopedics
It has been a year since the skin graft surgery, and the scar tissue has stabilized. However, if blisters and contractures have reappeared, it is advisable to consult a plastic surgeon or dermatologist to determine if there is any degeneration of the scar tissue.

[Read More] Severe Blistering One Year Post-Skin Grafting: What to Do?


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