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Understanding Shoulder Pain: Causes, Symptoms, and Treatment Options

Shoulder pain I have been experiencing shoulder pain recently, and I'm not sure if it's due to sitting at my desk for too long or poor posture. However, the pain seems to be getting worse. I also feel discomfort when carrying a backpack and when putting on a bra, especi...

Dr. Huang Minxu reply Orthopedics
Hello, based on your description, if there is no history of significant trauma or strain, and there are no obvious signs of redness, swelling, heat, or fever in the affected area, it may be related to poor posture as you mentioned. This is generally indicative of tendonitis. Trea...

Nutrition Tips for Pre and Post Spine Surgery Recovery

Spinal surgery, postoperative rehabilitation? Hello Doctor, my friend (female, 34 years old) is experiencing severe degeneration of the fourth and fifth vertebrae and will need surgery soon. I would like to ask what kind of nutrition she can take before and after the surgery to a...

Dr. Huang Minxu reply Orthopedics
Hello: It is important to maintain a normal and balanced diet. Incorporate vegetables and fruits to facilitate smooth bowel movements. Avoid tobacco and alcohol. For specific nutritional intake to assist with surgery and subsequent recovery, you can consult a professional nutriti...

Clavicle Fracture: When to Remove Pins or Replace with a Plate?

Clavicle fracture Doctor: I had surgery for a clavicle fracture on July 10th, and it's been almost two and a half months. Previously, the screws were protruding, and I consulted other doctors who said surgery was optional. However, now the screws are almost penetrating the s...

Dr. Huang Minxu reply Orthopedics
Hello: If a nail is about to penetrate the skin, it generally requires surgical removal of the nail. The exact method of treatment will depend on the local condition of the skin, the healing status of the bone as seen on X-rays, and the position of the nail. It is important to di...

Delayed Healing in Orthopedic Fractures: Risks and Recovery Insights

Delayed healing After a closed reduction of a distal radius fracture with plate fixation for 4 months, there is delayed healing expected between 4 to 6 months. Will the fractured bone undergo avascular necrosis? I would like to consult with a plastic surgeon for a free vasculariz...

Dr. Huang Minxu reply Orthopedics
Hello: Based on your description, it seems that the fracture healing may be slower. There is a concern that soft tissue may grow into the fracture site or that there could be localized bone necrosis at the edges. This needs to be evaluated through X-rays, as time alone cannot det...

Understanding Elbow Issues: Causes of Popping and Sensations

Elbow issues 1. Recently, I've noticed that when I fully extend my elbow, a tendon moves, and I can feel it distinctly. There is no pain, only in my right arm. 2. After lifting heavy objects, when I fully extend my elbow, I hear a popping sound similar to cracking my knuck...

Dr. Huang Minxu reply Orthopedics
Hello, based on what you described, if there is no pain, you should only pay attention to warming up before activities. If there is pain or discomfort, it is recommended to visit an orthopedic clinic for evaluation. Thank you.

Managing Persistent Pain After Bilateral Humerus Fractures: A Patient's Dilemma

Bilateral humeral fractures from a car accident? A year ago, I had a car accident that resulted in bilateral humeral fractures. The right arm was more severely affected with a mild comminuted fracture, and both arms were fitted with alloy steel plates. During follow-up visits, th...

Dr. Huang Minxu reply Orthopedics
Hello: If there is a suspicion of nerve involvement, you can consult either orthopedics or neurology to assess whether an electromyography (EMG) and nerve conduction study (NCS) are necessary. Further evaluation will depend on the test results. After a humeral fracture surgery, i...

Repeated Ankle Sprains: Understanding Pain and Recovery

Repeated ankle sprains? Four days ago, I sprained my right ankle, and it has swollen significantly. However, I am currently abroad and haven't been able to go to the hospital. I've sprained my right ankle several times before; the first time was quite severe, and it nev...

Dr. Huang Minxu reply Orthopedics
Hello, if you have difficulty walking due to an ankle sprain, it is recommended to visit an orthopedic specialist for an X-ray examination to rule out any fractures. If there are no fractures, during the acute phase, you can apply ice, and during the chronic phase, use heat. Elev...

Understanding Rib Fractures: Healing and Risks of Movement

Partial fracture of the bone? After being hit while riding a bike, I touched my ribs at home and discovered that one small piece can move. Will leaving it like this lead to complications? Will it heal on its own?

Dr. Huang Minxu reply Orthopedics
Hello, if a rib fracture is suspected, follow-up X-rays are necessary to check for any other conditions such as pneumothorax or hemothorax. Thank you.

Unexplained Neck Sounds After Sports: Causes and Solutions

Experiencing unusual sounds when turning your head after exercise? On the evening before the Dragon Boat Festival holiday (June 18), after finishing at the batting cage, I noticed that when I turned my head to the left beyond a certain degree, it would make a "pop" soun...

Dr. Huang Minxu reply Orthopedics
Hello: In general outpatient clinics, the primary concern regarding joint sounds during movement is whether they are accompanied by pain. Common causes may include the presence of gas bubbles within the joint that change size during movement, resulting in sound. Based on your des...

Understanding Post-Fracture Issues in the Third Toe: Recovery Insights

Issues after a toe fracture? I suffered a fracture of the third toe on my right foot due to a slip (the impact occurred between the second and third toes). The doctor instructed me to immobilize the second and third toes together. Currently, it has been nine weeks since the injur...

Dr. Huang Minxu reply Orthopedics
Hello: It has been 9 weeks since the toe fracture, and there is swelling and numbness, while other toes feel stiff. It will require more time for recovery and follow-up in the outpatient clinic is necessary. It is recommended to consider supportive rehabilitation therapy. You may...

Post-Surgery: How to Check for Bone Displacement After Fracture

Fracture of the rib? After surgery, how can I determine if the position has shifted?

Dr. Huang Minxu reply Orthopedics
Hello: To confirm the position of the bones, follow-up X-rays in the outpatient clinic are needed to compare with a series of postoperative X-rays to understand the current situation. Thank you.

Understanding Recovery from Radial Head and Femoral Neck Fractures

Closed fracture of the radial head. Right femoral neck fracture? 1. I sustained an injury on May 13 and had a steel plate inserted. Currently, when I perform wrist rotation and palm-up movements, there is a popping sound and pain. Is that normal? When both arms are extended, the ...

Dr. Huang Minxu reply Orthopedics
Hello: 1. The swelling and pain approximately six weeks post-surgery may be related to the severity of the injury. It is difficult to assess the postoperative condition based solely on appearance, so it is recommended to follow up with an outpatient X-ray to evaluate the situatio...

Can Patients with Low Bone Density Safely Undergo Jaw Surgery?

Surgical issues in patients with low bone density? Hello, doctor. My bone density measured -2.1 on an X-ray, and I am currently taking calcium supplements. I would like to ask if it is possible to undergo orthognathic surgery that requires bone screws with low bone density. Will ...

Dr. Huang Minxu reply Orthopedics
Hello, there are many factors that affect bone healing. From a physiological perspective, for example, patients with diabetes, and from a lifestyle perspective, factors such as smoking, alcohol consumption, and the use of steroids. The key issue with osteoporosis affecting bone h...

Understanding Open Tibia-Fibula Fractures: Recovery and Concerns

Open fracture of the right tibia and fibula? Hello Dr. Huang: I was in a car accident last month (on May 3) and sustained an open fracture of the right tibia and fibula. I had an intramedullary nail inserted, which I paid for out of pocket. The day before yesterday, I accidentall...

Dr. Huang Minxu reply Orthopedics
Hello: If there is another fall resulting in injury and there are visible abnormalities, a follow-up appointment should be scheduled to assess and monitor with X-rays to check for any loosening of screws, new displacements, or new fractures. Generally, after surgery, a cane can b...

Effective Treatment Options for Olecranon Fractures in the Elbow

Olecranon fracture Hello doctor, I would like to ask how to properly treat an olecranon fracture. I have already had it reduced by both a hospital and a traditional Chinese medicine practitioner, but it tends to displace easily. It has been a week, and I can see signs of swelling...

Dr. Huang Minxu reply Orthopedics
Hello: An olecranon fracture requires an X-ray examination. If it is only a linear fracture with minimal displacement, a cast can be used for protection. However, if there is significant displacement, surgical reduction and internal fixation with screws are recommended. This appr...

Understanding Discomfort with Titanium Plates After Clavicle Surgery

Issues with Internal Fixation Plates Hello, I fractured my right clavicle in February and underwent surgery with a self-funded titanium alloy plate for fixation. Currently, I sometimes feel an uncomfortable sensation as if the bone is in contact with the plate during arm movement...

Dr. Huang Minxu reply Orthopedics
Hello, after a typical fracture surgery, it is necessary to have regular follow-up X-rays approximately every month to assess the healing status of the fracture. Since your surgery was performed about two months ago, the bone has likely not fully healed yet. It is recommended to ...

Understanding Ankle Sprains: Recovery and Persistent Symptoms Explained

Ankle sprain Hello Doctor, I sprained my ankle in mid-December and it swelled significantly. After performing first aid, I went to see a doctor. I am now 90% recovered, but I still feel a hard lump next to my ankle, and the same on the top of my foot. Although it doesn't cau...

Dr. Huang Minxu reply Orthopedics
You can first visit the orthopedic outpatient clinic for a physical examination. If necessary, follow-up X-rays may be taken. Elevating the foot can help reduce swelling. You may also consult a physician in the rehabilitation department for an assessment of related rehabilitation...

Can PRP Therapy Alleviate Neck and Shoulder Pain from Degenerative Cervical Spine?

Hello, how can I assist you today? Can PRP therapy be used to alleviate muscle pain caused by cervical degeneration (without bone spurs) that leads to shoulder and neck pain?

Dr. Huang Minxu reply Orthopedics
PRP therapy is commonly used for intra-articular injections to promote tissue repair. A single treatment session may cost patients tens of thousands of dollars. For neck pain caused by cervical degeneration (without bone spurs), patients typically start with medication and rehabi...

Understanding Olecranon Fractures: Recovery and Dietary Considerations

Ulnar olecranon closed fracture - small fragment? Hello, Doctor Huang: A few days ago, I tripped over something and my right elbow became swollen. After taking X-rays at an orthopedic clinic, I was diagnosed with an ulnar olecranon closed fracture. The next day, I was referred to...

Dr. Huang Minxu reply Orthopedics
1. Will this small fragment of bone have any sequelae? Will it continue to grow or be absorbed? Answer: Generally, an X-ray and a physical examination are needed to determine if this small bone fragment will have any sequelae. Please discuss this with your attending physician dur...

Understanding Foot Fractures: Nerve and Tendon Concerns After Injury

Fracture issues I would like to ask the doctor: I sustained a fracture of the fifth metatarsal in my right foot on March 19 and had a full cast for three and a half weeks, followed by a partial cast for two weeks with very little movement of my toes. Now I have noticed that when ...

Dr. Huang Minxu reply Orthopedics
Hello: An X-ray is needed to assess the current status of the fracture, but as long as there is no pain and normal activity, the slight limitation in toe movement may be a potential residual effect of the fracture. Further observation and training are recommended. Thank you!