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Understanding Rib Injuries: When to Seek Further Imaging After Trauma

Chest contusion Today, I accidentally bumped my knee against my husband's lower right rib cage and heard a popping sound. Due to the pain, I went for an X-ray, and the doctor said the bones should be fine, but mentioned that due to the curvature of the bones, they couldn...


Dr. Shen Boquan reply Orthopedics
Hello, the chest contusion you have experienced shows no obvious rib fractures or pneumothorax on the X-ray. It is likely due to soft tissue inflammation. However, sometimes fractures may not be visible due to the angle of the X-ray or the location of the fracture. If your pain i...

[Read More] Understanding Rib Injuries: When to Seek Further Imaging After Trauma


Understanding Ankle Fractures: Recovery and Weight-Bearing After an Accident

Left ankle fracture from a car accident? Hello, I had a car accident on April 12 and fractured my left ankle. Here is the X-ray link: https://lurl.cc/zY5ua. I would like to ask: 1. Is there weight-bearing at the fracture site, and will it have functional impacts or cause friction...


Dr. Shen Boquan reply Orthopedics
Hello, the X-ray appears to show a non-displaced fracture of the medial malleolus. Generally, fractures in this area take about 2 to 3 months to heal. You can walk with protection, such as a cast or brace, but there may be swelling and pain for several weeks, which is related to ...

[Read More] Understanding Ankle Fractures: Recovery and Weight-Bearing After an Accident


Can You Climb Stairs After a Year of Lumbar Spine Fracture?

"Is it safe to climb stairs regularly one year after a burst fracture of the third vertebra?" Hello Dr. Shen, I sustained a burst fracture of the third lumbar vertebra due to a car accident, with a compression of 0.4 cm at the third lumbar vertebra. I have been undergoi...


Dr. Shen Boquan reply Orthopedics
Hello, netizen. You have a fracture of the third lumbar vertebra that has healed for a year without pain. Climbing stairs can put a significant strain on your knees. If you do not experience noticeable knee pain or back pain, it should not have a major impact. However, if you exp...

[Read More] Can You Climb Stairs After a Year of Lumbar Spine Fracture?


Understanding Pain Management for Cervical Issues in Orthopedics

Ocular pain issues? Hello, doctor. Three days ago, after physical therapy, I experienced pain in the cervical region after stretching my neck. Should I take medication first? If that doesn't improve the situation, should I then consider a steroid injection? Are there any sid...


Dr. Shen Boquan reply Orthopedics
Hello, if you are experiencing pain in the lumbar region without significant external injury, it may be due to soft tissue inflammation, such as myofascial pain syndrome affecting the back. If this pain is significantly impacting your daily life, taking anti-inflammatory and anal...

[Read More] Understanding Pain Management for Cervical Issues in Orthopedics


Understanding Post-Surgery Numbness in the Lower Leg After Hip Fracture Repair

Why is there numbness in the lower half of the calf after surgery for a closed fracture of the left acetabulum? Hello, Director Shen. My mother suffered a closed fracture of the left acetabulum (the doctor mentioned it was a comminuted fracture) due to a car accident, along with ...


Dr. Shen Boquan reply Orthopedics
Hello, the user. Your mother is experiencing numbness in her lower limbs after hip acetabulum fracture surgery, which may be due to sciatic nerve compression since the fracture site is close to the sciatic nerve. During surgery, it is easy for the nerve to be stretched, leading t...

[Read More] Understanding Post-Surgery Numbness in the Lower Leg After Hip Fracture Repair


Understanding Whiplash: Symptoms, Diagnosis, and Treatment Options

Injured in a car accident, experiencing numbness in the back and limbs, vomiting, a feeling of pressure in the head, dizziness, and discomfort in the neck? Hello Doctor: I was involved in a motorcycle accident on April 30, 2023, where I was a passenger on the back seat and was we...


Dr. Shen Boquan reply Orthopedics
Hello, if you have been injured in a car accident and are experiencing numbness in your back and limbs, vomiting, a feeling of pressure in your head, dizziness, and discomfort in your neck, you may have a head injury. It is advisable to consult a neurosurgeon or a neurologist. If...

[Read More] Understanding Whiplash: Symptoms, Diagnosis, and Treatment Options


Understanding Steroid Injections for Mom's Hand: Is a Lump Normal?

Corticosteroid injection therapy for De Quervain's tenosynovitis? Hello Doctor: I would like to inquire about my mother's condition after receiving a steroid injection for her "mommy's thumb." There is a subcutaneous lump about the size of a black bean th...


Dr. Shen Boquan reply Orthopedics
Hello, after your mother received a corticosteroid injection for her trigger finger, a subcutaneous lump about the size of a black bean has developed. It feels hard like bone upon touch. It is advisable to have your physician examine it, as it could be a ganglion cyst, an inflamm...

[Read More] Understanding Steroid Injections for Mom's Hand: Is a Lump Normal?


Understanding Nerve Compression After Radius Fracture Surgery: Causes and Relief

Radial fracture surgery, one year post-healing with hardware removal, median nerve compression? In June, I underwent a radial fixation surgery, and my post-operative condition was good with no discomfort. The images below are X-rays from October of last year: https://i.imgur.com/...


Dr. Shen Boquan reply Orthopedics
Hello, after the removal of the plate following a distal radius fracture surgery, it is common to experience numbness in the fingers. Generally, if the nerves are stimulated or damaged, recovery can take some time, usually around three months or even longer. If the pain at the in...

[Read More] Understanding Nerve Compression After Radius Fracture Surgery: Causes and Relief


Recovering from Fifth Metatarsal Fracture: When to Start Weight-Bearing?

Fracture of the fifth metatarsal bone; I want to recover quickly to walk again? Fracture of the base of the fifth metatarsal, treated with a cast for 5 weeks. I will have a follow-up appointment next week. Currently, I am doing some exercises at home that do not involve moving my...


Dr. Shen Boquan reply Orthopedics
Hello, regarding your fifth metatarsal base fracture, you have been in a cast for 5 weeks. Generally, bone healing takes about two to three months. I am not aware of your current condition, but your attending physician will provide you with some recommendations based on your situ...

[Read More] Recovering from Fifth Metatarsal Fracture: When to Start Weight-Bearing?


Managing Pain After Thumb Basal Joint Arthritis Surgery

Basal joint arthritis of the thumb Hello Doctor, I frequently use my right thumb for work, and I have been experiencing long-term pain that required treatment. Recently, I underwent ligament surgery and reconstruction for basal joint arthritis of the thumb, and it has been one mo...


Dr. Shen Boquan reply Orthopedics
Hello, if you have undergone ligament surgery and reconstruction for thumb basal joint arthritis, it generally takes some time for the ligaments to heal, usually around three months or even longer. If you are experiencing significant pain at the surgical site that affects your da...

[Read More] Managing Pain After Thumb Basal Joint Arthritis Surgery


Impact of Retained Humeral Plate on Recovery: Can Full Motion Be Regained?

If the humeral plate is not removed, will mobility be affected, and will extension not return to pre-injury condition? On February 23 of this year, I underwent surgery for a left humeral fracture, during which a steel plate was implanted. One week after being discharged, I began ...


Dr. Shen Boquan reply Orthopedics
Hello, based on your description, I suspect that you have sustained a proximal humeral fracture and have undergone plate fixation surgery. It is common to experience temporary limitations in shoulder mobility postoperatively. If the plate or screws do not penetrate the joint, the...

[Read More] Impact of Retained Humeral Plate on Recovery: Can Full Motion Be Regained?


Could Weakness in the Left Middle Finger Indicate Trigger Finger?

Weakness in the left middle finger without pain may not necessarily indicate trigger finger? Hello Doctor: My mother has myasthenia gravis and hyperthyroidism (which has been surgically removed, and she is currently taking medication to supplement potassium). Recently, she woke u...


Dr. Shen Boquan reply Orthopedics
Hello, if your mother's middle finger is weak and difficult to straighten but can bend normally, it may be necessary to consider whether the extensor tendon is injured or even ruptured. It would be advisable to consult a hand surgeon. Wishing you good health. Best regards, S...

[Read More] Could Weakness in the Left Middle Finger Indicate Trigger Finger?


Post-Surgery Challenges: Managing Pain and Rehabilitation After Wrist Surgery

Radial Osteotomy Plate Removal and Postoperative Issues of Carpal Tunnel Syndrome Hello Doctor: I suffered a comminuted fracture of the distal radius in my left hand due to a car accident last year. After surgery, where a plate was installed, I soon began to experience numbness i...


Dr. Shen Boquan reply Orthopedics
Hello, after the removal of the plate and the nerve decompression surgery following a distal radius fracture, it generally takes some time for nerve recovery, usually between three to six months, or even longer. However, since you mentioned that there has been improvement, it is ...

[Read More] Post-Surgery Challenges: Managing Pain and Rehabilitation After Wrist Surgery


Is Your Finger Injury from a Car Door Serious? Expert Advice Needed

The middle finger was severely pinched by a car door? Hello Dr. Shen, My sister was caught in a car door, injuring her middle finger at the joint between the two phalanges. Upon visual inspection, there is a dent and skin abrasion at the site of the injury, while the surroundin...


Dr. Shen Boquan reply Orthopedics
Hello, if a car door has injured your sister's middle finger and there is a suspicion of a fracture, it is advisable to seek medical attention. A physician should evaluate the injury to determine if a fracture is present. If a fracture is confirmed, early movement is not rec...

[Read More] Is Your Finger Injury from a Car Door Serious? Expert Advice Needed


Understanding Growth Plate Injuries: Impact of Playing Baseball on Recovery

Growth plate and fracture at the junction of the fingers? Hello Doctor: I am 14 years old. While playing sports, I accidentally injured my finger by hitting it against a carrot. I went to a nearby hospital for treatment, and after an X-ray, it was found that there is a crack in t...


Dr. Shen Boquan reply Orthopedics
Hello, after the X-ray, it was found that there is a crack in the growth plate of the left thumb joint and the bone above it, indicating a fracture. If it is indeed a fracture, early activity is not recommended to avoid improper healing. Wishing you good health, Shen Boquan.

[Read More] Understanding Growth Plate Injuries: Impact of Playing Baseball on Recovery


Understanding Navicular Bone Avascular Necrosis: Surgery and Rehabilitation Insights

Scaphoid bone necrosis Hello Dr. Shen, my mother had a car accident in her childhood that resulted in the amputation of her right leg. For the past 7-8 years, she has been experiencing frequent swelling and pain in her left ankle, and after a medical evaluation, she was diagnosed...


Dr. Shen Boquan reply Orthopedics
Hello, I apologize for not having experience with surgery for navicular bone necrosis in the foot. If conservative treatment is not effective, surgery may be the next option. If you have any concerns or questions, you can discuss them with a foot and ankle specialist. Wishing you...

[Read More] Understanding Navicular Bone Avascular Necrosis: Surgery and Rehabilitation Insights


Understanding Bone Graft Durability After Femoral Decompression Surgery

Femoral decompression with bone necrosis exposure? On the 23rd of this month, I underwent femoral decompression surgery, which was triggered by alcohol consumption. Two years ago, I had a failed decompression on my left leg, which resulted in a second total knee arthroplasty. The...


Dr. Shen Boquan reply Orthopedics
Hello, the ischemic necrosis of the femoral head decompression surgery may help alleviate pain. As for the addition of bone graft or artificial bone, whether it can delay or treat the necrosis of the femoral head, I apologize as I have not explored or tried this. If you have furt...

[Read More] Understanding Bone Graft Durability After Femoral Decompression Surgery


Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort

Coccyx pain for nearly a year? Hello, Dr. Shen. I have been experiencing pain in my coccyx since early May of last year. The pain is located about 2 centimeters above the tip of the coccyx, seemingly at the junction with the sacrum. The pain is triggered by certain positions, suc...


Dr. Shen Boquan reply Orthopedics
Hello, the causes of lower back pain are numerous. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress levels can all contribute to discomfort. If ...

[Read More] Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort


Post-Surgery Concerns: Managing Swelling After Hip Replacement in Elderly Patients

Postoperative care for right femoral neck fracture? Hello Doctor, My mother is 90 years old. On March 8th of this year, she fell and sustained a displaced fracture of the right femoral neck. The orthopedic surgeon recommended a right hemiarthroplasty of the hip. She was hospita...


Dr. Shen Boquan reply Orthopedics
Hello, the user. Your mother has suffered a right femoral neck fracture with displacement and has undergone a right hip hemiarthroplasty. Postoperatively, if there is swelling only in the right lower limb that decreases after sleeping, it is likely related to her position (such a...

[Read More] Post-Surgery Concerns: Managing Swelling After Hip Replacement in Elderly Patients


Understanding Hip Joint Pain: Causes, Symptoms, and Care Tips

Hip joint used for 5 years? Hello, Doctor. Recently, I have been experiencing severe foot pain that makes it difficult to walk. I'm not sure what the cause is. I take good care of my feet and haven't had any injuries. Could alcohol consumption be related? Does fatigue f...


Dr. Shen Boquan reply Orthopedics
Hello, there are many possible causes for discomfort and pain in the lower limbs, including muscle pain, joint inflammation, and lumbar nerve compression commonly known as sciatica. Avascular necrosis of the femoral head is also a possibility. Sometimes, these conditions can occu...

[Read More] Understanding Hip Joint Pain: Causes, Symptoms, and Care Tips


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