Concerns About Removing Intramedullary Nails After 4 Years
Questions about the removal of intramedullary nails from the femur? 1. If the intramedullary nails in both femurs have been in place for 4 years, it may be possible to remove them, but the difficulty of removal can vary depending on factors such as bone healing and the presence o...
Dr. Shen Boquan reply Orthopedics
Hello, if the bone screws or plates inserted after a fracture are causing discomfort or other issues, they should be removed. If your intramedullary nail is not worn out, there are no issues with the removal tools, and it hasn't been placed too deeply, it should be removable...[Read More] Concerns About Removing Intramedullary Nails After 4 Years
Understanding Knee Bumps: Causes, Symptoms, and Treatment Options
Knee problems Hello, Doctor! When I was in elementary school, I fell while playing sports, and shortly after, I felt a bone protruding from my knee. Since it didn't hurt, I didn't see a doctor. However, when I became aware of the bone protrusion, it became very painful ...
Dr. Shen Boquan reply Orthopedics
Hello Ms. Dai, I am unsure whether your current discomfort is due to pain or bone protrusion. Pain from bone protrusion can be alleviated through rest or anti-inflammatory pain medications. Surgical removal may be necessary to address the protrusion. Avoiding kneeling or squattin...[Read More] Understanding Knee Bumps: Causes, Symptoms, and Treatment Options
Understanding Your Cervical Spine X-Ray Report: Next Steps Explained
Please explain the cervical spine X-ray? Cervical Spine AP, Lateral and Bilateral Oblique Views: Osteophytes are observed on the spine. The intervertebral disc spaces are narrowed. The alignment of the spine is acceptable. The neural foramen is encroached by spurs from the hypert...
Dr. Shen Boquan reply Orthopedics
Hello, the report describes that your cervical spine shows signs of degeneration, osteophyte formation, narrowed intervertebral spaces, and vascular calcification, which are phenomena that may be observed with aging. If you do not experience long-term neck and shoulder pain or up...[Read More] Understanding Your Cervical Spine X-Ray Report: Next Steps Explained
Recovery Timeline and Treatment for Distal Humerus Fracture with Ulnar Nerve Injury
Distal humeral fracture with ulnar nerve injury? In late August, I suffered a distal humeral fracture and ulnar nerve injury due to a car accident, and I have already undergone surgery. However, to this day, my ring finger, little finger, and the outer part of my palm are still s...
Dr. Shen Boquan reply Orthopedics
Hello, the numbness in your ring and little fingers after a remote humeral fracture surgery is likely due to ulnar nerve neuropathy. During the surgery, we need to retract the ulnar nerve to perform fracture reduction and plate fixation. If your physician confirms that the ulnar ...[Read More] Recovery Timeline and Treatment for Distal Humerus Fracture with Ulnar Nerve Injury
Shoulder Pain from Adhesions: Managing Symptoms After Arm Stretching
Due to shoulder adhesions, performing wall climbing exercises with the hands has resulted in shoulder and neck pain? I have been experiencing pain in my right hand for a year. Initially, it was due to tendon calcification, and I underwent treatments such as electrical therapy, mi...
Dr. Shen Boquan reply Orthopedics
Hello, the adhesive capsulitis of the shoulder, commonly known as frozen shoulder or "fifty shoulder," usually resolves on its own, but it takes time (literature reports indicate an average recovery time of 2.5 years). Rehabilitation or surgery can expedite recovery, wi...[Read More] Shoulder Pain from Adhesions: Managing Symptoms After Arm Stretching
Patellar Fracture Recovery: Can You Work with a Knee Injury?
Patellar fracture Regarding a fracture of the patella (kneecap), can I use a kinesiology tape? Am I able to work? It has been about one month and three days since the injury. I had a follow-up appointment and an X-ray, but the doctor said there is no clear indication of healing. ...
Dr. Shen Boquan reply Orthopedics
Hello, it typically takes two to three months for a fracture to heal. An X-ray taken after one month may not necessarily show signs of callus formation, which indicates the beginning of bone calcification. If there is no significant displacement at the fracture site, it is usuall...[Read More] Patellar Fracture Recovery: Can You Work with a Knee Injury?
Can You Use a Resonance Patch for Knee Patella Fractures?
Patellar fracture Can I use a kinesiology tape on a patellar fracture?
Dr. Shen Boquan reply Orthopedics
Hello, the patellar fracture you mentioned likely refers to a non-displaced fracture. If it is a fracture, it typically takes about two to three months to heal. If follow-up shows no displacement, protection is sufficient. However, if there is displacement, surgical intervention ...[Read More] Can You Use a Resonance Patch for Knee Patella Fractures?
Should My Child See an Orthopedist After a Stair Fall?
Fell down the stairs? My daughter is in the first year of junior high school. A couple of days ago, she went to a friend's house and accidentally slipped on the stairs due to her slippery socks, falling from a height of about two to three steps. I would like to ask the docto...
Dr. Shen Boquan reply Orthopedics
Hello, if you have fallen and sustained an injury, the extent of the damage may vary depending on the force of impact and the area affected. The duration of rest needed can also differ. If there is no pain or if the condition gradually improves, that is a good sign. However, if t...[Read More] Should My Child See an Orthopedist After a Stair Fall?
Understanding Radial Head Fracture Displacement and Its Implications
Radial head fracture with displacement Hello Doctor, I have a fragment fracture in my radius. Here is the X-ray image: https://ibb.co/vwzyb1j. Three weeks post-surgery, I had my first X-ray, and the doctor said the alignment looked good: https://ibb.co/Qk9jWXj https://ibb.co/ncqc...
Dr. Shen Boquan reply Orthopedics
Hello, I cannot see the image you attached. It seems that your radius may be slightly misaligned. If the misalignment is significant and affects your mobility, your doctor should provide you with some recommendations. A slight displacement may not be able to be manually reduced, ...[Read More] Understanding Radial Head Fracture Displacement and Its Implications
Should Athletes Rest for Dislocated Shoulder and Arm Bones?
Dislocation of the bones in the upper arm and shoulder region? I would like to ask Dr. Shen about the MRI results from my recent examination, as shown in the link above. I experienced muscle strain that caused a displacement of the bone due to exercise, and the pain and inflammat...
Dr. Shen Boquan reply Orthopedics
Hello, based on your description, it seems that your shoulder discomfort is likely due to overexertion, which is related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress can all contribute t...[Read More] Should Athletes Rest for Dislocated Shoulder and Arm Bones?
Understanding Left Pinky Toe Fracture: Healing and Treatment Options
Fracture of the left big toe? Hello, doctor. I apologize for the inconvenience, but my wife fell while moving heavy objects and landed on her left little toe. An X-ray at the hospital revealed that she has a fracture in her left little toe. The doctor advised her to rest at home ...
Dr. Shen Boquan reply Orthopedics
Hello, if you have a toe injury with a fracture, it typically takes about three months for the fracture to heal. An X-ray taken after one month may not necessarily show the formation of callus; it mainly checks for any misalignment. Applying a cast may help with faster healing, b...[Read More] Understanding Left Pinky Toe Fracture: Healing and Treatment Options
Understanding Persistent Toe Pain After Injury: Causes and Solutions
Toe injury A few months ago, I kicked my toe quite hard, but there was no noticeable swelling afterward. I wanted to let it heal naturally, but even after several months, I can walk normally, yet bending my toe causes pain. Sometimes, I also experience sudden sharp pain. Could it...
Dr. Shen Boquan reply Orthopedics
Hello, based on your description of the toe injury, it seems less likely to be a fracture, although the pain is quite severe. It would be best to have a doctor examine it. Using ointments, adhesive bandages, and resting usually leads to improvement. If the pain is intense, taking...[Read More] Understanding Persistent Toe Pain After Injury: Causes and Solutions
Understanding Radial Head Fractures: Diagnosis and Treatment Options
Radial head fracture Could you please help me check if my radius is dislocated? It looks a bit crooked. 😓 If it is indeed dislocated, what methods are available to address it? Can it be manually reduced? Thank you, doctor. 🙏
Dr. Shen Boquan reply Orthopedics
Hello, the image you attached is not very clear. It appears to show a fracture of the radius and neck that has been surgically treated with the insertion of metal screws for stabilization. Your radius may be slightly misaligned, but it shouldn't make a significant difference...[Read More] Understanding Radial Head Fractures: Diagnosis and Treatment Options
Understanding Occipital Bone Irregularities: What You Need to Know
Regarding skull issues? Hello, doctor! About a month ago, I noticed some irregularities in the center of the back of my head (specifically at the intersection of a line extending horizontally from the upper part of my ear and a line extending vertically from the center of my cerv...
Dr. Shen Boquan reply Orthopedics
Hello, the bones in our body are not necessarily completely smooth, and they are covered by soft tissue, which may feel uneven to the touch. If there is no continuous enlargement, it is advisable to just monitor it. If there are any concerns, you may consult a neurosurgeon for ev...[Read More] Understanding Occipital Bone Irregularities: What You Need to Know
Understanding Wound Healing with External Fixators in Orthopedic Care
The wound healing process involves embedding the external steel pin? Hello, doctor. I have a closed fracture of my left pinky finger, and the doctor placed an external fixation pin. It seems that the incision on the skin is circular around the fixation pin. Recently, I noticed th...
Dr. Shen Boquan reply Orthopedics
Hello, the exposed steel needle is usually removed after a period of time. In case it slips into the skin, a small incision can be made for removal. Make sure to properly disinfect and clean the wound to avoid infection. Wishing you good health. Best regards, Shen Baiquan.[Read More] Understanding Wound Healing with External Fixators in Orthopedic Care
Chronic Lower Back Pain: Seeking Solutions for Lasting Relief
Issues with the lower back? About two years ago, I fell in the bathroom and felt pain in my lower back, so I went to a nearby hospital. They said there was no injury, but one of my vertebrae had slightly collapsed. They suggested it was an old injury, so I shouldn't worry an...
Dr. Shen Boquan reply Orthopedics
Hello, there are many causes of lower back pain. Statistics show that 90% of cases are due to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress can all lead to discomfort. If the pain significan...[Read More] Chronic Lower Back Pain: Seeking Solutions for Lasting Relief
Understanding First Metatarsal Fractures: Diagnosis, Treatment, and Recovery Tips
First metatarsal fracture Hello, doctor. I would like to ask some questions. Last week, I was involved in a car accident where I was rear-ended. During the emergency visit, I was informed that I have a fracture of the first metatarsal (the X-ray is as follows: https://upload.cc/i...
Dr. Shen Boquan reply Orthopedics
Hello, I apologize, but I cannot view your X-ray. Even if I could, the resolution and image quality would not be as clear as those taken in a hospital. The bones in the foot are quite numerous and complex. Sometimes, additional imaging such as a CT scan may be necessary for confi...[Read More] Understanding First Metatarsal Fractures: Diagnosis, Treatment, and Recovery Tips
Understanding Back Pain: Is Your Spine Misaligned?
There is a painful spot when pressing on a specific vertebra in the back? Hello doctor, I have been experiencing pain in the segment of my spine where my bra strap sits, and it seems to be more prominent. It also hurts when I bend my back. This issue has been ongoing for about th...
Dr. Shen Boquan reply Orthopedics
Hello, there are many causes of lower back pain. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Factors such as sports injuries, excessive fatigue, poor posture, or high stress can all contribute to discomfo...[Read More] Understanding Back Pain: Is Your Spine Misaligned?
Are Injection Safety Concerns Valid in Orthopedic Treatments?
Concerns about the safety of orthopedic needle injections? I fell in front of the rehabilitation department and experienced severe pain in my fifth toe. The doctor was unable to determine if it was fractured, so to alleviate the pain, I received an injection at that moment. After...
Dr. Shen Boquan reply Orthopedics
Hello, if you have sustained a fracture due to a fall, the healing process typically takes two to three months. During this time, you may experience pain and swelling, which can last for several weeks. It would be advisable to consult an orthopedic surgeon to assess whether surgi...[Read More] Are Injection Safety Concerns Valid in Orthopedic Treatments?
Understanding Pain on the Top of the Foot: Causes and Solutions
Pain upon palpation of the dorsum of the foot? Three days ago, I wore a pair of stiffer shoes, and after one day, I started experiencing pain when pressing on the area of the cuneiform bones on the inner side of my foot or when the shoes press against it. Additionally, there is a...
Dr. Shen Boquan reply Orthopedics
Hello, three days ago you wore a pair of stiffer shoes, and after one day, you experienced pain when pressing on the wedge-shaped bone on the inner side of your foot. Additionally, there is a friction sound when you move your big toe. Based on your description, the pain does not ...[Read More] Understanding Pain on the Top of the Foot: Causes and Solutions