Understanding Jones Fractures: Healing Progress and Next Steps
Jones fracture Hello Doctor, I fell on March 1 and sustained a fracture at the base of the fifth metatarsal. I have been undergoing conservative treatment, and the fracture site remained unstable until early May. Therefore, I went to a rehabilitation clinic for laser therapy, hea...
Dr. Shi Guozheng reply Orthopedics
1. Correct. 2. If symptoms persist for more than six months, it is considered. 3. Continue monitoring and consult the physician for further evaluation.[Read More] Understanding Jones Fractures: Healing Progress and Next Steps
Understanding Knee Discomfort: Causes and Solutions for Office Workers
Knee issues Hello, I am an office worker who occasionally runs (once or twice a week) and started playing badminton in July (once a week). Since last Thursday, I've been experiencing a tight, achy sensation in my knees after sitting for a long time, similar to the feeling on...
Dr. Shi Guozheng reply Orthopedics
It is possible that the cartilage on the joint surface of the patella is inflamed. When we exercise and bend the knee joint, the joint surfaces of the patella and femur can rub against each other. If there is inflammation or injury, it can cause discomfort or pain. It is advisabl...[Read More] Understanding Knee Discomfort: Causes and Solutions for Office Workers
Understanding Conservative Treatment for Ankle Fractures: Key Concerns
Adopt conservative treatment? Hello, I fractured my left ankle on April 12, with some displacement, and it has been over three months. Here are my questions: 1. Does a non-aligned fracture of the left ankle have any impact? Is it necessary for it to be aligned? 2. Is there any ...
Dr. Shi Guozheng reply Orthopedics
1. It is best to align properly. 2. Apply a little weight. 3. Elevate the foot as much as possible. 4. It may take more than six months for the swelling to subside. 5. It should not happen.[Read More] Understanding Conservative Treatment for Ankle Fractures: Key Concerns
Do You Need Surgery for Proximal Fifth Metatarsal Fractures?
Does a proximal fifth metatarsal fracture require surgery? On June 4th, I sustained an injury from being run over by a motorcycle. An X-ray taken on June 10th confirmed a fracture, but I did not undergo surgery. A follow-up X-ray was taken on July 15th. Currently, I am experienci...
Dr. Shi Guozheng reply Orthopedics
Fractures with displacement may require surgery, so it's best to discuss this further with your attending physician.[Read More] Do You Need Surgery for Proximal Fifth Metatarsal Fractures?
Understanding Impact of Misaligned Left Ankle Fractures and Recovery
Fracture of the left ankle? Hello, I have a fracture in my left ankle with some displacement. Here is the X-ray link: https://lurl.cc/zY5ua. I would like to know if a displaced fracture in the left ankle has any implications and if it must be realigned. When can I expect the swel...
Dr. Shi Guozheng reply Orthopedics
A slight displacement may not require surgery, but it will take about three months to heal, and the swelling will also take approximately three months to subside. It is advisable to keep the foot elevated to aid in reducing swelling and to avoid prolonged walking or standing.[Read More] Understanding Impact of Misaligned Left Ankle Fractures and Recovery
Understanding a Hard Bump Below the Right Rib: Causes and Concerns
There is a bony protrusion beneath the right costal cartilage? Hello, Doctor. About two months ago, I started doing crunches as part of my fitness routine and occasionally noticed a sensation in my right upper abdomen, as if some tissue was being moved (it’s not painful). At that...
Dr. Shi Guozheng reply Orthopedics
It could possibly be a sternal protrusion, so it's best to go to the hospital for an X-ray examination.[Read More] Understanding a Hard Bump Below the Right Rib: Causes and Concerns
Post-Surgery Concerns: Understanding Clavicle Fracture Recovery
Postoperative care for clavicle fracture? Hello doctor, I had a car accident on June 18 and suffered a right-sided clavicle fracture. I underwent surgery on June 18 to fix it with steel nails and plates. I had my stitches removed on July 1, but on July 7, I experienced discomfort...
Dr. Shi Guozheng reply Orthopedics
1. It is normal to feel discomfort during activity. 2. The tingling sensation near the plate may be due to the prominence of the bone screws or the plate itself. 3. If you are concerned, you should return for an X-ray.[Read More] Post-Surgery Concerns: Understanding Clavicle Fracture Recovery
Jaw Pain After Accident: Should You See a Doctor or Wait?
I was hit on the temple by my boyfriend's forehead, and now I have a sharp pain that keeps me awake at night? Last night, my boyfriend accidentally bumped my left temporomandibular joint area, near the hairline by my ear. It hurt a lot at the moment of impact, but there were...
Dr. Shi Guozheng reply Orthopedics
If the pain does not improve, it is necessary to visit a hospital for evaluation or to get an X-ray examination.[Read More] Jaw Pain After Accident: Should You See a Doctor or Wait?
Is Hip Replacement Surgery Safe for My 90-Year-Old Mother?
My mother is 90 years old and has hip joint degeneration. The doctor has recommended a hip replacement? My mother is 90 years old and has hip joint degeneration. She visited the Songshan Air Force Hospital, where the doctor recommended a hip replacement. I would like to know if i...
Dr. Shi Guozheng reply Orthopedics
1. Age is not a problem. 2. Health status must be good, such as having mobility. 3. Cardiopulmonary function should be adequate to withstand such surgery. 4. After a successful surgery, normal walking ability can usually be restored. 5. It is preferable to use minimally invasive ...[Read More] Is Hip Replacement Surgery Safe for My 90-Year-Old Mother?
Should You Remove Intramedullary Nails After Fracture Surgery?
Is it necessary to remove the intramedullary nail? Hello Doctor: I was involved in a car accident on July 23, 2023, which resulted in a closed fracture of my right tibia with three segments broken and bone fragmentation. I underwent an open reduction and internal fixation surgery...
Dr. Shi Guozheng reply Orthopedics
1. Intramedullary nails should only be removed after the fracture has healed. If the nail is protruding, it should be extracted. 2. Some physicians may not perform bone grafting, and this may not pose any issues. 3. Leaving the nail in place can cause a foreign body sensation...[Read More] Should You Remove Intramedullary Nails After Fracture Surgery?
Ankle Fracture Recovery Challenges: Pain, Healing, and Work Limitations
Ankle fracture recovery issues? Hello Doctor: It has been six weeks since my bone fracture, and it has not fully healed yet. I am able to walk with the assistance of crutches, but I have injuries on both sides of my ankle. I experience some pulling pain while walking; will this a...
Dr. Shi Guozheng reply Orthopedics
You should assess the recovery situation and consider visiting a hospital to have a physician evaluate and issue a medical certificate.[Read More] Ankle Fracture Recovery Challenges: Pain, Healing, and Work Limitations
Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions
Steel plate fracture I had my first surgery with steel nails, but my hand ended up misaligned by 2.8 mm, which made it difficult to lift. Later, I underwent treatment with a steel plate, and I was able to lift my hand again. However, the steel plate broke within three months, and...
Dr. Shi Guozheng reply Orthopedics
Is the location of your fracture in the upper arm (humerus)? After two failed surgeries with plate fixation, the use of intramedullary nails is a viable option, but it is crucial to ensure that the fixation is very secure. Additionally, bone grafting is necessary to promote bette...[Read More] Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions
Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions
Steel plate fracture I had my first surgery with steel nails, but my hand ended up misaligned by 2.8 mm, which made it difficult to lift. Later, I underwent treatment with a steel plate, and I was able to lift my hand again. However, the steel plate broke within three months, and...
Dr. Shi Guozheng reply Orthopedics
You did not specify whether it is a humeral fracture or a fracture of another bone. If there is a dislocation, an X-ray can determine the fracture. After surgery, if the plate has broken again and there has been no subsequent surgery on the bone, the best option would be to suppl...[Read More] Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions
Post-Surgery Wrist Pain: Is It Normal After Plate Removal?
Post-operative pain in the hand after removal of the bone plate? Hello Doctor, I had an open wrist fracture and had a titanium plate inserted. After 2 years and 2 months, I started experiencing sharp pain when lifting objects, particularly in my thumb and index finger, making it ...
Dr. Shi Guozheng reply Orthopedics
Pain is a normal response, and small bone fractures typically take about three months to heal. During this period, it is important to avoid any collisions or falls to prevent re-fracturing the bone.[Read More] Post-Surgery Wrist Pain: Is It Normal After Plate Removal?
How to Differentiate Between Ankylosing Spondylitis and Other Joint Pain Causes?
How to determine whether joint pain is caused by an outbreak of ankylosing spondylitis or other factors? Hello Doctor, I was recently diagnosed with ankylosing spondylitis (X-ray showing bilateral grade 2 sacroiliitis, HLA-B27 positive), but I am already 52 years old. My age-rela...
Dr. Shi Guozheng reply Orthopedics
You should first see an orthopedic specialist and get an X-ray to check. If the joint is already damaged, it could be due to degenerative changes or ankylosing spondylitis. The X-ray findings for these two conditions are different, so it's advisable to consult a specialist f...[Read More] How to Differentiate Between Ankylosing Spondylitis and Other Joint Pain Causes?
Understanding Persistent Pain After Femoral Fracture Surgery: Is It Normal?
Left femoral closed reduction fracture? Hello doctor, I did not feel any tingling or numbness in the soles of my feet immediately after the car accident. However, since the surgery two weeks ago, I have been experiencing persistent tingling and numbness, which severely affects my...
Dr. Shi Guozheng reply Orthopedics
It is advisable to undergo an examination to check for any compression of the sciatic nerve, and a nerve conduction study is recommended.[Read More] Understanding Persistent Pain After Femoral Fracture Surgery: Is It Normal?
Post-Operative Hip Replacement: Addressing Stiffness and Recovery Concerns
Postoperative Issues After Hip Arthroplasty Hello, Doctor. My mother is nearly 80 years old. Last February, she fell and fractured her left leg, undergoing traditional hip joint surgery. However, over a year later, she still feels stiffness in her left leg post-surgery. She has c...
Dr. Shi Guozheng reply Orthopedics
Typically, recovery after surgery takes about two to three months, and stiffness is related to the healing of soft tissues. Additionally, if the artificial joint is too tight, this phenomenon may also occur. It is advisable to consult a rehabilitation specialist for physical ther...[Read More] Post-Operative Hip Replacement: Addressing Stiffness and Recovery Concerns
Post-Surgery Adhesions After Toe Fracture: Treatment Options Explained
Postoperative adhesion after toe fracture surgery? Hello Doctor: I had an open dislocation of my left big toe on March 13, and after the removal of the pins on April 13, I was hesitant to move it because the wound had not healed. In early May, I went for a follow-up appointment, ...
Dr. Shi Guozheng reply Orthopedics
It is advisable to seek rehabilitation from a physical medicine and rehabilitation specialist, as acupuncture may not always be effective.[Read More] Post-Surgery Adhesions After Toe Fracture: Treatment Options Explained
Understanding Treatment and Recovery for Left Ankle Fractures
Fracture of the left medial malleolus? Hello, I fractured my left ankle on April 12. The X-ray taken on May 2 can be found at https://lurl.cc/WYawY and the X-ray taken on May 18 is at https://lurl.cc/mpXbR1. I have a few questions: 1. Can I undergo conservative treatment? There...
Dr. Shi Guozheng reply Orthopedics
1. Conservative treatment may potentially lead to the occurrence of arthritis in the future, but the probability is uncertain. 2. Normal walking can only resume after healing, as there may be friction on the side. 3. It is possible. 4. There is a possibility. 5. It is bes...[Read More] Understanding Treatment and Recovery for Left Ankle Fractures
Post-Hip Replacement Knee Pain: Causes and Treatment Options Explained
Knee pain after hip replacement surgery? Hello Doctor, two years ago I underwent a left total hip arthroplasty. Aside from slight improvement in thigh numbness, I have the following concerns: 1. Upon waking and getting out of bed, my left knee makes a popping sound when I stand...
Dr. Shi Guozheng reply Orthopedics
1. If there is loosening of the femoral stem, it can also cause knee joint pain. 2. This has been documented. 3. If it is severe, reoperation may be necessary; if it is not severe, medication treatment will suffice. 4. Continued outpatient follow-up is required to monitor its cha...[Read More] Post-Hip Replacement Knee Pain: Causes and Treatment Options Explained