Dr. Shi Guozheng reply Orthopedics Question - Page 10

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Post-Surgery Care: Managing Muscle Tension and Wound Healing After Orthopedic Surgery

Postoperative wound and generalized muscle tension? Hello Doctor: I was involved in a car accident on the night of May 9, resulting in a left clavicle fracture, a mild concussion, and multiple abrasions and contusions. I underwent plate fixation surgery on the morning of May 11, ...


Dr. Shi Guozheng reply Orthopedics
1. The left arm can perform some movements, but it still needs to be supported with a sling. 2. Avoid putting pressure on the wound; the pain should improve in about one to two weeks. 3. It is not necessary to use the sling while sleeping, and it can also be occasionally remo...

[Read More] Post-Surgery Care: Managing Muscle Tension and Wound Healing After Orthopedic Surgery


Understanding Pain After Cuboid Bone Fracture: Causes and Solutions

Metatarsal bone fracture in the foot? Hello Doctor: I fell a month ago and sustained a fracture in my metatarsal bone. The clinic doctor applied a splint for stabilization. During the first two weeks, X-rays showed no improvement in the fracture site. Subsequently, I received inj...


Dr. Shi Guozheng reply Orthopedics
Before a fracture heals, there will be pain, though the intensity may vary. Continuing to use a splint for immobilization is usually necessary for six to twelve weeks for the fracture to heal.

[Read More] Understanding Pain After Cuboid Bone Fracture: Causes and Solutions


Can I Still Grow Taller at 19? Understanding Height Potential

At 19 years old, I really want to know if I can still grow taller? I was 173 cm tall in my first year of high school and reached 182 cm by the time I graduated. I'm really not sure if I can grow any taller; I just feel a bit regretful. It's not that I'm being greed...


Dr. Shi Guozheng reply Orthopedics
If the growth plates of the bones have not yet closed, an individual will continue to grow taller. However, if they have already closed, it is unlikely that further height increase will occur.

[Read More] Can I Still Grow Taller at 19? Understanding Height Potential


Managing Lumbar Disc Herniation: Rehabilitation and Recovery Strategies

Lower back discomfort? Hello, Doctor: After the Lunar New Year, I experienced discomfort in my lower back and was diagnosed with a grade 1 lumbar disc herniation at an orthopedic clinic. Currently, the orthopedic doctor has arranged for me to continue with electrical therapy and ...


Dr. Shi Guozheng reply Orthopedics
Spondylolisthesis may not always present symptoms. If one avoids excessive bending or lifting, it typically does not cause pain. Medication can help alleviate discomfort. First-degree spondylolisthesis usually does not require surgical intervention, and traction may not be necess...

[Read More] Managing Lumbar Disc Herniation: Rehabilitation and Recovery Strategies


Managing Osteoarthritis: Hyaluronic Acid Injections and Rehabilitation Tips

Regarding case #195715, recommendations for hyaluronic acid injection and rehabilitation for osteoarthritis? Hello Dr. Shi, I am the one who previously inquired in post #195715. Recently, after considering your advice, my mother decided to rest and take medication. However, last ...


Dr. Shi Guozheng reply Orthopedics
If there is inflammation of the ligaments or tendons near the knee joint, corticosteroid injections can provide improvement. In cases of joint degeneration, hyaluronic acid injections may be beneficial. For joint pain, anti-inflammatory medications can be taken to alleviate sympt...

[Read More] Managing Osteoarthritis: Hyaluronic Acid Injections and Rehabilitation Tips


Understanding Symptoms After Clavicle Fracture Surgery: A Year Later

Symptoms after clavicle fracture surgery? Hello Dr. Shih: A year ago, I suffered a clavicle fracture due to a car accident and underwent surgery to insert a plate. It has now been a year since the surgery, and the bone has healed. However, I am experiencing persistent numbness in...


Dr. Shi Guozheng reply Orthopedics
Numbness near the surgical site related to the wound is usually associated with the sensory nerves in the skin. After a surgical incision, superficial nerves may be severed, but they typically regenerate over time. If the numbness does not improve, it is necessary to consult a ph...

[Read More] Understanding Symptoms After Clavicle Fracture Surgery: A Year Later


Managing Sacroiliac Joint Pain in Ankylosing Spondylitis: Weather Sensitivity Solutions

Can the pain in the sacroiliac joint due to sudden weather changes (in patients with ankylosing spondylitis) be treated? Hello Dr. Shi, I am a 20-year-old patient with ankylosing spondylitis, and I have been experiencing symptoms for 3.5 years. Currently, under the treatment of a...


Dr. Shi Guozheng reply Orthopedics
1. If it is ankylosing spondylitis, it will not improve, but if there are symptoms, medication can be used for treatment, which can still lead to some improvement. 2. When symptoms appear, it is important to rest more and reduce activity; local heat application may have some eff...

[Read More] Managing Sacroiliac Joint Pain in Ankylosing Spondylitis: Weather Sensitivity Solutions


Hyaluronic Acid Injections and Rehab Tips for Osteoarthritis Relief

Hyaluronic acid injection and rehabilitation recommendations for osteoarthritis? Hello Doctor, my mother is nearly 74 years old. In 2015, she received hyaluronic acid injections in her right knee due to osteoarthritis, which improved her condition. She hasn't had any special...


Dr. Shi Guozheng reply Orthopedics
1. Arthritis can cause pain. 2. In cases of severe pain, medication treatment should be prioritized. 3. The severity of arthritis needs to be assessed through X-rays. If it is very severe, hyaluronic acid injections are not recommended; if it is mild, medication treatment can...

[Read More] Hyaluronic Acid Injections and Rehab Tips for Osteoarthritis Relief


Understanding Pain and Mobility Issues After Absorbable Bone Graft Surgery

Biodegradable bone substitute materials Previously, due to a car accident, I suffered a fracture, and X-rays revealed that there was non-bony tissue in the middle phalanx of the fifth finger. After it was removed, absorbable bone substitute material was used to fill the area. Now...


Dr. Shi Guozheng reply Orthopedics
After a fracture surgery, if the fixation is stable, it is important to start rehabilitation as soon as possible to prevent joint immobility. The inability to move the joint may be due to pain or joint stiffness, so early rehabilitation is essential.

[Read More] Understanding Pain and Mobility Issues After Absorbable Bone Graft Surgery


Should I Consider Surgery for My Knee Issues? Expert Insights

Is surgery necessary? Dear Dr. Shih, I am 41 years old. 1. Background: About six months ago, after a badminton practice, I first experienced pain on the inner side of my left knee. Two weeks later, my left knee swelled with fluid, and 30 ml was aspirated at that time. I was un...


Dr. Shi Guozheng reply Orthopedics
If the meniscus is torn, undergoing arthroscopic surgery can indeed improve the condition, while PRP (platelet-rich plasma) injections may not lead to complete healing.

[Read More] Should I Consider Surgery for My Knee Issues? Expert Insights


Understanding the Progression of Osteoarthritis: When to Seek Further Treatment

Degenerative arthritis My degenerative arthritis started in the soles of my feet. Why did it spread to other joints? It has moved to my knee joints, cervical spine joints, temporomandibular joints, and finger joints. I am receiving formal treatment at a large hospital, where the ...


Dr. Shi Guozheng reply Orthopedics
If taking the medication improves the symptoms, continue the medication and return for a follow-up appointment after finishing it. If there is a sudden worsening of the condition, seek medical attention promptly.

[Read More] Understanding the Progression of Osteoarthritis: When to Seek Further Treatment


Understanding Toe Injuries: When to Ice and Seek Further Treatment

Stubbed toe? The patient reported that they stubbed their left little toe against the corner of a bed and immediately felt that the toe was misaligned. They visited an orthopedic clinic for an X-ray, which showed no fractures. However, the physician did not perform a physical exa...


Dr. Shi Guozheng reply Orthopedics
A bruise without a fracture only requires rest and ice application. If there is significant pain, a small dose of pain reliever can be taken to alleviate discomfort.

[Read More] Understanding Toe Injuries: When to Ice and Seek Further Treatment


Understanding Patellar Dislocation Recovery: Tips for Knee Rehabilitation

Patellar dislocation Hello Doctor, I have a question for you. I went to the emergency room half a month ago due to a patellar dislocation. After my follow-up appointment yesterday, the doctor said I could remove the cast. However, when I tried to bend my knee, I couldn't do ...


Dr. Shi Guozheng reply Orthopedics
Soft tissue healing takes about six weeks, so you can gradually start bending it around that time.

[Read More] Understanding Patellar Dislocation Recovery: Tips for Knee Rehabilitation


Understanding Ankle Fractures After a Car Accident: Recovery Insights

In a car accident, the left ankle was crushed, resulting in a fracture? I would like to ask the doctor, I had a car accident about a week ago, and I have a fracture at the lower end of the left tibia and the talus. I am currently in an L-shaped cast and resting at home. Here are ...


Dr. Shi Guozheng reply Orthopedics
1. Normal 2. A fracture itself causes pain. 3. Typically, it takes six to twelve weeks for a fracture to heal. 4. Approximately around six weeks.

[Read More] Understanding Ankle Fractures After a Car Accident: Recovery Insights


Understanding Hip Joint Pain After Titanium Screw Surgery: Causes and Solutions

Hip joint fracture Hello doctor, I had a femoral fracture a while ago and underwent a self-funded surgery to fix it with titanium alloy screws. It has been about six months since the surgery. 1. I would like to ask if the soreness near my buttocks and the area of the fracture (...


Dr. Shi Guozheng reply Orthopedics
1. It is necessary to take an X-ray to determine if the pain is caused by the bone screw. 2. Sometimes, the bone screw can rub against the muscle or bursa, leading to pain.

[Read More] Understanding Hip Joint Pain After Titanium Screw Surgery: Causes and Solutions


Understanding Post-Fracture Complications: When to Seek Medical Advice

Femoral fracture with bone screws? In July of the year before last, I had a fracture in my right thigh and underwent surgery, during which bone screws were placed. By June of last year, I had fully recovered and could walk normally. Recently, I have noticed that my right calf is ...


Dr. Shi Guozheng reply Orthopedics
You can get an X-ray to check if there is any difference in the length of the bones in both legs. If there is no difference, then it may be an issue related to pelvic tilt, and you can follow up with an orthopedic specialist.

[Read More] Understanding Post-Fracture Complications: When to Seek Medical Advice


Post-Surgery Weight Bearing Guidelines for Distal Clavicle Fractures

Postoperative Weight Bearing After Distal Clavicle Fracture Surgery Hello, doctor. I suffered a distal clavicle fracture in my left arm due to a car accident. I underwent a self-funded surgery with plate fixation, but sometimes I need to lift heavy objects for work. Is two months...


Dr. Shi Guozheng reply Orthopedics
After two months, the bone fracture has healed, and the brace can be removed. However, lifting heavy objects may require about three months before it is safe to do so.

[Read More] Post-Surgery Weight Bearing Guidelines for Distal Clavicle Fractures


Understanding Symptoms and Concerns After Hip Joint Surgery with Steel Pins

Steel nail issues, knee joint, postoperative hip joint, giant cell tumor of bone? Hello Doctor, my condition is a giant cell tumor of the left hip joint. I have had a recurrence, and there is a gap of more than four years between my surgeries. My most recent surgery was about a y...


Dr. Shi Guozheng reply Orthopedics
1. Bone screws can remain in the body without the need for removal if there are no specific issues. 2. Pain and recurrence can sometimes be related, so it is important to discuss this with the surgeon who performed your initial operation. 3. Continued outpatient follow-up is nece...

[Read More] Understanding Symptoms and Concerns After Hip Joint Surgery with Steel Pins


Understanding Shoulder Pain: Causes, Care, and When to See a Doctor

Shoulder joint pain? Hello Doctor: For the past few months, I have been experiencing severe pain in my right hand whenever I move it while sleeping, making it difficult for me to turn over. In particular, I need to use my left hand to lift my right hand in order to get out of bed...


Dr. Shi Guozheng reply Orthopedics
It could be bursitis of the shoulder joint or frozen shoulder. You may want to see an orthopedic specialist, and an X-ray examination might be necessary.

[Read More] Understanding Shoulder Pain: Causes, Care, and When to See a Doctor


Understanding the Pros and Cons of Surgery for a Fractured Fourth Toe

Fracture of the fourth toe of the right foot? Hello Doctor: I was in a car accident on March 3rd and fractured the fourth toe on my right foot. The fracture extends to the joint surface and is slightly displaced. I have seen two doctors, both of whom told me that surgery is an op...


Dr. Shi Guozheng reply Orthopedics
A fracture of the fourth toe can often heal without the need for surgery.

[Read More] Understanding the Pros and Cons of Surgery for a Fractured Fourth Toe


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