Dr. Shi Guozheng reply Orthopedics Question - Page 11

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Understanding Recovery Time for Closed Fractures After a Car Accident

Recovery from fractures due to car accidents? Hello, doctor. I was recently involved in a car accident that resulted in closed fractures of my ribs, clavicle, and scapula. After evaluation by my physician, it was determined that conservative treatment would be sufficient. I would...


Dr. Shi Guozheng reply Orthopedics
It will heal in about three months and will not worsen.

[Read More] Understanding Recovery Time for Closed Fractures After a Car Accident


Which Specialist to Consult for Your Child's Hallux Valgus?

Which department should I see for hallux valgus? Your daughter is currently in the second year of junior high school and has a condition known as thumb hypoplasia. It seems that her condition may not yet require surgery. Should we schedule an appointment with "Pediatric Orth...


Dr. Shi Guozheng reply Orthopedics
You can visit a pediatric orthopedic specialist for consultation.

[Read More] Which Specialist to Consult for Your Child's Hallux Valgus?


Should You Remove Your Proximal Humerus Plate After Surgery?

Is it necessary to remove the hardware after proximal humerus surgery? Hello, I had a proximal humerus fracture in a car accident in December 2021, which was fixed with a self-paid titanium alloy plate. The wound is located on the anterior side (not the lateral side), and the fra...


Dr. Shi Guozheng reply Orthopedics
If the metal plate does not interfere with the upper arm, there is actually no need to remove the plate.

[Read More] Should You Remove Your Proximal Humerus Plate After Surgery?


Understanding Asymmetry in Nasal Bone Structure: Is It Normal?

Issues related to the nasal bones? Hello, Doctor! Recently, when I press down along the sides of my nasal bridge with both index fingers starting from the top of the bridge (applying some pressure), I can feel some protrusions on both sides of the nasal bone (although they are no...


Dr. Shi Guozheng reply Orthopedics
The human skeleton is typically symmetrical, but there can be slight variations, which is considered normal. If there are any concerns, it is advisable to get an X-ray of the nasal bones for further evaluation.

[Read More] Understanding Asymmetry in Nasal Bone Structure: Is It Normal?


Post-Tibial Fracture Surgery: Common Concerns and Rehabilitation Tips

Post-operative inquiries regarding tibial fractures? Hello Doctor: I was involved in a car accident on January 24 of this year, resulting in a comminuted fracture of my left knee and lower leg. I subsequently underwent tibial plate surgery (on both sides), with three surgeries in...


Dr. Shi Guozheng reply Orthopedics
1. What the doctor said may be correct. 2. It is important to continue rehabilitation to allow for gradual recovery. 3. Improvement may occur gradually due to swelling; performing rehabilitation slowly can help. Taking anti-inflammatory medications may make rehabilitation eas...

[Read More] Post-Tibial Fracture Surgery: Common Concerns and Rehabilitation Tips


Can Multiple Ganglion Cysts Appear on the Same Spot?

Ganglion cyst Hello, doctor! I would like to ask if it is possible to have two ganglion cysts in the same location on the back of the hand? My mother has developed a cyst (as we can see with the naked eye) on the back of her hand. Last week, she went to a clinic to have it aspira...


Dr. Shi Guozheng reply Orthopedics
Ganglion cysts are usually treated by aspiration, and corticosteroids may not always be necessary. Sometimes, there can be more than one ganglion cyst present. Prior to aspiration, a fine needle aspiration can be performed to assess the cysts, allowing for the possibility of aspi...

[Read More] Can Multiple Ganglion Cysts Appear on the Same Spot?


Rehabilitation Timeline After Tibial Fracture: What to Expect

Rehabilitation-related issues! Hello, doctor. I sustained a fracture of the upper end of the left tibia due to a car accident on February 21. I have been in a cast for 5 weeks and am scheduled to return for a follow-up appointment to remove the cast on April 6. I would like to kn...


Dr. Shi Guozheng reply Orthopedics
Fractures typically take about three months to heal. If the fracture is not severe, the healing time may be shorter, around six weeks. Initially, weight-bearing is allowed, but only with about a quarter of the body weight. Crutches should be used for assistance, and follow-up app...

[Read More] Rehabilitation Timeline After Tibial Fracture: What to Expect


Understanding Ankle Fracture Recovery: Common Issues and Treatment Options

Ankle fracture recovery issues? On February 13, I experienced an ankle inversion injury during exercise. I did not seek immediate medical attention but applied ice and rested for a week. After the swelling subsided, I resumed exercising, but the ankle swelled again afterward. Whe...


Dr. Shi Guozheng reply Orthopedics
Ankle joint fractures typically take six to twelve weeks to heal, during which swelling is common. You must reduce walking or excessive movement. Usually, a splint or cast is applied to stabilize the area and promote proper bone healing. X-ray examinations are recommended at six ...

[Read More] Understanding Ankle Fracture Recovery: Common Issues and Treatment Options


Understanding Inner Thigh Pain: Causes and Remedies for Discomfort

Pain from the groin to the knee? Hello, I have been experiencing intermittent pain in the inner part of my left thigh, from the groin to the knee, for a while now. The pain mostly occurs at night and tends to appear after sitting for about 20-30 minutes (although it doesn't ...


Dr. Shi Guozheng reply Orthopedics
You can consult a physician for an examination, as sometimes hip joint diseases can also extend to the knee joint.

[Read More] Understanding Inner Thigh Pain: Causes and Remedies for Discomfort


Understanding Foot Pain: Causes, Symptoms, and When to Seek Help

Foot pain issues? Hello doctor, this past Monday, I suddenly started experiencing pain in my left foot, specifically in the middle area (which I believe is the arch?). After that, I stopped walking and reduced my walking frequency, and by yesterday, the pain had almost disappeare...


Dr. Shi Guozheng reply Orthopedics
An X-ray can be taken, but it may not necessarily indicate bone cancer; plantar fasciitis is more commonly observed.

[Read More] Understanding Foot Pain: Causes, Symptoms, and When to Seek Help


Does Running Cause Knee Pain and Arthritis? Understanding Joint Health

Joint pain Does running damage the knees and lead to arthritis? Thank you.


Dr. Shi Guozheng reply Orthopedics
Young people generally have healthy joints and can run. However, as they age, if joint pain occurs, they should stop running or reduce their running activities.

[Read More] Does Running Cause Knee Pain and Arthritis? Understanding Joint Health


Post-Operative Recovery: Understanding Hip Labral Repair Surgery Challenges

Postoperative care after hip labral tear repair surgery? Hello Doctor: After undergoing hip labral repair surgery (including bone shaving, vaporization suturing, and anchoring) nearly two months ago, I have experienced some improvement and attempted to walk normally. I can also s...


Dr. Shi Guozheng reply Orthopedics
Soft tissue repair typically takes at least three months to gradually heal. If pain persists, a follow-up appointment with the physician is necessary for further evaluation.

[Read More] Post-Operative Recovery: Understanding Hip Labral Repair Surgery Challenges


Understanding Health Insurance Coverage for Osteoporosis Medications

Regulations for National Health Insurance Coverage of Osteoporosis Medications The mother-in-law has a bone density of -5 and recently suffered a self-funded arm fracture from a fall, for which a steel plate was used. The doctor described her bones as being like eggshells, and it...


Dr. Shi Guozheng reply Orthopedics
A bone density test must show a T-score below zero, and there must be one or more vertebral fractures in order to qualify for insurance coverage.

[Read More] Understanding Health Insurance Coverage for Osteoporosis Medications


Does Sacroiliac Joint Pain Syndrome Cause Elevated CRP and ESR Levels?

Does sacroiliac joint pain syndrome cause elevated levels of CRP and ESR? Hello Doctor, I have been experiencing pain in my sacroiliac joint for six months, and rehabilitation has not been effective. After consulting a rheumatologist and undergoing some tests, I was diagnosed wit...


Dr. Shi Guozheng reply Orthopedics
Simple sacroiliac joint arthritis does not cause an increase in inflammatory markers, whereas in ankylosing spondylitis, inflammatory markers will be elevated.

[Read More] Does Sacroiliac Joint Pain Syndrome Cause Elevated CRP and ESR Levels?


Understanding Scoliosis: Is Pelvic Alignment Affected by Surgery?

Scoliosis Hello, doctor. I am considering undergoing an urgent endoscopy procedure, but I have previously noticed that my pelvis is also misaligned. I would like to ask if the endoscopy and the pelvis are related. I'm unsure if the urgent endoscopy will also address the pelv...


Dr. Shi Guozheng reply Orthopedics
The spine and pelvis are two different areas, so any surgical concerns should be discussed with your attending physician.

[Read More] Understanding Scoliosis: Is Pelvic Alignment Affected by Surgery?


Post-Surgery Issues: Understanding Broken Pins After Bunion Surgery

Postoperative care for hallux valgus surgery? Last summer, after undergoing surgery for hallux valgus on my right big toe, my follow-up visits were normal. However, during a follow-up appointment in early February this year, the doctor informed me that the fixation screw had brok...


Dr. Shi Guozheng reply Orthopedics
If the bone screw has broken but the bone has already healed, it may not require any intervention. However, if the broken screw irritates nearby tissues and causes symptoms, it should be removed. After the surgery, recovery typically takes a few days, but whether you can walk imm...

[Read More] Post-Surgery Issues: Understanding Broken Pins After Bunion Surgery


Outer Thigh Muscle Swelling and Pain While Walking: Causes and Solutions

Swelling of the lateral thigh muscles with pain while walking? I would like to consult a doctor about a recent issue I've been experiencing. I've noticed swelling in the outer muscles of my left thigh while walking, which feels like a tight knot that doesn't improv...


Dr. Shi Guozheng reply Orthopedics
It is also possible that there may be issues with the left hip joint, so it is recommended to get an X-ray to check for hip joint diseases, as these can also lead to knee or thigh pain.

[Read More] Outer Thigh Muscle Swelling and Pain While Walking: Causes and Solutions


ACL Surgery: Options for Ligament Reconstruction in Older Adults

Posterior cruciate ligament surgery Hello Doctor, about 17 years ago I had a motorcycle accident. After healing, I experienced pain in my left knee when running abruptly. At that time, I went to Linkou Chang Gung Memorial Hospital for an examination, and the doctor diagnosed a to...


Dr. Shi Guozheng reply Orthopedics
Typically, individuals over the age of forty who do not require intense physical activity may not need reconstructive surgery. Pain can be managed with medication or by wearing a knee brace. If there is severe degeneration of the knee joint, it is advisable to wait until they are...

[Read More] ACL Surgery: Options for Ligament Reconstruction in Older Adults


Post-Surgery Pain After Vertebroplasty: Understanding Recovery Challenges

Postoperative pain after bone cement procedure? Hello, my mother originally had a spinal spondylolisthesis and suffered a lumbar fracture due to a fall. After undergoing a self-funded vertebroplasty, she had her first follow-up appointment where the doctor stated that the surgery...


Dr. Shi Guozheng reply Orthopedics
It is possible that there is already degeneration of the spine itself or that there are multiple fractures. It is advisable to return to the physician for further evaluation.

[Read More] Post-Surgery Pain After Vertebroplasty: Understanding Recovery Challenges


Understanding Sudden Calf Pain: Causes and When to Seek Help

Calf pain Hello, doctor. Last night, I suddenly experienced severe pain in my calf while sleeping. The soreness extends from my calf to the sole of my foot, making it so uncomfortable that I had to lean against the wall to go to the bathroom and couldn't sleep. I would like ...


Dr. Shi Guozheng reply Orthopedics
It is possible that the calf is being compressed, which may affect your sleeping position. If you experience numbness, you might want to consider whether it could be related to sciatica. If the pain persists, it is essential to consult a physician for evaluation.

[Read More] Understanding Sudden Calf Pain: Causes and When to Seek Help


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