Dr. Shi Guozheng reply Orthopedics Question - Page 15

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Understanding Radius and Ulnar Fractures: Common Questions and Concerns

Radial and ulnar fracture Doctor, I apologize for bothering you with more questions. First: Can a distal radius and ulnar fracture cause displacement of the scaphoid and lunate bones? When comparing with the other hand, there is more prominence, but there is no pain upon palpatio...


Dr. Shi Guozheng reply Orthopedics
1. Fractures of the forearm bones (radius and ulna) typically do not cause dislocation of the wrist bones; it is essential to confirm the diagnosis with X-rays. 2. If there is a fracture of the carpal bones, flexion movements will obviously be impossible. 3. Joint locking, muscle...

[Read More] Understanding Radius and Ulnar Fractures: Common Questions and Concerns


Understanding Limb Pain: When to See an Orthopedic Specialist

Pain and soreness in the limbs? Hello Doctor, I have been experiencing alternating pain in my hands and feet over the past few weeks, with my fingers and toes being the most commonly affected. Additionally, I feel some pain in my feet after taking a shower. I'm wondering if ...


Dr. Shi Guozheng reply Orthopedics
You can consult an orthopedic doctor.

[Read More] Understanding Limb Pain: When to See an Orthopedic Specialist


Conflicting Diagnoses: Understanding Fibula Fractures from Two Clinics

Fibula fracture, but two clinics provided different diagnoses? Hello Doctor, I had an accident while hiking on November 11th and twisted my right ankle. At that time, I went to a nearby clinic for an emergency consultation, where the doctor diagnosed it as a fracture. The report ...


Dr. Shi Guozheng reply Orthopedics
Your X-ray is not very clear, but the initial assessment shows no visible fractures. If you have further concerns, you may consider getting another X-ray at a different hospital.

[Read More] Conflicting Diagnoses: Understanding Fibula Fractures from Two Clinics


Understanding Neck Issues: Sounds, Symptoms, and When to Seek Help

Neck issues? Recently, I have been experiencing a cracking sound in my neck when I move my shoulders or take deep breaths after showering at night. I have a history of a car accident that resulted in damage to my C5 vertebra, although X-rays at that time appeared normal. Both of ...


Dr. Shi Guozheng reply Orthopedics
Brachial plexus injury can affect the shoulder, and rehabilitation is possible.

[Read More] Understanding Neck Issues: Sounds, Symptoms, and When to Seek Help


Post-Surgery Knee Rehabilitation: Tips for Straightening and Recovery

Inability to fully extend the knee while bent? Hello, doctor. I had knee surgery at the end of September and have been recovering for two months. My knee is still in the process of bending, and I need to perform leg extension exercises. I would like to know how long I should hold...


Dr. Shi Guozheng reply Orthopedics
1. The duck leg exercise should be done for about 5 seconds and can be performed multiple times a day. It is recommended to do it for about ten minutes every hour, followed by a rest. 2. It is normal for the surgical site to feel warm during rehabilitation.

[Read More] Post-Surgery Knee Rehabilitation: Tips for Straightening and Recovery


Post-Surgery Concerns After Pelvic Fracture: What to Expect

Postoperative Issues Following Pelvic Fracture Surgery Hello, Doctor. Last month, I suffered a left pelvic fracture due to a car accident. About a week before the surgery, the hospital performed pelvic traction on me. I had surgery where I opted for the implantation of a steel pl...


Dr. Shi Guozheng reply Orthopedics
1. There may be issues related to nerve injury, and poor circulation is also a possibility. 2. Improvement is also possible. 3. Whether the plate should be removed should be discussed with the surgeon, as some plates are difficult to remove.

[Read More] Post-Surgery Concerns After Pelvic Fracture: What to Expect


Understanding Crush Injuries: Recovery Insights for Foot and Leg Fractures

Bilateral foot crush fractures? Hello Doctor, I would like to ask about my condition. I suffered a fall from a height and have sustained comminuted fractures in both feet, as well as comminuted fractures in my right leg and tailbone, along with cauda equina syndrome. 1. I have ...


Dr. Shi Guozheng reply Orthopedics
Even while on bed rest, rehabilitation exercises can still be performed. If there is no movement, muscles can quickly atrophy.

[Read More] Understanding Crush Injuries: Recovery Insights for Foot and Leg Fractures


Understanding Pelvic and Thigh Pain After a Sports Injury

The pelvis has been impacted and the pain is increasing. There is also pain at the junction between the pelvis and the thigh? I injured myself while playing basketball, and after a day, the pain has intensified. The area around my thigh joint is also very painful. What could be t...


Dr. Shi Guozheng reply Orthopedics
A possible bruise to the head of the femur or the surrounding soft tissue typically causes pain for one to two weeks. If the pain worsens, it is necessary to see a physician. An X-ray may be needed to determine if there is a fracture.

[Read More] Understanding Pelvic and Thigh Pain After a Sports Injury


Understanding Knee Pain: When to Seek Medical Attention After an Injury

Knee problems About three years ago, I tripped over something and my knees directly hit the floor. Even now, I still experience a sharp pain when I bump them lightly. I'm not sure if I should get it checked out.


Dr. Shi Guozheng reply Orthopedics
If the pain persists and does not alleviate, it is necessary to see a doctor.

[Read More] Understanding Knee Pain: When to Seek Medical Attention After an Injury


Understanding Ulnar Fractures: Pain, Healing, and Recovery Insights

Radial and ulnar fractures Hello Doctor, I was supposed to have a follow-up appointment on November 22, but unfortunately, I tested positive for COVID-19. I have some urgent questions, so I would like to ask the following: First: What could be the reason for pain when pressing o...


Dr. Shi Guozheng reply Orthopedics
1. There will be tenderness as long as the fracture has not healed. 2. Excessive rotation can indeed be a risk. 3. Whether there is displacement can only be determined through an X-ray. 4. It will not heal automatically if there is displacement. 5. Have you had a cast app...

[Read More] Understanding Ulnar Fractures: Pain, Healing, and Recovery Insights


Essential Rehab Techniques for Preventing Muscle Atrophy After Surgery

Rehabilitation treatment methods I have a question: after my discharge, my physical therapist only taught me to do 20 repetitions of ankle dorsiflexion and plantarflexion and 10 repetitions of hip abduction and adduction each day. If I only do these two exercises, will my thigh m...


Dr. Shi Guozheng reply Orthopedics
The specific approach depends on the location of the surgery or joint involved. Generally, these movements aim to maintain the activity of the calf and thigh muscles. If it is after a fracture, the timing of healing will determine how much activity is necessary to prevent muscle ...

[Read More] Essential Rehab Techniques for Preventing Muscle Atrophy After Surgery


Could Back Pain When Leaning Back Indicate Spinal Arthritis?

Is it arthritis related to the spine? Hello, Doctor: I experience pain in my lower back (around the level of my navel) when leaning backward, but surprisingly, I do not feel pain when bending forward. The exact reason will likely be determined after further examination at the hos...


Dr. Shi Guozheng reply Orthopedics
Usually, this type of pain is more commonly caused by muscle soreness, but it can also occur due to spinal degeneration. You can go to the hospital for an X-ray to get a diagnosis from a physician.

[Read More] Could Back Pain When Leaning Back Indicate Spinal Arthritis?


Post-Operative Care for Hip Labral Repair and Joint Resurfacing

Postoperative hip joint care? Hello, Doctor! I have been diagnosed with "femoroacetabular impingement" and "labral tear," and I recently underwent "labral repair" and "hip arthroscopy" surgery two weeks ago at the Veterans General Hospital....


Dr. Shi Guozheng reply Orthopedics
1. Swelling and bruising after surgery are normal and will subside with rest in about one to two weeks. 2. Alternating cold and hot compresses can improve blood circulation, which may help reduce the swelling. It is advisable to avoid excessive movement for the time being.

[Read More] Post-Operative Care for Hip Labral Repair and Joint Resurfacing


Understanding Knee Meniscus Surgery: Recovery and Nerve Sensations

Right knee meniscus cartilage Hello, doctor. I had surgery at the end of September this year, and it has been two months since then. I underwent a right lateral cartilage grafting procedure to repair the medial cartilage. At night while I sleep, I feel warmth in the outer cartila...


Dr. Shi Guozheng reply Orthopedics
If the surgical wound is located at the center of the knee joint or slightly inward, it may lead to some numbness on the outer side. This is because the superficial skin nerves are interrupted by the incision. However, there is a possibility that they may gradually recover over t...

[Read More] Understanding Knee Meniscus Surgery: Recovery and Nerve Sensations


Can I Still Grow Taller at 22? Exploring Limb Lengthening Surgery

At 22 years old, wanting to increase height is a common concern. However, it's important to Hello Dr. Shih, I am 22 years old. My father's height is 165 cm and my mother's height is 158 cm, while my height is 178 cm. I would like to grow to 180 cm. I regret staying...


Dr. Shi Guozheng reply Orthopedics
A height of 178 centimeters already exceeds the average height of the population, so I do not recommend undergoing height-increasing surgery. This type of surgery carries certain risks and complications. If not done properly, there can be numerous side effects, including infectio...

[Read More] Can I Still Grow Taller at 22? Exploring Limb Lengthening Surgery


Assessing Joint Stiffness After Surgery for Humeral Neck Fractures

After surgery for a closed fracture of the right humeral surgical neck involving four parts due to a car accident, an assessment is needed to determine the necessity for joint replacement? Will joint replacement cause complete joint stiffness?


Dr. Shi Guozheng reply Orthopedics
Typically, fractures of the humerus are best treated with surgical reduction and fixation whenever possible, as preserving the patient's own joint or bone is preferable. Only when repair is not feasible should total joint replacement be considered. Post-surgery, the range of...

[Read More] Assessing Joint Stiffness After Surgery for Humeral Neck Fractures


Effective Solutions for Knee Degeneration and Pain Relief

Knee issues Knee degeneration and pain, what should I do?


Dr. Shi Guozheng reply Orthopedics
First, try resting and applying heat. If that doesn't work, you should see a doctor who can recommend physical therapy, prescribe medication, or administer injections. You can also take glucosamine for maintenance.

[Read More] Effective Solutions for Knee Degeneration and Pain Relief


Understanding Lisfranc Injuries: Treatment Options and Recovery Insights

Tarsal joint fracture Dear Doctor, I apologize for the interruption. I am the person who asked question 188845 earlier. My previous question was as follows: I would like to inquire about a diagnosis of a Lisfranc injury between the first metatarsophalangeal joint and the second m...


Dr. Shi Guozheng reply Orthopedics
1. Swelling is normal and may last for two to three months. 2. Approximately three months.

[Read More] Understanding Lisfranc Injuries: Treatment Options and Recovery Insights


Understanding Shoulder X-Ray Findings and Treatment Options for Pain Relief

Bilateral shoulder X-ray report issues? Hello Doctor: My mother has been experiencing pain in both shoulders and limited range of motion since being hit by another car and crashing into a field over two years ago. She can only raise her arms to shoulder height and cannot extend t...


Dr. Shi Guozheng reply Orthopedics
1. Joint space narrowing may lead to soft tissue impingement. 2. Rehabilitation therapy combined with medication treatment is recommended. 3. If there is no improvement, intra-articular corticosteroid injection may be considered.

[Read More] Understanding Shoulder X-Ray Findings and Treatment Options for Pain Relief


Understanding Knee Cartilage Injuries: Causes, Symptoms, and Treatments

Knee cartilage A few months ago, I injured my knee in a car accident. Since then, whenever I kneel, my knee experiences numbness and pain, making it difficult to kneel normally. Sometimes, even a slight bump causes pain. When I squat, I also hear a popping sound. Despite seeing d...


Dr. Shi Guozheng reply Orthopedics
You can take some anti-inflammatory and pain-relieving medications, and you can also undergo rehabilitation. If these methods are not effective, you may consider getting hyaluronic acid injections.

[Read More] Understanding Knee Cartilage Injuries: Causes, Symptoms, and Treatments


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