Understanding Anterior Shin Pain After a Calf Injury: Causes and Care
Anterior lower leg contusion pain? Hello Doctor, a couple of days ago during an outdoor activity, I accidentally stepped into a hole that was knee-deep with my left foot. When my foot slipped into the hole, the front side of my calf was impacted. At the time, I only felt that the...
Dr. Shi Guozheng reply Orthopedics
A collision to the calf may involve soft tissues such as muscles and subcutaneous tissue absorbing the impact, and it is also possible for the bone to be affected. If there is no fracture and no muscle tear, it is classified as a contusion. If there is a fracture, the bone will b...[Read More] Understanding Anterior Shin Pain After a Calf Injury: Causes and Care
Effective Ways to Strengthen Your Bones Naturally at Age 14
Increase bone density? Hello, I am a 14-year-old female student in the ninth grade. My bones are really too thin (my wrist measures only 12.5 cm). I would like to ask if there are any methods, besides medication, to help make my bones thicker.
Dr. Shi Guozheng reply Orthopedics
Exercise that involves exertion, such as weightlifting, stimulates bone growth.[Read More] Effective Ways to Strengthen Your Bones Naturally at Age 14
Challenges in Healing Open Fractures: A Case Study of Tibia and Fibula
Incomplete healing after open reduction and internal fixation of a right distal tibiofibular fracture? Hello Doctor, I had an open fracture of the distal fibula on the right side due to a car accident in January this year, and I underwent surgery with self-funded internal fixatio...
Dr. Shi Guozheng reply Orthopedics
1. If there is a defect in the bone, healing can be very slow, and sometimes it may not heal at all. In such cases, surgical bone grafting may be necessary to promote healing. Usually, if a fracture has not healed after one year, surgery can be considered. 2. If the fracture si...[Read More] Challenges in Healing Open Fractures: A Case Study of Tibia and Fibula
Understanding Hip Joint Limitations After Femoral Fracture Recovery
Complications after femoral fracture? Hello, doctor. Five years ago, I had a car accident that resulted in a mid-shaft fracture of my left femur. It has since healed, and the intramedullary nail has been removed. However, I have undergone multiple surgeries and rehabilitation due...
Dr. Shi Guozheng reply Orthopedics
1. It could be joint contracture or a muscle issue. 2. It may also be due to pain causing reluctance to move. 3. Engage in rehabilitation. 4. It is possible. 5. Surgical treatment is only necessary if there is a leg length discrepancy of more than four centimeters; if the...[Read More] Understanding Hip Joint Limitations After Femoral Fracture Recovery
Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Knee problems On September 16, I fell and hit my knee. At that time, there was a large bruise on my knee. I applied heat and used topical medication, but now, on October 7, when I kneel, I feel something stuck in that area and experience pain. If I'm on the floor, the pain i...
Dr. Shi Guozheng reply Orthopedics
1. Alternating hot and cold compresses for knee joint rehabilitation exercises. 2. Noises without pain are also considered normal.[Read More] Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Severe Staircase Fall: Understanding Fractures and Recovery Options
Staircase fall resulting in fracture? I'm sorry to hear about your situation. Here’s the translation: I apologize, but recently while going down the stairs, my thigh suddenly cramped. I sat down to check and found that the muscles in both of my thighs had cramped to the poi...
Dr. Shi Guozheng reply Orthopedics
1. Surgical reduction and fixation of fractures. 2. If the blood vessels are not injured, amputation is usually not necessary. 3. It is somewhat serious. 4. Follow the physician's advice and undergo treatment.[Read More] Severe Staircase Fall: Understanding Fractures and Recovery Options
Understanding Mid-Shaft Humerus Fractures: Surgery vs. Natural Healing
Mid-shaft fracture of the right humerus? Currently in the second week post-injury, aside from feeling bone displacement while sleeping, I can still move my fingers normally at other times (no nerve damage). The X-ray shows complete displacement, which has been realigned with a ca...
Dr. Shi Guozheng reply Orthopedics
1. If the physician determines that treatment with a cast is appropriate, it will also heal. 2. There is no specific "golden period" for treatment; fractures should be stabilized as soon as possible, whether with a cast or through surgery. 3. Surgery does carry a ri...[Read More] Understanding Mid-Shaft Humerus Fractures: Surgery vs. Natural Healing
Understanding Clavicle Plate Fractures: Causes and Treatment Options
The clavicle brace is broken? In January, I fractured my right clavicle due to a car accident. After being taken to the hospital, the doctor recommended surgery to install a clavicle plate. There were options for both National Health Insurance coverage and self-pay. I chose the s...
Dr. Shi Guozheng reply Orthopedics
After a clavicle fracture, surgery typically involves the use of a titanium alloy plate for fixation. It is usually necessary to wait until the bone has healed before applying greater force during work. The plate may break because the bone has not fully healed, leading to excessi...[Read More] Understanding Clavicle Plate Fractures: Causes and Treatment Options
Understanding Absorbable Bone Materials: Recovery and Comparisons in Orthopedic Surgery
Biodegradable bone graft materials Hello, doctor. On September 11, I slipped and fell, landing on my left knee, resulting in a patellar fracture in two pieces with a displacement of 7.5 mm. I underwent a reduction surgery that same day and opted for absorbable bone screws at my o...
Dr. Shi Guozheng reply Orthopedics
1. There is basically not much difference. 2. Healing in about three months is considered normal. 3. Some materials may cause tissue reactions during the healing process, but this is rare. If inflammation occurs, it must be addressed.[Read More] Understanding Absorbable Bone Materials: Recovery and Comparisons in Orthopedic Surgery
Persistent Pain After Foot Injury: Healing Tips and Recovery Insights
The dorsum of the foot was injured by a physical therapy electrode wire, and it has been 7 weeks, yet the pain persists? Hello, Doctor! On August 5, 2022, I accompanied a family member to a rehabilitation clinic, and I accidentally caught my foot on the electrical stimulation wir...
Dr. Shi Guozheng reply Orthopedics
If there are no fractures, recovery usually occurs gradually over about six weeks. There are many treatment options available, so I recommend consulting a specialist for ongoing follow-up. With the passage of time, improvement is certainly expected.[Read More] Persistent Pain After Foot Injury: Healing Tips and Recovery Insights
Understanding the Differences Between Osteomyelitis and Cellulitis After Fracture Surgery
Postoperative inflammation symptoms were observed following tibia and fibula fracture surgery? Hello Doctor: In early July, I sustained a closed fracture of the lower fibula in my right leg due to a car accident. I underwent internal fixation surgery on the same day, and all the ...
Dr. Shi Guozheng reply Orthopedics
Osteomyelitis is an infection and inflammation of the bone itself, while cellulitis refers to the inflammation of the soft tissues of the limbs, where the bone itself is not infected.[Read More] Understanding the Differences Between Osteomyelitis and Cellulitis After Fracture Surgery
Understanding Wrist Bumps: When to Worry About Tendonitis
Protrusion near the wrist? As shown in the attached image, the area with the black pigment spots is raised. However, I visited a doctor two weeks ago, and the doctor diagnosed it as tendinitis and applied Dexamethasone tape for two weeks, but there are still no signs of reduction...
Dr. Shi Guozheng reply Orthopedics
It can be observed for a while to see if it is indeed tendinitis, which sometimes can be accompanied by a tendon sheath cyst.[Read More] Understanding Wrist Bumps: When to Worry About Tendonitis
Understanding Abnormal Bone Position After Forearm Fracture
Abnormal bone alignment after a hand fracture? Hello: About three to four years ago, I had an accident that resulted in a fracture of the forearm bones. Initially, the healing time and condition seemed good, but I have been experiencing a persistent issue. After the forearm fract...
Dr. Shi Guozheng reply Orthopedics
It should be a normal phenomenon; you can consider undergoing rehabilitation to see if it improves.[Read More] Understanding Abnormal Bone Position After Forearm Fracture
Choosing the Right Home Exercise Equipment for Seniors Post-Surgery
Selection of Exercise Equipment for Elderly Family Members Who Have Undergone Surgery on Their Legs Hello, I would like to inquire about the following situation: for elderly individuals (aged 65 and above) who have undergone leg surgery (and should not perform hip flexion exercis...
Dr. Shi Guozheng reply Orthopedics
It is best to first visit a rehabilitation department for an evaluation by a rehabilitation physician to determine which type of therapy is most suitable before making a choice.[Read More] Choosing the Right Home Exercise Equipment for Seniors Post-Surgery
Impact of Plates and Screws on Athletes: A Focus on Football Players
The impact of metal plates and screws on athletes? I would like to ask, as a soccer player aspiring to develop in this field, I have a plate installed on the dorsum of my foot, and my screws are located at the ankle. I have undergone debridement, calcaneal lengthening, and foot r...
Dr. Shi Guozheng reply Orthopedics
1. It usually does not have an impact. 2. Typically, the bone screws can be removed about a year after the bone has healed.[Read More] Impact of Plates and Screws on Athletes: A Focus on Football Players
Understanding Bumps on the Back of the Wrist: Causes and When to Seek Help
Dorsal wrist joint prominence Hello, doctor. I would like to ask about a hard lump on the back of my wrist joint. It feels like a bone, and when I press down on the skin over my wrist, I can see the bump, but it is neither painful nor itchy. What could be the cause, and do I need...
Dr. Shi Guozheng reply Orthopedics
It is likely that the cyst on the dorsal side of the wrist is a ganglion cyst, which is a benign tumor in the hand containing a gelatinous, transparent substance. If it is not very large, it may not require treatment. However, if symptoms occur, it is advisable to consult a physi...[Read More] Understanding Bumps on the Back of the Wrist: Causes and When to Seek Help
Is a Protruding Clavicle Normal? When to Seek Medical Attention
Protruding clavicle This morning, I noticed a protrusion at the end of my left clavicle (which was not present before), while my right clavicle does not have any protrusion. Is this normal? Should I seek medical attention?
Dr. Shi Guozheng reply Orthopedics
If there are symptoms of pain, medical attention is necessary. If there are no symptoms and the shoulder joint can be easily raised, observation may be sufficient.[Read More] Is a Protruding Clavicle Normal? When to Seek Medical Attention
Ankle Fracture and Ligament Tear: Recovery and Treatment Options
Ankle fracture with ligament rupture? Hello, doctor! I was in a car accident, resulting in a fracture of the talus bone in my ankle and a rupture of the surrounding ligaments (which was assessed using ultrasound). I have undergone minimally invasive surgery on the talus bone, whe...
Dr. Shi Guozheng reply Orthopedics
Typically, if a joint injury involves a fracture, the damage to the ligaments may be less severe because most of the external force is absorbed by the bone. Therefore, after fracture surgery, there is usually significant improvement, and currently, there is no need for PRP (plate...[Read More] Ankle Fracture and Ligament Tear: Recovery and Treatment Options
Should You Remove a Painful Plate After a Radius Fracture?
Should the self-paid plate for a radius fracture be removed if there is pain during movement? In early January of this year, I had a car accident that resulted in a fracture of the left radius. I underwent surgery in the emergency department at Chang Gung Memorial Hospital, where...
Dr. Shi Guozheng reply Orthopedics
If the bone screws indeed affect muscle activity, it is advisable to remove the screws and the plate. After the removal of the plate, you can typically resume cycling in about two to four weeks.[Read More] Should You Remove a Painful Plate After a Radius Fracture?
Post-Fracture Complications: Understanding Ligament Issues After Surgery
After a radius fracture surgery, it was found that there was ligament laxity? Hello, Doctor. I would like to ask you about my mother, who is 65 years old. In July, she suffered a fracture of the left radius due to a car accident. She underwent surgery to install a plate and screw...
Dr. Shi Guozheng reply Orthopedics
Early surgery leads to better recovery outcomes.[Read More] Post-Fracture Complications: Understanding Ligament Issues After Surgery