Knee Pain After Car Accident: Understanding Deep Tissue Injuries
Deep knee pain after a car accident? I'm sorry to bother you! 😅 I was in a car accident three weeks ago. I had an X-ray, and my bones were not injured; only soft tissue injuries were noted. However, recently I have been unable to fully bend my knee, and it is very painful. T...
Dr. Shi Guozheng reply Orthopedics
The diagnosis is a knee joint contusion, which may have injured the underlying soft tissues. There is no such thing as an undiagnosed condition for three weeks; it should still be quite painful. Soft tissue healing typically requires more than six weeks. Currently, treatment or r...[Read More] Knee Pain After Car Accident: Understanding Deep Tissue Injuries
Understanding Clicking Sounds in Your Thumb Joint: Causes and Insights
Sound in the left thumb joint? Hello, Doctor. I've been experiencing a clicking and popping sound in the joint of my left thumb (the one closer to the nail) for about five years now when I bend it. The sound resembles the friction noise made when someone cracks their knuckle...
Dr. Shi Guozheng reply Orthopedics
The sound of finger tendons sliding past each other is usually not a cause for concern if there is no inflammation or pain; it can be ignored.[Read More] Understanding Clicking Sounds in Your Thumb Joint: Causes and Insights
Post-Surgery Recovery: Six Months After Fifth Toe Surgery
Six months post-operative for fifth toe valgus correction? Hello, Doctor: I underwent a significant osteotomy and titanium screw surgery on my right foot in early January this year due to the hallux varus of my fifth toe. During my second follow-up appointment, I asked the doctor...
Dr. Shi Guozheng reply Orthopedics
You can return for regular follow-up appointments to have X-rays taken to check if the bone has healed.[Read More] Post-Surgery Recovery: Six Months After Fifth Toe Surgery
Can Minor Impact After Shoulder Surgery Cause Titanium Screw Failure?
Post-operative care for fracture surgery? I recently underwent surgery for a displaced proximal humeral fracture on my right shoulder, using plates and screws for fixation, about three to four days ago. However, while walking, I accidentally bumped my right shoulder against a wal...
Dr. Shi Guozheng reply Orthopedics
If the upper arm can still move, it may not be fractured. The safest approach is to get an X-ray to confirm the diagnosis.[Read More] Can Minor Impact After Shoulder Surgery Cause Titanium Screw Failure?
Recovery After Elbow Dislocation and Distal Humerus Fracture in Children
Right elbow dislocation with comminuted fracture of the distal humerus? Hello, my daughter had an accident on July 30 while returning home from work, resulting in a dislocated left elbow and a comminuted fracture of the distal humerus. She underwent emergency surgery at the hospi...
Dr. Shi Guozheng reply Orthopedics
Sure![Read More] Recovery After Elbow Dislocation and Distal Humerus Fracture in Children
Post-Surgery Pain and Swelling: Understanding Complications After Finger Injury
Two years post-surgery, the healing site still experiences pain and swelling? Hello Doctor, in 2020, I had an accident that resulted in a rupture of the flexor tendon in my ring finger. After suturing, although the wound healed after a few months, there is a translucent protrusio...
Dr. Shi Guozheng reply Orthopedics
1. Hand surgery 2. May improve 3. May not be visible[Read More] Post-Surgery Pain and Swelling: Understanding Complications After Finger Injury
Understanding Nonunion of Femoral Fractures: Treatment Options and PRP Efficacy
Nonunion of femoral fracture Since the surgery in May 2021, the fracture has not healed properly. The X-ray showing the entire bone screw placement can be viewed here: https://i.imgur.com/IWr30qa.jpg. More than a year has passed, and it still hasn't healed: https://i.imgur.c...
Dr. Shi Guozheng reply Orthopedics
The location of your fracture is just below the intertrochanteric region of the femur, where the bone is particularly dense and has a slower healing rate. It typically takes about one and a half to two years for this type of fracture to heal. If you are currently not experiencing...[Read More] Understanding Nonunion of Femoral Fractures: Treatment Options and PRP Efficacy
Signs of Achilles Tendon Rupture: When to Seek Orthopedic Care
The symptoms of an Achilles tendon rupture include: 1. Sudden pain in the back of the ankle or calf. 2. A popping or snapping sound at the time of injury. 3. Swelling and bruising around the heel and ankle. 4. Difficulty Hello, Doctor. Yesterday at work, I accidentally got hit o...
Dr. Shi Guozheng reply Orthopedics
After a rupture, the continuity of the Achilles tendon may be disrupted. Upon palpation, there may be a noticeable defect or gap, and sometimes pain may be present. There is also a possibility of weakness when the foot is dorsiflexed.[Read More] Signs of Achilles Tendon Rupture: When to Seek Orthopedic Care
Understanding Femoroacetabular Impingement and Labral Tears: Symptoms and Treatment
Femoroacetabular impingement and labral tear of the hip? Doctor, I was recently diagnosed with femoroacetabular impingement and a labral tear of the hip. Initially, I only experienced pain in my left groin, but over time, it has gradually developed into stiffness and pain in my l...
Dr. Shi Guozheng reply Orthopedics
1. It is possible. 2. Consult an orthopedic surgeon for advice; surgery may be necessary.[Read More] Understanding Femoroacetabular Impingement and Labral Tears: Symptoms and Treatment
Managing Pain in the Distal Finger Joint: Causes and Solutions
Pain in the distal phalanx joint of the index finger? Recently, I have been working at an after-school care center, which requires me to use an eraser for extended periods to help children with their workbooks. I hold the eraser with my thumb and index finger, and as a result, I ...
Dr. Shi Guozheng reply Orthopedics
Reducing the strain on the affected joint may help alleviate the pain. Additionally, taking some pain relievers could be beneficial. If the pain persists, it will be necessary to consult a physician.[Read More] Managing Pain in the Distal Finger Joint: Causes and Solutions
Understanding Neck and Shoulder Pain: Causes and Solutions
Neck muscle, bone, and nerve issues? For the past two to three years, I have frequently experienced soreness from the left side of my neck, extending through the trapezius muscle to the scapula. The inner side of my elbow also often feels sore. When I raise and rotate my arm, I c...
Dr. Shi Guozheng reply Orthopedics
Shoulder and neck pain accompanied by hand numbness can be evaluated by a neurosurgeon to check for any cervical spine issues.[Read More] Understanding Neck and Shoulder Pain: Causes and Solutions
Post-Fracture Leg Pain: Causes and Concerns After Surgery
Pain in the fractured leg with crepitus at the fracture site? Dear Doctor: I had an open comminuted fracture surgery on my leg about five months ago. X-rays show that there is new bone callus formation at the fracture site. Recently, I have been using a walker to assist with walk...
Dr. Shi Guozheng reply Orthopedics
1. Whether the steel plate has shifted needs to be confirmed by an X-ray. 2. It is normal for pain to persist when the fracture has not yet healed. 3. It is unrelated to muscle atrophy. 4. The sound of bone grinding may be related to the uneven surface of the cartilage.[Read More] Post-Fracture Leg Pain: Causes and Concerns After Surgery
Understanding Rotator Cuff Tears: Costs, Surgery, and Recovery Time
Rotator cuff tear Due to work-related issues, I experienced discomfort after my shoulder hit something. During my visit, an ultrasound and MRI revealed damage to the rotator cuff and symptoms of shoulder impingement. I would like to inquire about the approximate costs of general ...
Dr. Shi Guozheng reply Orthopedics
You should ask the surgeon who is performing your operation, as they are the most knowledgeable. Generally, surgery is only necessary for significant injuries; otherwise, conservative treatment can be considered.[Read More] Understanding Rotator Cuff Tears: Costs, Surgery, and Recovery Time
Understanding Involuntary Finger Joint Dislocation: Causes and Treatments
Involuntary dislocation of finger joints Hello doctor, my left thumb's metacarpophalangeal joint was previously injured while playing basketball, causing it to turn towards the back of my hand. I managed to realign it myself, but since then, it has frequently dislocated agai...
Dr. Shi Guozheng reply Orthopedics
You can consult a hand surgeon to see if there are better treatment options available.[Read More] Understanding Involuntary Finger Joint Dislocation: Causes and Treatments
Understanding Pain and Swelling in the Fourth Toe: Causes and Solutions
Swelling and pain in the fourth toe of the left foot? Hello, doctor. Recently, after hiking, I have experienced swelling and pain in the plantar surface of my left foot's fourth toe for several days. There is a noticeable feeling of swelling and a foreign body sensation when...
Dr. Shi Guozheng reply Orthopedics
1. Your pain is related to overuse. 2. You can wear softer shoes; the shoe store should have thicker soles. It is likely unrelated to any underlying conditions. 3. Consult an orthopedic specialist.[Read More] Understanding Pain and Swelling in the Fourth Toe: Causes and Solutions
Injury to Knee and Thigh: Symptoms, Treatment, and When to Seek Help
Knee and thigh issues? Recently, I fell on the road and my left knee and left thigh collided forcefully with a rock, accompanied by a cracking sound. After that, I was in so much pain that I couldn't stand up. After struggling to get up, I noticed a 2 cm indentation on the r...
Dr. Shi Guozheng reply Orthopedics
1. For joint contusions, it is important to check for fractures. If there are no fractures, surgery is not necessary. 2. Amputation is only required if the limb is necrotic; if blood circulation is good, amputation is not needed. 3. Seek treatment at an orthopedic department ...[Read More] Injury to Knee and Thigh: Symptoms, Treatment, and When to Seek Help
Knee Injury from Motorcycle Accident: Recovery Timeline and Tips
Knee injury from a car accident? As the title suggests, yesterday afternoon I had a motorcycle accident on Green Island, resulting in a fall. Later, after returning to Taiwan, I was involved in a two-vehicle collision while heading to the hospital for a wound debridement. Current...
Dr. Shi Guozheng reply Orthopedics
Generally, a bruise without a fracture usually heals within four weeks. You can try to walk after two to three days.[Read More] Knee Injury from Motorcycle Accident: Recovery Timeline and Tips
Addressing Complications After Forearm Fracture Surgery: A Patient's Concerns
Issues with steel pins for left distal radius/ulna fractures? Hello Doctor, I underwent internal fixation surgery for a distal radius and scaphoid fracture on May 11 of this year (I was injured on April 9, and the surgery was delayed for various reasons). I have been in rehabilit...
Dr. Shi Guozheng reply Orthopedics
1. It may be more appropriate to use shorter screws. 2. It should not be a problem. 3. You should ask your attending physician for the most accurate information.[Read More] Addressing Complications After Forearm Fracture Surgery: A Patient's Concerns
Understanding Joint Pain: Causes and Solutions for Bunions and Nerve Issues
Joint pain Hello, Doctor. Thank you for taking the time to respond to my questions. I have mild hallux valgus, but it does not affect my daily life, and I do not experience pain or discomfort when wearing shoes. Recently, I suddenly felt pain in my right big toe, specifically at ...
Dr. Shi Guozheng reply Orthopedics
Consulting an orthopedic specialist may be necessary for inflammation of the fascia beneath the toes. If medication treatment is ineffective, a local corticosteroid injection may be considered.[Read More] Understanding Joint Pain: Causes and Solutions for Bunions and Nerve Issues
Understanding Recovery from Calcaneal Fractures: Pain, Limping, and Future Limitations
A left calcaneal fracture has been present for three months, but there is still a limp while walking. Additionally, is it possible for a calcaneal fracture to fully heal? Hello doctor, I suffered a closed fracture above my calcaneus from being run over by a motorcycle in May of t...
Dr. Shi Guozheng reply Orthopedics
A calcaneal fracture typically takes at least three months to heal, and pain relief may take up to six months. You can try applying heat, and it may also be helpful to take some pain relievers to reduce discomfort.[Read More] Understanding Recovery from Calcaneal Fractures: Pain, Limping, and Future Limitations