Dr. Shi Guozheng reply Orthopedics Question - Page 2

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Understanding Ganglion Cysts: Treatment Options and Dance Aspirations

Ganglion cyst Hello, doctor. I have been diagnosed with a ganglion cyst. I am willing to accept any treatment options, whether it's long-term maintenance habits, aspiration, or surgery, and any recommendations. I just want to know if I can pursue my lifelong dream of dancing...


Dr. Shi Guozheng reply Orthopedics
If it is located on the hand or wrist, it can be treated using aspiration, unless it does not improve over time, in which case surgical excision may be necessary.

[Read More] Understanding Ganglion Cysts: Treatment Options and Dance Aspirations


Recovery Insights for Ankle Fractures and Swelling After a Car Accident

Left ankle fracture and swelling of the left calf due to a car accident? Hello, I apologize for the inconvenience. I sustained a closed ankle fracture (hairline fracture) on the left side in a car accident on April 12, 2024. The fracture is 1 cm in length, and while there is no i...


Dr. Shi Guozheng reply Orthopedics
1. It will heal in about three months. 2. It's normal; if there is swelling, elevating the leg usually helps it gradually subside. 3. It's possible. 4. Elevate the affected area and perform ankle exercises. 5. You can wear it; it doesn't necessarily need to...

[Read More] Recovery Insights for Ankle Fractures and Swelling After a Car Accident


Understanding Multiple Comminuted Fractures: Recovery and Rehabilitation Insights

Multiple comminuted fractures Hello, doctor. 🙇🏻‍♀️ I was in a car accident on the night of February 3rd, lost consciousness at the scene, and was taken to the hospital for emergency treatment. I was in a coma for three days and sustained multiple comminuted fractures, including i...


Dr. Shi Guozheng reply Orthopedics
1. Rehabilitation is necessary to gradually improve joint mobility. 2. It will take approximately six months or more.

[Read More] Understanding Multiple Comminuted Fractures: Recovery and Rehabilitation Insights


Understanding Recovery from Tibial Comminuted Fractures After an Accident

Tibial comminuted fracture Hello, doctor. I had a car accident on February 3rd and suffered a comminuted fracture in my lower leg. Could you please tell me when I will be able to fully bear weight on my leg? It still feels numb and tingly. Thank you very much.


Dr. Shi Guozheng reply Orthopedics
Typically, the degree of fracture healing must be assessed to determine when it is safe to bear weight. Therefore, follow-up X-rays are required, which may take at least three to six months.

[Read More] Understanding Recovery from Tibial Comminuted Fractures After an Accident


Displaced Fourth Metatarsal Fracture: Surgery vs. Non-Surgery Outcomes

The difference between surgical and non-surgical treatment for a displaced fourth metatarsal fracture? Due to a fall from a height, a fracture of the fourth metatarsal in the right foot occurred, with an oblique displacement. Initially, a cast was applied in the emergency departm...


Dr. Shi Guozheng reply Orthopedics
A single metatarsal fracture with minimal displacement can be treated conservatively, and it will heal in the future; however, continuous outpatient follow-up is necessary.

[Read More] Displaced Fourth Metatarsal Fracture: Surgery vs. Non-Surgery Outcomes


Understanding Materials for Tarsal Fusion Surgery: Insurance vs. Out-of-Pocket Costs

Materials for Tarsometatarsal Fusion Surgery In the case of tarsal coalition surgery, the choice of materials, such as steel implants, can be covered by health insurance or may require out-of-pocket expenses. The difference between the two options typically lies in the quality an...


Dr. Shi Guozheng reply Orthopedics
Self-paid materials are usually more effective, making it easier for the surgeon during the procedure.

[Read More] Understanding Materials for Tarsal Fusion Surgery: Insurance vs. Out-of-Pocket Costs


Post-Surgery Concerns: Blood from Scar After Elbow Injury

More than a month after surgery, there is bleeding from the scar area after being bumped? Hello, it has been over a month since my surgery for an olecranon fracture. At that time, they used non-dissolvable sutures. I accidentally bumped the scar area, and my elbow hurt for about ...


Dr. Shi Guozheng reply Orthopedics
If the wound is not open, you can wait a while before returning for a follow-up. However, if the wound is significantly open, you should seek medical attention immediately to prevent infection and inflammation.

[Read More] Post-Surgery Concerns: Blood from Scar After Elbow Injury


Understanding Pain in the Middle Joint of Your Finger: Causes and Solutions

Finger joints Hello doctor, recently I have been experiencing pain in the middle joint of my left middle finger when I make a fist or grip something, but the pain goes away when I open my hand. The sensation of pain feels similar to eating a radish, but I can still bend my finger...


Dr. Shi Guozheng reply Orthopedics
If joint inflammation does not improve, it is important to see a physician.

[Read More] Understanding Pain in the Middle Joint of Your Finger: Causes and Solutions


Post-Spinal Surgery: Understanding Leg Numbness and Tightness Issues

The numbness and tightness in the legs after spinal surgery remain the same? Hello, doctor; I just had decompression surgery on my fourth and fifth lumbar vertebrae on March 29. The surgeon said that all the compressed nerve tissue has been completely removed, and a post-operativ...


Dr. Shi Guozheng reply Orthopedics
1. After surgery, the above situations may occur. 2. Typically, recovery will gradually occur after nerve decompression. 3. Rehabilitation can be performed to promote recovery. 4. You can wait and see for a while longer.

[Read More] Post-Spinal Surgery: Understanding Leg Numbness and Tightness Issues


Post-Operative Hip Replacement: Understanding Numbness and Recovery Time

Postoperative hip joint care Hello, doctor. I underwent left hip replacement surgery at the end of November last year. After the surgery, I did not experience any numbness in my foot or toes. However, after my right hip replacement in April this year, I noticed numbness in my foo...


Dr. Shi Guozheng reply Orthopedics
The occurrence of numbness in the leg after hip joint surgery may be related to the sciatic nerve. If foot movement is normal, it indicates that there is only slight compression of the sensory nerve. However, if there is a drop foot phenomenon, further examination and treatment a...

[Read More] Post-Operative Hip Replacement: Understanding Numbness and Recovery Time


Managing Ankle Fracture Recovery: Tips After Cast Removal

After the cast was removed for a fractured lateral malleolus, I accidentally bumped the affected area again? Hello, Doctor. I suffered a non-displaced fracture of the outer ankle on February 6 while abroad. The emergency physician said it didn't need to be immobilized, but t...


Dr. Shi Guozheng reply Orthopedics
1. It is best to schedule a follow-up appointment as soon as possible. 2. If the pain does not alleviate, there is a possibility of dislocation. 3. It takes three months to heal; the recovery speed is not necessarily slower. 4. Please refrain from exercising.

[Read More] Managing Ankle Fracture Recovery: Tips After Cast Removal


Diagnosing Hand Injuries: X-Ray Insights on Fractures and Contusions

Fracture of the left metacarpal. X-ray imaging diagnosis of the distal radius of the right hand? Hello, I had a car accident on March 20 and have been experiencing pain in both wrists. I went to the hospital for an X-ray examination, which revealed a fracture in the left metacarp...


Dr. Shi Guozheng reply Orthopedics
The image quality is poor, making it difficult to assess. It is recommended to go to the hospital for a physician to take a look.

[Read More] Diagnosing Hand Injuries: X-Ray Insights on Fractures and Contusions


Post-Tibia Fracture Surgery: When to Ditch the Crutches?

Post-operative care for tibial fractures? Hello, doctor. I sustained a traction fracture of the right tibia in a car accident on January 19 and underwent surgery on February 7. It has been about seven weeks since then, and I am currently walking with crutches, putting half weight...


Dr. Shi Guozheng reply Orthopedics
1. To determine if a fracture has healed on an X-ray, it is generally safer to wait about three months. 2. It is normal.

[Read More] Post-Tibia Fracture Surgery: When to Ditch the Crutches?


Effective Treatment Options for Finger Joint Pain After Injury

Pain at the distal interphalangeal joint of the fingers? Hello, doctor. I previously sustained a bruise from external force, initially thinking it was due to eating radishes. However, after two months of taking anti-inflammatory medication, undergoing rehabilitation, and receivin...


Dr. Shi Guozheng reply Orthopedics
Injuries to the wrist typically take a longer recovery time, usually over twelve weeks. Currently, you can continue with rehabilitation or apply heat therapy. If there is significant pain, you may intermittently take pain relievers to alleviate discomfort.

[Read More] Effective Treatment Options for Finger Joint Pain After Injury


Long-Term Effects of Non-Surgical Treatment for Grade 2 Shoulder Dislocation

Is there any long-term consequence of a grade 2 acromioclavicular joint dislocation if it is not surgically treated? Hello, Doctor. I fell while running on March 27, 2024, and impacted my left shoulder, resulting in a Grade 2 acromioclavicular joint dislocation. I am currently wi...


Dr. Shi Guozheng reply Orthopedics
1. Changes in twenty years are difficult to predict; even an uninjured shoulder joint may undergo degeneration. 2. Grade II injuries may not require surgery. 3. Choosing surgery does not guarantee complete recovery.

[Read More] Long-Term Effects of Non-Surgical Treatment for Grade 2 Shoulder Dislocation


Is Surgery Worth It for O-legs? Insights on Treatment Options

Treatment for Bowlegs (Genu Varum) Doctor, I'm 13 years old and I visited an orthopedic specialist (Dr. Yao Shuxin). He suggested that I undergo minimally invasive surgery, but he mentioned that I would need to have four screws placed in my knee. I'm unsure if it's...


Dr. Shi Guozheng reply Orthopedics
If there are no pain symptoms associated with bow legs, surgery is not necessary. Additionally, at the age of 13, there is a possibility of further growth, making it even more appropriate to wait. If issues arise later, correction can be performed at that time without delay.

[Read More] Is Surgery Worth It for O-legs? Insights on Treatment Options


Understanding Coccyx Numbness: When to See a Specialist

Intermittent numbness in the coccyx? Hello Doctor, I have been experiencing intermittent numbness in my coccyx area recently (without any pain), but I haven't had any injuries in the past few months. Initially, I felt this numbness after bending over to wash my hair. A while...


Dr. Shi Guozheng reply Orthopedics
You can visit an orthopedic specialist because the numbness may be due to nerve compression, and further imaging studies such as a CT scan or MRI may be necessary.

[Read More] Understanding Coccyx Numbness: When to See a Specialist


Understanding Back Pain: Causes, Treatments, and When to Seek Help

Back problems Hello, Doctor. I would like to ask about a burning sensation in my back and lower back that has lasted for three weeks. The pain is often so severe that I cannot speak. I have seen a nephrologist, and everything is fine. Could this be related to fascial inflammation...


Dr. Shi Guozheng reply Orthopedics
Pain may be related to inflammation of the muscles or fascia. If there is a burning sensation, it could indicate localized inflammation or nerve compression or irritation. It is advisable to consult a physician. In cases of ankylosing spondylitis, if the muscles are tense, heat t...

[Read More] Understanding Back Pain: Causes, Treatments, and When to Seek Help


Managing Risks of ACL and Meniscus Injuries: Is PRP Therapy Effective?

How to manage the risks associated with ligament and meniscus tears? Hello, doctor! Due to a car accident, I have suffered severe damage to my left knee's anterior cruciate ligament and partial meniscus tear. I previously consulted a physician who mentioned that this conditi...


Dr. Shi Guozheng reply Orthopedics
PRP theoretically can help repair mildly damaged cartilage, but if a ligament is completely torn, it cannot regenerate. For ligament injuries, strengthening exercises can compensate for joint stability. If the joint has severely degenerated over many years, a total joint replacem...

[Read More] Managing Risks of ACL and Meniscus Injuries: Is PRP Therapy Effective?


Managing Fifth Metatarsal Fractures: Prevention and Treatment Insights

Metatarsal fracture Thank you, doctor, for answering my questions. I would like to ask if the reasons for the bone displacement in questions 1 and 2 could be due to the inability to bear weight even while wearing the protective footwear? What can be done to prevent displacement? ...


Dr. Shi Guozheng reply Orthopedics
Your X-ray shows a noticeable crack at the base of the fifth metatarsal, but there is no displacement. We will continue to monitor it. If it remains the same, it may heal, but if you twist it again, there is a possibility of displacement. It would be better to wear a brace.

[Read More] Managing Fifth Metatarsal Fractures: Prevention and Treatment Insights


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