Dr. Shi Guozheng reply Orthopedics Question - Page 20

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Understanding Clavicle Fractures: Recovery Challenges and Treatment Options

Clavicle fracture I had a car accident on March 12 and suffered a clavicle fracture. I underwent surgery on March 15 to have a plate inserted, and the plate was removed on June 2. However, even after more than three months, I still cannot lift my arm. My muscles seem to have cont...


Dr. Shi Guozheng reply Orthopedics
We can continue to monitor the situation, and if the fracture does not heal, a second surgery may be necessary.

[Read More] Understanding Clavicle Fractures: Recovery Challenges and Treatment Options


Managing Patellar Chondromalacia: Rehabilitation and Care Tips

Post-care for patellar chondromalacia? Hello Doctor: Recently, I have been experiencing a crackling sound in my knees when squatting, along with a sensation of stiffness while walking, but there is not much pain. I went to an orthopedic doctor for an X-ray, and the doctor diagnos...


Dr. Shi Guozheng reply Orthopedics
You can go to the rehabilitation department to practice strength training and have check-ups every six months. A knee brace can be worn.

[Read More] Managing Patellar Chondromalacia: Rehabilitation and Care Tips


Understanding Post-Operative Knee Arthroscopy: Is Popping Normal?

Knee arthroscopy surgery Hello, Doctor: Due to a car accident on August 30 of last year, I initially did not experience any pain in my knee. However, around the evening of September 7, after being discharged, I suddenly felt sharp pain. I consulted many doctors and underwent nume...


Dr. Shi Guozheng reply Orthopedics
In normal circumstances, cartilage injuries need to be monitored continuously because they are subject to ongoing degeneration.

[Read More] Understanding Post-Operative Knee Arthroscopy: Is Popping Normal?


Effective Treatments for Knee Osteoarthritis Beyond Medication

Knee osteoarthritis Hello, Doctor. I would like to ask about my father's knee pain. He usually walks up and down stairs and enjoys brisk walking as part of his daily routine. He has a job that requires him to stand for long periods. He previously visited a neurosurgeon who d...


Dr. Shi Guozheng reply Orthopedics
1. Rehabilitation reduces the stress on the knee joint. 2. Apply heat therapy and wear a knee brace. 3. If ineffective, consider supplementing with glucosamine health products. 4. If eligible, consider trying hyaluronic acid injections. 5. If there is still no improvement...

[Read More] Effective Treatments for Knee Osteoarthritis Beyond Medication


Knee Pain Without Periosteum: Causes and Treatment Options

Pain in the knee without the presence of the periosteum? Hello, Doctor. My boyfriend had a car accident when he was a teenager, which resulted in the loss of the periosteum in both of his knee joints. Recently, he has been experiencing knee pain, a symptom that has persisted for ...


Dr. Shi Guozheng reply Orthopedics
After a knee joint injury, there is a possibility of developing post-traumatic arthritis, which can lead to pain. The notion of "no periosteum" is not applicable in this context. It is advisable to get an X-ray to identify the specific issue. If it is joint degeneration...

[Read More] Knee Pain Without Periosteum: Causes and Treatment Options


Redness and Pain on the Inner Side of the Foot: What to Do?

The inner side of the foot is red? Hello Doctor: The inner side of my right foot (between the big toe and the ankle) is a bit red and painful when I press it with my fingers. It doesn't hurt when I walk, but it feels a bit warm to the touch. However, it doesn't seem to ...


Dr. Shi Guozheng reply Orthopedics
Applying ice and resting can help alleviate swelling and pain. It is advisable to see a physician, as it could potentially be gout or joint inflammation.

[Read More] Redness and Pain on the Inner Side of the Foot: What to Do?


Managing Tendonitis: Is Corticosteroid Injection Right for Young Athletes?

Tendinitis occurred after my right index finger was jammed against a ball during sports a month ago, and it has not healed since? I hit the ball while playing, which caused pain in my right index finger when it is straightened or extended backward. The pain is located about one c...


Dr. Shi Guozheng reply Orthopedics
Typically, bruises take about four to six weeks to heal, and medication is sufficient; there is no need for corticosteroid injections.

[Read More] Managing Tendonitis: Is Corticosteroid Injection Right for Young Athletes?


Loss of Sensation in Inner Thigh and Genitals After Spine Surgery: What to Expect?

There is no sensation in the left inner thigh and the left side of the penis and scrotum? In April, I underwent minimally invasive surgery to fixate my lumbar spine due to spondylolisthesis and a fracture (L5), where screws were inserted. After the first surgery, I noticed a lack...


Dr. Shi Guozheng reply Orthopedics
1. Recovery is possible but not guaranteed. 2. It may take three to six months. 3. If recovery is not achieved, the effectiveness of surgery may be limited.

[Read More] Loss of Sensation in Inner Thigh and Genitals After Spine Surgery: What to Expect?


Preventing and Treating Avascular Necrosis of the Talus in Children

Avascular necrosis of the talus? The child sustained an ankle sprain three months ago, and only recently, an MRI revealed partial avascular necrosis of the talus neck. Doctor, I would like to ask: 1. How can we prevent the avascular necrosis from worsening? 2. Is there a possibil...


Dr. Shi Guozheng reply Orthopedics
1. Do not put weight on the fractured area. 2. Usually requires surgical intervention for bone repair. 3. Alternatively, hyperbaric oxygen therapy may be used.

[Read More] Preventing and Treating Avascular Necrosis of the Talus in Children


Understanding Your Right Knee MRI Report: Key Findings Explained

Could you help interpret the MRI report? MRI of the right knee without IV contrast showed: - Right PCL: Status post reconstruction of the right PCL. - Right medial meniscus: Intrameniscal tear of the right medial meniscus. - Right LCL: Fluid collection along the right later...


Dr. Shi Guozheng reply Orthopedics
The status after right knee posterior cruciate ligament reconstruction requires follow-up with a clinical physician for further evaluation.

[Read More] Understanding Your Right Knee MRI Report: Key Findings Explained


Why Cold Feet Cause Cramps: Understanding the Connection

Cramps occur in the legs when exposed to cold? Experiencing muscle cramps in the legs when exposed to cold air conditioning, which then subsides when the legs are warmed up, can be attributed to several factors. Cold temperatures can lead to muscle contraction and reduced blood f...


Dr. Shi Guozheng reply Orthopedics
It may be due to blood vessels constricting in response to cold; keeping warm could help alleviate the symptoms.

[Read More] Why Cold Feet Cause Cramps: Understanding the Connection


Understanding Recovery Time and Pain After Femoral Bone Grafting Surgery

Femoral healing Doctor, 😊 I was supposed to have a follow-up appointment today, but I misread the time and rescheduled it for the 17th. 😓 I forgot to mention one thing during my last inquiry: I underwent a femoral decompression surgery with artificial bone graft. From the first d...


Dr. Shi Guozheng reply Orthopedics
Bone healing typically occurs within 6 to 12 weeks, but whether it heals or not depends on many factors. It is best to ask the attending physician during the follow-up appointment. The success rate of decompression for avascular necrosis of the femoral head is not 100%, so contin...

[Read More] Understanding Recovery Time and Pain After Femoral Bone Grafting Surgery


Persistent Pain After Tibial Plateau Fracture: Possible Causes and Solutions

Five months after a tibial plateau fracture, there is still pain? Hello Doctor: On January 11 of this year, I suffered an injury to my right tibial plateau due to work, which resulted in the anterior cruciate ligament being displaced. I underwent surgery on January 17, where scre...


Dr. Shi Guozheng reply Orthopedics
The bone itself may also have a contusion. After the ligaments are fixed back in place, it is necessary to test whether the stability is sufficient. If there are any unstable conditions present, pain may also occur. When ligaments are injured, in addition to the complete displace...

[Read More] Persistent Pain After Tibial Plateau Fracture: Possible Causes and Solutions


Post-Hip Surgery Recovery: Understanding Pain and Complications

Postoperative hip joint care? Hello Doctor: I underwent hip joint surgery on June 2nd, and today marks the 11th day post-operation. Before the surgery, I consulted several major hospitals in Tainan regarding my symptoms of sciatica and avascular necrosis of the hip, which were ca...


Dr. Shi Guozheng reply Orthopedics
Hip joint lesions often lead to knee pain due to nerve conduction, as the nerves near the hip joint also radiate to the knee area. Typically, it takes some time for pain relief after decompression surgery, and you will need to return for follow-up in the outpatient clinic.

[Read More] Post-Hip Surgery Recovery: Understanding Pain and Complications


Knee Bump After Motorcycle Accident: Causes and Solutions

Swelling of the knee after a car accident? About six months ago, I fell off my bike and landed on my right foot. At the time, I thought it was just a bruise and did not seek medical attention. About a month later, I noticed a small bump below my knee. I went to see a doctor and h...


Dr. Shi Guozheng reply Orthopedics
Medication can be used for treatment, and if there is no improvement, consider local corticosteroid injections. You can consult a physician to determine if this is necessary.

[Read More] Knee Bump After Motorcycle Accident: Causes and Solutions


Understanding Steel Plate Removal: Pain, Recovery, and Limitations

Removal of steel plates Several years ago, both of my wrists were crushed, and I had steel plates implanted. Recently, I have been experiencing intermittent pain in my wrists, which worsens in cold weather. There are also limitations in movement, and I have decided to have the pl...


Dr. Shi Guozheng reply Orthopedics
1. The pain is milder than after the initial fracture surgery. 2. Approximately two weeks. 3. It may improve. 4. Within two weeks. 5. You can ride a bike. 6. You should be able to hold a pen. 7. Rehabilitation is not necessary, but you must wait three to six months be...

[Read More] Understanding Steel Plate Removal: Pain, Recovery, and Limitations


Recovery Timeline for Medial Malleolus Fracture: What to Expect

Fracture of the left tibial medial malleolus? Hello, doctor. I was hit by a car while walking on April 15, and although my left foot's outer ankle made contact with the ground, I sustained a fracture of the inner ankle. The doctor recommended two months of rest. I did not un...


Dr. Shi Guozheng reply Orthopedics
Approximately three months after the injury.

[Read More] Recovery Timeline for Medial Malleolus Fracture: What to Expect


Post-Clavicle Fracture Surgery: When Can You Safely Go Out?

How long after a clavicle fracture surgery can one go out? Hello, Doctor. I had a motorcycle accident on April 13, resulting in a left clavicle fracture. At that time, since there was no displacement and the crack was not significant, I underwent conservative treatment with a fig...


Dr. Shi Guozheng reply Orthopedics
1. You can go outside. 2. You can, but be cautious not to exert too much force on the fractured side. 3. It is not recommended to do so. A fracture typically takes about three to six months to heal, and you should gradually ease into strenuous activities.

[Read More] Post-Clavicle Fracture Surgery: When Can You Safely Go Out?


Recovery Timeline for Medial Malleolus Fracture: What to Expect

Fracture of the left tibial medial malleolus? Hello, doctor. I was hit by a car while walking on April 15, and although my left foot's outer ankle made contact with the ground, I sustained a fracture of the inner ankle. The doctor recommended two months of rest. I did not un...


Dr. Shi Guozheng reply Orthopedics
Fractures of the inner ankle typically take about three months to heal, and normal activity can usually resume around that same timeframe.

[Read More] Recovery Timeline for Medial Malleolus Fracture: What to Expect


Managing Knee Pain: Can Kudona Capsules Help with Patellar Inflammation?

Follow-up question #182498 Knee inquiry consultation? Dear Dr. Shi, Thank you very much for your response and explanation in the consultation regarding my knee issues (#182498). I have learned a lot. I understand that my "pain when kneeling" is caused by patellar synov...


Dr. Shi Guozheng reply Orthopedics
The supplement you mentioned that contains glucosamine is a health product and not a medication, so it may not necessarily help with your symptoms. I recommend consulting a physician, as some anti-inflammatory medications (NSAIDs) might be effective in addressing your condition.

[Read More] Managing Knee Pain: Can Kudona Capsules Help with Patellar Inflammation?


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