Dr. Shi Guozheng reply Orthopedics Question - Page 24

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Post-Operative Care for Tibial Fractures: Common Questions Answered

Postoperative care for tibial fractures? Hello, doctor. I was in a car accident on November 25, 2021, and was diagnosed with a posterior collapse of the left tibia (fracture). I had an L-shaped steel plate inserted and a knee brace on my leg. It has been two and a half months sin...


Dr. Shi Guozheng reply Orthopedics
1. If the fracture has healed, you can stop using the crutches. 2. You can bend it a little more. 3. It is possible that with more time, there may be further improvement.

[Read More] Post-Operative Care for Tibial Fractures: Common Questions Answered


Understanding Wrist Pain After Sports Injury: When to Seek Medical Attention

Wrist joint pain Hello, doctor. I injured my wrist while playing basketball yesterday. Today, there are no visible bruises or swelling. I noticed that when I raise my hand, there are no issues, but shortly after lowering it, I experience a sharp, painful sensation in the wrist ar...


Dr. Shi Guozheng reply Orthopedics
If there is no obvious bruising and the pain is not severe, you can observe for a few days. If there is no improvement, then it is advisable to see a doctor.

[Read More] Understanding Wrist Pain After Sports Injury: When to Seek Medical Attention


Understanding Growth Plate Issues: What to Monitor for Your Teen's Development

Growth plate issues I went for an X-ray of the growth plates for my 15-year-old son, and the results show that there is still significant space in the growth plates of his hands, while the growth plates in his feet are nearly closed. What should I pay attention to? Should I get a...


Dr. Shi Guozheng reply Orthopedics
Engaging in regular exercise, consuming nutritious foods, and ensuring adequate sleep may help you grow a little taller without the need for additional X-rays.

[Read More] Understanding Growth Plate Issues: What to Monitor for Your Teen's Development


Understanding the Aftermath of Infectious Arthritis: Joint Damage and Swelling

Sequelae of infectious arthritis? Hello, Dr. Shi. My family member has been hospitalized for a long time due to infectious arthritis in the right knee, treated by the infectious disease department. After their condition stabilized, they were discharged, but now they need a walker...


Dr. Shi Guozheng reply Orthopedics
Joint infections typically cause swelling, and it is essential to control the infection before undergoing joint replacement surgery.

[Read More] Understanding the Aftermath of Infectious Arthritis: Joint Damage and Swelling


Risks and Recovery: Removing Titanium Screws from Knee and Thigh

Recently, there is a plan to remove the titanium alloy steel nails from the left thigh and left knee joint? 1. Are there any sequelae after removing a metal screw? 2. Since the healing has been completed for almost two years, the doctor mentioned that it is advisable to remove ...


Dr. Shi Guozheng reply Orthopedics
1. There are usually no long-term sequelae. 2. Surgery can be performed at the same hospital where your original surgery was done, using the same instruments, and it can typically be removed successfully. 3. The recovery period is about two weeks, but you should avoid any impact ...

[Read More] Risks and Recovery: Removing Titanium Screws from Knee and Thigh


Understanding Ankylosing Spondylitis: Can It Be Transmitted?

Ankylosing Spondylitis Doctor, I would like to ask, because I don't quite understand. A friend of mine has a family history of ankylosing spondylitis, and today I made plans to go out with him to eat hot pot. Is there a possibility that I could be infected? I would appreciat...


Dr. Shi Guozheng reply Orthopedics
Ankylosing spondylitis is not contagious. Individuals with this condition possess a specific gene known as HLA-B27, which is related to the immune system. It cannot be transmitted from person to person; it is not an infectious disease, and one cannot contract it from sharing a ho...

[Read More] Understanding Ankylosing Spondylitis: Can It Be Transmitted?


Understanding Heel Pain: Could It Be a Fracture?

Heel pain Hello, doctor. Yesterday, I almost missed a step while walking up the stairs, and now I still have an uncomfortable stabbing pain in my heel. Could it be a fracture? What symptoms would indicate a fracture? Thank you, doctor.


Dr. Shi Guozheng reply Orthopedics
Fractures can cause severe pain, and the joint may be unable to move normally, even to bear weight. Walking can be very painful, and swelling may occur. In cases of severe bruising, the appearance of the joint may become deformed. If a fracture is suspected, an X-ray is necessary...

[Read More] Understanding Heel Pain: Could It Be a Fracture?


Understanding Post-Surgery Pain and Recovery for Hallux Valgus

Hallux valgus issue Hello, Doctor: I am the one who previously posted about issues after my hallux valgus surgery. I apologize for continuously asking questions, but there is very little information available regarding hallux valgus. I just had surgery on January 11, and on Janua...


Dr. Shi Guozheng reply Orthopedics
Postoperative pain is expected and can be alleviated with medication. To determine if the correction is complete, a follow-up appointment is necessary to obtain X-ray imaging.

[Read More] Understanding Post-Surgery Pain and Recovery for Hallux Valgus


Understanding Hip Replacement Surgery: What to Expect and Overcome Pain

Hip replacement surgery Hello Doctor: My mother underwent a bone cement injection surgery in February 2021 due to tissue necrosis in her thigh. Since the surgery, she has been unable to recover; she can walk, but experiences extreme pain. She has had multiple follow-up visits, an...


Dr. Shi Guozheng reply Orthopedics
Typically, after the procedure, pain and function improve, and most individuals can return to normal activities. The success rate of the surgery is also very high.

[Read More] Understanding Hip Replacement Surgery: What to Expect and Overcome Pain


Understanding Knee Flexion Limitations After Injury: A Guide

The knee cannot bend beyond 90 degrees? A month ago, I lost control while riding my bike and crashed, landing on my right knee first. I was taken to the hospital and stayed for three days. My knee started to swell with a lot of bruising, and the injured area felt warm. Now, after...


Dr. Shi Guozheng reply Orthopedics
This requires physical rehabilitation to allow the knee joint to bend more. Under normal circumstances, the knee joint can fully squat down to over 145 degrees.

[Read More] Understanding Knee Flexion Limitations After Injury: A Guide


Can I Still Grow Taller? Understanding Growth Potential at 15

Is there a chance of having a normal height? Since the first year of junior high school, my height was 155 cm, then 161 cm in the second year, and three months ago I measured 166 cm in the third year. It seems I have grown about 5.6 cm in a year, while my classmates have grown 7....


Dr. Shi Guozheng reply Orthopedics
Maintaining regular exercise is sufficient; excessive exercise can be harmful.

[Read More] Can I Still Grow Taller? Understanding Growth Potential at 15


Post-Wrist Fracture: Safe Exercise and Rehabilitation Tips

Post-fracture wrist mobility issues? A month and a half ago, I sustained a minor distal radius fracture from a fall while trying to brace myself. After one month in a cast, my doctor said it has healed and I can start rehabilitation. After another half month of rehab, my wrist&#x...


Dr. Shi Guozheng reply Orthopedics
1. Yes. 2. Three months. 3. Approximately three to six months.

[Read More] Post-Wrist Fracture: Safe Exercise and Rehabilitation Tips


Post-Surgery Concerns for Fifth Toe Valgus Correction: What to Expect

Postoperative Issues Related to Fifth Digit Varus Deformity Surgery Hello, Doctor: I have hallux valgus on both feet, but without bunions on my big toes. After walking for a long time, I experience pain that has persisted for two to three years. I finally made the decision to und...


Dr. Shi Guozheng reply Orthopedics
1. Correct. 2. No special rehabilitation is needed; if the joint can move, practice the range of motion for the joint. 3. Typically around six weeks. 4. Not necessarily. 5. The wound should be kept clean and dry, and diabetes should be well controlled.

[Read More] Post-Surgery Concerns for Fifth Toe Valgus Correction: What to Expect


Post-Operative Concerns After Little Toe Valgus Surgery: FAQs

Postoperative issues related to little finger varus surgery? Hello Doctor: I am the questioner from <a href="https://adoctor.tw/article/177625">#177625</a>. The article cannot be modified, so I am posting another one because I really can't find any arti...


Dr. Shi Guozheng reply Orthopedics
1. Normal 2. Possible

[Read More] Post-Operative Concerns After Little Toe Valgus Surgery: FAQs


Can Quadriceps Muscle Recover After Severe Femoral Fracture?

Severe comminuted fracture of the femur above the knee with quadriceps atrophy? I'm sorry, doctor. Three years ago, I suffered a severe comminuted fracture of the femur in my knee, which has led to significant atrophy of my quadriceps. I am now starting to take rehabilitatio...


Dr. Shi Guozheng reply Orthopedics
Consistent rehabilitation exercises may lead to improvements.

[Read More] Can Quadriceps Muscle Recover After Severe Femoral Fracture?


Understanding Chronic Upper Back and Lower Back Pain: Causes and Solutions

Frequent soreness or pain above the waist? Hello, doctor. I have two questions I'd like to ask. Question 1: I have a persistent ache on the right side of my lower back, specifically along two lines of discomfort. One is located at the far right side, where I typically plac...


Dr. Shi Guozheng reply Orthopedics
1. If it is a herniated disc, there will be pain radiating from the back down to the thigh, calf, and foot, often accompanied by a tingling sensation. The knee may also be unable to fully extend, and lifting the thigh can be difficult, which is characteristic of sciatica caused b...

[Read More] Understanding Chronic Upper Back and Lower Back Pain: Causes and Solutions


Understanding Heel Pain: Causes, Home Remedies, and When to See a Doctor

Heel pain inquiry? Hello Doctor, for the past two to three days, I have been experiencing soreness and discomfort in the heel of my right foot, extending from the bottom of my foot up to my ankle. It is especially uncomfortable when I am standing. I haven't engaged in any in...


Dr. Shi Guozheng reply Orthopedics
It is possible that standing for long periods or wearing hard shoes can lead to plantar fasciitis due to pressure on the soles of the feet, causing inflammation of the plantar fascia. You can take some pain relievers, use adhesive patches, or utilize insoles to alleviate the disc...

[Read More] Understanding Heel Pain: Causes, Home Remedies, and When to See a Doctor


Understanding Coccyx Pain After Injury: Causes and Solutions

Coccygeal issues Hello doctor, I suffered a coccyx fracture due to a fall on August 3, 2020. After resting at home for two months, I still experience occasional pain due to prolonged sitting. Recently, I've noticed that the pain has been increasing after sitting for extended...


Dr. Shi Guozheng reply Orthopedics
Prolonged sitting can compress the tissues near the coccyx, leading to inflammation. Therefore, it is advisable to use a cushion while sitting for better comfort.

[Read More] Understanding Coccyx Pain After Injury: Causes and Solutions


Understanding Ulnar Proximal Fractures: Surgical vs. Conservative Treatment

Proximal ulnar fracture Hello Dr. Shi, I sustained an injury on December 31, and the diagnosis is a proximal ulnar fracture. The emergency physician informed me that there is considerable debate regarding the treatment for this type of injury. One perspective suggests that surger...


Dr. Shi Guozheng reply Orthopedics
1. Surgery is not recommended. 2. Immobilization for three to four weeks is sufficient. 3. Rehabilitation is needed after the swelling of the joint subsides.

[Read More] Understanding Ulnar Proximal Fractures: Surgical vs. Conservative Treatment


Morning Upper Back Pain: Causes and Solutions for Better Sleep

Upper back pain upon waking? For the past six months, I have frequently woken up with pain in my upper back, specifically on both sides of the spine rather than the spine itself. However, the pain tends to ease after I move around. I have consulted an orthopedic doctor and had X-...


Dr. Shi Guozheng reply Orthopedics
Rheumatoid arthritis (RA) can cause joint pain, which can be managed with medication. To check for lung cancer, you can undergo an X-ray or a low-dose computed tomography (CT) scan.

[Read More] Morning Upper Back Pain: Causes and Solutions for Better Sleep


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