Dr. Shi Guozheng reply Orthopedics Question - Page 8

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Post-Surgery Recovery Tips for Tibial Fractures: What to Expect

Post-operative care for tibial fractures? On July 19, I was involved in a car accident that resulted in a comminuted fracture of the left femur, with the fracture extending approximately 30 centimeters from above the knee joint to below the hip joint. I also sustained a fracture ...


Dr. Shi Guozheng reply Orthopedics
The duration for which a walker is needed depends on the healing status of the bone, which should be assessed through follow-up X-rays. If it is not a comminuted fracture, typically, one can start walking within three months, but a walker will still be necessary. To safely discon...

[Read More] Post-Surgery Recovery Tips for Tibial Fractures: What to Expect


Understanding Hip Pain: Causes and Remedies for Discomfort

Bone pain? Since yesterday, I've been experiencing pain in the bone above my buttocks. It hurts when I bend over, lean back, or lie flat. I'm not sure if it's due to poor posture or if it could be related to an incident on the 16th of last month when a family membe...


Dr. Shi Guozheng reply Orthopedics
It is possible that the pain is due to poor posture; it is advisable to observe the situation first. If the pain persists, then it would be necessary to see a physician.

[Read More] Understanding Hip Pain: Causes and Remedies for Discomfort


Understanding Knee Injury Treatments: Surgery vs. Alternative Options

Treatment methods for knee injuries? Four months ago, after exercising, I suddenly found it difficult to squat down the next day. My right knee was somewhat swollen but not painful. A few days later, I visited an orthopedic doctor who drained the excess fluid. After the drainage,...


Dr. Shi Guozheng reply Orthopedics
The MRI report did not indicate a meniscus tear, so conservative treatment can be considered. If there is no improvement, we can reassess the situation later.

[Read More] Understanding Knee Injury Treatments: Surgery vs. Alternative Options


Understanding Spinal Fractures: Recovery Tips and Common Concerns

Vertebral fracture Hello, Doctor! I was in a car accident on the highway, rear-ended by another vehicle, and was taken to the emergency room. After a CT scan and X-rays, the doctor diagnosed me with a "burst fracture of the third vertebra," with a vertebral body depress...


Dr. Shi Guozheng reply Orthopedics
1. Pain caused by vertebral fractures. 2. It may be due to lying down for too long, leading to compression. 3. If there are no neurological symptoms, an MRI is not necessary. 4. Both upper and lower limbs should be mobilized, ensuring every joint is moved.

[Read More] Understanding Spinal Fractures: Recovery Tips and Common Concerns


Understanding Coccyx Pain: Causes, Symptoms, and Relief Strategies

Coccygeal issues Hello doctor, recently after taking a nap, I experience a sore and numb sensation in the coccyx area when I try to stand up (it feels somewhat like a cramp, but not quite right), making it almost impossible to stand. Even slight movements cause significant discom...


Dr. Shi Guozheng reply Orthopedics
The skin and tissue over the coccyx are relatively thin, so prolonged pressure on that area can easily lead to inflammation. It is advisable to avoid such practices. Pain can be alleviated with medication, and if that is insufficient, local injections may be considered for treatm...

[Read More] Understanding Coccyx Pain: Causes, Symptoms, and Relief Strategies


Recovery Timeline for Comminuted Femur Fracture: What to Expect

Comminuted fracture of the left femur, 30 centimeters? On July 19, I was involved in a car accident that resulted in a comminuted fracture of the left femur, fractures of the right ankle and fifth toe, and a fracture of the right patella. The surgery lasted about six hours and wa...


Dr. Shi Guozheng reply Orthopedics
In the case of a comminuted fracture of the femur, it is generally recommended to begin walking immediately, with protection for at least three months. Crutches should be used for approximately six to nine months before they can be discontinued. Whether a return to work is possib...

[Read More] Recovery Timeline for Comminuted Femur Fracture: What to Expect


Should You Remove Titanium Screws After Fifth Metatarsal Fracture?

Does the titanium alloy screw for the fifth metatarsal fracture need to be removed? The recommendation for removal is based on the fact that the patient would have to live with the bone screws and plates for the next 50-60 years, which could introduce additional uncertainties. Si...


Dr. Shi Guozheng reply Orthopedics
1. It is possible. 2. There is no increased risk of fractures because continued walking makes it less likely to develop osteoporosis. There may be temporary cavities, but over time, the bone will regenerate and fill in. 3. Removing it requires another surgery, which carries its o...

[Read More] Should You Remove Titanium Screws After Fifth Metatarsal Fracture?


Understanding Hip and Knee Sounds: Causes and Concerns for One-Sided Symptoms

Hip joint issues, bone problems? Hello Doctor, I have noticed a significant issue this year with my lower body, specifically my right thigh and knee. Whenever I stand up or lie on my right side, I hear a sound, but it doesn't happen continuously; it occurs every few minutes....


Dr. Shi Guozheng reply Orthopedics
You can visit an orthopedic specialist to determine if there are any issues with your bones; sometimes, the problem may actually be with the ligaments.

[Read More] Understanding Hip and Knee Sounds: Causes and Concerns for One-Sided Symptoms


Managing Chronic Ankle Ligament Pain: Next Steps for Recovery

Ankle ligament not healed? Hello, I sustained a tear in my ankle ligaments due to an accident last July. I started rehabilitation in September and also received glucose injections, but I have been experiencing pain ever since. I have only been doing the exercises taught by my phy...


Dr. Shi Guozheng reply Orthopedics
Ligament sprains typically require conservative treatment and rarely necessitate surgery. Continuing rehabilitation or wearing an ankle brace for protection is advisable. As long as there is no instability, recovery will gradually occur.

[Read More] Managing Chronic Ankle Ligament Pain: Next Steps for Recovery


Recovering from Metatarsal Fracture: Ankle Mobility and Rehab Tips

Metatarsal fracture with inability to flex the ankle normally? Hello Doctor, I sustained a non-displaced fracture of the metatarsal in my left foot on June 19th. Following your instructions, I have been wearing a pneumatic brace all day. During my follow-up appointment on August ...


Dr. Shi Guozheng reply Orthopedics
1. You can perform dorsiflexion and plantarflexion exercises for the ankle joint to strengthen the muscles. 2. It will take approximately three months for recovery.

[Read More] Recovering from Metatarsal Fracture: Ankle Mobility and Rehab Tips


Understanding Coccyx Injuries: Managing Pain and Discomfort After Trauma

After a coccygeal contusion, there may be a sensation of a foreign body in the anal or inner buttock area? Hello, doctor. About a week ago, I sustained a coccygeal contusion from a car accident. An X-ray showed that there are no fractures, but there is some curvature in the bone....


Dr. Shi Guozheng reply Orthopedics
Symptoms that may be caused by a bruise can be alleviated by taking anti-inflammatory medications. Additionally, soaking in warm water can help reduce swelling.

[Read More] Understanding Coccyx Injuries: Managing Pain and Discomfort After Trauma


Understanding Fifth Metatarsal Fractures: Healing and Recovery Insights

Fifth metatarsal fracture Hello, Doctor. I accidentally fell and fractured my bone while playing basketball on June 9. I had a cast from June 9 to June 20. However, during my follow-up appointment on June 20, it was found that there was a slight displacement of the bone, so I sta...


Dr. Shi Guozheng reply Orthopedics
1. Normal. 2. Also normal. 3. The tingling sensation will gradually subside.

[Read More] Understanding Fifth Metatarsal Fractures: Healing and Recovery Insights


Is Your Left Shoulder Pain Caused by Fascia Inflammation?

Is the left shoulder experiencing myofascial inflammation? I experienced soreness and numbness in my left hand and shoulder due to poor posture during weight training at the end of August last year. MRI and X-ray examinations revealed herniated discs at levels C4, C5, C6, and C7 ...


Dr. Shi Guozheng reply Orthopedics
It may be a problem with the cervical intervertebral discs. Continuing rehabilitation and taking some medication can help improve the condition.

[Read More] Is Your Left Shoulder Pain Caused by Fascia Inflammation?


Understanding Leg Pain After Trauma: When to Seek Further Medical Help

Calf pain Two weeks ago, I was hit by a motorcycle, and my right calf and the top of my foot were caught between the car's tire and rim. The middle section of my calf and the top of my foot immediately swelled up significantly. The emergency doctor examined the X-ray and sai...


Dr. Shi Guozheng reply Orthopedics
It is normal to experience some pain after a calf contusion; please follow up for your scheduled appointment.

[Read More] Understanding Leg Pain After Trauma: When to Seek Further Medical Help


Can I Ice Skate After a Recent Ankle Fracture Recovery?

I'm not sure if I can go ice skating? Hello, doctor. I accidentally fell and fractured my bone while playing basketball on June 9. I had a cast from June 9 to June 20, but during my follow-up on June 20, it was found that there was a slight displacement of the bone, so I sta...


Dr. Shi Guozheng reply Orthopedics
1. You can give it a try; if it hurts, you should use protective gear. 2. It will take approximately six to eight weeks. 3. It's a bit risky because there's a high chance of falling and getting injured again. 4. It's normal; you can elevate your foot to reduc...

[Read More] Can I Ice Skate After a Recent Ankle Fracture Recovery?


Understanding Knee Swelling After Injury: Causes and Recovery Tips

Could you please provide more details about the swelling sensation in your knee after an injury during exercise? Hello, about three years ago, I accidentally caught my right knee in the door of my car when closing it. At that moment, I only felt pain, but later on, I didn't ...


Dr. Shi Guozheng reply Orthopedics
You need to visit a hospital to see an orthopedic doctor for a diagnosis. If further examinations are necessary, the doctor will arrange them. Without treatment, the extent of the injury is unknown.

[Read More] Understanding Knee Swelling After Injury: Causes and Recovery Tips


Understanding Mobility After Fifth Metatarsal Fracture: Key Questions Answered

Unknown range of motion? Hello Doctor, I accidentally fell on June 9 and fractured my fifth metatarsal. From June 9 to June 13, I had a half cast for immobilization. During my follow-up on June 13, a slight displacement was noted. From June 13 to July 4, I used a protective boot....


Dr. Shi Guozheng reply Orthopedics
1. The fracture has been stable for about a month and is unlikely to displace. 2. There will be pain. 3. No need for intervention. 4. Approximately six weeks. 5. It will take about six to eight weeks to walk normally.

[Read More] Understanding Mobility After Fifth Metatarsal Fracture: Key Questions Answered


Can You Walk Gently with an AIRCAST After a Foot Fracture?

Can a limb using an AIRCAST brace walk gently? I have a fracture in the fifth metatarsal of my left foot and have been using an AIRCAST for 17 days. At home, I use my right hand to hold a walking stick for support, and I gently place my injured foot on the ground to move slowly w...


Dr. Shi Guozheng reply Orthopedics
If the fracture is non-displaced, walking can be performed with immobilization. However, if the fracture is displaced, it is safer to wait for about six weeks. If there are any doubts, it is best to consult a physician to determine whether walking is permissible.

[Read More] Can You Walk Gently with an AIRCAST After a Foot Fracture?


Understanding Knee Discomfort: Causes and Solutions for Your Symptoms

Knee problems Hello Doctor: My sister reports that she feels some discomfort and a "catching" sensation in her right knee while walking at home. Additionally, when she walks for an extended period outside, she experiences the same catching sensation in her right knee, a...


Dr. Shi Guozheng reply Orthopedics
It is possible that the degeneration of the articular cartilage could be assessed by getting an X-ray at the orthopedic department of a hospital to determine if there is osteoarthritis of the knee.

[Read More] Understanding Knee Discomfort: Causes and Solutions for Your Symptoms


Understanding Hip Clicks and Pelvic Asymmetry: A Comprehensive Guide

Body asymmetry may indicate issues such as anterior pelvic tilt or hip joint problems? A few years ago, I suddenly noticed a "clicking" sound in my right hip when putting on and taking off my pants. Later, I researched online and found that it might be due to hip snappi...


Dr. Shi Guozheng reply Orthopedics
To determine whether there is an issue with pelvic anterior tilt, it is necessary to obtain both frontal and lateral X-rays for accurate assessment. It is advisable to consult an orthopedic physician for diagnosis, as sometimes scoliosis can also present with this condition.

[Read More] Understanding Hip Clicks and Pelvic Asymmetry: A Comprehensive Guide


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