Dr. Wang Jiacheng reply <a href="https://doctorqna.com/en/faq/orthopedics" target="

Understanding Fifth Metatarsal Fracture Healing Challenges

Fifth metatarsal bone healing issues? Hello Doctor, I fell on March 1 and sustained a fracture at the base of the fifth metatarsal. I have been undergoing conservative treatment, and the fracture site remained in a state of opening and closing until early May. Therefore, I went t...

Dr. Wang Jiacheng reply Orthopedics
1. Correct. 2. If symptoms persist for more than six months, it is considered. 3. Continue monitoring and consult a physician for further evaluation.

Understanding Left Ankle Fractures: Recovery, Alignment, and Swelling

Fracture of the left medial malleolus? Hello, I fractured my left ankle on April 12th, with some displacement, and it has been over three months. Here are my questions: 1. Does a non-aligned left ankle fracture have any impact? Is it necessary for it to be aligned? 2. Is there ...

Dr. Wang Jiacheng reply Orthopedics
1. It is best to align properly. 2. Apply a little weight. 3. Elevate the foot as much as possible. 4. It may take more than six months for the swelling to subside. 5. It should not be a problem.

Impacts of Misaligned Left Ankle Fractures and Swelling Recovery

Fracture of the left medial malleolus? Hello, I have a fracture of the left ankle with some displacement. Here is the X-ray link: https://lurl.cc/zY5ua. I would like to know if a displaced fracture of the left ankle has any implications, and is it necessary for the bones to be al...

Dr. Wang Jiacheng reply Orthopedics
A slight displacement may not require surgery, but it will take about three months to heal. Swelling will also take approximately three months to subside. It is advisable to elevate the foot to aid in reducing swelling and to avoid prolonged walking or standing.

Guidelines for Assisting Patients with Spinal Fractures and Cancer

Care for Spinal Fractures Hello Doctor, my family member has osteoporosis and fractures in the fourth and fifth lumbar vertebrae due to cancer, which also affects the thoracic spine and hip joints. The pain has made it impossible for them to get up or lie down independently, requ...

Dr. Wang Jiacheng reply Orthopedics
Please cherish our online medical resources. When asking the same question, please specify only one physician or dietitian.

Persistent Shoulder Pain After Clavicle Surgery: Is the Plate Misplaced?

The metal plate is not displaced, but there is pain? Hello, Doctor. On June 4th, I had a motorcycle accident and fractured my right distal clavicle. I visited the clinic the next day and underwent surgery, using a self-funded hook plate. After the surgery, the pain significantly ...

Dr. Wang Jiacheng reply Orthopedics
If the first X-ray indicates no displacement and you don't believe it, it's best to wait another two weeks and then get another X-ray to check.

Understanding L1 Vertebral Fractures: Recovery Tips and Concerns

Fracture of the first lumbar vertebra (L1 fracture) Hello, doctor. I currently have a fracture of the first lumbar vertebra (the CT scan shows a distinct white mark). It has been three weeks, and I would like to ask: 1. Is it normal to feel sensations in the affected area while l...

Dr. Wang Jiacheng reply Orthopedics
1. It is normal. 2. You can apply a warm compress now. 3. It's okay. 4. The bone's sound barrier doesn't change quickly; going for an X-ray early may not reveal anything special.

Navigating Work Challenges After Ankle Fracture Recovery

Ankle fracture recovery issues and work? In early May, I had a car accident on my way home from work, resulting in a closed ankle fracture that required surgery to insert two screws. I had my cast removed in mid-June, but I still couldn't put weight on my foot. During my fol...

Dr. Wang Jiacheng reply Orthopedics
A physician can issue a certificate based on your condition, but typically, an ankle fracture will heal after three months post-surgery, which means that under normal circumstances, you should be able to return to work.

Unexpected Complications After Plate Removal: Unhealed Fracture and New Surgery

The doctor said the fracture hasn't healed yet, so they placed a steel plate again? Hello, doctor. I had a regrettable incident while having a plate removed in a rural area: 1. I fractured my metatarsal in early August last year and had a plate installed. A year later, durin...

Dr. Wang Jiacheng reply Orthopedics
1. It is usually necessary to confirm that the fracture has healed before removing the metal plate. 2. It is possible that it has not fully healed yet.

Managing Lumbar Disc Herniation: Tips for Daily Activities and Exercises

Herniated disc Hello Doctor: It has been 8 months since my lumbar disc herniation at the L4-L5 level was confirmed by a physician. The orthopedic doctor at the clinic arranged for me to undergo traction therapy, but I stopped after about a month and a half because I was concerned...

Dr. Wang Jiacheng reply Orthopedics
You can bend slightly but should avoid lifting heavy objects. If there is a slip while bending, the need for surgery depends on the grade. If it is grade two or lower, surgery may not be necessary. Additionally, severe pain or lower limb weakness would warrant surgical interventi...

Managing Pain from Accessory Navicular Bone in Flatfoot Conditions

Navicular bone, medial ankle pain? Hello Doctor, I have congenital hallux valgus and an accessory navicular bone combined with flatfoot. My hallux valgus is currently mild to moderate and does not affect my daily life, but regarding the accessory navicular bone, I experience sign...

Dr. Wang Jiacheng reply Orthopedics
Applying heat can reduce pressure on the affected area. If arch support shoes are ineffective, you can consider ordering custom insoles that are thicker and softer, which can help alleviate pressure on the feet.

Persistent Coccyx Pain After Three Months: Seeking Solutions

Coccydynia persists for three months despite treatment? Hello Doctor: I have thoroughly researched all issues related to the coccyx. My condition is that three years ago, I paid out of pocket for an MRI from the cervical spine to the sacrum, and at that time, my coccyx was normal...

Dr. Wang Jiacheng reply Orthopedics
Coccyx contusions typically heal with rest and pain medication; what is needed is time for recovery, which usually takes about three to six months.

How to Manage Tailbone Pain After an Injury: Tips and Advice

Coccyx injury? On June 10, I accidentally bumped my butt against the stairs while opening a cabinet, and it has been painful from that time until June 12. It hurts when I sleep, laugh, sit, and walk, especially when I get up, which is extremely painful. I have a swimming class ne...

Dr. Wang Jiacheng reply Orthopedics
You may need to visit the hospital for an examination, and possibly get an X-ray to check for fractures. If the pain is severe, medication treatment may also be necessary.

Managing Chronic Pain After Hip and Knee Fracture Surgery in Seniors

Chronic pain after surgery for elderly fractures? Hello, my mother had a car accident in 2020 (at the age of 80) that resulted in fractures of the distal femur in her left leg and the proximal tibia near the knee in her right leg. She underwent surgery, which was successful, but ...

Dr. Wang Jiacheng reply Orthopedics
If walking causes pain, an X-ray should be taken to check for potential arthritis issues. If there is no pain, it may not be necessary to remove internal fixation devices. An X-ray can help determine the underlying cause, allowing for targeted treatment.

Understanding Pain After Cuboid Bone Fracture: Causes and Solutions

Navicular bone fracture Hello Doctor: I fell a month ago and sustained a fracture in my metatarsal bone. The clinic doctor applied a brace for stabilization. During the first two weeks, X-rays showed no improvement in the fracture site. Subsequently, I received injections to prom...

Dr. Wang Jiacheng reply Orthopedics
Before a fracture heals, there will be pain, though the intensity may vary. Continued use of a splint for immobilization is usually required for six to twelve weeks for the fracture to heal.

Numbness in Left Ring and Pinky Toes After Motorcycle Accident

Numbness in the left foot's ring and little toes? Hello, I had a collision with a motorcycle last Saturday. At that moment, I only felt pain on the inner side of my left tibia, and everything else seemed normal. However, in the past few days, I've noticed that my left r...

Dr. Wang Jiacheng reply Orthopedics
It is advisable to seek medical consultation. Thank you, and wish you good health!

Managing Lumbar Disc Herniation: Rehabilitation and Traction Concerns

Rehabilitation and traction for herniated discs? Hello, Doctor: After the New Year, I experienced discomfort in my lower back and was diagnosed with a grade 1 lumbar disc herniation at an orthopedic clinic. Currently, the orthopedic doctor has arranged for me to continue with ele...

Dr. Wang Jiacheng reply Orthopedics
Spondylolisthesis may not always present with symptoms. If one avoids excessive bending or lifting, it typically does not cause pain. Medication can alleviate discomfort, and first-degree spondylolisthesis usually does not require surgical intervention. Traction is not necessary,...

Understanding Calf Swelling After Femur Fracture: Causes and Solutions

Swelling of the lower leg after a femoral fracture? In July of the year before last, I had a fracture in my right thigh that required surgery, and I had bone screws placed. By June of last year, I had fully recovered and could walk normally. Recently, I noticed that my right calf...

Dr. Wang Jiacheng reply Orthopedics
You can get an X-ray to check if there is any difference in the length of the bones in both legs. If there is no difference, then it may be an issue related to pelvic tilt, and you can follow up with an orthopedic specialist.

Understanding and Managing Mid-Back Pain and Discomfort

Back problems Hello, doctor! Recently, I've been experiencing a tingling and numb sensation in my mid-back, and sometimes there's a burning sensation. My shoulders and neck often feel stiff and sore. This used to happen occasionally, but now it occurs almost every two t...

Dr. Wang Jiacheng reply Orthopedics
It could be due to prolonged activity or maintaining the same posture for too long, or it may be related to cervical osteophytes. If the pain shows no signs of relief, it is necessary to see a physician.

Understanding Heel Pain: Is It a Fracture or Just a Bruise?

Calcaneal fracture A few days ago, I had a car accident. Initially, I was able to stand and walk on my heel. The doctor said I was doing well and didn't need an X-ray. However, two days later, my heel started to hurt, but my ankle is not swollen and I can move it freely. Pre...

Dr. Wang Jiacheng reply Orthopedics
It could be caused by a contusion, but we cannot rule out the possibility of a fracture. It's best to see a physician and get an X-ray to confirm.

Knee Pain When Squatting and Climbing Stairs: Causes and Solutions

Pain in the left knee when squatting and going up or down stairs? Hello, doctor. Last night, when I was about to sit down on a cushion on the floor, I suddenly felt my left knee twist a bit. Since I woke up today, I've been experiencing discomfort in the front of my left kne...

Dr. Wang Jiacheng reply Orthopedics
It could be a strain; getting up from a seated position may compress the ligaments or meniscus inside the knee joint. If the symptoms do not improve, it is advisable to see a physician for a proper evaluation.

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