Understanding Leg Cramps After Knee Surgery: Causes and Solutions
Leg cramps in the thigh? Hello Dr. Wang, I had a patellar comminuted fracture surgery due to a car accident in May 2011. This May, I had the fixation wires removed. Since then, I have been experiencing cramps from my thigh to my calf. The injured leg has atrophied and is smaller ...
Dr. Wang Shouji reply Orthopedics
Hello, standing with full weight after a patellar fracture should not be an issue, but there is currently muscle atrophy. It is important to engage in strength training, as it has been a long time—ten years (from May 2021 to July 2021). It is uncertain whether the fracture has co...[Read More] Understanding Leg Cramps After Knee Surgery: Causes and Solutions
Core Strengthening Exercises After Spine Surgery: Safety and Recommendations
Core exercises after spinal surgery? It has been four months post-surgery, where screws and a cage were placed in the lumbar spine at levels L4 and L5. I have two questions: 1. What exercises can I do to increase core strength? 2. When lying flat, performing an abdominal exercise...
Dr. Wang Shouji reply Orthopedics
Hello, it is important to first confirm whether a joint fusion surgery has been performed. If so, verify whether the fusion site has healed. Core strengthening exercises targeting the back and abdomen can enhance spinal stability. Exercises such as sit-ups and push-ups can be ben...[Read More] Core Strengthening Exercises After Spine Surgery: Safety and Recommendations
Understanding Tibia and Fibula Fractures: Recovery and Complications
Tibia and fibula fractures Hello Doctor, I had an open, displaced fracture of the middle and lower segments of my tibia and fibula due to a car accident last June, but the bone did not protrude through the skin. I underwent intramedullary nailing for the tibia, and it has been al...
Dr. Wang Shouji reply Orthopedics
Hello, 1. It is essential to confirm that the fracture has completely healed before considering the removal of internal fixation. If the fracture has not fully healed after three to six months, one side of the locking screw may be removed to promote healing. If it remains unhea...[Read More] Understanding Tibia and Fibula Fractures: Recovery and Complications
Dealing with Home Accidents: Knee Injuries and Fractures Explained
Home accidents I once fell down the stairs at home and hit my knee against the sharp edge of a step, resulting in a loud cracking sound. My knee was indented by five centimeters. When I stood up, the pain was so intense that I lost my balance and fell again, resulting in fracture...
Dr. Wang Shouji reply Orthopedics
Hello, most children recover from fractures faster than adults. With proper rest and adherence to the physician's treatment, the prognosis is generally good. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Dealing with Home Accidents: Knee Injuries and Fractures Explained
Understanding Scoliosis: Treatment Options and Surgical Considerations for Adolescents
Scoliosis A female sixth grader has a 35-degree scoliosis. The physician recommends waiting until the growth period is over before considering surgery. I would like to inquire about the following: 1. There are several physical therapy clinics that assist with rehabilitation for...
Dr. Wang Shouji reply Orthopedics
Hello, the majority of the causes of scoliosis are unknown. Non-surgical treatment typically involves the use of braces for correction. Severe curvature may affect cardiopulmonary function, in which case surgical correction is considered. Most activities and exercises are general...[Read More] Understanding Scoliosis: Treatment Options and Surgical Considerations for Adolescents
Understanding Pain in the Occipital Bone: Work-Related Issues or Poor Posture?
Could you please tell me about the issue with the bones on both sides at the lower back? Hello doctor, I would like to ask about the two protruding bones located on the lower sides of the back of my head (what are they called?). Recently, the one on my left side has been painful ...
Dr. Wang Shouji reply Orthopedics
Hello, bones are not completely flat; tenderness at bony prominences is usually not harmful and is often related to posture and pressure. Shoulder muscles can benefit from heat therapy and stretching to adjust posture, which should help alleviate discomfort. It is important to av...[Read More] Understanding Pain in the Occipital Bone: Work-Related Issues or Poor Posture?
Post-Tibial Fracture Surgery: Why Can't I Lift My Big Toe?
After tibial fracture surgery, the big toe cannot be lifted? Hello, Doctor. I would like to ask you: I was involved in a car accident on March 10 of this year, which resulted in a comminuted fracture of my right tibia. I underwent intramedullary nailing surgery on March 11, durin...
Dr. Wang Shouji reply Orthopedics
Hello, 1. If the big toe cannot be lifted while the other toes can, the first consideration should be whether there is any damage to the tendons or muscles. If there is tendon damage, it should be addressed promptly. If it is not a muscle or tendon injury, then rehabilitation t...[Read More] Post-Tibial Fracture Surgery: Why Can't I Lift My Big Toe?
Severe Motorcycle Accident: Treatment Options for Fractured and Numb Legs
Traffic accident issues? I was involved in a severe motorcycle accident a year ago. I experienced a leg cramp while riding, which caused me to be struck by Vehicle A, throwing me to the ground. Upon landing, both of my knees were severely deformed, and I was subsequently run over...
Dr. Wang Shouji reply Orthopedics
Hello, if the nerve rupture is at a higher level, recovery from the nerve injury is unlikely. If there is no response in the lower limbs, the chances of recovery are almost impossible. However, if there is some remaining function, surgical intervention may be considered to improv...[Read More] Severe Motorcycle Accident: Treatment Options for Fractured and Numb Legs
Ankle Bone Spur Surgery: Recovery Time and Staged Procedures Explained
Ankle bone spur surgery? I have bone spurs on both of my ankles. After the bone spur on my left foot fractured, it became a loose bone spur. My last diagnosis was a year ago, and it is now affecting my normal activities. I am considering surgery and would like to know how long th...
Dr. Wang Shouji reply Orthopedics
Hello, the recovery time after surgery depends on the type of procedure performed. Generally, it takes at least two to three months for recovery. It is important to begin range of motion exercises as soon as possible after surgery to prevent stiffness, and you can do this one leg...[Read More] Ankle Bone Spur Surgery: Recovery Time and Staged Procedures Explained
Post-Operative Complications After Spinal Cavity Surgery
Possible complications after spinal cavity surgery? I have a family member who just underwent spinal cavity surgery, and it's been about a week since the procedure, but they are still experiencing headaches. Is this symptom still within the postoperative recovery period? Add...
Dr. Wang Shouji reply Orthopedics
Hello, this is a neurosurgery issue. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Post-Operative Complications After Spinal Cavity Surgery
Understanding Mild Disc Protrusion: Symptoms, Recovery, and Treatment Options
Mild intervertebral disc protrusion? Hello Doctor, I am a 24-year-old male, 172 cm tall and weighing 64 kg, with no smoking or drinking habits. At the beginning of May, I injured my lower back while cleaning and moving a bed, which caused me to suddenly lose my vision and hearing...
Dr. Wang Shouji reply Orthopedics
Hello, the symptoms in the eyes and ears should not be related to the lumbar spine; they are likely caused by pain. Lumbar injuries can refer pain to the lower back and buttocks, which is not uncommon in clinical practice. Applying heat should help alleviate the discomfort. If in...[Read More] Understanding Mild Disc Protrusion: Symptoms, Recovery, and Treatment Options
Do Medial Tibial Plateau Fractures Always Require Surgery?
Medial tibial plafond I would like to inquire whether a medial malleolus fracture with displacement always requires surgery, or if it can heal on its own.
Dr. Wang Shouji reply Orthopedics
Hello, if a fracture involves the joint surface and is displaced, it is less likely to heal properly and may lead to joint sequelae. Surgical reduction and fixation are recommended. If there is no displacement, non-surgical management may be considered, but it is important to mon...[Read More] Do Medial Tibial Plateau Fractures Always Require Surgery?
Do Medial Tibial Plateau Fractures Always Require Surgery?
Medial tibial plafond I would like to ask if a medial malleolus fracture with displacement always requires surgery, or can it heal on its own?
Dr. Wang Shouji reply Orthopedics
Hello, if a fracture involves the joint surface and is displaced, it is less likely to heal properly and may lead to joint sequelae. Surgical reduction and fixation are recommended. If there is no displacement, non-surgical management may be considered, but it is important to mon...[Read More] Do Medial Tibial Plateau Fractures Always Require Surgery?
Understanding Foot Pain: Causes and Relief Strategies for Flat Shoe Wearers
Foot pain issues? Today, while walking in flat sandals, I suddenly experienced severe pain on the top of my left foot. At first, I thought it was just a cramp, but the pain persisted while walking. It feels like the source of the pain is near the cuneiform bone in the middle of m...
Dr. Wang Shouji reply Orthopedics
Hello, wearing flat shoes can significantly increase the likelihood of foot discomfort due to inadequate arch support. It is recommended to wear appropriate footwear if you need to stand or walk for extended periods. If you experience acute pain, you may apply ice to the affected...[Read More] Understanding Foot Pain: Causes and Relief Strategies for Flat Shoe Wearers
Post-Surgery Knee Pain: Understanding and Managing Discomfort After Patella Fracture
Postoperative issues related to patellar surgery? Hello, doctor. In mid-December last year, I suffered a comminuted fracture of the right patella due to a fall. The doctor treated it with two steel pins (which do not need to be removed) and artificial bone graft. It has been six ...
Dr. Wang Shouji reply Orthopedics
Hello, a patellar fracture can cause direct pressure when kneeling, which will definitely result in pain that may persist for a long time. It is recommended to bend and straighten the knee as much as possible. If kneeling is necessary, use a soft cushion to avoid direct contact w...[Read More] Post-Surgery Knee Pain: Understanding and Managing Discomfort After Patella Fracture
Understanding the Risks of Unhealed Clavicle Fractures in Seniors
Clavicle fracture Hello, my mother is 78 years old. Last week, she had a fall while riding her bike and sustained a displaced fracture of the distal end of her left clavicle. The doctor has recommended surgery, but she is afraid and does not want to undergo the procedure. What po...
Dr. Wang Shouji reply Orthopedics
Hello, if surgery is not performed, it is necessary to monitor the displacement and healing status of the fracture. If bone healing is not achieved, it will mostly affect the ability to lift heavy objects and endure heavy pressure, with the impact lasting for at least six months ...[Read More] Understanding the Risks of Unhealed Clavicle Fractures in Seniors
Understanding Post-Surgery Complications of Wrist Fractures: Causes and Solutions
Post-operative care for wrist fracture? Hello Doctor, I had a crush fracture of the radial bone in my right wrist due to a car accident at the beginning of February. After about four months, it has mostly healed. During my last follow-up appointment on May 28, the doctor advised ...
Dr. Wang Shouji reply Orthopedics
Hello, distal radius fractures, especially those that are comminuted and displaced, are actually not uncommon. Since the fracture occurred in February, it should have healed by now. If it does not affect forearm pronation and supination, observation is sufficient. Changhua Hospit...[Read More] Understanding Post-Surgery Complications of Wrist Fractures: Causes and Solutions
Understanding Clavicle Protrusion: Symptoms and Implications
Clavicular prominence When I stretch my arms upward, my right clavicle protrudes and makes a sound, but it returns to its original position without any pain when I lower my arms. The left clavicle does not make any sound and does not protrude. What could this symptom indicate? Wi...
Dr. Wang Shouji reply Orthopedics
Hello, bones themselves do not make sounds; the noises are mostly produced by the joints. If the sound occurs intermittently and is not accompanied by pain, it is generally not a cause for concern. However, if there are any doubts, it is advisable to get an X-ray to check for any...[Read More] Understanding Clavicle Protrusion: Symptoms and Implications
Will My Broken Pinky Heal After Smoking During Recovery?
The distal phalanx of the right little finger is fractured and has not healed? On the evening of May 13, I sustained a fracture due to external force and did not seek medical attention until the evening of May 15. The doctor used a splint for stabilization and advised me not to s...
Dr. Wang Shouji reply Orthopedics
Hello, a fracture of the little finger typically requires at least three months of observation for healing. Fractures in this area rarely do not heal. Smoking can affect blood circulation, which in turn impacts fracture healing, so it is advisable to avoid smoking during this per...[Read More] Will My Broken Pinky Heal After Smoking During Recovery?
Effective Solutions for Lower Back Pain and Discomfort
Lumbar issues? Hello doctor: I have strained my lower back, and now my whole body hurts. My lower back is very sore and painful, and I also have back pain. Coughing and sneezing make my lower back hurt a lot. What should I do?
Dr. Wang Shouji reply Orthopedics
Hello, for a soft tissue strain in the lower back, if the symptoms are significant and it has occurred within the last three days, apply ice to the painful area. If it has been more than three days, you may switch to heat therapy along with medication treatment. Changhua Hospital...[Read More] Effective Solutions for Lower Back Pain and Discomfort