Preventing Muscle Loss During Recovery from Metatarsal Fractures
Prevention of Muscle Atrophy Following Metatarsal Fractures Hello, Dr. Wang. On February 6, 2021, I twisted my ankle while walking down the stairs. I had an X-ray in the emergency room, which showed a transverse fracture of the fifth metatarsal, and I am currently in a cast. I wo...
Dr. Wang Shouji reply Orthopedics
Hello, for foot fractures, elevating the leg and flexing the ankle joint can help reduce muscle weakness and atrophy. Raising the lower limb can also decrease swelling in the foot. Changhua Hospital cares about your health. Sincerely, Wang Shou-ji.[Read More] Preventing Muscle Loss During Recovery from Metatarsal Fractures
Managing Post-Surgery Pain: Insights on Hip Replacement Complications
Pain in the lower back, a specific point in the buttocks, and thigh pain? Hello Doctor, my mother underwent a left hip joint replacement surgery at the beginning of November. Initially, she did not experience much pain during her hospital stay and upon discharge. However, in Dece...
Dr. Wang Shouji reply Orthopedics
Hello, after hip joint surgery, if you experience severe pain again, it is important to be aware of issues such as infection and dislocation. It is recommended to reassess your condition. Changhua Hospital cares about your health. Dr. Wang Shou-ji.[Read More] Managing Post-Surgery Pain: Insights on Hip Replacement Complications
Post-Surgery Recovery Challenges After Fifth Toe Fracture: Seeking Solutions
Postoperative care for metatarsal fractures? I fell on May 20, 2020, and it was confirmed that I had a fracture of the fifth toe. I underwent surgery on September 18. Even after the surgery, I still experienced significant pain and soreness in my calf, and I couldn't stand o...
Dr. Wang Shouji reply Orthopedics
Hello, toe fractures typically take about 6 months to heal completely, depending on your age. First, it is important to confirm whether the internal fixation devices are irritating the soft tissues and causing pain. If that is a possibility, they will need to be removed before th...[Read More] Post-Surgery Recovery Challenges After Fifth Toe Fracture: Seeking Solutions
Understanding Ligament Injuries: Types and Recovery Tips
Ligaments are classified as soft tissue injuries? A few weeks ago, I jumped and landed with my foot inverted. When I got home, I consulted a traditional Chinese medicine practitioner who said I had injured the most superficial and easily injured ligament, as well as a deeper liga...
Dr. Wang Shouji reply Orthopedics
Hello, the most common injury is to the anterior tibiofibular ligament of the ankle. It is recommended to use a brace for protection. If the injury is severe, you should visit a rehabilitation specialist for balance training and strength exercises. Changhua Hospital cares about y...[Read More] Understanding Ligament Injuries: Types and Recovery Tips
Outdoor Exercises to Improve Heel Deviation and Flat Feet in Children
What exercises can be done for heel misalignment? Hello Doctor: My son is currently 4 years old and has a condition of heel varus and flat feet. He has been wearing corrective insoles for over six months. Since his next appointment is in six months, I would like to ask the doctor...
Dr. Wang Shouji reply Orthopedics
Hello, your child is only four years old. Engaging in foot exercises to strengthen lower limb muscles and regular follow-up visits (pediatric orthopedics) are sufficient. Activities such as rollerblading are also permissible. Changhua Hospital cares about your health. Dr. Wang Sh...[Read More] Outdoor Exercises to Improve Heel Deviation and Flat Feet in Children
Post-Surgery Challenges: Left Heel Weakness After T12 Spine Injury
After the T12 spinal surgery, the left heel is unable to bear weight? Hello Doctor, I suffered a burst fracture of the T12 vertebra in October last year, and underwent surgery where screws were placed from T10 to L2, with bone cement applied to T12. Postoperatively, I have been u...
Dr. Wang Shouji reply Orthopedics
Hello, it is important to pay attention to the degree of nerve compression. If temporary stabilization is not suitable and fusion is not performed, it may be appropriate to remove it. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Post-Surgery Challenges: Left Heel Weakness After T12 Spine Injury
Understanding Recovery from Slap Lesion Surgery: Common Concerns
Recovery from SLAP injury? Hello Dr. Wang: I underwent a labral repair surgery on my shoulder last month, but I still hear a popping sound when moving my shoulder. During the Anterior Slide Test, I can distinctly feel a piece of bone sliding. Is it possible that the internal sutu...
Dr. Wang Shouji reply Orthopedics
Hello, if there is no re-injury or overactivity of the shoulder joint, the likelihood of suture loosening is low, and soft tissue recovery typically takes at least two months. A comparison before and after surgery is necessary, so it is recommended to consult with the surgeon. Ch...[Read More] Understanding Recovery from Slap Lesion Surgery: Common Concerns
Can L4-L5 Compression Cause Heel Support Issues After Thoracic Surgery?
After thoracic spine surgery, the left heel is unable to bear weight? Hello Doctor: I suffered a burst fracture of the twelfth thoracic vertebra last October and had steel rods and bone cement implanted. Currently, I am able to walk with both legs. However, my left heel cannot su...
Dr. Wang Shouji reply Orthopedics
Hello, L5 nerve root compression can affect the heel, but regarding your statement about not being able to walk normally on your heel, can you confirm if the ankle joint movement is normal? Is there any tenderness in the heel? A preoperative MRI should be able to determine if the...[Read More] Can L4-L5 Compression Cause Heel Support Issues After Thoracic Surgery?
Post-Operative Care for Ankle Arthroscopy: Recovery Timeline and Swelling
Postoperative Care for Ankle Arthroscopy Is it normal for the ankle to still have some swelling three months after ligament repair surgery when the foot is placed down? Also, how long does it typically take to fully recover to the point of being able to exercise?
Dr. Wang Shouji reply Orthopedics
Hello, postoperative swelling and pain may persist for several months. It is important to elevate your legs and perform ankle stretching exercises. Using protective gear can help reduce swelling and pain. Changhua Hospital cares about your health. Sincerely, Wang Shou-ji.[Read More] Post-Operative Care for Ankle Arthroscopy: Recovery Timeline and Swelling
Managing Tailbone Pain: When to Seek Medical Attention
Coccydynia (tailbone pain) issues? Hello: Over ten years ago, I fell down the stairs and landed on my buttocks. After treatment, I didn't pay much attention since the pain subsided. However, in recent months, after prolonged sitting or riding a motorcycle for extended period...
Dr. Wang Shouji reply Orthopedics
Hello, this is regarding your coccyx contusion that has not fully healed. It is recommended to apply heat therapy, adjust your sitting posture, avoid prolonged sitting, and refrain from sitting on hard surfaces. If you still experience discomfort, it is advised to consult a hospi...[Read More] Managing Tailbone Pain: When to Seek Medical Attention
Recovery Time and Rehabilitation for Sternoclavicular Joint Subluxation
Sternoclavicular joint subluxation Due to a car accident, there is a subluxation of the right sternoclavicular joint. Given that the job requires heavy lifting, how long should one rest before returning to work, and will rehabilitation be necessary afterward? Thank you.
Dr. Wang Shouji reply Orthopedics
Hello, you will need to return to the hospital for a final assessment of your recovery in at least two to three months. It is unlikely to affect upper limb mobility. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Recovery Time and Rehabilitation for Sternoclavicular Joint Subluxation
Understanding Numbness After Distal Radius Fracture Surgery: Causes and Recovery
Distal radius fracture Hello, doctor. I sustained a distal radius fracture on November 25, 2020, and underwent surgery the following day to have a plate and screws inserted for stabilization. It has been over a month since the surgery, and I am experiencing significant numbness i...
Dr. Wang Shouji reply Orthopedics
Hello, numbness in the thumb and part of the index finger is often related to the superficial branch of the radial nerve. If there is a comminuted fracture with significant soft tissue swelling, prolonged numbness for several months is possible. The surgery typically approaches f...[Read More] Understanding Numbness After Distal Radius Fracture Surgery: Causes and Recovery
Understanding Tibial Fractures: Treatment, Surgery, and Growth Concerns
Tibial fracture Hello: My daughter suffered a tibial fracture in a car accident on September 5, 2018. She underwent surgery at that time, where a steel plate was used for fixation. The plate was removed the following July, and upon further observation, it was discovered that she ...
Dr. Wang Shouji reply Orthopedics
Hello, if a pediatric fracture affects the growth plate, it can sometimes lead to asymmetrical growth. In such cases, it is necessary to suppress the growth on one side to prevent increasing deformity and to correct the malalignment. We will only know if there is still a leg leng...[Read More] Understanding Tibial Fractures: Treatment, Surgery, and Growth Concerns
Understanding Disc Herniation and Its Impact on Finger Sensation
Herniated disc finger issues Hello Doctor, since around mid to late October, I've been experiencing a peculiar sensation on the outer side of my left little toe, as if it's soft when it touches the floor. I consulted a doctor and had an X-ray taken, which revealed that ...
Dr. Wang Shouji reply Orthopedics
Hello, the symptoms in your hands and feet are likely not caused by the same issue. First, we need to assess the degree of scoliosis. Given your age, if the curvature is not significant, it is unlikely to affect the nerves, and treatment with medication and rehabilitation should ...[Read More] Understanding Disc Herniation and Its Impact on Finger Sensation
Can Wrist Bone Dislocation Heal Completely in 2-3 Months? Effective Treatment Options
Can a wrist bone dislocation heal completely in two to three months? What is the effective treatment? Hello doctor, my wrist was injured from lifting heavy objects, and initially, only the outer side of my wrist (the side extending from the little finger) hurt. I had an X-ray tak...
Dr. Wang Shouji reply Orthopedics
Hello, if you have instability in the distal radioulnar joint that does not improve despite repeated attempts, further evaluation is necessary to determine if surgery is required. Please consult with a hand surgeon. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Can Wrist Bone Dislocation Heal Completely in 2-3 Months? Effective Treatment Options
Understanding Lumbar L5 Spinal Arch Dissociation: Pain, Healing, and Treatment Insights
L5 vertebral arch dissociation, with no slippage of the sacrum? 1. Is the fifth lumbar vertebra arch separation, without any slippage of the sacrum, considered a type of fracture? How long will the pain last? 2. Will the fifth lumbar vertebra arch separation, without any slippage...
Dr. Wang Shouji reply Orthopedics
Hello, vertebral arch dissociation trauma cannot be ruled out, but an MRI assessment should be performed as soon as possible. If a significant amount of time has passed and it is difficult to determine whether the injury is new or old, an initial X-ray showing obvious bone defect...[Read More] Understanding Lumbar L5 Spinal Arch Dissociation: Pain, Healing, and Treatment Insights
Persistent Pain After Bone Spur Surgery: Seeking Answers and Relief
Bone spurs have been surgically removed over a year ago? My mother had surgery for bone spurs over a year ago, but she still experiences pain in her bones all over her body, along with numbness in her hands, dizziness, and lower back pain. We have consulted both traditional Chine...
Dr. Wang Shouji reply Orthopedics
Hello, whether there are new lesions depends on the symptoms and if they are the same as before, or if there are new symptoms. After spinal surgery, nerve pain usually decreases, but numbness and weakness may take longer to recover or may not fully recover, depending on the condi...[Read More] Persistent Pain After Bone Spur Surgery: Seeking Answers and Relief
Understanding Genetic Risks of Ankylosing Spondylitis: Key Questions Answered
Genetic Issues Related to Ankylosing Spondylitis Hello Dr. Wang, 1. I have ankylosing spondylitis, but neither of my parents has this condition; only my aunt has rheumatoid arthritis. Is the likelihood of inheritance high, or are there other ways to develop this disease? 2. The...
Dr. Wang Shouji reply Orthopedics
Hello, in addition to X-rays, the diagnosis of ankylosing spondylitis also involves testing for HLA-B27. If both tests are positive, a definitive diagnosis can be made. Regarding its diagnosis and genetic implications, it is recommended to consult a rheumatologist. Symptoms of an...[Read More] Understanding Genetic Risks of Ankylosing Spondylitis: Key Questions Answered
Do You Need to Remove Plates and Screws After High Tibial Osteotomy?
High tibial osteotomy Hello, after undergoing high tibial osteotomy approximately two years ago, is it necessary to have another surgery to remove the plates and screws? What are the potential consequences if they are not removed? Thank you.
Dr. Wang Shouji reply Orthopedics
Hello, if it has healed, you may consider removal, as current internal fixation devices are made of titanium alloy. If you choose not to remove it, there is no significant issue. Changhua Hospital cares about your health. Sincerely, Dr. Wang Shou-ji.[Read More] Do You Need to Remove Plates and Screws After High Tibial Osteotomy?
Understanding Clavicular Prominence: Causes and Treatment Options
Clavicular prominence I didn't have this issue before, but in the past three years, I've noticed that the area near the tip of my left clavicle is particularly prominent (the right shoulder appears normal without any noticeable protrusion). Beyond the acromion, it looks...
Dr. Wang Shouji reply Orthopedics
Hello, the prominence of the acromioclavicular joint is often caused by trauma or occupational factors, which can lead to compression and friction on the underlying rotator cuff tendons, resulting in symptoms. If there is no significant discomfort affecting daily life or work, no...[Read More] Understanding Clavicular Prominence: Causes and Treatment Options