Managing Post-Surgery Pain: Tips for Recovery After Tibia Fracture
Third week post-operation? It has been three weeks since my tibial fracture surgery, and I am currently resting at home. Recently, I have been particularly troubled by something. While I can tolerate the boredom of just resting at home, I find it increasingly difficult due to fre...
Dr. Wang Shouji reply Orthopedics
Hello, if it has been confirmed that there are no specific issues with the ankle, it is recommended to engage in non-weight-bearing activities for the ankle and to use anti-inflammatory and analgesic medications, which can often alleviate symptoms. Heat therapy can be applied, pr...[Read More] Managing Post-Surgery Pain: Tips for Recovery After Tibia Fracture
Understanding Recovery After a Tibia Fracture: Pain and Mobility Concerns
Fracture of the left femur due to a car accident? Hello, doctor. I was in a car accident on September 21 and fractured my left femur. I underwent surgery on September 22, where titanium alloy intramedullary nails were used for support. As of now, my knee still cannot bend normall...
Dr. Wang Shouji reply Orthopedics
Hello, the intramedullary nail for the femur, due to the presence of distal locking screws, can commonly affect knee joint mobility. However, this usually alleviates over time. It is advisable to perform knee flexion and extension exercises, and avoid weight-bearing until the X-r...[Read More] Understanding Recovery After a Tibia Fracture: Pain and Mobility Concerns
Understanding Tibial Fractures: Recovery Tips and Exercises
Tibia fracture Hello Doctor, I was in a car accident on August 18 and went to the emergency room where an X-ray was taken. The doctor diagnosed me with a closed fracture of the proximal tibia. That day, I received a removable L-shaped cast, which was changed to a non-removable ca...
Dr. Wang Shouji reply Orthopedics
Hello, if a tibial fracture is treated with a cast, the immobilized joint will inevitably experience stiffness. Once the cast is removed, applying heat can help soften the tissues, followed by rehabilitation exercises. The recovery time will depend on the severity of the fracture...[Read More] Understanding Tibial Fractures: Recovery Tips and Exercises
Understanding Bone Healing: What Happens When Fractures Misalign?
Bone dislocation Hello, I would like to inquire about a situation where a bone has broken and, after a long time, it has healed but not at the fracture site, resulting in a T-shaped formation. Will the excess bone continue to grow longer as the body develops?
Dr. Wang Shouji reply Orthopedics
Hello, once the bones have matured, they cannot remodel, so they cannot regain their length. Medically, this is referred to as malunion. If there are no specific symptoms, no special treatment is necessary. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Bone Healing: What Happens When Fractures Misalign?
Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?
Swelling after tibial plateau fracture surgery in mid-April? Hello, I would like to ask about my condition. I had an internal fixation with steel nails and plates for a tibial plateau fracture, along with bone grafting and arthroscopy, and it has been almost six months since the ...
Dr. Wang Shouji reply Orthopedics
Hello, tibial plateau fractures are intra-articular fractures that carry a risk of developing post-traumatic arthritis. It is important to monitor for any intra-articular irregularities or the presence of arthritis. Resting and staying in bed usually helps reduce swelling, but on...[Read More] Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?
Understanding Joint Swelling and Deformation: Possible Causes and Solutions
Joint swelling, pain, and deformity? Hello Dr. Wang, I would like to ask you a question. My finger joints are swollen and deformed, with the joints being 2-3 times larger than normal. I have been examined and found no signs of gout or rheumatoid arthritis, but I experience pain f...
Dr. Wang Shouji reply Orthopedics
Hello, joint swelling and deformity are not uncommon in the elderly, often related to long-term wear and tear leading to cartilage degeneration. However, due to the relatively low activity levels in older adults, they may not experience significant discomfort. I recommend startin...[Read More] Understanding Joint Swelling and Deformation: Possible Causes and Solutions
Understanding Acquired Flatfoot: What Your Diagnosis Means
Regarding the issue of flat feet? Recently, I had an X-ray taken at the orthopedic department in Taoyuan, and the results showed foot arches of 152.84 and 154.48. The diagnosis is unspecified lateral flatfoot (acquired)! However, I do not understand what the diagnosis means! Is i...
Dr. Wang Shouji reply Orthopedics
Hello, you do not meet the diagnostic criteria for flatfoot; you do not have flatfoot. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Acquired Flatfoot: What Your Diagnosis Means
Persistent Numbness After Ankle Surgery: Is It Nerve Damage?
Several months after the surgery, I still frequently experience numbness? In my first year of high school, I slipped and suffered a comminuted fracture of the inner ankle of my left foot (possibly involving the cartilage). I underwent surgery to have screws inserted. After a year...
Dr. Wang Shouji reply Orthopedics
Hello, intra-articular fractures should be monitored for potential traumatic issues. Pain should be assessed to determine if it is related to this cause. Numbness of the skin is mostly due to trauma or surgical damage to the superficial nerves, which is generally not related and ...[Read More] Persistent Numbness After Ankle Surgery: Is It Nerve Damage?
Managing Recurrence After Minimally Invasive Disc Surgery: What to Expect
Recurrent Disc Herniation After Minimally Invasive Spine Surgery Hello Doctor: Three months ago, an MRI showed a herniation at L5-L6, and I underwent minimally invasive surgery where the protruding part was removed. However, there hasn't been significant improvement post-sur...
Dr. Wang Shouji reply Orthopedics
Hello, generally speaking, the chance of reherniation after intervertebral disc surgery is about 20%. If symptoms are significant, a second surgery may be necessary, and in some cases, spinal fusion with instrumentation may be required to prevent reherniation. However, this may r...[Read More] Managing Recurrence After Minimally Invasive Disc Surgery: What to Expect
Understanding Ruptured Extensor Tendon in the Right Thumb: Treatment Options
Rupture of the extensor tendon of the right thumb? Hello, Doctor! I have suffered a rupture of the extensor tendon in my right thumb due to sports. Initially, I did not notice it, but later I found that I could not extend my thumb. After visiting the outpatient clinic, I learned ...
Dr. Wang Shouji reply Orthopedics
Hello, old tendon ruptures of the finger flexor tendons that are re-sutured often result in common sequelae, such as stiffness affecting finger flexion. Given that your work often requires gripping a pen, the ability to flex is much more important than the ability to extend. I al...[Read More] Understanding Ruptured Extensor Tendon in the Right Thumb: Treatment Options
Managing Knee Tightness and Foot Pain for Active Individuals
Tightness behind the knee, discomfort when bending..? Dear Dr. Wang, I am a long-term athlete, walking briskly for 50 minutes daily, along with an additional 30 minutes of stretching and jumping exercises. For the past year or two, I have been experiencing issues with my left fo...
Dr. Wang Shouji reply Orthopedics
Hello, long-term exercise without proper relaxation methods can lead to muscle fatigue injuries and joint stiffness. It is recommended to temporarily reduce activity, apply heat therapy, and perform joint stretching exercises. Changhua Hospital cares about your health. Wang Shou-...[Read More] Managing Knee Tightness and Foot Pain for Active Individuals
Understanding Numbness in Toes: Causes and Solutions for Workers
The sensation of numbness in the foot feels unusual? Doctor, I would like to ask you about something. I started a job where I have to wear rubber boots and stand for long periods while moving a lot of items. After sleeping, I woke up with a strange tingling sensation in my right ...
Dr. Wang Shouji reply Orthopedics
Hello, please pay attention to whether your shoes are too tight, as this can affect blood circulation in the lower limbs. If you only experience numbness while wearing work rain boots, and you do not have numbness with regular shoes while walking, then it should not be a concern....[Read More] Understanding Numbness in Toes: Causes and Solutions for Workers
Post-Surgery Concerns After Clavicle Fracture: Your Questions Answered
Postoperative Issues Following Clavicle Fracture Surgery Hello Doctor: On July 12, I had a bicycle accident and suffered a comminuted fracture of the left clavicle with two fracture lines and a displacement of 2.31 cm. The following day, I underwent surgery to insert a titanium a...
Dr. Wang Shouji reply Orthopedics
Hello, ensuring the healing of the fracture is the most important thing at present, and other considerations can be put aside for now. It should be fine to temporarily remove the sling while showering or during activities. The most important thing is to avoid putting weight on th...[Read More] Post-Surgery Concerns After Clavicle Fracture: Your Questions Answered
Post-Surgery Recovery: When to Start Rehabilitation After Ulnar Fracture
Post-operative care for an Olecranon Fracture? Hello Doctor, I would like to ask you a question. I suffered a fracture of the left ulnar bone near the elbow joint due to a car accident. I had surgery on July 9th to implant a steel pin and was discharged after five days in the hos...
Dr. Wang Shouji reply Orthopedics
Hello, generally speaking, unless the fracture is severely unstable and comminuted, there should be no significant issues with movement after surgical fixation. If early mobilization is not undertaken, there is a high possibility of joint adhesion. You should consult your attendi...[Read More] Post-Surgery Recovery: When to Start Rehabilitation After Ulnar Fracture
Understanding Coccydynia: Causes, Treatments, and Recovery Tips
Coccygeal contusion pain? Hello doctor, I slipped on the stairs on a rainy day in May 2019 and bumped the area just above my coccyx against the corner of the stairs. I did not go to the hospital for treatment, so I am not clear about the exact situation. A traditional Chinese med...
Dr. Wang Shouji reply Orthopedics
Hello, the X-ray shows an old bone injury and a coccygeal contusion. The focus of treatment in the first three months is to avoid activities that may aggravate the pain, as this can lead to some of the sequelae you mentioned. It is recommended that you visit the hospital for a ch...[Read More] Understanding Coccydynia: Causes, Treatments, and Recovery Tips
Understanding Femoral Nonunion: Causes, Treatments, and Recovery Options
Femoral healing Hello, doctor. In October 2015, I was in a car accident and suffered a fracture of the left femur. My attending physician used an intramedullary nail for fixation. In January 2017, without any external force, just turning normally, the intramedullary nail inside m...
Dr. Wang Shouji reply Orthopedics
Hello, the healing time for fractures varies from person to person. Generally, if a fracture has not healed, full weight-bearing should be avoided. If it has not healed after six months, procedures such as iliac bone grafting or additional fixation reinforcement should be conside...[Read More] Understanding Femoral Nonunion: Causes, Treatments, and Recovery Options
Confusion Over Rib Fractures: Understanding Diagnosis and Treatment Challenges
Rib issues Doctor, I apologize for the interruption. I would like to ask about my mother’s situation. She was in a car accident recently and was initially taken to the emergency room. The emergency physician reviewed the X-ray in the morning and stated that one of her ribs was fr...
Dr. Wang Shouji reply Orthopedics
Hello, if there is no obvious displacement of the ribs on X-ray or CT, it is indeed not very easy to assess. The key points are whether there is a pneumothorax and if it affects breathing. If there is a significant amount of pneumothorax, it needs to be drained. If the pain decre...[Read More] Confusion Over Rib Fractures: Understanding Diagnosis and Treatment Challenges
Understanding Wrist Pain and Elbow Issues: A Guide for Recovery
Hello, doctor. Thank you for taking the time to respond to my question? I would like to ask a question. Around the end of last year, I experienced severe pain in my left wrist due to improper exertion at work, to the point where I couldn't use it. Later, I noticed a bone pro...
Dr. Wang Shouji reply Orthopedics
Hello, if there is a prominence of the ulnar head on the lateral side of the wrist, it may be caused by a dislocation or instability of the distal radioulnar joint. You should visit a hospital for evaluation. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Wrist Pain and Elbow Issues: A Guide for Recovery
Height Increase Surgery: Options, Recovery, and Expert Guidance
Height enhancement surgery I have thought about this for a long time and have also assessed financial aspects. I have depression and hope to find suitable channels for height increase surgery to boost my confidence. I have always felt insecure about my height and hope to increase...
Dr. Wang Shouji reply Orthopedics
Hello, in order to undergo limb lengthening surgery, you would need to be bedridden and unable to walk, which may last for six months and may not meet your height increase goal of 15-20 centimeters. Additionally, your lower limbs may atrophy due to lack of weight-bearing. From a ...[Read More] Height Increase Surgery: Options, Recovery, and Expert Guidance
Understanding Open Fractures: Insights on Diagnosis and Treatment
Open fracture Hello Doctor, my relative has a condition of poliomyelitis, which has led to poor development of the lower limbs. As they have aged, they are now unable to walk and require assistance to be carried. They are nearly 70 years old, and recently the patient reported pai...
Dr. Wang Shouji reply Orthopedics
Hello, an open fracture is defined as a fracture accompanied by a skin injury that communicates with the fracture site. I believe there may be some misunderstanding. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Open Fractures: Insights on Diagnosis and Treatment