Complex Orthopedic Symptoms: Seeking Expert Advice for Relief
Complex symptoms, could you please take the time to respond, doctor? Thank you? Hello Doctor, I have been troubled by many issues for a long time, and I appreciate your taking the time to respond. Thank you. 1. I previously had an X-ray that indicated a bone spur at the C5 verte...
Dr. Wang Shouji reply Orthopedics
Hello: 1. Local bone spurs in the spine do not necessarily cause pain in that area. Surgery should only be considered if there is nerve compression and symptoms cannot be alleviated by medication or rehabilitation. Nerve compression often leads to issues such as limb numbness and...[Read More] Complex Orthopedic Symptoms: Seeking Expert Advice for Relief
Understanding Right Thumb Issues After an Accident: Symptoms and Treatment
Right thumb issues? Hello, doctor. I was in a car accident some time ago, and after a period of recovery, I noticed an issue with my right thumb. There is a noticeable bump from my right thumb to my wrist. When I bring my right fingers together with my palm facing me, I find that...
Dr. Wang Shouji reply Orthopedics
Hello: Please visit the orthopedic outpatient clinic for an X-ray to check for any issues with your bones. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Right Thumb Issues After an Accident: Symptoms and Treatment
Understanding Tailbone Injuries: Symptoms, Treatment, and Recovery
Fell and hit the coccyx on the stairs? Hello Dr. Wang: When I was in junior high school, I slipped and fell, hitting my tailbone against two steps of the staircase. At that moment, I experienced severe pain in my coccyx, but I have not seen a doctor since then. In high school, I ...
Dr. Wang Shouji reply Orthopedics
Hello: First, if it is an old injury, it is important to confirm whether the bone has been deformed or bent due to the contusion. You should first determine where the protrusion is located and whether it is fixed or disappears with spinal movement. Generally speaking, if there is...[Read More] Understanding Tailbone Injuries: Symptoms, Treatment, and Recovery
Understanding Coccyx Injuries: Causes, Symptoms, and Solutions
Coccygeal secondary injury I fell on my coccyx while sitting on a two-legged chair in seventh grade. At first, I thought it would be fine, but after more than a year, I still experience occasional dull pain. Later, when I visited a large hospital, the doctor said it was nothing t...
Dr. Wang Shouji reply Orthopedics
Hello: First, get an X-ray to assess if there are any issues with the bones. Avoid prolonged sitting and touching the painful area, and limit cycling (as it may impact the coccyx). For a recent sprain, apply ice for the first three days, followed by heat therapy. We need to deter...[Read More] Understanding Coccyx Injuries: Causes, Symptoms, and Solutions
Understanding Clavicle and Elbow Issues: What You Need to Know
Elbow issues and clavicle problems? Hello, doctor. 1. I would like to ask about my clavicle fracture. The orthopedic surgeon mentioned that since it has been a month and the bone is healing well, I can remove the figure-eight brace. I am concerned whether this might cause any d...
Dr. Wang Shouji reply Orthopedics
Hello: 1. Given your age, if you have a clavicle fracture that is one month old and you are not experiencing pain, it should be fine to resume some activities, but avoid weight-bearing. Continuous X-ray follow-up is necessary, and you should be monitored for at least three months...[Read More] Understanding Clavicle and Elbow Issues: What You Need to Know
Understanding Spinal Injuries: When to Seek Medical Attention After a Fall
About spinal contusions? Hello doctor, yesterday while standing up in the shower, my back accidentally hit the shower faucet very hard, leaving a bleeding wound. I would like to know if, after the wound heals, I should just wait for it to heal if I don't feel any abnormaliti...
Dr. Wang Shouji reply Orthopedics
Hello: If the wound is no longer bleeding, is not deep, and there are no issues with diabetes or compromised immune function, it should be fine not to seek medical attention. Changhua Hospital cares about your health.[Read More] Understanding Spinal Injuries: When to Seek Medical Attention After a Fall
Injury to Right Index Finger: Treatment and Recovery Insights
Injury to the metacarpophalangeal joint of the right index finger while playing ball? I injured my index finger while playing basketball on May 11. There is noticeable swelling near the metacarpophalangeal joint on the thumb side. Later, because I couldn't fully bend my inde...
Dr. Wang Shouji reply Orthopedics
Hello, generally speaking, if the joint position appears normal on an X-ray, there should be no significant issues with ligament injuries, and they will heal over time. It is important to keep the injured joint active to prevent stiffness. Whether or not to perform an ultrasound ...[Read More] Injury to Right Index Finger: Treatment and Recovery Insights
Risks of Diving After Right Clavicle Fracture and Screw Removal
After the removal of the steel pins from a right clavicle fracture, how long should one wait before diving? Hello, I fractured my right clavicle on June 6, 2017, and had the steel plate removed on May 29, 2018. It has been almost a month since the surgery, and I have six holes wh...
Dr. Wang Shouji reply Orthopedics
Hello, after a month, the wound should be fine with exposure to water, just avoid any strong impact to the affected area.[Read More] Risks of Diving After Right Clavicle Fracture and Screw Removal
Does Medication for Ankylosing Spondylitis Cause High Blood Pressure?
Ankylosing Spondylitis Can medication for ankylosing spondylitis cause high blood pressure?
Dr. Wang Shouji reply Orthopedics
If you are unsure about the medication you are taking, you can consult the prescribing physician or ask a pharmacist directly. Thank you.[Read More] Does Medication for Ankylosing Spondylitis Cause High Blood Pressure?
Understanding Hip Pain After a Fall: When to Seek Further Evaluation
Fell and hit the buttocks? Hello Doctor, In early April, I accidentally slipped and fell, hitting my buttocks. Initially, I thought it was nothing serious, but the pain persisted, so I went to the emergency room on April 21 for an X-ray. The emergency physician assessed that th...
Dr. Wang Shouji reply Orthopedics
Coccyx contusions and fractures can affect the recovery period. However, coccyx fractures typically do not require surgery. Treatment involves rest and minimizing irritation to the area, such as avoiding prolonged sitting or cycling. Most cases will gradually improve within a few...[Read More] Understanding Hip Pain After a Fall: When to Seek Further Evaluation
Dealing with Complications After Pelvic Fracture Surgery
Nail problems Hello doctor, I previously fell while riding a bicycle, which resulted in a fracture of my pelvis and femur. I underwent surgery to have metal screws inserted. Three months post-surgery, I visited the doctor, who said I had resumed weight-bearing activities too earl...
Dr. Wang Shouji reply Orthopedics
Hello: We need to assess whether your X-ray shows any impact on healing or the hip joint. If there is no impact, you can wait for healing, and the pain will gradually decrease. If there is an impact, further surgery may be necessary.[Read More] Dealing with Complications After Pelvic Fracture Surgery
Concerns About Broken Screws After Foot Surgery: What You Need to Know
Broken nail? Hello Doctor: I had surgery on January 5th this year for my foot arch, where they inserted a self-funded steel plate and seven steel screws. During my follow-up appointment on March 20th, the doctor reviewed my X-rays and said that my bone is almost healed, but one o...
Dr. Wang Shouji reply Orthopedics
If a fracture has already healed, there is no issue with reoperating to complete the procedure. The breakage of metal screws occurs before the fracture has healed, often due to excessive weight-bearing leading to metal fatigue, which is a common clinical issue and not typically a...[Read More] Concerns About Broken Screws After Foot Surgery: What You Need to Know
Post-Heel Fracture Pain and Cramps: Understanding Recovery Challenges
After a heel fracture, recovery has been good and I can move around the house without issues. However, after walking outside for a short while, I experience pain when I return home? A month after a heel fracture, the doctor said the recovery is going well. However, I need to go o...
Dr. Wang Shouji reply Orthopedics
Hello: After a calcaneal fracture, pain and discomfort often persist for more than six months. Applying heat and wearing soft-soled shoes can help, and over time, you will gradually adapt. These symptoms are acceptable during the fracture recovery period, and you should continue ...[Read More] Post-Heel Fracture Pain and Cramps: Understanding Recovery Challenges
Understanding Lateral Ligament Tears: Recovery and Pain Assessment
Ligament tear injury At the beginning of February, I went to see a doctor who diagnosed me with a lateral collateral ligament tear in my left knee. It has been over two months now, and I no longer experience pain while jogging, squatting, or bending my knee. However, there is sti...
Dr. Wang Shouji reply Orthopedics
Hello: If there is no pain during activities and it has been more than two months, you should be mostly recovered. However, if there is pain upon pressure, it is similar to how a skin injury may still feel slight discomfort after healing. Just be cautious with intense activities ...[Read More] Understanding Lateral Ligament Tears: Recovery and Pain Assessment
Is It Necessary to Use Bone Growth Injection for Clavicle Fracture Recovery?
Clavicle fracture I would like to ask about a 65-year-old elderly person who suffered a clavicle fracture in a car accident in mid-March. After seeking medical attention, the doctor stated that surgery is not currently necessary and that a brace should be worn. The frequency of f...
Dr. Wang Shouji reply Orthopedics
Hello: If a clavicle fracture does not require surgery, it can be protected with a triangular sling and figure-eight bandage for monitoring. Forteo (teriparatide) is originally used to stimulate bone growth in osteoporosis, but there is no evidence to support that it accelerates ...[Read More] Is It Necessary to Use Bone Growth Injection for Clavicle Fracture Recovery?
Can Rib Flare Be Corrected? Understanding Pectus Excavatum Surgery Risks
Left costal margin protrusion? Hello Doctor, For a long time, I have had a noticeable outward protrusion of my left rib cage, and I also have mild pectus excavatum. I have consulted several orthopedic and thoracic surgeons, and they all recommended the Nuss procedure to correct...
Dr. Wang Shouji reply Orthopedics
Hello: If there is a thoracic deformity, it is important to also pay attention to the possibility of associated spinal deformities and limb length discrepancies. As for the correction of thoracic deformities, it falls under the scope of thoracic surgery, and the surgical risks an...[Read More] Can Rib Flare Be Corrected? Understanding Pectus Excavatum Surgery Risks
Understanding Fifth Metatarsal Fractures: Recovery and Rehabilitation Tips
Fracture of the fifth metatarsal with comminution? Hello Doctor: On March 17, 2018, I had a misstep and underwent an X-ray examination at the outpatient clinic, which confirmed a comminuted fracture of the fifth metatarsal in my right foot. On March 21, I had surgery at the hospi...
Dr. Wang Shouji reply Orthopedics
Hello: It is fine to remove the protective gear while sleeping since there is no weight-bearing involved. If there is only one pin securing the radiated area, the risk is minimal as long as you avoid weight-bearing activities. The stitches should be removed after two weeks, and a...[Read More] Understanding Fifth Metatarsal Fractures: Recovery and Rehabilitation Tips
Understanding TFCC Injuries and Ulnar Dislocation: When to Consider Surgery
The issue of the ulna being misaligned and the injury to the triangular fibrocartilage complex (TFCC) raises the question of whether surgical intervention is necessary? Hello Doctor, about four and a half months ago, I fell while playing basketball and landed on my hand. Initiall...
Dr. Wang Shouji reply Orthopedics
Hello: There is a discrepancy in the position of the distal radioulnar joint. A bilateral wrist X-ray should provide more information. If a TFCC injury is suspected, forceful rotation of the wrist can cause pain in the distal radioulnar joint, which cannot be seen on X-ray; an MR...[Read More] Understanding TFCC Injuries and Ulnar Dislocation: When to Consider Surgery
Understanding Scoliosis: Surgery, Sleep Positions, and Daily Life Tips
Scoliosis Do I need surgery for scoliosis? If surgery is necessary, will it require general anesthesia? Is my scoliosis related to my sleeping position? I often sleep on my side or lie flat, but I tilt my head to one side. What should I pay attention to in my daily life with scol...
Dr. Wang Shouji reply Orthopedics
Hello: Scoliosis treatment depends on the degree of curvature; generally, if the curvature exceeds 35 to 40 degrees, surgical intervention should be considered. Poor posture does not typically cause a curvature greater than 15 degrees. Surgery requires general anesthesia and is n...[Read More] Understanding Scoliosis: Surgery, Sleep Positions, and Daily Life Tips
Addressing Frequent Falls and Growth Concerns in Young Children
Children frequently fall and have height issues? Dear Dr. Wang, I have a five-year-old boy and a two-year-old girl. My five-year-old son has frequently fallen while walking and running since he was little. He often complains of leg fatigue while walking and has difficulty jumpin...
Dr. Wang Shouji reply Orthopedics
Hello: Based on your description, considering the short stature, frequent falls, and eye condition, I personally believe it is necessary to assess muscle strength. If there is muscle weakness, neuromuscular diseases and hereditary cellular issues should be considered. I recommend...[Read More] Addressing Frequent Falls and Growth Concerns in Young Children