Dr. Wang Shouji reply Orthopedics Question - Page 24

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Understanding Limb Length Discrepancy Due to Growth Plate Issues

Leg length discrepancy caused by growth plate issues? Hello doctor, I am currently 25 years old. The growth plate in my right leg has already closed, but the one in my left leg has not. I previously consulted a doctor who told me that it would close, but it has been over two year...


Dr. Wang Shouji reply Orthopedics
Hello: It is very rare for a 25-year-old to have unclosed growth plates; most males typically close them by age 18. It is important to confirm whether the growth plates are indeed still open. If they are not closed, surgical intervention may be necessary. Thank you!

[Read More] Understanding Limb Length Discrepancy Due to Growth Plate Issues


Understanding Patellofemoral Pain Syndrome and Its Management Strategies

Patellofemoral chondromalacia Hello Doctor: I have a habit of walking, doing yoga, and aerobic exercises about three times a week. On August 20, 2015, while wearing new shoes, I experienced some friction in my knee during my second walking session (on an elementary school playgro...


Dr. Wang Shouji reply Orthopedics
Hello: If pain and discomfort persist despite treatment and activity restrictions (such as limited climbing, squatting, and going up and down stairs), and the pain is primarily located in the knee joint, it is necessary to consider the possibility of patellar chondromalacia or pa...

[Read More] Understanding Patellofemoral Pain Syndrome and Its Management Strategies


Understanding Clavicle Fractures: Recovery, Rehabilitation, and When to Seek Help

Clavicle fracture Condition: The clavicle is fractured into five pieces, and surgery has been performed with fixation and a triangular sling. Questions: 1. How long until I can return to work? (Currently two weeks post-surgery) 2. When should I start rehabilitation with a physica...


Dr. Wang Shouji reply Orthopedics
Hello: 1. Weight-bearing activities should only be resumed after the fracture has completely healed. 2. After surgery, if stabilization has been achieved, light rehabilitation exercises for the joints can be performed; if pain occurs, medication for pain management should be admi...

[Read More] Understanding Clavicle Fractures: Recovery, Rehabilitation, and When to Seek Help


Understanding Ankle Fractures: Healing Time and Recovery Tips

Ankle fracture I injured my ankle while jumping to play basketball, and the doctor told me that I have a fracture in the bone, about 20%. He said I just need to wear a cast and wait for it to heal. I would like to ask if it will be painful when the bone heals. Does smoking have a...


Dr. Wang Shouji reply Orthopedics
Hello: Given your age, a fracture is generally not a serious issue and should heal without major problems, typically requiring at least three months. Smoking can affect blood circulation and lead to non-union, which is supported by medical evidence. It is advisable to compare nat...

[Read More] Understanding Ankle Fractures: Healing Time and Recovery Tips


Can Anesthesia Help Relieve Pain from Long-Term Femoral Neck Injury?

Anesthesia relaxation It has been over 8 months since the femoral neck injury. Lying flat and hugging the knees to the chest still causes pain. Is it possible to use anesthesia for relaxation?


Dr. Wang Shouji reply Orthopedics
Hello: There is a certain percentage of femoral head fractures that may result in nonunion or avascular necrosis as sequelae. It is necessary to assess whether such sequelae are causing pain. If you are still able to perform activities such as hugging your knees with both hands, ...

[Read More] Can Anesthesia Help Relieve Pain from Long-Term Femoral Neck Injury?


Severe Pain After Jumping: Is It a Hip or Testicular Issue?

Jumping from a height of approximately 40 centimeters can cause severe pain in the groin area? Hello Dr. Wang, when I was a child, I once jumped down from a height of about 2 to 3 meters for fun. Since that incident, I have been unable to jump down from any height. Every time I j...


Dr. Wang Shouji reply Orthopedics
Hello: Based on your symptoms of pain near the genital area, you should first visit a urologist to check for any issues. Thank you!

[Read More] Severe Pain After Jumping: Is It a Hip or Testicular Issue?


Understanding Ankle Arthroscopy Recovery: Is Pain Normal?

Ankle arthroscopy Hello Doctor, I underwent ankle arthroscopy on November 28th and found that there was a scab covering the ligament, which has now been removed. I am currently in rehabilitation, but I still experience soreness and pain in that ligament when walking. Is this a no...


Dr. Wang Shouji reply Orthopedics
Hello: Wound scarring may cause tightness and pain for one to two months. If there are no tendon or ligament ruptures, rehabilitation and heat therapy should help improve the condition. Thank you!

[Read More] Understanding Ankle Arthroscopy Recovery: Is Pain Normal?


How to Alleviate Discomfort After a Tailbone Injury from Sports

If you experience discomfort in the lower back near the buttocks after hitting your coccyx, here are some steps you can take: 1. **Rest**: Avoid activities that may aggravate the pain. 2. **Ice Therapy**: Apply ice packs to the affected area for 15-20 minutes several times a day...


Dr. Wang Shouji reply Orthopedics
Hello: For a coccyx contusion, avoid prolonged sitting, and try to refrain from riding a bicycle or motorcycle. Apply heat as needed, and if it affects your mobility, medication treatment may be necessary for quicker symptom relief. Thank you!

[Read More] How to Alleviate Discomfort After a Tailbone Injury from Sports


Persistent Elbow Pain After Fall: Understanding Your Injury and Recovery

Elbow on the ground? About six months ago, I was playing basketball and accidentally fell, landing on my right elbow. At the time, I didn't feel much pain and continued to play. The next day, my right neck felt stiff, similar to a neck sprain, and I couldn't turn it. I ...


Dr. Wang Shouji reply Orthopedics
Hello: If there are no skeletal issues and the range of motion is normal, there should be no major problems. Rehabilitation, heat therapy, and strength training should help improve the condition. Thank you!

[Read More] Persistent Elbow Pain After Fall: Understanding Your Injury and Recovery


Understanding Disc Herniation: Concerns and Surgical Options for Young Patients

Herniated disc Hello Doctor: I am a 21-year-old female. I have a herniated disc at the L5-S1 level with nerve compression (specifically a ruptured type herniation), which has been affecting the entire back of my left thigh for over a year. I have undergone three months of rehabil...


Dr. Wang Shouji reply Orthopedics
Hello: 1. If the resection area is relatively large, it may affect some stability, but generally, it is not severe. 2. This depends on how much intervertebral disc is removed; without disc protection, there is a higher risk of developing degenerative joint disease. 3. Statistical...

[Read More] Understanding Disc Herniation: Concerns and Surgical Options for Young Patients


Recovering from Ankle Ligament Tear: When to Start Rehab?

Ligament tear Hello, I sprained my ankle while playing basketball. The doctor performed an ultrasound and found that my ligament is nearly completely torn. He advised me to reduce the swelling before starting rehabilitation. How long should I wait before going back for rehabilita...


Dr. Wang Shouji reply Orthopedics
Hello: Ligament injuries require at least two months for healing. During this two-month period, it is advisable to avoid excessive weight-bearing. You can start with mobility exercises to prevent joint stiffness. It is recommended to begin weight-bearing and strength training onl...

[Read More] Recovering from Ankle Ligament Tear: When to Start Rehab?


Understanding Pectoral Muscle Strain: Treatment Options and Recovery Tips

Pectoralis major strain Hello Doctor: I accidentally strained my pectoralis major while exercising, and it has been about eight months since the injury. I have consulted both Western and traditional Chinese medicine, and X-rays showed no abnormalities. I usually do not experience...


Dr. Wang Shouji reply Orthopedics
Hello: Taking medication is not meant to accelerate recovery, but rather to alleviate discomfort during the healing process. Rehabilitation and strength training can be performed to enhance muscular endurance. Thank you!

[Read More] Understanding Pectoral Muscle Strain: Treatment Options and Recovery Tips


Recovery Timeline for Ankle Ligament Tear: When to Start Rehab?

Ligament tear Hello, I sprained my ankle while playing basketball. The doctor performed an ultrasound and found that my ligament is nearly completely torn. He advised me to reduce the swelling before starting rehabilitation. How long should I wait before going back for rehabilita...


Dr. Wang Shouji reply Orthopedics
Hello: Ligament injuries require at least two months for proper healing. During this two-month period, it is advisable to avoid excessive weight-bearing. You can start with mobility exercises to prevent joint stiffness. It is recommended to begin weight-bearing and strength train...

[Read More] Recovery Timeline for Ankle Ligament Tear: When to Start Rehab?


Recovering from Ankle Ligament Tear: When to Start Rehabilitation?

Ligament tear Hello, I sprained my ankle while playing basketball. The doctor performed an ultrasound and found that my ligament is nearly completely torn. He advised me to reduce the swelling before starting rehabilitation. How long should I wait before going back for rehabilita...


Dr. Wang Shouji reply Orthopedics
Hello: Ligament injuries require at least two months for healing. During this two-month period, it is advisable to avoid excessive weight-bearing. You can start with mobility exercises to prevent joint stiffness. It is recommended to begin weight-bearing and strength training onl...

[Read More] Recovering from Ankle Ligament Tear: When to Start Rehabilitation?


Recovering from Ankle Ligament Tear: When to Start Rehabilitation?

Ligament tear Hello, I sprained my ankle while playing basketball. The doctor performed an ultrasound and found that my ligament is nearly completely torn. He advised me to reduce the swelling before starting rehabilitation. How long should I wait before going back for rehabilita...


Dr. Wang Shouji reply Orthopedics
Hello: Ligament injuries require at least two months for proper healing. During this two-month period, it is advisable to avoid excessive weight-bearing. You can start with mobility exercises to prevent joint stiffness. It is recommended to begin weight-bearing and strength train...

[Read More] Recovering from Ankle Ligament Tear: When to Start Rehabilitation?


Understanding Ankylosing Spondylitis: Morning Stiffness and Pain Explained

Questions about ankylosing spondylitis? Hello Doctor: I have a question. In the morning, I am unable to bend forward and can only bend to about my knees, and I experience severe pain on the left side of my lower back. The doctor diagnosed it as ankylosing spondylitis, but during ...


Dr. Wang Shouji reply Orthopedics
Hello: If the symptoms persist for a longer duration, and HLA-B27 and sacroiliitis are not associated with arthritis, it may not be completely indicative of ankylosing spondylitis. Attention should be paid to posture and whether there is excessive activity. Thank you!

[Read More] Understanding Ankylosing Spondylitis: Morning Stiffness and Pain Explained


Understanding Leg Pain and Numb Toes: When to See a Specialist

Calf pain and numbness in the toes? My mother (70 years old) has recently been experiencing pain in the back of her right calf, and her toes are numb. The pain often keeps her awake at night. Which specialist should I take her to see? Thank you!


Dr. Wang Shouji reply Orthopedics
Hello: It may be a sciatic nerve compression issue, and you can consult either an orthopedic surgeon or a neurosurgeon. Thank you!

[Read More] Understanding Leg Pain and Numb Toes: When to See a Specialist


Neck Injury from Parking Barrier: Seeking Effective Treatment Options

Injury to the shoulder and neck due to impact from a fence? Hello doctor, I was hit on the head by a parking lot barrier last April. Although I was wearing a helmet, the force caused my neck to be pulled backward. I was diagnosed with slowed nerve conduction, and tests including ...


Dr. Wang Shouji reply Orthopedics
Hello: If nerve conduction is slowed due to a traction injury to the nerve, surgical intervention may not be effective. Generally, the cervical spine is a delicate structure, and excessive pulling may result in residual effects on the surrounding muscles, ligaments, or joints. If...

[Read More] Neck Injury from Parking Barrier: Seeking Effective Treatment Options


Post-Surgery Complications and Disability Certification in Orthopedics

Postoperative sequelae & disability certification More than two years ago, I accidentally fell from the third floor, resulting in what appears to be two fractured lumbar vertebrae and open fractures in both legs. I have undergone approximately ten surgeries, including hardwar...


Dr. Wang Shouji reply Orthopedics
Hello: Having a disability does not mean that one can apply for certification with just a slight functional impairment; there is a standardized criterion. Based on your symptoms, unless there is a noticeable difference in muscle size bilaterally, it may be difficult to demonstrat...

[Read More] Post-Surgery Complications and Disability Certification in Orthopedics


Understanding Lower Back Pain: Causes and Concerns Explained

Lower back pain Doctor, I would like to ask why I feel soreness near the right side of my lower back close to the coccyx when I bend backward. I usually don't feel anything. Also, if I bend for too long, I have difficulty straightening up immediately. Is this due to misalign...


Dr. Wang Shouji reply Orthopedics
Hello: Most cases are caused by poor posture and tight back muscles. It is important to maintain a stable posture by keeping your head up and chest out. If the symptoms persist for a long time, it is necessary to be aware that a small number of individuals may have congenital str...

[Read More] Understanding Lower Back Pain: Causes and Concerns Explained


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