Dr. Yang Zhengfan reply Orthopedics Question - Page 3

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Rehabilitation Strategies for Crush Wrist Fractures After Surgery

How to rehabilitate after a comminuted wrist fracture? After a crush fracture of the right wrist has been surgically repaired and the cast and pins have been removed, rehabilitation is essential for recovery. Here are some steps you can take for rehabilitation: 1. **Gentle Range...


Dr. Yang Zhengfan reply Orthopedics
Dear Yanlin, may I ask which rehabilitation department is most convenient for you? You will receive satisfactory answers there.

[Read More] Rehabilitation Strategies for Crush Wrist Fractures After Surgery


Current Advances in Cartilage Cell Repair Techniques in Taiwan

What is the development status of cartilage cell repair technology in Taiwan? Has it reached the clinical stage? What is the development status of chondrocyte repair technology in Taiwan? Has it reached the clinical stage? Are there other methods available for treating cartilage ...


Dr. Yang Zhengfan reply Orthopedics
Dear Zhi, Currently, there is cartilage injury, and cellular repair is possible for treatment. However, this treatment method is still considered experimental and is only offered by a few medical centers in the United States, and it has not yet been widely accepted by general o...

[Read More] Current Advances in Cartilage Cell Repair Techniques in Taiwan


Post-Spinal Surgery Pain: Understanding Symptoms and Recovery Time

Postoperative pain after spinal surgery? Dr. Yang: I underwent surgery on June 2nd of this year at Taipei Veterans General Hospital for a fracture of the vertebral arch, where steel rods were used to stabilize the fourth and fifth vertebrae. It has been three weeks post-surgery, ...


Dr. Yang Zhengfan reply Orthopedics
Dear Mr. Liu, the issues you described may have existed prior to the surgery or could be related to your adaptation post-surgery. I recommend that you return to your original surgeon's clinic for further inquiries, as this will provide a better understanding of the situation...

[Read More] Post-Spinal Surgery Pain: Understanding Symptoms and Recovery Time


Understanding ACL Tears: Surgery, Costs, and Recovery Insights

Anterior cruciate ligament (ACL) tear? I sustained an injury while playing basketball, and after examination by a physician, it was confirmed to be an "anterior cruciate ligament (ACL) tear." I underwent X-rays and an MRI, but the doctor only prescribed anti-inflammator...


Dr. Yang Zhengfan reply Orthopedics
Dear Xiaoshan, before answering your questions, I suggest you search online for information about the functions of the cruciate ligaments so that you will have a clearer understanding of what I am talking about. Cruciate ligament reconstruction is a surgical procedure that involv...

[Read More] Understanding ACL Tears: Surgery, Costs, and Recovery Insights


Can Trigger Finger Be Treated in Outpatient Clinics?

Can trigger finger be treated in an outpatient setting? Trigger finger generally requires several outpatient visits for treatment, and surgery may be necessary in some cases. If surgery is needed, the procedure typically takes about 15 to 30 minutes. After surgery, most patients ...


Dr. Yang Zhengfan reply Orthopedics
Dear Confused Patient, The number of outpatient visits required for treatment is actually related to the severity of the condition and the treatment methods used. Generally, if the condition is not very severe, two outpatient visits with prescribed medication should suffice. Fo...

[Read More] Can Trigger Finger Be Treated in Outpatient Clinics?


Understanding Laser Treatment for Herniated Discs: Costs and Effectiveness

What are the costs and effects of laser treatment for herniated discs? A doctor suggested that the best treatment for me is laser therapy. I'm not sure about its effectiveness. The doctor mentioned that it is already quite common abroad and has a high success rate. Could you...


Dr. Yang Zhengfan reply Orthopedics
Dear Jiajia, the best current treatment for intervertebral disc issues is still surgery, which has a cure rate of about 90%. Laser surgery is a new technique that has been introduced in Taiwan in the past three years, and its effectiveness largely depends on the physician's ...

[Read More] Understanding Laser Treatment for Herniated Discs: Costs and Effectiveness


Understanding Early-Onset Osteoarthritis: Causes, Symptoms, and Management

Soreness Hello Dr. Yang: I have several questions and would appreciate your prompt response. Thank you! I am 37 years old, 160 cm tall, and weigh 63 kg (this is my first online consultation). Earlier this year (around February), I started experiencing mild soreness in my knees (i...


Dr. Yang Zhengfan reply Orthopedics
Dear Annie, You have quite a few questions, and I will address the key points as follows: 1. The causes of arthritis were previously attributed to overexertion, but it is now recognized that individual physiological factors are also closely related. 2. Arthritis cannot be c...

[Read More] Understanding Early-Onset Osteoarthritis: Causes, Symptoms, and Management


Post-Surgery Recovery: ACL Reconstruction Rehabilitation Insights

Postoperative recovery period Dear Dr. Yang, Last week, after your explanation, I decided to undergo anterior cruciate ligament (ACL) reconstruction surgery. I completed the surgery on April 29 and stayed in the hospital for 5 days for observation. Currently, the surgical wound ...


Dr. Yang Zhengfan reply Orthopedics
Dear Jacky, Congratulations on successfully completing your anterior cruciate ligament (ACL) surgery. Unlike general surgeries, rehabilitation after this procedure is crucial. The surgeon who performed your operation has likely arranged everything, so there’s no need to worry. O...

[Read More] Post-Surgery Recovery: ACL Reconstruction Rehabilitation Insights


Can the Knee Ligament Heal Naturally? Insights on ACL Recovery and Surgery

Knee ligament issues? Hello, Dr. Yang! I previously asked you about MRI, and your response helped clarify many of my doubts, thank you! Now I have another question regarding the anterior cruciate ligament (ACL) of the knee. Aside from surgical reconstruction, is it possible for t...


Dr. Yang Zhengfan reply Orthopedics
Dear Jacky, 1. The anterior cruciate ligament (ACL) does not heal on its own. However, it is possible that if the initial tear was incomplete, some stability may still be maintained. At this point, appropriate physical examination is very important. If the instability is not sev...

[Read More] Can the Knee Ligament Heal Naturally? Insights on ACL Recovery and Surgery


Understanding Patellar Malacia: Diagnosis and Management Insights

Patellar chondromalacia Hello Dr. Yang, My brother is 22 years old and currently serving in the military. He frequently experiences knee pain and swelling. He has undergone X-rays at several major hospitals, all of which showed no abnormalities. Recently, a physician at one hosp...


Dr. Yang Zhengfan reply Orthopedics
Dear Mimyuan: Patellar chondromalacia can be confirmed through clinical symptoms, as well as MRI or arthroscopy.

[Read More] Understanding Patellar Malacia: Diagnosis and Management Insights


Can MRI Errors Affect ACL Diagnosis in Knee Injuries?

Is it possible for MRI scans to produce errors? Hello Dr. Yang! I injured my knee while playing basketball in mid-March. Initially, I used ice therapy, and later I went to a traditional Chinese medicine rehabilitation clinic for treatment. During the treatment process, I received...


Dr. Yang Zhengfan reply Orthopedics
Dear Jacky: 1. MRI will not be interfered with by a hematoma, and its accuracy is over ninety percent. If combined with clinical examination, it will be very reliable. 2. Symptoms of anterior cruciate ligament (ACL) tear include inability to sprint or stop suddenly (like "...

[Read More] Can MRI Errors Affect ACL Diagnosis in Knee Injuries?


Understanding Fracture Fixation: When to Consider Surgical Options

Fracture fixation? I live in Yilan and sought medical attention for a tear fracture in my heel. The doctor only used a cast for stabilization, but after 7 weeks, there has been almost no improvement. I feel pulling pain when sitting or lying down, and it seems that the area is no...


Dr. Yang Zhengfan reply Orthopedics
Dear A-Tung, since you are in Yilan, can you come to our hospital for an outpatient visit? If the fracture is a severe displaced fracture, surgical treatment may be necessary. A detailed evaluation must be conducted with X-rays. I hope you can come to the outpatient clinic.

[Read More] Understanding Fracture Fixation: When to Consider Surgical Options


Effective Treatments for Knee Joint Effusion: Expert Insights

Knee joint effusion My father has a problem with fluid accumulation in his knees. He has undergone aspiration, but despite consulting many doctors and taking various medications, there has been no improvement. I would like to ask Director Yang how this condition should be treated...


Dr. Yang Zhengfan reply Orthopedics
Dear Cherry, Knee joint effusion is one of the signs of osteoarthritis, and it has reached a level where swelling occurs, indicating at least moderate arthritis. I recommend that your father undergo an X-ray examination to determine the extent of the arthritis and to use it as ...

[Read More] Effective Treatments for Knee Joint Effusion: Expert Insights


Can I Walk and Drive After My Patella Fracture Recovery?

Can I resume normal activities? Dear Dr. Yang, I apologize for bothering you again! I would like to ask about my patellar fracture, which is classified as a second-degree fracture. After a month of being in a cast, it is about to be removed, but the X-ray shows that the fracture...


Dr. Yang Zhengfan reply Orthopedics
Dear Xiaozhu, I have reviewed my previous response to you, and I still believe I was correct. A previously fractured patella does not have any warranty period. The X-ray shows that the bone has not healed, which means it remains unhealed. Of course, bending could potentially incr...

[Read More] Can I Walk and Drive After My Patella Fracture Recovery?


Understanding Recurrent Patellar Fractures: Recovery and Concerns

Right knee patella re-fracture? Dear Dr. Yang, I would like to ask you a question: Three months ago, I suffered a patellar fracture due to an accident. After surgery, the fracture was stabilized with bone screws. Three weeks ago, I experienced severe pain due to the displacement...


Dr. Yang Zhengfan reply Orthopedics
Dear Xiaozhu, the typical healing time for fractures is about three months. However, we wait until a year to remove the metal pins primarily because we want to avoid severe complications, such as re-fracture, which can depend on the degree of displacement of the fragments after t...

[Read More] Understanding Recurrent Patellar Fractures: Recovery and Concerns


Understanding Knee Replacement Surgery: Costs and Recovery Insights

Artificial knee joint Dear Dr. Yang, On January 14, my mother was involved in a head-on collision with a drunk driver and was taken to Taichung Hospital's emergency department. The diagnosis included: left ulnar olecranon fracture and upper third fracture, left elbow joint ...


Dr. Yang Zhengfan reply Orthopedics
Dear Wan-Yi, your mother has sustained such severe injuries, and it is easy to imagine the force of the impact at the time of the injury. Strictly speaking, every injured area has the potential for complications. Of course, the severity of these complications is closely related t...

[Read More] Understanding Knee Replacement Surgery: Costs and Recovery Insights


Is It Arthritis? Understanding Joint Pain and Mobility Issues

Is it a type of arthritis? One of my friends often lifts their head while walking, has slightly stiff shoulders, and exhibits a hunched posture. Their spine feels rigid, and their limbs often lack flexibility. They are unsure whether they need rehabilitation or should see an orth...


Dr. Yang Zhengfan reply Orthopedics
Dear Jiz: Are the symptoms you described present in young males around the age of 20? If so, please have him undergo further examination by an orthopedic specialist. In addition to scoliosis and tendinitis, another possibility that must be checked is ankylosing spondylitis.

[Read More] Is It Arthritis? Understanding Joint Pain and Mobility Issues


Achilles Tendon Rupture: Healing Time and Surgical Options Explained

Achilles tendon rupture? Is it possible for a ruptured Achilles tendon to heal on its own? How long does it typically take? Can surgery improve the condition? How many days would hospitalization require? How long is the recovery period?


Dr. Yang Zhengfan reply Orthopedics
Dear Ah-Hsien, a rupture of the Achilles tendon can generally be classified as either a complete or partial tear. A complete tear requires surgical intervention, while a partial tear can be treated with either surgery or a cast for six weeks. Typically, hospitalization lasts for ...

[Read More] Achilles Tendon Rupture: Healing Time and Surgical Options Explained


Seeking Help for Clavicle Fracture and Concerns After Car Accident Abroad

I urgently need help with a collarbone fracture while studying abroad? Hello Doctor, I am currently studying in the UK. A few days ago, I was hit by a car while crossing the street. An X-ray at the local public hospital revealed a significant fracture of my left clavicle/collar...


Dr. Yang Zhengfan reply Orthopedics
Dear Jeffrey, You mentioned two issues, so I will address them separately: 1. Clavicle fracture: Generally speaking, clavicle fractures do not require surgical intervention and can be treated with a figure-of-eight brace. The healing rate is over 95%, provided that the fracture...

[Read More] Seeking Help for Clavicle Fracture and Concerns After Car Accident Abroad


Understanding Ankle Pain: When to Stretch and Strengthen Safely

Ankle pain!! I would like to ask you: I heard a "pop" sound while performing a calf stretch (pushing against a wall). Initially, I did not feel any pain and was able to walk normally. However, after putting on shoes, I started to experience pain, primarily located above...


Dr. Yang Zhengfan reply Orthopedics
Dear A-Dong, Although you have made an effort to describe your symptoms, to be honest, it's still not very clear how pushing against the wall is related to pulling on the Achilles tendon. If the pain you are describing is at the junction of the calf soleus muscle and the h...

[Read More] Understanding Ankle Pain: When to Stretch and Strengthen Safely


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