Understanding Hard Lumps Near the Ankle: Causes and Treatment Options
There is a hard lump under the ankle? Hello Doctor: Recently, I noticed a hard lump near the area just below my right ankle, close to the sole of my foot. It doesn't hurt when I press on it; I can only feel the lump, which makes me quite worried. I did some research online a...
Dr. Zhang Jiahao reply Orthopedics
Hello: A ganglion cyst does not necessarily require an injury to develop. It is recommended to visit an orthopedic clinic to confirm the diagnosis before deciding on the treatment. Thank you![Read More] Understanding Hard Lumps Near the Ankle: Causes and Treatment Options
Should You Remove Intramedullary Nails After Bone Healing?
Removal of metal pins Several years ago, my mother suffered a comminuted fracture of the femur and had a steel rod implanted in her thigh bone. She has undergone several surgeries to remove it, but they were unsuccessful due to a drop in blood pressure that required emergency ces...
Dr. Zhang Jiahao reply Orthopedics
Hello: Generally speaking, metal screws do not have a specific lifespan. If there are no other symptoms and the surgical risks are too high, it may be considered not to remove them. It is advisable to discuss this further with your attending physician and make a decision after ev...[Read More] Should You Remove Intramedullary Nails After Bone Healing?
Understanding Clavicle Fractures: Recovery, Nutrition, and Rehabilitation
Clavicle fracture? On August 15th of this year, while riding my motorcycle downhill on the Suhua Highway, I noticed that the cement surface was wet and slippery. Seeing a red light ahead, I immediately braked and lost control, causing me to fall. My right shoulder hit the ground,...
Dr. Zhang Jiahao reply Orthopedics
Hello: Basically, you will need to keep your arm immobilized with a triangular bandage after surgery, which can both stabilize and support your upper limb. The time it takes for the bone to heal varies from person to person, but your attending physician should arrange for follow-...[Read More] Understanding Clavicle Fractures: Recovery, Nutrition, and Rehabilitation
Managing Wrist Fractures in Osteoporosis Patients: Key Considerations
Medical management of fractures in patients with osteoporosis? Hello Dr. Chang, I would like to ask you a question. If an elderly person at home has a fracture in their arm (approximately between the wrist and elbow, closer to the wrist), if we choose to apply a cast for treatmen...
Dr. Zhang Jiahao reply Orthopedics
Hello: Theoretically, if a fracture has significant displacement and the patient's physical condition allows, it should be reduced and then stabilized, as this can promote better functional outcomes after bone healing. Thank you![Read More] Managing Wrist Fractures in Osteoporosis Patients: Key Considerations
Rehabilitation After Fibula Fracture: Key Considerations and Timeline
Rehabilitation after fibula fracture? Hello doctor, I have a closed fracture of the distal fibula on the right side of my right foot, with some cracks and slight displacement. I am currently in a cast, and I will soon have it removed. What should I pay attention to after the cast...
Dr. Zhang Jiahao reply Orthopedics
Hello: Typically, after the removal of a cast, if the fracture has not fully healed, crutches should still be used to avoid full weight-bearing. Applying heat packs can be beneficial, and practicing ankle joint range of motion is recommended. Rehabilitation duration varies from p...[Read More] Rehabilitation After Fibula Fracture: Key Considerations and Timeline
Is It Normal for One Collarbone to Stick Out More Than the Other?
Bone issues~~~ Hello doctor, my right clavicle is more prominent than my left clavicle. Is this normal? I just noticed it recently after hearing my friend mention it!
Dr. Zhang Jiahao reply Orthopedics
Hello: I suggest you seek an examination at an orthopedic clinic to determine if there is scoliosis or any other associated issues, which will allow for an accurate response to your concerns. Thank you for your inquiry![Read More] Is It Normal for One Collarbone to Stick Out More Than the Other?
Understanding Leg Pain After a Car Accident: Insights on Tibial Injuries
Discomfort after a car accident? Dear Dr. Chang: After a car accident, my calf has been uncomfortable. The emergency room confirmed it was just a bruise. After some time, I had an X-ray taken and found a line on my tibia. How can I eliminate this line? Does having a line on the t...
Dr. Zhang Jiahao reply Orthopedics
Hello: The description of "a line on the X-ray" does not provide enough information for accurate advice. It is recommended to visit an orthopedic clinic for further evaluation. Thank you![Read More] Understanding Leg Pain After a Car Accident: Insights on Tibial Injuries
Do Rib Fractures Require Hospitalization? Pain Management Options Explained
Do rib fractures require hospitalization? Dear Dr. Chang: My father is 73 years old and suffered three rib fractures, a clavicle fracture, and a head contusion from a car accident. He is experiencing severe pain and is taking warfarin. The doctor administered a KETO injection and...
Dr. Zhang Jiahao reply Orthopedics
Hello: If a rib fracture is not associated with pneumothorax or hemothorax, it is advisable to rest and manage pain control while regularly following up at the outpatient clinic. Pain management can be categorized into various levels and can be tailored to the patient's cond...[Read More] Do Rib Fractures Require Hospitalization? Pain Management Options Explained
Should You Remove Titanium Screws After Finger Fracture Surgery?
Nail removal issues? I was born on August 10, 1973. In May 2008, I sustained an injury due to an accident that resulted in a fracture of my right index finger. I underwent surgery in the United States, where the doctor inserted five screws made of titanium alloy into the injured ...
Dr. Zhang Jiahao reply Orthopedics
Hello: Regarding your question, it cannot be generalized as it depends on factors such as the degree of fracture healing and the condition of the metal pins. Therefore, you may still need to visit the outpatient clinic for accurate and appropriate advice. Thank you![Read More] Should You Remove Titanium Screws After Finger Fracture Surgery?
Understanding Calf Cramps: Causes and Solutions for Pain Relief
Calf cramp Hello Dr. Chang: My mother (58 years old) has been experiencing twitching in the outer side of her calves while sleeping for a long time, which causes her pain and prevents her from sleeping. Recently, she has also been feeling soreness and weakness in the outer side o...
Dr. Zhang Jiahao reply Orthopedics
Hello: It is still possible that this is related to spinal degeneration or electrolyte imbalance, and it may also be associated with the common peroneal nerve. It is recommended to seek assistance from a neurologist first. Thank you.[Read More] Understanding Calf Cramps: Causes and Solutions for Pain Relief
Post-Fracture Recovery: Addressing Pain, Rehab Effectiveness, and Swelling
Post-fracture surgery condition inquiry? Hello Dr. Chang, I had a car accident on April 5th of last year, which resulted in a fracture of my left ankle. On April 7th, I underwent surgery to implant two bone screws and one plate. I had the screws removed on February 3rd of this y...
Dr. Zhang Jiahao reply Orthopedics
Hello: It is recommended to continue rehabilitation to restore joint mobility. Applying heat therapy should help improve the swelling in the foot. After work, elevating the lower extremities slightly can also alleviate the symptoms of foot swelling. Thank you![Read More] Post-Fracture Recovery: Addressing Pain, Rehab Effectiveness, and Swelling
Can Rib Fractures Be Detected on X-rays After Six Months?
Rib X-ray Can rib fractures still be detected on an X-ray six months later? Thank you.
Dr. Zhang Jiahao reply Orthopedics
If there was a displaced fracture initially, it is still possible to see signs of it on X-rays even after the fracture has healed. Thank you![Read More] Can Rib Fractures Be Detected on X-rays After Six Months?
Understanding Incomplete Tibial Fractures: Healing and Discomfort Insights
Tibia Is it possible for an incomplete fracture of the tibia in the lower leg to still show a fracture line after more than a year without displacement? I experience discomfort when it's cold. Is there a solution for this? Will it gradually return to normal over time? Thank ...
Dr. Zhang Jiahao reply Orthopedics
Hello: Your concerns require a proper evaluation of the X-ray images for an accurate answer. It is recommended that you visit an orthopedic clinic. Thank you![Read More] Understanding Incomplete Tibial Fractures: Healing and Discomfort Insights
Should You Avoid Calcium Supplements After a Fracture for Three Weeks?
Calcium Supplementation Hello Doctor: I came across an article online stating that calcium supplements should not be taken within "three weeks" after a fracture. Is this claim correct? I have read many articles, and different doctors have varying opinions; some say that...
Dr. Zhang Jiahao reply Orthopedics
Currently, I have not heard of this theory being widely accepted; moderate calcium supplementation should not have any particular drawbacks![Read More] Should You Avoid Calcium Supplements After a Fracture for Three Weeks?
Understanding the Benefits of Prehabilitation for Joint Replacement Surgery
Questions about joint replacement surgery? The question is asking about the ways in which patients can benefit from prehabilitation (pre-hab) before undergoing joint replacement surgery.
Dr. Zhang Jiahao reply Orthopedics
Rehabilitation exercises such as strength training before joint replacement surgery can provide significant benefits to patients.[Read More] Understanding the Benefits of Prehabilitation for Joint Replacement Surgery
Understanding Post-Surgery Complications: Loose Screw in Orthopedic Pins
The small loop of the fracture pin has detached? Hello Dr. Chang, three months after surgery, one of the two metal screws has shown a small circle (similar to a nut) on the X-ray, indicating it has dislodged from its original position. I have been continuing rehabilitation, but t...
Dr. Zhang Jiahao reply Orthopedics
Hello, sometimes different angles in imaging can lead to variations, and it is also possible that some bone screws may have loosened. A direct comparison of the pre- and post-operative X-rays is necessary to confirm this. Regarding your concerns, you may also consult your attendi...[Read More] Understanding Post-Surgery Complications: Loose Screw in Orthopedic Pins
Managing Chronic Back Pain from Thoracolumbar Degeneration: Medication Insights
Thoracolumbar junction 3 Degenerative changes in the thoracolumbar spine can lead to chronic back pain. However, medications such as Tofisopam, analgesics, and muscle relaxants are typically used for long-term management. These medications primarily help alleviate symptoms rather...
Dr. Zhang Jiahao reply Orthopedics
Medications cannot reverse degeneration; whether or not to take medication should be determined by a physician's assessment. Thank you![Read More] Managing Chronic Back Pain from Thoracolumbar Degeneration: Medication Insights
Essential Exercises for Strengthening and Relaxing Spinal Muscles
Bone issues? The doctor mentioned that to prevent degeneration of the thoracic and lumbar spine, it is important to focus on improving posture and performing exercises to strengthen the muscles around the spine, as well as relaxation exercises. What are the exercises for strength...
Dr. Zhang Jiahao reply Orthopedics
It is recommended to visit the rehabilitation department for professional rehabilitation guidance![Read More] Essential Exercises for Strengthening and Relaxing Spinal Muscles
Understanding and Preventing Early Degeneration of Thoracolumbar Spine
Thoracolumbar spine...2 1. What causes degeneration of the thoracolumbar spine? 2. How can further degeneration be prevented? 3. Why does degeneration of the thoracolumbar spine occur at a young age?
Dr. Zhang Jiahao reply Orthopedics
Hello: 1. What causes degeneration of the thoracic and lumbar spine? 2. How can we prevent further degeneration? 3. Why does degeneration of the thoracic and lumbar spine occur at a young age? --> As people age, natural degeneration occurs, but excessive weight-bearing or use ...[Read More] Understanding and Preventing Early Degeneration of Thoracolumbar Spine
Concerns About Excessive X-Ray Exposure and Ongoing Pain Issues
X-ray concerns and questions? I have been experiencing abdominal pain along with a pressure sensation, pain, and tightness in my lower back to rib area, as well as an indescribable feeling of discomfort. I have been unable to find the cause and have consulted specialists in gastr...
Dr. Zhang Jiahao reply Orthopedics
The necessity for an X-ray examination should be determined by the specialist physician based on clinical needs. Of course, you can also express your concerns to the physician during your visit.[Read More] Concerns About Excessive X-Ray Exposure and Ongoing Pain Issues