Back, Orthopedics FAQ

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Understanding Chronic Back Pain After Spinal Injury: Seeking Solutions

Inquiring about spinal pain? Hello Doctor, in 2018, I accidentally fell down the stairs and fractured my lumbar vertebrae L11 and L12. At that time, Dr. Ma suggested surgery, but due to my heart condition, my family opposed the surgery, so I decided against it. Now, seven years l...


Dr. Chen Yongxue Reply:
Hello, online consultations cannot replace in-person diagnoses. If you have already seen a neurosurgeon, you can discuss with your attending physician whether further tests or referrals are necessary to identify the underlying cause. Thank you.

[Read More] Understanding Chronic Back Pain After Spinal Injury: Seeking Solutions


Understanding Jones Fractures: Healing Progress and Next Steps

Jones fracture Hello Doctor, I fell on March 1 and sustained a fracture at the base of the fifth metatarsal. I have been undergoing conservative treatment, and the fracture site remained unstable until early May. Therefore, I went to a rehabilitation clinic for laser therapy, hea...


Dr. Shi Guozheng Reply:
1. Correct. 2. If symptoms persist for more than six months, it is considered. 3. Continue monitoring and consult the physician for further evaluation.

[Read More] Understanding Jones Fractures: Healing Progress and Next Steps


Understanding Fifth Metatarsal Fracture Healing Challenges

Fifth metatarsal bone healing issues? Hello Doctor, thank you for your previous response (I have made the cloud link publicly accessible). I would like to ask a few more questions based on the X-rays from May and July: 1. Has the fracture site reopened or is it not healing prop...


Dr. Chen Yongxue Reply:
Hello, the fifth metatarsal fracture is also known as a Jones fracture. This is unrelated to your condition. Please follow the rehabilitation instructions as advised. You may also consult the rehabilitation department for further assistance. Trust your attending physician, and if...

[Read More] Understanding Fifth Metatarsal Fracture Healing Challenges


Understanding Fifth Metatarsal Fracture Healing: Concerns and Recovery Tips

Healing of the fifth metatarsal fracture? Hello Doctor, thank you for your previous response. I would like to ask a follow-up question based on the X-rays from June and July: 1. Is the fracture site not healing? 2. Should I wear the protective shoe again or limit my walking? I ...


Dr. Chen Yongxue Reply:
Hello, the link you provided is not accessible for viewing photos. If you have concerns, it is advisable to return for a consultation with your attending physician or to seek advice from a rehabilitation specialist. Thank you.

[Read More] Understanding Fifth Metatarsal Fracture Healing: Concerns and Recovery Tips


Persistent Shoulder Pain After Clavicle Surgery: Is the Plate Misplaced?

The metal plate is not displaced, but there is pain? Hello, Doctor. On June 4th, I had a motorcycle accident and fractured my right distal clavicle. I visited the clinic the next day and underwent surgery, using a self-funded hook plate. After the surgery, the pain significantly ...


Dr. Wang Jiacheng Reply:
If the first X-ray indicates no displacement and you don't believe it, it's best to wait another two weeks and then get another X-ray to check.

[Read More] Persistent Shoulder Pain After Clavicle Surgery: Is the Plate Misplaced?


Understanding Intermittent Rib and Shoulder Pain: When to Seek Help

The entire upper body often experiences cramping pain? Since last June, I have been experiencing intermittent sharp pain below my chest near the ribs for a year. Accompanied by skin itching, I initially thought it was a liver issue, and the pain lasted for a month. The pain occur...


Dr. You Dianqi Reply:
It is difficult to make a judgment based solely on the text description. I recommend that you seek evaluation from an orthopedic specialist, a hepatobiliary and gastroenterology specialist, or a family medicine physician. Thank you.

[Read More] Understanding Intermittent Rib and Shoulder Pain: When to Seek Help


Post-Surgery Concerns: Understanding Clavicle Fracture Recovery

Postoperative care for clavicle fracture? Hello doctor, I had a car accident on June 18 and suffered a right-sided clavicle fracture. I underwent surgery on June 18 to fix it with steel nails and plates. I had my stitches removed on July 1, but on July 7, I experienced discomfort...


Dr. Shi Guozheng Reply:
1. It is normal to feel discomfort during activity. 2. The tingling sensation near the plate may be due to the prominence of the bone screws or the plate itself. 3. If you are concerned, you should return for an X-ray.

[Read More] Post-Surgery Concerns: Understanding Clavicle Fracture Recovery


Can You Climb Stairs After a Year of Lumbar Spine Fracture?

"Is it safe to climb stairs regularly one year after a burst fracture of the third vertebra?" Hello Dr. Shen, I sustained a burst fracture of the third lumbar vertebra due to a car accident, with a compression of 0.4 cm at the third lumbar vertebra. I have been undergoi...


Dr. Shen Boquan Reply:
Hello, netizen. You have a fracture of the third lumbar vertebra that has healed for a year without pain. Climbing stairs can put a significant strain on your knees. If you do not experience noticeable knee pain or back pain, it should not have a major impact. However, if you exp...

[Read More] Can You Climb Stairs After a Year of Lumbar Spine Fracture?


Understanding Pain Management for Cervical Issues in Orthopedics

Ocular pain issues? Hello, doctor. Three days ago, after physical therapy, I experienced pain in the cervical region after stretching my neck. Should I take medication first? If that doesn't improve the situation, should I then consider a steroid injection? Are there any sid...


Dr. Shen Boquan Reply:
Hello, if you are experiencing pain in the lumbar region without significant external injury, it may be due to soft tissue inflammation, such as myofascial pain syndrome affecting the back. If this pain is significantly impacting your daily life, taking anti-inflammatory and anal...

[Read More] Understanding Pain Management for Cervical Issues in Orthopedics


Understanding Post-Surgery Numbness in the Lower Leg After Hip Fracture Repair

Why is there numbness in the lower half of the calf after surgery for a closed fracture of the left acetabulum? Hello, Director Shen. My mother suffered a closed fracture of the left acetabulum (the doctor mentioned it was a comminuted fracture) due to a car accident, along with ...


Dr. Shen Boquan Reply:
Hello, the user. Your mother is experiencing numbness in her lower limbs after hip acetabulum fracture surgery, which may be due to sciatic nerve compression since the fracture site is close to the sciatic nerve. During surgery, it is easy for the nerve to be stretched, leading t...

[Read More] Understanding Post-Surgery Numbness in the Lower Leg After Hip Fracture Repair


Understanding Whiplash: Symptoms, Diagnosis, and Treatment Options

Injured in a car accident, experiencing numbness in the back and limbs, vomiting, a feeling of pressure in the head, dizziness, and discomfort in the neck? Hello Doctor: I was involved in a motorcycle accident on April 30, 2023, where I was a passenger on the back seat and was we...


Dr. Shen Boquan Reply:
Hello, if you have been injured in a car accident and are experiencing numbness in your back and limbs, vomiting, a feeling of pressure in your head, dizziness, and discomfort in your neck, you may have a head injury. It is advisable to consult a neurosurgeon or a neurologist. If...

[Read More] Understanding Whiplash: Symptoms, Diagnosis, and Treatment Options


Chronic Pain in Lower Back and Leg: Exploring Causes and Treatments

I have undergone MRI scans, X-rays, and have also consulted traditional Chinese medicine? There is a deep pain between the right buttock and the lower back in certain positions, and the right lower limb experiences a slight warmth and numbness throughout the day. After five month...


Dr. Chen Yongxue Reply:
Hello, based on your letter, it may be caused by piriformis muscle inflammation. Please visit the orthopedic clinic for further evaluation. Thank you.

[Read More] Chronic Pain in Lower Back and Leg: Exploring Causes and Treatments


Understanding Calf Numbness and Burning Sensation: Possible Causes and Solutions

Numbness in the calf and burning sensation in the sole of the foot? In early April, I strained my lower back three times, which has resulted in daily back pain upon waking (difficulty bending forward, but it improves with movement; I have been using a pillow under my groin to all...


Dr. Chen Bochen Reply:
Hello, 1. When so many physicians advise against surgery, if you do end up choosing to have surgery with a particular doctor, there is a high likelihood that you will regret it afterward. 2. Not opting for surgery doesn't mean ignoring the issue; rehabilitation can also ...

[Read More] Understanding Calf Numbness and Burning Sensation: Possible Causes and Solutions


Post-Surgery Guidance for Clavicle Fracture Recovery: Riding and Sleeping Tips

Postoperative Inquiry Hello Doctor, I had surgery last month for a clavicle fracture due to a car accident, where I paid out of pocket for a titanium plate installation. I would like to ask: 1. How long should I rest before I can ride a motorcycle? If I am still not able to, can ...


Dr. Chen Yongxue Reply:
Postoperatively, a triangular bandage or forearm sling should be used for about 2 to 4 weeks. When sleeping, it is advised to lie flat and avoid sleeping on the side. Healing may take approximately 3 to 4 months. Please refrain from lifting heavy objects temporarily, and follow y...

[Read More] Post-Surgery Guidance for Clavicle Fracture Recovery: Riding and Sleeping Tips


Neck and Back Injuries from Trampoline Practice: Symptoms and Recovery

Cervical spine issues, sports injuries? Hello, I apologize for the interruption. On May 20th, while practicing on a trampoline, I misjudged the distance and landed on my back against the edge of the trampoline. I immediately got up, fearing that others would worry. At that moment...


Dr. Zhan Xian Reply:
Hello Ms. Tseng, if your symptoms have improved after a few days, it may be a bruise. However, if there is no improvement and it affects your mobility, please visit the orthopedic clinic. Wishing you good health!

[Read More] Neck and Back Injuries from Trampoline Practice: Symptoms and Recovery


Understanding Rib Protrusion and Scoliosis: When to Seek Orthopedic Care

The left rib cage is more prominent, and there is scoliosis of the spine? I have always had prominent ribs, and when I stand straight and look at myself in the mirror from the side, there is a noticeable protrusion, with the left side being more pronounced. Occasionally, I feel s...


Dr. Chen Bochen Reply:
Coccydynia is not related to scoliosis but is associated with sitting posture (slouching is the most likely to trigger it). Using a posture-correcting seat cushion can help improve the condition.

[Read More] Understanding Rib Protrusion and Scoliosis: When to Seek Orthopedic Care


Understanding Post-Surgery Pain in Femoral Osteonecrosis: What to Expect

Avascular necrosis of the femur Hello Doctor: I underwent femoral decompression last month! The doctor used two types of bone grafts, one is bone allograft and the other is osteoconductive bone graft. It should be better to use these two together, right? On the 20th, it has been ...


Dr. Chen Yongxue Reply:
Hello, avascular necrosis of the femoral head can be treated with decompression surgery in the early stages, a hemiarthroplasty in the mid-stages, and a total hip arthroplasty in the late stages. Each individual's condition is different, so please trust your attending physic...

[Read More] Understanding Post-Surgery Pain in Femoral Osteonecrosis: What to Expect


Why Longer Sleep Hours May Lead to Back Pain: Insights and Solutions

The longer you sleep, the more your lower back hurts? I usually sleep about 6 to 7 hours from Monday to Friday, and on weekends, I sleep around 9 to 10 hours. Since last year, I've noticed that the longer I sleep, the more my lower back and back hurt. After changing to a new...


Dr. Wang Shouji Reply:
You can visit the rehabilitation department outpatient clinic.

[Read More] Why Longer Sleep Hours May Lead to Back Pain: Insights and Solutions


Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort

Coccyx pain for nearly a year? Hello, Dr. Shen. I have been experiencing pain in my coccyx since early May of last year. The pain is located about 2 centimeters above the tip of the coccyx, seemingly at the junction with the sacrum. The pain is triggered by certain positions, suc...


Dr. Shen Boquan Reply:
Hello, the causes of lower back pain are numerous. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress levels can all contribute to discomfort. If ...

[Read More] Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort


Understanding TFCC Injuries and Possible Distal Radioulnar Joint Dislocation

TFCC injury, uncertain if there is a distal radioulnar joint dislocation? Hello, doctor. I injured my right triangular fibrocartilage during weight training in mid-January. I have seen many doctors and changed hospitals several times. Most of them advised me to rest and observe, ...


Dr. You Dianqi Reply:
Hello, for minor injuries, you can use protective gear along with rehabilitation. If the injury is severe, surgical repair may be considered. It is advisable to return for a follow-up appointment and discuss this with your attending physician as soon as possible. Thank you.

[Read More] Understanding TFCC Injuries and Possible Distal Radioulnar Joint Dislocation


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