Post-Weight Bearing Training: Understanding Swelling and Pain After Fracture
Swelling and redness after resistance training? Thank you, Dr. Shi, for your previous response. Three weeks ago, I fractured the first, second, and third metatarsals, with the third showing slight displacement. Currently, I am using a cast and elastic bandage for stabilization. A...
Dr. Shi Guozheng Reply:
After a fracture, if it has not yet healed, there may be swelling due to the numerous blood vessels within the bone. If healing is incomplete, blood flow may be obstructed. In this case, it is advisable to minimize standing or walking, and when resting, elevate the affected leg t...[Read More] Post-Weight Bearing Training: Understanding Swelling and Pain After Fracture
Can Push-Ups and Sit-Ups Stunt Your Growth?
Growth issues I have been doing push-ups and sit-ups for a long time, and now I have developed biceps and abdominal muscles. Will this affect my height growth?
Dr. Shi Guozheng Reply:
The areas where you exert force are the muscles in the upper body and near the shoulders, as well as the rectus abdominis and back muscles, which should not affect growth in height.[Read More] Can Push-Ups and Sit-Ups Stunt Your Growth?
Understanding Clavicle Fractures: Treatment Options and Recovery Concerns
Clavicle fracture Dear Doctor, I would like to ask a question regarding my condition. I was in a car accident on the afternoon of August 22, and I experienced significant pain in my left clavicle. I was taken to the Chi Mei Medical Center emergency room in Tainan, where an X-ray...
Dr. Shi Guozheng Reply:
Clavicle fractures are usually treated conservatively, typically with a triangular sling or figure-of-eight bandage for about three months, unless it is an open fracture or there is a risk of the fracture site penetrating the skin. Additionally, if there are associated vascular o...[Read More] Understanding Clavicle Fractures: Treatment Options and Recovery Concerns
Understanding Your Symptoms: Neck and Back Pain Diagnosis and Treatment
What symptoms should I have? Hello Dr. Wang, I have been experiencing pain in my neck and lower back for over a month. Today, I went to a larger clinic for an X-ray, and they told me that I have small bone spurs and that the bones connecting to my lower back have degenerated and ...
Dr. Wang Shouji Reply:
Hello: The presence of bone spurs indicates that degenerative arthritis of the spine is already present. It is important to be cautious with weight-bearing activities, bending, and posture. Using analgesics can only provide temporary relief from discomfort and is not a long-term ...[Read More] Understanding Your Symptoms: Neck and Back Pain Diagnosis and Treatment
Chronic Lower Back Pain: Seeking Solutions After 18 Months of Discomfort
Lumbar pain lasting for one and a half years? Dear Dr. Wang, I apologize for the lengthy message, but I believe that clearly describing my symptoms will help you understand my situation better. I have had scoliosis since high school, with a curvature of about 15 degrees. After g...
Dr. Wang Shouji Reply:
Hello: Scoliosis, combined with the fact that humans spend most of their time either sitting or standing, increases the likelihood of degenerative changes in the spinal joints. If the symptoms you described are indeed that severe, it is advisable to visit a hospital for further e...[Read More] Chronic Lower Back Pain: Seeking Solutions After 18 Months of Discomfort
Clavicle Fracture Complications: Plate Penetration and Surgical Solutions
Clavicle fracture with plate penetration through the skin? Hello Doctor, I was in a car accident on March 17, 2015, which resulted in a mid-shaft fracture of my left clavicle, causing the bone to break into two displaced segments. In early April, I underwent surgery to place a pl...
Dr. Shi Guozheng Reply:
The fixation method you mentioned may involve the use of intramedullary nails. This is not a minimally invasive surgery, but the incision can be smaller. After healing, in some cases, a small incision can be made from the lateral side to remove the bone screws. Whether a second s...[Read More] Clavicle Fracture Complications: Plate Penetration and Surgical Solutions
Understanding Inversion Therapy for Arthritis and Sports Injuries
Inversion tables and their relation to arthritis pain / sports injury issues? Hello, Dr. Shi! 1) I have osteoarthritis and am currently undergoing a treatment regimen of two phases of hyaluronic acid injections per year. Each treatment cycle lasts five weeks, with an injection ...
Dr. Shi Guozheng Reply:
Knee joint degeneration is almost a common issue among older adults. If hyaluronic acid injections have not improved the condition, it may be necessary to evaluate whether surgical treatment is required. Engaging in light exercise is acceptable, but activities involving excessive...[Read More] Understanding Inversion Therapy for Arthritis and Sports Injuries
Pain from Exposed Screws After Hip Fracture Surgery: What to Do?
Sleeping on the area where a steel implant is located can cause pain? In early July, I fell and sustained a fracture of the left femoral neck. The doctor performed surgery and implanted four screws for fixation. After the surgery, the femoral head shifted from a slight displaceme...
Dr. Shi Guozheng Reply:
Exposed metal pins can irritate the skin and subcutaneous tissue, leading to pain. You may consult the surgeon to see if it is possible to remove the protruding pin. Additionally, if the bone is misaligned and does not heal properly, reoperation should also be considered.[Read More] Pain from Exposed Screws After Hip Fracture Surgery: What to Do?
Understanding Tailbone Fractures: When to Seek Further Medical Advice
Spinal fracture? About a year and a half ago, I fell and went to see a doctor. The doctor said there was a crack in my coccyx and that it would heal on its own over time. However, I still experience occasional pain and discomfort. Is this normal? I'm worried that it hasn...
Dr. Wang Shouji Reply:
Hello: Follow-up X-rays should not significantly affect the uterus. A coccyx contusion or fracture may have effects for several months, so avoid prolonged sitting and any irritation to the affected area; follow-up X-rays are still necessary. Asymmetry in the lumbar region may be ...[Read More] Understanding Tailbone Fractures: When to Seek Further Medical Advice
How Long Does It Take for a Closed Radius Fracture to Heal?
How long does it take for a closed radius fracture to heal? In the case of a closed distal radius fracture that has been stabilized with a steel plate, bone healing typically begins within 4 to 6 weeks post-surgery. However, complete healing may take approximately 3 to 6 months, ...
Dr. Shi Guozheng Reply:
Bones generally begin to grow back slowly. Experimental findings show that soft callus can appear within two weeks. If visible bone formation is desired, it may take about four weeks, and complete healing typically occurs in approximately six to twelve weeks.[Read More] How Long Does It Take for a Closed Radius Fracture to Heal?
Understanding Hand Pain: Symptoms and Causes of Finger Stiffness
The palm is slightly bent, the fingers are together and cannot bend, there is a sensation of being tightly gripped by the fingers, along with a crushing pain sensation? Last winter, I woke up one morning with my palms slightly bent, my fingers together and unable to bend, feeling...
Dr. Chen Yongxue Reply:
Hello: Many conditions can cause the above situation. For your health, please schedule a follow-up examination at the outpatient clinic. Thank you![Read More] Understanding Hand Pain: Symptoms and Causes of Finger Stiffness
Understanding Tendonitis and Periostitis: Symptoms, Treatment, and Recovery
Periostitis and tendinitis Hello doctor, I had a car accident on Saturday, and on Sunday, I was unable to flex my foot. The muscles on the outer side of my lower leg are very tight, swollen, and painful to the touch. Walking is difficult. I visited a traditional Chinese medicine ...
Dr. Shi Guozheng Reply:
In a car accident, the areas that may be injured can show no visible bruising despite being impacted. These injuries are classified as contusions, and soft tissue inflammation typically follows. It is advisable to apply ice to the injured area on the first day, and after 24 hours...[Read More] Understanding Tendonitis and Periostitis: Symptoms, Treatment, and Recovery
Uneven Rib Cage in My One-Year-Old: Should We Seek Treatment?
One of my son's ribs is higher than the other? Hello Dr. Li, my son just turned one year old and is not yet walking independently. I noticed that when he was about 4.5 months old, the ribs on the right side of his back were more prominent than those on the left, but there do...
Dr. Li Wenhong Reply:
Hello VIVI, please first have a general pediatrician assess the growth and development. If there are any abnormalities, then refer for further evaluation. Rehabilitation is not necessarily required. Orthopedics, Changhua Hospital, Dr. Li Wen-Hong.[Read More] Uneven Rib Cage in My One-Year-Old: Should We Seek Treatment?
Post-Surgery Concerns: Understanding Pain After Accessory Navicular Surgery
Postoperative issues related to accessory navicular bone hyperplasia? Hello! I recently underwent surgery due to issues with my accessory navicular bone, and it has been just over two weeks since the procedure. Today, while moving my ankle in bed, I exerted a bit of force (withou...
Dr. Lin Jingwei Reply:
Hello: It is difficult to accurately assess your issue based on the literal description. I recommend scheduling an earlier follow-up appointment at the outpatient clinic.[Read More] Post-Surgery Concerns: Understanding Pain After Accessory Navicular Surgery
Understanding Ganglion Cysts: Post-Surgery Recovery and Rehabilitation
Ganglion cyst It has been 20 days since I had surgery for a ganglion cyst on the back of my right wrist. The stitches were removed after 14 days, but I still cannot bend it downwards and feel a sensation of being pulled by the tendons. Is this normal? Do I need to undergo rehabil...
Dr. Wang Shouji Reply:
Hello: This is likely caused by pulling near the wound; generally, it will gradually recover within one to two months, and most cases do not require rehabilitation. Thank you![Read More] Understanding Ganglion Cysts: Post-Surgery Recovery and Rehabilitation
Understanding Pain After Open Radius Fracture: Is It Normal?
Right hand fracture? Doctor, I would like to ask about my right radius open fracture. Sometimes, when I extend my fingers, I feel a tight, painful sensation on the back of my hand. Is this normal?
Dr. Shi Guozheng Reply:
This is a normal phenomenon because fractures can sometimes affect the movement of the tendons in the back of the hand. Engaging in more wrist and finger flexion and extension exercises may help improve the situation. However, if the pain is severe, it is necessary to see a docto...[Read More] Understanding Pain After Open Radius Fracture: Is It Normal?
Understanding Right-Side Back Pain: Muscle vs. Rib Issues Explained
Right-sided musculoskeletal muscles Hello, doctor. Recently, I've been experiencing intermittent sharp pain or discomfort on the right side of my back, starting from the area near my armpit close to the scapula and extending across the entire latissimus dorsi. The discomfort...
Dr. Chen Yongxue Reply:
The symptoms described in your letter may be indicative of fasciitis, but fasciitis can be palpated at the pain points. It is recommended to consult an orthopedic physician for a physical examination. Additionally, it is important to rule out issues such as shingles or pleuritis....[Read More] Understanding Right-Side Back Pain: Muscle vs. Rib Issues Explained
Finding the Right Pediatric Orthopedic Care for Hip Joint Issues
Pediatric Orthopedics My daughter is in the fourth grade of elementary school, and both of her hip joints are not in the correct position. Last year, she underwent traction surgery on her right leg, and she has been receiving rehabilitation at China Medical University for over fi...
Dr. Shi Guozheng Reply:
The symptoms you described may be indicative of Developmental Dysplasia of the Hip (DDH). As far as I know, the pediatric orthopedic department at National Taiwan University Hospital performs quite well in this area. Their team has extensive experience, so it would be advisable t...[Read More] Finding the Right Pediatric Orthopedic Care for Hip Joint Issues
Understanding Patellar Tendonitis and Cartilage Issues in the Knee: A Comprehensive Guide
Patellar tendinitis and irregularities in the cartilage on the posterior aspect of the knee? Hello, doctor. I currently have a knee joint issue and would like to consult you. Two months ago, I fell off my bicycle (I realized my shoes were still clipped in when I stopped, and I fe...
Dr. Shi Guozheng Reply:
Knee injuries can lead to swelling or pain within three months. If the cartilage of the patella is damaged, activities such as going up and down stairs or squatting may be painful or difficult. It is important to check for any displacement of the patella, which can be assessed th...[Read More] Understanding Patellar Tendonitis and Cartilage Issues in the Knee: A Comprehensive Guide
Understanding Your Back Pain: Bones or Nerves?
It is unclear whether the issue is with the bones or the nerves? Since the beginning of this year, I've been experiencing significant lower back pain when getting out of bed. I've also noticed that I can no longer bend over as easily as before, and I have difficulty squ...
Dr. Chen Yongxue Reply:
Hello, this phenomenon could be related to issues with the vertebrae, muscles, or nerves. Please consult an orthopedic physician for further evaluation.[Read More] Understanding Your Back Pain: Bones or Nerves?