Understanding Finger Amputation: Definitions and Open Fracture Assessment
Definition of amputation and criteria for determining open fractures of the distal phalanx? Hello Doctor, on February 13th, around 11 AM, due to work, my right hand finger was severely crushed by a metal block. When I removed my work glove, the tip of my right index finger was se...
Dr. Wang Shouji Reply:
Hello, in terms of insurance, "amputation" refers to the loss of a digit due to the absence of a phalanx; if it is reattached, it is at most considered reduction and fixation. Therefore, the physician's statement is entirely reasonable from a medical perspective. C...[Read More] Understanding Finger Amputation: Definitions and Open Fracture Assessment
Injury to the Pinky Toe: Symptoms, Treatment, and Recovery Insights
I stubbed my right pinky toe on the leg of the table? Hello Dr. Wang: I would like to ask about my right pinky toe, which I hit against the leg of a table. After a while, my pinky toe became completely numb. At that time, it was late at night, so I didn't seek medical attent...
Dr. Wang Shouji Reply:
Hello, even if the little toe is fractured, generally speaking, unless there is severe displacement, it shouldn't cause significant issues. After three months of healing, there shouldn't be major problems. During the recovery period, avoid wearing shoes that are too har...[Read More] Injury to the Pinky Toe: Symptoms, Treatment, and Recovery Insights
Rehabilitation Timeline After Tibial Fracture: What to Expect
Rehabilitation-related issues! Hello, doctor. I sustained a fracture of the upper end of the left tibia due to a car accident on February 21. I have been in a cast for 5 weeks and am scheduled to return for a follow-up appointment to remove the cast on April 6. I would like to kn...
Dr. Shi Guozheng Reply:
Fractures typically take about three months to heal. If the fracture is not severe, the healing time may be shorter, around six weeks. Initially, weight-bearing is allowed, but only with about a quarter of the body weight. Crutches should be used for assistance, and follow-up app...[Read More] Rehabilitation Timeline After Tibial Fracture: What to Expect
Understanding Ankle Fracture Recovery: Common Issues and Treatment Options
Ankle fracture recovery issues? On February 13, I experienced an ankle inversion injury during exercise. I did not seek immediate medical attention but applied ice and rested for a week. After the swelling subsided, I resumed exercising, but the ankle swelled again afterward. Whe...
Dr. Shi Guozheng Reply:
Ankle joint fractures typically take six to twelve weeks to heal, during which swelling is common. You must reduce walking or excessive movement. Usually, a splint or cast is applied to stabilize the area and promote proper bone healing. X-ray examinations are recommended at six ...[Read More] Understanding Ankle Fracture Recovery: Common Issues and Treatment Options
Understanding Foot Pain: Causes, Symptoms, and When to Seek Help
Foot pain issues? Hello doctor, this past Monday, I suddenly started experiencing pain in my left foot, specifically in the middle area (which I believe is the arch?). After that, I stopped walking and reduced my walking frequency, and by yesterday, the pain had almost disappeare...
Dr. Shi Guozheng Reply:
An X-ray can be taken, but it may not necessarily indicate bone cancer; plantar fasciitis is more commonly observed.[Read More] Understanding Foot Pain: Causes, Symptoms, and When to Seek Help
Post-Operative Recovery: Understanding Hip Labral Repair Surgery Challenges
Postoperative care after hip labral tear repair surgery? Hello Doctor: After undergoing hip labral repair surgery (including bone shaving, vaporization suturing, and anchoring) nearly two months ago, I have experienced some improvement and attempted to walk normally. I can also s...
Dr. Shi Guozheng Reply:
Soft tissue repair typically takes at least three months to gradually heal. If pain persists, a follow-up appointment with the physician is necessary for further evaluation.[Read More] Post-Operative Recovery: Understanding Hip Labral Repair Surgery Challenges
Understanding Health Insurance Coverage for Osteoporosis Medications
Regulations for National Health Insurance Coverage of Osteoporosis Medications The mother-in-law has a bone density of -5 and recently suffered a self-funded arm fracture from a fall, for which a steel plate was used. The doctor described her bones as being like eggshells, and it...
Dr. Shi Guozheng Reply:
A bone density test must show a T-score below zero, and there must be one or more vertebral fractures in order to qualify for insurance coverage.[Read More] Understanding Health Insurance Coverage for Osteoporosis Medications
Post-Surgery Issues: Understanding Broken Pins After Bunion Surgery
Postoperative care for hallux valgus surgery? Last summer, after undergoing surgery for hallux valgus on my right big toe, my follow-up visits were normal. However, during a follow-up appointment in early February this year, the doctor informed me that the fixation screw had brok...
Dr. Shi Guozheng Reply:
If the bone screw has broken but the bone has already healed, it may not require any intervention. However, if the broken screw irritates nearby tissues and causes symptoms, it should be removed. After the surgery, recovery typically takes a few days, but whether you can walk imm...[Read More] Post-Surgery Issues: Understanding Broken Pins After Bunion Surgery
Concerns About Steel Pins After Knee Surgery: What You Need to Know
Nail problems Hello, doctor. I would like to ask about my situation. I had a crush fracture in my knee from a car accident last November, and it has been almost four months since my internal fixation surgery. Recently, during rehabilitation, I felt that the metal screws were irri...
Dr. Wang Shouji Reply:
Hello, if the nail has penetrated the skin, it cannot be left in place and should be removed along with debridement. Since the fracture has been present for four months, the likelihood of re-displacement is low if it has partially healed. It is still recommended to proceed with r...[Read More] Concerns About Steel Pins After Knee Surgery: What You Need to Know
Understanding Recovery from Metatarsal Fractures: Pain and Treatment Options
Fracture of the second and third metatarsal bones? I fractured my bone in early December, and the doctor said I needed surgery. They placed two mini titanium alloy plates. It has been three months now, and my toes hurt when I walk, and I have a bit of a limp. My foot is still swo...
Dr. Wang Shouji Reply:
Hello, first we need to confirm whether the fracture has healed. If it has healed, the pain and swelling in the lower limb will gradually improve and disappear with normal weight-bearing activities. This is not entirely related to the removal of the plate. If the sensation of a f...[Read More] Understanding Recovery from Metatarsal Fractures: Pain and Treatment Options
Understanding Body Aches: When Bone Discomfort Isn't Pain
Generalized bone soreness, not pain, but a feeling of soreness? Three months ago, I started experiencing severe pain in all my bones, including my facial bones, which feel like they're being shocked whenever I touch them. I have a history of depression, insomnia, and severe ...
Dr. You Dianqi Reply:
Hello! It is recommended to visit the outpatient clinic for evaluation. Thank you![Read More] Understanding Body Aches: When Bone Discomfort Isn't Pain
Understanding Thigh Fracture Pain and Recovery: What to Expect
Pain at the site of femoral fracture? Hello, Doctor. I was in a car accident on December 29 of last year, which resulted in a comminuted fracture of my left femur. I underwent minimally invasive surgery in the early morning to repair it. On February 10, I returned to the hospital...
Dr. You Dianqi Reply:
Hello! It is important to proceed with the rehabilitation arrangements as well. It is recommended that you discuss this with your attending physician or physical therapist. Thank you![Read More] Understanding Thigh Fracture Pain and Recovery: What to Expect
Understanding Tibia and Fibula Fractures: Do You Need Bone Graft?
Tibiofibular fracture from a car accident? I have a tibia and fibula fracture from a car accident. The fracture is quite fragmented with a one-centimeter gap, and I have an internal fixation plate installed. Do I need to use bone graft? The doctor said that the X-ray shows that t...
Dr. Li Wenhong Reply:
Hello: A comminuted fracture of the lower extremity generally requires three to six months before one can walk without assistive devices, but this varies from person to person. Typically, regular follow-up appointments with X-rays are necessary, during which the physician will ad...[Read More] Understanding Tibia and Fibula Fractures: Do You Need Bone Graft?
Understanding Lower Back Pain: Insights on Disc Issues and Recovery
Lumbar issues? Hello, Doctor! I apologize for bothering you. I am very worried (wondering if my life will be ruined by myself 😭, as I have heard different opinions from three doctors, I would like to ask for your perspective.) Here’s the situation: About three years ago, while ...
Dr. Wang Shouji Reply:
Hello, after reviewing your description, if there is no radiating pain or numbness in the lower limbs, surgery for a herniated disc may not be necessary. It is important to be mindful of bending and lifting heavy objects, and to perform warm-up exercises to strengthen the core mu...[Read More] Understanding Lower Back Pain: Insights on Disc Issues and Recovery
Understanding Exposed Bone Screws After Metatarsal Fracture Surgery
Extruded portion of the metatarsal bone screw? Hello Doctor, I was in a car accident on February 7th and sustained fractures to the first through fourth metatarsals in my left foot. On February 18th, I underwent surgery where external fixation pins were inserted into the first an...
Dr. Shi Guozheng Reply:
Further medical evaluation may be necessary; please consult the attending physician for assessment.[Read More] Understanding Exposed Bone Screws After Metatarsal Fracture Surgery
Understanding DXA Bone Density Results: What Do Low T-Scores Mean?
Inquiry about DXA bone density examination? Hello Doctor: A 35-year-old male underwent a health check at a hospital arranged by his company, and the DXA bone density report indicated the following: BMD of L1, L2, L3, and L4 (gm/cm²): 0.892, T score: -2.8, Z score: -1.8. The test ...
Dr. Shi Guozheng Reply:
It is advisable to monitor vitamin D and calcium supplementation every six months to a year. Drinking one or two cups of coffee is acceptable, and getting sunlight exposure is also beneficial.[Read More] Understanding DXA Bone Density Results: What Do Low T-Scores Mean?
Understanding Radial Head Fracture Displacement and Its Implications
Radial head fracture with displacement Hello Doctor, I have a fragment fracture in my radius. Here is the X-ray image: https://ibb.co/vwzyb1j. Three weeks post-surgery, I had my first X-ray, and the doctor said the alignment looked good: https://ibb.co/Qk9jWXj https://ibb.co/ncqc...
Dr. Shen Boquan Reply:
Hello, I cannot see the image you attached. It seems that your radius may be slightly misaligned. If the misalignment is significant and affects your mobility, your doctor should provide you with some recommendations. A slight displacement may not be able to be manually reduced, ...[Read More] Understanding Radial Head Fracture Displacement and Its Implications
Understanding Pain from Pelvis to Thigh After an Accident
Pain from the pelvis to the thigh? Hello doctor, it's been over two weeks since my car accident where I injured the left side of my thigh and pelvis. I still have to walk slowly; if I try to walk quickly, I feel a pulling sensation in the surrounding muscle groups, and I can...
Dr. Wang Shouji Reply:
Hello, fractures and cracks in the bones can cause severe pain and difficulty in walking. If you are still able to walk, the likelihood of a fracture is quite low. If the pain worsens, a follow-up X-ray can be performed. Even with soft tissue injuries, pain may persist for one to...[Read More] Understanding Pain from Pelvis to Thigh After an Accident
Managing Non-Surgical Patellar Fractures: Recovery Tips and Care
Patellar fracture without surgery? Hello Doctor, on February 17th, I had a significant fall while walking and went to the emergency room where an X-ray revealed a fracture of the left patella, with both transverse and longitudinal fractures. I was immediately admitted for surgery...
Dr. Wang Shouji Reply:
Hello, if a patellar fracture bends too early, there is a significant risk of displacement. Close monitoring of the fracture for any displacement is usually required, initially once a week. If there is no displacement after two weeks, it indicates that the previous activity level...[Read More] Managing Non-Surgical Patellar Fractures: Recovery Tips and Care
Should Athletes Rest for Dislocated Shoulder and Arm Bones?
Dislocation of the bones in the upper arm and shoulder region? I would like to ask Dr. Shen about the MRI results from my recent examination, as shown in the link above. I experienced muscle strain that caused a displacement of the bone due to exercise, and the pain and inflammat...
Dr. Shen Boquan Reply:
Hello, based on your description, it seems that your shoulder discomfort is likely due to overexertion, which is related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress can all contribute t...[Read More] Should Athletes Rest for Dislocated Shoulder and Arm Bones?