Understanding Recovery from Multiple Leg Fractures: Key Questions Answered
Femoral and tibial fractures? Hello Dr. Chen, I was involved in a car accident at the beginning of August, resulting in multiple fractures on the left side. The more severe injuries include fractures of the left femur, tibia, and fibula (I have used a self-paid plate for fixation...
Dr. Chen Bochen Reply:
1. The diagnosis indicates a fracture of the left pelvic pubic ramus, but there are no specific medical instructions. Q: Does this mean it can heal naturally without intervention? Will there be any long-term effects? If the pubic ramus is not significantly displaced, it can gener...[Read More] Understanding Recovery from Multiple Leg Fractures: Key Questions Answered
Understanding Forteo: Efficacy in Bone Regeneration and Osteoporosis Treatment
The efficacy of bone formation with Forteo (teriparatide)? I underwent lumbar fusion surgery (with screws and Romeo) on July 11 due to rheumatoid arthritis, after a previous surgery in June resulted in bone collapse. An X-ray on August 19 showed that the surgery was successful, b...
Dr. You Dianqi Reply:
Hello Amin! Each person's health condition is different, so it is advisable to discuss the subsequent treatment options with your attending (surgeon) physician. Thank you.[Read More] Understanding Forteo: Efficacy in Bone Regeneration and Osteoporosis Treatment
Understanding Sacral Pain: Causes, Symptoms, and Treatment Options
Bone pain I accidentally fell backward and hit my sacrum. When I put pressure on my foot while sitting or lying down, it hurts, and there are small red spots on my skin. The impact was on the upper part of the right buttock bone.
Dr. You Dianqi Reply:
Hello, if you are feeling unwell, it is advisable to seek medical attention. Thank you.[Read More] Understanding Sacral Pain: Causes, Symptoms, and Treatment Options
Understanding Nonunion of Femoral Fractures: Treatment Options Explained
Nonunion of femoral fracture Hello Dr. Chen: In May 2021, I underwent surgery on my femur, and the area marked in red in the image has not healed since then. A CT scan revealed a gap in the middle of the originally fractured area, with the bone on both sides forming a white appea...
Dr. Chen Yongxue Reply:
Hello, it is advisable to follow the doctor's recommendations to avoid delaying treatment. If you still have concerns, you may consult another orthopedic clinic. Thank you.[Read More] Understanding Nonunion of Femoral Fractures: Treatment Options Explained
Optimal Sitting Posture for Spinal Health: A Guide for Patients
The impact of sitting posture on the spine? I would like to ask the doctor about the correct sitting posture, as I have spinal stenosis issues. I had an injury to my coccyx when I was younger, and I have been feeling better after recent workouts. Now, I want to adjust my sitting ...
Dr. Chen Bochen Reply:
Hello, both sitting postures are correct and suitable for different situations. Besides the sitting posture, it is more important to get up and move around after sitting for more than 30 minutes to protect the spine.[Read More] Optimal Sitting Posture for Spinal Health: A Guide for Patients
Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates
Regarding intramedullary nailing of the femur and plate fixation of the metacarpals postoperatively? Dear Doctor, I have a few questions regarding my recovery one month after my femur fracture surgery, and I would like to seek your expertise: 1. When I fully extend my knee, I ca...
Dr. Zhan Xian Reply:
Hello Mr. Lin, the X-ray you provided cannot be opened, and I am unable to give feedback on the images. Since it has been about a month post-fracture surgery and the fracture has not yet healed, you can discuss your concerns with the surgeon during your follow-up appointment.[Read More] Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates
Assessing Bone Displacement: When to Consider Surgery?
Assessment of Bone Displacement Degree Because my bone initially was just a hairline fracture, but I didn't take care of it properly. When I returned to the hospital the next day, the doctor said there was a slight displacement, and even if it heals on its own, the function ...
Dr. Zhan Xian Reply:
Please go to the orthopedic outpatient clinic![Read More] Assessing Bone Displacement: When to Consider Surgery?
Post-Surgery Recovery: Six Months After Fifth Toe Surgery
Six months post-operative for fifth toe valgus correction? Hello, Doctor: I underwent a significant osteotomy and titanium screw surgery on my right foot in early January this year due to the hallux varus of my fifth toe. During my second follow-up appointment, I asked the doctor...
Dr. Shi Guozheng Reply:
You can return for regular follow-up appointments to have X-rays taken to check if the bone has healed.[Read More] Post-Surgery Recovery: Six Months After Fifth Toe Surgery
Understanding Nonunion of Femoral Fractures: Treatment Options and PRP Efficacy
Nonunion of femoral fracture Since the surgery in May 2021, the fracture has not healed properly. The X-ray showing the entire bone screw placement can be viewed here: https://i.imgur.com/IWr30qa.jpg. More than a year has passed, and it still hasn't healed: https://i.imgur.c...
Dr. Shi Guozheng Reply:
The location of your fracture is just below the intertrochanteric region of the femur, where the bone is particularly dense and has a slower healing rate. It typically takes about one and a half to two years for this type of fracture to heal. If you are currently not experiencing...[Read More] Understanding Nonunion of Femoral Fractures: Treatment Options and PRP Efficacy
Do You Need Surgery to Remove a Steel Plate After Arm Fracture?
Removal of fracture plate? After one year post-surgery for an upper limb fracture, the bone has healed. Since the internal plate is made of health insurance-approved material, is it necessary to undergo another surgery to remove it? (Currently 43 years old)
Dr. Wang Shouji Reply:
Hello, if there are no specific discomforts or foreign body sensations, it is not necessarily required to remove it. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Do You Need Surgery to Remove a Steel Plate After Arm Fracture?
Managing Ankle Fractures: Using Braces and Returning to Sports
Issues with the use of ankle fracture braces and engaging in sports? Hello, Doctor. I sustained an injury two weeks ago while exercising, resulting in a fracture of the posterior talus and a ligament tear in my right ankle. After evaluation, the doctor determined that surgery is ...
Dr. Wang Shouji Reply:
Hello, bone healing takes at least three months. If the fracture is not severe and there is some healing, it still requires at least two months before progressing to full weight-bearing activities. For exercises like walking, it is safer to wait for three months. However, non-wei...[Read More] Managing Ankle Fractures: Using Braces and Returning to Sports
Understanding Joint Sounds and Pain After Heavy Lifting and Roller Training
Lifting injuries and roller training shoulder injuries? Hello, doctor. I would like to ask if bones can become misaligned due to lifting heavy objects. A few days ago, I carried a 30-kilogram load up and down the stairs four times. At the time, I felt no abnormalities, but two da...
Dr. Chen Bochen Reply:
Hello, when joint inflammation occurs, the lubrication of the joint decreases, which can lead to sounds being produced, rather than bone misalignment. To accelerate recovery, you can apply heat therapy and increase aerobic exercises (such as jogging or jumping rope). Before your ...[Read More] Understanding Joint Sounds and Pain After Heavy Lifting and Roller Training
Post-Fracture Leg Pain: Causes and Concerns After Surgery
Pain in the fractured leg with crepitus at the fracture site? Dear Doctor: I had an open comminuted fracture surgery on my leg about five months ago. X-rays show that there is new bone callus formation at the fracture site. Recently, I have been using a walker to assist with walk...
Dr. Shi Guozheng Reply:
1. Whether the steel plate has shifted needs to be confirmed by an X-ray. 2. It is normal for pain to persist when the fracture has not yet healed. 3. It is unrelated to muscle atrophy. 4. The sound of bone grinding may be related to the uneven surface of the cartilage.[Read More] Post-Fracture Leg Pain: Causes and Concerns After Surgery
Addressing Complications After Forearm Fracture Surgery: A Patient's Concerns
Issues with steel pins for left distal radius/ulna fractures? Hello Doctor, I underwent internal fixation surgery for a distal radius and scaphoid fracture on May 11 of this year (I was injured on April 9, and the surgery was delayed for various reasons). I have been in rehabilit...
Dr. Shi Guozheng Reply:
1. It may be more appropriate to use shorter screws. 2. It should not be a problem. 3. You should ask your attending physician for the most accurate information.[Read More] Addressing Complications After Forearm Fracture Surgery: A Patient's Concerns
Challenges After Ankle Fracture: Recovery and Rehabilitation Insights
Four months after an ankle fracture, the injury has not healed, and surgical ligament reconstruction is performed? In late July 2021, the doctor diagnosed a right ankle sprain and administered shockwave therapy. By mid-November, it was discovered that there was a fracture in the ...
Dr. Chen Yongxue Reply:
You should consult your attending physician. Thank you.[Read More] Challenges After Ankle Fracture: Recovery and Rehabilitation Insights
Understanding Mid-Back Pain: Causes and Treatment Options
Pain in the middle segment of the spine? Due to being unemployed and sitting at home for the past six months, I have developed back pain in the middle section of my spine over the last two months. When I gently press on that area, I experience soreness, which feels similar to inf...
Dr. Chen Bochen Reply:
Hello, prolonged poor sitting posture can lead to dehydration of the intervertebral discs, which can easily cause lumbar pain. Over time, this may result in the formation of bone spurs. I recommend the following: 1. Stand up and stretch every 30 minutes of sitting. 2. Jog at a sl...[Read More] Understanding Mid-Back Pain: Causes and Treatment Options
Options for Non-Surgical Healing of Humeral Fractures: Shockwave and Ultrasound Therapy
Comminuted humeral fracture Hello Dr. Wang, I would like to ask if there are any signs of healing after four months post-surgery for a comminuted humeral fracture. Would self-funded shockwave therapy or ultrasound bone healing treatment be helpful? What methods can assist in the ...
Dr. Wang Jiacheng Reply:
Both treatment methods you mentioned have been attempted and may be helpful, but they are not 100% successful. In case of non-healing, it is still necessary to consider undergoing bone grafting surgery.[Read More] Options for Non-Surgical Healing of Humeral Fractures: Shockwave and Ultrasound Therapy
Understanding Joint Pain: Causes and Solutions for Bunions and Nerve Issues
Joint pain Hello, Doctor. Thank you for taking the time to respond to my questions. I have mild hallux valgus, but it does not affect my daily life, and I do not experience pain or discomfort when wearing shoes. Recently, I suddenly felt pain in my right big toe, specifically at ...
Dr. Shi Guozheng Reply:
Consulting an orthopedic specialist may be necessary for inflammation of the fascia beneath the toes. If medication treatment is ineffective, a local corticosteroid injection may be considered.[Read More] Understanding Joint Pain: Causes and Solutions for Bunions and Nerve Issues
Understanding Recovery from Calcaneal Fractures: Pain, Limping, and Future Limitations
A left calcaneal fracture has been present for three months, but there is still a limp while walking. Additionally, is it possible for a calcaneal fracture to fully heal? Hello doctor, I suffered a closed fracture above my calcaneus from being run over by a motorcycle in May of t...
Dr. Shi Guozheng Reply:
A calcaneal fracture typically takes at least three months to heal, and pain relief may take up to six months. You can try applying heat, and it may also be helpful to take some pain relievers to reduce discomfort.[Read More] Understanding Recovery from Calcaneal Fractures: Pain, Limping, and Future Limitations
Post-Surgery Recovery for Humeral Fractures: Exploring Healing Options
Postoperative care for comminuted humeral fracture? Hello, doctor. I have a comminuted humeral fracture that has shown no signs of healing four months post-surgery. I would like to know if self-funded shockwave therapy or ultrasound bone healing treatment would be beneficial. Wha...
Dr. Shi Guozheng Reply:
Both treatment methods you mentioned have been attempted and may be helpful, but they are not 100% successful. In case of non-healing, it is still necessary to consider undergoing bone grafting surgery.[Read More] Post-Surgery Recovery for Humeral Fractures: Exploring Healing Options