Bone, Orthopedics FAQ

Understanding Left Rib Pain: When to See an Orthopedic Specialist

Sometimes, bending over causes sharp pain beneath the left rib cage? Hello doctor, previously I experienced pain in the area below my chest and under my left rib. I consulted a gastroenterologist and underwent an endoscopy, and the doctor said everything was fine. Now, when I sit...

Dr. Chen Bochen Reply:
Hello, the symptoms you described are not closely related to the bones. I recommend that you consult a gastroenterologist for an examination to determine the cause.

Post-Tibial Fracture Surgery: Addressing Persistent Foot Mobility Issues

Post-operative care for tibial fractures? I suffered a tibial fracture in my lower leg during the last accident, approximately in the middle of the bone. After surgery, I started to move a few days later and noticed that I couldn't dorsiflex my foot or fully place it flat on...

Dr. You Dianqi Reply:
Hello! It is recommended that you return to the original surgeon's clinic for a follow-up consultation. Thank you.

Recovery from Fifth Metatarsal Fracture: Understanding Symptoms and Solutions

Recovery from a fifth metatarsal fracture? Hello Doctor: Medical history - On January 10th of this year, I sustained a fracture of the fifth metatarsal while playing basketball. I sought medical attention the same day and was treated with a removable cast secured with elastic ban...

Dr. Wang Shouji Reply:
Hello, metatarsal fractures rarely leave residual effects as long as they heal properly. It is recommended to apply heat, gradually increase weight-bearing activities, and perform stretching exercises to improve gradually. Changhua Hospital cares about your health. Wang Shou-ji.

When Does Bone Callus Form After an Ankle Fracture? Recovery Timeline Explained

Lateral malleolus fracture When does callus formation begin after an ankle fracture, and how long does it take for the callus to be visible on X-rays? For a non-displaced lateral malleolus fracture with a 1 mm shift that does not require surgical fixation, how long will it take t...

Dr. Zhan Xian Reply:
Hello, generally, bone callus forms in about two months, but the healing time for fractures varies from person to person. Regular follow-up is recommended.

Should You Remove Titanium Intramedullary Nail After Humerus Fracture?

Hello, doctor? Currently, I have a spiral fracture of the left humerus that has been treated with a titanium intramedullary nail. However, I am experiencing discomfort and a foreign body sensation, and I plan to have it removed after one year (which will be in August this year). ...

Dr. Chen Yongxue Reply:
In fact, bone screws are not part of the body's original tissue, and they should ideally be removed after the staged tasks are completed. However, there is a risk of injuring the radial nerve when removing the plate at the site of a humeral fracture. Thank you.

Recovery from Tibial Plateau Fracture: Can You Return to Deep Water Activities?

Closed fracture of the left tibial plateau with displacement? I would like to inquire about a knee and lower leg fracture from a car accident that occurred about four years ago. Due to damage to the knee ligaments and meniscus, I have frequently experienced ligament inflammation ...

Dr. Wang Jiacheng Reply:
Without information on the severity of the injury, it is impossible to determine whether recovery will occur, but it should not affect diving.

Post-Surgery Leg Pain: Understanding Complications After Bone Cement Procedure

After bone cement surgery, there is soreness in the right thigh? Hello, doctor. My father (height 170 cm, weight 104 kg) was involved in a car accident last month, resulting in a spinal fracture (I believe it was the twelfth vertebra). After being examined at the hospital, he und...

Dr. Chen Bochen Reply:
Hello, common issues after bone cement surgery, aside from cement leakage, include further deterioration of pre-existing degenerative areas due to injury. However, the management of spinal issues heavily relies on imaging studies. It is recommended that you consult with the physi...

Understanding Closed Fibula Fractures: Care and Recovery Tips

Closed fracture of the right fibula at the lateral malleolus? Hello Doctor, my mother fell on June 26 while walking and went to the emergency room. The doctor diagnosed her with a closed fracture of the right fibula at the lateral malleolus, with the bone broken less than 5mm. Su...

Dr. Chen Bochen Reply:
Hello, 1. If the fracture displacement is not severe, an inflatable cast shoe can be used for protection. 2. It should be worn as much as possible; it can be temporarily removed for bathing, and can be loosened but not removed while sleeping. 4. Generally, the first follow-up app...

Understanding the Need for Antibiotic Bone Cement Removal in Osteomyelitis

The issue of antibiotic-impregnated bone cement in osteomyelitis? Hello Doctor, I had a car accident in my youth that required surgery, which later led to the development of osteomyelitis. After multiple surgeries for debridement, it has recurred. In May of this year, I underwent...

Dr. Chen Bochen Reply:
Hello, it is not absolutely necessary to remove it, but if the infection is well controlled, removal can reduce the chance of reinfection (by minimizing foreign material). If there is a recurrent purulent infection, it should also be removed.

Understanding and Managing Toe Cramps: Causes and Solutions

Toe cramp Hello Doctor, my left big toe frequently cramps, and this situation has been ongoing for about a year. It started with my left big toe, and later my right big toe began to cramp as well. Six months ago, I experienced pain in my right foot while walking, and the doctor d...

Dr. Chen Yongxue Reply:
Hello, there are many causes of cramps, including excessive fatigue, electrolyte imbalances (including calcium), loss of muscle elasticity, and spinal nerve compression, among others. It is recommended to frequently apply heat to relax the muscles. Additionally, it is important t...

Is My Pain Due to a Bone Issue or Ankylosing Spondylitis?

Am I experiencing a bone issue or ankylosing spondylitis? Hello Dr. Chen, Three weeks ago, I went hiking, and after descending, I noticed that I experience lower back pain when I stand up after sitting. I have since undergone rehabilitation. During this time, I typically sit for...

Dr. Chen Bochen Reply:
Hello, based on your age and the symptoms you described, the most likely issue is intervertebral disc disease caused by poor posture and lack of exercise. Most of the time, engaging in light exercise (such as slow jogging for 20 minutes), using a lumbar support, taking short-term...

Post-Operative Care Tips for Children After Hip Dysplasia Surgery

I would like to inquire about the postoperative care for children with developmental dysplasia of the hip? Hello Doctor: My daughter is 5 years old and underwent corrective surgery for hip dysplasia on May 4th of this year. The cast was removed on June 13th, and on June 17th, she...

Dr. Li Wenhong Reply:
Hello: Typically, a cast is worn for 6 to 8 weeks, with the removal of pelvic (acetabular) screws around 8 weeks, and the osteotomy site takes about 12 weeks to heal. After the cast is removed, do not allow the child to walk immediately. Older children can be taught to use a walk...

Loss of Sensation in Inner Thigh and Genitals After Spine Surgery: What to Expect?

There is no sensation in the left inner thigh and the left side of the penis and scrotum? In April, I underwent minimally invasive surgery to fixate my lumbar spine due to spondylolisthesis and a fracture (L5), where screws were inserted. After the first surgery, I noticed a lack...

Dr. Shi Guozheng Reply:
1. Recovery is possible but not guaranteed. 2. It may take three to six months. 3. If recovery is not achieved, the effectiveness of surgery may be limited.

Preventing and Treating Avascular Necrosis of the Talus in Children

Avascular necrosis of the talus? The child sustained an ankle sprain three months ago, and only recently, an MRI revealed partial avascular necrosis of the talus neck. Doctor, I would like to ask: 1. How can we prevent the avascular necrosis from worsening? 2. Is there a possibil...

Dr. Shi Guozheng Reply:
1. Do not put weight on the fractured area. 2. Usually requires surgical intervention for bone repair. 3. Alternatively, hyperbaric oxygen therapy may be used.

Understanding Pain from Ankle Injuries: Why Is My Lower Back Hurting?

A tear in the ankle joint can cause pain that radiates to the pelvis and lower back? Hello Doctor: I was in a car accident on June 9 and went to the emergency room where I had an X-ray of my ankle, which showed no issues with the bones. However, I have been experiencing severe pa...

Dr. Chen Bochen Reply:
Hello, there are many possible causes of pain after trauma, and it is not possible to diagnose based solely on description; a physical examination and imaging studies are also necessary. However, since you have been experiencing severe pain for over ten days, it is advisable to b...

Post-Surgery Pain and Nerve Recovery After Zygomatic Fracture

Six months after surgery for a zygomatic bone fracture, there is pain at the site of the bone screws? Hello Doctor, last September I accidentally missed a step while helping my family move, and I fell face-first while carrying a heavy object, resulting in a zygomatic bone fractur...

Dr. Chen Yongxue Reply:
It is possible that the nerves are being compressed by scar tissue. Please follow up with your attending physician in the outpatient clinic.

Understanding Recovery Time and Pain After Femoral Bone Grafting Surgery

Femoral healing Doctor, 😊 I was supposed to have a follow-up appointment today, but I misread the time and rescheduled it for the 17th. 😓 I forgot to mention one thing during my last inquiry: I underwent a femoral decompression surgery with artificial bone graft. From the first d...

Dr. Shi Guozheng Reply:
Bone healing typically occurs within 6 to 12 weeks, but whether it heals or not depends on many factors. It is best to ask the attending physician during the follow-up appointment. The success rate of decompression for avascular necrosis of the femoral head is not 100%, so contin...

Persistent Pain After Tibial Plateau Fracture: Possible Causes and Solutions

Five months after a tibial plateau fracture, there is still pain? Hello Doctor: On January 11 of this year, I suffered an injury to my right tibial plateau due to work, which resulted in the anterior cruciate ligament being displaced. I underwent surgery on January 17, where scre...

Dr. Shi Guozheng Reply:
The bone itself may also have a contusion. After the ligaments are fixed back in place, it is necessary to test whether the stability is sufficient. If there are any unstable conditions present, pain may also occur. When ligaments are injured, in addition to the complete displace...

Post-Hip Surgery Recovery: Understanding Pain and Complications

Postoperative hip joint care? Hello Doctor: I underwent hip joint surgery on June 2nd, and today marks the 11th day post-operation. Before the surgery, I consulted several major hospitals in Tainan regarding my symptoms of sciatica and avascular necrosis of the hip, which were ca...

Dr. Shi Guozheng Reply:
Hip joint lesions often lead to knee pain due to nerve conduction, as the nerves near the hip joint also radiate to the knee area. Typically, it takes some time for pain relief after decompression surgery, and you will need to return for follow-up in the outpatient clinic.

Knee Bump After Motorcycle Accident: Causes and Solutions

Swelling of the knee after a car accident? About six months ago, I fell off my bike and landed on my right foot. At the time, I thought it was just a bruise and did not seek medical attention. About a month later, I noticed a small bump below my knee. I went to see a doctor and h...

Dr. Shi Guozheng Reply:
Medication can be used for treatment, and if there is no improvement, consider local corticosteroid injections. You can consult a physician to determine if this is necessary.

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