Understanding Patellar Fractures: Recovery, Rehabilitation, and Complications
Patellar fracture Hello, Doctor! In September of this year, I unfortunately had a car accident that resulted in a patellar fracture. Initially, it was a hairline fracture, and the emergency doctor applied a cast, stating that surgery was not necessary and that I should wait for t...
Dr. You Dianqi Reply:
Hello, I would like to clarify that responses on the internet, without direct patient contact, should primarily rely on the opinions of the operating surgeon. If misunderstandings arise in the doctor-patient relationship due to online responses, it is not the intended purpose of ...[Read More] Understanding Patellar Fractures: Recovery, Rehabilitation, and Complications
Understanding Thumb Injuries: Pain and Weakness After Trauma
Thumb issues Hello doctor, about six months ago, I accidentally hit my left thumb against a metal cage while at work. At that moment, I felt an intense pain as if the bone in my thumb was bending inward. Due to the pandemic, I did not seek medical attention at that time. Now, aft...
Dr. You Dianqi Reply:
Hello: My strong recommendation is to seek medical attention first. A face-to-face consultation, physical examination, and imaging studies are essential. Adhering to objective facts is an unchanging principle of healthcare. Thank you.[Read More] Understanding Thumb Injuries: Pain and Weakness After Trauma
Understanding Tibial Nonunion: The Role of Fibula Grafting Surgery
Tibial nonunion, fibular grafting surgery? Hello Dr. You, I was in a car accident on November 26, 2019, which resulted in an open and comminuted fracture of my right tibia. On December 2, 2019, Dr. A performed an intramedullary nailing surgery. To this day, the fracture site has ...
Dr. You Dianqi Reply:
Hello: Online Q&A is not face-to-face medical care, and it can easily lead to misunderstandings; the following is for reference only. The larger the bone defect, the more difficult the healing process, which may require more complex surgeries, such as vascularized fibula graf...[Read More] Understanding Tibial Nonunion: The Role of Fibula Grafting Surgery
Understanding Clavicle Fractures: Recovery, Treatment, and When to Seek Help
Clavicle fracture Hello Dr. Chen, I had a car accident on October 23 that resulted in a fracture of my right clavicle. I did not undergo surgery and opted for conservative treatment (using a figure-eight brace and arm sling). The doctor advised me to rest for six months, but duri...
Dr. Chen Bochen Reply:
Hello, if your clavicle fracture is not significantly displaced, conservative treatment has about a 70-90% chance of healing on its own (approximately three months). However, if the pain persists, it is advisable to seek medical attention. You may also consider consulting a diffe...[Read More] Understanding Clavicle Fractures: Recovery, Treatment, and When to Seek Help
Understanding Ulnar Shortening Surgery for Tendonitis Relief
Ulnar shortening surgery The patient currently has calcific tendinitis in the right thumb and wrist, along with pain near the ulnar side of the wrist, and mild discomfort in the left hand as well. An X-ray has confirmed that the right ulnar bone is elongated. Due to work-related ...
Dr. Shi Guozheng Reply:
The repetitive gripping actions can affect the joint, so it is advisable to reduce these activities to see if there is any improvement. You should ask your doctor whether surgery will alleviate the pain and clarify the expected recovery time, which is approximately three months.[Read More] Understanding Ulnar Shortening Surgery for Tendonitis Relief
Understanding Coccydynia: When to Seek Medical Attention for Tailbone Pain
Coccydynia A week ago, I experienced pain in the right side of my coccyx while at work, without any falls or external force. After receiving acupuncture from a traditional Chinese medicine practitioner that day, the pain improved. Today, while at work, I felt pain on the left sid...
Dr. Chen Bochen Reply:
Hello, your symptoms are more indicative of coccydynia, which is inflammation of the ligaments around the coccyx. This is usually caused by poor sitting posture or prolonged sitting. It typically resolves on its own within a month, but be mindful of your sitting posture. If it do...[Read More] Understanding Coccydynia: When to Seek Medical Attention for Tailbone Pain
Understanding Left Femoral Neck Fractures: Surgery, Recovery, and Pain Management
Left femoral neck fracture? Hello, doctor. I had a car accident on February 2nd of this year, which resulted in a fracture of my left femoral neck. I had three screws inserted. The doctor mentioned that the screws can be removed or left in place, and I would like to know if there...
Dr. Shi Guozheng Reply:
Femoral neck fractures are typically stabilized with three bone screws, which can usually be removed after more than a year. Leaving the screws in the hip may cause a tingling sensation. Screw removal usually requires about a week of rest.[Read More] Understanding Left Femoral Neck Fractures: Surgery, Recovery, and Pain Management
Clavicle Fracture: Non-Surgical Treatment and Healing Time for Young Adults
Clavicle fracture Dear Doctor: I was in a car accident on December 17, which resulted in a fractured clavicle. I am currently leaning towards non-surgical treatment. A few days ago, I showed my X-rays to a traditional Chinese medicine doctor, who advised me to use an 8-shaped sho...
Dr. Shi Guozheng Reply:
If surgery is not performed, it will take about three months for it to heal, but if it does not heal, surgery will be necessary. On the other hand, if immediate surgery is performed, there are benefits such as quicker recovery and faster pain relief. The downside is that it requi...[Read More] Clavicle Fracture: Non-Surgical Treatment and Healing Time for Young Adults
Post-Surgery Thumb Mobility Issues: When to Seek Rehabilitation Help?
After removing the nail, the thumb is unable to move? After the left radius and ulna fracture healed, I underwent surgery on November 18 to remove the pins. During the surgery, it was found that the healing of the left bone was not satisfactory, so only the pins from the right si...
Dr. Chen Bochen Reply:
Hello: It may be due to adhesions or a ruptured flexor pollicis longus or abductor pollicis tendon. Please consult an orthopedic specialist, specifically a hand surgeon, for an examination. If there is indeed a rupture, treatment options may include tendon repair, tendon grafting...[Read More] Post-Surgery Thumb Mobility Issues: When to Seek Rehabilitation Help?
Understanding Pubic Bone Fractures: Treatment and Recovery Time
Pubic bone fracture bed rest Dear Director: I was involved in a car accident and fell, and now I am unable to get out of bed. I have been to the hospital for examination, and the physician advised me to rest at home without any treatment. How should I proceed with treatment? Wh...
Dr. Shi Guozheng Reply:
Pubic bone fractures typically take 6 to 8 weeks to heal. Conservative treatment involves bed rest, and patients may take analgesics to alleviate pain. If mobility is possible, gentle movements in bed are encouraged.[Read More] Understanding Pubic Bone Fractures: Treatment and Recovery Time
Persistent Ankle Swelling After Ligament Reconstruction: What to Do?
Persistent swelling after ankle ligament reconstruction? Hello, doctor. About a month and a half ago, I underwent minimally invasive surgery for ankle ligament reconstruction. Since the surgery, my ankle has remained swollen and has not reduced at all. The surgeon mentioned that ...
Dr. Shi Guozheng Reply:
1. Elevate the feet to perform ankle joint exercises. 2. Both methods can be used. 3. Incorrect. For rehabilitation, if swelling occurs, elevate the feet. The swelling will gradually subside after three months.[Read More] Persistent Ankle Swelling After Ligament Reconstruction: What to Do?
Understanding Thumb Joint Inflammation: Post-Surgery Pain and Nerve Issues
Thumb joint inflammation? Hello, Doctor. I have been experiencing pain near the wrist in both of my thumbs for a long time. After an X-ray, I was diagnosed with arthritis and required surgery for joint stabilization. My right hand is more painful, so I underwent the surgery first...
Dr. Shi Guozheng Reply:
It is normal to experience slight numbness after small nerve injuries on the skin, and this may improve over time. After surgery, joint stiffness can occur, which can be alleviated through rehabilitation. If there are any concerns, you can return for a follow-up appointment with ...[Read More] Understanding Thumb Joint Inflammation: Post-Surgery Pain and Nerve Issues
Should My Elderly Mother Undergo Surgery for Clavicle Fracture?
Clavicle issues Hello, Dr. Shi! My mother is 70 years old and had a car accident on November 14, which resulted in her being taken directly to the emergency room. An X-ray confirmed that she has three fractures in her right clavicle and one fractured rib. The emergency physician ...
Dr. Shi Guozheng Reply:
Conservative treatment typically takes about two to three months and can usually heal the pain, which must be managed with medication.[Read More] Should My Elderly Mother Undergo Surgery for Clavicle Fracture?
Post-Surgery Concerns: Managing Swelling After Tibial Plateau Fracture
Postoperative care for tibial plateau fractures? Hello, I sustained a tibial plateau fracture in April 2020 and underwent arthroscopy and repair of the fractured plateau, along with the placement of artificial bone and steel nails. The plates and screws were removed in December o...
Dr. Wang Shouji Reply:
Hello, intra-articular fractures may lead to post-traumatic arthritis as a sequela. It largely depends on the condition of the joint after the fracture. Applying heat therapy may help, but if there is no improvement, it is advisable to consider arthroscopy to assess the intra-art...[Read More] Post-Surgery Concerns: Managing Swelling After Tibial Plateau Fracture
Tailbone Fracture After Car Accident: Treatment Options Explained
Coccyx fracture from a car accident? Hello doctor, I have a coccyx fracture due to a car accident. I went to the hospital for an examination. The first doctor said it can only heal on its own over time. The second doctor mentioned that a manual reduction procedure could be perfor...
Dr. Chen Bochen Reply:
According to orthopedic textbooks, it is recommended to initially manage coccyx fractures conservatively for one month, using pain relief, stool softeners, and soft cushions. If the pain persists for more than 1-2 months, then injection therapy may be considered.[Read More] Tailbone Fracture After Car Accident: Treatment Options Explained
Understanding Patellar Fractures: Recovery, Rehabilitation, and Surgery Insights
Patellar fracture Hello, Doctor! I had an unfortunate car accident in September this year that resulted in a patellar fracture. Initially, it was a hairline fracture, and the emergency physician applied a cast, stating that surgery was not necessary and that I should wait for the...
Dr. Wang Jiacheng Reply:
1. It is usually noticeable. 2. Approximately three months. 3. The knee joint should not be excessively flexed. 4. It typically does not occur. 5. It can also be left in place; it only needs to be removed if it interferes with the mobility of the knee joint.[Read More] Understanding Patellar Fractures: Recovery, Rehabilitation, and Surgery Insights
Understanding Patella Fractures: Recovery, Surgery, and Rehabilitation
Patellar fracture caused by a car accident? Hello, Doctor! In September of this year, I unfortunately had a car accident that resulted in a patellar fracture. Initially, it was a hairline fracture, and the emergency doctor applied a cast, stating that surgery was not necessary an...
Dr. Shi Guozheng Reply:
1. It is usually noticeable. 2. Approximately three months. 3. The knee joint should not be excessively flexed. 4. It usually does not. 5. It can also be left in place; it only needs to be removed if it interferes with the movement of the knee joint.[Read More] Understanding Patella Fractures: Recovery, Surgery, and Rehabilitation
Is There Still Hope for Height Growth in Teenagers?
Is it still possible to grow taller at this age? I started my menstruation around the sixth grade, and during middle school, I would go to bed before 10 PM. However, due to my high school coursework, I now go to bed much later. In middle school, I used to jump rope every day, but...
Dr. Li Wenhong Reply:
Hello: You may still grow taller, but it is impossible to predict whether you will reach 160 centimeters. The knee pain you experience at night may be caused by excessive activity during the day and does not necessarily indicate growth. Please maintain a regular and healthy lifes...[Read More] Is There Still Hope for Height Growth in Teenagers?
Understanding Asymmetrical Chest Bones in Teenage Boys: Causes and Solutions
The protrusion of the left side of a boy's chest compared to the right side could be due to several reasons. One possibility is a condition known as pectus carinatum, where the breastbone protrudes outward. Another potential cause could be asymmetry in the rib cage or muscle...
Dr. Wang Shouji Reply:
Hello, if there is asymmetry in the breasts, the first thing to consider is whether there is a spinal deformity causing it. If the asymmetry is purely cosmetic and there is no discomfort, generally no special treatment is required. Changhua Hospital cares about your health. Wang ...[Read More] Understanding Asymmetrical Chest Bones in Teenage Boys: Causes and Solutions
Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained
I am unsure whether the pain is in the muscles or the bones? Hello, doctor. 1. Is it normal to hear popping or cracking sounds when rotating the head during stretching exercises? 2. There is a muscle located two finger widths behind the upper right shoulder that becomes sore a...
Dr. Wang Shouji Reply:
Hello, 1. Joint sounds during movement are usually not a concern if there are no accompanying symptoms such as pain. 2. Shoulder issues may be caused by muscle stiffness or poor circulation, and it is advisable to visit a hospital to check for potential cervical spine issues. 3. ...[Read More] Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained