Understanding Occipital Bumps: When to Seek Medical Advice
Occipital protrusion Hello doctor, I recently noticed a raised area in the middle of the back of my head, slightly to the left, measuring about 4-5 centimeters. It feels hard like bone, but I don't recall having this before. It doesn't hurt or itch, but I've been e...
Dr. Shi Guozheng Reply:
The back of the human skull, specifically the occipital bone, typically has a protruding area that is considered a normal bony structure. If you are still concerned, it is advisable to consult a physician and have an X-ray taken to check for any abnormalities.[Read More] Understanding Occipital Bumps: When to Seek Medical Advice
Should Surgery Be Considered for Displaced Clavicle Fractures?
Is surgery necessary for a displaced clavicle fracture with bone prominence? Hello Doctor: On August 16th of last month, I was involved in a traffic accident while taking a bus, which resulted in a fracture of my left clavicle after landing on my shoulder. At that time, my left a...
Dr. Shi Guozheng Reply:
Clavicle fractures can heal with conservative treatment without surgery. Traditionally, most clavicle fractures are treated non-operatively. However, due to advancements in plates and screws, some physicians have adopted a more aggressive approach, opting for surgical interventio...[Read More] Should Surgery Be Considered for Displaced Clavicle Fractures?
Choosing the Right Specialist for Spine and Bone Concerns
Questions regarding spinal consultation specialties? Hello, Doctor: I'm not sure if this is the right place to ask, but since it concerns bones, I chose the orthopedic department. I am tall and thin, and my bones are quite prominent, which causes my coccyx to protrude. There...
Dr. Shi Guozheng Reply:
You can visit an orthopedic specialist for an evaluation or to get an X-ray of your spine to find out.[Read More] Choosing the Right Specialist for Spine and Bone Concerns
Post-Surgery Complications After Scaphoid Fracture: Pain and Weakness Explained
After surgery for a scaphoid fracture, the fingers have transitioned from numbness to pain, and there is weakness in fist clenching? Hello Doctor, I suffered a traffic accident and have a closed fracture of the scaphoid bone with a third of the bone displaced in my left wrist. I ...
Dr. Zhan Xian Reply:
Hello Mr. Fan, I am unable to answer your questions due to a lack of understanding of your surgical situation. Further evaluation, including physical examination and imaging studies, is necessary. You may visit a major hospital's orthopedic department for consultation. Wishi...[Read More] Post-Surgery Complications After Scaphoid Fracture: Pain and Weakness Explained
Understanding X-ray Insights on Healing Fractures in Orthopedics
Issues Related to Healing After a Bone Fracture Hello Doctor: I have been seeing a doctor for two months for a fracture in my third metatarsal. The doctor said that the bone that has healed looks very nice, but my company is currently disputing my foot injury and wants me to get ...
Dr. Wang Shouji Reply:
Hello, the healing of fractures can certainly be observed through X-rays. The fracture line will gradually disappear, and callus formation will occur. Additionally, the pain will gradually lessen, although swelling may persist for a longer period. Changhua Hospital cares about yo...[Read More] Understanding X-ray Insights on Healing Fractures in Orthopedics
Post-Operative Recovery Concerns After Hip Arthroscopy Surgery
Regarding the recovery issues after minimally invasive hip arthroscopy? Hello, doctor. I underwent hip arthroscopy on September 8, 2021. The procedure included suturing a labral tear (using a bone anchor), removal of loose bodies from the ligaments, and addressing femoroacetabula...
Dr. Zhan Xian Reply:
Hello Ms. Wang, I am unable to answer your questions due to a lack of understanding of your surgical situation. Please return for a follow-up appointment to consult with your attending physician and follow the post-operative instructions. Lifting your leg straight may involve hip...[Read More] Post-Operative Recovery Concerns After Hip Arthroscopy Surgery
Understanding Recovery from Tibia and Hip Fractures After a Car Accident
Fractures from car accidents? In mid-July, I was involved in a car accident and was diagnosed with a left tibial fracture (a crack in the bone). The doctor mentioned that I could either undergo surgery or not. I chose to have surgery, during which two bone screws were inserted, a...
Dr. Shi Guozheng Reply:
1. Try using a cane to walk; if you can manage, then you can let go of the other one. 2. A crack indicates a fracture; usually, if there is no significant displacement, the healing outcome will be very good. It typically heals within three to six months, and you can gradually res...[Read More] Understanding Recovery from Tibia and Hip Fractures After a Car Accident
Understanding Spinal Issues: Should You See a Doctor for Back Pain?
My spine? I have a noticeable hunchback, and when I try to straighten up or lean back, I hear several cracking sounds from the middle of my spine between my shoulder blades. Sometimes, there are fine, compressed or friction-like noises, and the frequency is quite high. Occasional...
Dr. Wang Jiacheng Reply:
You should see an orthopedic doctor to examine your thoracic spine to check for any bone issues or if it's just a matter of posture. The English term for this condition is spinal kyphosis, which you can look up online for more information.[Read More] Understanding Spinal Issues: Should You See a Doctor for Back Pain?
Understanding Kyphosis: When to Seek Medical Attention for Back Pain
Hunched over for a while? I have a noticeable hunchback, and when I try to straighten up or lean back, I hear several cracking sounds from the middle of my spine between my shoulder blades. Sometimes, there are also fine grinding or friction noises, and the frequency is quite hig...
Dr. Shi Guozheng Reply:
You should see an orthopedic doctor to examine the thoracic spine to check for any bone issues or if it's just a matter of posture. The English term for this condition is spinal kyphosis, which you can look up online for more information.[Read More] Understanding Kyphosis: When to Seek Medical Attention for Back Pain
Challenges in Healing: Managing Severe Bone Defects and Nerve Damage
Bone defects, nerve injuries, ligament tears, and vascular ruptures! Prolonged non-healing? Hello Dr. Wang! I would like to ask about a serious car accident I had in early November last year, where my leg was trapped inside the vehicle. When the firefighters rescued me, I saw tha...
Dr. Wang Jiacheng Reply:
If the bone does not grow back after a full year, it may be considered nonunion, and at that point, it will be necessary to consider bone grafting, which means another surgery will be required.[Read More] Challenges in Healing: Managing Severe Bone Defects and Nerve Damage
Should You Remove a Non-Painful Bone Growth on Your Tibia?
Tibial issues Hello, doctor. I would like to inquire about a bump that has been on my tibia since I fell and hit the edge of a table while running over a decade ago. It feels like a cartilage-like protrusion, but it doesn't hurt. Should I get it checked out, and do I need su...
Dr. Shi Guozheng Reply:
You can visit an orthopedic specialist and request an X-ray to determine if there are any issues with your bones, and you can use health insurance for the consultation.[Read More] Should You Remove a Non-Painful Bone Growth on Your Tibia?
Managing Bone Defects After Severe Leg Injury: Expert Advice
Defect of the right calf bone? Hello, doctor! I would like to ask about a serious car accident I had in early November last year, where my leg was trapped inside the vehicle. When the firefighters rescued me, I saw that my right calf was completely mangled and bloodied. Later, at...
Dr. Shi Guozheng Reply:
If the bone does not grow back after a full year, it may be considered non-union, and at that point, surgical intervention to promote bone healing may be necessary. This would involve another surgery to address the issue.[Read More] Managing Bone Defects After Severe Leg Injury: Expert Advice
Understanding the Risks of Removing Plates and Screws in Osteomyelitis
Removal of bone plates and screws in osteomyelitis? Hello Doctor, in November 2017, I fractured my right humerus, and in March 2018, I was diagnosed with osteomyelitis. I received antibiotic treatment and was hospitalized until the end of April. In October, I underwent debridemen...
Dr. Shi Guozheng Reply:
If the steel plate is affecting your elbow, please have the doctor carefully remove it during surgery, paying close attention to the position of the nerves.[Read More] Understanding the Risks of Removing Plates and Screws in Osteomyelitis
Understanding Symmetrical Skull Bumps: Are They Normal?
Bilateral protrusions of the skull? Hello doctor, I have a protrusion of the skull above my right ear, and there is a symmetrical one on the left side, although the left side is more prominent. There is also a bump in the center of the back of my head that feels hard, likely bone...
Dr. Chen Bochen Reply:
Hello, that's a normal structure. Everyone has some protrusions in that area, but sometimes they can be more pronounced. If there is a rapid increase in size, then medical attention is necessary.[Read More] Understanding Symmetrical Skull Bumps: Are They Normal?
Post-Surgery Concerns After Total Vertebral Resection: A Patient's Journey
What are the issues after total vertebral body resection? I underwent surgery for an L3 giant cell tumor, which involved the removal of the vertebral body. It has been 7 months since the surgery, and I am currently taking denosumab. This is a CT scan I had in August (6 months pos...
Dr. Wang Shouji Reply:
Hello, the CT scan shows no significant displacement. The resected vertebra is supported by a cage and fixed with screws from the outside. For this type of procedure, the cage must fuse with the upper and lower vertebrae to be considered successful. From the CT scan, there are st...[Read More] Post-Surgery Concerns After Total Vertebral Resection: A Patient's Journey
Understanding Healing Concerns for Tibial Fractures After Surgery
Questions related to the healing of comminuted tibial fractures? Hello Doctor: I suffered a comminuted fracture of the right tibia in a car accident on June 12. During my follow-up appointment last month, most of the fracture sites had formed callus, except for one gap. However, ...
Dr. Shi Guozheng Reply:
The doctor's statement is correct, but one should not rely entirely on the steel plate for support; it can only bear a small portion of the load. Additionally, using crutches is necessary, as ultimately, the healing process depends on the bones themselves forming a callus. O...[Read More] Understanding Healing Concerns for Tibial Fractures After Surgery
Understanding Heel Fractures: Is Tingling Normal During Recovery?
Calcaneal fracture Hello, Doctor. I was in a car accident at the beginning of last month, which resulted in a fracture of the heel bone in my left foot. The doctor said that surgery is not necessary and that I just need to have a cast to stabilize it until the bone heals. However...
Dr. Shi Guozheng Reply:
It should be considered normal. Typically, a follow-up X-ray is required after a certain period to check if the fracture has healed, usually around 8 to 12 weeks. If the fracture is non-displaced, then after healing, there are usually no residual complications.[Read More] Understanding Heel Fractures: Is Tingling Normal During Recovery?
Managing Giant Cell Tumor of Bone: Denosumab Treatment and Side Effects
Giant Cell Tumor of Bone Hello Doctor, in 2018, my father was diagnosed with a giant cell tumor of bone. After the first surgery, it recurred, and a few months after the second surgery, we discovered that it had metastasized to the lungs. He then started receiving denosumab, one ...
Dr. Chen Yongxue Reply:
Giant cell tumor of bone is essentially a benign bone tumor, but it can cause significant local bone destruction, has a tendency to recur, and in some cases may lead to pulmonary metastasis or transform into a malignant form. When located near the sacrum, the presence of importan...[Read More] Managing Giant Cell Tumor of Bone: Denosumab Treatment and Side Effects
Understanding Wrist Injuries: Symptoms, Treatment, and Recovery Insights
Regarding wrist injuries? Hello Doctor: My wrist was injured on June 1 (bent backward due to external force). I went to an orthopedic clinic where X-rays showed no bone issues. An ultrasound diagnosis indicated ligament laxity of the scaphoid and a triangular fibrocartilage injur...
Dr. Zhan Xian Reply:
Hello Ben, based on the symptoms you described, you should visit a major hospital's orthopedic department for an examination. A hand surgery specialist would also be appropriate.[Read More] Understanding Wrist Injuries: Symptoms, Treatment, and Recovery Insights
Understanding the Need for Bone Grafting After Fracture Surgery
After the removal of the metal fixation, it was found that there is an approximately 8 cm bone fracture that has not healed? Hello Doctor, I was involved in a car accident in November 2019, resulting in a muscle rupture in my thigh (currently functioning normally but with a notic...
Dr. Li Wenhong Reply:
Hello: Artificial bone is used to fill large bone defects and is appropriate to prevent the pain associated with autologous bone grafting. Initially, it lacks sufficient strength and requires protection, but after healing, new bone tissue will integrate, providing adequate streng...[Read More] Understanding the Need for Bone Grafting After Fracture Surgery