Can CPR Be Performed on Patients with Spinal Implants During Emergencies?
Can CPR be performed during an emergency after the implantation of bone screws for decompression and stabilization of the thoracic spine? Hello! My mother was diagnosed with multiple myeloma in February 2020, which caused osteolytic lesions at the T5, T6, and T7 vertebrae. She un...
Dr. Chen Yongxue Reply:
Hello, your family member has been diagnosed with cancer. Besides the suffering of the patient, the family is also having a hard time. Multiple myeloma can cause bone lesions throughout the body, and if there is already pulmonary edema or multiple organ failure, I personally beli...[Read More] Can CPR Be Performed on Patients with Spinal Implants During Emergencies?
Understanding Coccydynia: Chronic Pain After Tailbone Injury in Teens
Coccyx contusion Hello doctor, I am currently 17 years old. When I was 10, a classmate played a prank by pulling my chair, causing me to fall to the ground. I experienced severe pain near my coccyx and it took about five minutes before I could stand up, but I did not seek medical...
Dr. Chen Yongxue Reply:
Hello, after a coccyx contusion, it is common to experience recurrent pain; however, knee pain should not be related to this. The coccyx is rarely in a normal position and often has deformities. Rehabilitation is not necessary; if there are pain symptoms, it is advisable to apply...[Read More] Understanding Coccydynia: Chronic Pain After Tailbone Injury in Teens
Understanding Lateral Foot Pain: Causes, Treatment, and Recovery Tips
Swelling and pain on the outer side of the foot? A few days ago, I experienced a moment of pressure on my leg while moving my motorcycle downhill. Within two to three days, it swelled up, and I was even unable to walk. I visited an orthopedic doctor who took X-rays. It has been t...
Dr. Chen Yongxue Reply:
Hello, please apply ice, elevate the affected limb, and reduce activity. In the early stages of an injury, X-rays may not show fractures. If symptoms do not improve, it is possible to take another X-ray. Since you are still in the acute phase, it is not the best time for rehabili...[Read More] Understanding Lateral Foot Pain: Causes, Treatment, and Recovery Tips
Understanding Complications After Open Fracture Surgery: A Patient's Journey
Open comminuted fracture of the tibia? Hello Doctor, I was in a car accident on February 26, 2020, which caused a bone to puncture my skin, resulting in an open wound. I underwent surgery at that time and received a blood transfusion. Over a year later, the wound has been peeling...
Dr. Wang Shouji Reply:
Hello, if the fracture has already healed, removing the metal screws should not be an issue. However, if there was a wound at the time of the fracture, it is important to rule out any infection at the wound or fracture site. During the pandemic, it is recommended to apply heat th...[Read More] Understanding Complications After Open Fracture Surgery: A Patient's Journey
Understanding Pain and Swelling in the Left Shoulder Bone
Painful swelling of the bone in the left shoulder? A few months ago, I suspected that the chain of my bag was causing friction and pressure on my left shoulder. Later, I discovered that the bone in my left shoulder (the protruding bone extending from the left clavicle to the uppe...
Dr. Shi Guozheng Reply:
You should see an orthopedic specialist for the acromioclavicular joint, which is the joint between the acromion and the clavicle. Sometimes, this area can also experience pain.[Read More] Understanding Pain and Swelling in the Left Shoulder Bone
Post-Surgery Concerns: Understanding Pain and Mobility After Tibia Surgery
Postoperative care for tibia and fibula fractures? Hello Doctor! A few months ago, I underwent surgery to remove a tibial tumor, and artificial bone was used to fill the area. Recently, I've been experiencing back pain, so I followed some rehabilitation exercises I found onl...
Dr. You Dianqi Reply:
From your response, I noticed that there are concerns about the possibility of the bone plate screws shifting. This issue may require imaging to provide a more informed response. As for your questions about whether you can kneel and similar inquiries, it largely depends on the co...[Read More] Post-Surgery Concerns: Understanding Pain and Mobility After Tibia Surgery
Understanding Posterior Cruciate Ligament Reconstruction Surgery
Posterior cruciate ligament reconstruction surgery? Hello, due to a car accident in early March, I only discovered the bone issues a month later. Now, at the end of May, I had an MRI, and the doctor said my posterior cruciate ligament (PCL) did not show up, which suggests it may ...
Dr. Chen Bochen Reply:
1. First, consult a rehabilitation physician to arrange rehabilitation for the injured area. Strengthening the quadriceps is essential to compensate for the deficiency of the posterior cruciate ligament. 2. Commit to rehabilitation for at least three months; if discomfort persist...[Read More] Understanding Posterior Cruciate Ligament Reconstruction Surgery
Recovery Timeline for Tibial Comminuted Fractures: What to Expect
The recovery timeline for a comminuted fracture of the tibia? Hello, Doctor! I was involved in a car accident on March 10 of this year, resulting in a comminuted fracture of my right tibia. The following day, I underwent internal fixation surgery using intramedullary nails and bo...
Dr. Chen Yongxue Reply:
1. Fracture healing takes at least 6 weeks. Severe comminuted fractures or those with infection may experience delays. 2. Internal fixation can provide support for the fracture, and fractures generally heal well; however, if there is an infection, the hardware must be removed to ...[Read More] Recovery Timeline for Tibial Comminuted Fractures: What to Expect
Understanding ACL Tears: Diagnosis, Treatment Options, and Recovery Insights
Anterior cruciate ligament (ACL) tear Hello Doctor, three years ago I slipped while playing basketball and went to a clinic where an X-ray diagnosed me with a ligament strain in my knee. I didn't experience pain for about a year, but last year I started to feel something stu...
Dr. Shi Guozheng Reply:
1. Anterior cruciate ligament (ACL) tears require a physical examination to assess for any signs of joint laxity, followed by imaging studies for a definitive diagnosis. If the degree of laxity is not significant, surgery may not be necessary. 2. Cartilage damage is irreversibl...[Read More] Understanding ACL Tears: Diagnosis, Treatment Options, and Recovery Insights
Understanding Pelvic Fractures: Recovery and Rehabilitation Concerns
Pelvic fracture Hello, doctor. Last week, I was involved in a car accident that resulted in a fracture of the left inferior pubic ramus, making it difficult for me to get out of bed and walk. At that time, the doctor advised against surgery and suggested that it heal on its own. ...
Dr. Wang Shouji Reply:
Hello, with a pubic bone fracture, using crutches to move around is acceptable as long as the pelvic ring is stable; it should not have a significant impact. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Pelvic Fractures: Recovery and Rehabilitation Concerns
Understanding Titanium Alloy Plates: Weight-Bearing and Recovery Tips
Titanium alloy steel pin issues? Hello doctor, I recently had a fracture and opted for a titanium alloy plate at my own expense. This week, I almost fell twice, and I put weight on the fractured leg by stepping on the floor, but it didn’t hurt. Will this harm the fracture site? A...
Dr. Chen Bochen Reply:
1. Titanium alloy plates will not be damaged by simply stepping on the ground. 2. Unhealed bones may be injured due to excessive pressure, but if there is an injury, it will be accompanied by pain, so if you are not in pain, there is no need to worry too much. 3. Follow the instr...[Read More] Understanding Titanium Alloy Plates: Weight-Bearing and Recovery Tips
40 Days Post-Humerus Fracture Surgery: Recovery and Smoking Concerns
40 days post humeral fracture surgery? Hello, doctor. I have a proximal humerus and humeral shaft fracture, and I have left radial nerve palsy. It has been forty days since my surgery, and I am experiencing postoperative adhesions. I am actively undergoing rehabilitation and am s...
Dr. Shi Guozheng Reply:
According to medical research, smoking affects blood circulation, which can further impede bone healing. Therefore, it is recommended to avoid smoking until the fracture has healed. If healing does not occur, another surgery may be necessary.[Read More] 40 Days Post-Humerus Fracture Surgery: Recovery and Smoking Concerns
Will Second Surgery for Femur Fracture Healing Be Less Painful?
In the case of a nonunion of a femoral fracture requiring a second surgery, will the recovery process be less painful compared to the first surgery? Hello doctor, I was involved in a car accident in mid-June 2020, resulting in a closed comminuted fracture of the femur. I consulte...
Dr. Chen Bochen Reply:
Will there be a lot of pain after surgery? The influencing factors are as follows: 1. The nature of the surgery: If the area being treated is extensive or if there is significant tissue removal, it is likely to be more painful. 2. Anesthesia and pain management protocols before a...[Read More] Will Second Surgery for Femur Fracture Healing Be Less Painful?
Understanding Coccydynia: Causes and Treatment for Tailbone Pain
Coccydynia (pain in the coccyx area)? Recently, I have been experiencing a sharp pain near my coccyx, to the point where I cannot bend over. The pain usually starts after lying down for a long time and tends to ease a bit after sitting for two or three days. I have suspected infl...
Dr. Chen Bochen Reply:
Common causes of coccyx pain include trauma and poor posture, with some cases having no identifiable cause. Treatment methods include reducing irritation (avoiding all movements or positions that may trigger pain) and anti-inflammatory medications.[Read More] Understanding Coccydynia: Causes and Treatment for Tailbone Pain
Understanding Coccydynia: Causes and Relief for Tailbone Pain
Coccygeal pain? Recently, I have been experiencing a sharp pain near my coccyx, to the point where I cannot bend over. The pain usually starts after lying down for a long time, and it eases a bit after sitting for two or three days. I have suspected it might be inflammation, so I...
Dr. Chen Bochen Reply:
Common causes of coccyx pain include trauma and poor posture, with some cases having no identifiable cause. Treatment methods include reducing irritation (avoiding all movements or positions that may trigger pain) and anti-inflammatory medications.[Read More] Understanding Coccydynia: Causes and Relief for Tailbone Pain
Understanding Coccydynia: Causes and Relief for Tailbone Pain
Coccydynia (pain in the coccyx area)? Recently, I have been experiencing a sharp pain near my coccyx, to the point where I cannot bend over. The pain usually starts after lying down for a long time, and it eases a bit after sitting for two or three days. I have suspected inflamma...
Dr. Chen Bochen Reply:
Common causes of coccyx pain include trauma and poor posture, with some cases having no identifiable cause. Treatment methods: Reduce irritation (avoid all movements or positions that trigger pain) and anti-inflammatory medications.[Read More] Understanding Coccydynia: Causes and Relief for Tailbone Pain
Sudden Knee Pain and Joint Discomfort: Seeking Solutions for Relief
Sudden pain in the left knee while sleeping, along with pain in the finger joints? I suddenly woke up one night with pain in my left knee and was unable to put weight on it when getting out of bed. I went to the orthopedic department at Asia University Hospital, where they took X...
Dr. Shen Boquan Reply:
Hello, if you suddenly experience pain in your left knee and both hands, it is important to consider whether you have sustained an injury or if your workload has been excessive. If this occurs occasionally and improves with rest or pain relief medication, you should take care to ...[Read More] Sudden Knee Pain and Joint Discomfort: Seeking Solutions for Relief
Persistent Ankle Swelling After Ligament Injury: Rehabilitation Insights
Ankle ligament tear with partial rupture. It has been six months, and there is still swelling? Hello Doctor: I was in a car accident on October 23 of last year, and my ankle bones were displaced, making it impossible for me to walk. I went to a rehabilitation center where they re...
Dr. Shen Boquan Reply:
Hello IVY, if your symptoms persist, it may be advisable to have your orthopedic or rehabilitation physician reassess your condition. If there are no structural injuries, taking pain relievers can help alleviate your discomfort. Wishing you good health.[Read More] Persistent Ankle Swelling After Ligament Injury: Rehabilitation Insights
Calcium Supplementation After Fracture: Is Procal Right for You?
Issues with taking Procal after a fracture? Director Chen: I suffered a proximal humeral fracture in a car accident last year, and five months later, the bone has not healed properly. The doctor prescribed one Prolia injection in the morning and one in the evening, and I underwen...
Dr. Chen Bochen Reply:
1. Calcium propionate is calcium acetate, which has poor absorption and a strong odor. It is generally used for patients with kidney issues to help eliminate phosphate ions (as calcium binds with phosphate to precipitate and subsequently excrete it). It is usually recommended to ...[Read More] Calcium Supplementation After Fracture: Is Procal Right for You?
Understanding Posterior Tibial Muscle Dysfunction: Symptoms, Causes, and Treatment Options
Soleus muscle dysfunction Since I can remember, I have often stood for long periods and felt discomfort in the soles of my feet after walking for a while. My classmates mentioned that I have an inward foot posture, but my family did not pay much attention to it. I have been overw...
Dr. Chen Bochen Reply:
I sincerely suggest that you consult an ankle and foot specialist. In the central region, Dr. Chiu Chia-Hung has a good reputation in the industry, and I have referred several patients to him who have successfully received treatment. However, I've heard that he is not very a...[Read More] Understanding Posterior Tibial Muscle Dysfunction: Symptoms, Causes, and Treatment Options