Understanding Tailbone Pain: Recovery Time and Treatment Options
I fell hard off a chair last week? Hello, doctor. I injured my coccyx almost two weeks ago and have visited two clinics. Both said that the pain would last for a month and did not take X-rays. When I asked the second doctor if it could be a fracture or a bone issue, he replied th...
Dr. Zhan Xian Reply:
Hello, if the pain does not improve, please visit the orthopedic outpatient clinic.[Read More] Understanding Tailbone Pain: Recovery Time and Treatment Options
Understanding Fourth Toe Fractures: Healing, Pain, and Recovery Insights
Fourth toe fracture with slight displacement? Hello, Doctor. I apologize for bothering you. I thought I had a minor sprain on October 20, but after an X-ray on November 6, I discovered a fracture and began conservative treatment. Here is the X-ray showing a small displacement fra...
Dr. Chen Bochen Reply:
1. The assessment of whether a fracture has healed should be based on clinical symptoms, not solely on X-rays. From the single angle you provided, it appears to be healed (but X-rays should not be interpreted from just one angle). 2. Your attending physician has indicated that y...[Read More] Understanding Fourth Toe Fractures: Healing, Pain, and Recovery Insights
Understanding Recovery from Distal Toe Fractures: Key Questions Answered
Fracture of the distal phalanges of the right foot, toes 2 to 4? Hello, I sustained an injury to my toes on January 7th when a heavy table fell on them, resulting in fractures of the distal phalanges of toes 2 to 4. The toenail on toe 2 has fallen off, and the toenail on toe 3 is...
Dr. Shi Guozheng Reply:
1. You can start walking in about two to four weeks without the need for assistive devices. An X-ray can be taken again one month after the fracture. 2. Surgery for pinning is not required. 3. Rehabilitation is not necessary. 4. You should be able to return to work in appro...[Read More] Understanding Recovery from Distal Toe Fractures: Key Questions Answered
Post-Fracture Surgery Concerns: Bone Healing and Pin Removal
Postoperative care related to fractures? Hello, doctor. I underwent surgery for a metacarpal and finger fracture at the end of December 2020. About four weeks post-surgery, X-rays show that the bone has not yet healed. Is it normal for the bone not to have healed after four weeks...
Dr. Shi Guozheng Reply:
Fractures of the metacarpals and phalanges typically show signs of primary callus formation around four weeks post-injury, indicating a significant level of stability. At that point, it is possible to remove the bone screws; however, it is also acceptable to wait until the bone h...[Read More] Post-Fracture Surgery Concerns: Bone Healing and Pin Removal
Ankle Fracture: Surgery or Conservative Treatment? Your Recovery Guide
Ankle fracture Last Saturday, I sprained my ankle and first went for acupuncture at a traditional Chinese medicine clinic. The next day, I went to the local hospital's emergency department for an X-ray, which confirmed two bone fractures that required a removable cast for st...
Dr. Chen Bochen Reply:
Hello, the need for surgery should be determined based on the "degree of displacement" observed in the X-ray and whether the joint is symmetrical. If the displacement is greater than 2-5 mm or if there is asymmetry in the ankle joint, surgery is recommended. If surgery ...[Read More] Ankle Fracture: Surgery or Conservative Treatment? Your Recovery Guide
Understanding Back Pressure Therapy: Safety and Recovery Tips
Pressure applied to the upper back? 1. The popping sound you heard during the pressure application is likely due to the release of gas bubbles in the synovial fluid of the joints, a phenomenon known as cavitation. This is common during spinal manipulation and is generally not a c...
Dr. Chen Bochen Reply:
Hello: 1. The sounds from the bones are usually produced by the formation of gas bubbles within small joints. 2. If there is an injury to the spine, symptoms may include numbness, tingling, or weakness. If these symptoms are absent, it is advisable to monitor the situation carefu...[Read More] Understanding Back Pressure Therapy: Safety and Recovery Tips
Post-Surgery Challenges: Left Heel Weakness After T12 Spine Injury
After the T12 spinal surgery, the left heel is unable to bear weight? Hello Doctor, I suffered a burst fracture of the T12 vertebra in October last year, and underwent surgery where screws were placed from T10 to L2, with bone cement applied to T12. Postoperatively, I have been u...
Dr. Wang Shouji Reply:
Hello, it is important to pay attention to the degree of nerve compression. If temporary stabilization is not suitable and fusion is not performed, it may be appropriate to remove it. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Post-Surgery Challenges: Left Heel Weakness After T12 Spine Injury
Understanding Sacral Fractures and Disc Narrowing After Trauma
Decreased curvature of the sacrococcygeal region, S3 fracture, L5/S1 disc space narrowing, and pubic symphysis diastasis? Dear Dr. Zhan, Thank you very much for your response. It has been 20 days since the car accident on December 28, 2020. Two days after the incident, I underwe...
Dr. Zhan Xian Reply:
Mr. Bruce, if the pubic symphysis is separated by 1.8 cm and the pelvic structure is stable, conservative treatment is possible. Your injury requires time to heal, so please take a gradual approach and do not rush. Walking too much at the beginning may actually hinder bone healin...[Read More] Understanding Sacral Fractures and Disc Narrowing After Trauma
Understanding Recovery from Slap Lesion Surgery: Common Concerns
Recovery from SLAP injury? Hello Dr. Wang: I underwent a labral repair surgery on my shoulder last month, but I still hear a popping sound when moving my shoulder. During the Anterior Slide Test, I can distinctly feel a piece of bone sliding. Is it possible that the internal sutu...
Dr. Wang Shouji Reply:
Hello, if there is no re-injury or overactivity of the shoulder joint, the likelihood of suture loosening is low, and soft tissue recovery typically takes at least two months. A comparison before and after surgery is necessary, so it is recommended to consult with the surgeon. Ch...[Read More] Understanding Recovery from Slap Lesion Surgery: Common Concerns
Can L4-L5 Compression Cause Heel Support Issues After Thoracic Surgery?
After thoracic spine surgery, the left heel is unable to bear weight? Hello Doctor: I suffered a burst fracture of the twelfth thoracic vertebra last October and had steel rods and bone cement implanted. Currently, I am able to walk with both legs. However, my left heel cannot su...
Dr. Wang Shouji Reply:
Hello, L5 nerve root compression can affect the heel, but regarding your statement about not being able to walk normally on your heel, can you confirm if the ankle joint movement is normal? Is there any tenderness in the heel? A preoperative MRI should be able to determine if the...[Read More] Can L4-L5 Compression Cause Heel Support Issues After Thoracic Surgery?
Managing Tailbone Pain: When to Seek Medical Attention
Coccydynia (tailbone pain) issues? Hello: Over ten years ago, I fell down the stairs and landed on my buttocks. After treatment, I didn't pay much attention since the pain subsided. However, in recent months, after prolonged sitting or riding a motorcycle for extended period...
Dr. Wang Shouji Reply:
Hello, this is regarding your coccyx contusion that has not fully healed. It is recommended to apply heat therapy, adjust your sitting posture, avoid prolonged sitting, and refrain from sitting on hard surfaces. If you still experience discomfort, it is advised to consult a hospi...[Read More] Managing Tailbone Pain: When to Seek Medical Attention
Sudden Swelling of the Fourth Toe: Causes and Treatment Options
The fourth toe of the right foot suddenly swelled? The fourth toe on both feet has been persistently swollen for about two years. A month ago, the fourth toe on my right foot suddenly became swollen. I visited the immunology department at Beihua Hospital, and after blood tests, t...
Dr. Chen Yongxue Reply:
Hello, sudden swelling of the fingers and toes should first rule out any immune-related issues. Additionally, individuals over the age of 50 are at a higher risk for degenerative arthritis. Please visit an orthopedic clinic for further diagnosis. Thank you.[Read More] Sudden Swelling of the Fourth Toe: Causes and Treatment Options
Can I Still Grow Taller? Insights for a 12-Year-Old Girl
How to increase height? Hello Doctor: I am a 12-year-and-10-month-old first-year junior high school girl, with a bone age of 13 years (I started my period at 11 and a half). I am 151 cm tall and weigh 44 kg (my father is 172.5 cm and my mother is 161.5 cm). 1. Will I grow talle...
Dr. Li Wenhong Reply:
Hello: 1. You may grow taller, but it is impossible to predict how much more. 2. This is normal. 3. Growing taller requires a balanced diet, adequate exercise, and sufficient sleep, so please continue to maintain these habits. 4. It is not advisable to purchase medications on you...[Read More] Can I Still Grow Taller? Insights for a 12-Year-Old Girl
Post-Surgery Pain: Understanding Sharp Sensations After Hand Fractures
Post-operative pain or tingling in the metacarpal and phalangeal bones may occur after a fracture? Hello, doctor. At the end of December 2020, I had a car accident and fell, injuring my left hand with a fracture of the fifth metacarpal and finger bones. I underwent surgical treat...
Dr. Chen Bochen Reply:
Hello, in the first one to two years after your injury, you may experience soreness, especially during significant weather changes. If you apply heat and stay active, this discomfort will subside more quickly. Wishing you a speedy recovery![Read More] Post-Surgery Pain: Understanding Sharp Sensations After Hand Fractures
Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Decreased sacral and coccygeal curvature, S3 fracture, L5/S1 disc space narrowing, pubic symphysis diastasis? Dear Dr. Zhan, I am currently working in Southeast Asia and had a car accident two weeks ago, resulting in ruptures of my liver and spleen. I underwent transarterial emb...
Dr. Zhan Xian Reply:
Hello Mr. Bruce, whether surgical treatment for the pelvis is necessary mainly depends on the stability of the pelvic fracture. Since we only have a written report without imaging, it is difficult to assess the extent of the pubic symphysis separation and whether there is any dis...[Read More] Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Understanding Shoulder Pain: Causes and Treatment After a Fall
Shoulder pain Doctor, I would like to ask about an incident on December 1st. It was a rainy day, and I slipped while riding my bike and fell, injuring the area around my left shoulder. I went to a clinic for an X-ray, and it showed no bone injuries. However, a few days later, I e...
Dr. You Dianqi Reply:
Hello, there are many possible reasons. You only had an X-ray which showed no fractures, but there could still be various soft tissue issues. I recommend that you return to the hospital for further examination. Thank you.[Read More] Understanding Shoulder Pain: Causes and Treatment After a Fall
Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options
Giant cell tumor located on the lumbar vertebrae? After undergoing an MRI and biopsy, I was diagnosed with a giant cell tumor at the lumbar spine L3. Currently, my symptoms include occasional weakness in my legs, along with soreness in my lower back, thighs, and near the anal are...
Dr. Chen Bochen Reply:
First, an incision will be made on the side to remove the tumor and perform spinal reconstruction, followed by another incision in the back to insert screws. This is the standard procedure. The surgeons who operate on the spine and those who specialize in bone tumors are usually ...[Read More] Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options
Three Months Post-Surgery: Concerns About Bone Healing Progress
Three months post-surgery, the bone healing does not seem to be ideal? It has been three months since my surgery, and is it normal that my ankle and foot are still not completely reduced in swelling? During each follow-up appointment, the doctor seems to indicate that the healing...
Dr. Chen Bochen Reply:
1. Sun exposure for half an hour daily (between 10 AM and 3 PM). 2. Static strength training (apply force with the entire leg for 15 seconds, alternating between legs). 3. Absolutely no smoking or exposure to secondhand smoke. 4. Reduce consumption of sugary foods and bever...[Read More] Three Months Post-Surgery: Concerns About Bone Healing Progress
How Long Should You Wait to Remove Stitches After a Cut?
How long after a sutured wound can the stitches be removed? A 10-year-old child sustained a laceration above the knee from glass, with a horizontal cut approximately 0.5 cm deep (involving the dermis but not reaching the bone) and about 5 to 6 cm wide. The emergency department su...
Dr. Chen Bochen Reply:
Generally, stitches can be removed after 10 days, but it is best to have a physician assess the wound in person. After the stitches are removed, applying silicone tape can help reduce scar formation and minimize the risk of wound dehiscence.[Read More] How Long Should You Wait to Remove Stitches After a Cut?
Post-Surgery Challenges After Distal Humerus Fracture: Recovery Insights
Postoperative issues following distal humeral fracture surgery? Hello Doctor, I am here to inquire again about my car accident on June 2nd of this year, which resulted in a distal humeral fracture in my left arm. On June 3rd, I underwent surgery where two metal plates and eight s...
Dr. Shi Guozheng Reply:
1. Apply heat or use pain relievers. 2. Surgical implantation of a steel plate for distal humeral fracture, as it is very close to the radial nerve, should not be removed unless absolutely necessary. 3. Activities can be resumed after bone healing. 4. Weight should be gradually i...[Read More] Post-Surgery Challenges After Distal Humerus Fracture: Recovery Insights