Bone, Orthopedics FAQ - Page 43

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Understanding Second Metatarsal Fractures: Recovery and Pain Management

Second metatarsal fracture Hello Doctor, I had a car accident on July 11th, resulting in an open fracture with displacement of the second metatarsal in my left foot. The doctor mentioned that surgery was not necessary and that I could just use a cast. However, at night while slee...


Dr. Shi Guozheng Reply:
1. Did not return to its normal original position. 2. Normal. 3. Not necessary. 4. Electrical therapy will not accelerate bone growth. Keeping the cast stable will promote faster healing.

[Read More] Understanding Second Metatarsal Fractures: Recovery and Pain Management


Will My Toe Deform Without a Cast After a Fracture?

Will the toes deform if not placed in a cast? Hello, I live in the United States. Ten days ago, I kicked the foot of my bed and my right middle toe bent to the right at about a 45-degree angle. I had never seen my toe bend that way before, so I realigned it immediately. Then I we...


Dr. Shi Guozheng Reply:
1. There is no need for a cast. 2. The foot can start moving and bearing weight in two to four weeks. 3. Calcium and vitamin D3 supplements can be taken.

[Read More] Will My Toe Deform Without a Cast After a Fracture?


Can a Fibula Fracture Heal Without Surgery? Understanding Treatment Options

Lateral malleolus fracture After falling down the stairs, I went to the emergency room immediately, where the doctor diagnosed a bone fracture and applied a cast for immobilization. Two days later, I returned to the orthopedic clinic, and the doctor indicated that the fracture is...


Dr. Chen Bochen Reply:
Hello Ms. Liu, your condition is an ankle fracture. The degree of displacement cannot be assessed by the lateral view alone; the anteroposterior view must also be considered for proper evaluation. If the displacement is not severe, it is indeed possible to apply a cast, but regul...

[Read More] Can a Fibula Fracture Heal Without Surgery? Understanding Treatment Options


Understanding Second Metatarsal Fractures: Healing, Walking, and Recovery

Fracture of the second metatarsal bone? Hello, Doctor. I sustained a crush injury to my left foot while working on July 2, resulting in a fracture of the second metatarsal. During my visit, the doctor mentioned that surgery was not necessary, and I was fitted with an L-shaped cas...


Dr. Chen Bochen Reply:
Hello Mr. Wang: 1. Will the misalignment of the second metatarsal after healing affect normal walking? (Concerned) >>> This varies by individual; some people experience pain even without misalignment, while others with significant misalignment may feel no pain at all. ...

[Read More] Understanding Second Metatarsal Fractures: Healing, Walking, and Recovery


Post-Clavicle Fracture Care: Essential Tips for Recovery and Rehabilitation

Nursing Care After Clavicle Fracture Hello Doctor, my father is 55 years old. He had a motorcycle accident yesterday, and the emergency room diagnosed him with a distal left clavicle fracture, left chest and left knee contusions. The emergency department said surgery is not neces...


Dr. Chen Bochen Reply:
Some fractures with minor displacement can be treated with a triangular bandage for stabilization, allowing the bone to heal on its own over a period of 2-3 months. Removing the triangular bandage too early may lead to increased displacement, which could necessitate surgical inte...

[Read More] Post-Clavicle Fracture Care: Essential Tips for Recovery and Rehabilitation


Knee Injury After Car Accident: Understanding Pain and Recovery

Knee injury from a car accident? Hello doctor, I was in a car accident on the morning of June 30th and went to the hospital because my right knee was swollen like a bun and painful when standing. The emergency X-ray showed no bone injury! The CT scan also indicated no ligament da...


Dr. Chen Yongxue Reply:
Hello, 1. If it is confirmed that the bones and ligaments are not injured, but there is still recurrent hematoma, it is very likely that there is a hematoma in the prepatellar bursa. 2. If there is a hematoma in the prepatellar bursa, simply using aspiration may not provide a ...

[Read More] Knee Injury After Car Accident: Understanding Pain and Recovery


Understanding ACL Injuries: Reconstruction, Recovery, and Pain Management

Kneecap contusion and anterior cruciate ligament (ACL) injury? Hello Doctor, I had an MRI yesterday, and the orthopedic surgeon told me that I have a torn anterior cruciate ligament (ACL). However, I found online that there are different grades of tears, and the surgeon mentioned...


Dr. Chen Yongxue Reply:
The anterior cruciate ligament (ACL) is responsible for the stability of the knee joint, preventing excessive forward movement of the tibia. Once injured, it can lead to issues with knee instability. Initially, muscle training can be attempted (for ACL tears, it is important to s...

[Read More] Understanding ACL Injuries: Reconstruction, Recovery, and Pain Management


Diet and Activity Guidelines for Elderly Patients with Femoral Fractures

Diet and Activity Precautions for Femoral Comminuted Fractures Hello, Doctor. My grandmother is over seventy years old. She fell at home two or three months ago and was diagnosed with a comminuted fracture of the right femur. After more than a month of out-of-pocket treatment, sh...


Dr. Chen Yongxue Reply:
Hello, I understand that you are very concerned about your grandmother's condition. 1. Can she drink angelica soup now? Is it beneficial for her (since she really wants to drink it)? ANS: There are actually no specific restrictions. 2. She is a vegetarian, elderly, eats ...

[Read More] Diet and Activity Guidelines for Elderly Patients with Femoral Fractures


Understanding Foot Pain After Tibia and Fibula Fractures: Next Steps

Plantar pain due to tibial and fibular fractures? Hello Dr. Chen, I sustained fractures of the left tibia and fibula on February 10 (the X-ray only showed the fibula fracture, while the tibia fracture was identified through a CT scan, which was not visible on the X-ray). I subseq...


Dr. Chen Bochen Reply:
I would like to ask if I should consult another orthopedic or rehabilitation specialist to confirm whether my foot pain is indeed plantar fasciitis? It would be advisable to find a physician who performs musculoskeletal ultrasound, as rehabilitation specialists typically do this ...

[Read More] Understanding Foot Pain After Tibia and Fibula Fractures: Next Steps


Post-Surgery Concerns After Clavicle Fracture: Your Questions Answered

Postoperative Issues Following Clavicle Fracture Surgery Hello Doctor: On July 12, I had a bicycle accident and suffered a comminuted fracture of the left clavicle with two fracture lines and a displacement of 2.31 cm. The following day, I underwent surgery to insert a titanium a...


Dr. Wang Shouji Reply:
Hello, ensuring the healing of the fracture is the most important thing at present, and other considerations can be put aside for now. It should be fine to temporarily remove the sling while showering or during activities. The most important thing is to avoid putting weight on th...

[Read More] Post-Surgery Concerns After Clavicle Fracture: Your Questions Answered


Post-Surgery Recovery: When to Start Rehabilitation After Ulnar Fracture

Post-operative care for an Olecranon Fracture? Hello Doctor, I would like to ask you a question. I suffered a fracture of the left ulnar bone near the elbow joint due to a car accident. I had surgery on July 9th to implant a steel pin and was discharged after five days in the hos...


Dr. Wang Shouji Reply:
Hello, generally speaking, unless the fracture is severely unstable and comminuted, there should be no significant issues with movement after surgical fixation. If early mobilization is not undertaken, there is a high possibility of joint adhesion. You should consult your attendi...

[Read More] Post-Surgery Recovery: When to Start Rehabilitation After Ulnar Fracture


Understanding Coccydynia: Causes, Treatments, and Recovery Tips

Coccygeal contusion pain? Hello doctor, I slipped on the stairs on a rainy day in May 2019 and bumped the area just above my coccyx against the corner of the stairs. I did not go to the hospital for treatment, so I am not clear about the exact situation. A traditional Chinese med...


Dr. Wang Shouji Reply:
Hello, the X-ray shows an old bone injury and a coccygeal contusion. The focus of treatment in the first three months is to avoid activities that may aggravate the pain, as this can lead to some of the sequelae you mentioned. It is recommended that you visit the hospital for a ch...

[Read More] Understanding Coccydynia: Causes, Treatments, and Recovery Tips


Is a Cast Necessary for Fractures? Understanding Treatment Options

Is it necessary to use a cast for a fracture? Hello doctor, last week I accidentally kicked my little toe while walking. I had an X-ray done, which confirmed that the bone is fractured. However, the doctor only used adhesive tape to stabilize it. Since I returned home, I have bee...


Dr. Wang Jiacheng Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health!

[Read More] Is a Cast Necessary for Fractures? Understanding Treatment Options


Understanding Clavicle Injuries: Recovery Without Surgery

Clavicle issues I was in a car accident last Sunday, and my clavicle is displaced by almost three centimeters, but I am not having surgery. It has been almost a week now, and I only experience pain when I make large movements. When I sleep, I only feel a slight stiffness, and the...


Dr. Shi Guozheng Reply:
1. The protrusions are normal. 2. The formation of bone callus does not occur that quickly; it usually takes more than four weeks. 3. It takes six to eight weeks before larger movements can be performed. 4. It will take eight weeks before attempting to lift objects. 5. If...

[Read More] Understanding Clavicle Injuries: Recovery Without Surgery


Post-Surgery Care and Rehabilitation for Scaphoid Fracture Dislocation

Postoperative Care for Complete Dislocation of the Scaphoid Bone Hello Doctor: I was in a car accident on June 24, which resulted in a dislocation of my right scaphoid bone. I underwent surgery for reduction on June 27, during which I had a K-wire and a screw placed in my right h...


Dr. Zhan Xian Reply:
Hello Mr. Li, the subsequent rehabilitation will depend on the healing status of your fracture. You can ask your attending physician during your next follow-up appointment!

[Read More] Post-Surgery Care and Rehabilitation for Scaphoid Fracture Dislocation


Understanding Recovery from Femoral Fractures: Risks and Work Considerations

Femoral fracture It has been a year and a half since my thigh sustained a comminuted fracture, and it has not fully healed yet. Is this normal? There is no gap in the bone, but its shape resembles that of an olive. I can walk normally; will this affect my ability to work? I am cu...


Dr. Zhan Xian Reply:
Hello, Ah Xiang. A femoral fracture is a serious injury. If you feel that you have not recovered after a year and a half, please visit an orthopedic outpatient clinic!

[Read More] Understanding Recovery from Femoral Fractures: Risks and Work Considerations


Understanding Growth Pain and Growth Plate Closure in Children

Growing pains and growth plates? Hello, doctor. I would like to ask if my child has been experiencing frequent growing pains recently, could this indicate that her growth plates are about to fuse? Generally, growth plates fuse during puberty, but does this vary from person to per...


Dr. Li Wenhong Reply:
Hello: Growing pains are not related to the closure of growth plates. If a third-grade girl has started menstruating, there may be an issue of precocious puberty, and I recommend taking your daughter to a pediatrician at the hospital. As long as the child has a balanced diet and ...

[Read More] Understanding Growth Pain and Growth Plate Closure in Children


Can Growth Plates Be Delayed for Height Increase in Teens?

Growth issues Doctor, when measuring bone age, you mentioned that there is still a little space left in the wrist before it completely fuses, and that I might grow another 1-2 centimeters. I am currently 160 centimeters tall and 14 years old, and I would like to grow taller. Is t...


Dr. Shi Guozheng Reply:
Theoretically, it cannot be extended.

[Read More] Can Growth Plates Be Delayed for Height Increase in Teens?


Understanding Lower Back Pain: Causes and Concerns After Weight Loss Medication

Lumbar issues? Hello, doctor. I would like to ask about my situation. While I was taking weight loss medication, I noticed that my thigh muscles felt more fatigued than usual when going up and down stairs. Additionally, one day I woke up with lower back soreness, which progressed...


Dr. Chen Yongxue Reply:
Hello, there are many possible causes of lower back pain, including issues related to internal organs, muscles, bones, ligaments, internal bleeding, or skin diseases. It is advisable to visit a clinic for further examination. Thank you.

[Read More] Understanding Lower Back Pain: Causes and Concerns After Weight Loss Medication


Wrist Pain and Scaphoid Discomfort: Treatment Options and Recovery Time

Wrist pain when bearing weight and pain in the scaphoid bone of the wrist? Hello, doctor. About a month and a half ago, I started feeling a clicking sensation in my right wrist. During my training, whenever I perform push-up movements, I experience pain in the dorsal side of my h...


Dr. Shi Guozheng Reply:
It is best to consult an orthopedic physician, who will need to take X-rays to determine if there are any fractures. A correct diagnosis is essential to understand how to treat the condition and how long it will take to heal.

[Read More] Wrist Pain and Scaphoid Discomfort: Treatment Options and Recovery Time


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