Bone, Orthopedics FAQ

Chest Pain Near Armpit When Coughing: Is It a Muscle Strain or Fracture?

Coughing causes pain near the right chest, close to the armpit? Hello, doctor. I've been experiencing a severe cough for the past week or two, and recently I've started feeling a sharp pain near my right chest close to the armpit every time I cough, to the point where I...

Dr. Chen Yongxue Reply:
Hello, if there is a fracture without any injury, it is very rare. Usually, the pain is caused by a muscle strain. If you are really concerned, you can get an X-ray examination. Applying a warm compress can help the strain heal faster. Thank you.

Understanding Finger Control Issues: Bone Spurs and Tendon Damage

Difficulty in controlling the fingers? Hello Doctor, I recently noticed that I have difficulty controlling my middle finger, ring finger, and pinky finger. A relative who is a doctor examined me and mentioned that if there are bone spurs, they could potentially be rubbing against...

Dr. Chen Bochen Reply:
Hello, I recommend that you consult a hand surgeon for an evaluation. The written description may not accurately reflect your actual condition, so it is advisable to see an orthopedic hand surgeon for an in-person assessment.

Understanding First Metatarsal Fractures: Recovery and Walking Advice

First metatarsal fracture Hello Doctor, this is my X-ray from early January https://ppt.cc/f6Vmzx. Additionally, this time https://ppt.cc/fC8nBx the doctor said I can wear a splint and try walking. The X-ray doesn't show much change. Will walking like this make it worse? Tha...

Dr. Chen Bochen Reply:
After one month, you can walk with a splint, and gentle movement can actually promote bone growth.

Understanding Pain After Vertebroplasty: Causes and Solutions

Vertebroplasty with bone cement? 1. Yes, it is possible for bone cement to not fully coalesce and remain in separate pieces. This can occur due to various factors, including the technique used during the procedure, the quality of the bone, or the presence of osteoporosis, which m...

Dr. Chen Yongxue Reply:
Hello, 1. The bone cement should be a single mass; it is rarely divided into two pieces. 2. The cause of the pain should be identified, such as through palpation; it should not rely solely on X-ray examination. If the pain is due to inflammation of the muscles adjacent to the spi...

How to Address Stunted Growth at 18: Can You Still Get Taller?

What should be done if there has been no height increase over a four-year period? I'm sorry, but I would like to ask, since I haven't grown taller since the third year of junior high school, my height has been stuck at 176 cm. Now, at 18 years old in my senior year of h...

Dr. Shi Guozheng Reply:
You can go to the hospital for a bone age assessment or to get an X-ray to check if the growth plates in the knee joint have closed.

Post-Surgery Insights on Jaw Bone Tumor: Recurrence and Recovery

Postoperative care for bone tumors? Hello, doctor. I underwent a mandible osteoma resection in early January this year, and the pathology report states: "The section shows skeletal muscle and sclerotic bony trabeculi." Can you tell me if this indicates that the tumor is...

Dr. Chen Yongxue Reply:
Hello, the pathology report mentioned in your letter is incomplete. It only states that there are muscle and bone trabeculae in the specimen. To determine whether it is benign, please consult your attending physician. After the surgery, please monitor for any pain and temporary f...

Understanding Toe Deformities: Causes, Prevention, and Self-Care Tips

Toe deformity Hello, Director! Previously, I asked you about a toe issue, and recently I visited an orthopedic specialist and had X-rays taken of both feet. The doctor informed me that the bones appeared to be fine. I inquired and showed the doctor that my little toe is angled ou...

Dr. Shi Guozheng Reply:
Loose-fitting shoes are less likely to compress the toes and cause deformities, and toe socks may not provide significant benefits.

Post-Fracture Triceps Strength Recovery: Can Targeted Training Help?

Triceps strength after femoral fracture surgery? Hello Doctor: In 2021, I suffered a comminuted fracture of the right humerus due to excessive wrist strength. After evaluation, the doctor recommended surgery to implant a steel plate for stabilization and recovery (the surgery inv...

Dr. Shi Guozheng Reply:
Gradual training can help restore function to a certain extent, but it may be challenging to reach the level prior to the fracture. One can only train as much as possible.

Bone Grafting vs. Bone Cement: Which is Best After Screw Removal?

Bone grafting and bone cement? I am a scoliosis patient who had surgery eight years ago and I am considering having the screws removed. I would like to ask about the differences between bone grafting and using bone cement for filling the void left after the screws are removed, as...

Dr. Chen Yongxue Reply:
Hello, actually, there is no need for additional filler material after the removal of the metal pins. Thank you.

Post-Surgery Concerns: Understanding Bumps and Indentations After Bunion Surgery

Postoperative care for hallux valgus surgery? I would like to ask the doctor, it has been over two months post-surgery, and I have consistently noticed a depression or protrusion at the surgical site, which seems to be at the osteotomy location. Pressing on it or wearing shoes ca...

Dr. Chen Yongxue Reply:
Hello, there are various surgical methods for hallux valgus. There may be some protrusions, possibly from plates or osteotomy sites. Please discuss this with your attending physician. If the condition is severe, it can be readjusted. Thank you.

Understanding Chest Injuries: When to Worry After a Fall

Chest contusion Hello, I participated in a company-sponsored employee outing yesterday where we played a water balloon game similar to paintball, but it was less painful. At the beginning, I quickly sought cover but forgot that the cover was an inflatable air cushion ball, which ...

Dr. Chen Bochen Reply:
Hello: Based on the situation you described, it is more likely to be a contusion of the chest muscles and periosteum. If severe, it could even be associated with rib fractures, but these injuries typically heal on their own over time, generally requiring 2-4 weeks. If there is no...

Understanding Healing and Recovery After Intertrochanteric Femur Fracture

Healing issues related to intertrochanteric fractures of the left femur? Hello Doctor, on November 24th, I accidentally fell from a height and sustained an intertrochanteric fracture of the left femur. The fracture is closed. I did not undergo surgery or have a cast applied. Duri...

Dr. Shi Guozheng Reply:
After a fracture has healed, it should be fine to start muscle strength training about six months after a femoral fracture. Gradually practice muscle strengthening exercises.

Understanding Complications After Finger Fracture Surgery: A Patient's Journey

Fracture surgery issues Hello Doctor, on August 29, 2023, I suffered an open fracture of my third and fourth fingers at work and underwent emergency surgery immediately. Two steel pins were inserted into the proximal phalanx of the third finger, and one steel pin was inserted int...

Dr. Shen Boquan Reply:
Hello, after a finger fracture, rehabilitation typically takes several months. If other physicians have identified additional issues and recommend further surgery, you may consult with another doctor if you have concerns. Some hospitals have specialized hand surgery departments w...

Impact Injury to Coccyx: Understanding Deformity and Recovery Risks

The coccyx was subjected to external force impact, and X-rays revealed that the coccyx is displaced at a 90-degree angle? Doctor, can the coccyx be dented due to external force (like being accidentally punched)? Or is it because of improper handling at the time of the incident, w...

Dr. You Dianqi Reply:
It is recommended that you visit an orthopedic clinic for evaluation. Thank you.

Is It Necessary to Correct Bone Deformities in the Hand?

Is it necessary to correct bone deformities? I have a bump near the metacarpal and proximal phalanx of my right thumb that prevents me from fully opening my web space. A chiropractor previously examined it and mentioned that the bone is misaligned. Although it doesn't cause ...

Dr. You Dianqi Reply:
It is recommended that you visit an orthopedic outpatient clinic for evaluation. Thank you.

Understanding Knee Injuries: Fractures, Bone Spurs, and Recovery

Is there a fracture or degenerative bone spur? Hello, doctor. I've been really troubled by my right knee since a recent car accident. It's healing very slowly, and every time I go for a follow-up appointment, the doctor gives me different information. I'm really at...

Dr. Shi Guozheng Reply:
The X-ray appears to be normal, showing no bone spurs or signs of fractures. If you still feel there is an issue, you should consult a physician for further evaluation.

Understanding Coccyx and Lumbar Pain: Solutions for Lasting Relief

Coccygeal issues and lumbar spine issues? Since I started practicing track and field in junior high, I have had persistent issues with my lower back and coccyx that haven't improved. I have seen many Western and traditional Chinese medicine practitioners, but nothing has wor...

Dr. Shi Guozheng Reply:
Coccydynia is usually caused by localized inflammation, although the exact reason is not well understood. If pain occurs, treatment options include medication or local injections. Additionally, it is important to examine other areas of the spine for any issues.

Understanding Hip Pain and Groin Tightness: A Comprehensive Guide

Buttock pain with tightness in the groin? Around October 6th, I started feeling tightness in the muscles, unsure if it was in the left groin area or the scrotum, especially when sitting cross-legged. This tightness would also occur in certain standing positions. I visited a urolo...

Dr. Shi Guozheng Reply:
Inflammation in the joint between the pelvis and the sacrum can occur, and it is typically treated with medication. Applying heat and reducing activity levels for a few weeks can also help in the treatment.

Understanding Coccyx and Lumbar Pain: Solutions for Lasting Relief

Coccygeal issues and lumbar spine issues? Since I started practicing track and field in junior high, I have had persistent issues with my lower back and coccyx that have not improved despite seeing many Western and traditional Chinese medicine practitioners. My lower back hurts i...

Dr. Shi Guozheng Reply:
Coccydynia is primarily treated with medication and rehabilitation. Applying heat can help reduce pressure on the coccyx. If medication is ineffective, local corticosteroid injections may be considered.

Understanding and Treating Widespread Bone and Muscle Pain: A Guide

Generalized bone pain? Starting Friday night, I experienced bone pain in both legs, and I was awakened in the middle of the night by pain throughout my entire body, making it difficult to walk and move. This included pain in both finger joints and wrists, spine, sacrum, buttocks,...

Dr. Shi Guozheng Reply:
It could be a cold or a viral infection, and influenza is also a possibility. You should visit a hospital to consult a physician for an evaluation, especially if the symptoms persist.

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