Understanding Fibula Fractures: Healing Tips and Ankle Positioning
Fibula fracture Continuing from <a href="https://adoctor.tw/article/149719">#149719</a>, if using a brace that does not stabilize the ankle and foot, I experience a sensation during ankle movement at the fracture site that feels like either bone friction or ...
Dr. Li Yongheng Reply:
Hello, actually, proximal fibula fractures are usually not prone to displacement, and even if they do displace, the impact is often minimal. Therefore, if you are concerned about insufficient immobilization with a brace, you may need to resort to casting for stabilization.[Read More] Understanding Fibula Fractures: Healing Tips and Ankle Positioning
Managing Proximal Fibula Fractures: Recovery Tips and Concerns
Fibula fracture issues? You have a proximal fibula oblique fracture that has been present for one week. You are currently using a brace designed for anterior cruciate ligament (ACL) injuries, which allows for a 30-degree flexion. However, you experience a sensation of bone grindi...
Dr. Zhan Xian Reply:
Proximal fibula fractures are typically managed conservatively, although the decision may depend on the degree of displacement. It is recommended to keep the ankle at approximately 90 degrees during rest, to rest frequently, to avoid prolonged walking, and to refrain from smoking...[Read More] Managing Proximal Fibula Fractures: Recovery Tips and Concerns
Understanding Tibial Fractures: Complications and Treatment Options
Tibial fracture Hello Doctor: My brother is a patient with a closed fracture of the upper end of the right tibia and has undergone internal fixation surgery with bone screws. One and a half months after discharge, he was diagnosed with acute hematogenous osteomyelitis of the tibi...
Dr. Chen Yongxue Reply:
1. Is it more suitable for the original surgeon who initially placed the artificial plates and screws to perform the removal and debridement surgery, or is it acceptable for a surgeon from another hospital to do it? What are the pros and cons of each? Having the original surgeon ...[Read More] Understanding Tibial Fractures: Complications and Treatment Options
Relieving Pain from Sitting: Solutions for Tailbone Discomfort
Sitting on a chair causes the bones in the buttocks to directly contact the surface, resulting in a sensation of the entire body weight pressing down on the bones? Just relax and concentrate your body weight on your buttocks, and you will feel the bones pressing directly on the c...
Dr. Li Yongheng Reply:
Hello, as a male, you naturally have less fat in the buttocks compared to females, and a height of 176 cm with a weight of 52 kg is considered underweight. Therefore, prolonged sitting or poor posture may lead to the aforementioned discomfort symptoms.[Read More] Relieving Pain from Sitting: Solutions for Tailbone Discomfort
Understanding Neck Bone Issues: Causes of Unusual Sensations and Movements
Cervical spine issues 1. When swallowing, there is a strange sensation in the neck, as if the cervical vertebrae are moving, but there is no pain. This sensation disappears when the head is lifted to certain angles. What could be the cause? 2. During sit-ups, when reaching a cer...
Dr. Wang Shouji Reply:
Hello: 1. The sensation of something moving in the neck while swallowing is mostly related to the hyoid bone; if there is no discomfort, it is generally not a concern. 2. If there is no pain or external injury, it is likely not related to any serious issue. If you have any questi...[Read More] Understanding Neck Bone Issues: Causes of Unusual Sensations and Movements
Coccydynia: Understanding Tailbone Pain After Severe Coughing
Coccygeal issues Hello Doctor: About a month ago, I had a severe cold and was coughing a lot. Initially, I didn't have many symptoms, but after a while, I started to feel some soreness in my coccyx (the area where the tailbone is located). I could feel it whether I was stand...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is likely that you have coccydynia due to improper posture or exertion, which may have led to coccygeal fasciitis. It is recommended that you visit an orthopedic clinic for an X-ray examination for peace of mind. If necessary, you may need to tak...[Read More] Coccydynia: Understanding Tailbone Pain After Severe Coughing
Understanding Posterior Cruciate Ligament Injuries: Surgery or Self-Healing?
Tear of the posterior cruciate ligament with associated fracture? A month ago, I fell off my bike due to slippery road conditions while braking. I went to the hospital for X-rays and an MRI. During my follow-up appointment today, the doctor said that I have a piece of bone pulled...
Dr. Shi Guozheng Reply:
If there is a displacement, it is best to undergo surgery, as it is difficult for the joint to heal in its original position afterward. In such cases, the ligaments may become too lax, leading to anterior-posterior instability of the joint without surgery. After the surgery, a re...[Read More] Understanding Posterior Cruciate Ligament Injuries: Surgery or Self-Healing?
Understanding Painful Upper Back Lumps: Causes and When to Seek Help
A painful lump in the upper back? Waking up in the middle of the night with sudden back pain, I found a small hard lump on my upper back that is painful to touch. After researching online, I came across information suggesting it could be a posterior protrusion of the thoracic ver...
Dr. Chen Yongxue Reply:
Hello, you should first see an orthopedic specialist for further examination. Thank you.[Read More] Understanding Painful Upper Back Lumps: Causes and When to Seek Help
Should You Choose a Hard or Soft Neck Brace for Injury Recovery?
Should a cervical collar be hard or soft? I experienced pain in my cervical spine after being hit by an elbow, but I'm also feeling pain in areas that weren't directly impacted, such as my thoracic spine and upper back. The outpatient physician said there are no issues ...
Dr. Li Yongheng Reply:
Hello, I sustained an injury to my cervical spine from an elbow impact, but the outpatient physician stated that there are no fractures. The impact has caused cervical tendinitis, which not only results in neck pain but also radiates to the upper back, causing discomfort in the t...[Read More] Should You Choose a Hard or Soft Neck Brace for Injury Recovery?
Understanding Neck Bone Tumors and Their Potential Symptoms
Occipital bone tumor and cervical spine issues? I have a genetic predisposition to multiple osteomas, with various sizes of bone tumors throughout my body. I previously had a large osteoma on my foot examined, but since it does not compress any nerves, the doctor advised against ...
Dr. Chen Yongxue Reply:
You have multiple osteomas, which are generally more common in the limbs. If, as you mentioned, there are occurrences in the cervical spine, it would be advisable to conduct further imaging studies to determine if there is indeed any compression. Otherwise, relying on subjective ...[Read More] Understanding Neck Bone Tumors and Their Potential Symptoms
Understanding Osteoarthritis: Diagnosis and X-ray Insights for Knee Pain
Degenerative arthritis?? with X-ray? Hello Doctor, my mother is 58 years old. Recently, she experienced knee pain and went to the hospital for an examination. Two doctors provided different opinions: one said she has osteoarthritis and needs a knee replacement, while the other sa...
Dr. Li Yongheng Reply:
Hello: Based on the X-ray you provided, your mother has been diagnosed with stage III osteoarthritis of the knee. She has not yet reached the criteria for joint replacement surgery. It is recommended that she consider treatment with high-concentration platelet-rich plasma (PRP) o...[Read More] Understanding Osteoarthritis: Diagnosis and X-ray Insights for Knee Pain
Understanding Distal Radius Fractures: Recovery and Rehabilitation Insights
Distal radius fracture Hello, Doctor. I slipped and fell on May 28 of this year, resulting in a distal radius fracture in my left hand. I have been undergoing conservative treatment and only wearing a splint. I regularly consume tea, coffee, milk, and calcium supplements. I had f...
Dr. You Dianqi Reply:
Hello, the general guideline for when a physician allows you to remove the protective brace is when you can start engaging in some light range of motion exercises. Additionally, since you are undergoing conservative treatment, it is normal for the rehabilitation timeline to be sl...[Read More] Understanding Distal Radius Fractures: Recovery and Rehabilitation Insights
Rehabilitation After Distal Radius Fracture: When to Start?
Fracture rehabilitation Hello, Doctor. I slipped and fell on May 28, resulting in a distal radius fracture in my left hand. I did not require surgery and have been undergoing conservative treatment with a splint and sling. I had follow-up X-rays on June 16 and July 14, and there ...
Dr. Li Yongheng Reply:
Hello: It has been nearly two months since the distal radius fracture in your left hand on May 28. Currently, you are experiencing weakness in your hand, and movement is not smooth. Your palm is also swollen, making it difficult to make a fist. Therefore, you should visit the reh...[Read More] Rehabilitation After Distal Radius Fracture: When to Start?
Post-Patellar Fracture Surgery: Key Rehab Questions Answered
Hello, doctor. I have some questions regarding post-operative issues related to patellar fractures that I would like to ask you? Hello, doctor. It has been 56 days since my patellar fracture and internal fixation surgery (with wires and screws). Two days ago, during a follow-up v...
Dr. Li Yongheng Reply:
Hello: 1. If it has been 56 days since the patellar fracture and internal fixation surgery, but you can only bend your knee about 45 degrees on your own, it may be necessary to take more aggressive measures. You can ask your physician if it is possible to perform manual therapy u...[Read More] Post-Patellar Fracture Surgery: Key Rehab Questions Answered
Persistent Ankle Swelling After Sprains: Causes and Solutions
The ankle sprain has not resolved or reduced swelling? I have two questions. First, my ankle was sprained over three years ago while skateboarding, and since then, I have frequently sprained it again. After treatment and recovery, my ankle has not returned to its normal size; it ...
Dr. Zhan Xian Reply:
Please go to the hospital for orthopedic evaluation and imaging studies![Read More] Persistent Ankle Swelling After Sprains: Causes and Solutions
Post-Patellar Fracture Rehabilitation: Pain, Healing Time, and Recovery Tips
Post-operative and rehabilitation issues following patellar fracture? Hello Doctor, I suffered a comminuted fracture of the patella on May 7th and started rehabilitation last week. While performing quadriceps strengthening exercises, I feel a pulling pain in the patella. I would ...
Dr. Li Yongheng Reply:
Hello, here are the answers to your questions: 1. Patellar fractures typically do not cause pain during rehabilitation and take about six months to heal; X-ray examinations show complete healing in approximately one year. 2. Smoking and alcohol consumption have adverse effects on...[Read More] Post-Patellar Fracture Rehabilitation: Pain, Healing Time, and Recovery Tips
Understanding Ankle Open Fractures in Children After a Car Accident
Open fracture of the ankle due to a car accident? Hello Doctor: At the end of May this year, my 13-year-old child was involved in a car accident, resulting in an open dislocation and fracture of the right ankle joint, as well as fractures of the first and second metatarsals. This...
Dr. Li Yongheng Reply:
Hello, based on what you described: the bones from below the right knee to the ankle are slightly shifted to the right, and the foot is turned inward like a "pigeon toe," which is abnormal. It is advisable for you to return for a follow-up consultation with a surgical s...[Read More] Understanding Ankle Open Fractures in Children After a Car Accident
Understanding Coccydynia: Recovery Tips After a Tailbone Fracture
Coccygeal fracture Hello, I fell down the stairs yesterday and saw an orthopedic doctor today. The doctor said I have a coccyx fracture and that no special treatment is needed; it should heal on its own in about two months. I would like to know what actions I should avoid during ...
Dr. Li Yongheng Reply:
1. Coccygeal fractures typically heal within 6 to 8 weeks. 2. It is advisable to avoid bending at the waist, squatting, and lifting heavy objects. 3. Currently, there are no specific rehabilitation, exercises, dietary supplements, or medications that can expedite recovery.[Read More] Understanding Coccydynia: Recovery Tips After a Tailbone Fracture
Understanding Coccydynia: Causes, Duration, and Treatment Options
Coccydynia Hello, doctor. I have been experiencing pain in my coccyx for over a month. I had an X-ray done, and the bones appeared normal, but the pain has not decreased; in fact, it has intensified. The pain is located about 1-2 centimeters above the anus. How long does it typic...
Dr. Li Yongheng Reply:
Hello, typically a coccyx contusion with inflammation takes about 6-8 weeks to heal. You should avoid bending, lifting heavy objects, and prolonged sitting. It is advisable to use a soft chair and avoid pressure on the painful area. Wishing you a speedy recovery.[Read More] Understanding Coccydynia: Causes, Duration, and Treatment Options
Understanding Self-Healing in Clavicle Fractures: Is It Normal?
Is there a possibility of self-healing for a clavicle fracture? Hello, Doctor. Today marks 4 weeks since I sustained a distal right clavicle fracture. The doctor suggested that I could either undergo surgery or choose not to; I opted for self-recovery using a triangular sling. In...
Dr. Shi Guozheng Reply:
1. It is normal. 2. These symptoms will disappear after the bones have healed.[Read More] Understanding Self-Healing in Clavicle Fractures: Is It Normal?