Can Rib Flare Be Corrected? Understanding Pectus Excavatum Surgery Risks
Left costal margin protrusion? Hello Doctor, For a long time, I have had a noticeable outward protrusion of my left rib cage, and I also have mild pectus excavatum. I have consulted several orthopedic and thoracic surgeons, and they all recommended the Nuss procedure to correct...
Dr. Wang Shouji Reply:
Hello: If there is a thoracic deformity, it is important to also pay attention to the possibility of associated spinal deformities and limb length discrepancies. As for the correction of thoracic deformities, it falls under the scope of thoracic surgery, and the surgical risks an...[Read More] Can Rib Flare Be Corrected? Understanding Pectus Excavatum Surgery Risks
Understanding Hip and Thigh Muscle Issues After a Fall: Key Insights
Hip joint and thigh muscle issues? Hello, doctor! On March 16, during my trip, I accidentally fell to the right while pushing a large suitcase on an escalator. At that time, I was unable to stand on my right leg at all, and my family had to carry me back home. Four hours later, m...
Dr. Shi Guozheng Reply:
1. It may not be necessary to do so. 2. A contusion of the right hip is the most likely diagnosis. 3. It is possible. 4. If it is not very painful, medication may not be needed. 5. Gradually resuming movement will help the muscles recover. 6. It is advisable to seek med...[Read More] Understanding Hip and Thigh Muscle Issues After a Fall: Key Insights
Understanding Metatarsal Healing: Recovery Tips and Concerns
Metatarsal union Hello! My left foot's fifth metatarsal has a transverse fracture due to an ankle sprain. Ten weeks have passed, and during today's follow-up, the X-ray showed that the black line at the outer edge of the metatarsal is still present, but there is some wh...
Dr. Li Yongheng Reply:
Hello, generally speaking, it is normal for a fracture to still show signs of a crack on an X-ray one month after the injury, and it typically takes at least three months for it to heal. Therefore, your current condition appears to be normal. Adequate calcium and vitamin D can ai...[Read More] Understanding Metatarsal Healing: Recovery Tips and Concerns
Understanding Steel Rod Issues in Orthopedic Recovery: A Patient's Guide
Nail problems Dear Dr. Lee, I would like to ask for your advice regarding my mother. She was involved in a serious car accident in 2008, resulting in two fractured ribs, a broken left clavicle, and a concussion. She underwent surgery at that time to have metal pins inserted. Now...
Dr. Li Yongheng Reply:
Hello, your mother underwent internal fixation surgery with a bone screw on her left clavicle ten years ago. Recently, she has been experiencing weakness, pain, and difficulty lifting her left arm. The cause of these symptoms may not necessarily be related to the bone screw. Ther...[Read More] Understanding Steel Rod Issues in Orthopedic Recovery: A Patient's Guide
Understanding Whiplash Symptoms After a Motorcycle Accident
Post-traumatic sequelae from a motorcycle accident? I would like to ask the doctor about an incident that occurred on February 20th. While riding a motorcycle with a passenger in the rain, visibility was poor, which caused the motorcycle to skid to the right and fall. At the time...
Dr. Shi Guozheng Reply:
Whiplash syndrome refers to a condition resulting from cervical spine injury, so it is advisable for you to have a doctor examine it.[Read More] Understanding Whiplash Symptoms After a Motorcycle Accident
Recovery Timeline for Foot Ligament Sprain After Basketball Injury
Dorsal ligament strain of the foot? Due to a fall from a height while playing basketball, I sustained a sprain to the ligaments in my foot. After two weeks, I can walk normally. How long will it take to fully heal, and when can I return to sports?
Dr. Shi Guozheng Reply:
Approximately six weeks.[Read More] Recovery Timeline for Foot Ligament Sprain After Basketball Injury
Managing Post-Fracture Care in Elderly Patients with Polio and Diabetes
The patient has sustained a fracture due to a fall and also has a history of poliomyelitis and diabetes mellitus? Hello, Doctor: The patient is 65 years old and suffered a right tibial fracture from a fall in mid-January, requiring surgery and hospitalization. During the process,...
Dr. Ye Qingnian Reply:
The fixed metal plate will not damage the nerves or muscles. The timing for rehabilitation depends on the severity of the fracture and the stability of the plate fixation after surgery. Therefore, the most appropriate time for rehabilitation should be determined by the attending ...[Read More] Managing Post-Fracture Care in Elderly Patients with Polio and Diabetes
Addressing Frequent Falls and Growth Concerns in Young Children
Children frequently fall and have height issues? Dear Dr. Wang, I have a five-year-old boy and a two-year-old girl. My five-year-old son has frequently fallen while walking and running since he was little. He often complains of leg fatigue while walking and has difficulty jumpin...
Dr. Wang Shouji Reply:
Hello: Based on your description, considering the short stature, frequent falls, and eye condition, I personally believe it is necessary to assess muscle strength. If there is muscle weakness, neuromuscular diseases and hereditary cellular issues should be considered. I recommend...[Read More] Addressing Frequent Falls and Growth Concerns in Young Children
Managing a Distal Radius Fracture: Tips for Recovery and Care
Right wrist radial fracture? I sustained a right wrist radius fracture due to a fall on February 23, 2018. I underwent manual reduction in the emergency room and was treated with a long arm cast without surgical intervention. During a follow-up appointment on February 26, the doc...
Dr. Li Yongheng Reply:
Hello, you have a right wrist radial fracture that has been immobilized with a long cast. It is important to minimize movement of the shoulder, elbow, and wrist, but you should still move your fingers. When lying down or sleeping, you do not need to use a sling; just rest your ar...[Read More] Managing a Distal Radius Fracture: Tips for Recovery and Care
Understanding Growing Pains: A 19-Year-Old's Experience with Leg Discomfort
Growing pains at the age of 19? Hello, I have a question. I have had severe growing pains since childhood, often waking up crying in the middle of the night. As I grew older, these pains became less frequent, but I still experience them occasionally (about once every 1 to 2 month...
Dr. Chen Yongxue Reply:
Hello, growth pain should mostly disappear after puberty. Surgery is rarely needed. Please visit an orthopedic outpatient clinic for an examination. Thank you.[Read More] Understanding Growing Pains: A 19-Year-Old's Experience with Leg Discomfort
Understanding Coccydynia: When to Seek Medical Attention After a Fall
Coccygeal issues Hello, last week I slipped at home and landed on my buttocks. Initially, I felt a slight soreness in my coccyx, but I didn't think much of it. This sensation has persisted, although it wasn't very pronounced, just a vague discomfort. However, today I no...
Dr. Shi Guozheng Reply:
Coccyx contusions are usually very painful, and the pain may last for several days. It is advisable to visit a hospital for an examination, where an X-ray can be taken to check for any fractures of the coccyx. However, treatment is generally similar regardless of whether a fractu...[Read More] Understanding Coccydynia: When to Seek Medical Attention After a Fall
Should You Seek Medical Attention After a Stair Fall Injury?
Fell down the stairs? Hello, Doctor. This morning, I accidentally fell down the stairs (about 3 or 4 steps) and hit my spine (approximately 5 centimeters above the pelvis). The area where I hit my spine is about 5 to 7 centimeters in size, slightly red and bruised, and a bit pain...
Dr. Shi Guozheng Reply:
If the pain persists and affects the lower back, it is advisable to suspect a spinal fracture and go to the hospital for an X-ray to observe the condition.[Read More] Should You Seek Medical Attention After a Stair Fall Injury?
Post-Cast Care for Fifth Metatarsal Fracture: Walking and Healing Tips
Removal of cast for fifth metatarsal fracture? Hello, Doctor: I sustained a non-displaced closed fracture of the fifth metatarsal on December 23, 2017. Due to work obligations in Japan, I had to return there for rest and recovery. On January 5, 12, and 19, 2018, I had three layer...
Dr. Li Yongheng Reply:
Hello, I also agree with the explanation provided by the Japanese physician. You can walk slowly without pain, and if you experience pain, then you should wear the U-shaped splint. Currently, if you are walking without pain, there is no need to wear protective gear, and it will n...[Read More] Post-Cast Care for Fifth Metatarsal Fracture: Walking and Healing Tips
Understanding Femoral Neck Fractures: Risks and Recovery at 70
Left femoral neck fracture with displacement? Hello Doctor, I originally collapsed and fell due to sudden fever while undergoing rehabilitation at the hospital. I was diagnosed with a urinary tract infection and was admitted. Initially, I thought the fever caused weakness in my l...
Dr. Hong Ximing Reply:
Femoral neck fractures require surgical treatment, and if there are other bodily infections, it may increase the surgical risks. Surgery should only be performed when the patient's condition allows, to avoid impacting the healing and recovery process.[Read More] Understanding Femoral Neck Fractures: Risks and Recovery at 70
Understanding Rib Injuries: Misdiagnosis and Pain Management
Rib issues Hello, doctor. My mother is 47 years old. On December 7th, while cleaning, she accidentally fell off a ladder on the stairs and hit her rib area. She went to the emergency room where the first X-ray diagnosed her with fractures of the seventh and ninth ribs. However, t...
Dr. Chen Yongxue Reply:
Hello, rib fractures are often easily misdiagnosed. Fortunately, even with a rib fracture, most cases are managed conservatively. Typically, to confirm the diagnosis, an oblique X-ray of the ribs can be taken, or a CT scan may be utilized. However, even after a definitive diagnos...[Read More] Understanding Rib Injuries: Misdiagnosis and Pain Management
Understanding Pain While Walking After a Fracture: Causes and Solutions
Experiencing pain while practicing walking after a fracture is common? Hello, I suffered a comminuted fracture of the tibia and fibula on November 10, 2017, due to an accidental fall. I underwent surgery the same day to have plates and screws inserted. During my follow-up appoint...
Dr. Chen Yongxue Reply:
Hello, if there has been no undue external force after the surgery, there should not be any "fracture along the plate." Please try not to worry too much and make sure to attend your follow-up appointments. Thank you.[Read More] Understanding Pain While Walking After a Fracture: Causes and Solutions
Understanding Shoulder Dislocation and Fracture Recovery Challenges
Shoulder dislocation and fractures can take several years to heal and may not fully recover? Hello Dr. Chen: I am currently in sixth grade. When I was in second grade, I fell while doing pull-ups at school and dislocated my shoulder along with a fracture. It hurt a lot right afte...
Dr. Chen Yongxue Reply:
Hello, your condition may require an X-ray, physical examination, and possibly an MRI to determine the issue. Please visit a hospital for a clearer diagnosis. Thank you.[Read More] Understanding Shoulder Dislocation and Fracture Recovery Challenges
Knee Weakness and Pain: Understanding the Impact of Past Injuries and Obesity
Knee weakness in a kneeling position? Hello, doctor. When I was in elementary school, I had several falls that left scars on both of my knees. Since then, my knees have been weak in a kneeling position, causing my body to lean forward. I'm not sure what issues my knees might...
Dr. Li Yongheng Reply:
Hello, if your knees are in a kneeling position and feel weak, your body may tilt forward, necessitating further examination to determine whether the issue lies with the knee or hip. Additionally, if you feel like you are going to fall backward after taking just a few steps up th...[Read More] Knee Weakness and Pain: Understanding the Impact of Past Injuries and Obesity
Should You Remove Steel Plates After Fracture Surgery? A Skiing Perspective
Plate removal issues Three years ago, I suffered an open comminuted fracture of the left femur due to a car accident, and two steel plates were inserted at that time. Follow-up examinations showed that the fracture and bone condition were both good, and the doctor mentioned that ...
Dr. Li Yongheng Reply:
Hello, your left femur fracture has healed. If you are not experiencing any discomfort in your daily activities, it is generally not recommended to undergo another surgery to remove the hardware. This is especially true considering your recent interest in learning to ski; it is e...[Read More] Should You Remove Steel Plates After Fracture Surgery? A Skiing Perspective
Should You Remove Metal Plates After Severe Leg Fractures?
Should it be removed? Hello, doctor. Three years ago, I suffered a comminuted open fracture of my left thigh due to a car accident. At that time, two steel plates were inserted, and follow-up examinations showed that the bone healed well. The doctor mentioned that the plates coul...
Dr. Li Yongheng Reply:
Hello, your left femur fracture has healed. If you do not experience any discomfort in your daily life, it is generally not recommended to undergo surgery to remove the hardware. Especially since you are considering learning to ski, it is even less advisable to have another surge...[Read More] Should You Remove Metal Plates After Severe Leg Fractures?