Understanding Closed and Comminuted Fractures: Causes and Recovery Insights
Closed and comminuted? I sustained a closed fracture of the right radial head due to a fall. It has been over three months since the fall, and I still experience pain when pressing up and down with my right hand. It also becomes stiff after being idle for a long time. Is this a b...
Dr. Shi Guozheng Reply:
Pain during compression after a fracture may indicate that it has not yet healed. Prolonged immobility can lead to stiffness due to reduced joint mobility following the injury, and it is essential to gradually practice movement to improve this condition. A closed fracture refers ...[Read More] Understanding Closed and Comminuted Fractures: Causes and Recovery Insights
Understanding Distal Radioulnar Joint Dislocation: Prognosis and Treatment Options
Distal radioulnar joint dislocation After previously falling off a bicycle and landing on my hand, I have experienced wrist pain that has persisted for over two weeks. An X-ray diagnosis revealed a distal radioulnar joint dislocation. The doctor recommended taking pain medication...
Dr. Wang Shouji Reply:
Hello: If a distal radioulnar joint dislocation remains significantly unstable after being protected and allowed to heal on its own, surgical stabilization of the joint is necessary, as it may affect the pronation and supination of the wrist. Initially, protection (using a cast o...[Read More] Understanding Distal Radioulnar Joint Dislocation: Prognosis and Treatment Options
Understanding Pain from Sitting Sleep: Is It Just Pressure or a Concern?
Frequent sleeping while sitting? Hello, doctor: I often find myself falling asleep in a chair, and sometimes when I wake up, I feel pain around the ischial area, but it usually subsides quickly. Just now, when I woke up from sitting and sleeping, I felt more pain near the ischium...
Dr. Chen Yongxue Reply:
Sleeping while sitting is not suitable for the human body, as it can easily lead to unnecessary aches and does not provide adequate rest, so it is not recommended.[Read More] Understanding Pain from Sitting Sleep: Is It Just Pressure or a Concern?
Post-Fracture Numbness and Weakness in Leg: What to Expect?
Numbness and weakness in the calf after a closed femoral fracture? Hello Doctor: My mother was involved in a car accident on May 18th this year, resulting in a closed fracture of the left femur and a closed fracture of the subtrochanteric region. She underwent reduction and inter...
Dr. Shi Guozheng Reply:
Femoral fractures can sometimes be accompanied by neurological impairments, often caused by traction or impact on the sciatic nerve, leading to nerve paralysis. This may be temporary, but it can also be permanent. The extent of recovery will need to be monitored. Currently, the a...[Read More] Post-Fracture Numbness and Weakness in Leg: What to Expect?
Understanding Hand Pain: Symptoms and Causes of Finger Stiffness
The palm is slightly bent, the fingers are together and cannot bend, there is a sensation of being tightly gripped by the fingers, along with a crushing pain sensation? Last winter, I woke up one morning with my palms slightly bent, my fingers together and unable to bend, feeling...
Dr. Chen Yongxue Reply:
Hello: Many conditions can cause the above situation. For your health, please schedule a follow-up examination at the outpatient clinic. Thank you![Read More] Understanding Hand Pain: Symptoms and Causes of Finger Stiffness
Understanding Hip Joint Bone Protrusion After a Fall: What to Do?
Bony protrusion at the hip joint? Hello, doctor. A few weeks ago, I fell while playing basketball and landed on my side. As a result, I have a bruise near my hip joint, and I recently noticed that the area is slightly protruding outward compared to my uninjured leg. It feels like...
Dr. Lin Jingwei Reply:
Based on your description, it is possible that the swelling is due to bursitis at the greater trochanter caused by trauma. You can initially apply ice to reduce the swelling. If the swelling does not subside, worsens, or if pain occurs, it is recommended to follow up with an orth...[Read More] Understanding Hip Joint Bone Protrusion After a Fall: What to Do?
Understanding Tibia and Metatarsal Fractures: Rehabilitation Insights
Tibial and metatarsal fractures and rehabilitation issues? On May 9, I underwent surgery at the hospital for a closed fracture of the right tibia (with an adjustable ankle brace applied). (Attached image, the one on the right is from the follow-up on July 17) http://imgur.com/GkJ...
Dr. Shi Guozheng Reply:
Based on your images, the fracture has healed, and you can start moving around. There is no need for further rehabilitation, and you can put weight on your right foot. Walking should not be an issue, and there is no need to see the doctor again. With more time, it will continue t...[Read More] Understanding Tibia and Metatarsal Fractures: Rehabilitation Insights
Can Car Accidents Cause Coccygeal Disc Displacement?
Coccygeal disc displacement Can a car accident resulting in a collision that causes both the person and the vehicle to fall lead to a displacement of the lumbar intervertebral disc? Or is this considered an occupational injury? (The individual who fell from the vehicle has a job ...
Dr. Shi Guozheng Reply:
The likelihood of a herniated disc occurring from a car accident is very low; however, it is possible to develop one from long-term work-related activities. To determine if it qualifies as an occupational disease, it is necessary to consult an occupational medicine specialist for...[Read More] Can Car Accidents Cause Coccygeal Disc Displacement?
Understanding Patellar Tendonitis and Cartilage Issues in the Knee: A Comprehensive Guide
Patellar tendinitis and irregularities in the cartilage on the posterior aspect of the knee? Hello, doctor. I currently have a knee joint issue and would like to consult you. Two months ago, I fell off my bicycle (I realized my shoes were still clipped in when I stopped, and I fe...
Dr. Shi Guozheng Reply:
Knee injuries can lead to swelling or pain within three months. If the cartilage of the patella is damaged, activities such as going up and down stairs or squatting may be painful or difficult. It is important to check for any displacement of the patella, which can be assessed th...[Read More] Understanding Patellar Tendonitis and Cartilage Issues in the Knee: A Comprehensive Guide
Understanding Pain in the Hip Area: When to See a Doctor
Coccyx issues Hello doctor, I would like to ask about some pain I am experiencing. Today, when I press on the bones in my buttocks, it hurts, and it also hurts when I sit down. I don't recall falling or being hit. What could this problem be? Should I see a doctor, or will it...
Dr. Wang Shouji Reply:
Hello: If there is no history of trauma, you may start with heat therapy and avoid sitting on hard chairs. If there is no improvement after one week, it is recommended to visit an outpatient clinic for further evaluation to rule out any other issues. Thank you![Read More] Understanding Pain in the Hip Area: When to See a Doctor
Understanding Open Tibia-Fibula Fractures: Recovery and Concerns
Open fracture of the right tibia and fibula? Hello Dr. Huang: I was in a car accident last month (on May 3) and sustained an open fracture of the right tibia and fibula. I had an intramedullary nail inserted, which I paid for out of pocket. The day before yesterday, I accidentall...
Dr. Huang Minxu Reply:
Hello: If there is another fall resulting in injury and there are visible abnormalities, a follow-up appointment should be scheduled to assess and monitor with X-rays to check for any loosening of screws, new displacements, or new fractures. Generally, after surgery, a cane can b...[Read More] Understanding Open Tibia-Fibula Fractures: Recovery and Concerns
Vertebral Compression Fractures in Osteoporosis: Is Cement Surgery Effective for Seniors?
Compression fractures of the first and second vertebrae due to a fall caused by osteoporosis? My mother is currently 84 years old and has suffered compression fractures of the first and second vertebrae due to osteoporosis after a fall. She no longer experiences much pain, but sh...
Dr. Shi Guozheng Reply:
Typically, after a spinal injury, the pain will decrease within one to two weeks, and the patient may gradually be able to sit up. However, complete recovery may take two to three months. The use of bone cement in surgical procedures has shown excellent results, providing immedia...[Read More] Vertebral Compression Fractures in Osteoporosis: Is Cement Surgery Effective for Seniors?
Understanding Skull Shape Changes: Is It Normal at 19?
The bones of the skull? Hello, doctor. I have a question: I previously didn't have a bump on the top of my head, but recently I've been feeling very anxious, which often leads to a throbbing pain at the top of my head. When I massage it, I noticed a protrusion (the pain...
Dr. Hong Ximing Reply:
The protrusion on the top of the head can be revealed by a skull X-ray, and by the age of 19, the skull should be fully formed, which suggests it is unrelated to mental processes. Any confusion in thoughts may fall under the domain of psychosomatic medicine.[Read More] Understanding Skull Shape Changes: Is It Normal at 19?
Understanding Wrist Pain After a Fall: Causes and Treatments
Experiencing significant pain in the wrist after using the hands to brace during a fall? Today, I fell off the pull-up bar and caught myself with my hands. Initially, I couldn't move my hand, so I applied ice. Now, my right hand can only bend inward at a 35-degree angle.
Dr. Hong Ximing Reply:
Hello: After supporting yourself with your hands, there are limitations in movement, and there should be swelling. It is best to go to the hospital for an X-ray to ensure there are no fractures, which will allow for accurate diagnosis and treatment. Wishing you a speedy recovery....[Read More] Understanding Wrist Pain After a Fall: Causes and Treatments
Understanding Lumbar Injuries: Causes, Symptoms, and Treatments
Lumbar spine injury The orthopedic doctor prescribed me appetite stimulants, B12, anti-inflammatory pain relievers, and muscle relaxants. Now, when I sit, my legs feel numb. In middle school, I occasionally experienced sudden leg weakness that caused me to fall, and I have previo...
Dr. Shi Guozheng Reply:
Sciatica may not be directly related, but it is often caused by a herniated intervertebral disc in the lumbar spine that compresses the sciatic nerve. Typically, the intervertebral discs in the lumbar spine lose hydration and elasticity due to aging. When subjected to significant...[Read More] Understanding Lumbar Injuries: Causes, Symptoms, and Treatments
Is It Safe for Teens to Take Joint Supplements After Ankle Fractures?
Is Jianbu Wan suitable for use during puberty? After an ankle fracture (in mid-May), experiencing soreness during exercise is common. What can be taken to improve this? (Easy-to-take pills) I've heard that Jianbu Pills can be used; is it safe to take during puberty? Will it ...
Dr. Chen Yongxue Reply:
Ankle fractures, particularly those involving the joint surface, require careful reduction and stabilization. Even with proper healing, approximately 40% of patients may still experience soreness when there is a sudden drop in atmospheric pressure or after prolonged weight-bearin...[Read More] Is It Safe for Teens to Take Joint Supplements After Ankle Fractures?
Managing Elderly Spine Fractures: Care Options and Rehabilitation Insights
Elderly fractures Hello, Doctor: I would like to ask you about the issue of fractures in the elderly. My grandfather fell two days ago and injured his spine, resulting in a vertebral fracture near the coccyx. He is currently 80 years old, undergoing dialysis, and has diabetes. Af...
Dr. Chen Yongxue Reply:
If it is a fracture of the coccyx, surgery is generally not necessary, as there are no important nerves in that area and no issues with nerve compression. Conservative treatment is sufficient, typically involving oral or topical analgesics. Once the internal bleeding subsides (ap...[Read More] Managing Elderly Spine Fractures: Care Options and Rehabilitation Insights
Understanding Clavicle Fractures: Recovery, Nutrition, and Rehabilitation
Clavicle fracture? On August 15th of this year, while riding my motorcycle downhill on the Suhua Highway, I noticed that the cement surface was wet and slippery. Seeing a red light ahead, I immediately braked and lost control, causing me to fall. My right shoulder hit the ground,...
Dr. Zhang Jiahao Reply:
Hello: Basically, you will need to keep your arm immobilized with a triangular bandage after surgery, which can both stabilize and support your upper limb. The time it takes for the bone to heal varies from person to person, but your attending physician should arrange for follow-...[Read More] Understanding Clavicle Fractures: Recovery, Nutrition, and Rehabilitation
Post-Dislocation Recovery: Key Tips for Diet and Exercise
Dislocated right arm due to a fall? Dr. Chen: Hello, I dislocated my right arm due to a fall on July 8, had my cast removed on July 22, and started rehabilitation on July 23. What should I pay attention to, such as dietary or exercise restrictions? Thank you!
Dr. Chen Yongxue Reply:
Hello: In response to your inquiry, you mentioned an arm dislocation that was treated with a cast. If I am correct, you are likely referring to an elbow joint dislocation. In cases of elbow dislocation without associated fractures, nerve, or ligament damage, rehabilitation therap...[Read More] Post-Dislocation Recovery: Key Tips for Diet and Exercise
Impact on Coccyx from a Fall: Long-term Effects and Concerns
Fell and injured the coccyx? Hello, doctor. Seven years ago, I fell down the stairs and injured my coccyx. At that time, I experienced severe pain and discomfort when sitting down, but I did not see a doctor. Now, when I do sit-ups or lie down, I feel pressure on my coccyx, and i...
Dr. Shi Guozheng Reply:
It won't have a significant impact, but sometimes there may be slight pain that is not bothersome.[Read More] Impact on Coccyx from a Fall: Long-term Effects and Concerns