Fall, Orthopedics FAQ

Understanding Buttock Pain: Causes and Concerns in Orthopedics

Zhang Bifang Hello, doctor... Recently, I've noticed two indented areas on the upper part of my buttocks. The area to the right of the indentation hurts when I perform simple movements. I'm really worried... I don't know if it's due to a previous fall on my bu...

Dr. Xu Zhaoren Reply:
It could be a trigger finger; a proper diagnosis can only be made after an examination. If there is pain, surgery may be necessary for treatment.

How to Treat a Fractured Coccyx After a Fall: Pain Management Tips

If you fall and injure your coccyx, and an X-ray shows deformity, you should take the following steps: 1. **Consult a Healthcare Professional**: It's important to see a doctor or orthopedic specialist for a thorough evaluation and to discuss your X-ray results. 2. **Pain M...

Dr. Wang Zikang Reply:
Dear Sir/Madam, Although the coccyx has lost most of its function, if a fracture displacement occurs due to trauma, the pain can still be quite severe. Generally, coccygeal fractures resulting from direct trauma do not require surgical treatment, and the pain typically diminishe...

Can O-Shaped Legs Be Corrected Without Surgery?

Is there still a chance to correct bow legs? Doctor, I would like to ask a question! I have a very troubling case of bow legs, which is due to family genetics. Is there a chance for correction? Is surgery the only option for improvement, or can certain exercises help as well? Sin...

Dr. Xu Zhaoren Reply:
Bow legs are hereditary and fall within the normal range. Treatment is not necessary unless the condition is severe and causes joint pain. The treatment method is surgical correction through osteotomy.

Understanding Spinal Injuries: Symptoms, Treatment, and When to See a Specialist

Spinal cord injury Due to a fall before May, I sustained an injury in the area between my groin and lower back, which has been painful for 1-2 days. I did not see a doctor at that time, but the pain subsided. However, the injured area has suddenly started to hurt again in the pas...

Dr. Wang Zikang Reply:
Dear netizen: The area referred to as the groin and the waist is the inguinal region, where pain caused by a contusion typically does not lead to neurological symptoms. Since the majority of lower limb nerves are supplied by the posterior sciatic nerve, symptoms such as fever and...

Essential Care Tips for Managing Fracture Patients Effectively

How to Properly Care for Patients with Fractures How to care for a patient with a fracture?

Dr. Shi Qiming Reply:
To begin with, it is essential to assess the patient's mobility. If the patient is unable to move due to a fracture and requires bed rest, rehabilitation should be conducted in bed to prevent joint stiffness and muscle atrophy, typically with assistance for joint activities....

Experiencing Sharp Pain on the Left Side of Your Right Knee?

Is there a "sharp pain" on the left side of the right knee? I have many scars on my knees due to frequent falls during my childhood. In the past six months, I have often felt a "sharp pain" on the left side of my right knee (I am left-handed). What could be th...

Dr. Shi Qiming Reply:
Subject: Knee Pain There are many potential causes of knee pain, and associated symptoms such as redness, swelling, and warmth should also be noted. Generally, injuries from trauma or sports can affect the ligaments, cartilage, and bones. If the bone is injured, the knee joint m...

Understanding Shoulder Pain: Causes and Solutions for Better Sleep

Shoulder pain I started experiencing shoulder pain two weeks ago for an unknown reason, and at night, the pain is so severe that it's difficult for me to fall asleep. What could be the cause of this?

Dr. Shi Guozheng Reply:
Check if there is any pressure; sleeping on one side can cause muscle or nerve pain. Additionally, modern individuals often experience shoulder pain due to prolonged computer use, which can lead to myofascial pain syndrome. Identifying the cause and treating it accordingly is ess...

Understanding Joint Noises: Causes and Solutions for Common Issues

Joint sounds? I sometimes hear sounds in my hand joints (shoulder and elbow) when bending and straightening. My left knee, which was previously injured (bruised from a fall), makes a grinding noise when I walk or run. I'm not sure if this indicates any problems and if it can...

Dr. Shi Guozheng Reply:
It is normal for joints to make sounds; this may be the sound of tendons sliding over the joint. If it does not cause pain or affect joint function, there is generally no cause for concern.

Dealing with Dance-Related Bruising: When to Seek Help for Your Toes

Bruising of the toes due to dancing? I'm sorry to bother you. I think my dancing caused bruising on my toe due to ill-fitting shoes. I thought it would improve in a couple of days, but it's been almost a month and there hasn't been any improvement. What should I do...

Dr. Sun Ruisheng Reply:
The issue raised by the reader likely refers to bleeding under the nail bed. If this is accompanied by bruising in the soft tissue or around the joint, one should suspect potential injuries to the bone or joint. Generally, bleeding under the nail bed often leads to ischemic necro...

Understanding Lumbar Disc Herniation: Causes and Symptoms After a Fall

Medical inquiry, please respond, thank you (forwarded from the Director's mailbox)? Dear Director Jun-Jian, I hope this message finds you well. I have several medical questions that I would appreciate your insights on. 1. What are the causes of lumbar disc herniation acco...

Dr. Wang Zikang Reply:
Dear Mr. Han, Intervertebral disc protrusion generally occurs in younger populations, primarily due to improper use, excessive weight-bearing, overly intense exercise, prolonged poor posture, and congenital disc injuries. Therefore, contusions and disc protrusions often occur si...

Understanding Persistent Pain After Hip Replacement Surgery: Key Insights

Three months post-hip joint surgery, still experiencing pain while lying in bed? Hello Doctor, my brother is 33 years old. Three months ago, he underwent surgery for a unilateral total hip arthroplasty. A month ago, he returned to work using a cane, but after two days, he experie...

Dr. Shi Guozheng Reply:
Three months after hip replacement surgery, there should generally be no pain. If pain persists post-surgery, there are several possible reasons. Inflammation or infection can be assessed through blood tests. Secondly, it may be due to inadequate fixation of the bone or the artif...

Can Modern Medicine Correct an Old Dislocated Shoulder Pain-Free?

Regarding dislocation? Hello Dr. Yeh, I would like to ask a question: When I was six years old, I dislocated my right arm (the joint between the upper arm and the forearm) due to a fall. At that time, I sought help from a local martial arts clinic to have it reset, but due to po...

Dr. Ye Qingnian Reply:
At the age of six, a fall resulted in an injury to the right elbow, which was a fracture of the right elbow. This is what caused the bending of the upper limb, and it is definitely not a dislocation.

Managing Post-Car Accident Orthopedic Issues: Pain Relief Strategies

Post-accident sequelae? I was in a car accident yesterday, and I don't remember how I fell. When I woke up, I was able to get up and ride my bike to work. After that, I immediately went to the emergency room, where I had an X-ray, and the doctor said everything was fine. How...

Dr. Li Wenlin Reply:
Hello: In response to your question, injuries caused by a car accident typically result in contusions or sprains. Muscles, tendons, and soft tissues may experience bruising or microvascular hematomas or bleeding, usually leading to pain and weakness within 48 to 72 hours. Based o...

Understanding Wrist Pain: Causes, Treatments, and When to Seek Help

Issues related to the wrist? Hello, Doctor. I have a question to ask you... Currently, I am experiencing pain in both of my wrists. I visited an orthopedic doctor, who believes it is a sprain. However, I did not fall or experience any trauma. The symptoms include sudden weakness ...

Dr. Shi Guozheng Reply:
Symptoms like these are usually caused by overuse or improper use, with the most common issues being ligament or tendon inflammation, which typically improve with rest or medication. Another possibility is rheumatoid arthritis, a condition that can affect multiple joints, but can...

Understanding Spinal Injuries: Symptoms, Diagnosis, and Treatment Options

Spinal cord injury Hello Doctor: I accidentally fell and landed on my buttocks, initially feeling pain around the groin and lower back, but it wasn't very severe. I went to the orthopedic department at National Taiwan University Hospital and the neurosurgery department at Tr...

Dr. Shi Guozheng Reply:
Falling to the ground typically results in impact to the coccyx. Injuries to the coccyx usually cause pain but rarely lead to neurological deficits. If there is compression of the spine, it may result in abnormalities in movement and sensation, such as muscle weakness, paralysis,...

Is Osteoarthritis a Disability? Understanding Functional Impairment

Who will come to save me..? Is degenerative arthritis considered a disability, or does it fall under functional impairment? Can it be evaluated? Because I currently experience pain even when walking...

Dr. Sun Ruisheng Reply:
Severe degenerative arthritis may cause symptoms similar to disability in patients, but it is generally classified as a functional impairment. It can typically be improved through medication or surgical interventions.

Persistent Swelling in the Index Finger: Seeking Advanced Treatment Options

Swelling of the index finger? Dear Doctors, I would like to ask for your advice regarding my mother. She accidentally fell and has since experienced persistent swelling in her left index finger, which is sometimes painful. She has already visited a clinic where an X-ray was take...

Dr. Chen Xingyuan Reply:
Dear Ms. Nana, Your mother has sustained an injury to her left index finger due to a fall, resulting in swelling. First, it is essential to determine whether there is any fracture or dislocation, as well as to check for any associated abrasions or lacerations at the time of inju...

Understanding Recovery After ACL and Meniscus Injuries: A Patient's Guide

Tear of the right knee posterior cruciate ligament, rupture of the collateral ligaments, and meniscus tear? Hello Doctor, A month ago, I was injured in a car accident, resulting in a complete tear of my right knee posterior cruciate ligament (PCL), a rupture of the collateral li...

Dr. Su Yiren Reply:
Hello Walice Zilo! I am pleased to assist you. Regarding issues with the posterior cruciate ligament (PCL), there are some contradictions and uncertainties surrounding the mechanical principles and pathological issues of both the anterior cruciate ligament (ACL) and PCL. Firstl...

What to Do If You Dislocate Your Jaw at Home: A Guide to Treatment

What to do for a dislocated jaw? What should I do if I discover that my jaw is dislocated at home? Which specialty should I see?

Dr. Xu Zhijun Reply:
Hello, children: Temporomandibular joint dislocation falls under the category of oral and maxillofacial surgery or orthopedic surgery. You may seek assistance from a specialist in these fields.

Managing Osteoporotic Spine Fractures in Elderly Patients: Recovery and Rehabilitation Tips

Compression fracture Your father suffered a vertebral compression fracture two months ago. At 83 years old, he has a sensitive constitution and high blood pressure, and the doctor recommended against surgery, advising home care instead. He can move his limbs, but due to prolonged...

Dr. Shi Guozheng Reply:
An 83-year-old patient with a vertebral compression fracture may have this condition due to osteoporosis and falls. Typically, after a compression fracture, bed rest is recommended for about two weeks. Once back or lumbar pain improves, it is important to start rehabilitation pro...

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