Post-Surgery Stiffness in Pediatric Humerus Fracture: Seeking Solutions
Postoperative angular stiffness of the left humerus in a pediatric patient with a lateral condyle fracture? Dear Doctor, On March 13, just before turning four years old, my child accidentally fell from the bed and sustained a deformity in the left elbow due to a fracture. That e...
Dr. You Dianqi Reply:
Hello: As a parent myself, I understand your feelings. It truly pains me to hear about your child's condition. Would it be convenient for me to explain this to you in person? I find that written communication often fails to convey the precise information I wish to share with...[Read More] Post-Surgery Stiffness in Pediatric Humerus Fracture: Seeking Solutions
Understanding Leg Injuries: Causes, Symptoms, and Treatment Options
Leg problems? I'm sorry to hear about your situation. Last August, I was in a car accident where my right foot made a loud noise upon hitting the ground, and my left foot was pinned under a falling motorcycle. Upon being taken to the hospital, it was discovered that I had se...
Dr. Shi Guozheng Reply:
Bruises may occur due to bleeding from muscle impact. After an injury, you can apply heat to alleviate swelling after three days. If there is pain, over-the-counter analgesics and anti-inflammatory medications can be taken for treatment.[Read More] Understanding Leg Injuries: Causes, Symptoms, and Treatment Options
Patellar Dislocation: Managing Knee Pain and Running Risks
Patellar dislocation Hello, doctor. Three years ago, I dislocated my patella due to a fall. Since then, my knee has often been painful every night, and I find it difficult to move after waking up with my leg straight. I consulted an orthopedic specialist who diagnosed me with pat...
Dr. Chen Yongxue Reply:
Hello, moderate exercise is beneficial for the joints as it can enhance muscular endurance. However, excessive exercise can be detrimental and increase joint wear. Swimming is one of the best activities because the buoyancy of water helps reduce the gravitational stress on the jo...[Read More] Patellar Dislocation: Managing Knee Pain and Running Risks
Managing Patellar Dislocation: Running and Knee Pain Solutions
Patellar dislocation Hello, doctor. Three years ago, I dislocated my patella due to a fall. Since then, my knee often hurts every night, and I find it difficult to move after waking up with my leg straight. I consulted an orthopedic specialist who diagnosed me with patellar malal...
Dr. Chen Yongxue Reply:
Hello, moderate exercise is beneficial for the joints as it can enhance muscular endurance. However, excessive exercise can be detrimental and increase joint wear. Swimming is one of the best activities because the buoyancy of water reduces the gravitational stress on the joints....[Read More] Managing Patellar Dislocation: Running and Knee Pain Solutions
Understanding Patellar High-Riding Surgery: Options and Recovery Insights
Patellar high-riding surgery Two years ago, I suffered a complete rupture of the patellar tendon in the middle due to sports. After surgical repair, I have been undergoing rehabilitation, but to this day, my knee joint cannot fully extend. The rehabilitation physician mentioned t...
Dr. Cai Shanglin Reply:
Hello, it seems that the patellar tendon elevation surgery you are referring to is a procedure that shortens the knee ligament. I'm not sure what your doctor's detailed plan is, so it may be necessary for you to discuss this with your physician. After the tendon repair,...[Read More] Understanding Patellar High-Riding Surgery: Options and Recovery Insights
Post-Crash Knee and Arm Injuries: When to See an Orthopedic Specialist
Knee issues due to injuries from a car accident? Hello, Doctor. I had a motorcycle accident on July 23rd, where I fell face down, resulting in most of my injuries being on the front of my body. My left arm, both legs, and knees have bruises from the impact. After the accident, I ...
Dr. Chen Yongxue Reply:
Hello, anything related to bones, joints, ligaments, and muscles falls under the scope of orthopedics. Don't worry, as many injuries still require physical examination and imaging studies. It is best to consult an orthopedic specialist. Thank you.[Read More] Post-Crash Knee and Arm Injuries: When to See an Orthopedic Specialist
Understanding Wrist Injuries: Recovery Without Surgery
Wrist issues After falling on June 30, I injured my left wrist. Initially, I had an X-ray, and the doctor said there was nothing serious. However, after a month, another X-ray revealed a slight displacement of the ligament. The doctor suggested surgery, but for various reasons, I...
Dr. Chen Bochen Reply:
Hello, I recommend wearing a brace (wrist support) and try to avoid putting pressure on the injured area. With time, there is a chance for natural healing. Additionally, incorporating heat therapy and aerobic exercises can help speed up recovery. If the injury worsens or recurs, ...[Read More] Understanding Wrist Injuries: Recovery Without Surgery
Post-Surgery Concerns After Total Vertebral Resection: A Patient's Journey
What are the issues after total vertebral body resection? I underwent surgery for an L3 giant cell tumor, which involved the removal of the vertebral body. It has been 7 months since the surgery, and I am currently taking denosumab. This is a CT scan I had in August (6 months pos...
Dr. Wang Shouji Reply:
Hello, the CT scan shows no significant displacement. The resected vertebra is supported by a cage and fixed with screws from the outside. For this type of procedure, the cage must fuse with the upper and lower vertebrae to be considered successful. From the CT scan, there are st...[Read More] Post-Surgery Concerns After Total Vertebral Resection: A Patient's Journey
Understanding Tailbone Pain: Causes, Symptoms, and Relief Strategies
About coccygeal pain? Hello Doctor, I experience a sharp pain on the left side of my coccyx after sitting or standing for long periods, especially when I stand up straight. It becomes particularly painful when I try to stand on my left leg alone, which also makes me feel unstable...
Dr. Wang Shouji Reply:
Hello, the coccyx area has muscles attached to the pelvis, and when standing on one leg, the muscles must exert effort to maintain pelvic balance. Therefore, if there is pain, it can lead to instability. My suggestion is to reduce prolonged sitting while cycling or riding a motor...[Read More] Understanding Tailbone Pain: Causes, Symptoms, and Relief Strategies
Severe Knee Injury After Fall: Symptoms, Diagnosis, and Next Steps
Knee issues Recently, I fell down the stairs at home with a loud crack, feeling something break. I couldn't stand up and was in excruciating pain. After forcing myself to stand, I noticed blood and upon examination, I found that my right knee had sunk in by 1 cm and was blee...
Dr. Shi Guozheng Reply:
If you are already receiving treatment at a hospital, you should follow the physician's recommendations, which may include immobilization with a cast or surgery. A decision can only be made after assessing the clinical condition.[Read More] Severe Knee Injury After Fall: Symptoms, Diagnosis, and Next Steps
Understanding Weakness in the Right Hand After a Fall: When to Seek Help
Regarding slight weakness in the right hand? Hello doctor, I recently had a fall. I slipped and my body fell to the left, pulling the chair down with me. After getting up, my right knee and the palm of my right hand hurt slightly, but it wasn't severe pain. I applied some oi...
Dr. Shi Guozheng Reply:
It is possible to rest for a few days to observe the situation. If there is no improvement, then seek medical attention.[Read More] Understanding Weakness in the Right Hand After a Fall: When to Seek Help
Choosing the Right Hardware for Ankle Ligament Repair: Key Considerations
How to choose screws for a torn ligament in the right ankle? After today's ultrasound, the doctor said that the ligaments in my right ankle are torn, specifically the two most commonly injured ones, and I need to undergo ligament repair surgery. I would like to ask Dr. Chen:...
Dr. Chen Yongxue Reply:
Hello, 1. Is the probability of cheaper steel nails falling out high in the future? ANS: Not necessarily. 2. Which would you recommend, steel nails or absorbable screws? (Which has a better cost-performance ratio?) ANS: Absorbable screws. 3. Can I continue playing foo...[Read More] Choosing the Right Hardware for Ankle Ligament Repair: Key Considerations
Understanding Inflammation in Toe Joints: Causes and Treatments
Toe joint inflammation Hello Doctor: Two days ago, around 7 AM, I suddenly felt pain in my left foot. Upon inspection, I found that the second joint of my third toe was inflamed, red, and swollen. I have been experiencing poor sleep quality recently, only able to fall asleep arou...
Dr. Shi Guozheng Reply:
Rheumatoid arthritis typically presents as a polyarticular condition, affecting multiple joints rather than just one. Once it flares up, it can persist for several weeks. Your current condition may be indicative of some form of arthritis, and it is advisable to start medication w...[Read More] Understanding Inflammation in Toe Joints: Causes and Treatments
Understanding Coccydynia: When to Seek Further Medical Attention
Coccyx contusion Hello doctor, I had a fall in early April and injured my coccyx. I went to the hospital for an X-ray, which showed a contusion but no fracture. I was advised to limit my physical activity. However, as of mid-July, I still experience pain when sitting for long per...
Dr. Shi Guozheng Reply:
If pain persists three months after a bruise, it may indicate that inflammation has not fully healed. You can try applying heat and consider taking some anti-inflammatory medications to alleviate the discomfort. If the pain does not improve, it is necessary to consult a physician...[Read More] Understanding Coccydynia: When to Seek Further Medical Attention
Understanding Wrist Injuries: Recovery Tips and Concerns After a Fall
Wrist issues I would like to ask the doctor that on June 30th, I accidentally fell off my motorcycle, causing my left wrist to be unable to rotate. On the same day, I first visited a traditional Chinese medicine practitioner who applied ice. The next day, I received acupuncture a...
Dr. Chen Bochen Reply:
1. Follow-up X-rays will be needed to check for any dislocation. 2. A wrist brace or splint should be worn. 3. There may be some residual effects from the ligament injury.[Read More] Understanding Wrist Injuries: Recovery Tips and Concerns After a Fall
Knee Pain and Bruising in Teens: When to Seek Medical Attention
Knee patella pain? Hello Doctor: I am currently 18 years old. Recently, I have been experiencing pain in my knee bones (sometimes with a tingling sensation, and it hurts more at night than during the day). Occasionally, my shin bones also hurt, and I have noticed small bruises ap...
Dr. Shi Guozheng Reply:
You need to go to the hospital to see a doctor, as it could be a problem with the patella, such as patellar cartilage inflammation or improper alignment of the patella.[Read More] Knee Pain and Bruising in Teens: When to Seek Medical Attention
Severe Knee Injury: Understanding Fractures and Dislocations After Trauma
Severe fracture Recently, while playing soccer, my right knee accidentally bent at a 60-degree angle, causing extreme pain and making me fall to the ground. The next day, I noticed a 2 cm swelling in the center of my knee, which was extremely painful to touch and felt indented an...
Dr. Chen Bochen Reply:
Go directly to the emergency department for an X-ray. If necessary, a CT scan will be arranged, and an orthopedic physician will assist you.[Read More] Severe Knee Injury: Understanding Fractures and Dislocations After Trauma
Post-Surgery Knee Pain: Understanding and Managing Discomfort After Patella Fracture
Postoperative issues related to patellar surgery? Hello, doctor. In mid-December last year, I suffered a comminuted fracture of the right patella due to a fall. The doctor treated it with two steel pins (which do not need to be removed) and artificial bone graft. It has been six ...
Dr. Wang Shouji Reply:
Hello, a patellar fracture can cause direct pressure when kneeling, which will definitely result in pain that may persist for a long time. It is recommended to bend and straighten the knee as much as possible. If kneeling is necessary, use a soft cushion to avoid direct contact w...[Read More] Post-Surgery Knee Pain: Understanding and Managing Discomfort After Patella Fracture
Understanding the Risks of Unhealed Clavicle Fractures in Seniors
Clavicle fracture Hello, my mother is 78 years old. Last week, she had a fall while riding her bike and sustained a displaced fracture of the distal end of her left clavicle. The doctor has recommended surgery, but she is afraid and does not want to undergo the procedure. What po...
Dr. Wang Shouji Reply:
Hello, if surgery is not performed, it is necessary to monitor the displacement and healing status of the fracture. If bone healing is not achieved, it will mostly affect the ability to lift heavy objects and endure heavy pressure, with the impact lasting for at least six months ...[Read More] Understanding the Risks of Unhealed Clavicle Fractures in Seniors
Understanding Calcaneal Fractures: Concerns About Recovery and Arthritis Risk
Calcaneal fracture Hello, Doctor, I had a fall from an A-frame ladder on the night of April 6th and was immediately taken to the emergency room. I was diagnosed with a comminuted fracture of the calcaneus with subtalar joint collapse. I was asked on-site if I was willing to under...
Dr. Shi Guozheng Reply:
Achieving complete reduction of the joint surface in a calcaneal comminuted fracture through open reduction and internal fixation (ORIF) can be challenging. If the current management approach has been taken, it is acceptable. However, if the alignment of the joint surface is sign...[Read More] Understanding Calcaneal Fractures: Concerns About Recovery and Arthritis Risk