Managing Post-Surgery Pain: Tips for Recovery After Orthopedic Surgery
Fourth week post-operative after internal fixation with a plate? It has been one month since my surgery from the car accident. The swelling started to subside around the second week. Since then, I frequently experience sharp pain in my toes, the soles of my feet, and the tops of ...
Dr. Chen Bochen Reply:
Neuropathic sensations can consider the following two adjunctive treatments: 1. Gabapentin (should be taken after evaluation by a physician) 2. Vitamin B complex. Soaking in warm water to enhance local circulation can also be beneficial.[Read More] Managing Post-Surgery Pain: Tips for Recovery After Orthopedic Surgery
Will Long-Term Cast Positioning Affect Recovery from Radial Fracture?
Cast immobilization for a radial fracture? Hello doctor, I have a fracture at the elbow of my right radius due to a fall, and my right arm has been in an L-shaped position in a cast for a month. Will my hand be unable to straighten out after recovery due to the prolonged L-shaped...
Dr. Zhan Xian Reply:
Hello, sir. Your issue requires an X-ray interpretation. You can visit our orthopedic outpatient clinic or follow up with the physician who originally treated you.[Read More] Will Long-Term Cast Positioning Affect Recovery from Radial Fracture?
Understanding Tailbone Pain: Causes, Recovery, and When to Seek Help
Experiencing pain near the coccyx when rising? In late June, I traveled for five days in Hualien and Taitung by tour bus. The first two days were fine, but starting on the third day, I experienced pain when trying to stand up after sitting down. Initially, I thought it was due to...
Dr. Chen Bochen Reply:
Hello, Ms. Lin. The coccyx has many ligaments and pelvic floor muscles connected to it. Inflammation in this area is not easy to resolve and can recur frequently. I recommend the following: 1. Avoid prolonged sitting. 2. Pay attention to your sitting posture; make sure to sit ful...[Read More] Understanding Tailbone Pain: Causes, Recovery, and When to Seek Help
Knee Pain After a Fall: Recovery Tips and Rehabilitation Advice
Knee injury after hitting the floor? Hello Dr. Chen, my mother slipped and fell while riding a scooter on a rainy day two weeks ago, landing on her knee. That night, she experienced pain while walking, but after 4 to 5 days, she was able to walk normally. However, she still feels...
Dr. Chen Bochen Reply:
1. Switch to heat therapy one week after the injury. 2. Wear a knee brace for 2-3 weeks and minimize walking. 3. It is common to experience tightness immediately after the injury. If pain persists for more than two weeks, seek medical attention and get an X-ray. Wishing you a...[Read More] Knee Pain After a Fall: Recovery Tips and Rehabilitation Advice
Post-Tibial Screw Removal: Essential Care Tips and Precautions
Post-removal care for tibial screws should be noted? Hello, I would like to ask what precautions should be taken after removing the tibial screws. If I accidentally bump into the bone, will it break? Thank you.
Dr. Chen Bochen Reply:
Hello, whether or not to remove the intramedullary nail and the associated risks can only be accurately assessed with a physical examination and X-rays. However, I can share some general information: 1. Intramedullary nails in the tibia can typically be removed after the fracture...[Read More] Post-Tibial Screw Removal: Essential Care Tips and Precautions
Understanding Knee and Hip Pain: When to See an Orthopedic Specialist
Orthopedic Neurology Hello Doctor: I would like to ask about my grandmother (79 years old). For the past few weeks, she has been experiencing pain in both legs from the knees to the pelvis. She has not had any falls, and although she has tried acupuncture, it has not helped. She ...
Dr. Chen Bochen Reply:
Hello Aping, X-rays cannot determine if there is nerve compression. If the pain persists despite conservative treatment, an MRI should be performed to check for nerve compression. You can consult either an orthopedic specialist or a neurosurgeon. Wishing you a speedy recovery.[Read More] Understanding Knee and Hip Pain: When to See an Orthopedic Specialist
Understanding Elbow Dislocation Recovery: Common Concerns and Solutions
Elbow dislocation In May, I dislocated my elbow due to a fall while exercising. It was reduced about an hour later, and I wore a cast for approximately two weeks. After that, I started rehabilitation and strength training, which has continued for over three months. I have a pre-e...
Dr. Zhan Xian Reply:
Hello, based on what you mentioned, you will need a physical examination and imaging studies. Please visit the orthopedic outpatient clinic.[Read More] Understanding Elbow Dislocation Recovery: Common Concerns and Solutions
Can a Fibula Fracture Heal Without Surgery? Understanding Treatment Options
Lateral malleolus fracture After falling down the stairs, I went to the emergency room immediately, where the doctor diagnosed a bone fracture and applied a cast for immobilization. Two days later, I returned to the orthopedic clinic, and the doctor indicated that the fracture is...
Dr. Chen Bochen Reply:
Hello Ms. Liu, your condition is an ankle fracture. The degree of displacement cannot be assessed by the lateral view alone; the anteroposterior view must also be considered for proper evaluation. If the displacement is not severe, it is indeed possible to apply a cast, but regul...[Read More] Can a Fibula Fracture Heal Without Surgery? Understanding Treatment Options
Managing Swelling and Pain After Tibial Fracture Surgery: A Patient's Journey
Swelling five months after tibial fracture surgery? I apologize for the intrusion, Doctor. I was in a car accident on March 1st of this year, resulting in a fracture of the left tibia, which was repaired with plates and screws. I also fractured my coccyx, and my attending physici...
Dr. You Dianqi Reply:
Hello, regarding these questions, in order to provide accurate information, it may be necessary to review the imaging and physical examination from the time of your injury as well as your current recovery status. Additionally, these questions should be addressed by your attending...[Read More] Managing Swelling and Pain After Tibial Fracture Surgery: A Patient's Journey
Post-Surgery Concerns After Clavicle Fracture: Your Questions Answered
Postoperative Issues Following Clavicle Fracture Surgery Hello Doctor: On July 12, I had a bicycle accident and suffered a comminuted fracture of the left clavicle with two fracture lines and a displacement of 2.31 cm. The following day, I underwent surgery to insert a titanium a...
Dr. Wang Shouji Reply:
Hello, ensuring the healing of the fracture is the most important thing at present, and other considerations can be put aside for now. It should be fine to temporarily remove the sling while showering or during activities. The most important thing is to avoid putting weight on th...[Read More] Post-Surgery Concerns After Clavicle Fracture: Your Questions Answered
Can You Still Experience Paralysis After a Fall Days Later?
Is it possible to experience paralysis four days after a fall? After the fall, I don't feel any pain when I touch my spine, but I'm worried about the possibility of paralysis. Sometimes, I experience pain on the top of my right foot, and at times my foot feels numb.
Dr. Chen Bochen Reply:
Hello: In short, absolutely not. An injury that could potentially cause paralysis is already severe at the moment of injury, to the extent that you cannot ignore it; it won't just feel "painful" or "numb." However, if your symptoms continue to worsen, see...[Read More] Can You Still Experience Paralysis After a Fall Days Later?
Understanding Bone Cement Leakage: Symptoms, Causes, and Management
Bone cement leakage On January 30, 2020, I suffered a compression fracture of the T12 vertebra due to a backward fall. I underwent a self-funded balloon kyphoplasty on May 13 and was discharged on May 14. Since then, I have experienced pain and numbness in my lower back and left ...
Dr. Zhan Xian Reply:
Hello, an X-ray and physical examination are needed for diagnosis. A preoperative MRI can also help identify any other issues. Balloon kyphoplasty is a minimally invasive procedure with a small incision and quick recovery, but it does carry risks, such as the possibility of leaka...[Read More] Understanding Bone Cement Leakage: Symptoms, Causes, and Management
Managing Pelvic Fractures After a Car Accident: Surgical vs. Conservative Care
Pelvic fracture from a car accident? Hello, at the beginning of April, my spouse was involved in a car accident that resulted in a pelvic fracture, specifically a fracture below the left hip joint and a comminuted fracture of the left pubis. The emergency physician and the orthop...
Dr. You Dianqi Reply:
Hello, based on your description, it seems intuitive to consider whether your family member's fracture falls into the category of being operable or non-operable. Have you thought about consulting a medical center to find a specialist in pelvic fractures? It would be benefici...[Read More] Managing Pelvic Fractures After a Car Accident: Surgical vs. Conservative Care
Understanding Open Fractures: Insights on Diagnosis and Treatment
Open fracture Hello Doctor, my relative has a condition of poliomyelitis, which has led to poor development of the lower limbs. As they have aged, they are now unable to walk and require assistance to be carried. They are nearly 70 years old, and recently the patient reported pai...
Dr. Wang Shouji Reply:
Hello, an open fracture is defined as a fracture accompanied by a skin injury that communicates with the fracture site. I believe there may be some misunderstanding. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Open Fractures: Insights on Diagnosis and Treatment
Understanding Heel Pain After Minor Injury: When to Seek Medical Attention
Hit near the heel? Hello Doctor, last night when I got up to go to the bathroom, I accidentally bumped the side of my right heel against the corner of the wall. It hurt a bit at that moment, but I wanted to sleep, so I went back to bed. This morning, I noticed that although there...
Dr. Shi Guozheng Reply:
The likelihood of a fracture is low. If a fracture does occur, it is usually very painful, making it difficult to stand or walk. If you are still concerned after a few days, getting an X-ray is fine, and you can visit a hospital for an evaluation.[Read More] Understanding Heel Pain After Minor Injury: When to Seek Medical Attention
Neck Injury After Fall: When to Seek Medical Attention
Neck issues I accidentally fell during class yesterday and hit my neck on the corner of the desk. Could there be any issues? Do I need to get any tests done?
Dr. Li Wenhong Reply:
Hello: If you experience severe pain, limited mobility, numbness, or weakness, please seek medical attention for an examination. Changhua Hospital Orthopedics, Dr. Li Wen-Hong.[Read More] Neck Injury After Fall: When to Seek Medical Attention
Understanding Vitamin D Needs and Bone Health Risks for Indoor Lifestyle
Dual-energy X-ray absorptiometry (DEXA) T-score 1.8, Z-score -1.4; bilateral femoral T-score -2.2, Z-score -2.0, all indicating the worst results? I stay indoors from 10:00 AM to 4:00 PM to avoid sun exposure, although the indoor lighting is decent and I still get some UV exposur...
Dr. Cai Shanglin Reply:
1. 800 IU. 2. It's unlikely, but it's recommended to rule out the possibility of secondary osteoporosis (suggested to visit an osteoporosis clinic).[Read More] Understanding Vitamin D Needs and Bone Health Risks for Indoor Lifestyle
Understanding Sciatica: Managing Pain from Herniated Discs
Herniated disc compressing the sciatic nerve? Hello Dr. Wang, about 14 days ago, I experienced a fall in the bathroom, landing on my buttocks, which resulted in soreness and numbness from my right calf to my buttocks. I consulted an orthopedic doctor and underwent X-rays and an M...
Dr. Wang Shouji Reply:
Hello, if the intervertebral disc is only herniated and not ruptured, about 70% of patients will experience symptom improvement with rest, medication, and rehabilitation. However, if the intervertebral disc is ruptured and compressing the nerve root, there is a higher likelihood ...[Read More] Understanding Sciatica: Managing Pain from Herniated Discs
Should You Consider Minimally Invasive Surgery for Shoulder Adhesions?
Is minimally invasive surgery necessary for shoulder muscle adhesion? Six months ago, I had an accident abroad where I fell in the bathroom and landed on my right hand. Since then, I have been experiencing severe pain in my right shoulder and arm. Two months after the fall, the p...
Dr. Shi Guozheng Reply:
Surgery is usually not necessary for your symptoms, which may be adhesive capsulitis of the shoulder joint. Treatment options include physical therapy or corticosteroid injections into the joint. Recovery typically takes about six months to a year. Clinical reports also indicate ...[Read More] Should You Consider Minimally Invasive Surgery for Shoulder Adhesions?
Understanding Ankle Ligament Tears: When Surgery Isn't an Option
Is it necessary to repair a torn ankle ligament? Two years ago, I suffered a ligament tear from falling down the stairs. I thought that resting would be enough to heal, so I used an ankle brace for about six months. However, the pain returned, and during my follow-up visit, the d...
Dr. Chen Yongxue Reply:
Hello, there are many ligaments in the ankle. Generally, a sprain typically affects the anterior talofibular ligament, and most cases will heal on their own. However, if there is a complete tear, instability may occur, leading to recurrent sprains. If necessary, ligament reconstr...[Read More] Understanding Ankle Ligament Tears: When Surgery Isn't an Option