Understanding Navicular Bone Avascular Necrosis: Surgery and Rehabilitation Insights
Scaphoid bone necrosis Hello Dr. Shen, my mother had a car accident in her childhood that resulted in the amputation of her right leg. For the past 7-8 years, she has been experiencing frequent swelling and pain in her left ankle, and after a medical evaluation, she was diagnosed...
Dr. Shen Boquan Reply:
Hello, I apologize for not having experience with surgery for navicular bone necrosis in the foot. If conservative treatment is not effective, surgery may be the next option. If you have any concerns or questions, you can discuss them with a foot and ankle specialist. Wishing you...[Read More] Understanding Navicular Bone Avascular Necrosis: Surgery and Rehabilitation Insights
Understanding Plantar Fat Pad Inflammation: Causes, Treatments, and Recovery
Inflammation of the plantar fat pad? Hello, I am a 44-year-old female. I have been experiencing plantar pain since mid-March. I underwent traditional physical therapy for three weeks, and then I had an ultrasound, where the doctor informed me that I have fat pad inflammation. It ...
Dr. Wang Shouji Reply:
Hello, midlife plantar pain is mostly caused by plantar fasciitis, which is often related to prolonged standing, excessive walking, improper footwear, and being overweight. Shoes should have soft soles and arch support; avoid flat shoes, slippers, and rubber boots. Soaking your f...[Read More] Understanding Plantar Fat Pad Inflammation: Causes, Treatments, and Recovery
Recovery Insights for Ankle Fractures and Swelling After a Car Accident
Left ankle fracture and swelling of the left calf due to a car accident? Hello, I apologize for the inconvenience. I sustained a closed ankle fracture (hairline fracture) on the left side in a car accident on April 12, 2024. The fracture is 1 cm in length, and while there is no i...
Dr. Shi Guozheng Reply:
1. It will heal in about three months. 2. It's normal; if there is swelling, elevating the leg usually helps it gradually subside. 3. It's possible. 4. Elevate the affected area and perform ankle exercises. 5. You can wear it; it doesn't necessarily need to...[Read More] Recovery Insights for Ankle Fractures and Swelling After a Car Accident
Understanding Multiple Comminuted Fractures: Recovery and Rehabilitation Insights
Multiple comminuted fractures Hello, doctor. 🙇🏻♀️ I was in a car accident on the night of February 3rd, lost consciousness at the scene, and was taken to the hospital for emergency treatment. I was in a coma for three days and sustained multiple comminuted fractures, including i...
Dr. Shi Guozheng Reply:
1. Rehabilitation is necessary to gradually improve joint mobility. 2. It will take approximately six months or more.[Read More] Understanding Multiple Comminuted Fractures: Recovery and Rehabilitation Insights
Understanding Fifth Metatarsal Base Fractures: Treatment Options and Recovery
Base of the fifth metatarsal fracture? Hello Doctor, I sustained an injury from a fall on March 1st, and on March 2nd, an orthopedic evaluation diagnosed me with a fracture at the base of the fifth metatarsal. During my follow-up on March 16th, it was noted that the fracture gap ...
Dr. Chen Yongxue Reply:
Generally, fractures of the base of the fifth metatarsal typically do not require surgery. They usually heal well with approximately 8 to 10 weeks of cast immobilization, followed by about 4 to 6 weeks of rehabilitation after the cast is removed. However, a small number of patien...[Read More] Understanding Fifth Metatarsal Base Fractures: Treatment Options and Recovery
Foot Pain Relief: Choosing the Right Insoles for Ankylosing Spondylitis
Foot pain insoles Hello Dr. Chen: I am a patient with ankylosing spondylitis. Ever since my diagnosis, whether in the morning or evening, if I stand for more than ten minutes, the soles of my feet start to feel sore and numb, similar to how a typical person feels after walking se...
Dr. Chen Yongxue Reply:
Hello, if you are unable to stand for long periods, it may be due to fascia inflammation. You can visit an outpatient clinic for further examination and treatment. Thank you.[Read More] Foot Pain Relief: Choosing the Right Insoles for Ankylosing Spondylitis
Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort
Coccyx pain for nearly a year? Hello, Dr. Shen. I have been experiencing pain in my coccyx since early May of last year. The pain is located about 2 centimeters above the tip of the coccyx, seemingly at the junction with the sacrum. The pain is triggered by certain positions, suc...
Dr. Shen Boquan Reply:
Hello, the causes of lower back pain are numerous. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress levels can all contribute to discomfort. If ...[Read More] Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort
Displaced Fourth Metatarsal Fracture: Surgery vs. Non-Surgery Outcomes
The difference between surgical and non-surgical treatment for a displaced fourth metatarsal fracture? Due to a fall from a height, a fracture of the fourth metatarsal in the right foot occurred, with an oblique displacement. Initially, a cast was applied in the emergency departm...
Dr. Shi Guozheng Reply:
A single metatarsal fracture with minimal displacement can be treated conservatively, and it will heal in the future; however, continuous outpatient follow-up is necessary.[Read More] Displaced Fourth Metatarsal Fracture: Surgery vs. Non-Surgery Outcomes
Post-Hip Replacement Surgery: Understanding Left Calf Numbness and Nerve Damage
Loss of sensation in the left calf following hip replacement surgery? I underwent left hip joint replacement surgery on November 14th of last year. After the surgery, I noticed that the back of my left calf, from below the knee to the ankle, had no sensation. Touching it feels li...
Dr. Chen Yongxue Reply:
Hello, according to the letter, the electromyography findings indicate: (1) left sciatic neuropathy, (2) coexisting chronic lumbosacral radiculopathy, and (3) an underlying sensorimotor polyneuropathy may also be considered. Thank you.[Read More] Post-Hip Replacement Surgery: Understanding Left Calf Numbness and Nerve Damage
Understanding Fifth Metatarsal Fractures: Treatment and Recovery Insights
Fracture of the fifth metatarsal bone of the left foot? Hello Doctor: 1. On the evening of April 4th, I accidentally stepped into a gap in the hot spring pool and fractured the fifth metatarsal of my left foot. On the morning of April 5th, I went to the emergency department at ...
Dr. Chen Yongxue Reply:
Hello, 1. Surgery is not necessary. 2. Swelling will persist, as it is a fracture... Please elevate the affected limb (above the heart) to help reduce swelling. 3. Please use crutches under both armpits for mobility; do not put weight on the affected limb. 4. Initial heal...[Read More] Understanding Fifth Metatarsal Fractures: Treatment and Recovery Insights
Post-Spinal Surgery: Understanding Leg Numbness and Tightness Issues
The numbness and tightness in the legs after spinal surgery remain the same? Hello, doctor; I just had decompression surgery on my fourth and fifth lumbar vertebrae on March 29. The surgeon said that all the compressed nerve tissue has been completely removed, and a post-operativ...
Dr. Shi Guozheng Reply:
1. After surgery, the above situations may occur. 2. Typically, recovery will gradually occur after nerve decompression. 3. Rehabilitation can be performed to promote recovery. 4. You can wait and see for a while longer.[Read More] Post-Spinal Surgery: Understanding Leg Numbness and Tightness Issues
Post-Operative Hip Replacement: Understanding Numbness and Recovery Time
Postoperative hip joint care Hello, doctor. I underwent left hip replacement surgery at the end of November last year. After the surgery, I did not experience any numbness in my foot or toes. However, after my right hip replacement in April this year, I noticed numbness in my foo...
Dr. Shi Guozheng Reply:
The occurrence of numbness in the leg after hip joint surgery may be related to the sciatic nerve. If foot movement is normal, it indicates that there is only slight compression of the sensory nerve. However, if there is a drop foot phenomenon, further examination and treatment a...[Read More] Post-Operative Hip Replacement: Understanding Numbness and Recovery Time
Managing Ankle Fracture Recovery: Tips After Cast Removal
After the cast was removed for a fractured lateral malleolus, I accidentally bumped the affected area again? Hello, Doctor. I suffered a non-displaced fracture of the outer ankle on February 6 while abroad. The emergency physician said it didn't need to be immobilized, but t...
Dr. Shi Guozheng Reply:
1. It is best to schedule a follow-up appointment as soon as possible. 2. If the pain does not alleviate, there is a possibility of dislocation. 3. It takes three months to heal; the recovery speed is not necessarily slower. 4. Please refrain from exercising.[Read More] Managing Ankle Fracture Recovery: Tips After Cast Removal
Understanding Hip Joint Pain: Causes, Symptoms, and Care Tips
Hip joint used for 5 years? Hello, Doctor. Recently, I have been experiencing severe foot pain that makes it difficult to walk. I'm not sure what the cause is. I take good care of my feet and haven't had any injuries. Could alcohol consumption be related? Does fatigue f...
Dr. Shen Boquan Reply:
Hello, there are many possible causes for discomfort and pain in the lower limbs, including muscle pain, joint inflammation, and lumbar nerve compression commonly known as sciatica. Avascular necrosis of the femoral head is also a possibility. Sometimes, these conditions can occu...[Read More] Understanding Hip Joint Pain: Causes, Symptoms, and Care Tips
Post-Tibia Fracture Surgery: When to Ditch the Crutches?
Post-operative care for tibial fractures? Hello, doctor. I sustained a traction fracture of the right tibia in a car accident on January 19 and underwent surgery on February 7. It has been about seven weeks since then, and I am currently walking with crutches, putting half weight...
Dr. Shi Guozheng Reply:
1. To determine if a fracture has healed on an X-ray, it is generally safer to wait about three months. 2. It is normal.[Read More] Post-Tibia Fracture Surgery: When to Ditch the Crutches?
Managing Fifth Metatarsal Fractures: Prevention and Treatment Insights
Metatarsal fracture Thank you, doctor, for answering my questions. I would like to ask if the reasons for the bone displacement in questions 1 and 2 could be due to the inability to bear weight even while wearing the protective footwear? What can be done to prevent displacement? ...
Dr. Shi Guozheng Reply:
Your X-ray shows a noticeable crack at the base of the fifth metatarsal, but there is no displacement. We will continue to monitor it. If it remains the same, it may heal, but if you twist it again, there is a possibility of displacement. It would be better to wear a brace.[Read More] Managing Fifth Metatarsal Fractures: Prevention and Treatment Insights
Recovery Timeline and Rehabilitation for Right Foot Navicular Fracture
Closed fracture of the right navicular bone in the foot? I had a fall on the stairs on February 6, resulting in a fracture. I had my cast removed on March 8, but an X-ray still shows a small piece of bone missing. My foot is still very painful, and it starts to swell and hurt aft...
Dr. Shi Guozheng Reply:
It is possible to walk with an ankle brace, and typically, a fracture requires a recovery period of three months.[Read More] Recovery Timeline and Rehabilitation for Right Foot Navicular Fracture
Managing Displaced Fifth Metatarsal Fractures: Brace Use and Recovery Tips
Displaced fifth metatarsal fracture and the use of a brace? Hello Doctor, I suffered a fifth metatarsal fracture from a fall on March 2nd. I started wearing the recommended protective shoe on March 4th after switching from a cast. However, during my follow-up appointment in the s...
Dr. Shi Guozheng Reply:
Conservative treatment can continue, but if healing does not occur, surgery will be necessary.[Read More] Managing Displaced Fifth Metatarsal Fractures: Brace Use and Recovery Tips
Impact of X-Ray Positioning on Flatfoot Arch Angle Assessment
Flatfoot X-ray imaging issues? A few days ago, I went to the hospital to get an X-ray of my foot to confirm a flatfoot issue. The radiologist placed a wooden box for me to stand on and asked me to keep the side of my little toe pressed against a side panel while standing on one f...
Dr. Chen Yongxue Reply:
This still needs to be evaluated based on the actual imaging results and the physician's judgment. Thank you.[Read More] Impact of X-Ray Positioning on Flatfoot Arch Angle Assessment
Concerns After Osteochondral Autograft Surgery: What to Expect
Post-operative issues following autologous cartilage transplantation of the talus? Hello, doctor. I had surgery at Kaohsiung Medical University on February 14, and today is March 8, which means three weeks have passed. While taking a shower today, I accidentally slipped and my ri...
Dr. Shi Guozheng Reply:
It is necessary to go to the hospital for an examination to confirm.[Read More] Concerns After Osteochondral Autograft Surgery: What to Expect