Foot, Orthopedics FAQ

Managing Nonunion in Metatarsal Fractures: Treatment Options Explained

Metatarsal fracture Hello, doctor. I suffered a fracture of the second, third, and fourth metatarsals in a car accident at the end of June. The doctor recommended surgery, so I opted for a procedure involving micro screws at my own expense. Now, three months have passed, and the ...

Dr. Chen Bochen Reply:
Hello, I recommend that you consult a foot and ankle specialist. Some larger hospitals or medical centers have more specialized orthopedic departments, including foot and ankle specialists who handle more complex foot and ankle issues. It is advisable to seek care from these phys...

Managing Pain While Wearing a Cast for a Toe Fracture

Wearing a cast can actually cause pain? Due to an accident, I sustained a fracture of the fifth toe on my left foot and have been wearing an L-shaped cast for healing. It has been approximately three weeks, but recently, after wearing the cast for a while, I have been experiencin...

Dr. Wang Shouji Reply:
Hello, generally speaking, for toe fractures, if a cast is not used, weight-bearing on the toe should be avoided; however, closer monitoring is required to check for any displacement of the fracture. Changhua Hospital cares about your health, Wang Shou-ji.

Understanding Coccyx Pain: Symptoms, Causes, and When to Seek Help

Coccygeal issues In January of this year, I fell on the stairs and hit my coccyx on the ground. It was very painful at the moment, but after resting for a day or two, the pain subsided, and I did not seek medical attention. About two weeks ago, I noticed that the sensation on the...

Dr. Shi Guozheng Reply:
1. If there is numbness, it may indicate nerve compression. 2. It is possible. 3. It may be related. 4. Unlike cauda equina syndrome, there is no phenomenon of urinary or fecal incontinence.

Rehabilitation Tips for Recovery After a Fifth Metatarsal Fracture

What rehabilitation exercises or activities can help with recovery after a fracture? Description: A fall down the stairs resulted in an oblique fracture of the fifth metatarsal in the left foot, which also exhibited displacement. Following the doctor's recommendation, surger...

Dr. You Dianqi Reply:
Each person's recovery situation is different. It is recommended to consult your primary physician or seek an evaluation from a rehabilitation specialist. Thank you.

Managing Complex Foot Injuries: Challenges and Treatment Options

Closed fracture of the right navicular bone with associated tarsal joint dislocation? Since the car accident on April 14, 2020, I have undergone continuous rehabilitation therapy, acupuncture, and traditional Chinese medicine treatment. Currently, I have limited range of motion i...

Dr. Wang Shouji Reply:
Hello, severe trauma cannot fully restore to the pre-injury state; it can only be managed with physical therapy and attention to the type of footwear. Certain activities may indeed be restricted. Changhua Hospital cares about your health. Wang Shou-ji.

Understanding Recovery from Posterior Cruciate Ligament Tear and Fracture

Tear of the posterior cruciate ligament with associated fracture? I would like to ask the doctor, I had a car accident on August 14 and was diagnosed with a torn cruciate ligament and a fracture. The posterior cruciate ligament of the tibia is displaced by about 5mm. It has been ...

Dr. Chen Yongxue Reply:
Hello, due to the fracture, it is necessary to keep the affected area immobilized, which often leads to swelling, numbness, and other discomfort in the lower limbs. This will naturally improve once you begin to engage in weight-bearing activities later on. In the short term, elev...

Understanding Cuboid Bone Fractures: Recovery, Pain Management, and Exercises

Cuboid bone fracture Hello doctor, I fell on July 29 due to numbness in my leg when getting out of bed, resulting in a fracture of the talus bone. I went to the emergency room immediately, and the doctor applied a removable cast to stabilize it. On August 28, I had an X-ray, and ...

Dr. Chen Yongxue Reply:
Hello, regarding your inquiry about the so-called "dice bone," are you referring to the femur (thigh bone) or the patella (kneecap)? You also mentioned the ankle and heel. If it is a fracture of the femur or patella, most cases require surgical treatment, as surgery can...

White Bumps on Heels: When to See an Orthopedic Specialist?

The pressure on the heel causes the formation of small white particles? When pressure is applied to the foot while standing on the floor, there are white protrusions on the heel that resemble lymphatic tissue. These only appear when weight is placed on the floor and are not painf...

Dr. Chen Bochen Reply:
If there is a continuous increase, you should seek medical attention.

Understanding Ankle Pain After Ligament Injury and Cartilage Damage

The ankle was previously injured in a rollover accident, resulting in a ligament tear and cartilage damage? I'm sorry to bother you. In April of this year, I misstepped while going down the stairs, causing my foot to twist. It became swollen, and I later developed bruising. ...

Dr. You Dianqi Reply:
It is recommended to return for a follow-up appointment for confirmation. Thank you.

Understanding Fifth Metatarsal Fractures: Healing and Risks

Fracture of the fifth metatarsal (non-surgical)? Hello, Doctor: I sustained a fracture in my fifth metatarsal on June 13, 2023, and I was immediately placed in a cast. However, during a follow-up appointment on June 27, the doctor mentioned that there was a slight re-fracture in ...

Dr. Shi Guozheng Reply:
An X-ray is necessary to determine if there is a fracture.

Recovery Timeline for Comminuted Femur Fracture: What to Expect

Comminuted fracture of the left femur, 30 centimeters? On July 19, I was involved in a car accident that resulted in a comminuted fracture of the left femur, fractures of the right ankle and fifth toe, and a fracture of the right patella. The surgery lasted about six hours and wa...

Dr. Shi Guozheng Reply:
In the case of a comminuted fracture of the femur, it is generally recommended to begin walking immediately, with protection for at least three months. Crutches should be used for approximately six to nine months before they can be discontinued. Whether a return to work is possib...

Recovering from Metatarsal Fracture: Ankle Mobility and Rehab Tips

Metatarsal fracture with inability to flex the ankle normally? Hello Doctor, I sustained a non-displaced fracture of the metatarsal in my left foot on June 19th. Following your instructions, I have been wearing a pneumatic brace all day. During my follow-up appointment on August ...

Dr. Shi Guozheng Reply:
1. You can perform dorsiflexion and plantarflexion exercises for the ankle joint to strengthen the muscles. 2. It will take approximately three months for recovery.

Post-Surgery Recovery: Understanding Swelling and Pain After Fifth Metatarsal Fracture

Postoperative care for fifth metatarsal fracture? Hello doctor, I would like to ask about my condition. It has been three months since my surgery, and I still feel swelling and pain in the sole of my foot when walking. Additionally, my toes and the top of my foot are still swolle...

Dr. Zhan Xian Reply:
After the fracture has healed, there may still be swelling and pain for a short period. If a follow-up examination confirms that the fracture has healed, you can consult the rehabilitation department for rehabilitation matters. If you have any other concerns, it is advisable to r...

Understanding Fifth Metatarsal Fractures: Healing and Recovery Insights

Fifth metatarsal fracture Hello, Doctor. I accidentally fell and fractured my bone while playing basketball on June 9. I had a cast from June 9 to June 20. However, during my follow-up appointment on June 20, it was found that there was a slight displacement of the bone, so I sta...

Dr. Shi Guozheng Reply:
1. Normal. 2. Also normal. 3. The tingling sensation will gradually subside.

Understanding Leg Pain After Trauma: When to Seek Further Medical Help

Calf pain Two weeks ago, I was hit by a motorcycle, and my right calf and the top of my foot were caught between the car's tire and rim. The middle section of my calf and the top of my foot immediately swelled up significantly. The emergency doctor examined the X-ray and sai...

Dr. Shi Guozheng Reply:
It is normal to experience some pain after a calf contusion; please follow up for your scheduled appointment.

Can I Ice Skate After a Recent Ankle Fracture Recovery?

I'm not sure if I can go ice skating? Hello, doctor. I accidentally fell and fractured my bone while playing basketball on June 9. I had a cast from June 9 to June 20, but during my follow-up on June 20, it was found that there was a slight displacement of the bone, so I sta...

Dr. Shi Guozheng Reply:
1. You can give it a try; if it hurts, you should use protective gear. 2. It will take approximately six to eight weeks. 3. It's a bit risky because there's a high chance of falling and getting injured again. 4. It's normal; you can elevate your foot to reduc...

Can You Walk Gently with an AIRCAST After a Foot Fracture?

Can a limb using an AIRCAST brace walk gently? I have a fracture in the fifth metatarsal of my left foot and have been using an AIRCAST for 17 days. At home, I use my right hand to hold a walking stick for support, and I gently place my injured foot on the ground to move slowly w...

Dr. Shi Guozheng Reply:
If the fracture is non-displaced, walking can be performed with immobilization. However, if the fracture is displaced, it is safer to wait for about six weeks. If there are any doubts, it is best to consult a physician to determine whether walking is permissible.

Understanding Hip Clicks and Pelvic Asymmetry: A Comprehensive Guide

Body asymmetry may indicate issues such as anterior pelvic tilt or hip joint problems? A few years ago, I suddenly noticed a "clicking" sound in my right hip when putting on and taking off my pants. Later, I researched online and found that it might be due to hip snappi...

Dr. Shi Guozheng Reply:
To determine whether there is an issue with pelvic anterior tilt, it is necessary to obtain both frontal and lateral X-rays for accurate assessment. It is advisable to consult an orthopedic physician for diagnosis, as sometimes scoliosis can also present with this condition.

Understanding Hallux Valgus: When to Seek Medical Attention for Your Child

Bunion (Hallux Valgus) Hello, doctor. My daughter, who is in middle school, has inherited hallux valgus. When she walks, her hindfoot (heel) tilts slightly inward towards the calf, but the hallux valgus itself does not cause any pain. I would like to ask whether we should go to t...

Dr. Chen Yongxue Reply:
Hello, due to the varying angles of hallux valgus, the symptoms differ, and the treatment approaches also vary. It is advisable to visit an orthopedic clinic for an examination. Thank you.

Understanding Open Fractures: Recovery and Pain Management After a Car Accident

Car accident injuries? Doctor, I was in a car accident last Monday. At the time of the accident, my right leg was injured more severely, and there is a hole near my knee where the bone is visible. I was taken to the emergency room, where the doctor performed X-rays and a CT scan,...

Dr. Chen Yongxue Reply:
Hello, as mentioned in your letter, it seems to be swelling in the affected limb. Please elevate the affected limb, ideally above the level of the heart, to reduce the swelling as soon as possible.

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