Understanding Metatarsal Fractures: Recovery Without Surgery
Metatarsal fracture issues? Hello Doctor, I was in a car accident on March 3rd while on my way to work, resulting in fractures of the second and third metatarsals. The second metatarsal is not displaced, while the third metatarsal has a slight displacement, with the fractures loc...
Dr. Chen Yongxue Reply:
Hello, after a general fracture, recovery requires some adaptation time, and there may be some residual effects. It is unlikely to return to the exact condition as before the injury. However, as long as it does not affect daily activities, most cases are not serious. If necessary...[Read More] Understanding Metatarsal Fractures: Recovery Without Surgery
Post-Surgery Pain After Vertebroplasty: Understanding Recovery Challenges
Postoperative pain after bone cement procedure? Hello, my mother originally had a spinal spondylolisthesis and suffered a lumbar fracture due to a fall. After undergoing a self-funded vertebroplasty, she had her first follow-up appointment where the doctor stated that the surgery...
Dr. Shi Guozheng Reply:
It is possible that there is already degeneration of the spine itself or that there are multiple fractures. It is advisable to return to the physician for further evaluation.[Read More] Post-Surgery Pain After Vertebroplasty: Understanding Recovery Challenges
Understanding Wrist Issues: Swelling After a Fall and Treatment Options
Wrist issues Two weeks ago, I fell and landed on my right hand. The next day, I went to a local hospital for an X-ray, which showed no fractures. I have been using a wrist brace for the past two weeks (which has made daily activities easier), but I noticed that the back of my han...
Dr. Shi Guozheng Reply:
Wrist sprains sometimes do not involve fractures, but the ligaments or the wrist joint capsule can still be injured. Generally, soft tissue injuries require about six weeks to heal, so it is important to protect your wrist during this time and avoid excessive use. If the joint be...[Read More] Understanding Wrist Issues: Swelling After a Fall and Treatment Options
Concerns About Steel Pins After Knee Surgery: What You Need to Know
Nail problems Hello, doctor. I would like to ask about my situation. I had a crush fracture in my knee from a car accident last November, and it has been almost four months since my internal fixation surgery. Recently, during rehabilitation, I felt that the metal screws were irri...
Dr. Wang Shouji Reply:
Hello, if the nail has penetrated the skin, it cannot be left in place and should be removed along with debridement. Since the fracture has been present for four months, the likelihood of re-displacement is low if it has partially healed. It is still recommended to proceed with r...[Read More] Concerns About Steel Pins After Knee Surgery: What You Need to Know
Can Correcting Leg Length Discrepancy Fix Pelvic Tilt Issues?
Can correcting leg length discrepancy also improve pelvic tilt? When I was in fifth grade, I fell off my bicycle and later discovered that I had a pelvic fracture, which healed on its own (the follow-up doctor said it healed fine). However, in recent years, I have noticed that I ...
Dr. Wang Shouji Reply:
Hello, the likelihood of experiencing a severe pelvic displacement from simply falling off a bicycle is low. It is also important to consider whether factors such as scoliosis are involved. Generally, the actual skeletal length of both lower limbs can be assessed through full-len...[Read More] Can Correcting Leg Length Discrepancy Fix Pelvic Tilt Issues?
Understanding Recovery from Metatarsal Fractures: Pain and Treatment Options
Fracture of the second and third metatarsal bones? I fractured my bone in early December, and the doctor said I needed surgery. They placed two mini titanium alloy plates. It has been three months now, and my toes hurt when I walk, and I have a bit of a limp. My foot is still swo...
Dr. Wang Shouji Reply:
Hello, first we need to confirm whether the fracture has healed. If it has healed, the pain and swelling in the lower limb will gradually improve and disappear with normal weight-bearing activities. This is not entirely related to the removal of the plate. If the sensation of a f...[Read More] Understanding Recovery from Metatarsal Fractures: Pain and Treatment Options
Recovery After Steel Nail Removal: What to Expect Post-Surgery
Regarding the recovery after the removal of metal pins? Hello, doctor. I would like to ask a question. Last January, I had an open fracture of the tibia and fibula due to a car accident. The attending physician inserted a metal rod at that time, and now, after a year, the doctor ...
Dr. Shi Guozheng Reply:
If an intramedullary nail is placed in the tibia, normal walking can resume one week after its removal. However, if a plate and screws are used for fixation, protection is required for three months post-removal, and vigorous activities should be avoided during this period.[Read More] Recovery After Steel Nail Removal: What to Expect Post-Surgery
Understanding Thigh Fracture Pain and Recovery: What to Expect
Pain at the site of femoral fracture? Hello, Doctor. I was in a car accident on December 29 of last year, which resulted in a comminuted fracture of my left femur. I underwent minimally invasive surgery in the early morning to repair it. On February 10, I returned to the hospital...
Dr. You Dianqi Reply:
Hello! It is important to proceed with the rehabilitation arrangements as well. It is recommended that you discuss this with your attending physician or physical therapist. Thank you![Read More] Understanding Thigh Fracture Pain and Recovery: What to Expect
Understanding Tibia and Fibula Fractures: Do You Need Bone Graft?
Tibiofibular fracture from a car accident? I have a tibia and fibula fracture from a car accident. The fracture is quite fragmented with a one-centimeter gap, and I have an internal fixation plate installed. Do I need to use bone graft? The doctor said that the X-ray shows that t...
Dr. Li Wenhong Reply:
Hello: A comminuted fracture of the lower extremity generally requires three to six months before one can walk without assistive devices, but this varies from person to person. Typically, regular follow-up appointments with X-rays are necessary, during which the physician will ad...[Read More] Understanding Tibia and Fibula Fractures: Do You Need Bone Graft?
Post-Surgery Achilles Tendon Pain: Signs of Re-rupture?
Postoperative heel pain after Achilles tendon surgery? I have been post-operative for 10 months now, and I often feel pain in my heel. Is this a sign of a possible re-fracture?
Dr. You Dianqi Reply:
Hello! It is recommended to schedule a follow-up appointment for evaluation. Thank you![Read More] Post-Surgery Achilles Tendon Pain: Signs of Re-rupture?
Understanding Exposed Bone Screws After Metatarsal Fracture Surgery
Extruded portion of the metatarsal bone screw? Hello Doctor, I was in a car accident on February 7th and sustained fractures to the first through fourth metatarsals in my left foot. On February 18th, I underwent surgery where external fixation pins were inserted into the first an...
Dr. Shi Guozheng Reply:
Further medical evaluation may be necessary; please consult the attending physician for assessment.[Read More] Understanding Exposed Bone Screws After Metatarsal Fracture Surgery
Understanding Tightness and Hardness Around Rib Surgery Wounds
Tightness around the incision site after rib surgery? Hello Doctor: I recently had surgery for a rib fracture, and after the wound has healed, I feel tightness around the surgical area. The area around the wound feels hard, and when I stretch my arm, I experience a pulling sensat...
Dr. Shi Guozheng Reply:
The surgical site will heal and new tissue will form, which can lead to such sensations. This is a normal phenomenon, and local heat application can help improve it.[Read More] Understanding Tightness and Hardness Around Rib Surgery Wounds
Understanding DXA Bone Density Results: What Do Low T-Scores Mean?
Inquiry about DXA bone density examination? Hello Doctor: A 35-year-old male underwent a health check at a hospital arranged by his company, and the DXA bone density report indicated the following: BMD of L1, L2, L3, and L4 (gm/cm²): 0.892, T score: -2.8, Z score: -1.8. The test ...
Dr. Shi Guozheng Reply:
It is advisable to monitor vitamin D and calcium supplementation every six months to a year. Drinking one or two cups of coffee is acceptable, and getting sunlight exposure is also beneficial.[Read More] Understanding DXA Bone Density Results: What Do Low T-Scores Mean?
Understanding Radial Head Fracture Displacement and Its Implications
Radial head fracture with displacement Hello Doctor, I have a fragment fracture in my radius. Here is the X-ray image: https://ibb.co/vwzyb1j. Three weeks post-surgery, I had my first X-ray, and the doctor said the alignment looked good: https://ibb.co/Qk9jWXj https://ibb.co/ncqc...
Dr. Shen Boquan Reply:
Hello, I cannot see the image you attached. It seems that your radius may be slightly misaligned. If the misalignment is significant and affects your mobility, your doctor should provide you with some recommendations. A slight displacement may not be able to be manually reduced, ...[Read More] Understanding Radial Head Fracture Displacement and Its Implications
Pain When Flexing or Pressing the Top of the Foot: Causes and Solutions
Pain occurs when the dorsum of the foot is tapped or pressed? Pain is felt in the middle of the prominent tendon on the base of the left big toe when flexing the foot or applying pressure. This has been ongoing for some time, and there are no issues with the right foot. The indiv...
Dr. Chen Yongxue Reply:
It is likely tendonitis. Please visit the fracture clinic for an examination. Thank you.[Read More] Pain When Flexing or Pressing the Top of the Foot: Causes and Solutions
Post-Surgery Care for Ankle Joint: What to Expect After Your Operation
Postoperative Care for Ankle Surgery Hello, Doctor: I had surgery on February 9 due to an ankle fracture from a car accident. During my follow-up appointment on February 22, the doctor said that I no longer need to apply medication to the surgical wound and that it can get wet. H...
Dr. Chen Yongxue Reply:
Generally, the sutures used for cosmetic procedures are "absorbable sutures" that do not require removal. After one week, they can be exposed to water directly. The cosmetic adhesive does not need to be removed. Thank you.[Read More] Post-Surgery Care for Ankle Joint: What to Expect After Your Operation
Understanding Heel Pain: Is It a Fracture or Just a Bruise?
Calcaneal fracture A few days ago, I had a car accident. Initially, I was able to stand and walk on my heel. The doctor said I was doing well and didn't need an X-ray. However, two days later, my heel started to hurt, but my ankle is not swollen and I can move it freely. Pre...
Dr. Wang Jiacheng Reply:
It could be caused by a contusion, but we cannot rule out the possibility of a fracture. It's best to see a physician and get an X-ray to confirm.[Read More] Understanding Heel Pain: Is It a Fracture or Just a Bruise?
Understanding Heel Pain After an Accident: Fracture or Contusion?
Pain in the heel? A few days ago, I had a car accident. Initially, I was able to stand and walk on my heel. The doctor said I was doing well and did not need an X-ray. However, after a couple of days, my heel started to hurt, but my ankle is not swollen and I can move it freely. ...
Dr. Shi Guozheng Reply:
It could be caused by a bruise, but we cannot rule out the possibility of a fracture. It's best to see a doctor and get an X-ray to confirm.[Read More] Understanding Heel Pain After an Accident: Fracture or Contusion?
Understanding Pain from Pelvis to Thigh After an Accident
Pain from the pelvis to the thigh? Hello doctor, it's been over two weeks since my car accident where I injured the left side of my thigh and pelvis. I still have to walk slowly; if I try to walk quickly, I feel a pulling sensation in the surrounding muscle groups, and I can...
Dr. Wang Shouji Reply:
Hello, fractures and cracks in the bones can cause severe pain and difficulty in walking. If you are still able to walk, the likelihood of a fracture is quite low. If the pain worsens, a follow-up X-ray can be performed. Even with soft tissue injuries, pain may persist for one to...[Read More] Understanding Pain from Pelvis to Thigh After an Accident
Managing Non-Surgical Patellar Fractures: Recovery Tips and Care
Patellar fracture without surgery? Hello Doctor, on February 17th, I had a significant fall while walking and went to the emergency room where an X-ray revealed a fracture of the left patella, with both transverse and longitudinal fractures. I was immediately admitted for surgery...
Dr. Wang Shouji Reply:
Hello, if a patellar fracture bends too early, there is a significant risk of displacement. Close monitoring of the fracture for any displacement is usually required, initially once a week. If there is no displacement after two weeks, it indicates that the previous activity level...[Read More] Managing Non-Surgical Patellar Fractures: Recovery Tips and Care