Understanding Fifth Metatarsal Fractures: Surgery or Conservative Treatment?
Fifth metatarsal fracture Hello, doctor. I recently suffered a fracture of the fifth metatarsal (with a 2mm displacement) due to an accidental misstep at work. Several doctors have provided me with the option of either surgery or non-surgical treatment, and I'm feeling a bit...
Dr. Shi Guozheng Reply:
Photos can be sent via https://drive.google.com/file and usually do not require surgery.[Read More] Understanding Fifth Metatarsal Fractures: Surgery or Conservative Treatment?
Post-Fracture Rehabilitation Challenges: Understanding Shoulder Recovery
Post-fracture rehabilitation issues? I have a proximal humeral fracture, and the incision from the surgery is on the side of my shoulder. They used a titanium alloy plate and screws for fixation, but there is less muscle in that area. Will the surgery have damaged the muscle to s...
Dr. Chen Bochen Reply:
Hello Bobo, there will inevitably be some muscle damage during surgery, and joint stiffness after the operation is also a common phenomenon. As long as the surgery is successful and the fracture heals, gradual rehabilitation and exercise will lead to a smooth recovery. Wishing yo...[Read More] Post-Fracture Rehabilitation Challenges: Understanding Shoulder Recovery
Understanding Anterior Shin Pain After a Calf Injury: Causes and Care
Anterior lower leg contusion pain? Hello Doctor, a couple of days ago during an outdoor activity, I accidentally stepped into a hole that was knee-deep with my left foot. When my foot slipped into the hole, the front side of my calf was impacted. At the time, I only felt that the...
Dr. Shi Guozheng Reply:
A collision to the calf may involve soft tissues such as muscles and subcutaneous tissue absorbing the impact, and it is also possible for the bone to be affected. If there is no fracture and no muscle tear, it is classified as a contusion. If there is a fracture, the bone will b...[Read More] Understanding Anterior Shin Pain After a Calf Injury: Causes and Care
Challenges in Healing Open Fractures: A Case Study of Tibia and Fibula
Incomplete healing after open reduction and internal fixation of a right distal tibiofibular fracture? Hello Doctor, I had an open fracture of the distal fibula on the right side due to a car accident in January this year, and I underwent surgery with self-funded internal fixatio...
Dr. Shi Guozheng Reply:
1. If there is a defect in the bone, healing can be very slow, and sometimes it may not heal at all. In such cases, surgical bone grafting may be necessary to promote healing. Usually, if a fracture has not healed after one year, surgery can be considered. 2. If the fracture si...[Read More] Challenges in Healing Open Fractures: A Case Study of Tibia and Fibula
Understanding Hip Joint Limitations After Femoral Fracture Recovery
Complications after femoral fracture? Hello, doctor. Five years ago, I had a car accident that resulted in a mid-shaft fracture of my left femur. It has since healed, and the intramedullary nail has been removed. However, I have undergone multiple surgeries and rehabilitation due...
Dr. Shi Guozheng Reply:
1. It could be joint contracture or a muscle issue. 2. It may also be due to pain causing reluctance to move. 3. Engage in rehabilitation. 4. It is possible. 5. Surgical treatment is only necessary if there is a leg length discrepancy of more than four centimeters; if the...[Read More] Understanding Hip Joint Limitations After Femoral Fracture Recovery
Severe Staircase Fall: Understanding Fractures and Recovery Options
Staircase fall resulting in fracture? I'm sorry to hear about your situation. Here’s the translation: I apologize, but recently while going down the stairs, my thigh suddenly cramped. I sat down to check and found that the muscles in both of my thighs had cramped to the poi...
Dr. Shi Guozheng Reply:
1. Surgical reduction and fixation of fractures. 2. If the blood vessels are not injured, amputation is usually not necessary. 3. It is somewhat serious. 4. Follow the physician's advice and undergo treatment.[Read More] Severe Staircase Fall: Understanding Fractures and Recovery Options
Could Volleyball Collision Cause Tailbone Injury? Understanding Your Pain
Due to a collision while playing volleyball, I fell and landed on my buttocks? Hello doctor, on September 23rd, I collided with someone while playing volleyball and fell, landing on my buttocks. I applied ice initially. Today, the pain has decreased a bit and is within tolerable ...
Dr. Chen Bochen Reply:
Hello, the pain you described in that area is usually caused by inflammation of the ligaments connecting to the coccyx. It typically takes about 3-4 weeks to heal, but if there is a fracture, it may take 1-2 months to recover. Generally, surgical treatment is not required.[Read More] Could Volleyball Collision Cause Tailbone Injury? Understanding Your Pain
Can I Stop Using Crutches After a Femur Fracture Surgery?
Femoral fracture and the ability to use crutches? I suffered a femur fracture in a car accident on August 22 and underwent minimally invasive surgery where a titanium alloy rod was placed. Today is October 4, and I have been recovering for over a month. This week, I need to go to...
Dr. Chen Bochen Reply:
Hello, Hou Fei: If it is a simple femoral fracture and you have undergone intramedullary nailing with good reduction, you can gradually start using crutches one month post-surgery. However, if you are unsure about the type of surgery you had or the status of your reduction, it is...[Read More] Can I Stop Using Crutches After a Femur Fracture Surgery?
Understanding Mid-Shaft Humerus Fractures: Surgery vs. Natural Healing
Mid-shaft fracture of the right humerus? Currently in the second week post-injury, aside from feeling bone displacement while sleeping, I can still move my fingers normally at other times (no nerve damage). The X-ray shows complete displacement, which has been realigned with a ca...
Dr. Shi Guozheng Reply:
1. If the physician determines that treatment with a cast is appropriate, it will also heal. 2. There is no specific "golden period" for treatment; fractures should be stabilized as soon as possible, whether with a cast or through surgery. 3. Surgery does carry a ri...[Read More] Understanding Mid-Shaft Humerus Fractures: Surgery vs. Natural Healing
Understanding Clavicle Plate Fractures: Causes and Treatment Options
The clavicle brace is broken? In January, I fractured my right clavicle due to a car accident. After being taken to the hospital, the doctor recommended surgery to install a clavicle plate. There were options for both National Health Insurance coverage and self-pay. I chose the s...
Dr. Shi Guozheng Reply:
After a clavicle fracture, surgery typically involves the use of a titanium alloy plate for fixation. It is usually necessary to wait until the bone has healed before applying greater force during work. The plate may break because the bone has not fully healed, leading to excessi...[Read More] Understanding Clavicle Plate Fractures: Causes and Treatment Options
Understanding Absorbable Bone Materials: Recovery and Comparisons in Orthopedic Surgery
Biodegradable bone graft materials Hello, doctor. On September 11, I slipped and fell, landing on my left knee, resulting in a patellar fracture in two pieces with a displacement of 7.5 mm. I underwent a reduction surgery that same day and opted for absorbable bone screws at my o...
Dr. Shi Guozheng Reply:
1. There is basically not much difference. 2. Healing in about three months is considered normal. 3. Some materials may cause tissue reactions during the healing process, but this is rare. If inflammation occurs, it must be addressed.[Read More] Understanding Absorbable Bone Materials: Recovery and Comparisons in Orthopedic Surgery
Persistent Pain After Foot Injury: Healing Tips and Recovery Insights
The dorsum of the foot was injured by a physical therapy electrode wire, and it has been 7 weeks, yet the pain persists? Hello, Doctor! On August 5, 2022, I accompanied a family member to a rehabilitation clinic, and I accidentally caught my foot on the electrical stimulation wir...
Dr. Shi Guozheng Reply:
If there are no fractures, recovery usually occurs gradually over about six weeks. There are many treatment options available, so I recommend consulting a specialist for ongoing follow-up. With the passage of time, improvement is certainly expected.[Read More] Persistent Pain After Foot Injury: Healing Tips and Recovery Insights
Understanding the Differences Between Osteomyelitis and Cellulitis After Fracture Surgery
Postoperative inflammation symptoms were observed following tibia and fibula fracture surgery? Hello Doctor: In early July, I sustained a closed fracture of the lower fibula in my right leg due to a car accident. I underwent internal fixation surgery on the same day, and all the ...
Dr. Shi Guozheng Reply:
Osteomyelitis is an infection and inflammation of the bone itself, while cellulitis refers to the inflammation of the soft tissues of the limbs, where the bone itself is not infected.[Read More] Understanding the Differences Between Osteomyelitis and Cellulitis After Fracture Surgery
Understanding Ankle Pain After Surgery: Is It Normal?
Ankle fracture At the end of July, I sustained a closed fracture with dislocation of both ankles in my right calf and underwent surgery, during which steel pins and plates were inserted. By the end of August, I stopped using a walker, and I began rehabilitation in early September...
Dr. Chen Bochen Reply:
Hello, Xiaoxue. Generally, after more than 1.5 months, there should not be severe pain when walking. If there is no improvement after taking medication and resting for three days, it is important to seek medical attention for further examination as soon as possible.[Read More] Understanding Ankle Pain After Surgery: Is It Normal?
Understanding Fifth Metatarsal Base Fractures: Healing and Care Tips
Fracture of the base of the fifth metatarsal? I fell while walking on August 10 and sustained a fracture at the base of the fifth metatarsal in my right foot. I consulted a doctor on August 15, who advised me to wear an air cast for 6 weeks but said I don't need crutches. Wi...
Dr. Chen Bochen Reply:
Hello Ray, 1. If the fracture line is not significant, there is a chance of healing in 6 weeks. 2. If there is no pain, you can start walking without a brace; however, a safer approach is to get an X-ray to have the doctor confirm that it has healed before walking. 3. Swellin...[Read More] Understanding Fifth Metatarsal Base Fractures: Healing and Care Tips
Understanding Abnormal Bone Position After Forearm Fracture
Abnormal bone alignment after a hand fracture? Hello: About three to four years ago, I had an accident that resulted in a fracture of the forearm bones. Initially, the healing time and condition seemed good, but I have been experiencing a persistent issue. After the forearm fract...
Dr. Shi Guozheng Reply:
It should be a normal phenomenon; you can consider undergoing rehabilitation to see if it improves.[Read More] Understanding Abnormal Bone Position After Forearm Fracture
Understanding Lower Back Pain: Causes and Solutions for Long Hours of Standing
Lower back pain? Hello Dr. Chen: Currently, due to long hours of standing at work, I am experiencing lower back pain. Sometimes my lower back feels strange, as if the bones are misaligned. When I twist from side to side, I hear popping sounds, which provide some relief. Stretchin...
Dr. Chen Yongxue Reply:
Hello, the reasons you mentioned are numerous, with the most common being fascial inflammation. However, conditions such as vertebral slippage and lamina fractures are also not uncommon. It is advisable to visit an orthopedic clinic for further examination. Thank you.[Read More] Understanding Lower Back Pain: Causes and Solutions for Long Hours of Standing
Ankle Fracture and Ligament Tear: Recovery and Treatment Options
Ankle fracture with ligament rupture? Hello, doctor! I was in a car accident, resulting in a fracture of the talus bone in my ankle and a rupture of the surrounding ligaments (which was assessed using ultrasound). I have undergone minimally invasive surgery on the talus bone, whe...
Dr. Shi Guozheng Reply:
Typically, if a joint injury involves a fracture, the damage to the ligaments may be less severe because most of the external force is absorbed by the bone. Therefore, after fracture surgery, there is usually significant improvement, and currently, there is no need for PRP (plate...[Read More] Ankle Fracture and Ligament Tear: Recovery and Treatment Options
Should You Remove a Painful Plate After a Radius Fracture?
Should the self-paid plate for a radius fracture be removed if there is pain during movement? In early January of this year, I had a car accident that resulted in a fracture of the left radius. I underwent surgery in the emergency department at Chang Gung Memorial Hospital, where...
Dr. Shi Guozheng Reply:
If the bone screws indeed affect muscle activity, it is advisable to remove the screws and the plate. After the removal of the plate, you can typically resume cycling in about two to four weeks.[Read More] Should You Remove a Painful Plate After a Radius Fracture?
Understanding Minor Hand Fractures: Treatment and Recovery Tips
Minor bone fracture of the hand? I sustained a minor fracture in my elbow from a skateboard fall and went to a clinic for treatment. The doctor referred me to a larger hospital where I had two X-rays taken. The doctor confirmed it was a minor fracture and said that I don't n...
Dr. Wang Shouji Reply:
Hello, the location of the fracture is important. If the symptoms are mild, it may still take at least two to three weeks for the pain to subside. It is advisable to minimize movement and use a triangular bandage. Follow-up outpatient visits are necessary to check for any displac...[Read More] Understanding Minor Hand Fractures: Treatment and Recovery Tips