Understanding Closed Fibula Fractures: Care and Recovery Tips
Closed fracture of the right fibula at the lateral malleolus? Hello Doctor, my mother fell on June 26 while walking and went to the emergency room. The doctor diagnosed her with a closed fracture of the right fibula at the lateral malleolus, with the bone broken less than 5mm. Su...
Dr. Chen Bochen Reply:
Hello, 1. If the fracture displacement is not severe, an inflatable cast shoe can be used for protection. 2. It should be worn as much as possible; it can be temporarily removed for bathing, and can be loosened but not removed while sleeping. 4. Generally, the first follow-up app...[Read More] Understanding Closed Fibula Fractures: Care and Recovery Tips
Understanding and Managing Toe Cramps: Causes and Solutions
Toe cramp Hello Doctor, my left big toe frequently cramps, and this situation has been ongoing for about a year. It started with my left big toe, and later my right big toe began to cramp as well. Six months ago, I experienced pain in my right foot while walking, and the doctor d...
Dr. Chen Yongxue Reply:
Hello, there are many causes of cramps, including excessive fatigue, electrolyte imbalances (including calcium), loss of muscle elasticity, and spinal nerve compression, among others. It is recommended to frequently apply heat to relax the muscles. Additionally, it is important t...[Read More] Understanding and Managing Toe Cramps: Causes and Solutions
Loss of Sensation in Inner Thigh and Genitals After Spine Surgery: What to Expect?
There is no sensation in the left inner thigh and the left side of the penis and scrotum? In April, I underwent minimally invasive surgery to fixate my lumbar spine due to spondylolisthesis and a fracture (L5), where screws were inserted. After the first surgery, I noticed a lack...
Dr. Shi Guozheng Reply:
1. Recovery is possible but not guaranteed. 2. It may take three to six months. 3. If recovery is not achieved, the effectiveness of surgery may be limited.[Read More] Loss of Sensation in Inner Thigh and Genitals After Spine Surgery: What to Expect?
Preventing and Treating Avascular Necrosis of the Talus in Children
Avascular necrosis of the talus? The child sustained an ankle sprain three months ago, and only recently, an MRI revealed partial avascular necrosis of the talus neck. Doctor, I would like to ask: 1. How can we prevent the avascular necrosis from worsening? 2. Is there a possibil...
Dr. Shi Guozheng Reply:
1. Do not put weight on the fractured area. 2. Usually requires surgical intervention for bone repair. 3. Alternatively, hyperbaric oxygen therapy may be used.[Read More] Preventing and Treating Avascular Necrosis of the Talus in Children
Understanding Your Right Knee MRI Report: Key Findings Explained
Could you help interpret the MRI report? MRI of the right knee without IV contrast showed: - Right PCL: Status post reconstruction of the right PCL. - Right medial meniscus: Intrameniscal tear of the right medial meniscus. - Right LCL: Fluid collection along the right later...
Dr. Shi Guozheng Reply:
The status after right knee posterior cruciate ligament reconstruction requires follow-up with a clinical physician for further evaluation.[Read More] Understanding Your Right Knee MRI Report: Key Findings Explained
Post-Surgery Pain and Nerve Recovery After Zygomatic Fracture
Six months after surgery for a zygomatic bone fracture, there is pain at the site of the bone screws? Hello Doctor, last September I accidentally missed a step while helping my family move, and I fell face-first while carrying a heavy object, resulting in a zygomatic bone fractur...
Dr. Chen Yongxue Reply:
It is possible that the nerves are being compressed by scar tissue. Please follow up with your attending physician in the outpatient clinic.[Read More] Post-Surgery Pain and Nerve Recovery After Zygomatic Fracture
Understanding Fever After a Fracture: Causes and Care Tips
Fever after a fracture? Hello doctor, I fell on May 27 and caused cracks in my right ankle and patella. I have been using a brace for stabilization and initially took anti-inflammatory pain medication to reduce swelling. However, on June 4, my knee suddenly became red, swollen, a...
Dr. You Dianqi Reply:
You can apply ice packs initially, and it is advisable to schedule a follow-up appointment to consult with your primary physician. Thank you.[Read More] Understanding Fever After a Fracture: Causes and Care Tips
Persistent Pain After Tibial Plateau Fracture: Possible Causes and Solutions
Five months after a tibial plateau fracture, there is still pain? Hello Doctor: On January 11 of this year, I suffered an injury to my right tibial plateau due to work, which resulted in the anterior cruciate ligament being displaced. I underwent surgery on January 17, where scre...
Dr. Shi Guozheng Reply:
The bone itself may also have a contusion. After the ligaments are fixed back in place, it is necessary to test whether the stability is sufficient. If there are any unstable conditions present, pain may also occur. When ligaments are injured, in addition to the complete displace...[Read More] Persistent Pain After Tibial Plateau Fracture: Possible Causes and Solutions
Understanding Steel Plate Removal: Pain, Recovery, and Limitations
Removal of steel plates Several years ago, both of my wrists were crushed, and I had steel plates implanted. Recently, I have been experiencing intermittent pain in my wrists, which worsens in cold weather. There are also limitations in movement, and I have decided to have the pl...
Dr. Shi Guozheng Reply:
1. The pain is milder than after the initial fracture surgery. 2. Approximately two weeks. 3. It may improve. 4. Within two weeks. 5. You can ride a bike. 6. You should be able to hold a pen. 7. Rehabilitation is not necessary, but you must wait three to six months be...[Read More] Understanding Steel Plate Removal: Pain, Recovery, and Limitations
Recovery Timeline for Medial Malleolus Fracture: What to Expect
Fracture of the left tibial medial malleolus? Hello, doctor. I was hit by a car while walking on April 15, and although my left foot's outer ankle made contact with the ground, I sustained a fracture of the inner ankle. The doctor recommended two months of rest. I did not un...
Dr. Shi Guozheng Reply:
Approximately three months after the injury.[Read More] Recovery Timeline for Medial Malleolus Fracture: What to Expect
Do I Need Surgery for My Injured Big Toe After a Crush Injury?
The thumb was compressed by an object? Hello, doctor. Last month, I accidentally dropped something on my foot at work, causing a small piece of bone in my big toe nail to shift forward. Do I need surgery for this, or will it heal on its own?
Dr. Wang Shouji Reply:
Hello, first we need to confirm whether there is a fracture in order to assess the situation. If there are no fractures or lacerations, most cases are unrelated to surgery. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Do I Need Surgery for My Injured Big Toe After a Crush Injury?
Understanding Knee Pain After Injury: Expert Insights and Treatment Options
Inquiry Consultation Dear Dr. Chen, Hello. At the end of 2017, I was involved in a motorcycle accident that injured my right knee (resulting in bleeding and bruising). I went to an orthopedic doctor for an X-ray, and after reviewing the images, the doctor stated that there were ...
Dr. Chen Bochen Reply:
Hello: Regarding your questions, Q1: Orthopedic diagnosis must be accompanied by physical examination, ultrasound, X-rays, and MRI, so I cannot provide a diagnosis or the underlying cause. Common causes include patellar ligament inflammation and cartilage inflammation. Q2: Un...[Read More] Understanding Knee Pain After Injury: Expert Insights and Treatment Options
Post-Clavicle Fracture Surgery: When Can You Safely Go Out?
How long after a clavicle fracture surgery can one go out? Hello, Doctor. I had a motorcycle accident on April 13, resulting in a left clavicle fracture. At that time, since there was no displacement and the crack was not significant, I underwent conservative treatment with a fig...
Dr. Shi Guozheng Reply:
1. You can go outside. 2. You can, but be cautious not to exert too much force on the fractured side. 3. It is not recommended to do so. A fracture typically takes about three to six months to heal, and you should gradually ease into strenuous activities.[Read More] Post-Clavicle Fracture Surgery: When Can You Safely Go Out?
Recovery Timeline for Medial Malleolus Fracture: What to Expect
Fracture of the left tibial medial malleolus? Hello, doctor. I was hit by a car while walking on April 15, and although my left foot's outer ankle made contact with the ground, I sustained a fracture of the inner ankle. The doctor recommended two months of rest. I did not un...
Dr. Shi Guozheng Reply:
Fractures of the inner ankle typically take about three months to heal, and normal activity can usually resume around that same timeframe.[Read More] Recovery Timeline for Medial Malleolus Fracture: What to Expect
Understanding Clavicle Fracture Healing: Bone Callus Formation and Care Tips
The clavicle fracture has not yet formed a callus? I have a fracture of my right clavicle, and the doctor said conservative treatment is sufficient. I am currently using a sling. During my follow-up appointment in the third week, an X-ray was taken, and the doctor mentioned that ...
Dr. Chen Yongxue Reply:
Hello, if the clavicle fracture is in the midshaft, surgery may not be necessary. However, it is important to use a figure-eight shoulder strap along with a shoulder sling for about 6-8 weeks. Supplementing with calcium is beneficial, but please be aware that it may cause constip...[Read More] Understanding Clavicle Fracture Healing: Bone Callus Formation and Care Tips
Can Rest Heal a Talus Fracture? Understanding Recovery and Care
Will a talus fracture heal with rest? A child injured their ankle while descending stairs in mid-March, initially diagnosed with a ligament tear. However, they have been experiencing heel pain and difficulty walking since then. An MRI in mid-May revealed a talus fracture, but sin...
Dr. Shi Guozheng Reply:
The healing of a talus fracture depends on the location of the fracture, as it can affect blood circulation, potentially leading to nonunion or even avascular necrosis. Therefore, it is essential to consult your original physician for clarification. If the fracture is non-displac...[Read More] Can Rest Heal a Talus Fracture? Understanding Recovery and Care
Understanding Knee Pain After Injury: Causes and When to Seek Help
Knee Consultation Inquiry Dear Dr. Shi, I had a car accident at the end of 2017, injuring my right knee (with bleeding and bruising). I went to an orthopedic specialist for an X-ray, and the doctor stated that there were no issues with my right knee joint (such as fractures, cra...
Dr. Shi Guozheng Reply:
The kneecap, also known as the patella, has synovial tissue present on its anterior surface. Sometimes, when kneeling and making contact, it can cause pain due to inflammation. Additionally, after a collision, there may be a period of pain when transitioning from sitting to stand...[Read More] Understanding Knee Pain After Injury: Causes and When to Seek Help
Managing Severe Right Shoulder Pain: Treatment Options and Specialist Guidance
I have severe pain in my right shoulder, to the point that I can't sleep well? Hello, I have severe pain in my right shoulder. It hurts whether I lie on my side or on my back at night, making it difficult to sleep. I have a history of hypertension, hyperlipidemia, and diabet...
Dr. Shi Guozheng Reply:
Rotator cuff tears in the shoulder are often very painful. Rehabilitation can help alleviate the pain, and corticosteroid injections into the shoulder joint or the use of anti-inflammatory pain medications can also provide relief. If there is no improvement, it is advisable to co...[Read More] Managing Severe Right Shoulder Pain: Treatment Options and Specialist Guidance
Do I Need Surgery for My Displaced Toe Bone Injury?
Do I need surgery? It's very urgent? Hello doctor, I accidentally dropped something on my foot at the end of April, which caused a small piece of bone in my big toe to shift forward. Do I need surgery for this, or can it heal on its own?
Dr. Shi Guozheng Reply:
Without imaging references, it is difficult to accurately determine if a fracture will affect function. If the fracture is displaced, surgery is necessary; if there is no displacement, surgery may not be required.[Read More] Do I Need Surgery for My Displaced Toe Bone Injury?
Correcting Knee Deformities After Tibial Plateau Surgery: Solutions
Tibial plateau fracture treated surgically resulted in a varus deformity (bow-legged)? In 2021, I underwent surgery on my left knee, where five screws and a plate were used for fixation. Now, three months later, I have noticed that my thigh is turned inward, the left side of my p...
Dr. Shi Guozheng Reply:
To determine if a fracture has healed, if it has healed, active rehabilitation should be undertaken. In the future, if there are joint issues following the fracture, further treatment should be considered.[Read More] Correcting Knee Deformities After Tibial Plateau Surgery: Solutions