Understanding Coccydynia: When to Seek Further Medical Attention
Coccyx contusion Hello doctor, I had a fall in early April and injured my coccyx. I went to the hospital for an X-ray, which showed a contusion but no fracture. I was advised to limit my physical activity. However, as of mid-July, I still experience pain when sitting for long per...
Dr. Shi Guozheng Reply:
If pain persists three months after a bruise, it may indicate that inflammation has not fully healed. You can try applying heat and consider taking some anti-inflammatory medications to alleviate the discomfort. If the pain does not improve, it is necessary to consult a physician...[Read More] Understanding Coccydynia: When to Seek Further Medical Attention
Understanding Patellar Fractures: Recovery and Muscle Cramps Explained
Patellar comminuted fracture Hello Dr. Wang, I apologize for the mistake last time. I had a comminuted fracture of the patella in May 2020 and had wires inserted. I had them removed in May 2021, and now, over a year later, I am experiencing cramps in my thigh and calf.
Dr. Wang Shouji Reply:
Hello, cramps are mostly caused by muscle atrophy or poor circulation within the muscles. It is recommended to stretch the muscles more, engage in weight-bearing exercises to enhance muscle strength, and apply heat to improve blood circulation. Additionally, please consult a reha...[Read More] Understanding Patellar Fractures: Recovery and Muscle Cramps Explained
Clavicle Screw Removal: Anesthesia Options, Hospital Stay, and Recovery Time
Removal of metal plates after clavicle fracture? Last October, I had a car accident that resulted in my clavicle being fractured in two pieces with a displacement. I underwent surgery where health insurance covered the insertion of bone screws. A year later, I am going back to ha...
Dr. Wang Shouji Reply:
Hello, the procedure involves general anesthesia, and most patients are hospitalized for one day. It is recommended to rest for at least one month and avoid heavy lifting. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Clavicle Screw Removal: Anesthesia Options, Hospital Stay, and Recovery Time
Understanding Leg Cramps After Knee Surgery: Causes and Solutions
Leg cramps in the thigh? Hello Dr. Wang, I had a patellar comminuted fracture surgery due to a car accident in May 2011. This May, I had the fixation wires removed. Since then, I have been experiencing cramps from my thigh to my calf. The injured leg has atrophied and is smaller ...
Dr. Wang Shouji Reply:
Hello, standing with full weight after a patellar fracture should not be an issue, but there is currently muscle atrophy. It is important to engage in strength training, as it has been a long time—ten years (from May 2021 to July 2021). It is uncertain whether the fracture has co...[Read More] Understanding Leg Cramps After Knee Surgery: Causes and Solutions
Core Strengthening Exercises After Spine Surgery: Safety and Recommendations
Core exercises after spinal surgery? It has been four months post-surgery, where screws and a cage were placed in the lumbar spine at levels L4 and L5. I have two questions: 1. What exercises can I do to increase core strength? 2. When lying flat, performing an abdominal exercise...
Dr. Wang Shouji Reply:
Hello, it is important to first confirm whether a joint fusion surgery has been performed. If so, verify whether the fusion site has healed. Core strengthening exercises targeting the back and abdomen can enhance spinal stability. Exercises such as sit-ups and push-ups can be ben...[Read More] Core Strengthening Exercises After Spine Surgery: Safety and Recommendations
Understanding Tibia and Fibula Fractures: Recovery and Complications
Tibia and fibula fractures Hello Doctor, I had an open, displaced fracture of the middle and lower segments of my tibia and fibula due to a car accident last June, but the bone did not protrude through the skin. I underwent intramedullary nailing for the tibia, and it has been al...
Dr. Wang Shouji Reply:
Hello, 1. It is essential to confirm that the fracture has completely healed before considering the removal of internal fixation. If the fracture has not fully healed after three to six months, one side of the locking screw may be removed to promote healing. If it remains unhea...[Read More] Understanding Tibia and Fibula Fractures: Recovery and Complications
Understanding Toe Fractures: Treatment, Recovery, and Pain Management
Toe fracture Hello Doctor: I have a 2 cm laceration on the third toe of my left foot with an open fracture that only underwent suturing. I have questions regarding dressing changes and medication: 1. Is there no need for surgery, a fixation plate, or other treatments? 2. Is it no...
Dr. Chen Bochen Reply:
Open fractures of the toes do not always require surgery, but special attention should be paid to the healing of the wound and any signs of infection. Stabilization can be achieved by wearing protective footwear, hard-soled shoes, or by taping the 2nd, 3rd, and 4th toes together ...[Read More] Understanding Toe Fractures: Treatment, Recovery, and Pain Management
Dealing with Home Accidents: Knee Injuries and Fractures Explained
Home accidents I once fell down the stairs at home and hit my knee against the sharp edge of a step, resulting in a loud cracking sound. My knee was indented by five centimeters. When I stood up, the pain was so intense that I lost my balance and fell again, resulting in fracture...
Dr. Wang Shouji Reply:
Hello, most children recover from fractures faster than adults. With proper rest and adherence to the physician's treatment, the prognosis is generally good. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Dealing with Home Accidents: Knee Injuries and Fractures Explained
Understanding Rib Pain: Possible Causes and When to Seek Help
General malaise? Hello doctor: I would like to ask, I do not have a fracture, but when I get up in the morning, I experience pain in both sides of my ribs. The pain is located in the lower ribs on both sides, and it feels sharp and stabbing. What could be the cause of this pain?
Dr. Wang Jiacheng Reply:
It is recommended that you visit an orthopedic outpatient clinic to see if any relevant examinations are needed. Thank you, and wish you good health![Read More] Understanding Rib Pain: Possible Causes and When to Seek Help
Post-Surgery Recovery for Femur Fractures and Muscle Strains
Post-surgery for a bone fracture? Hello, Doctor Shi. I would like to ask about my mother, who is in her 50s. On May 31, she slipped on a wet surface while walking (her knee did not hit the ground) and sustained a hairline fracture near the knee joint of her right femur, as well a...
Dr. Shi Guozheng Reply:
The healing time for large bone fractures in the human body typically ranges from three to six months. If surgery is performed with internal fixation using bone screws and the reduction is satisfactory, the patient may gradually start to reduce the use of assistive devices around...[Read More] Post-Surgery Recovery for Femur Fractures and Muscle Strains
How to Handle a Broken Toe: Symptoms, Treatment, and Recovery Tips
What to do for a toe fracture? Last night, while using the restroom, I accidentally kicked my left foot's little toe against a chair. It was very painful at the moment, but I went to sleep. This morning, it still hurts, and I can't put weight on it while walking. I also...
Dr. Chen Yongxue Reply:
If a fracture is suspected, an X-ray should be performed for diagnosis. If a fracture is confirmed, immobilization is necessary (the method of immobilization varies depending on the type of fracture, ranging from adhesive tape to surgical pins). Rest is essential, and vigorous ac...[Read More] How to Handle a Broken Toe: Symptoms, Treatment, and Recovery Tips
Understanding Complications After Distal Radius Fracture Surgery
Distal radioulnar joint dislocation Hello Doctor: I am the person who previously raised a question in <a href="https://adoctor.tw/article/169644">#169644</a>. I have a displaced fracture of the right radius and ulna, for which I underwent surgery to have a p...
Dr. Chen Yongxue Reply:
As mentioned in your letter, it is likely carpal tunnel syndrome. The causes could include scarring, prolonged pressure, or conditions such as diabetes, among others. Therefore, it is possible to perform a decompression surgery while removing the plate. 1. How can I ask my doct...[Read More] Understanding Complications After Distal Radius Fracture Surgery
Post-Tibial Fracture Surgery: Why Can't I Lift My Big Toe?
After tibial fracture surgery, the big toe cannot be lifted? Hello, Doctor. I would like to ask you: I was involved in a car accident on March 10 of this year, which resulted in a comminuted fracture of my right tibia. I underwent intramedullary nailing surgery on March 11, durin...
Dr. Wang Shouji Reply:
Hello, 1. If the big toe cannot be lifted while the other toes can, the first consideration should be whether there is any damage to the tendons or muscles. If there is tendon damage, it should be addressed promptly. If it is not a muscle or tendon injury, then rehabilitation t...[Read More] Post-Tibial Fracture Surgery: Why Can't I Lift My Big Toe?
Severe Motorcycle Accident: Treatment Options for Fractured and Numb Legs
Traffic accident issues? I was involved in a severe motorcycle accident a year ago. I experienced a leg cramp while riding, which caused me to be struck by Vehicle A, throwing me to the ground. Upon landing, both of my knees were severely deformed, and I was subsequently run over...
Dr. Wang Shouji Reply:
Hello, if the nerve rupture is at a higher level, recovery from the nerve injury is unlikely. If there is no response in the lower limbs, the chances of recovery are almost impossible. However, if there is some remaining function, surgical intervention may be considered to improv...[Read More] Severe Motorcycle Accident: Treatment Options for Fractured and Numb Legs
Understanding Knee Injuries and Femur Fractures After a Car Accident
Knee problems and femoral fractures? 1. I was involved in a car accident where a bus ran over both of my legs, resulting in severe comminuted fractures of my thigh, knee, and fibula, along with a severe knee dislocation. My entire leg is deformed except for the sole of my foot. W...
Dr. Wang Jiacheng Reply:
To assess the severity of a fracture and determine if there is any damage to blood vessels or nerves, surgical intervention may be necessary. Having X-ray images for reference makes it easier to provide a clearer evaluation.[Read More] Understanding Knee Injuries and Femur Fractures After a Car Accident
Severe Leg Injuries from Car Accident: Treatment and Recovery Insights
Car accident injuries? 1. I was involved in a car accident where a bus ran over both of my legs, resulting in severe comminuted fractures of my thigh, knee, and fibula, along with a severe knee dislocation. My entire leg is deformed except for the sole of my foot. What treatment ...
Dr. Shi Guozheng Reply:
To assess the severity of a fracture and determine if there is any damage to blood vessels and nerves, surgical treatment may be necessary. Having X-ray images for reference makes it easier to provide a clearer evaluation.[Read More] Severe Leg Injuries from Car Accident: Treatment and Recovery Insights
Ankle Bone Spur Surgery: Recovery Time and Staged Procedures Explained
Ankle bone spur surgery? I have bone spurs on both of my ankles. After the bone spur on my left foot fractured, it became a loose bone spur. My last diagnosis was a year ago, and it is now affecting my normal activities. I am considering surgery and would like to know how long th...
Dr. Wang Shouji Reply:
Hello, the recovery time after surgery depends on the type of procedure performed. Generally, it takes at least two to three months for recovery. It is important to begin range of motion exercises as soon as possible after surgery to prevent stiffness, and you can do this one leg...[Read More] Ankle Bone Spur Surgery: Recovery Time and Staged Procedures Explained
Understanding Rib Pain: Causes and When to Seek Help
Rib issues Hello doctor: I have a question. I don't have a fracture, but when I lie flat and then get up, I experience pain behind my lower ribs on both sides. Coughing and sneezing also cause pain in my lower ribs on both sides, and I feel a bit of pain all over my body. Wh...
Dr. Zhan Xian Reply:
Hello, Avi. Your symptoms require further examination. Please visit the orthopedic outpatient clinic.[Read More] Understanding Rib Pain: Causes and When to Seek Help
Do Medial Tibial Plateau Fractures Always Require Surgery?
Medial tibial plafond I would like to inquire whether a medial malleolus fracture with displacement always requires surgery, or if it can heal on its own.
Dr. Wang Shouji Reply:
Hello, if a fracture involves the joint surface and is displaced, it is less likely to heal properly and may lead to joint sequelae. Surgical reduction and fixation are recommended. If there is no displacement, non-surgical management may be considered, but it is important to mon...[Read More] Do Medial Tibial Plateau Fractures Always Require Surgery?
Do Medial Tibial Plateau Fractures Always Require Surgery?
Medial tibial plafond I would like to ask if a medial malleolus fracture with displacement always requires surgery, or can it heal on its own?
Dr. Wang Shouji Reply:
Hello, if a fracture involves the joint surface and is displaced, it is less likely to heal properly and may lead to joint sequelae. Surgical reduction and fixation are recommended. If there is no displacement, non-surgical management may be considered, but it is important to mon...[Read More] Do Medial Tibial Plateau Fractures Always Require Surgery?