Understanding Tailbone Pain: Recovery Time and Treatment Options
I fell hard off a chair last week? Hello, doctor. I injured my coccyx almost two weeks ago and have visited two clinics. Both said that the pain would last for a month and did not take X-rays. When I asked the second doctor if it could be a fracture or a bone issue, he replied th...
Dr. Zhan Xian Reply:
Hello, if the pain does not improve, please visit the orthopedic outpatient clinic.[Read More] Understanding Tailbone Pain: Recovery Time and Treatment Options
Understanding Fourth Toe Fractures: Healing, Pain, and Recovery Insights
Fourth toe fracture with slight displacement? Hello, Doctor. I apologize for bothering you. I thought I had a minor sprain on October 20, but after an X-ray on November 6, I discovered a fracture and began conservative treatment. Here is the X-ray showing a small displacement fra...
Dr. Chen Bochen Reply:
1. The assessment of whether a fracture has healed should be based on clinical symptoms, not solely on X-rays. From the single angle you provided, it appears to be healed (but X-rays should not be interpreted from just one angle). 2. Your attending physician has indicated that y...[Read More] Understanding Fourth Toe Fractures: Healing, Pain, and Recovery Insights
Understanding Recovery from Distal Toe Fractures: Key Questions Answered
Fracture of the distal phalanges of the right foot, toes 2 to 4? Hello, I sustained an injury to my toes on January 7th when a heavy table fell on them, resulting in fractures of the distal phalanges of toes 2 to 4. The toenail on toe 2 has fallen off, and the toenail on toe 3 is...
Dr. Shi Guozheng Reply:
1. You can start walking in about two to four weeks without the need for assistive devices. An X-ray can be taken again one month after the fracture. 2. Surgery for pinning is not required. 3. Rehabilitation is not necessary. 4. You should be able to return to work in appro...[Read More] Understanding Recovery from Distal Toe Fractures: Key Questions Answered
Post-Fracture Surgery Concerns: Bone Healing and Pin Removal
Postoperative care related to fractures? Hello, doctor. I underwent surgery for a metacarpal and finger fracture at the end of December 2020. About four weeks post-surgery, X-rays show that the bone has not yet healed. Is it normal for the bone not to have healed after four weeks...
Dr. Shi Guozheng Reply:
Fractures of the metacarpals and phalanges typically show signs of primary callus formation around four weeks post-injury, indicating a significant level of stability. At that point, it is possible to remove the bone screws; however, it is also acceptable to wait until the bone h...[Read More] Post-Fracture Surgery Concerns: Bone Healing and Pin Removal
Ankle Fracture: Surgery or Conservative Treatment? Your Recovery Guide
Ankle fracture Last Saturday, I sprained my ankle and first went for acupuncture at a traditional Chinese medicine clinic. The next day, I went to the local hospital's emergency department for an X-ray, which confirmed two bone fractures that required a removable cast for st...
Dr. Chen Bochen Reply:
Hello, the need for surgery should be determined based on the "degree of displacement" observed in the X-ray and whether the joint is symmetrical. If the displacement is greater than 2-5 mm or if there is asymmetry in the ankle joint, surgery is recommended. If surgery ...[Read More] Ankle Fracture: Surgery or Conservative Treatment? Your Recovery Guide
Post-Surgery Challenges: Left Heel Weakness After T12 Spine Injury
After the T12 spinal surgery, the left heel is unable to bear weight? Hello Doctor, I suffered a burst fracture of the T12 vertebra in October last year, and underwent surgery where screws were placed from T10 to L2, with bone cement applied to T12. Postoperatively, I have been u...
Dr. Wang Shouji Reply:
Hello, it is important to pay attention to the degree of nerve compression. If temporary stabilization is not suitable and fusion is not performed, it may be appropriate to remove it. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Post-Surgery Challenges: Left Heel Weakness After T12 Spine Injury
Understanding Sacral Fractures and Disc Narrowing After Trauma
Decreased curvature of the sacrococcygeal region, S3 fracture, L5/S1 disc space narrowing, and pubic symphysis diastasis? Dear Dr. Zhan, Thank you very much for your response. It has been 20 days since the car accident on December 28, 2020. Two days after the incident, I underwe...
Dr. Zhan Xian Reply:
Mr. Bruce, if the pubic symphysis is separated by 1.8 cm and the pelvic structure is stable, conservative treatment is possible. Your injury requires time to heal, so please take a gradual approach and do not rush. Walking too much at the beginning may actually hinder bone healin...[Read More] Understanding Sacral Fractures and Disc Narrowing After Trauma
Can L4-L5 Compression Cause Heel Support Issues After Thoracic Surgery?
After thoracic spine surgery, the left heel is unable to bear weight? Hello Doctor: I suffered a burst fracture of the twelfth thoracic vertebra last October and had steel rods and bone cement implanted. Currently, I am able to walk with both legs. However, my left heel cannot su...
Dr. Wang Shouji Reply:
Hello, L5 nerve root compression can affect the heel, but regarding your statement about not being able to walk normally on your heel, can you confirm if the ankle joint movement is normal? Is there any tenderness in the heel? A preoperative MRI should be able to determine if the...[Read More] Can L4-L5 Compression Cause Heel Support Issues After Thoracic Surgery?
Discrepancies in X-Ray Results: Understanding Your Orthopedic Diagnosis
X-ray issues I would like to ask why, after sustaining an injury, I went to a large hospital's emergency department for an X-ray, which revealed a fracture of the fifth metatarsal. At that moment, I took a photo with my phone. A month later, during a follow-up appointment, t...
Dr. Chen Yongxue Reply:
Hello, regarding the fifth metatarsal fracture, if there is displacement, surgical treatment should be considered. As for the difference between the X-ray images from the hospital and what you see on your phone, it may be due to the different angles at which the X-rays were taken...[Read More] Discrepancies in X-Ray Results: Understanding Your Orthopedic Diagnosis
Patellar Fracture: Do I Need Surgery or Just a Cast?
Patellar fracture Hello, doctor. I fell on January 6 and fractured my patella into two pieces. The doctor mentioned surgery to insert screws and wires for fixation, but also suggested the option of using a cast for a month. I would like to opt for surgery and return for a follow-...
Dr. Chen Bochen Reply:
Whether surgery is needed should primarily be determined by X-rays! Just reducing swelling does not mean surgery is unnecessary. If there is a displaced patellar fracture, it is advisable to proceed with surgical repair; otherwise, it may lead to knee weakness and premature degen...[Read More] Patellar Fracture: Do I Need Surgery or Just a Cast?
Post-Fracture Recovery: Managing Swelling and Understanding Blood Tests
Fracture-related issues? Hello, doctor. My family member had surgery for a right ankle fracture in October, and it has been about three months since then. The doctor told her that she can gradually stop using the crutches to walk, but her foot is still swollen, and it becomes mor...
Dr. Chen Bochen Reply:
It is normal for swelling to increase when you first start walking, as the injured area has poor blood circulation. Initially, when you begin to move, blood flow increases, leading to swelling. With more activity, your body will gradually adapt. Applying heat and elevating your f...[Read More] Post-Fracture Recovery: Managing Swelling and Understanding Blood Tests
Post-Surgery Pain: Understanding Sharp Sensations After Hand Fractures
Post-operative pain or tingling in the metacarpal and phalangeal bones may occur after a fracture? Hello, doctor. At the end of December 2020, I had a car accident and fell, injuring my left hand with a fracture of the fifth metacarpal and finger bones. I underwent surgical treat...
Dr. Chen Bochen Reply:
Hello, in the first one to two years after your injury, you may experience soreness, especially during significant weather changes. If you apply heat and stay active, this discomfort will subside more quickly. Wishing you a speedy recovery![Read More] Post-Surgery Pain: Understanding Sharp Sensations After Hand Fractures
Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Decreased sacral and coccygeal curvature, S3 fracture, L5/S1 disc space narrowing, pubic symphysis diastasis? Dear Dr. Zhan, I am currently working in Southeast Asia and had a car accident two weeks ago, resulting in ruptures of my liver and spleen. I underwent transarterial emb...
Dr. Zhan Xian Reply:
Hello Mr. Bruce, whether surgical treatment for the pelvis is necessary mainly depends on the stability of the pelvic fracture. Since we only have a written report without imaging, it is difficult to assess the extent of the pubic symphysis separation and whether there is any dis...[Read More] Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Post-Surgery Concerns: Swelling and Discoloration After Metatarsal Fracture Repair
Postoperative issues following metatarsal fracture surgery? Due to a fall that resulted in fractures of the third and fourth metatarsals after kicking a door threshold, it has been almost a month since surgery. The surgical wound has healed, but whenever the foot is not elevated ...
Dr. You Dianqi Reply:
Hello, it may depend on the extent of your redness and swelling to determine whether it is considered normal post-surgery. I recommend that you visit your surgeon's clinic as soon as possible for further consultation.[Read More] Post-Surgery Concerns: Swelling and Discoloration After Metatarsal Fracture Repair
Ankle Ligament Tear: Is Surgery Necessary for Full Recovery?
Is surgery necessary for an ankle ligament tear? Hello, I would like to ask about my left foot, which has an open fracture on the outer side that has resulted in a ligament tear. It has been two weeks, and the swelling has reduced by about 60-70%, but I still cannot put weight on...
Dr. You Dianqi Reply:
You have an open fracture. Will there be surgery? Also, the term "left foot" is a bit broad; does it refer to the ankle or the foot? Additionally, based on the principle that injuries often leave traces, whether you have surgery or not, I believe there will be some diff...[Read More] Ankle Ligament Tear: Is Surgery Necessary for Full Recovery?
Understanding Shoulder Pain: Causes and Treatment After a Fall
Shoulder pain Doctor, I would like to ask about an incident on December 1st. It was a rainy day, and I slipped while riding my bike and fell, injuring the area around my left shoulder. I went to a clinic for an X-ray, and it showed no bone injuries. However, a few days later, I e...
Dr. You Dianqi Reply:
Hello, there are many possible reasons. You only had an X-ray which showed no fractures, but there could still be various soft tissue issues. I recommend that you return to the hospital for further examination. Thank you.[Read More] Understanding Shoulder Pain: Causes and Treatment After a Fall
Three Months Post-Surgery: Concerns About Bone Healing Progress
Three months post-surgery, the bone healing does not seem to be ideal? It has been three months since my surgery, and is it normal that my ankle and foot are still not completely reduced in swelling? During each follow-up appointment, the doctor seems to indicate that the healing...
Dr. Chen Bochen Reply:
1. Sun exposure for half an hour daily (between 10 AM and 3 PM). 2. Static strength training (apply force with the entire leg for 15 seconds, alternating between legs). 3. Absolutely no smoking or exposure to secondhand smoke. 4. Reduce consumption of sugary foods and bever...[Read More] Three Months Post-Surgery: Concerns About Bone Healing Progress
Post-Surgery Challenges After Distal Humerus Fracture: Recovery Insights
Postoperative issues following distal humeral fracture surgery? Hello Doctor, I am here to inquire again about my car accident on June 2nd of this year, which resulted in a distal humeral fracture in my left arm. On June 3rd, I underwent surgery where two metal plates and eight s...
Dr. Shi Guozheng Reply:
1. Apply heat or use pain relievers. 2. Surgical implantation of a steel plate for distal humeral fracture, as it is very close to the radial nerve, should not be removed unless absolutely necessary. 3. Activities can be resumed after bone healing. 4. Weight should be gradually i...[Read More] Post-Surgery Challenges After Distal Humerus Fracture: Recovery Insights
Is Swelling and Pain Normal After a Wrist Fracture Recovery?
Four months after a car accident, the wrist fracture is still swollen, and it hurts when the weather is cold? Four months after a wrist fracture, the fractured area is still swollen, and there is occasional pain, especially in cold weather or at night. Sometimes the pain radiates...
Dr. Shi Guozheng Reply:
Once a fracture has healed, it typically should not cause any pain. If there is still swelling and pain, it may be necessary to get an X-ray to check if the fracture has completely healed. Generally, a distal radius fracture takes about three to six months to heal.[Read More] Is Swelling and Pain Normal After a Wrist Fracture Recovery?
Understanding Numbness After Distal Radius Fracture Surgery: Causes and Recovery
Distal radius fracture Hello, doctor. I sustained a distal radius fracture on November 25, 2020, and underwent surgery the following day to have a plate and screws inserted for stabilization. It has been over a month since the surgery, and I am experiencing significant numbness i...
Dr. Wang Shouji Reply:
Hello, numbness in the thumb and part of the index finger is often related to the superficial branch of the radial nerve. If there is a comminuted fracture with significant soft tissue swelling, prolonged numbness for several months is possible. The surgery typically approaches f...[Read More] Understanding Numbness After Distal Radius Fracture Surgery: Causes and Recovery