Post-Surgery Concerns for Fifth Metatarsal Fracture Recovery
Postoperative issues following fifth metatarsal fracture? Hello, Doctor. Thank you for your careful response to my previous question. Based on the chart you provided, the location of my injury seems to correspond to a tuberosity avulsion fracture, which resembles the apophyseal f...
Dr. Chen Bochen Reply:
1. Heat therapy, soaking in warm water is better (slightly warmer than bath water, but avoid burns). 2. Pump exercises involve moving the ankle; the soles of the feet are less significant. 3. If swelling occurs frequently, wearing an ankle brace may help. 4. If there is no pai...[Read More] Post-Surgery Concerns for Fifth Metatarsal Fracture Recovery
Understanding Pediatric Greenstick Fractures: Recovery and Follow-Up Care
Radial fracture in a 9-year-old child? Hello, doctor. My child had a radius fracture that was reduced, but after returning to school, the physical education teacher asked him to participate in a relay race. Concerned about potential displacement, we returned for a follow-up and r...
Dr. Li Wenhong Reply:
Hello: If the physician confirms that the reduction is stable after casting and the cast is not loose, it is not necessary to take an X-ray; this is a clinical judgment made by the physician. However, it is common to perform an X-ray during the 2 to 3-week follow-up to ensure the...[Read More] Understanding Pediatric Greenstick Fractures: Recovery and Follow-Up Care
Understanding Ligament Injuries After a Car Accident: A Patient's Journey
Knee ligament (car accident) On the evening of June 11, I was involved in a car accident that resulted in a fracture of my right hand and a ligament injury in my left foot. That night, an X-ray confirmed the fracture in my right hand, but there was no fracture in my left foot. Ho...
Dr. Xie Hongjia Reply:
Dear Miss Gao, Regarding your inquiry, it is difficult to determine the situation based solely on your description. We recommend that you schedule an appointment for an in-person consultation at the outpatient clinic. The Hualien Hospital of the Ministry of Health and Welfare c...[Read More] Understanding Ligament Injuries After a Car Accident: A Patient's Journey
Effective Rehabilitation Exercises for Tibia Fracture Recovery
Fracture rehabilitation Hello Doctor, I had a car accident on April 8th and fractured my right tibia. I had my cast removed on May 18th, and since then, I've been rehabilitating at home. My knee can bend about 100-110 degrees now, but it seems to have reached its limit. What...
Dr. Chen Bochen Reply:
Hello: Rehabilitation after a fracture varies from person to person and requires a personal assessment to determine the best approach. However, here are some general guidelines for your reference: 1. Strength Training: It is recommended that you perform the exercises shown in th...[Read More] Effective Rehabilitation Exercises for Tibia Fracture Recovery
Understanding Scaphoid Fractures: Treatment and Recovery Insights
Scaphoid fracture of the right hand? Hello Doctor: Four weeks ago, I suffered a scaphoid fracture in my right hand due to a car accident. The X-ray showed no displacement, so I opted for conservative treatment with a cast. Today, I returned to the hospital to have the cast remove...
Dr. Chen Yongxue Reply:
Hello, with a scaphoid fracture, the main concern is nonunion. If it is confirmed that your fracture is stable and completely non-displaced, it can be treated with a thumb spica cast for four to six weeks to allow for healing before starting rehabilitation. Alternatively, using s...[Read More] Understanding Scaphoid Fractures: Treatment and Recovery Insights
Managing Spinal Compression Fractures in Elderly Lung Cancer Patients
Lung adenocarcinoma metastasizing to the spine? An 85-year-old male with lung adenocarcinoma has metastasized to the spine, resulting in a compression fracture of the 12th vertebra. He is currently experiencing right hip joint pain and is unable to sit for long periods due to sev...
Dr. Chen Bochen Reply:
Hello, regarding the treatment options for cancer-related bone metastasis, please consider the following: 1. Chemotherapy or targeted therapy that should be continued as per your attending physician's instructions. 2. If there is only a compressive fracture without nerve ...[Read More] Managing Spinal Compression Fractures in Elderly Lung Cancer Patients
Understanding Metatarsal Fractures: Symptoms, Recovery, and Rehabilitation
Fractures of the second, third, and fourth metatarsals? Hello Doctor: On June 7, I went canyoning with friends and unfortunately sustained linear fractures in the second, third, and fourth metatarsals of my left foot! The pain was unbearable that day, but the doctor said surgery ...
Dr. Shi Guozheng Reply:
1. It is indeed caused by a fracture. 2. There will be no impact. 3. When the toes move, it can affect the tendons, which in turn can influence the area of the fracture. 4. It will heal in approximately two months.[Read More] Understanding Metatarsal Fractures: Symptoms, Recovery, and Rehabilitation
Do I Need Support Braces After Fifth Metatarsal Fracture?
No need to use low-temperature thermoplastic sheets? Hello Doctor, I had a car accident on April 30, 2020, which resulted in a fracture of the fifth metatarsal. I was put in a cast in the emergency room and scheduled for a follow-up appointment about a week later. The doctor at t...
Dr. Shi Guozheng Reply:
The rehabilitation department will provide you with a brace. This will be sufficient. Before the fracture heals, you may experience tightness, and prolonged walking may lead to swelling or numbness, which is normal. After three months, you will gradually start to recover.[Read More] Do I Need Support Braces After Fifth Metatarsal Fracture?
Understanding Bone Cement Leakage: Symptoms, Causes, and Management
Bone cement leakage On January 30, 2020, I suffered a compression fracture of the T12 vertebra due to a backward fall. I underwent a self-funded balloon kyphoplasty on May 13 and was discharged on May 14. Since then, I have experienced pain and numbness in my lower back and left ...
Dr. Zhan Xian Reply:
Hello, an X-ray and physical examination are needed for diagnosis. A preoperative MRI can also help identify any other issues. Balloon kyphoplasty is a minimally invasive procedure with a small incision and quick recovery, but it does carry risks, such as the possibility of leaka...[Read More] Understanding Bone Cement Leakage: Symptoms, Causes, and Management
Understanding Clavicle Injuries: Symptoms, Diagnosis, and Treatment Options
Sports Injuries - Clavicle Issues Hello Dr. Zhan: On May 27, I performed a barbell front squat, and it seems I didn't position it correctly, which caused significant pressure on my right clavicle at that moment. After unloading the barbell, the pain disappeared, but there wa...
Dr. Zhan Xian Reply:
Hello, based on what you described, the pain is not significant and does not affect the range of motion in the shoulder joint, so the likelihood of a fracture is low. If the discomfort persists, please visit an orthopedic outpatient clinic. Wishing you good health![Read More] Understanding Clavicle Injuries: Symptoms, Diagnosis, and Treatment Options
Managing Pelvic Fractures After a Car Accident: Surgical vs. Conservative Care
Pelvic fracture from a car accident? Hello, at the beginning of April, my spouse was involved in a car accident that resulted in a pelvic fracture, specifically a fracture below the left hip joint and a comminuted fracture of the left pubis. The emergency physician and the orthop...
Dr. You Dianqi Reply:
Hello, based on your description, it seems intuitive to consider whether your family member's fracture falls into the category of being operable or non-operable. Have you thought about consulting a medical center to find a specialist in pelvic fractures? It would be benefici...[Read More] Managing Pelvic Fractures After a Car Accident: Surgical vs. Conservative Care
Understanding Open Fractures: Insights on Diagnosis and Treatment
Open fracture Hello Doctor, my relative has a condition of poliomyelitis, which has led to poor development of the lower limbs. As they have aged, they are now unable to walk and require assistance to be carried. They are nearly 70 years old, and recently the patient reported pai...
Dr. Wang Shouji Reply:
Hello, an open fracture is defined as a fracture accompanied by a skin injury that communicates with the fracture site. I believe there may be some misunderstanding. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Open Fractures: Insights on Diagnosis and Treatment
Understanding Radius Fractures in 9-Year-Olds: Healing and Recovery
Radial fracture in a 9-year-old child? Hello, the child fell while playing on a snake board and sustained a fracture of the right radius (the exact location is unknown, whether it is in the distal third or referred to as the radial shaft). The physician performed a closed reducti...
Dr. Li Wenhong Reply:
Hello Jesi: The cast can be removed after 6 weeks (1.5 months). For the first three weeks, follow-up X-rays should be taken weekly (or every two weeks) to confirm that the fracture remains in alignment and has not shifted. Therefore, regular follow-up visits are essential. After ...[Read More] Understanding Radius Fractures in 9-Year-Olds: Healing and Recovery
Post-Fracture Recovery: Can I Walk with Assistive Devices?
Post-fracture surgery Hello, doctor! About six months ago, I accidentally took the wrong staircase and fell, resulting in an ankle dislocation and a fibula fracture. At that time, my ankle was stabilized with internal screws, and the fibula was fixed with a splint. Three months l...
Dr. Wang Jiacheng Reply:
We recommend that you discuss the above situation with your attending physician to determine if any further adjustments are necessary. Thank you, and wishing you good health![Read More] Post-Fracture Recovery: Can I Walk with Assistive Devices?
Slow Recovery After Fifth Metatarsal Fracture Surgery: Tips and Rehab
Is recovery slow after surgery for a fifth metatarsal fracture? Hello Doctor, I had a car accident in mid-April and suffered a fracture of the fifth metatarsal. Initially, I opted for a cast instead of surgery, but during a follow-up visit, it was found that the bones were becomi...
Dr. Chen Bochen Reply:
Hello, based on your description and explanation, I have also included an image at the end for your reference regarding the common fracture zones of the fifth metatarsal: 1. Diaphyseal fracture (midshaft), also known as a dancer's fracture, which usually heals well. 2. Jones...[Read More] Slow Recovery After Fifth Metatarsal Fracture Surgery: Tips and Rehab
Understanding Clavicle Fracture Recovery: Symptoms and Concerns
Comminuted clavicle fracture Hello Doctor, I was in a car accident on May 7th and suffered a comminuted fracture of my left clavicle. After undergoing surgery, I was discharged for recovery. About a month later, while lying down and adjusting my position, I heard two "click&...
Dr. Shi Guozheng Reply:
The situation you described may require a visit to the hospital for an X-ray to confirm whether there is a fracture and if it is displaced. After surgery for a fracture, it is important to take precautions, as it typically takes two to three months for the bone to heal properly.[Read More] Understanding Clavicle Fracture Recovery: Symptoms and Concerns
Understanding Heel Pain After Minor Injury: When to Seek Medical Attention
Hit near the heel? Hello Doctor, last night when I got up to go to the bathroom, I accidentally bumped the side of my right heel against the corner of the wall. It hurt a bit at that moment, but I wanted to sleep, so I went back to bed. This morning, I noticed that although there...
Dr. Shi Guozheng Reply:
The likelihood of a fracture is low. If a fracture does occur, it is usually very painful, making it difficult to stand or walk. If you are still concerned after a few days, getting an X-ray is fine, and you can visit a hospital for an evaluation.[Read More] Understanding Heel Pain After Minor Injury: When to Seek Medical Attention
Recovery Insights for Severe Clavicle and Rib Fractures After an Accident
Clavicle fracture with multiple rib fractures and posterior scoliosis? Hello Dr. Tsai: My family member was involved in a car accident and fell to the ground, resulting in a comminuted fracture of the left clavicle and three broken ribs on the left side (the hospital did not pe...
Dr. Cai Shanglin Reply:
1. It is quite common for multiple fractures to require three months of rest. 2. The fastest recovery time is six months, while the longest may not result in full recovery. 3. It is difficult to determine; please consult the treating physician during your follow-up appointmen...[Read More] Recovery Insights for Severe Clavicle and Rib Fractures After an Accident
Understanding Vitamin D Needs and Bone Health Risks for Indoor Lifestyle
Dual-energy X-ray absorptiometry (DEXA) T-score 1.8, Z-score -1.4; bilateral femoral T-score -2.2, Z-score -2.0, all indicating the worst results? I stay indoors from 10:00 AM to 4:00 PM to avoid sun exposure, although the indoor lighting is decent and I still get some UV exposur...
Dr. Cai Shanglin Reply:
1. 800 IU. 2. It's unlikely, but it's recommended to rule out the possibility of secondary osteoporosis (suggested to visit an osteoporosis clinic).[Read More] Understanding Vitamin D Needs and Bone Health Risks for Indoor Lifestyle
Will Removing a Fracture Plate Worsen My Hypertrophic Scar?
Removal of fracture plate? Doctor, I had surgery for a left upper arm fracture in June last year, which left me with a fairly long scar. I have a tendency to develop keloids. The scar has turned into a keloid (or it seems to be a hypertrophic scar). I will be returning to the hos...
Dr. Chen Yongxue Reply:
Hello, generally speaking, old scars can be excised and re-stitched, but there is still a possibility of developing keloids. You may try using silicone gel or scar ointments. Thank you.[Read More] Will Removing a Fracture Plate Worsen My Hypertrophic Scar?