Persistent Chest and Hip Pain After Car Accident: What to Know
Hip pain and chest pain? Hello: Last Friday, I was involved in a collision, and afterward, I experienced left chest pain and shortness of breath, so I went directly to the emergency room. An X-ray was taken, and it was reported that there were no obvious rib fractures. I was pres...
Dr. Wang Shouji Reply:
Hello, chest contusion pain is quite common and may require a longer duration of analgesic use, typically alleviating after three to four weeks. If you continue to experience severe pain, it is advisable to undergo a re-evaluation. Changhua Hospital cares about your health. Since...[Read More] Persistent Chest and Hip Pain After Car Accident: What to Know
Understanding Post-Surgery Bone Pain: Causes and Solutions
Bone pain Since the surgery on January 5th, I have been experiencing pain in my left leg since this afternoon when I started to move around. What could be the cause of this pain?
Dr. Wang Shouji Reply:
Hello, if you have undergone surgery for a fracture and it has completely healed, experiencing slight pain during initial weight-bearing is considered normal. This is mostly due to the surrounding muscles and soft tissues of the fracture. You can apply heat therapy and engage in ...[Read More] Understanding Post-Surgery Bone Pain: Causes and Solutions
Understanding Patellar Fractures: Recovery Tips and Exercise Guidance
Patellar fracture issues? Hello, doctor. Over two weeks ago, I fell and fractured my left patella. The X-ray showed a transverse crack, approximately 2/3 deep, but it is not a complete fracture. Therefore, my attending physician advised me to use a brace to keep it immobilized at...
Dr. Li Wenhong Reply:
Hello: Each person's condition before the injury is different, but generally, a fracture requires immobilization for at least 6 weeks. Since your fracture is an incomplete fracture, the immobilization period may be slightly shorter; please follow your attending physician...[Read More] Understanding Patellar Fractures: Recovery Tips and Exercise Guidance
Rehabilitation After Humerus Fracture Surgery: When to Start?
Postoperative care for humeral fracture? Hello Doctor: I suffered a humeral fracture on April 4th and underwent surgery on April 10th. I would like to ask if, based on my current condition, it is advisable to start rehabilitation. This is the X-ray taken on April 24th: https://pp...
Dr. Xie Hongjia Reply:
Mr. Shih: Hello, regarding the issue you raised, we recommend that you first consult with the original physician. We apologize for any inconvenience this may cause. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Rehabilitation After Humerus Fracture Surgery: When to Start?
Understanding Pubic Bone Fractures: Recovery, Pain, and Future Pregnancy
Pubic bone fracture Hello Dr. Wang, I had a car accident last October and suffered a pubic bone fracture. I was initially unable to get out of bed or walk, but now I can walk normally. However, whenever the weather gets cold, the fracture site becomes sore and painful. Is this no...
Dr. Wang Shouji Reply:
Hello, this is related to individual constitution. It usually decreases gradually over one to two years. If there is no severe pelvic deformity, it will not affect delivery. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Pubic Bone Fractures: Recovery, Pain, and Future Pregnancy
Post-Surgery Concerns: Understanding Recovery After Humerus Fracture Repair
Postoperative care for humeral fracture? Hello Doctor: I have a right humeral fracture and just had surgery on April 10th of this month. Since the surgery, the mobility of my arm is still very limited. I asked my orthopedic surgeon about it, but his response was somewhat vague. I...
Dr. Shi Guozheng Reply:
1. You must personally consult your attending physician about your post-operative condition. 2. With rehabilitation, there is hope for recovery. 3. Typically, you can schedule an appointment with the rehabilitation department to adjust your progress based on your post-fracture su...[Read More] Post-Surgery Concerns: Understanding Recovery After Humerus Fracture Repair
Persistent Left Shoulder Dislocation: Understanding Symptoms and Next Steps
Repeated dislocations of the left shoulder, with abnormal sensations after reduction? Hello Dr. Chen, I have experienced multiple dislocations of my left shoulder over the years, all of which have reduced spontaneously. Recently, due to attention to my posture and training, I hav...
Dr. Chen Yongxue Reply:
Hello, based on your letter, it seems that you may be experiencing a subluxation due to a loose shoulder joint. A complete shoulder dislocation cannot self-reduce, but if it is a subluxation, prolonged episodes can lead to joint damage. It is advisable to engage in shoulder muscl...[Read More] Persistent Left Shoulder Dislocation: Understanding Symptoms and Next Steps
Understanding Osteoporosis Treatment: DXA Results and Vitamin D Needs
DXA spine shows the lowest T-score of -1.8, and both femurs have a T-score of -2.2 (report from December 2012)? DXA results show a lumbar spine T-score of -1.8 and a bilateral femur T-score of -2.2 (report from December 2012). Dr. Chen Yong-hsueh's recommendations are as fol...
Dr. Chen Yongxue Reply:
If you have any questions, please visit the outpatient clinic for a blood test. Thank you.[Read More] Understanding Osteoporosis Treatment: DXA Results and Vitamin D Needs
Understanding Strains and Fractures: When to Seek Orthopedic Advice
Inquire about the possibility of a strain or fracture? Hello, Doctor. While I was mopping the floor, I accidentally slipped a bit, but I didn't fall; I just twisted my body and spread my legs. I'm not sure if this could have caused a strain in my lower back or a fractur...
Dr. Shi Guozheng Reply:
It is normal to hear sounds; a strain is possible, but it is not easy for a bone to dislocate.[Read More] Understanding Strains and Fractures: When to Seek Orthopedic Advice
Understanding Fifth Metatarsal Fractures: Recovery and Mobility Tips
Fifth metatarsal fracture Hello, doctor. I sustained a fracture of the fifth metatarsal in my left foot due to a car accident on April 14. The X-ray showed a small fracture on the lateral side of the fifth metatarsal, resembling a split nail. During my follow-up appointment on th...
Dr. Shi Guozheng Reply:
It is possible to distribute some weight on it, and one can either stand or squat on it.[Read More] Understanding Fifth Metatarsal Fractures: Recovery and Mobility Tips
Post-ACL Surgery: When Can I Stop Using Crutches?
What are the issues related to crutches after surgery for a torn posterior cruciate ligament? I had two metal screws inserted, and my attending physician told me that it was a posterior cruciate ligament (PCL) laxity, but the paperwork states that it is a posterior cruciate ligam...
Dr. Shi Guozheng Reply:
Typically, bones or ligaments heal after six weeks.[Read More] Post-ACL Surgery: When Can I Stop Using Crutches?
Am I at Risk of Fractures Due to Osteoporosis and Medication?
Am I at risk of fracturing my bones at any time? Currently, I am taking the following medications: LEEYO (Escitalopram) 10mg, Doxepin 25mg twice daily, Lyrica 75mg twice daily, Metformin 500mg, Tamsulosin 0.2mg, Ativan 0.5mg four times daily, and Zolpidem twice at bedtime (all of...
Dr. Wang Shouji Reply:
Hello, osteoporosis indicates that the risk of fractures due to trauma is higher than that of normal individuals, but it does not mean that spontaneous fractures will occur. Supplementing with calcium and vitamin D3, along with regular exercise, can help maintain bone density. Re...[Read More] Am I at Risk of Fractures Due to Osteoporosis and Medication?
Understanding Elbow Issues: Long-Term Effects of Incomplete Treatment
Elbow issues My mother suffered a fracture of the elbow joint. After evaluation by the physician, it was determined that either pin fixation or casting would be appropriate. After discussing with my mother and sister, we decided to proceed with casting due to her advanced age (84...
Dr. Shi Guozheng Reply:
There have been no reports of pain or discomfort for the past four years. Based on the assessment, it is likely that the recent symptoms are due to a bruise, impact, or fall, and should not be related to any old fractures. Currently, if there are no fractures, conservative treatm...[Read More] Understanding Elbow Issues: Long-Term Effects of Incomplete Treatment
Post-Accident Clavicle Fracture: Recovery Questions and Concerns
Post-operative issues following a left clavicle fracture from a car accident? Hello Doctor, I had a car accident on April 7th and sustained a fracture at the distal end of my left clavicle. The following day, I underwent open reduction and internal fixation surgery, using a clavi...
Dr. Wang Shouji Reply:
Hello, for distal clavicle fractures, due to the insufficient size of the fixation area at the distal end, a hook plate is used for auxiliary fixation to stabilize this type of fracture. 1. A triangular bandage should be used for four to six weeks, depending on the X-ray findings...[Read More] Post-Accident Clavicle Fracture: Recovery Questions and Concerns
Understanding Fifth Metatarsal Fractures: Recovery Tips and FAQs
Fracture of the fifth metatarsal bone? 1. When sitting, can the affected limb touch the ground? Will it affect bone healing? 2. How long will it take for the swelling to completely subside? The dorsum of the injured foot is still swollen. 3. Can I drive if there is no pain? M...
Dr. Shi Guozheng Reply:
1. Weight-bearing is allowed and will not affect the healing of the fracture. 2. Approximately four weeks. 3. It is permissible. 4. It will not.[Read More] Understanding Fifth Metatarsal Fractures: Recovery Tips and FAQs
Improving Recovery from Tibia and Fibula Fractures: Tips for Pain and Swelling
Left tibiofibular fracture, right calcaneal fracture? Hello Doctor: I had surgery last September and started using a walker in January. Now, when I walk, my foot becomes red (sometimes resembling a bruise), and it also swells and hurts on the sole. What methods can help improve t...
Dr. Wang Shouji Reply:
Hello, after a lower limb fracture, prolonged local swelling can lead to poor venous return in the lower extremities. To alleviate swelling and pain, elevating the legs and performing hydrotherapy (alternating hot and cold water immersion), as well as exercising the joints throug...[Read More] Improving Recovery from Tibia and Fibula Fractures: Tips for Pain and Swelling
Post-Accident Clavicle Fracture: Recovery Tips and Concerns
Postoperative discomfort following a distal clavicle fracture from a car accident? Hello, doctor. I had a car accident on April 7th, resulting in a fracture of the distal end of my left clavicle. The following day, I underwent open reduction and internal fixation surgery, using a...
Dr. Shi Guozheng Reply:
1. The duration of the sling usage depends on the stability of the fracture fixation; if the fixation is good, the sling may be used for a shorter period, typically four to six weeks. 2. The sooner you start moving, the better, but it also depends on the stability of the fixati...[Read More] Post-Accident Clavicle Fracture: Recovery Tips and Concerns
Post-Surgery Recovery: When Can I Stop Using Crutches After ACL Injury?
Post-operative issues following a left knee contusion with a left posterior cruciate ligament tear and fracture? I was injured in a car accident on March 31st, and after an MRI examination, it was confirmed that I have a torn anterior cruciate ligament and a fracture in my left f...
Dr. Wang Shouji Reply:
Hello, for anterior cruciate ligament reconstruction, tunnels are drilled into the bone and secured with screws. It is advisable to wait at least two months before attempting full weight-bearing to ensure safety; avoid premature excessive loading that could lead to fixation loose...[Read More] Post-Surgery Recovery: When Can I Stop Using Crutches After ACL Injury?
Understanding Osteoporosis Treatment and Calcium Needs After DEXA Scan Results
DEXA bone mineral density: spinal T-score -1.8, bilateral femoral T-score -2.2? Your questions: Currently taking medications include LEEYO (Escitalopram) 10mg, Doxepin 25mg *2, LYRICA 75mg *2, Metformin 500mg, Tamsulosin 0.2mg, Ativan 0.5mg *4, Zolpidem *2 at bedtime (all taken l...
Dr. Chen Yongxue Reply:
It is still advisable to get moderate sun exposure. If there are other circumstances that prevent the normal synthesis of vitamin D, please consider getting a blood test to check vitamin D levels and adjust accordingly. Generally, a daily intake of about 600 IU is recommended.[Read More] Understanding Osteoporosis Treatment and Calcium Needs After DEXA Scan Results
Understanding DEXA Results: Osteoporosis Treatment Options and Supplements
The DEXA scan shows a worst T-score of -1.8 for the spine and a worst T-score of -2.2 for both femurs? Currently, I am taking the following medications: LEEYO (Escitalopram) 10mg, Doxepin 25mg twice daily, Lyrica 75mg twice daily, Metformin 500mg, Tamsulosin 0.2mg, Ativan 0.5mg f...
Dr. Chen Yongxue Reply:
1. If I have never had a fracture, does that mean that health insurance will not cover osteoporosis medication? Yes, health insurance cannot provide unlimited coverage. Currently, coverage is available only for individuals who are at least 60 years old, have a bone mineral densit...[Read More] Understanding DEXA Results: Osteoporosis Treatment Options and Supplements