Cracking Elbow and Weakness After Motorcycle Accident: When to Seek Help?
There is a popping sound on the outer side of the left elbow after the car accident? On November 15, I was involved in a motorcycle accident where my motorcycle was rear-ended at a red light by another motorcycle traveling at high speed. When I was thrown forward, I braced myself...
Dr. Shen Boquan Reply:
Hello, if an X-ray is taken and the angle does not capture the fracture or if there was no displacement at the time, it is possible that the fracture may go unnoticed, which can result in ongoing pain. In such cases, it may be necessary to repeat the X-ray or arrange for other ex...[Read More] Cracking Elbow and Weakness After Motorcycle Accident: When to Seek Help?
Understanding Tibial Plateau Fractures: When to Seek a Second Opinion
Tibial plateau fracture Hello, I had a car accident recently that caused swelling in my right foot. I had an X-ray taken in the emergency department, and the emergency physician said there was no fracture. A week later, I followed up with an orthopedic doctor, who reviewed the X-...
Dr. Shen Boquan Reply:
Hello, sometimes X-rays may not capture a fracture due to the angle or if there was no displacement at the time of the initial imaging, which can lead to ongoing pain. In such cases, a follow-up appointment may require another X-ray or additional imaging studies. I am unable to a...[Read More] Understanding Tibial Plateau Fractures: When to Seek a Second Opinion
How to Determine if You Have a Fracture: Expert Insights
Fracture issues Hello Dr. Shen, earlier you responded to my inquiry, but there was an issue with the photo that I couldn't open. It has now been fixed. I would like to ask for your help in determining whether there is indeed a fracture. Thank you!
Dr. Shen Boquan Reply:
Hello, the lateral X-ray of the knee shows a faint trace that may indicate a possible avulsion fracture of the posterior cruciate ligament with minimal displacement. An MRI should provide a clearer view, as sometimes there is no initial displacement that later develops. The physi...[Read More] How to Determine if You Have a Fracture: Expert Insights
Recovery Time After Fifth Metatarsal Fracture Surgery: What to Expect
Fifth metatarsal fracture Doctor, I fractured my fifth metatarsal last week and underwent surgery the next day to have a screw placed. I am currently using a walking boot. Will this help speed up my recovery time? How long will it take before I can put weight on my foot without u...
Dr. Chen Bochen Reply:
If the surgery goes smoothly, you can generally stop using crutches in about 4 to 6 weeks.[Read More] Recovery Time After Fifth Metatarsal Fracture Surgery: What to Expect
Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained
Post-operative questions regarding tibial fracture? Hello, doctor! I suffered a distal tibial fracture due to a car accident, and the surgery involved minimally invasive open reduction and internal fixation. A steel rod was inserted from the tibial plateau and secured with four s...
Dr. Chen Yongxue Reply:
Hello, based on your letter, your fracture should be at the proximal tibia rather than the distal tibia. 1. Proximal tibial fractures can range from very minor to highly comminuted, and the surgical approach and recovery can vary significantly. However, since the injury has alr...[Read More] Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained
Can You Get a Return-to-Work Note Right After Cast Removal?
Can I request a doctor's note for returning to work on the same day the cast is removed? Can I request a doctor's note for returning to work on the same day the cast is removed? I sustained a fracture in my hand on November 15, and the doctor mentioned it is not severe ...
Dr. Zhan Xian Reply:
You can request a medical certificate from your attending physician during your follow-up visit. The physician will issue it based on your medical condition. Thank you.[Read More] Can You Get a Return-to-Work Note Right After Cast Removal?
Concerns About Removing Intramedullary Nails After 4 Years
Questions about the removal of intramedullary nails from the femur? 1. If the intramedullary nails in both femurs have been in place for 4 years, it may be possible to remove them, but the difficulty of removal can vary depending on factors such as bone healing and the presence o...
Dr. Shen Boquan Reply:
Hello, if the bone screws or plates inserted after a fracture are causing discomfort or other issues, they should be removed. If your intramedullary nail is not worn out, there are no issues with the removal tools, and it hasn't been placed too deeply, it should be removable...[Read More] Concerns About Removing Intramedullary Nails After 4 Years
Post-Surgery Nerve Pain After Wrist Fracture: Causes and Solutions
Postoperative neuropathic pain after humeral fracture surgery? Hello Doctor, I had surgery for a wrist fracture on October 4th, and it has been nearly two months since then. During these two months, the bone and wound have healed normally, but in the past week, I have been experi...
Dr. Shi Guozheng Reply:
Wrist fractures are typically approached through a surgical incision on the palmar side, where the median nerve is distributed. If the median nerve is damaged, it may cause numbness, and your pain could also be due to inflammation of the first extensor tendon sheath on the latera...[Read More] Post-Surgery Nerve Pain After Wrist Fracture: Causes and Solutions
How Long Does It Take to Heal from a Femur Fracture?
The healing time for a femoral fracture typically ranges from 12 to 16 weeks, depending on factors such as the type of fracture, the patient's age, overall health, and adherence to rehabilitation protocols? Hello, doctor. I was in a car accident in July that resulted in a co...
Dr. Wang Shouji Reply:
Hello, if the fracture site is not open, it can mostly heal within three to six months. You should avoid walking with crutches for at least two to three months, and it is necessary to check the healing status with X-rays. Using stairs in the afternoon should also be avoided for a...[Read More] How Long Does It Take to Heal from a Femur Fracture?
Understanding Left Rib Pain: Causes and When to Seek Help
Left rib pain? Hello, Doctor: Last week, I had a few days of intense coughing, and since last week, I've been feeling pain near the lower left side of my ribcage. I don't experience pain during normal breathing, but I feel a slight discomfort when taking deep breaths or...
Dr. Wang Shouji Reply:
Hello, the thorax may experience myofascial pain due to coughing or impact, and in more severe cases, it can lead to fractures of the bones. However, most cases will heal within 1 to 4 weeks. Applying heat and using topical ointments or patches can help alleviate discomfort. Chan...[Read More] Understanding Left Rib Pain: Causes and When to Seek Help
Post-Screw Removal Recovery: Understanding Pain and Weakness After Lisfranc Fracture
Issues related to the removal of metal screws and recovery? Doctor, I have a question. I had a Lisfranc fracture in my right foot, specifically in the first and second metatarsals, on August 4th of last year, and I had three steel pins inserted. The pins were removed on September...
Dr. Wang Shouji Reply:
Hello, if the description is accurate, it has been over a year since the surgery, and most walking activities should cause only mild discomfort. If there is still discomfort, an orthopedic outpatient examination is necessary to check for any abnormalities. Changhua Hospital cares...[Read More] Post-Screw Removal Recovery: Understanding Pain and Weakness After Lisfranc Fracture
Can Gastrointestinal Endoscopy Be Done After Femur Fracture Surgery?
Femoral fracture, gastrointestinal examination? Hello, Dr. Wang. I would like to ask if it is possible to undergo anesthesia for an upper gastrointestinal endoscopy and colonoscopy after my car accident on April 20, where I sustained a femoral fracture and had an intramedullary n...
Dr. Wang Shouji Reply:
Hello, lying on your side is fine. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Can Gastrointestinal Endoscopy Be Done After Femur Fracture Surgery?
When Can I Remove My Pins After Ankle Fracture and Dislocation?
Ankle fracture and dislocation? Because I had a nail inserted on November 10th, I'm unsure when I can have it removed. I have an open fracture and dislocation. I would like to ask the doctor when it is typical to remove it in such cases.
Dr. Wang Shouji Reply:
Hello, if the steel nail is exposed through the skin, it is usually removed after 6 to 8 weeks. If it is an internal fixation, it is typically removed after 1 to 1.5 years. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] When Can I Remove My Pins After Ankle Fracture and Dislocation?
Understanding Complications After a Wrist Fracture: Seeking Help for Numbness
Right radial fracture from a car accident on November 1st? Initially, the hospital's emergency department immobilized my right hand with a splint, and my hand was quite swollen. After taking a week off, I returned to work. Following a client's suggestion, I sought treat...
Dr. Wang Shouji Reply:
Hello, pulling your fingers should not be related to hand numbness. In the case of a distal radius fracture, if there is displacement, it is possible that it could compress the median nerve. You should visit an orthopedic outpatient clinic for evaluation of potential nerve compre...[Read More] Understanding Complications After a Wrist Fracture: Seeking Help for Numbness
Understanding Coccyx Fractures After Car Accidents: Treatment and Recovery
Coccygeal fracture due to a car accident? I would like to ask about my situation. On November 20, 2023, I was involved in a car accident and went to the emergency room for an X-ray. The doctor said I have a significant fracture of the coccyx. Generally, conservative treatment is ...
Dr. Shi Guozheng Reply:
1. Side sleeping or prone position. 2. Rest for about two weeks. 3. Generally, there are usually no long-term sequelae. 4. Typically, fractures will start to heal in about six weeks, and will be fully healed in approximately twelve weeks, with pain diminishing or disappeari...[Read More] Understanding Coccyx Fractures After Car Accidents: Treatment and Recovery
Understanding Recovery After Intramedullary Nail Removal in Femur Fractures
Removal of intramedullary nail from the femur? Hello, doctor. I am 23 years old and four years ago, I underwent surgery for femoral fractures in both legs due to a car accident, during which intramedullary nails were inserted. I am now considering having them removed. Will the re...
Dr. Shi Guozheng Reply:
1. Recovery after the removal of intramedullary nails is usually quick. 2. Weight-bearing on both feet should be resumed within a week. 3. Knee adhesions will not have any impact. 4. It will take about one to two months.[Read More] Understanding Recovery After Intramedullary Nail Removal in Femur Fractures
Understanding Distal Phalanx Fractures: Recovery and Care for Your Thumb
Fracture of the distal phalanx of the right thumb? On 10/14, I visited the emergency department and received medication for a right thumb injury classified as S60111A, which is a contusion with nail damage, and initial care was provided. The secondary diagnosis was classified as ...
Dr. Shi Guozheng Reply:
Without an X-ray, it is difficult to make a definitive diagnosis. I recommend that you see another physician and obtain an X-ray. Typically, finger fractures that are non-displaced will heal in about six weeks, and there should not be significant functional impairment.[Read More] Understanding Distal Phalanx Fractures: Recovery and Care for Your Thumb
Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery
Posterior cruciate ligament (PCL) tear? Recently, I had a motorcycle accident and my knee and calf are swollen and painful. I went to an orthopedic doctor and had an MRI done. Doctor, could you tell me if this is serious? Here are the findings: Examination: Non-contrast MRI of ...
Dr. Shi Guozheng Reply:
A posterior cruciate ligament (PCL) tear occurs when the ligament is torn along with the bone at the back of the tibia, resulting in a type of avulsion fracture. This can be treated surgically using bone screws to reattach the ligament. It is advisable to consult with a physician...[Read More] Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery
Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Cyst after anterior cruciate ligament reconstruction? Hello, Doctor. Last November, after school, I had an accident while riding my electric scooter and slipped on construction sand. At that time, my backpack was heavy, and I was carrying other items. I realized I was going to fa...
Dr. Chen Yongxue Reply:
Hello, PVNS is actually quite rare. To confirm the diagnosis, it is essential to rely on the pathology report. PVNS should exhibit specific characteristics in MRI imaging and arthroscopic examination, especially during arthroscopy, where very distinctive colors are observed, maki...[Read More] Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Recovering Triceps Strength After Femur Fracture Surgery: Is It Possible?
Triceps strength after femoral fracture surgery? Hello Doctor: In 2021, I suffered a comminuted fracture of the right humerus due to excessive wrist strength, and after evaluation, the doctor recommended surgery to implant a steel plate for stabilization and recovery (the surgery...
Dr. Shi Guozheng Reply:
Athletes who have experienced tendon ruptures can indeed return to competition and achieve awards through strength training and rehabilitation. Enhanced training may lead to recovery and improved performance.[Read More] Recovering Triceps Strength After Femur Fracture Surgery: Is It Possible?