Understanding Post-Op Sounds and Care for Hip Replacement Surgery
Artificial hip joint I underwent left total hip arthroplasty on January 5th of this year. However, on the third day post-surgery, I started to notice a sound of friction from the artificial joint (not constantly throughout the day, but it occurs occasionally). This happens every ...
Dr. Shi Guozheng Reply:
Some patients with all-ceramic artificial hip joints may experience a grinding noise as long as there is no pain and the hip joint is properly positioned, it is not a significant concern. The surgical area can be treated with heat therapy.[Read More] Understanding Post-Op Sounds and Care for Hip Replacement Surgery
Understanding Humerus Shaft Fractures: Recovery and Range of Motion Concerns
Fracture of the left humeral shaft? Hello doctor, I am a professional athlete in martial arts. On July 24, 2016, I sustained a diaphyseal fracture of the left humerus during a competition, and I underwent surgery on August 3, 2016. The surgical procedure involved internal fixatio...
Dr. Hong Ximing Reply:
It has been 6 weeks since the humeral fracture surgery, and the fracture should be stable by now. After the removal of the cast, hand rehabilitation (such as fist clenching and finger extension) should be initiated as soon as possible. Since the cast has been removed, rehabilitat...[Read More] Understanding Humerus Shaft Fractures: Recovery and Range of Motion Concerns
Addressing Habitual DRUJ Dislocations: Surgical Options and Solutions
I would like to ask the director a question regarding dislocations (I am very grateful)? I would like to ask the director a question regarding dislocations (I am very grateful). I have habitual dislocations of the distal radioulnar joint (DRUJ), which has caused the ulnar head to...
Dr. Shi Guozheng Reply:
It may be possible to address the issue, but detailed questions should still be discussed with your attending physician.[Read More] Addressing Habitual DRUJ Dislocations: Surgical Options and Solutions
Understanding Arm and Shoulder Pain: A Comprehensive Guide to Diagnosis and Treatment
Issues between the arm and shoulder, as well as problems with fist clenching? About three to four months ago, my mother was taking the MRT and was trying to grab something from the overhead compartment when she was bumped by someone due to the crowd, resulting in an injury to her...
Dr. Shi Guozheng Reply:
It is possible that a bruise has caused bursitis in the shoulder joint. Continuing rehabilitation may lead to improvement. If it is a dislocation, X-rays should be able to reveal it. It is recommended to see a rehabilitation specialist.[Read More] Understanding Arm and Shoulder Pain: A Comprehensive Guide to Diagnosis and Treatment
Post-Operative Hip Replacement: When to Seek Further Medical Evaluation
Postoperative hip joint care Hello, doctor. My grandmother had a hip replacement surgery on her left leg about seven months ago, just before the Lunar New Year. Normally, she should be able to walk independently without using a cane within two to three months, but she still needs...
Dr. Shi Guozheng Reply:
There are two types of artificial hip joints: total hip replacement and hemiarthroplasty (artificial femoral head). It is common to experience pain within the first three months after surgery; however, if pain persists after six months, it may indicate a problem that needs to be ...[Read More] Post-Operative Hip Replacement: When to Seek Further Medical Evaluation
Choosing the Right Ceramic Hip Implant: Durability and Noise Concerns
Materials for artificial hip joints? Hello Doctor, I have developmental dysplasia of my left hip joint, and over the past year, the pain while walking has significantly worsened. The doctor at the hospital has recommended that I undergo ceramic total hip arthroplasty. I researche...
Dr. Shi Guozheng Reply:
There are two types of liners: ceramic liners and ultra-wear-resistant liners. Both can use full ceramic materials, which may produce unusual sounds, whereas the ultra-wear-resistant plastic gasket liners do not. The wear resistance of both types is quite similar.[Read More] Choosing the Right Ceramic Hip Implant: Durability and Noise Concerns
Understanding Shoulder, Neck, and Back Pain: Seeking the Right Specialist
Shoulder, neck, and back issues? Hello, doctor. Due to my long-term computer use and incorrect posture, I initially experienced sharp pain in my right shoulder, which later progressed to complete numbness in the skin. My neck has also become swollen and stiff for several years. A...
Dr. Shi Guozheng Reply:
You should see a rehabilitation specialist for physical therapy. Additionally, it is crucial to maintain proper posture and reduce the amount of time spent using the computer, as these are typical symptoms of shoulder and neck pain.[Read More] Understanding Shoulder, Neck, and Back Pain: Seeking the Right Specialist
Understanding Ischemic Necrosis of the Toe: Causes, Treatment, and Recovery
Ischemic necrosis of the toes Hello, about a year ago, while I was traveling in another city, I wore a pair of high sandals (the overall height, not just the front or back being higher) for a while. I felt a slight stabbing pain in my right foot but thought it was due to somethin...
Dr. Shi Guozheng Reply:
The necrosis of the second metatarsal bone in the foot is a relatively rare case. If the pain does not improve, the physician recommends surgery. You might consider seeking opinions from other doctors. Without seeing your X-ray, I cannot provide a complete assessment. Avascular n...[Read More] Understanding Ischemic Necrosis of the Toe: Causes, Treatment, and Recovery
Understanding Rib Injuries: Pain, Swelling, and Recovery Tips
If you get punched in the ribs during a fight, it can cause swelling and pain? Hello, Doctor. Two weeks ago, I got into a fight with my friends and was punched in the ribs. After that, I thought I would correct my spine, so I rolled on a foam roller. However, I heard two cracking...
Dr. Shi Guozheng Reply:
It is possible that the ribs in the chest wall have been compressed without being fractured, which does not mean that there is no bruising. Resting will help improve the condition. You can take some pain relievers to alleviate the pain. Hanging from a pull-up bar does not help wi...[Read More] Understanding Rib Injuries: Pain, Swelling, and Recovery Tips
Understanding Radial Head Fractures: Recovery and Rehabilitation Insights
Radial head fracture Hello, doctor! I have a type I fracture of the radial head and had a mini titanium alloy plate implanted in my left arm on May 12. After an X-ray on July 1, there is still a small crack, but the doctor informed me that I can start extension rehabilitation bec...
Dr. Shi Guozheng Reply:
You should try to gradually start moving; otherwise, there is a possibility that you may not be able to straighten it out.[Read More] Understanding Radial Head Fractures: Recovery and Rehabilitation Insights
Understanding Neck Strains and Sprains: Causes, Symptoms, and Treatment
Cervical sprain and strain? I apologize if I accidentally submitted the consultation form twice. Doctor, I have some questions I would like to ask you. 1. About a month and a half ago, I was rolling in bed after just waking up, and while I was in a position with my head against...
Dr. Shi Guozheng Reply:
Typically, if a cervical spine bone spur compresses a nerve, there will be sensations of numbness and pain in the upper back. If these symptoms have improved, it may not be necessary to see a doctor.[Read More] Understanding Neck Strains and Sprains: Causes, Symptoms, and Treatment
Understanding Head Injuries: When to Seek Medical Attention After a Bump
The back of the head was hit but did not swell? I was originally standing with my back against a column (which is much wider than my head). Suddenly, my friend rushed over, and I leaned back, hitting the column with significant force, causing immediate headache and tears. There w...
Dr. Shi Guozheng Reply:
A head injury is considered to be a serious concussion if there is loss of consciousness, severe pain, vomiting, or weakness in the limbs. If none of these symptoms are present, resting for a few days is usually sufficient for recovery. However, it is important to monitor for up ...[Read More] Understanding Head Injuries: When to Seek Medical Attention After a Bump
How to Remove Surgical Pins After Radius Fracture Recovery?
I would like to know how to remove the recovery period steel pins? Hello, Doctor. I sustained a fracture of the radius while playing basketball on April 30. I underwent surgery where two steel pins were inserted to realign the bone. There are two small wounds on the skin surface,...
Dr. Shi Guozheng Reply:
Typically, bone screws can be removed in about six to eight weeks, but the decision depends on the degree of bone healing as seen on X-rays. If the screws are protruding through the skin, they can be removed directly in the outpatient setting using tools, and anesthesia may not b...[Read More] How to Remove Surgical Pins After Radius Fracture Recovery?
Can Neck Stiffness Be Corrected with a Brace? Costs and Treatment Duration
Can neck stiffness be corrected through adjustment? Hello doctor, I would like to ask if a neck brace can be used to correct neck stiffness? What is the approximate cost and duration of the correction? If the head can be corrected, can it be done simultaneously with scoliosis cor...
Dr. Shi Guozheng Reply:
Stiffness that cannot be corrected with a brace can undergo rehabilitation to improve flexibility, while scoliosis correction may require surgical treatment. Wearing a brace can only prevent further deterioration.[Read More] Can Neck Stiffness Be Corrected with a Brace? Costs and Treatment Duration
Is My Radius Bone Healed? Understanding X-Ray Results and Joint Pain
Is the bone growth complete? The X-ray follow-up of the radial head shows that the bone has healed according to the treating physician, but another hospital's X-ray follow-up by an orthopedic specialist indicates that the fracture line is still dark and hollow. Additionally,...
Dr. Shi Guozheng Reply:
Your description is unclear; it's better to return to the original hospital for the physician to explain it clearly. If there are no symptoms of pain, it is likely that the fracture has healed, and the gap will gradually disappear.[Read More] Is My Radius Bone Healed? Understanding X-Ray Results and Joint Pain
Understanding Persistent Black Lines in X-rays: Is Your Bone Healing Properly?
Sutures appear dark? The X-ray follow-up indicates that the main treatment has healed, but I see that the fracture line of the comminuted fracture of the radial head is still dark and hasn't healed. Is it that the doctor didn't assess it properly or what?
Dr. Shi Guozheng Reply:
The presence of dark areas on an X-ray does not necessarily indicate an abnormality. Since the attending physician has stated that it has healed, it should be accurate. Additionally, if the bone has healed, there typically should not be any pain or soreness at the fracture site. ...[Read More] Understanding Persistent Black Lines in X-rays: Is Your Bone Healing Properly?
Understanding Occupational Injuries: Seeking Relief for Musculoskeletal Pain
I'm here to help! Please provide the content you would like me to translate Hello, doctor... I would like to ask about my condition. I previously worked in the service industry and developed a repetitive strain injury in my hands. Later, I experienced a strain, and my foot a...
Dr. Chen Yongxue Reply:
Hello, tendons won't move around randomly, so don't worry. Please visit the orthopedic clinic for further examination. Thank you.[Read More] Understanding Occupational Injuries: Seeking Relief for Musculoskeletal Pain
Neck Pain and Limited Movement: Solutions for Your Friend's Condition
Inability to rotate the neck normally? Hello, doctor: My friend is experiencing a problem where he can only keep his head down. Whenever he looks straight ahead or tilts his head back, he feels pain in the indentation where his neck connects to the occipital region, and the heada...
Dr. Shi Guozheng Reply:
Reducing such movements may improve the condition. Additionally, applying local heat or taking some pain relievers may help alleviate the symptoms.[Read More] Neck Pain and Limited Movement: Solutions for Your Friend's Condition
Understanding Shoulder Discomfort: Is Your Arm Position Causing Issues?
Shoulder pain? When sleeping, if I raise my right arm to a 90-degree angle next to my head and hear a popping sound, and then feel that my right shoulder seems to be looser than my left shoulder, is there a problem with this?
Dr. Chen Yongxue Reply:
Hello, having sounds is not a condition. If it significantly affects your daily activities, please visit the orthopedic outpatient clinic for an examination. Thank you.[Read More] Understanding Shoulder Discomfort: Is Your Arm Position Causing Issues?
Types and Materials of Artificial Hip Joints: Key Considerations and FAQs
Types and Materials of Artificial Hip Joints Hello, Dr. Shi. I have a few questions to ask. 1. When I searched for ceramic artificial hip joints on Google, I came across some contraindications, one of which states, "Ceramic heads are prohibited for use in revision surgery ...
Dr. Shi Guozheng Reply:
1. The two materials may not be compatible, so replacing the femoral stem together will ensure better compatibility. 2. Essentially, the femoral stem is similar but tends to be longer, and the acetabular component has more fixed holes. 3. There will be no impact on leg length...[Read More] Types and Materials of Artificial Hip Joints: Key Considerations and FAQs