Head, Orthopedics FAQ - Page 13

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Understanding Nonunion of the Radius: Treatment Options and Insights

Unhealed radius fracture It has been over three months since the autologous bone graft for the radial head, and it has not yet healed. The shape resembles an L, with one long side showing regeneration and the shorter side remaining unhealed. The attending physician mentioned that...


Dr. Shi Guozheng Reply:
There is still room for growth after more than three months, so we can wait and see, as there is still a chance for healing over time.

[Read More] Understanding Nonunion of the Radius: Treatment Options and Insights


Neck Injury from Parking Barrier: Seeking Effective Treatment Options

Injury to the shoulder and neck due to impact from a fence? Hello doctor, I was hit on the head by a parking lot barrier last April. Although I was wearing a helmet, the force caused my neck to be pulled backward. I was diagnosed with slowed nerve conduction, and tests including ...


Dr. Wang Shouji Reply:
Hello: If nerve conduction is slowed due to a traction injury to the nerve, surgical intervention may not be effective. Generally, the cervical spine is a delicate structure, and excessive pulling may result in residual effects on the surrounding muscles, ligaments, or joints. If...

[Read More] Neck Injury from Parking Barrier: Seeking Effective Treatment Options


Understanding Lower Back Pain: Causes and Concerns Explained

Lower back pain Doctor, I would like to ask why I feel soreness near the right side of my lower back close to the coccyx when I bend backward. I usually don't feel anything. Also, if I bend for too long, I have difficulty straightening up immediately. Is this due to misalign...


Dr. Wang Shouji Reply:
Hello: Most cases are caused by poor posture and tight back muscles. It is important to maintain a stable posture by keeping your head up and chest out. If the symptoms persist for a long time, it is necessary to be aware that a small number of individuals may have congenital str...

[Read More] Understanding Lower Back Pain: Causes and Concerns Explained


Understanding Hip Fracture Recovery: Addressing Pain and Mobility Issues

Femoral neck injury On May 25, 2015, I underwent closed reduction and internal fixation with a bone screw for a femoral neck fracture. Currently, when sitting and trying to put on socks, I experience a pressure sensation in the groin area, making it difficult to wear socks. Addit...


Dr. Hong Ximing Reply:
After a femoral head fracture surgery, if it has been over six months and you experience pain while sitting cross-legged, it may be due to scar tissue from the surgery. It is recommended to continue exercising on your own to maintain the elasticity of the ligaments.

[Read More] Understanding Hip Fracture Recovery: Addressing Pain and Mobility Issues


Understanding Lower Back Pain: Causes and Concerns for Your Health

Lower back pain? Hello, doctor! For about a month now, I've been experiencing persistent soreness in my lower back, and recently I've also felt a dull ache at the top of my thigh. Approximately ten years ago, I had tendonitis in the same area. Could this be a similar co...


Dr. Chen Yongxue Reply:
Wow... The symptoms you mentioned could have many diagnoses, ranging from fasciitis, herniated disc, to avascular necrosis of the femoral head. Please consult an orthopedic clinic. Thank you.

[Read More] Understanding Lower Back Pain: Causes and Concerns for Your Health


Unhealed Radial Head Fracture: Impact on Pain and Daily Life

Non-union of the bone? Will an unhealed fracture of the radial head cause pain over time? Will it affect daily life and work?


Dr. Li Wenhong Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician/nutritionist. Hello! Depending on the location of the fracture, its size, degree of displacement, time since injury, and activity requirements, please visit the orthopedi...

[Read More] Unhealed Radial Head Fracture: Impact on Pain and Daily Life


Monitoring Treatment for Unhealed Radial Head After Autologous Bone Grafting

Follow-up treatment On October 3, 2015, an autologous bone graft was performed. Follow-up on January 9, 2016, indicated that one piece of the radial head has not yet healed. When is the appropriate time for follow-up to consider further treatment for the non-healing radial head? ...


Dr. Shi Guozheng Reply:
Typically, the follow-up periods for monitoring bone healing are six weeks, three months, six months, and one year. Taking X-rays too frequently is not beneficial.

[Read More] Monitoring Treatment for Unhealed Radial Head After Autologous Bone Grafting


Post-Surgery Ankle Fracture: Understanding Pain and Recovery

After ankle fracture surgery Hello doctor, I previously asked a question and would like to describe my situation again. I fell on December 25 and fractured my left ankle. I underwent surgery on December 26, where a headless screw and a titanium plate were inserted. On January 2, ...


Dr. Shi Guozheng Reply:
The bones contain a rich supply of blood vessels, and when a fracture occurs, these blood vessels are disrupted. It takes time for both the bone and blood vessels to regenerate and for blood circulation to become normal again. Therefore, it is normal for the foot to feel cold dur...

[Read More] Post-Surgery Ankle Fracture: Understanding Pain and Recovery


Should You Focus on Your Head or Relax When Standing?

Please ask your question? When standing, should the focus be on placing the center of gravity in the head, or is it sufficient to stand with the whole body relaxed? Should one pay attention to the head while standing, or is it better to stand in a relaxed manner?


Dr. Shi Guozheng Reply:
Standing relaxed is the correct way.

[Read More] Should You Focus on Your Head or Relax When Standing?


Monitoring Bone Healing After Autologous Bone Grafting

Growth tracking I underwent autologous bone grafting on October 1, 2015, and during the follow-up on January 9, 2016, it was noted that one piece of the radial head had not healed. When should I schedule my next follow-up? If it remains unhealed, what treatment options are availa...


Dr. Shi Guozheng Reply:
If there are no symptoms such as soreness or instability at the site of the bone graft, then continue to monitor. However, if there is pain or weakness, it is necessary to discuss with a physician whether further treatment is required.

[Read More] Monitoring Bone Healing After Autologous Bone Grafting


Should I Rest or Rehab After Nerve Release Surgery for Elbow Issues?

I'm sorry, but I need more context or content to provide a translation. Please provide the specific text you would You have undergone a neurolysis surgery on January 6th. Currently, the radial head has not yet united. The elbow range of motion is from 20 to 120 degrees. Shou...


Dr. Hong Ximing Reply:
In the case of an unhealed radial head fracture, priority should be given to fracture healing, while also allowing for the healing of any nerve decompression surgery if necessary. For detailed circumstances, it is advisable to consult and discuss with the attending physician.

[Read More] Should I Rest or Rehab After Nerve Release Surgery for Elbow Issues?


Understanding Ankle Fracture Pain: Is It Normal After Surgery?

Ankle fracture Hello, doctor... I fell and fractured my left ankle on December 25. I underwent surgery on December 26 to insert a headless screw and a titanium plate. On January 2, I had a new type of 3M cast applied. It has been about 18 days since the surgery... I have been tak...


Dr. Shi Guozheng Reply:
It is normal to experience pain less than a month after surgery. It is usually recommended to elevate your leg to promote blood circulation, which can help reduce swelling and increase comfort. The cast will typically be removed after a certain period, usually around six weeks. I...

[Read More] Understanding Ankle Fracture Pain: Is It Normal After Surgery?


Understanding Delayed Healing in Radial Head Fractures: What to Do Next?

Non-union of bones Doctor, you mentioned that the healing time for a radial head autograft is about 3 months for quick healing and up to 6 months for slower healing. I had a steel plate inserted for reduction on May 13. Given this situation, will it still heal? Do I need to under...


Dr. Shi Guozheng Reply:
It is essential to confirm with your attending physician regarding the need for bone grafting. Sometimes, bone healing may take longer, but that doesn't necessarily mean it won't heal properly. You must be cautious at work to avoid any impacts, and you should not exert ...

[Read More] Understanding Delayed Healing in Radial Head Fractures: What to Do Next?


Understanding Non-Healing Issues in Orthopedic Recovery: A Patient's Concern

Healing issues I discussed the issue of the non-union of the radial head with my attending physician, but the doctor said that since there is no displacement, it is already a good outcome and did not mention any further treatment. You mentioned that bone grafting takes about six ...


Dr. Shi Guozheng Reply:
The follow-up time has not yet arrived, so no conclusions can be drawn at this moment. We must wait until that time to perform an X-ray examination.

[Read More] Understanding Non-Healing Issues in Orthopedic Recovery: A Patient's Concern


Understanding Ulnar Nerve Issues: Post-Surgery Recovery and Treatment Options

Ulnar nerve It has been four days since I underwent nerve decompression surgery for numbness in my last two fingers, but I am still experiencing numbness, and it seems to be worsening. What diagnostic tests should I undergo? How long is this numbness expected to last? Additionall...


Dr. Shi Guozheng Reply:
You are referring to the ulnar nerve release surgery at the medial aspect of the elbow, where the nerve may not immediately regain sensation after the procedure. It requires a period of time for the bone to heal, and continued follow-up is necessary, typically around three months...

[Read More] Understanding Ulnar Nerve Issues: Post-Surgery Recovery and Treatment Options


Understanding Unhealed Bone Grafts: Causes and Treatment Options

Transplant non-healing The physician asked why there is still a small area that has not healed after the autologous bone graft on October 1st. When will it heal? Is further treatment necessary, or should an artificial head be implanted?


Dr. Shi Guozheng Reply:
After a bone graft, it still takes time to heal, approximately three months, and in some cases, it may take up to six months. Therefore, it is necessary to monitor the healing process, and there is no immediate need for another surgery.

[Read More] Understanding Unhealed Bone Grafts: Causes and Treatment Options


Understanding Nerve Sensation Changes After Radial Head Fracture Surgery

Joint examination After a comminuted fracture of the radius, why is there no sensation, tingling, or numbness in the ulnar nerve post-surgery, but it starts to feel tingling and numbness after manual relaxation of the hand? Is it possible to perform an arthroscopy?


Dr. Shi Guozheng Reply:
Arthroscopy may not be very helpful; it might be worth considering a nerve conduction study to identify which nerve is problematic. After a radial head fracture, the radial nerve passes nearby, and it is less likely to affect the ulnar nerve.

[Read More] Understanding Nerve Sensation Changes After Radial Head Fracture Surgery


Chronic Neck and Shoulder Pain: Seeking the Right Specialist for Relief

Shoulder, back, neck, and facial issues? Hello, doctor: In my younger days, I often stayed up late using the computer with poor posture, which caused a stabbing pain in the right side of my neck and shoulder. I didn't pay much attention to it at the time. Over time, the area...


Dr. Shi Guozheng Reply:
Shoulder and neck pain is often caused by maintaining the same posture for too long. In addition to reducing work, it is important to take appropriate breaks and not to sustain the same movement for extended periods. Medications and rehabilitation may be necessary, and it is advi...

[Read More] Chronic Neck and Shoulder Pain: Seeking the Right Specialist for Relief


Understanding Nonunion in Fractures: Causes and Solutions

Nonunion of bone Comminuted fracture of the radial head, treated with plate fixation on May 13. Open reduction and internal fixation with bone grafting performed on October 1. As of December 14, after 75 days, why has it not healed on X-ray?


Dr. Shi Guozheng Reply:
Typically, it takes three to six months to observe bone growth, and even six months is not considered too slow.

[Read More] Understanding Nonunion in Fractures: Causes and Solutions


Understanding Pain at the Neck-Head Junction: Causes and Treatments

Pain at the junction of the left neck and head? Hello Doctor, I have a painful spot on the left side of my neck where it connects to my head. Every time I press on it, it causes significant pain. Although it hasn't caused any major issues, it has persisted for many years. Du...


Dr. Wang Shouji Reply:
Hello: Pain and tenderness at the junction of the head and neck are often caused by chronic myofascial pain syndrome, typically due to poor posture, lack of exercise, and circulatory issues. If symptoms persist for six months, they can be difficult to resolve. For stubborn sympto...

[Read More] Understanding Pain at the Neck-Head Junction: Causes and Treatments


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