Post-Surgery Care After Clavicle Plate Removal: Key Questions Answered
After removal of the plate from a clavicle fracture? Hello, Doctor! I had surgery to remove the plate from my left clavicle fracture on January 10th. I had a comminuted fracture of the mid-clavicle a year ago, and the surgery went relatively smoothly with no significant pain afte...
Dr. Shi Guozheng Reply:
1. It is reasonable to stay in the hospital for one day after the removal of the steel plate, provided that the bone has healed well. 2. No issues. 3. There should be no problem returning to work. 4. Taking public transportation is also fine. 5. You can lift objects above you...[Read More] Post-Surgery Care After Clavicle Plate Removal: Key Questions Answered
Challenges in Healing: Right Ulnar Fracture and Radial Head Dislocation
Right ulnar fracture with radial head dislocation, postoperative nonunion? Dear Dr. Chen, I sustained an injury while attending a meeting on February 10 of this year, resulting in an open fracture: a fracture of the right ulnar bone accompanied by a dislocation of the radial hea...
Dr. Chen Yongxue Reply:
1. The described unusual sensation is likely primarily related to a bone issue. 2. To promote bone development and healing, immobilization is essential in the initial phase, and calcium supplementation is also very important. Additionally, there are reports that ultrasound may ...[Read More] Challenges in Healing: Right Ulnar Fracture and Radial Head Dislocation
Chronic Shoulder and Neck Pain: When to Consider MRI for Diagnosis
Chronic shoulder and neck pain is difficult to treat? Hello, doctor. I have been experiencing shoulder and neck pain for two to three years, but recently, in the past month, the pain has become unbearable and has shown no improvement. Pain relief medications, anti-inflammatory tr...
Dr. Li Yongheng Reply:
Hello, if you are experiencing shoulder and neck pain and pain relief medications, rehabilitation, exercise, and posture improvement have not been effective, it is recommended to undergo an MRI examination. This is because a herniated disc cannot be detected through X-rays.[Read More] Chronic Shoulder and Neck Pain: When to Consider MRI for Diagnosis
Understanding Coccygeal Nerve Irritation: Causes and Relief Strategies
Coccygeal nerve paresthesia The persistent tingling and itching sensation near the coccyx feels similar to the tingling experienced after riding a pirate ship ride. When it becomes severe, the tingling can radiate up to the back of the head. Lying down provides some relief, and r...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it doesn't seem to be serious. This should not be related to any residual effects from the injury. I recommend maintaining proper posture and warming up adequately before exercising, which should help reduce the occurrence. Wishing you a speedy...[Read More] Understanding Coccygeal Nerve Irritation: Causes and Relief Strategies
Understanding Exposed Steel Pins Covered by Tissue After Fracture
Exposed steel pins covered by tissue? Hello Doctor: I would like to ask about my right metacarpal fracture. I had three external screws inserted, and one of the screw heads is covered by tissue. I followed up with the doctor, who said it's normal. Is this really normal? How ...
Dr. Li Yongheng Reply:
Hello, it is indeed not uncommon for the exposed steel pin head to be covered by tissue. When removing the pin, it may be necessary to administer a local anesthetic and make a small incision to extract the pin. Please do not worry, and I wish you a speedy recovery.[Read More] Understanding Exposed Steel Pins Covered by Tissue After Fracture
Understanding ACL Reconstruction Surgery: Key Insights and Considerations
Anterior cruciate ligament reconstruction surgery Hello, Doctor. I hope you don't mind if I ask you some questions. I have been diagnosed with a torn anterior cruciate ligament (ACL), and I have undergone both MRI and arthroscopy. My doctor has recommended that I undergo rec...
Dr. Li Yongheng Reply:
Because you are young and active, it is still recommended that you undergo arthroscopic autograft ligament reconstruction surgery. Dr. Chen Chao-Ping, the head of orthopedics at Taichung Veterans General Hospital, is an authority in this field and I recommend that you consult him...[Read More] Understanding ACL Reconstruction Surgery: Key Insights and Considerations
Safe Exercises After Hip Dislocation: Running, Stretching, and More
Hip dislocation In late November last year, I had a motorcycle accident that resulted in a dislocated right hip joint. After treatment by the emergency physician, the joint was successfully reduced without surgery. About a month later, I was able to walk normally, and approximate...
Dr. Ye Qingnian Reply:
The hip joint has been dislocated for 9 months. While it is possible to return to normal life, it is still advisable to avoid excessive hip flexion angles and to exercise with caution to prevent avascular necrosis of the femoral head. If there is any hip pain, it is important to ...[Read More] Safe Exercises After Hip Dislocation: Running, Stretching, and More
Recovery Challenges After Rotator Cuff Surgery: Insights and Options
Post-surgery for rotator cuff repair? It has been about 7 months since the rotator cuff repair surgery. An MRI in July showed that the supraspinatus muscle has not healed properly and there is adhesive bursitis. The physician mentioned that if surgery is not performed, I can wait...
Dr. Shi Guozheng Reply:
It is possible that it will gradually improve without the need for hyperbaric oxygen therapy. Adhesive capsulitis can lead to joint stiffness, so if the joint is functioning well, rehabilitation therapy may be beneficial. Whether or not to undergo dilation procedures should be di...[Read More] Recovery Challenges After Rotator Cuff Surgery: Insights and Options
Understanding Left Shoulder and Neck Pain: Causes and Solutions
Left shoulder and neck pain? Hello doctor, I would like to ask for your advice. My left shoulder has been slightly swollen for a week now. At first, I thought it would get better in a few days, but applying medicated patches and ointments hasn't helped, and it has also cause...
Dr. Li Yongheng Reply:
Based on your symptoms, there is a higher likelihood of left shoulder tendonitis. However, if there is a lump in your neck, it is still recommended that you visit an orthopedic clinic to rule out lymphadenopathy. Wishing you a speedy recovery.[Read More] Understanding Left Shoulder and Neck Pain: Causes and Solutions
Is Your Year-Long Dizziness a Sign of Cervical Spine Issues?
Is dizziness for over a year related to cervical spondylosis? Hello, doctor. I have been experiencing dizziness for over a year. After undergoing numerous tests, I was diagnosed with severe obstructive sleep apnea and mild fatty liver. Since the onset of dizziness last year until...
Dr. Chen Yongxue Reply:
Hello, cervical spine issues typically do not cause dizziness in patients. Generally, when dizziness occurs, it is important to investigate the source of the problem, which may require an examination by a neurologist or an otolaryngologist. Thank you.[Read More] Is Your Year-Long Dizziness a Sign of Cervical Spine Issues?
Concerns About Exposed Surgical Pins After Foot Injury: What to Know
It seems that the steel nail has penetrated into the flesh after the fall? I would like to ask the doctor about a few days ago when I had a nail surgery at the hospital. The head of the fixation nail for my toe bone is now located on the sole of my foot. There are two exposed hoo...
Dr. Shi Guozheng Reply:
If the fracture is already healing, the bone screws can be removed. If it has not yet healed, it is best to wait until it is ready for screw removal before taking them out. Slightly embedded screws do not have an impact.[Read More] Concerns About Exposed Surgical Pins After Foot Injury: What to Know
Do You Need Hospitalization for Skull Tumor Surgery? Understanding Risks and Aftercare
Is hospitalization required for surgery to remove a skull osteoma? Is there a risk of developing keloids? Hello, my wife has had a hard lump on her scalp for several years. Last year, she went to a neurosurgeon who diagnosed it as a benign osteoma and recommended monitoring. This...
Dr. Shi Guozheng Reply:
This type of surgery is typically performed by a neurosurgeon. Whether hospitalization is required depends on the extent of the procedure, and it is best to consult with the surgeon for clarity. Individuals with a tendency to develop keloids may experience hypertrophic scarring, ...[Read More] Do You Need Hospitalization for Skull Tumor Surgery? Understanding Risks and Aftercare
Understanding Malunion and Misalignment in Tibial Plateau Fractures
Questions related to tibial plateau fractures? Dear Doctor: I have some questions regarding medical terminology that I don't understand. What does "malunion" mean? Is "malunion" referring to a deformity in healing or improper bone alignment? When I stand,...
Dr. Shi Guozheng Reply:
Malunion refers to improper healing of a fracture. Your description is insufficient for a definitive assessment; it is advisable to consult a physician for an accurate diagnosis.[Read More] Understanding Malunion and Misalignment in Tibial Plateau Fractures
Understanding Impingement Syndrome: Can PRP Therapy Help Shoulder Pain?
Compartment syndrome Is there any benefit of PRP (Platelet-Rich Plasma) therapy for impingement syndrome, considering that there is pain during shoulder movement and occasional weakness when lifting the arm overhead, in addition to standard rehabilitation?
Dr. Shi Guozheng Reply:
First, we will try medication and rehabilitation therapy. If there is no improvement, we can consider other options, but they may not necessarily lead to improvement.[Read More] Understanding Impingement Syndrome: Can PRP Therapy Help Shoulder Pain?
Understanding Hip Joint Pain After Partial and Total Replacement Surgery
Artificial joint Dear Dr. Shi, Thank you for taking the time to read my question amidst your busy schedule. I underwent a hemiarthroplasty for avascular necrosis of the right hip in 1997 due to a fracture, and in 2008, I had a total hip arthroplasty (THA) at Chang Gung Memorial ...
Dr. Shi Guozheng Reply:
1. Postoperative thigh pain after total hip arthroplasty is commonly observed clinically and is usually due to stress shielding caused by the femoral stem of the prosthesis, which can lead to a portion of the femur becoming less dense, resulting in pain. However, this is typicall...[Read More] Understanding Hip Joint Pain After Partial and Total Replacement Surgery
Reconstructing the Clavicle: Solutions for Pain and Imaging Concerns
Clavicle issues In November 2015, a segment of approximately 8 cm of the right clavicle was removed due to a desmoid tumor, along with a small portion of the sternum. Since then, insufficient muscle compensation has led to pain and weakness in the right side of the head, neck, sh...
Dr. Shi Guozheng Reply:
If reconstruction is performed using bone grafting, it will also require the use of screws and plates for stabilization, which may affect the examination results. Therefore, it is advisable to first monitor for any recurrence of the tumor before proceeding.[Read More] Reconstructing the Clavicle: Solutions for Pain and Imaging Concerns
Understanding Head Injuries: Symptoms, Risks, and Recovery Insights
Head trauma Hello Doctor: A little over a month ago, I was playing basketball with my classmates. Since I am taller, when he jumped, his head hit my brow bone. It hurt a lot at the moment, and my eye swelled up. I went for an X-ray, but I didn't see a doctor or even my X-ray...
Dr. Li Yongheng Reply:
I heard you mention that sometimes you feel dizzy, nauseous, very sleepy, or experience clear fluid leaking from your ear or nose. These symptoms should not be taken lightly. I recommend that you promptly schedule an appointment with a neurosurgeon for evaluation, and if necessar...[Read More] Understanding Head Injuries: Symptoms, Risks, and Recovery Insights
Can Elbow Joint Stiffness from Old Injury Be Treated Effectively?
Inability to fully extend the elbow joint? Actually, this issue is not about me; I want to understand if my mother's condition can be treated. Here’s the situation: I heard my mom say that when she was pregnant with my sister, she fell and fractured her right wrist, which re...
Dr. Xie Hongjia Reply:
Hello, Yoyo: It is not possible to determine the reason for the inability to fully extend the elbow and the resulting inflammation. It is recommended to visit a hospital for further examination. The Hualien Hospital of the Ministry of Health and Welfare cares about you.[Read More] Can Elbow Joint Stiffness from Old Injury Be Treated Effectively?
Understanding Hip Joint Swelling After Replacement Surgery
Hip joint swelling Hello, Dr. Shi. I had a right hip joint replacement in 2005 due to a car accident, and in February 2015, I underwent another replacement because the ceramic liner and ceramic femoral head fractured. Currently, in April 2017, I am experiencing swelling at the su...
Dr. Shi Guozheng Reply:
It is advisable to see a physician as soon as possible, as it may be related.[Read More] Understanding Hip Joint Swelling After Replacement Surgery
Is Surgery Necessary for Wrist Fractures After a Month? Expert Insights
Wrist surgery On April 2, the patient fell forward and injured their right hand. X-rays showed fractures in the distal phalanx of the thumb, as well as in the ulnar and radial bones near the joint, with the radial head being particularly severe, showing a clear fissure approximat...
Dr. Li Yongheng Reply:
If the fracture is displaced, surgery may be considered; however, if there is no significant displacement, it is recommended to continue with cast immobilization. You may also seek a second opinion at another hospital. Wishing you a speedy recovery.[Read More] Is Surgery Necessary for Wrist Fractures After a Month? Expert Insights