Understanding Anterior Shin Pain After a Calf Injury: Causes and Care
Anterior lower leg contusion pain? Hello Doctor, a couple of days ago during an outdoor activity, I accidentally stepped into a hole that was knee-deep with my left foot. When my foot slipped into the hole, the front side of my calf was impacted. At the time, I only felt that the...
Dr. Shi Guozheng Reply:
A collision to the calf may involve soft tissues such as muscles and subcutaneous tissue absorbing the impact, and it is also possible for the bone to be affected. If there is no fracture and no muscle tear, it is classified as a contusion. If there is a fracture, the bone will b...[Read More] Understanding Anterior Shin Pain After a Calf Injury: Causes and Care
Understanding Hip Joint Limitations After Femoral Fracture Recovery
Complications after femoral fracture? Hello, doctor. Five years ago, I had a car accident that resulted in a mid-shaft fracture of my left femur. It has since healed, and the intramedullary nail has been removed. However, I have undergone multiple surgeries and rehabilitation due...
Dr. Shi Guozheng Reply:
1. It could be joint contracture or a muscle issue. 2. It may also be due to pain causing reluctance to move. 3. Engage in rehabilitation. 4. It is possible. 5. Surgical treatment is only necessary if there is a leg length discrepancy of more than four centimeters; if the...[Read More] Understanding Hip Joint Limitations After Femoral Fracture Recovery
Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Knee problems On September 16, I fell and hit my knee. At that time, there was a large bruise on my knee. I applied heat and used topical medication, but now, on October 7, when I kneel, I feel something stuck in that area and experience pain. If I'm on the floor, the pain i...
Dr. Shi Guozheng Reply:
1. Alternating hot and cold compresses for knee joint rehabilitation exercises. 2. Noises without pain are also considered normal.[Read More] Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Severe Staircase Fall: Understanding Fractures and Recovery Options
Staircase fall resulting in fracture? I'm sorry to hear about your situation. Here’s the translation: I apologize, but recently while going down the stairs, my thigh suddenly cramped. I sat down to check and found that the muscles in both of my thighs had cramped to the poi...
Dr. Shi Guozheng Reply:
1. Surgical reduction and fixation of fractures. 2. If the blood vessels are not injured, amputation is usually not necessary. 3. It is somewhat serious. 4. Follow the physician's advice and undergo treatment.[Read More] Severe Staircase Fall: Understanding Fractures and Recovery Options
Understanding Absorbable Bone Materials: Recovery and Comparisons in Orthopedic Surgery
Biodegradable bone graft materials Hello, doctor. On September 11, I slipped and fell, landing on my left knee, resulting in a patellar fracture in two pieces with a displacement of 7.5 mm. I underwent a reduction surgery that same day and opted for absorbable bone screws at my o...
Dr. Shi Guozheng Reply:
1. There is basically not much difference. 2. Healing in about three months is considered normal. 3. Some materials may cause tissue reactions during the healing process, but this is rare. If inflammation occurs, it must be addressed.[Read More] Understanding Absorbable Bone Materials: Recovery and Comparisons in Orthopedic Surgery
Knee Pain After Car Accident: Understanding Deep Tissue Injuries
Deep knee pain after a car accident? I'm sorry to bother you! 😅 I was in a car accident three weeks ago. I had an X-ray, and my bones were not injured; only soft tissue injuries were noted. However, recently I have been unable to fully bend my knee, and it is very painful. T...
Dr. Shi Guozheng Reply:
The diagnosis is a knee joint contusion, which may have injured the underlying soft tissues. There is no such thing as an undiagnosed condition for three weeks; it should still be quite painful. Soft tissue healing typically requires more than six weeks. Currently, treatment or r...[Read More] Knee Pain After Car Accident: Understanding Deep Tissue Injuries
Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates
Regarding intramedullary nailing of the femur and plate fixation of the metacarpals postoperatively? Dear Doctor, I have a few questions regarding my recovery one month after my femur fracture surgery, and I would like to seek your expertise: 1. When I fully extend my knee, I ca...
Dr. Zhan Xian Reply:
Hello Mr. Lin, the X-ray you provided cannot be opened, and I am unable to give feedback on the images. Since it has been about a month post-fracture surgery and the fracture has not yet healed, you can discuss your concerns with the surgeon during your follow-up appointment.[Read More] Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates
Understanding Knee Noises: Are They a Sign of Injury?
There is a sound coming from the right knee joint while walking? Hello, doctor. I hear a cracking sound in my right knee joint when walking, but there is no pain. When I move the joint up and down in a half-squat position, there is also sound, but after repeating the motion a few...
Dr. Chen Yongxue Reply:
Hello, this may be a symptom of patellar valgus. Please visit the orthopedic clinic for further examination. Thank you.[Read More] Understanding Knee Noises: Are They a Sign of Injury?
Innovative Treatments for Wrist Osteoarthritis After Fractures
Comminuted wrist fracture Hello, doctor. I have a question regarding my condition. Several years ago, I experienced an accident that left me unconscious, so I am not very clear about what happened. I sustained multiple fractures, which resulted in the loss of cartilage in my wris...
Dr. Wang Shouji Reply:
Hello, for post-traumatic arthritis of the wrist, if there is still a need for strength, joint fusion surgery is often performed. If there is not much demand for strength, most cases are treated symptomatically. If you have further questions, it is advisable to seek a second opin...[Read More] Innovative Treatments for Wrist Osteoarthritis After Fractures
Post-Surgery Rehabilitation Tips for Patellar Fracture Recovery
Rehabilitation Issues After Patellar Fracture Surgery My mother is 77 years old and fractured her patella into four pieces due to a fall. It has been seven weeks since her surgery, and yesterday she returned for a follow-up appointment where her cast was removed and replaced with...
Dr. Li Wenhong Reply:
Hello: Based on your description, your mother's patellar fracture is comminuted, and she also has osteoporosis. Therefore, the postoperative cast fixation is required for a longer duration. The transition to a knee brace is made when the attending physician determines that s...[Read More] Post-Surgery Rehabilitation Tips for Patellar Fracture Recovery
Understanding Joint Sounds and Pain After Heavy Lifting and Roller Training
Lifting injuries and roller training shoulder injuries? Hello, doctor. I would like to ask if bones can become misaligned due to lifting heavy objects. A few days ago, I carried a 30-kilogram load up and down the stairs four times. At the time, I felt no abnormalities, but two da...
Dr. Chen Bochen Reply:
Hello, when joint inflammation occurs, the lubrication of the joint decreases, which can lead to sounds being produced, rather than bone misalignment. To accelerate recovery, you can apply heat therapy and increase aerobic exercises (such as jogging or jumping rope). Before your ...[Read More] Understanding Joint Sounds and Pain After Heavy Lifting and Roller Training
Post-Fracture Leg Pain: Causes and Concerns After Surgery
Pain in the fractured leg with crepitus at the fracture site? Dear Doctor: I had an open comminuted fracture surgery on my leg about five months ago. X-rays show that there is new bone callus formation at the fracture site. Recently, I have been using a walker to assist with walk...
Dr. Shi Guozheng Reply:
1. Whether the steel plate has shifted needs to be confirmed by an X-ray. 2. It is normal for pain to persist when the fracture has not yet healed. 3. It is unrelated to muscle atrophy. 4. The sound of bone grinding may be related to the uneven surface of the cartilage.[Read More] Post-Fracture Leg Pain: Causes and Concerns After Surgery
Injury to Knee and Thigh: Symptoms, Treatment, and When to Seek Help
Knee and thigh issues? Recently, I fell on the road and my left knee and left thigh collided forcefully with a rock, accompanied by a cracking sound. After that, I was in so much pain that I couldn't stand up. After struggling to get up, I noticed a 2 cm indentation on the r...
Dr. Shi Guozheng Reply:
1. For joint contusions, it is important to check for fractures. If there are no fractures, surgery is not necessary. 2. Amputation is only required if the limb is necrotic; if blood circulation is good, amputation is not needed. 3. Seek treatment at an orthopedic department ...[Read More] Injury to Knee and Thigh: Symptoms, Treatment, and When to Seek Help
Knee Injury from Motorcycle Accident: Recovery Timeline and Tips
Knee injury from a car accident? As the title suggests, yesterday afternoon I had a motorcycle accident on Green Island, resulting in a fall. Later, after returning to Taiwan, I was involved in a two-vehicle collision while heading to the hospital for a wound debridement. Current...
Dr. Shi Guozheng Reply:
Generally, a bruise without a fracture usually heals within four weeks. You can try to walk after two to three days.[Read More] Knee Injury from Motorcycle Accident: Recovery Timeline and Tips
Understanding Joint Pain: Causes and Solutions for Bunions and Nerve Issues
Joint pain Hello, Doctor. Thank you for taking the time to respond to my questions. I have mild hallux valgus, but it does not affect my daily life, and I do not experience pain or discomfort when wearing shoes. Recently, I suddenly felt pain in my right big toe, specifically at ...
Dr. Shi Guozheng Reply:
Consulting an orthopedic specialist may be necessary for inflammation of the fascia beneath the toes. If medication treatment is ineffective, a local corticosteroid injection may be considered.[Read More] Understanding Joint Pain: Causes and Solutions for Bunions and Nerve Issues
Understanding Recovery from Calcaneal Fractures: Pain, Limping, and Future Limitations
A left calcaneal fracture has been present for three months, but there is still a limp while walking. Additionally, is it possible for a calcaneal fracture to fully heal? Hello doctor, I suffered a closed fracture above my calcaneus from being run over by a motorcycle in May of t...
Dr. Shi Guozheng Reply:
A calcaneal fracture typically takes at least three months to heal, and pain relief may take up to six months. You can try applying heat, and it may also be helpful to take some pain relievers to reduce discomfort.[Read More] Understanding Recovery from Calcaneal Fractures: Pain, Limping, and Future Limitations
Managing Swelling and Discoloration After Right Tibia-Fibula Fracture Surgery
Right tibia and fibula fracture? Hello Doctor, I underwent a right calf fracture reduction and interlocking nail fixation on July 21. One month post-surgery, I followed my attending physician's advice to elevate my leg daily with a pillow and apply ice. I can slightly move m...
Dr. Shi Guozheng Reply:
Swelling may persist for about three to six months. Elevate the leg and alternate between cold and hot compresses. Practice the range of motion for the knee and ankle joints to promote muscle contraction, which will help improve the condition.[Read More] Managing Swelling and Discoloration After Right Tibia-Fibula Fracture Surgery
Post-Surgery Work Considerations for Neurofibroma Patients
Postoperative Care for Neurofibromatosis Surgery I would like to ask about my situation. I have a neurofibroma located at the level of my L3-L4 vertebrae. I have undergone surgery to remove it and have been resting for four months. I am currently working, and my job involves heav...
Dr. Chen Yongxue Reply:
According to the letter, the function of the nerves needs to be evaluated. The surgical approach and the method of spinal stabilization also require assessment. It is advisable to consult with the attending physician. Thank you.[Read More] Post-Surgery Work Considerations for Neurofibroma Patients
Managing Complications After Tibial Plateau Fracture Surgery
Tibial plateau malunion? After surgery on March 18, 2022, for a grade 2 tibial plateau fracture, there is a 2 cm wide depression in the steel plate. The lower leg is externally rotated by 9 degrees, and the femur is internally rotated by 4 degrees, resulting in overall joint tigh...
Dr. Wang Shouji Reply:
Hello, if the dislocation is so evident, the likelihood of developing post-traumatic arthritis is very high. The chances of successfully realigning the fracture through another surgery are likely low. Some physicians may opt for osteotomy to shift the weight-bearing load of the k...[Read More] Managing Complications After Tibial Plateau Fracture Surgery
Post-Surgery Recovery Tips for Ankle Fracture: Pain Management and Rehabilitation
Post-operative care after an ankle closed fracture surgery? Hello 👋 In March, I had a car accident and underwent an X-ray, which revealed a displaced closed fracture of the right fibula at the lateral malleolus, along with intra-articular loose bodies in the right ankle and ligam...
Dr. Shi Guozheng Reply:
It is important to ensure that there are no issues with the fracture site before engaging in any physical activity.[Read More] Post-Surgery Recovery Tips for Ankle Fracture: Pain Management and Rehabilitation