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
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
How to Reduce Knee Wear for Marathon Training with Bow Legs
I want to participate in a marathon? I have bow legs, and my knees make a popping sound when I bend them. I am 170 cm tall and weigh 70 kg. For my health, I have decided to start running, and I plan to participate in a marathon in the future. However, since my knees make a poppin...
Dr. Shi Guozheng Reply:
You can wear a knee brace, but avoid choosing races that are too long. It's important to practice gradually and not to jump into long races all at once.[Read More] How to Reduce Knee Wear for Marathon Training with Bow Legs
Does Masturbation Affect Growth and Development in Adolescents?
The impact of masturbation on development? Hello, doctor. I am currently 13 years old, in the first year of junior high school, and my height is about 152-153 cm. My dad is 174 cm tall and my mom is 163 cm. I weigh 38.2 kg. I started masturbating in early August after graduating ...
Dr. Li Wenhong Reply:
Hello: As long as you do not overexert yourself and it does not affect your rest and sleep, masturbation will not hinder physical development. Dr. Li Wen-Hong, Orthopedics, Changhua Hospital.[Read More] Does Masturbation Affect Growth and Development in Adolescents?
Concerns About Possible Displacement After Ankle Surgery: A Patient's Inquiry
Left calf fracture has undergone surgery and is suspected to be displaced? Hello, on June 23, I underwent surgery for fractures in both legs, specifically the lower legs and the inner and outer malleoli in Thailand (the right inner malleolus was not operated on but is slightly di...
Dr. Chen Yongxue Reply:
Hello, the possibility of displacement after a fracture is not negligible. It is essential to rely on pre-operative and post-operative X-rays. Rehabilitation should generally wait for at least two months or until there are signs of healing at the fracture site visible on X-rays b...[Read More] Concerns About Possible Displacement After Ankle Surgery: A Patient's Inquiry
Understanding Coccyx Pain: Symptoms, Causes, and When to Seek Help
Coccygeal issues In January of this year, I fell on the stairs and hit my coccyx on the ground. It was very painful at the moment, but after resting for a day or two, the pain subsided, and I did not seek medical attention. About two weeks ago, I noticed that the sensation on the...
Dr. Shi Guozheng Reply:
1. If there is numbness, it may indicate nerve compression. 2. It is possible. 3. It may be related. 4. Unlike cauda equina syndrome, there is no phenomenon of urinary or fecal incontinence.[Read More] Understanding Coccyx Pain: Symptoms, Causes, and When to Seek Help
Post-Microdiscectomy Recovery: Addressing Pain and Mobility Issues
Postoperative Issues Following Microscopic Minimally Invasive Discectomy Hello Doctor, I have a herniated disc at the L4-L5 level and underwent microdiscectomy about a month ago. The doctor mentioned that the procedure involved decompression and removal of the nucleus pulposus, a...
Dr. You Dianqi Reply:
Please trust that your attending physician can also schedule an earlier follow-up appointment to discuss whether additional tests and evaluations are necessary. Thank you.[Read More] Post-Microdiscectomy Recovery: Addressing Pain and Mobility Issues
Understanding Recovery from Burst Fractures: Key Questions Answered
Vertebral fracture Hello, Dr. Chen! I was rear-ended on the highway and ended up with a "burst fracture of the third vertebra," with a 0.3 cm vertebral body depression, but no nerve compression. Although surgery is not required at this time, the doctor advised me to res...
Dr. Chen Bochen Reply:
Hello, 1. To determine the condition, it is generally recommended to follow up with X-rays every 6 weeks. 2. It is correct to rest for the first three weeks; thereafter, when getting out of bed, you should wear a supportive brace and avoid bending at the waist. 3. After the fract...[Read More] Understanding Recovery from Burst Fractures: Key Questions Answered
Post-Surgery Recovery Tips for Tibial Fractures: What to Expect
Post-operative care for tibial fractures? On July 19, I was involved in a car accident that resulted in a comminuted fracture of the left femur, with the fracture extending approximately 30 centimeters from above the knee joint to below the hip joint. I also sustained a fracture ...
Dr. Shi Guozheng Reply:
The duration for which a walker is needed depends on the healing status of the bone, which should be assessed through follow-up X-rays. If it is not a comminuted fracture, typically, one can start walking within three months, but a walker will still be necessary. To safely discon...[Read More] Post-Surgery Recovery Tips for Tibial Fractures: What to Expect
Understanding Shinbone Fractures: Recovery Challenges and Symptoms
Fibula fracture Hello Doctor, I had a car accident at the beginning of June, and due to an open wound, I was taken to the hospital where I was diagnosed with a fracture located between my knee and calf. I received stitches and stayed in the hospital for four days, followed by a c...
Dr. Zhan Xian Reply:
Recommendation for follow-up consultation. Thank you.[Read More] Understanding Shinbone Fractures: Recovery Challenges and Symptoms
Understanding Knee Issues: Sounds, Pain, and Treatment Options
Knee problems Hello, Doctor: 1. I would like to ask if the popping sound in my knee when bending and straightening it indicates a dislocation of the knee. 2. Whenever I bend my right leg, I feel tightness above my knee. What could be the cause of this? 3. During my physical the...
Dr. You Dianqi Reply:
It is advisable to seek evaluation at an orthopedic outpatient clinic at a regional hospital or higher. Thank you.[Read More] Understanding Knee Issues: Sounds, Pain, and Treatment Options
Managing Knee Osteoarthritis and Disc Herniation: A Path to Recovery
Knee osteoarthritis and intervertebral disc herniation? Hello Doctor: I visited an orthopedic clinic due to discomfort, and X-ray imaging revealed early-stage knee osteoarthritis and a grade I lumbar disc herniation. The orthopedic doctor recommended pain medication, traction, el...
Dr. You Dianqi Reply:
It is recommended to visit an orthopedic or rehabilitation outpatient clinic at a regional hospital or higher to have a physician assess the recovery status and determine if further rehabilitation is needed. Thank you.[Read More] Managing Knee Osteoarthritis and Disc Herniation: A Path to Recovery
Understanding Cartilage Tumors: Symptoms, Diagnosis, and Treatment Options
Osteochondroma Hello, Doctor. Initially, I didn't notice any pain in my left pelvis, and I thought the protrusion I felt was just an illusion, so I didn't see a doctor. However, this year I noticed that it felt larger compared to last year, and I started experiencing in...
Dr. Chen Yongxue Reply:
If you have already gone to the hospital for examination and treatment, it is recommended to discuss the necessary follow-up treatments and methods with your attending physician. Thank you.[Read More] Understanding Cartilage Tumors: Symptoms, Diagnosis, and Treatment Options
Understanding Frequent Joint Clicking: Elbow and Ankle Concerns
Frequent cracking sounds in the elbows and ankles? I frequently need to crack my elbows and ankles, similar to cracking my fingers, to feel more comfortable. However, when I engage in strenuous activities or stand for long periods, it becomes difficult to produce the cracking sou...
Dr. You Dianqi Reply:
Based on the above description, if medical examinations have been conducted and results are normal, can we further observe whether it is caused by habitual factors or other influences? Thank you.[Read More] Understanding Frequent Joint Clicking: Elbow and Ankle Concerns
Sudden Tailbone Pain: Should You See a Doctor for Occasional Discomfort?
Pain in the buttocks or coccyx that occurs suddenly, resembling the sensation of being kicked, and subsides within a few minutes may not necessarily require immediate medical attention. However, if the pain persists, worsens, or is accompanied by other symptoms such as swelling, ...
Dr. Chen Yongxue Reply:
Hello, based on your letter, this symptom is different from vertebral arch dissociation. It is advisable to visit the orthopedic outpatient clinic when symptoms occur. Thank you.[Read More] Sudden Tailbone Pain: Should You See a Doctor for Occasional Discomfort?
Post-Operative Pain Management After Minimally Invasive Spine Surgery
Minimally Invasive Bone Cement Surgery My mother underwent minimally invasive vertebroplasty, and the pain from her injured vertebra has significantly improved after the surgery. The doctor mentioned that there would be some soreness post-operation, but it has been one and a half...
Dr. Chen Bochen Reply:
Hello, if a normal compression fracture does not compress the nerves, it usually has less impact on the hips and legs. You should consult the original surgeon again and get an X-ray to evaluate whether further MRI imaging is necessary.[Read More] Post-Operative Pain Management After Minimally Invasive Spine Surgery
Unexplained Joint Pain: Understanding Chronic Bone Discomfort
Pain in various joints throughout the body for unknown reasons? I have been experiencing bone pain for about ten years, but my family told me it was growing pains. Even after turning 18, I still frequently have unexplained bone pain in my wrists, elbows, ankles, knees, calves, an...
Dr. You Dianqi Reply:
Hello, it is recommended to visit an orthopedic clinic for evaluation. Thank you.[Read More] Unexplained Joint Pain: Understanding Chronic Bone Discomfort
Understanding Toe Pain and Its Connection to Back Issues
Toe and back issues? Hello Doctor, for the past month, I have been experiencing intermittent pain in the third toe of my right foot (sometimes extending to the fourth and fifth toes as well as the ball of my foot). However, there is no visible difference compared to my left foot....
Dr. Chen Yongxue Reply:
Hello, if there is a noticeable tender point, it is likely due to soft tissue inflammation. The probability is high that the back pain is unrelated to the legs. Please consult an orthopedic clinic for examination. Thank you.[Read More] Understanding Toe Pain and Its Connection to Back Issues
Understanding Sciatica: Symptoms, Treatment, and Recovery Insights
Sciatica After the New Year this year, I started experiencing soreness and numbness in my legs while walking. In April, during the Dajia Mazu Pilgrimage, after walking about six kilometers, I began to feel pain in my right thigh. After consulting with a traditional Chinese medici...
Dr. Wang Shouji Reply:
Hello, sciatica may be caused by inflammation or swelling in the spinal area or the muscles of the buttocks. It is advisable to temporarily refrain from vigorous activities and consider rehabilitation therapy. If symptoms persist, please visit an orthopedic clinic for further eva...[Read More] Understanding Sciatica: Symptoms, Treatment, and Recovery Insights
Understanding Evening Lumbar Pain: Causes and Treatment Options
Lumbar pain Hello, doctor. For the past three days, I have been experiencing significant lumbar pain in the evenings and at night, which is quite uncomfortable. The pain is intense enough to cause goosebumps, but I'm unsure if it's coming from the lumbar region or from ...
Dr. Chen Yongxue Reply:
Please visit an orthopedic specialist for treatment. Thank you.[Read More] Understanding Evening Lumbar Pain: Causes and Treatment Options