Legs, Orthopedics FAQ

Post-Surgery Care and Concerns After Lumbar Fusion: A Guide

What are the issues after lumbar fusion surgery? Currently, my doctor said I can go jogging and do some stretching, but I should avoid bending over and lifting heavy objects. His responses were quite brief, probably because he is too busy to provide detailed information. My lumba...

Dr. Wang Shouji Reply:
Hello, after spinal fusion, it is important to check if the fusion has been completed. If the fusion is successful, engaging in some core muscle training should not pose significant issues. If sitting in a chair is uncomfortable, feel free to change it. Lumbar fusion will inevita...

Understanding Lumbar Vertebra Fractures: Causes, Symptoms, and Treatment Options

Fracture of the fifth lumbar vertebra? I have recently experienced unexplained pain in my lower back and legs. An X-ray examination at the hospital initially indicated a fracture of the fifth lumbar vertebra. A follow-up MRI is scheduled. As I am currently serving in the military...

Dr. Chen Bochen Reply:
Hello, if there is no significant trauma, a fracture of the fifth lumbar vertebra usually refers to a spondylolysis, which is a condition of incomplete congenital development. Generally, as long as there are good exercise habits and avoidance of prolonged sitting and heavy liftin...

Severe Pain from Hip to Calf: Is It Sciatica or Something Else?

Pain from the buttocks to the calves that makes it impossible to walk? Hello Dr. Chen, my mother was initially diagnosed with spinal degeneration and bone spurs compressing the nerves. She initially experienced pain in her lower back and legs, but now she is in pain while lying d...

Dr. Chen Bochen Reply:
Hello, based on your symptom description, it is possible that you have a herniated disc causing nerve compression, leading to sciatica. Please visit an orthopedic or neurosurgery outpatient clinic. The physician will arrange for X-rays or MRI based on your condition. If you exper...

Post-Surgery Care for Knee Cartilage Repair: Essential Tips and Advice

Cartilage repair surgery Hello, Doctor: I have a post-operative question. I underwent surgery for cartilage wear in both knees on October 19. Due to the pandemic, I wanted to be discharged quickly, so on the day of the surgery, aside from receiving pain relief immediately after t...

Dr. Shi Guozheng Reply:
The surgery for cartilage wear is somewhat vague; is it typically arthroscopic surgery? Usually, after the surgery, rehabilitation should be gradual. Doing 500 repetitions of leg raises in one day might cause more muscle soreness. If there is swelling in the joint, applying ice p...

Does Pelvic Rotation Cause Uneven Walking? Understanding the Impact

Does pelvic rotation cause a feeling of walking with a tilt? Dear Doctor: I have always had a habit of exercising, but due to the pandemic, I was unable to exercise for over two months starting from May 16. With long hours of sitting at work, I have been experiencing tightness in...

Dr. Wang Shouji Reply:
Hello, if there is asymmetry in the length of the lower limbs, it can lead to unequal exertion on both sides. However, the underlying cause needs to be further investigated. If this issue did not exist before but has now developed, it may require a period of rest and rehabilitati...

Understanding Pain Between Lower Back and Hips: Causes and Solutions

Pain between the lower back and the buttocks? Hello, doctor. About a month ago, I started experiencing soreness in my buttocks and legs after sitting for 20 minutes, but standing is fine. I consulted a rehabilitation specialist, and the doctor asked me to bend and lift my legs, w...

Dr. Chen Bochen Reply:
Hello: The most common spinal issue among young people is "functional spinal problems," which essentially means improper usage, often due to prolonged sitting and lack of exercise. The best treatment is to stay active; after sitting for 30 minutes, you should get up and...

Understanding Leg Injuries: Causes, Symptoms, and Treatment Options

Leg problems? I'm sorry to hear about your situation. Last August, I was in a car accident where my right foot made a loud noise upon hitting the ground, and my left foot was pinned under a falling motorcycle. Upon being taken to the hospital, it was discovered that I had se...

Dr. Shi Guozheng Reply:
Bruises may occur due to bleeding from muscle impact. After an injury, you can apply heat to alleviate swelling after three days. If there is pain, over-the-counter analgesics and anti-inflammatory medications can be taken for treatment.

Post-Crash Knee and Arm Injuries: When to See an Orthopedic Specialist

Knee issues due to injuries from a car accident? Hello, Doctor. I had a motorcycle accident on July 23rd, where I fell face down, resulting in most of my injuries being on the front of my body. My left arm, both legs, and knees have bruises from the impact. After the accident, I ...

Dr. Chen Yongxue Reply:
Hello, anything related to bones, joints, ligaments, and muscles falls under the scope of orthopedics. Don't worry, as many injuries still require physical examination and imaging studies. It is best to consult an orthopedic specialist. Thank you.

Post-Surgery Concerns After Total Vertebral Resection: A Patient's Journey

What are the issues after total vertebral body resection? I underwent surgery for an L3 giant cell tumor, which involved the removal of the vertebral body. It has been 7 months since the surgery, and I am currently taking denosumab. This is a CT scan I had in August (6 months pos...

Dr. Wang Shouji Reply:
Hello, the CT scan shows no significant displacement. The resected vertebra is supported by a cage and fixed with screws from the outside. For this type of procedure, the cage must fuse with the upper and lower vertebrae to be considered successful. From the CT scan, there are st...

Managing Sciatica Pain: When to Continue Physical Therapy or Seek Further Care

Sciatica Hello, doctor. At the end of June this year, I saw a doctor and had an X-ray, which diagnosed me with sciatica. After 7 weeks of physical traction therapy, I was pain-free by mid-August, so I stopped going to physical therapy. However, I’m not sure if it’s because I lift...

Dr. Chen Bochen Reply:
Hello, the symptoms you experienced during your last episode are likely due to a herniated disc. It is advisable to visit the orthopedic or neurosurgery department at the hospital. Wishing you a smooth recovery.

Severe Knee Pain When Squatting Slowly: Causes and Treatment Options

Experiencing severe pain in the knee during a half-squat? Hello doctor, I have been troubled by a problem for a while. I can squat down and stand up quickly with both legs normally, but if I squat down slowly, I experience severe pain and weakness when I reach halfway. The pain i...

Dr. Wang Shouji Reply:
Hello, based on your symptoms, it seems to be an issue with the hip joint or the medial head of the quadriceps. This area can bear more than eight times the body weight when squatting or going up and down stairs, which may lead to your symptoms. If you are experiencing discomfort...

Severe Knee Pain When Squatting Slowly: Causes and Treatment Options

Experiencing severe pain in the knee during a half-squat? Hello doctor, I have been troubled by a problem for a while. I can squat down and stand up quickly with both legs normally, but if I squat slowly, I experience severe pain and weakness when I reach halfway. The pain is loc...

Understanding Bone Cement Leakage: Recovery and Next Steps After Surgery

Bone cement leakage My mother has a fracture at the L10-L11 vertebrae. She underwent a vertebroplasty procedure on July 16, which was self-funded. Post-surgery, it was discovered that there was cement leakage, resulting in numbness in both legs. Three hours later, she underwent a...

Dr. Cai Shanglin Reply:
Hello, due to the leakage of bone cement causing nerve compression, resulting in lower limb weakness, timely surgical decompression is necessary. However, even after relieving the nerve compression, complete recovery may not occur immediately. It often takes three to six months f...

Understanding O-Shaped Legs: Causes, Treatment Options, and Surgical Insights

O-shaped legs and knee joints? Hello Doctor: Currently, my tibia and weight-bearing axis are approximately at 7.2 degrees for the right leg and 8 degrees for the left leg, with a knee distance of about 10 centimeters (congenital). However, the X-ray images show that the medial jo...

Dr. Shi Guozheng Reply:
1. When a person is standing, the forces are transmitted to the inner side of the knee joint, making the varus deformity more pronounced and narrowing the joint space on the inner side. 2. Currently, if there are no symptoms of pain, treatment is not necessary. 3. If surgery ...

Severe Knee Injury After Fall: Symptoms, Diagnosis, and Next Steps

Knee issues Recently, I fell down the stairs at home with a loud crack, feeling something break. I couldn't stand up and was in excruciating pain. After forcing myself to stand, I noticed blood and upon examination, I found that my right knee had sunk in by 1 cm and was blee...

Dr. Shi Guozheng Reply:
If you are already receiving treatment at a hospital, you should follow the physician's recommendations, which may include immobilization with a cast or surgery. A decision can only be made after assessing the clinical condition.

Post-Surgery Foot Elevation: Addressing Concerns After Fibula Fracture

Postoperative elevation of the legs issue? Hello, doctor: I was hospitalized for a fibula fracture and was discharged home yesterday (August 8). The doctor advised me to keep my foot elevated at home to reduce swelling. However, when I elevate my foot using a pillow, I notice tha...

Dr. Zhan Xian Reply:
Hello, using a blanket to elevate the legs so that the calves are not hanging too low can be more comfortable. It's also important to change positions regularly to prevent pressure sores.

Core Strengthening Exercises After Spine Surgery: Safety and Recommendations

Core exercises after spinal surgery? It has been four months post-surgery, where screws and a cage were placed in the lumbar spine at levels L4 and L5. I have two questions: 1. What exercises can I do to increase core strength? 2. When lying flat, performing an abdominal exercise...

Dr. Wang Shouji Reply:
Hello, it is important to first confirm whether a joint fusion surgery has been performed. If so, verify whether the fusion site has healed. Core strengthening exercises targeting the back and abdomen can enhance spinal stability. Exercises such as sit-ups and push-ups can be ben...

Knee Pain and Bruising in Teens: When to Seek Medical Attention

Knee patella pain? Hello Doctor: I am currently 18 years old. Recently, I have been experiencing pain in my knee bones (sometimes with a tingling sensation, and it hurts more at night than during the day). Occasionally, my shin bones also hurt, and I have noticed small bruises ap...

Dr. Shi Guozheng Reply:
You need to go to the hospital to see a doctor, as it could be a problem with the patella, such as patellar cartilage inflammation or improper alignment of the patella.

Severe Motorcycle Accident: Treatment Options for Fractured and Numb Legs

Traffic accident issues? I was involved in a severe motorcycle accident a year ago. I experienced a leg cramp while riding, which caused me to be struck by Vehicle A, throwing me to the ground. Upon landing, both of my knees were severely deformed, and I was subsequently run over...

Dr. Wang Shouji Reply:
Hello, if the nerve rupture is at a higher level, recovery from the nerve injury is unlikely. If there is no response in the lower limbs, the chances of recovery are almost impossible. However, if there is some remaining function, surgical intervention may be considered to improv...

Understanding Knee Injuries and Femur Fractures After a Car Accident

Knee problems and femoral fractures? 1. I was involved in a car accident where a bus ran over both of my legs, resulting in severe comminuted fractures of my thigh, knee, and fibula, along with a severe knee dislocation. My entire leg is deformed except for the sole of my foot. W...

Dr. Wang Jiacheng Reply:
To assess the severity of a fracture and determine if there is any damage to blood vessels or nerves, surgical intervention may be necessary. Having X-ray images for reference makes it easier to provide a clearer evaluation.

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