Legs, Orthopedics FAQ

Severe Leg Injuries from Car Accident: Treatment and Recovery Insights

Car accident injuries? 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. What treatment ...

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

Overcoming Severe Leg Injuries After a Car Accident: My Journey

I was in a car accident before? I was in a car accident where the other driver was going the wrong way, and I was thrown from the impact. I suffered compound fractures of both femurs and tibias, with bone protruding through the skin, and I had dislocated knees along with comminut...

Dr. You Dianqi Reply:
Hello, from your article, I can sense that you indeed suffered a very serious injury, yet you still optimistically describe the beauty of the world. You are very brave, keep it up! Given that you had an open fracture and a dislocated knee, which indicates potential ligament issue...

Can I Still Grow Taller at 15? Tips for Height and Leg Length

Growth issues Hello, I am currently 15 years old and will turn 16 in October. I am approximately 171 cm tall. Can I still grow taller? Does being overweight affect height? Additionally, my calves are relatively short; will stretching and doing jumping jacks help lengthen my legs ...

Dr. Li Wenhong Reply:
Hello: You can grow taller, but it is impossible to predict how much more you will grow. Being overweight can affect height growth, so it is recommended that you maintain a balanced diet and reduce your intake of carbohydrates. Adequate rest and moderate exercise are equally impo...

Finding Relief from Chronic Knee Pain: Options Beyond Surgery

Suffering from knee pain. Please advise on effective remedies? Hello, Dr. Shi. I have been suffering from degenerative arthritis for about ten years. I have been receiving hyaluronic acid injections for approximately five years, but I feel there has been little improvement and no...

Dr. Shi Guozheng Reply:
1. Normal function can be restored; during the surgery, the deformed joint will be corrected to a straight position. 2. If the knee joint is currently difficult to bend, then after surgery, in order to be able to squat, it is essential to commit to rehabilitation. 3. Performi...

Height Concerns: Can Stretching and Growth Hormones Help?

Height issues Hello, doctor. I am 15 years old and will turn 16 in October. My current height is only 171-173 cm. My parents' heights are 175 cm and 153 cm. I have relatively short calves. I am overweight. If I want to reach a height of about 178-182 cm and have longer legs,...

Dr. Chen Bochen Reply:
1. Growth hormone is effective for increasing height, but any growth hormone available on the market is counterfeit. Never risk your health for it. 2. In Taiwan, growth hormone can only be administered through a diagnosis and evaluation by a physician specializing in pediatric en...

Post-Surgery Concerns: Understanding Pain and Mobility After Tibia Surgery

Postoperative care for tibia and fibula fractures? Hello Doctor! A few months ago, I underwent surgery to remove a tibial tumor, and artificial bone was used to fill the area. Recently, I've been experiencing back pain, so I followed some rehabilitation exercises I found onl...

Dr. You Dianqi Reply:
From your response, I noticed that there are concerns about the possibility of the bone plate screws shifting. This issue may require imaging to provide a more informed response. As for your questions about whether you can kneel and similar inquiries, it largely depends on the co...

Understanding Posterior Cruciate Ligament Reconstruction Surgery

Posterior cruciate ligament reconstruction surgery? Hello, due to a car accident in early March, I only discovered the bone issues a month later. Now, at the end of May, I had an MRI, and the doctor said my posterior cruciate ligament (PCL) did not show up, which suggests it may ...

Dr. Chen Bochen Reply:
1. First, consult a rehabilitation physician to arrange rehabilitation for the injured area. Strengthening the quadriceps is essential to compensate for the deficiency of the posterior cruciate ligament. 2. Commit to rehabilitation for at least three months; if discomfort persist...

Understanding High Tibial Osteotomy: Benefits, Risks, and Recovery

High tibial osteotomy Hello Doctor: I have been actively seeking treatment for my tibial varus deformity for about six years, researching and consulting with hospitals. Recently, there seems to be a lot of news about High Tibial Osteotomy (HTO) surgery, which appears to have been...

Dr. Wang Shouji Reply:
Hello, the purpose of high tibial osteotomy is to shift the mechanical axis laterally, potentially balancing the load across the knee joint. 1. As long as the osteotomy heals well, there are usually no significant issues with mobility. 2. Individuals with a lighter body weight an...

Understanding Knee Pain: Causes, Treatments, and When to Seek Help

Knee problems Timeframe: Started in early February and continues to the present. Physical condition: Occasionally exercises (about two to three times a week, sometimes less), no obvious injury sensations (such as strains or sprains). Symptoms: Initially, there was pain in the rig...

Dr. Chen Bochen Reply:
1. I previously had issues with soft tissue injuries, where pain would occur after using that area for a period of time (possibly 10 minutes to half an hour). However, my knee pain mostly occurs when I am not using it. I'm not sure about the condition of my elbow. Is my situ...

Understanding Leg Pain When Climbing Stairs: Causes and Solutions

Soreness in the thighs when climbing stairs? Hello, Director Chen! I have a troubling question to ask: I have a daily exercise routine that includes hiking, jogging, cycling, and climbing mountains. However, for the past two to three months, I've noticed that whenever I go u...

Dr. Chen Bochen Reply:
Activities such as climbing hills and cycling that involve forward bending of the spine can cause soreness, which may be due to a herniated intervertebral disc. It is recommended to strengthen core muscles. Using a lumbar support and anti-inflammatory medications may provide shor...

Post-Thoracic Surgery: Why Can't My Left Heel Support My Weight?

After thoracic spine surgery, the left heel is unable to bear weight? Hello Doctor: I suffered a burst fracture of the twelfth thoracic vertebra last October and had steel rods and bone cement implanted. Currently, I am able to walk with both legs. However, my left heel cannot su...

Dr. Chen Bochen Reply:
Based on the information you provided, it appears that the primary injury is to the L5 nerve. The MRI shows no stenosis at the L4/5 level, but the L5 nerve may have been injured at the T12 level. It is recommended that, in addition to investigating the cause, active rehabilitatio...

Understanding Sacral Fractures and Disc Narrowing After Trauma

Decreased curvature of the sacrococcygeal region, S3 fracture, L5/S1 disc space narrowing, and pubic symphysis diastasis? Dear Dr. Zhan, Thank you very much for your response. It has been 20 days since the car accident on December 28, 2020. Two days after the incident, I underwe...

Dr. Zhan Xian Reply:
Mr. Bruce, if the pubic symphysis is separated by 1.8 cm and the pelvic structure is stable, conservative treatment is possible. Your injury requires time to heal, so please take a gradual approach and do not rush. Walking too much at the beginning may actually hinder bone healin...

Can L4-L5 Compression Cause Heel Support Issues After Thoracic Surgery?

Dr. Wang Shouji Reply:
Hello, L5 nerve root compression can affect the heel, but regarding your statement about not being able to walk normally on your heel, can you confirm if the ankle joint movement is normal? Is there any tenderness in the heel? A preoperative MRI should be able to determine if the...

Post-Operative Care for Ankle Arthroscopy: Recovery Timeline and Swelling

Postoperative Care for Ankle Arthroscopy Is it normal for the ankle to still have some swelling three months after ligament repair surgery when the foot is placed down? Also, how long does it typically take to fully recover to the point of being able to exercise?

Dr. Wang Shouji Reply:
Hello, postoperative swelling and pain may persist for several months. It is important to elevate your legs and perform ankle stretching exercises. Using protective gear can help reduce swelling and pain. Changhua Hospital cares about your health. Sincerely, Wang Shou-ji.

Understanding Tarlov Cysts: Symptoms, Risks, and Treatment Options

Tarlov cysts are perineural cysts located in the sacral region? Hello! For the past three months, I have been experiencing a feeling of heaviness and weakness in my legs, particularly in my calves. My left calf and the soles of my feet often feel numb, and I also experience inter...

Dr. Chen Yongxue Reply:
Hello, Tarlov cysts and herniated discs have similar symptoms, but they can be differentiated through magnetic resonance imaging (MRI). Thank you.

Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident

Decreased sacral and coccygeal curvature, S3 fracture, L5/S1 disc space narrowing, pubic symphysis diastasis? Dear Dr. Zhan, I am currently working in Southeast Asia and had a car accident two weeks ago, resulting in ruptures of my liver and spleen. I underwent transarterial emb...

Dr. Zhan Xian Reply:
Hello Mr. Bruce, whether surgical treatment for the pelvis is necessary mainly depends on the stability of the pelvic fracture. Since we only have a written report without imaging, it is difficult to assess the extent of the pubic symphysis separation and whether there is any dis...

Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options

Giant cell tumor located on the lumbar vertebrae? After undergoing an MRI and biopsy, I was diagnosed with a giant cell tumor at the lumbar spine L3. Currently, my symptoms include occasional weakness in my legs, along with soreness in my lower back, thighs, and near the anal are...

Dr. Chen Bochen Reply:
First, an incision will be made on the side to remove the tumor and perform spinal reconstruction, followed by another incision in the back to insert screws. This is the standard procedure. The surgeons who operate on the spine and those who specialize in bone tumors are usually ...

Three Months Post-Surgery: Concerns About Bone Healing Progress

Three months post-surgery, the bone healing does not seem to be ideal? It has been three months since my surgery, and is it normal that my ankle and foot are still not completely reduced in swelling? During each follow-up appointment, the doctor seems to indicate that the healing...

Dr. Chen Bochen Reply:
1. Sun exposure for half an hour daily (between 10 AM and 3 PM). 2. Static strength training (apply force with the entire leg for 15 seconds, alternating between legs). 3. Absolutely no smoking or exposure to secondhand smoke. 4. Reduce consumption of sugary foods and bever...

Understanding Coccyx Pain After Exercise: Causes and When to Seek Help

Coccydynia after exercise? Hello Doctor: I haven't exercised for a long time, and yesterday I went to the gym to work out. I did sit-ups, lying flat with my legs raised and lowered without letting my feet touch the ground, which is an abdominal muscle workout. However, when ...

Dr. Chen Bochen Reply:
1) Should I go to an orthopedic specialist for an X-ray? No, bones do not spontaneously dislocate due to minor exertion; the human body is not that fragile. 2) Could this soreness be due to a muscle strain, specifically because of its location at the coccyx? The coccyx has many...

Overcoming Height-Related Depression: Seeking Osteotomy for Shortening

I have been depressed for a long time due to my height and hope to undergo osteotomy to make myself shorter? I am 177 cm tall, currently 19 years and one month old. Since high school, I have been depressed due to my height issue, even going so far as to diet to avoid growing tall...

Dr. Shi Guozheng Reply:
There are surgeries to shorten bones, but they are typically performed for patients with leg length discrepancies, where a simple osteotomy is done on the longer bone to achieve equal length on both sides. As for individuals who wish to undergo osteotomy due to excessive height, ...

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