ACL Tear: To Operate or Not When Walking Pain-Free?
You have a torn anterior cruciate ligament (ACL) in your right knee, but you do not experience pain while walking normally. You would like to know if surgery is necessary? Hello, doctor. I started experiencing significant leg fatigue after hiking in March, which lasted about a we...
Dr. Zhan Xian Reply:
Hello, Miss Emma Luo. It is recommended that you bring your MRI disc to the orthopedic outpatient clinic for a physical examination and consultation.[Read More] ACL Tear: To Operate or Not When Walking Pain-Free?
Understanding Muscle Adhesions: Causes and Treatment Options After Injury
Muscle adhesion A family member suffered a crush injury to their hand in a car accident. They have been undergoing rehabilitation, but recently the hospital's massage therapist mentioned that there is muscle adhesion. I would like to know what might cause this condition and ...
Dr. Shen Boquan Reply:
Family members should undergo surgery for a comminuted fracture of the hand. Postoperatively, issues such as joint stiffness, articular surface damage, soft tissue injury, or complications from the surgery itself may arise. Following the physician's instructions and continui...[Read More] Understanding Muscle Adhesions: Causes and Treatment Options After Injury
Understanding Rib Fractures: Recovery and Post-Surgery Concerns
Rib issues Hello, doctor. I would like to ask about my condition. Approximately a month and a half ago, I was involved in a car accident that resulted in fractures of my left ribs 4 to 8. I was taken to the hospital for surgery, where they used the latest titanium alloy rib fixat...
Dr. Chen Bochen Reply:
1. The ribs are located closer to the skin, and it is common to experience a tight sensation after surgery, which should gradually improve over time. 2. Numbness and soreness extending from the lower back to the thighs are generally unrelated to rib surgery. The most common cau...[Read More] Understanding Rib Fractures: Recovery and Post-Surgery Concerns
Struggling with Elbow Flexibility: Is Arthroscopy the Solution?
The elbow can only bend up to 100 degrees, making it impossible to touch my own shoulder? When I was a child, after a fracture was fixed and the cast was removed, I was unable to bend my elbow. At that time, I did not undergo rehabilitation; instead, I was taken to a martial arts...
Dr. You Dianqi Reply:
Hello: Your issue is quite complex. It's important to maintain a positive mindset. In terms of medical direction, indeed, elbow arthroscopy for debridement and release is typically indicated for cases with a smaller range of motion deficit. If there is significant or severe ...[Read More] Struggling with Elbow Flexibility: Is Arthroscopy the Solution?
Understanding Radial Fractures in 11-Year-Olds: Treatment and Risks
Radial fracture in an 11-year-old child? Dear Doctor, An 11-year-old child fell off a bicycle on July 25 and fractured the radius near the wrist. Initial treatment involved closed reduction and casting, with weekly follow-ups. The physician indicated that if there was no displac...
Dr. Li Wenhong Reply:
Hello: 1. To prevent deformities, it is essential to provide stable fixation and protect the growth plates from excessive injury. Pediatric fractures are typically stabilized with percutaneous pins and cast immobilization, which is usually sufficient. Proper anesthesia (general a...[Read More] Understanding Radial Fractures in 11-Year-Olds: Treatment and Risks
Post-Op Day 2 After Hip Labrum Repair: Understanding Pain and Recovery
Second day post-operative for acetabular labrum repair? Dear Dr. You, I sustained a sports injury last September, resulting in a left hip labral tear. After unsuccessful conservative treatment, I underwent hip arthroscopy for labral repair on August 12. It has been two days sinc...
Dr. You Dianqi Reply:
Hello: Although arthroscopy is considered minimally invasive, it is still classified as a surgical procedure. Some comments found online may not accurately reflect individual conditions, mobility, or surgical techniques, and the influence of advertisements can create a misleading...[Read More] Post-Op Day 2 After Hip Labrum Repair: Understanding Pain and Recovery
Post-Operative Hip Pain: Understanding Causes and Management After Surgery
Postoperative pain after hip joint surgery? Hello Dr. Chen, I had a right hip replacement surgery four days ago. I am taking Xarelto 10 mg (one tablet in the morning) and Celecoxib 200 mg (one tablet every 12 hours). Post-surgery, I have not experienced any discomfort, and I ca...
Dr. Chen Yongxue Reply:
It is advisable to seek medical attention at a hospital.[Read More] Post-Operative Hip Pain: Understanding Causes and Management After Surgery
Post-Spinal Surgery Pain: Could Screws Be the Culprit?
Is it possible that the soreness after spinal surgery is caused by the screws? Hello, my mother underwent minimally invasive spinal surgery last year, during which a brace and six screws were implanted. However, nearly six months post-surgery, she still experiences persistent low...
Dr. Chen Bochen Reply:
Hello, there are several possible causes for discomfort after spinal surgery: 1. Postoperative muscle weakness, which generally requires rehabilitation, nutritional supplementation, and personal exercise. 2. The area that was not operated on may still have issues, such as pre-exi...[Read More] Post-Spinal Surgery Pain: Could Screws Be the Culprit?
Post-Surgery Complications After Minimally Invasive Spine Surgery
Complications of Minimally Invasive Spine Surgery I underwent minimally invasive decompression surgery on T10-T12 and L3, L4, and L5 in October 2016. After the surgery, I experienced stiffness in my hip joint. I had a follow-up surgery on T10-T12 in August 2017, which improved th...
Dr. Chen Yongxue Reply:
Decompression surgery is performed to relieve nerve compression. Although complete recovery may not be guaranteed after the surgery, if you experience new symptoms postoperatively, it is advisable to undergo further evaluation.[Read More] Post-Surgery Complications After Minimally Invasive Spine Surgery
Post-Surgery Finger Issues: Bone Bump and Nail Growth Problems Explained
After finger surgery, there is a bone protrusion and the nail is not growing back? Around January, I underwent surgery on my ring finger's first phalanx due to a neuroma. Now, there is a slight protrusion on the back of the first phalanx where it connects to the nail, and th...
Dr. Chen Yongxue Reply:
It may be related to the surgery; it is advisable to consult the attending physician for further information.[Read More] Post-Surgery Finger Issues: Bone Bump and Nail Growth Problems Explained
Post-Operative Pain and Stiffness in TFCC Repair: What to Expect?
Post-operative pain or locking on the ulnar side during forearm rotation after TFCC arthroscopy? Hello Doctor, I was in a car accident last year that caused pain on the ulnar side of my wrist during forearm rotation. I underwent prolotherapy and shockwave therapy for six months. ...
Dr. Zhan Xian Reply:
Hello Mr. Dou, the attending physician who will perform your surgery will have a better understanding of your condition. He will be able to directly observe the extent of the tear during the arthroscopy and assess whether it can be sutured properly. Postoperatively, rehabilitatio...[Read More] Post-Operative Pain and Stiffness in TFCC Repair: What to Expect?
Understanding Scoliosis: When Surgery is Necessary and What to Expect
Scoliosis, post-spinal surgery? Hello Dr. You: I am 19 years old, male, and I have discovered that I have approximately 40 degrees of scoliosis in my thoracic spine. I did some research online and found that curves greater than 40 degrees typically require surgical intervention. ...
Dr. You Dianqi Reply:
Hello: If your condition is indeed as significant as you mentioned, it is advisable to visit a trusted medical facility for a comprehensive evaluation. Generally, it is necessary to assess whether your cardiopulmonary function is affected by the scoliosis, as well as to evaluate ...[Read More] Understanding Scoliosis: When Surgery is Necessary and What to Expect
Understanding Distal Radius Fractures: Risks of Arthritis After Surgery
Distal radius comminuted fracture The injury occurred while playing basketball, resulting in a comminuted fracture of the distal radius. Surgical fixation with a plate has been performed. Given the severe damage to the joint surface at the time of injury, is it certain that arthr...
Dr. You Dianqi Reply:
Hello: Medical procedures are rarely described in absolutes. We can only say that there is a possibility of developing post-traumatic arthritis, but whether the risk is high or low depends on the severity of your injury at the time, the extent of rehabilitation after surgery, the...[Read More] Understanding Distal Radius Fractures: Risks of Arthritis After Surgery
Unable to Bend Ring Finger After Fracture: Possible Causes and Solutions
Inability to bend the right ring finger after a fracture? Hello, Doctor You: I suffered a fracture in the second phalanx of my right ring finger due to a crush injury at work. I underwent surgery on April 17, 2019, to have a plate inserted. Since then, I have been undergoing reha...
Dr. You Dianqi Reply:
Hello: The phenomenon and explanations you mentioned are indeed possible causes from a theoretical perspective, including the mechanism of injury, surgical approach, the extent of tendon damage at the time, and whether there is postoperative adhesion, among others. These conditio...[Read More] Unable to Bend Ring Finger After Fracture: Possible Causes and Solutions
Understanding Open Tibial Fractures: Recovery and Treatment Insights
Open fracture of the tibia due to a car accident? Hello, Doctor. I have a few questions for you: 1. Chief complaint: A 57-year-old male, in August 2019, was struck by a car, resulting in an open fracture of the tibia, multi-fragmentary fracture of the tibia, and a diaphyseal fr...
Dr. Zhan Xian Reply:
The postoperative X-ray shows an acceptable fracture location; however, there are many factors that can affect fracture healing, such as soft tissue damage and blood circulation at the fracture site, which cannot be assessed by X-ray. Generally, more severe fractures in the lower...[Read More] Understanding Open Tibial Fractures: Recovery and Treatment Insights
Understanding Complications in Elderly Fracture Surgery: A Case Study
Surgery for Elderly Fractures Hello Doctor: My mother is 70 years old and had a crush injury to her left arm due to a car accident last week. After the physician's recommendation, she underwent surgery to fixate the fracture with a titanium plate. However, two days post-oper...
Dr. Li Yongheng Reply:
Hello, due to osteoporosis and comminuted fractures, all the reasons you mentioned above are possible.[Read More] Understanding Complications in Elderly Fracture Surgery: A Case Study
Post-Operative Care for Osteochondritis Dissecans in Ankle Surgery
Postoperative Issues Following Arthroscopy for Osteochondritis Dissecans of the Ankle Hello, doctor. I have been practicing karate since I was 11 years old and continued until I graduated from college. Recently, I experienced sudden severe pain in my left ankle, which prevented m...
Dr. You Dianqi Reply:
Hello: Based on your description, it appears that you may have osteochondritis dissecans of the talus and have undergone a bone marrow stimulation procedure. Currently, there is still significant swelling. Since it has been approximately three weeks post-surgery, in addition to e...[Read More] Post-Operative Care for Osteochondritis Dissecans in Ankle Surgery
Post-Surgery Fever After Patella Fracture: Causes and Concerns
Hello doctor, I have been experiencing low-grade fever about a month after my patellar fracture surgery? Hello, Doctor. It has been about a month since my patellar fracture surgery. Although the affected limb has some swelling and warmth in the knee, the surface of the wound has ...
Dr. Li Yongheng Reply:
In the past two to three days, there has been a recurring low-grade fever, which may not necessarily indicate an infection following patellar fracture surgery. Postoperative infections from fractures typically present with swelling and warmth around the knee, along with noticeabl...[Read More] Post-Surgery Fever After Patella Fracture: Causes and Concerns
Post-Surgery Concerns: Understanding Hip Replacement and Varicose Veins
After a hemiarthroplasty, the varicose veins became more pronounced? Dear Dr. Lee, I hope this message finds you well. I am a 60-year-old patient who suffered a femoral neck fracture due to a fall. The doctor recommended a partial hip replacement, and I have three questions post...
Dr. Li Yongheng Reply:
1. Femoral neck fractures that require a partial hip replacement are covered by health insurance regulations. As long as excessive weight and overactivity are avoided, the likelihood of needing a second replacement due to wear is low. 2. Postoperatively, due to poor muscle cont...[Read More] Post-Surgery Concerns: Understanding Hip Replacement and Varicose Veins
Understanding Recovery After Partial Hip Replacement Surgery: Common Concerns
Hemiarthroplasty of the hip joint Dear Dr. You, I hope this message finds you well. It has been over a month since I underwent surgery for a femoral neck fracture and had a partial hip replacement. Currently, when I walk without a walker, I have a noticeable limp. Why is this ha...
Dr. You Dianqi Reply:
Hello: You have undergone a hemiarthroplasty for a femoral neck fracture over a month ago. Currently, you are still experiencing a limping gait. It is recommended that you discuss this with your attending physician to rule out any other potential causes of the limp. If no other c...[Read More] Understanding Recovery After Partial Hip Replacement Surgery: Common Concerns