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
Post-Surgery Recovery Tips for Hand Fractures: Managing Pain and Rehabilitation
Postoperative care for hand fractures? On April 11, I underwent surgery to fix my third and fourth metacarpals with a self-funded titanium alloy plate due to a car accident, which occurred two days prior to the surgery. During my follow-up appointment on April 17, the doctor said...
Dr. Wang Shouji Reply:
Hello, most plates used for metacarpal fractures are positioned close to the joint, which can affect hand mobility. However, if there is stable fixation, movement is still possible. This may impact function for several weeks, but swelling will gradually improve with increased act...[Read More] Post-Surgery Recovery Tips for Hand Fractures: Managing Pain and Rehabilitation
Understanding Triangular Fibrocartilage Injuries: Treatment Options Explained
Triangular fibrocartilage My older brother has been a long-term excavator driver. About a year and a half ago, he reported pain in his wrist. He underwent several examinations at hospitals in the Yilan area, including X-rays and MRI scans. Different doctors diagnosed him with a t...
Dr. You Dianqi Reply:
Hello, in the case of a triangular fibrocartilage complex (TFCC) injury, it is recommended to temporarily suspend wrist activities during the acute phase. After the acute phase, rehabilitation therapy can begin. If the results are unsatisfactory, surgical options such as traditio...[Read More] Understanding Triangular Fibrocartilage Injuries: Treatment Options Explained
Managing Sacroiliac Joint Pain in Ankylosing Spondylitis: Weather Sensitivity Solutions
Can the pain in the sacroiliac joint due to sudden weather changes (in patients with ankylosing spondylitis) be treated? Hello Dr. Shi, I am a 20-year-old patient with ankylosing spondylitis, and I have been experiencing symptoms for 3.5 years. Currently, under the treatment of a...
Dr. Shi Guozheng Reply:
1. If it is ankylosing spondylitis, it will not improve, but if there are symptoms, medication can be used for treatment, which can still lead to some improvement. 2. When symptoms appear, it is important to rest more and reduce activity; local heat application may have some eff...[Read More] Managing Sacroiliac Joint Pain in Ankylosing Spondylitis: Weather Sensitivity Solutions
Overcoming Knee Flexibility Challenges After Meniscus Surgery
Knee flexion area Hello doctor, I have been experiencing the aftereffects of a car accident. It seems that I only discovered a large tear in the medial meniscus of my knee over the past 2-3 years. I underwent surgery at the end of September last year and rested for three months b...
Dr. Chen Bochen Reply:
Hello, Xiao Wei. In addition to the methods you have already used, you can also consider: 1. Surgical intervention under anesthesia 2. Arthroscopic adhesiolysis and tendon-ligament release surgery 3. Manual therapy by a physical therapist combined with self-stretching. Wishing yo...[Read More] Overcoming Knee Flexibility Challenges After Meniscus Surgery
Expert Tips for Finger Flexibility Recovery After Orthopedic Surgery
Regarding #195391 finger issues? Due to occupational requirements, it is necessary to have a normal bending angle of the fingers (not overlapping the middle finger). What recommendations do you have, doctor? Can rehabilitation help return to the original condition, or would it be...
Dr. Wang Shouji Reply:
Hello, limited joint mobility after a finger fracture is a common sequela. Incomplete reduction of a rotationally displaced fracture may cause the finger to deviate, but it is generally not a significant issue. Most patients can adapt through occupational rehabilitation. Removal ...[Read More] Expert Tips for Finger Flexibility Recovery After Orthopedic Surgery
Hyaluronic Acid Injections and Rehab Tips for Osteoarthritis Relief
Hyaluronic acid injection and rehabilitation recommendations for osteoarthritis? Hello Doctor, my mother is nearly 74 years old. In 2015, she received hyaluronic acid injections in her right knee due to osteoarthritis, which improved her condition. She hasn't had any special...
Dr. Shi Guozheng Reply:
1. Arthritis can cause pain. 2. In cases of severe pain, medication treatment should be prioritized. 3. The severity of arthritis needs to be assessed through X-rays. If it is very severe, hyaluronic acid injections are not recommended; if it is mild, medication treatment can...[Read More] Hyaluronic Acid Injections and Rehab Tips for Osteoarthritis Relief
Understanding Pain and Mobility Issues After Absorbable Bone Graft Surgery
Biodegradable bone substitute materials Previously, due to a car accident, I suffered a fracture, and X-rays revealed that there was non-bony tissue in the middle phalanx of the fifth finger. After it was removed, absorbable bone substitute material was used to fill the area. Now...
Dr. Shi Guozheng Reply:
After a fracture surgery, if the fixation is stable, it is important to start rehabilitation as soon as possible to prevent joint immobility. The inability to move the joint may be due to pain or joint stiffness, so early rehabilitation is essential.[Read More] Understanding Pain and Mobility Issues After Absorbable Bone Graft Surgery
Understanding Patellar Dislocation Recovery: Tips for Knee Rehabilitation
Patellar dislocation Hello Doctor, I have a question for you. I went to the emergency room half a month ago due to a patellar dislocation. After my follow-up appointment yesterday, the doctor said I could remove the cast. However, when I tried to bend my knee, I couldn't do ...
Dr. Shi Guozheng Reply:
Soft tissue healing takes about six weeks, so you can gradually start bending it around that time.[Read More] Understanding Patellar Dislocation Recovery: Tips for Knee Rehabilitation
Understanding Finger Deformities After Fracture: Causes and Rehabilitation
Finger issues Hello, doctor. In early February this year, I had a car accident that resulted in a crooked fracture of my right hand's ring finger. I opted for self-funded plate fixation surgery for treatment. After the surgery, I noticed that, in addition to the limited flex...
Dr. Wang Shouji Reply:
Hello, based on your question, it seems that the difference in bone alignment is the cause. However, if it does not affect future mobility and hand function, most cases do not require further intervention. The range of motion in the finger joints may take up to six months to full...[Read More] Understanding Finger Deformities After Fracture: Causes and Rehabilitation
Knee Effusion: Understanding Symptoms, Diagnosis, and Treatment Options
Knee effusion I got up from the bathtub and heard a pop in my knee, which immediately caused pain and swelling. I went to see a rehabilitation specialist and had an ultrasound, which indicated knee effusion. Despite ongoing rehabilitation treatment, there has been no improvement;...
Dr. You Dianqi Reply:
Hello, it is advisable to visit the orthopedic outpatient clinic for evaluation. Thank you.[Read More] Knee Effusion: Understanding Symptoms, Diagnosis, and Treatment Options
Which Specialist to Consult for Your Child's Hallux Valgus?
Which department should I see for hallux valgus? Your daughter is currently in the second year of junior high school and has a condition known as thumb hypoplasia. It seems that her condition may not yet require surgery. Should we schedule an appointment with "Pediatric Orth...
Dr. Shi Guozheng Reply:
You can visit a pediatric orthopedic specialist for consultation.[Read More] Which Specialist to Consult for Your Child's Hallux Valgus?
Should You Remove Your Proximal Humerus Plate After Surgery?
Is it necessary to remove the hardware after proximal humerus surgery? Hello, I had a proximal humerus fracture in a car accident in December 2021, which was fixed with a self-paid titanium alloy plate. The wound is located on the anterior side (not the lateral side), and the fra...
Dr. Shi Guozheng Reply:
If the metal plate does not interfere with the upper arm, there is actually no need to remove the plate.[Read More] Should You Remove Your Proximal Humerus Plate After Surgery?
Understanding Knee Inflammation and Tennis Elbow: Causes and Solutions
Knee joint inflammation with effusion and recurrent tennis elbow? In the past year, I have been exercising 2 to 4 times a week, focusing on badminton and strength training. Recently, over the past month, I have experienced recurrent knee joint inflammation with effusion and tenni...
Dr. Zhan Xian Reply:
Exercise should be reduced. There should be no significant correlation with root canal treatment. If discomfort persists, please visit an orthopedic clinic.[Read More] Understanding Knee Inflammation and Tennis Elbow: Causes and Solutions
Does Sacroiliac Joint Pain Syndrome Cause Elevated Inflammatory Markers?
Does sacroiliac joint pain syndrome cause an abnormal increase in inflammatory markers? Hello Doctor, I have been experiencing pain in my sacroiliac joint for six months, and rehabilitation has not been effective. After consulting a rheumatologist and undergoing some tests, I was...
Dr. Chen Bochen Reply:
Hello, the patients with sacroiliac joint pain syndrome typically do not show elevated levels of CRP or ESR.[Read More] Does Sacroiliac Joint Pain Syndrome Cause Elevated Inflammatory Markers?
Post-Tibial Fracture Surgery: Common Concerns and Rehabilitation Tips
Post-operative inquiries regarding tibial fractures? Hello Doctor: I was involved in a car accident on January 24 of this year, resulting in a comminuted fracture of my left knee and lower leg. I subsequently underwent tibial plate surgery (on both sides), with three surgeries in...
Dr. Shi Guozheng Reply:
1. What the doctor said may be correct. 2. It is important to continue rehabilitation to allow for gradual recovery. 3. Improvement may occur gradually due to swelling; performing rehabilitation slowly can help. Taking anti-inflammatory medications may make rehabilitation eas...[Read More] Post-Tibial Fracture Surgery: Common Concerns and Rehabilitation Tips
Rehabilitation Timeline After Tibial Fracture: What to Expect
Rehabilitation-related issues! Hello, doctor. I sustained a fracture of the upper end of the left tibia due to a car accident on February 21. I have been in a cast for 5 weeks and am scheduled to return for a follow-up appointment to remove the cast on April 6. I would like to kn...
Dr. Shi Guozheng Reply:
Fractures typically take about three months to heal. If the fracture is not severe, the healing time may be shorter, around six weeks. Initially, weight-bearing is allowed, but only with about a quarter of the body weight. Crutches should be used for assistance, and follow-up app...[Read More] Rehabilitation Timeline After Tibial Fracture: What to Expect
Understanding Sacroiliac Joint Pain Syndrome and Its Symptoms
About Sacroiliac Joint Pain Syndrome Hello Doctor, I have been experiencing pain in my sacroiliac joint for six months, and rehabilitation has not been effective. After consulting a rheumatologist and undergoing some tests, I was diagnosed with ankylosing spondylitis. However, I ...
Dr. Li Wenhong Reply:
Hello: Sacroiliac joint pain and inflammation are often the first symptoms of ankylosing spondylitis. If X-rays reveal arthritis and blood tests show a positive HLA-B27 reaction, it is likely ankylosing spondylitis. You should have it detected early; please follow the recommendat...[Read More] Understanding Sacroiliac Joint Pain Syndrome and Its Symptoms
Understanding Ankle Fracture Recovery: Common Issues and Treatment Options
Ankle fracture recovery issues? On February 13, I experienced an ankle inversion injury during exercise. I did not seek immediate medical attention but applied ice and rested for a week. After the swelling subsided, I resumed exercising, but the ankle swelled again afterward. Whe...
Dr. Shi Guozheng Reply:
Ankle joint fractures typically take six to twelve weeks to heal, during which swelling is common. You must reduce walking or excessive movement. Usually, a splint or cast is applied to stabilize the area and promote proper bone healing. X-ray examinations are recommended at six ...[Read More] Understanding Ankle Fracture Recovery: Common Issues and Treatment Options
Does Sacroiliac Joint Pain Syndrome Cause Elevated CRP and ESR Levels?
Does sacroiliac joint pain syndrome cause elevated levels of CRP and ESR? Hello Doctor, I have been experiencing pain in my sacroiliac joint for six months, and rehabilitation has not been effective. After consulting a rheumatologist and undergoing some tests, I was diagnosed wit...
Dr. Shi Guozheng Reply:
Simple sacroiliac joint arthritis does not cause an increase in inflammatory markers, whereas in ankylosing spondylitis, inflammatory markers will be elevated.[Read More] Does Sacroiliac Joint Pain Syndrome Cause Elevated CRP and ESR Levels?