Rehabilitation, Orthopedics FAQ

Post-Surgery Concerns: Understanding Radial Bone Displacement and Healing

Post-operative displacement of a radius fracture? Due to a car accident on September 22, I sustained a fracture of the distal radius with 1/3 displacement that was initially missed in the emergency department. It was later discovered during a follow-up visit to the orthopedic cli...

Dr. Chen Yongxue Reply:
Hello, could this situation indicate a bone displacement? Is it possible, as the doctor mentioned, that it is just an issue with the imaging angle? If there is a displacement, can it be manually reduced? Would a displacement lead to the bone healing improperly or not healing at a...

Understanding Radial Head Fractures: Diagnosis and Treatment Options

Radial head fracture Could you please help me check if my radius is dislocated? It looks a bit crooked. 😓 If it is indeed dislocated, what methods are available to address it? Can it be manually reduced? Thank you, doctor. 🙏

Dr. Shen Boquan Reply:
Hello, the image you attached is not very clear. It appears to show a fracture of the radius and neck that has been surgically treated with the insertion of metal screws for stabilization. Your radius may be slightly misaligned, but it shouldn't make a significant difference...

Understanding Rehabilitation for Metatarsal Fractures: What to Expect

Rehabilitation for Metatarsal Fractures Hello, Doctor: I am the person who asked question #188911. I would like to ask a few questions. During my follow-up appointment last week, it had been 2.5 months since my injury. The doctor said I could start rehabilitation by walking. Howe...

Dr. Shi Guozheng Reply:
It is considered normal for the foot to swell and experience pain after a fracture, especially after walking for a short period.

Understanding Facet Joint Thickening: Is It Related to Bone Spurs?

I went to the rehabilitation department for an X-ray, and the doctor said I have thickening of the facet joints. Is this a bone spur? I recently visited a rehabilitation department for X-rays due to lower back pain, and the results showed only a mild muscle strain. However, the d...

Dr. Shi Guozheng Reply:
Thickening does not equal bone spurs, and having bone spurs does not necessarily mean there will be pain. Human bones tend to develop bone spurs as they age.

Struggling with Coccyx Pain: Seeking Relief After a Car Accident

Coccydynia makes it impossible to sleep? Hello Doctor: I was in a car accident on June 9, and I've been experiencing pain in my ischium and coccyx until December 23. I had one session of shockwave therapy for the ischium, but there's still some pain on the right side. I...

Dr. You Dianqi Reply:
Hello! If you have already scheduled an MRI, it is advisable to wait for the report to be completed and then have your attending physician evaluate it in detail for you. Thank you!

Understanding Pain Behind the Knee: Causes and Recovery Tips

Pain occurs when bending the leg backward and crossing the legs? I have been seeing a rehabilitation specialist for over three months and have undergone prolotherapy. When the doctor injected high-concentration dextrose into my posterior cruciate ligament, I experienced temporary...

Dr. Shi Guozheng Reply:
It could be tendonitis; resting for about four to six weeks may help to see if it improves.

Understanding Growth Plate Injuries: Impacts on Limb Length and Treatment Options

Growth plate necrosis In the case of a fourth-grade student who suffered a fracture due to a car accident, initially treated with traditional Chinese medicine for a month, the hand regained normal function but the elbow joint developed a deformity. After consulting an orthopedic ...

Dr. Wang Shouji Reply:
Hello, generally speaking, limb length discrepancies are not related to military service; however, the range of motion and angular deformities may be associated with it. If there is an injury to the growth plate on one side, it can lead to uneven development on both sides, result...

Chronic Lower Back Pain: Seeking Solutions for Lasting Relief

Issues with the lower back? About two years ago, I fell in the bathroom and felt pain in my lower back, so I went to a nearby hospital. They said there was no injury, but one of my vertebrae had slightly collapsed. They suggested it was an old injury, so I shouldn't worry an...

Dr. Shen Boquan Reply:
Hello, there are many causes of lower back pain. Statistics show that 90% of cases are due to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress can all lead to discomfort. If the pain significan...

Understanding Metatarsal Fractures: Recovery and Rehabilitation Tips

Metatarsal fracture Hello Doctor: I am the person who asked question #188911. Since my last inquiry, the cast has been removed, and the distance between the two toe bones has decreased. It has been two months since the injury, and the physician I am currently seeing mentioned tha...

Dr. Shi Guozheng Reply:
You can perform some movements now, but you still need to follow up at the outpatient clinic.

Understanding First Metatarsal Fractures: Diagnosis, Treatment, and Recovery Tips

First metatarsal fracture Hello, doctor. I would like to ask some questions. Last week, I was involved in a car accident where I was rear-ended. During the emergency visit, I was informed that I have a fracture of the first metatarsal (the X-ray is as follows: https://upload.cc/i...

Dr. Shen Boquan Reply:
Hello, I apologize, but I cannot view your X-ray. Even if I could, the resolution and image quality would not be as clear as those taken in a hospital. The bones in the foot are quite numerous and complex. Sometimes, additional imaging such as a CT scan may be necessary for confi...

Understanding Back Pain: Is Your Spine Misaligned?

There is a painful spot when pressing on a specific vertebra in the back? Hello doctor, I have been experiencing pain in the segment of my spine where my bra strap sits, and it seems to be more prominent. It also hurts when I bend my back. This issue has been ongoing for about th...

Dr. Shen Boquan Reply:
Hello, there are many causes of lower back pain. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Factors such as sports injuries, excessive fatigue, poor posture, or high stress can all contribute to discomfo...

Are Injection Safety Concerns Valid in Orthopedic Treatments?

Concerns about the safety of orthopedic needle injections? I fell in front of the rehabilitation department and experienced severe pain in my fifth toe. The doctor was unable to determine if it was fractured, so to alleviate the pain, I received an injection at that moment. After...

Dr. Shen Boquan Reply:
Hello, if you have sustained a fracture due to a fall, the healing process typically takes two to three months. During this time, you may experience pain and swelling, which can last for several weeks. It would be advisable to consult an orthopedic surgeon to assess whether surgi...

Knee Pain After Fall: Possible Injuries and Treatment Options

Five days ago, I fell off my bike and landed on my right knee? Hello Doctor, five days ago I fell off my bike and landed on my right knee. Although I don't feel pain when sitting and bending my knee, I experience pain in the front of my knee when standing or walking. What ty...

Dr. Shi Guozheng Reply:
Knee impact injuries can affect various tissues, including soft tissue, bone, and ligaments, which may all sustain contusions. It is advisable to consult an orthopedic specialist. The physician will assess whether an X-ray is necessary. Resting usually helps alleviate pain, and o...

When Can I Shower After Pelvic Fracture Surgery? Recovery Tips

Pelvic fracture After undergoing open reduction surgery for a pelvic fracture, when can I take a shower? Is it safe for the wound to come into contact with water? Why did the doctor prescribe me gastric medication post-surgery? It has been four days since the surgery; what rehabi...

Dr. Shi Guozheng Reply:
1. You can take a shower three days after the stitches are removed. 2. When taking pain medication, it is sometimes necessary to take a gastric medication to prevent gastritis. Additionally, after major surgery, gastric medication should be taken to prevent gastric ulcers. 3....

Managing Post-Surgery Pain and Recovery After Rib Plate Removal

Rib cage support issues? On August 3rd, 2022, I underwent the removal of a titanium alloy plate from my rib. The wound healed around August 28th, and I started rehabilitation. However, I experience persistent pain from my armpit to the surgical site on my chest. When I lift my ar...

Dr. Wang Shouji Reply:
Hello, generally speaking, discomfort after the removal of internal fixation plates lasts about a month, and most cases improve during this time. The recommendations from the rehabilitation department are also standard. If pain persists despite taking analgesics and anti-inflamma...

Understanding Joint Pain: Causes and Solutions for Finger Discomfort

Joint compression can be painful? Due to frequently using the computer to read comics, my right index finger has been overused with the scroll wheel, and now it feels painful when I press down on it. However, it doesn't hurt or feel uncomfortable during normal activities.

Dr. Chen Bochen Reply:
Hello, Xiao Guang. Here are your solutions: 1. Use the page-up and page-down keys instead of the scroll wheel. 2. Avoid wrist flexion. 3. Engage in rehabilitation therapy.

Managing Degenerative Arthritis of the Spine: Treatment Options for Young Adults

Spinal degenerative arthritis After undergoing an MRI, I was diagnosed with degenerative arthritis of the spine, specifically at the L4 and L5 levels. The physician I consulted mentioned that the intervertebral discs have lost most of their hydration and appear dark. I have tried...

Dr. Wang Shouji Reply:
Hello, if lying down without any weight does not alleviate your back pain, in addition to degenerative spinal arthritis, it is important to consider your daily spinal activity, such as prolonged sitting or heavy lifting. Generally speaking, surgery is not typically recommended fo...

Recovering from Thigh Fractures: Tips for Healing and Rehabilitation

Comminuted fracture of the femur? I had a car accident on February 17 and underwent surgery on February 18. After nearly three months of rest, I thought I could walk again, so I went out to eat. Unfortunately, I fractured my bone for the second time on May 23. As of December 6, I...

Dr. Chen Bochen Reply:
Hello, Jiang Guanzhi. 1. Avoid smoking (also avoid secondhand smoke), refrain from drinking alcohol, drink more milk, and get sunlight exposure. 2. You will gradually feel less pain. 3. 4. 5. I need to review your X-rays before providing recommendations. If the bone continues...

Understanding Achilles Tendon Pain: Signs of Possible Rupture

Achilles tendon Hello, doctor. I have been playing badminton for a while, and after one session, I experienced pain in my Achilles tendon. The pain has lasted for more than two weeks, and it hurts significantly when going down stairs; I can't stand on my toes, and I can'...

Dr. Chen Bochen Reply:
Hello, based on your description, it is very likely that you have an Achilles tendon rupture. I recommend that you visit an orthopedic or rehabilitation specialist. An ultrasound or MRI can be used for an accurate diagnosis.

Post-Surgery Concerns After Clavicle Fracture: Recovery Tips

Some issues after surgery for a clavicle fracture? On October 28, I had a car accident that resulted in a fractured right clavicle. Initially, I underwent conservative treatment, but in November, it was discovered that the bone was displaced, so I had surgery on November 15. It h...

Dr. Chen Bochen Reply:
Hello, Yu-Yang. 1. Generally, the arm sling can be discontinued after 4-6 weeks. 2. Avoid raising the arm above the head. 3. Mild activities are permissible unless the bone fixation is not stable enough. 4. It is recommended to wait about 2 months before starting to practice...

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