Rehabilitation, Orthopedics FAQ

Understanding Persistent Swelling and Pain After Ankle Sprain

Sports injuries On October 9th, I injured my ankle while playing basketball when I landed on someone else's foot and twisted it. It has been 9 weeks, but why is there still slight swelling in the ligament area, and it remains very painful to the touch? The bones have been co...

Dr. Chen Bochen Reply:
The most common injury site for an ankle sprain is the anterior talofibular ligament. It is recommended that you wear an ankle brace and seek treatment at an orthopedic or rehabilitation clinic that has ultrasound equipment and can perform prolotherapy.

Recovery Time and Treatment for Right Foot Bone Fractures and Swelling

Fracture of the right foot metatarsal and fracture of the right foot phalanx, along with swelling and injury of the right foot phalanx? Right foot metatarsal fracture and right foot tarsal bone fracture, along with swelling and injury of the right foot tarsal bones. When will it ...

Dr. Chen Yongxue Reply:
Hello, fractures in the lower extremities are prone to swelling. The first step is to immobilize the injury, elevate the affected limb, and apply ice to the area after the fracture has been stabilized. Typically, a plaster splint is used for immobilization. What the patient can d...

Understanding Pelvic Fractures and Hip Replacement Recovery

Pelvic hip joint fracture Hello, three years ago I was in a car accident that resulted in a complete fracture of my right pelvis down to the acetabulum. I also suffered a torn anterior cruciate ligament in my left knee, which required two surgeries. After the reconstruction, it i...

Dr. Chen Yongxue Reply:
Hello, a complete pelvic fracture to the acetabulum has resulted in a total hip arthroplasty. The pelvis will still influence weight-bearing pressure; it will not change due to the total hip prosthesis. The discomfort mentioned may require diligent rehabilitation. If there are an...

Recovery Challenges After Tibial Plateau Fracture Surgery: Can I Squat Again?

More than 5 months post-surgery for tibial plateau fracture? Hello, I was in a car accident on July 1st and injured my left tibial plateau, classified as Type II combined with Type V. It's been five months and I'm still recovering. My knee joint still feels tight, and I...

Dr. Shi Guozheng Reply:
After a tibial plateau fracture, damage to the joint surface will inevitably affect joint mobility, making it difficult to squat down. Engaging in rehabilitation as much as possible may help improve the situation slightly.

Rehabilitation After Distal Radius Fracture: Common Concerns and Questions

Rehabilitation for Distal Radius Fracture of the Right Hand Hello Doctor, I had a follow-up appointment in the seventh week after my fracture. After the X-ray, the doctor said that I basically don't need to wear a wrist brace anymore and started to help me with forearm supin...

Dr. Shi Guozheng Reply:
A radial fracture typically begins to heal within six weeks, but it may take over three months for the bone to become sufficiently strong. During this period, pain may still be present, and rehabilitation can be performed to improve or alleviate discomfort.

Post-Car Accident Pain: Seeking Orthopedic Care for Recovery

Injuries from a car accident can lead to recurrent tension or soreness? Hello, doctor. I was involved in a car accident on October 15, 2022, where I was thrown from the vehicle. From a frontal perspective, the main impact areas were my right lower back and right hip (pelvis?). I ...

Dr. Li Wenhong Reply:
Hello: You have been injured for over three weeks, and the X-ray examination shows no bone issues. It is recommended that you try rehabilitation (physical therapy, local heat application) and occasionally use medication (anti-inflammatory pain relievers and muscle relaxants). You...

Understanding Pain After Fifth Metatarsal Fracture: Is It Normal?

Pain while walking after a fracture of the fifth metatarsal? Hello Doctor, I am here for a follow-up one month after a fracture of the fifth metatarsal. The doctor said that my recovery is going well and that I can start walking slowly. I did not experience any pain in my foot du...

Dr. You Dianqi Reply:
Hello! It is recommended that you discuss your rehabilitation status and methods with your attending physician during your follow-up visit. Thank you.

Understanding Crush Fracture Injury Levels and Recovery Timeline

Crush fracture injury classification Hello Doctor: I was in a car accident on November 2nd and went to the emergency room that day. The next day, I underwent surgery for a comminuted fracture of the distal tibia (the surgery used a self-funded 3.5 mm titanium locking compression ...

Dr. You Dianqi Reply:
Hello! It is recommended that you discuss the follow-up rehabilitation situation and methods with your attending physician during your next visit. Thank you.

Understanding Crush Injuries: Recovery Insights for Foot and Leg Fractures

Bilateral foot crush fractures? Hello, Doctor. I would like to ask about my condition. I suffered a fall from a height, resulting in comminuted fractures of both feet, comminuted fractures of the right tibia and fibula, a comminuted fracture of the coccyx, and cauda equina syndro...

Dr. Wang Jiacheng Reply:
Even while on bed rest, rehabilitation exercises can still be performed. If there is no movement, muscles can quickly atrophy.

Understanding Scaphoid Fractures and Triangular Fibrocartilage Tears

Right scaphoid fracture and triangular fibrocartilage complex tear due to a car accident? Hello, I am a long-term care worker. In April, while I was visiting a client, I was struck by a falling air duct from a truck and got caught in a motorcycle, resulting in a fracture of my ri...

Dr. Zhan Xian Reply:
Hello, surgical treatment is required depending on the condition of the triangular fibrocartilage tear; whether there is any impairment of labor capacity: cannot be assessed.

Understanding Neck Issues: Sounds, Symptoms, and When to Seek Help

Neck issues? Recently, I have been experiencing a cracking sound in my neck when I move my shoulders or take deep breaths after showering at night. I have a history of a car accident that resulted in damage to my C5 vertebra, although X-rays at that time appeared normal. Both of ...

Dr. Shi Guozheng Reply:
Brachial plexus injury can affect the shoulder, and rehabilitation is possible.

Understanding Hip Labral Tears: Symptoms, Treatment Options, and Recovery

Issues related to hip labral tears? **Symptoms and Medical Consultation Process:** Last July, I underwent a lateral hip abduction procedure and felt some discomfort. The next day, I woke up with tightness and soreness around my left hip, along with a squeezing sensation when lift...

Dr. Zhan Xian Reply:
Hello, you can ask your surgeon about your concerns. There is still a possibility of rupture worsening.

Post-Surgery Knee Rehabilitation: Tips for Straightening and Recovery

Inability to fully extend the knee while bent? Hello, doctor. I had knee surgery at the end of September and have been recovering for two months. My knee is still in the process of bending, and I need to perform leg extension exercises. I would like to know how long I should hold...

Dr. Shi Guozheng Reply:
1. The duck leg exercise should be done for about 5 seconds and can be performed multiple times a day. It is recommended to do it for about ten minutes every hour, followed by a rest. 2. It is normal for the surgical site to feel warm during rehabilitation.

Post-Surgery Concerns After Pelvic Fracture: What to Expect

Postoperative Issues Following Pelvic Fracture Surgery Hello, Doctor. Last month, I suffered a left pelvic fracture due to a car accident. About a week before the surgery, the hospital performed pelvic traction on me. I had surgery where I opted for the implantation of a steel pl...

Dr. Shi Guozheng Reply:
1. There may be issues related to nerve injury, and poor circulation is also a possibility. 2. Improvement is also possible. 3. Whether the plate should be removed should be discussed with the surgeon, as some plates are difficult to remove.

Understanding Crush Injuries: Recovery Insights for Foot and Leg Fractures

Bilateral foot crush fractures? Hello Doctor, I would like to ask about my condition. I suffered a fall from a height and have sustained comminuted fractures in both feet, as well as comminuted fractures in my right leg and tailbone, along with cauda equina syndrome. 1. I have ...

Dr. Shi Guozheng Reply:
Even while on bed rest, rehabilitation exercises can still be performed. If there is no movement, muscles can quickly atrophy.

Understanding Ulnar Issues After an Accident: Common Questions Answered

Radial and ulnar bone issues (car accident) Q1: Can the ulnar styloid process be visually assessed for excessive prominence compared to the other hand? Q2: Can the ulnar styloid process be palpated to determine if it is deformed or normal? Q3: When I rotate my forearm, there ...

Dr. Zhan Xian Reply:
Hello, sir. Q1: Obvious protrusion can Q2: Physical examination can Q3-Q8: Require physical examination and imaging studies for assessment.

Understanding Ulnar Pain and Limitations After Distal Radius Fracture

Radius and ulna fracture, suspected distal radioulnar joint dislocation? Hello, Doctor. I was originally scheduled for a follow-up appointment on November 22, but I have unfortunately tested positive for COVID-19. I have some urgent questions that I would like to ask. First: Wh...

Dr. Zhan Xian Reply:
Hello Mr. Chang: There are many factors that can cause redness and swelling. Whether it is a reasonable situation needs to be assessed through a physical examination. Other issues cannot be evaluated without X-rays and a physical examination. It is recommended to avoid forearm ro...

Recovery Tips for Thumb Fracture: When to Start Rehabilitation

Right thumb (at the joint! Including the fractured parts of the thumb bone) Hello, I would like to inquire: I have a fracture at the joint of my thumb, which involved shattered joint bones. I had three steel pins, one steel plate, and possibly artificial bone placed during surger...

Dr. Chen Yongxue Reply:
Hello, after a fracture, there will be metal pins for fixation, which means you cannot bend the affected area. You can only start moving once the pins are removed. Please do not start activities too early, and it is advisable to consult your attending physician. Thank you.

Essential Rehab Techniques for Preventing Muscle Atrophy After Surgery

Rehabilitation treatment methods I have a question: after my discharge, my physical therapist only taught me to do 20 repetitions of ankle dorsiflexion and plantarflexion and 10 repetitions of hip abduction and adduction each day. If I only do these two exercises, will my thigh m...

Dr. Shi Guozheng Reply:
The specific approach depends on the location of the surgery or joint involved. Generally, these movements aim to maintain the activity of the calf and thigh muscles. If it is after a fracture, the timing of healing will determine how much activity is necessary to prevent muscle ...

Assessing Joint Stiffness After Surgery for Humeral Neck Fractures

After surgery for a closed fracture of the right humeral surgical neck involving four parts due to a car accident, an assessment is needed to determine the necessity for joint replacement? Will joint replacement cause complete joint stiffness?

Dr. Shi Guozheng Reply:
Typically, fractures of the humerus are best treated with surgical reduction and fixation whenever possible, as preserving the patient's own joint or bone is preferable. Only when repair is not feasible should total joint replacement be considered. Post-surgery, the range of...

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