Rehabilitation, Orthopedics FAQ

Understanding Lisfranc Injuries: Treatment Options and Recovery Insights

Tarsal joint fracture Dear Doctor, I apologize for the interruption. I am the person who asked question 188845 earlier. My previous question was as follows: I would like to inquire about a diagnosis of a Lisfranc injury between the first metatarsophalangeal joint and the second m...

Dr. Shi Guozheng Reply:
1. Swelling is normal and may last for two to three months. 2. Approximately three months.

Possible Causes of Lower Back Pain When Arching Back but Not Bending Forward

Possible reasons for experiencing pain when arching the lower back but not when bending forward include: 1. Lumbar Strain: Overstretching or tearing of muscles or ligaments in the lower back can cause pain during extension. 2. Herniated Disc: A herniated disc may cause pain whe...

Dr. Chen Bochen Reply:
Hello, I believe you are looking to address your health issues rather than preparing for an exam, so there's no need to understand all the causes. The best decision is to first pursue rehabilitation and exercise therapy. Next, follow your physician's instructions regard...

Understanding Shoulder X-Ray Findings and Treatment Options for Pain Relief

Bilateral shoulder X-ray report issues? Hello Doctor: My mother has been experiencing pain in both shoulders and limited range of motion since being hit by another car and crashing into a field over two years ago. She can only raise her arms to shoulder height and cannot extend t...

Dr. Shi Guozheng Reply:
1. Joint space narrowing may lead to soft tissue impingement. 2. Rehabilitation therapy combined with medication treatment is recommended. 3. If there is no improvement, intra-articular corticosteroid injection may be considered.

Understanding Knee Cartilage Injuries: Causes, Symptoms, and Treatments

Knee cartilage A few months ago, I injured my knee in a car accident. Since then, whenever I kneel, my knee experiences numbness and pain, making it difficult to kneel normally. Sometimes, even a slight bump causes pain. When I squat, I also hear a popping sound. Despite seeing d...

Dr. Shi Guozheng Reply:
You can take some anti-inflammatory and pain-relieving medications, and you can also undergo rehabilitation. If these methods are not effective, you may consider getting hyaluronic acid injections.

Understanding Knee Pain: Recovery After Injury and Treatment Options

Knee issues Hello, doctor. Seven months ago, I was in a car accident and injured the front of my right knee, resulting in a minor abrasion. At that time, both knees were extremely painful, and I couldn't stand up. I later went to a rehabilitation clinic for X-rays and ultras...

Dr. Shi Guozheng Reply:
1. It is possible. 2. You can take glucosamine or receive hyaluronic acid injections to improve the condition. If that doesn't work, you might consider trying PRP (Platelet-Rich Plasma) therapy with high concentrations of platelets.

Could I Have a Spinal Fracture After a Motorcycle Accident?

Could I have a spinal fracture? Hello Dr. Chen: I am 19 years old. Three months ago, I fell off my motorcycle while turning in the rain, as the road was slippery with leaves. I was traveling at about 40 kilometers per hour and did not hit anything; I just slid for a short distanc...

Dr. Chen Bochen Reply:
Hello, 1. Spondylolysis is a common condition, and most individuals are asymptomatic during their youth; symptoms may gradually appear due to injury. 2. Spondylolysis can often be managed through rehabilitation and strengthening of core muscles to alleviate symptoms, but over ...

Post-Surgery Issues After Distal Radius Fracture: Recovery Insights

Postoperative Issues Following Distal Radius Surgery Hello Dr. Chen, I suffered a distal radius fracture in my left wrist due to a fall on June 14. I underwent surgery with a titanium alloy plate fixation and had a cast for six weeks. I have been doing rehabilitation, but it has...

Dr. Chen Yongxue Reply:
Hello, distal radius fractures are very common, and the surgical methods are well-established. Of course, the prognosis is significantly related to the degree of fracture comminution. Generally speaking, if the fracture is not too comminuted, the cast can usually be removed after...

Chronic Lower Back Pain: Seeking Solutions After Multiple Treatments

Lower back pain? Two and a half years ago, I injured my left lower back and hip while lifting something heavy. I sought treatment from both traditional Chinese medicine with acupuncture and Western medicine with electrical therapy, heat packs, and stretching, but none were effect...

Dr. You Dianqi Reply:
Hello! It is recommended that you seek a reassessment from another hospital of a higher medical center level or consult with an orthopedic or neurosurgery specialist for a comprehensive evaluation. Thank you.

Improving Finger Overlap After Third Metacarpal Fracture Surgery

Steel plates and mobility After the third metacarpal fracture, an interlocked plate was installed near the distal joint, but the joint itself was not injured. Subsequently, there is an overlap between the middle finger and the ring finger. Will removing the plate improve the over...

Dr. Wang Jiacheng Reply:
After the removal of the metal plate, rehabilitation may not be effective because the fracture may have healed in a slightly misaligned position (rotational alignment). Therefore, unless a second surgery is performed to correct it, it may not be possible to change the situation.

Living Without an ACL: Treatment Options and Future Outlook

What should I do if I have lost my anterior cruciate ligament? Hello! About 15 years ago, I had a minor car accident that injured my anterior cruciate ligament (ACL), and I received treatment and rehabilitation at Tzu Chi Hospital in Taipei. A friend suggested I visit Taipei Vete...

Dr. Shi Guozheng Reply:
Strength training for the quadriceps can enhance muscle strength, which may help reduce anterior-posterior movement of the knee joint. Depending on your age, undergoing ligament reconstruction may not be advisable at this time. If you are not experiencing pain, there is no need f...

Can Removing a Steel Plate Improve Finger Overlap After Fracture?

After the removal of the steel plate? After a fracture of the third metacarpal with the installation of an interlocking plate near the distal joint, but with no injury to the joint itself, there is overlapping of the middle finger and ring finger. Will removing the plate improve ...

Dr. Shi Guozheng Reply:
After the removal of the metal plate, rehabilitation may not be effective because the fracture may have healed in a slightly misaligned position (rotational alignment). Therefore, unless a second surgery is performed to correct it, it may not be possible to change the situation.

Understanding Proximal Clavicle Fractures: Risks and Recovery Insights

Proximal clavicle fracture On August 17, I suffered a proximal clavicle fracture due to a car accident. Initially, the X-ray showed a complete fracture with minimal displacement, so the doctor recommended conservative treatment instead of surgery. After two or three follow-up vis...

Dr. Wang Shouji Reply:
Hello, if the fracture displacement is minimal and the healing process has not been significantly affected, after two months, the fracture should have undergone initial healing. You can continue to monitor it and wait for complete healing before starting rehabilitation therapy. C...

Understanding Knee Pain: Is It Degenerative Arthritis After Vaccination?

Knee joint pain Hello Doctor, I started receiving vaccinations last year, and initially, I experienced mild pain in my finger joints. I consulted a rheumatologist, and the blood tests came back normal. I didn't pay much attention to it and continued with the vaccinations. Af...

Dr. Shi Guozheng Reply:
Joint degeneration is possible, and if medication can provide relief, it is advisable to take some. Additionally, engaging in rehabilitation can help improve the condition gradually.

Understanding Finger Joint Inflammation: Causes, Treatments, and Concerns

Finger joint inflammation Hello Doctor: I have no history of trauma, and my dominant hand is my right hand. Initially, I noticed pain in the middle joint of my ring finger when bending it. After a week, the pain intensified during bending, so I visited an orthopedic specialist. B...

Dr. Shi Guozheng Reply:
1. It is possible and will not deform. 2. Usually, it will not. 3. Let's wait a few months and then check again.

Preventing Joint Stiffness After Radial Head Fracture: Essential Tips

How to prevent joint stiffness in the early stages of a radial head fracture? Subject: I slipped and fractured my right radial head on October 12. The X-ray is as follows: https://drive.google.com/file/d/1vRAkhA6uLM8Uqqh5XZ9PjkQNRnN0kFZt/view?usp=sharing. I have visited the docto...

Dr. Shi Guozheng Reply:
1. Surgery is not necessary; stiffness may still be present even after surgery. 2. It is possible. 3. It is more appropriate to adopt the recommendation of a third physician, as the diagnoses are all the same.

Should I See a Doctor for My Ankle Pain and Extra Bone?

Should I go to the hospital for this? I went to the clinic for an X-ray, and the doctor said that I have an extra small bone or a fragment in my foot. He mentioned that this could be due to my foot being frequently sprained without proper rehabilitation, which might be the reason...

Dr. Chen Bochen Reply:
Hello, the small bone on the inner side of your ankle that you often refer to is known as the accessory navicular bone. This is a common condition, and generally, it can improve with increased physical activity, soaking in warm water, and stretching. However, if you also have fla...

Post-Fracture Rehabilitation Challenges: Understanding Shoulder Recovery

Post-fracture rehabilitation issues? I have a proximal humeral fracture, and the incision from the surgery is on the side of my shoulder. They used a titanium alloy plate and screws for fixation, but there is less muscle in that area. Will the surgery have damaged the muscle to s...

Dr. Chen Bochen Reply:
Hello Bobo, there will inevitably be some muscle damage during surgery, and joint stiffness after the operation is also a common phenomenon. As long as the surgery is successful and the fracture heals, gradual rehabilitation and exercise will lead to a smooth recovery. Wishing yo...

Challenges in Healing Open Fractures: A Case Study of Tibia and Fibula

Incomplete healing after open reduction and internal fixation of a right distal tibiofibular fracture? Hello Doctor, I had an open fracture of the distal fibula on the right side due to a car accident in January this year, and I underwent surgery with self-funded internal fixatio...

Dr. Shi Guozheng Reply:
1. If there is a defect in the bone, healing can be very slow, and sometimes it may not heal at all. In such cases, surgical bone grafting may be necessary to promote healing. Usually, if a fracture has not healed after one year, surgery can be considered. 2. If the fracture si...

Understanding Hip Joint Limitations After Femoral Fracture Recovery

Complications after femoral fracture? Hello, doctor. Five years ago, I had a car accident that resulted in a mid-shaft fracture of my left femur. It has since healed, and the intramedullary nail has been removed. However, I have undergone multiple surgeries and rehabilitation due...

Dr. Shi Guozheng Reply:
1. It could be joint contracture or a muscle issue. 2. It may also be due to pain causing reluctance to move. 3. Engage in rehabilitation. 4. It is possible. 5. Surgical treatment is only necessary if there is a leg length discrepancy of more than four centimeters; if the...

Understanding Knee Pain: Causes, Symptoms, and Treatment Options

Knee problems On September 16, I fell and hit my knee. At that time, there was a large bruise on my knee. I applied heat and used topical medication, but now, on October 7, when I kneel, I feel something stuck in that area and experience pain. If I'm on the floor, the pain i...

Dr. Shi Guozheng Reply:
1. Alternating hot and cold compresses for knee joint rehabilitation exercises. 2. Noises without pain are also considered normal.

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