Rehabilitation, Orthopedics FAQ

Is My Pain Due to a Bone Issue or Ankylosing Spondylitis?

Am I experiencing a bone issue or ankylosing spondylitis? Hello Dr. Chen, Three weeks ago, I went hiking, and after descending, I noticed that I experience lower back pain when I stand up after sitting. I have since undergone rehabilitation. During this time, I typically sit for...

Dr. Chen Bochen Reply:
Hello, based on your age and the symptoms you described, the most likely issue is intervertebral disc disease caused by poor posture and lack of exercise. Most of the time, engaging in light exercise (such as slow jogging for 20 minutes), using a lumbar support, taking short-term...

Post-Operative Care Tips for Children After Hip Dysplasia Surgery

I would like to inquire about the postoperative care for children with developmental dysplasia of the hip? Hello Doctor: My daughter is 5 years old and underwent corrective surgery for hip dysplasia on May 4th of this year. The cast was removed on June 13th, and on June 17th, she...

Dr. Li Wenhong Reply:
Hello: Typically, a cast is worn for 6 to 8 weeks, with the removal of pelvic (acetabular) screws around 8 weeks, and the osteotomy site takes about 12 weeks to heal. After the cast is removed, do not allow the child to walk immediately. Older children can be taught to use a walk...

Managing Tendonitis: Is Corticosteroid Injection Right for Young Athletes?

Tendinitis occurred after my right index finger was jammed against a ball during sports a month ago, and it has not healed since? I hit the ball while playing, which caused pain in my right index finger when it is straightened or extended backward. The pain is located about one c...

Dr. Shi Guozheng Reply:
Typically, bruises take about four to six weeks to heal, and medication is sufficient; there is no need for corticosteroid injections.

Loss of Sensation in Inner Thigh and Genitals After Spine Surgery: What to Expect?

There is no sensation in the left inner thigh and the left side of the penis and scrotum? In April, I underwent minimally invasive surgery to fixate my lumbar spine due to spondylolisthesis and a fracture (L5), where screws were inserted. After the first surgery, I noticed a lack...

Dr. Shi Guozheng Reply:
1. Recovery is possible but not guaranteed. 2. It may take three to six months. 3. If recovery is not achieved, the effectiveness of surgery may be limited.

Persistent Pain After Tibial Plateau Fracture: Possible Causes and Solutions

Five months after a tibial plateau fracture, there is still pain? Hello Doctor: On January 11 of this year, I suffered an injury to my right tibial plateau due to work, which resulted in the anterior cruciate ligament being displaced. I underwent surgery on January 17, where scre...

Dr. Shi Guozheng Reply:
The bone itself may also have a contusion. After the ligaments are fixed back in place, it is necessary to test whether the stability is sufficient. If there are any unstable conditions present, pain may also occur. When ligaments are injured, in addition to the complete displace...

Understanding Steel Plate Removal: Pain, Recovery, and Limitations

Removal of steel plates Several years ago, both of my wrists were crushed, and I had steel plates implanted. Recently, I have been experiencing intermittent pain in my wrists, which worsens in cold weather. There are also limitations in movement, and I have decided to have the pl...

Dr. Shi Guozheng Reply:
1. The pain is milder than after the initial fracture surgery. 2. Approximately two weeks. 3. It may improve. 4. Within two weeks. 5. You can ride a bike. 6. You should be able to hold a pen. 7. Rehabilitation is not necessary, but you must wait three to six months be...

Recovery Timeline for Medial Malleolus Fracture: What to Expect

Fracture of the left tibial medial malleolus? Hello, doctor. I was hit by a car while walking on April 15, and although my left foot's outer ankle made contact with the ground, I sustained a fracture of the inner ankle. The doctor recommended two months of rest. I did not un...

Dr. Shi Guozheng Reply:
Fractures of the inner ankle typically take about three months to heal, and normal activity can usually resume around that same timeframe.

Managing Severe Right Shoulder Pain: Treatment Options and Specialist Guidance

I have severe pain in my right shoulder, to the point that I can't sleep well? Hello, I have severe pain in my right shoulder. It hurts whether I lie on my side or on my back at night, making it difficult to sleep. I have a history of hypertension, hyperlipidemia, and diabet...

Dr. Shi Guozheng Reply:
Rotator cuff tears in the shoulder are often very painful. Rehabilitation can help alleviate the pain, and corticosteroid injections into the shoulder joint or the use of anti-inflammatory pain medications can also provide relief. If there is no improvement, it is advisable to co...

Understanding Ankle Drop: Ligament Surgery and Recovery Insights

Achilles tendon grafting to elevate the foot? Does a ligament reconstruction surgery for drop foot require cutting the ligament? Is there a possibility of the ligament becoming loose? Will there be any sequelae afterward? Will there still be pain after healing? Can the foot still...

Dr. Chen Yongxue Reply:
Hello, acquired drop foot is mostly caused by nerve injury. In this case, tendon (not ligament) transfer surgery can be beneficial. If the situation is as described above, it requires cutting the tendon for the transfer, and rehabilitation is necessary. As for congenital drop foo...

Correcting Knee Deformities After Tibial Plateau Surgery: Solutions

Tibial plateau fracture treated surgically resulted in a varus deformity (bow-legged)? In 2021, I underwent surgery on my left knee, where five screws and a plate were used for fixation. Now, three months later, I have noticed that my thigh is turned inward, the left side of my p...

Dr. Shi Guozheng Reply:
To determine if a fracture has healed, if it has healed, active rehabilitation should be undertaken. In the future, if there are joint issues following the fracture, further treatment should be considered.

Recurrent Shoulder Injury After Clavicle Dislocation Surgery: What to Do?

Re-injury after left acromioclavicular joint dislocation surgery? Hello, doctor. At the end of 2019, I was in a car accident that resulted in a left acromioclavicular joint dislocation, which I had surgically repaired that same year. At the end of 2020, I was in another car accid...

Dr. Wang Shouji Reply:
Hello, if you meet the criteria for surgery, considering that you have a complete acromioclavicular dislocation, given your age, it is important to address this issue as you have a long future ahead. Leaving behind shoulder mobility impairment as a sequela would not be ideal. Cha...

Understanding Open Fractures: Recovery and Rehabilitation After Severe Injuries

Pelvic fractures and open fractures? Hello, doctor. My boyfriend was involved in a serious car accident, resulting in open fractures of both wrist joints, the left humerus, the pubis, and the sacrum. He is 27 years old. I would like to ask how long he might be bedridden in this s...

Dr. Chen Yongxue Reply:
Hello, if an open fracture occurs in the pelvis, the mortality rate is very high, so please be cautious. As for the limb fractures you mentioned, they usually require immobilization for a short period after surgery, depending on the surgical site and method, but this does not aff...

Understanding Flexor Tendon Repair: Risks of Early Movement After Surgery

Flexor tendon rupture of the thumb? After 32 hours post-surgery for flexor tendon repair of the thumb, I followed the rehabilitation therapist's advice to perform wrist movements. Initially, the splint was fixed at a 30-degree flexion to protect the tendon. During the activi...

Dr. You Dianqi Reply:
Regarding the home rehabilitation exercises following flexor tendon repair surgery, adjustments should be made based on the postoperative timeline or individual recovery status. Please discuss this with your physical therapist before proceeding. Thank you.

Understanding Anterior Pelvic Tilt: Causes, Effects, and Correction

Anterior pelvic tilt I have an issue with anterior pelvic tilt, which causes me to experience lower back pain when lying flat, so I tend to sleep on my stomach. Do I need to correct this? Will correcting anterior pelvic tilt make me taller or shorter?

Dr. Chen Bochen Reply:
Hello, anterior pelvic tilt can usually be improved with exercise therapy or rehabilitation treatment, and surgery is not typically necessary unless there are accompanying symptoms of nerve compression. There will not be a significant change in height before and after correction.

Understanding Elbow Injuries: Ligament Damage and Recovery Options

Elbow issues, ligaments? Hello doctor, I would like to ask a question. Yesterday, while skateboarding, I directly hit my left elbow, and it was very painful. I can't fully extend it, only about 160 degrees, and I can't touch my shoulder. Certain positions of my left arm...

Dr. You Dianqi Reply:
You may continue to monitor the situation, and if there is no improvement, it is advisable to return for a consultation with your original treating physician. Thank you.

Managing L5-S1 Spondylolisthesis: Tips for Pain Relief and Prevention

L5-S1 spondylolisthesis Hello Doctor, a few days ago I fell and landed on my right hip, which caused pain in my side when walking. I went to the hospital for an X-ray, and while my bones are fine, I was unexpectedly diagnosed with grade 1 L5-S1 spondylolisthesis. The doctor said ...

Dr. Chen Bochen Reply:
Hello! 1. Yes, that's possible! 2. Replace bending over with squatting. 3. Given your age, it's best to avoid surgery if possible (treat with rest, medication, rehabilitation, and exercise), but if there is severe nerve compression, surgery may still be necessary.

Understanding Foot Pain: Causes and Solutions for Your Concerns

I would like to inquire with the doctor about questions regarding foot pain. Thank you? Hello, Doctor. I would like to inquire about my father's condition. He regularly exercises, usually for over an hour every day. About a year ago, after lifting heavy objects, he suddenly ...

Dr. Wang Shouji Reply:
Hello, it is highly likely that you have injured your lumbar spine, causing nerve compression. If necessary, an MRI examination is required to confirm this. Changhua Hospital cares about your health. Wang Shou-ji.

Understanding Neck Issues: Symptoms, Causes, and Treatment Options

Neck issues Hello Doctor, 1. I have been carrying heavy objects for over five years, sleeping on my side which compresses my left arm, and sitting with a hunched back on my bed while using my phone for a long time. 2. A traditional Chinese medicine practitioner found that my s...

Dr. Wang Shouji Reply:
Hello, based on your lifestyle habits, there is a possibility of cervical spine deformation. It is recommended to have a cervical examination to check for any structural changes and to see if there is any nerve compression. You can visit an orthopedic or neurosurgery clinic. Most...

Can You Get Pregnant with Grade 1 Spondylolisthesis?

Can a person with stage one spondylolisthesis become pregnant? Hello, doctor! Recently, I experienced lower back pain and went for an orthopedic examination. After an X-ray, the doctor diagnosed me with spondylolysis and Grade I spondylolisthesis at the fifth lumbar vertebra. The...

Dr. Wang Shouji Reply:
Hello, this situation should not pose significant issues for your pregnancy; however, the increase in abdominal weight during pregnancy may raise the likelihood of back pain. Changhua Hospital cares about your health. Dr. Wang Shou-ji.

Improving Range of Motion After Old Elbow and Wrist Fractures

Post-fracture surgery Hello Doctor, about 15 years ago, I suffered a comminuted fracture of the elbow and a wrist fracture from a fall during sports. I had metal pins inserted initially, which were removed a few months later. However, after rehabilitation, the range of motion in ...

Dr. Chen Bochen Reply:
Hello, I recommend that you visit a medical center to see a specialist in orthopedics and hand surgery. I suggest Dr. Chen Hsin-Chuan from Changhua Show Chwan Hospital. I have several patients with similar conditions who have been successfully treated by Dr. Chen. Wishing you a s...

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