Rehabilitation, Orthopedics FAQ - Page 24

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Elbow Cartilage Issues: Surgery vs. Prolotherapy for Recovery

Elbow cartilage Hello: I have had issues with my elbow joint for two months. During this time, I have seen an orthopedic specialist, had X-rays taken, undergone physical therapy, and taken a lot of anti-inflammatory pain medications, but I still have not recovered. Eventually, I ...


Dr. Chen Yongxue Reply:
Hello, it is recommended to undergo a detailed examination using magnetic resonance imaging (MRI). Thank you.

[Read More] Elbow Cartilage Issues: Surgery vs. Prolotherapy for Recovery


Understanding Patellar Fractures: Recovery and Muscle Cramps Explained

Patellar comminuted fracture Hello Dr. Wang, I apologize for the mistake last time. I had a comminuted fracture of the patella in May 2020 and had wires inserted. I had them removed in May 2021, and now, over a year later, I am experiencing cramps in my thigh and calf.


Dr. Wang Shouji Reply:
Hello, cramps are mostly caused by muscle atrophy or poor circulation within the muscles. It is recommended to stretch the muscles more, engage in weight-bearing exercises to enhance muscle strength, and apply heat to improve blood circulation. Additionally, please consult a reha...

[Read More] Understanding Patellar Fractures: Recovery and Muscle Cramps Explained


Understanding Scoliosis: Treatment Options and Surgical Considerations for Adolescents

Scoliosis A female sixth grader has a 35-degree scoliosis. The physician recommends waiting until the growth period is over before considering surgery. I would like to inquire about the following: 1. There are several physical therapy clinics that assist with rehabilitation for...


Dr. Wang Shouji Reply:
Hello, the majority of the causes of scoliosis are unknown. Non-surgical treatment typically involves the use of braces for correction. Severe curvature may affect cardiopulmonary function, in which case surgical correction is considered. Most activities and exercises are general...

[Read More] Understanding Scoliosis: Treatment Options and Surgical Considerations for Adolescents


Understanding Shoulder Pain: Causes, Treatments, and When to Seek Further Care

Shoulder pain I would like to ask the doctor about my shoulder pain. Currently, I am experiencing pain in the anterior side (around the biceps tendon area) and the supraspinatus region, as well as pain on the lateral side (which feels like radiating pain from the inside). The pai...


Dr. Chen Yongxue Reply:
Hello, shoulder joint dislocation and subluxation can be diagnosed using X-rays. In the case of tendonitis, injection therapy generally has a certain level of effectiveness. It is often observed that when the tendon shows slight improvement, patients tend to resume activities tha...

[Read More] Understanding Shoulder Pain: Causes, Treatments, and When to Seek Further Care


Post-Tibial Fracture Surgery: Why Can't I Lift My Big Toe?

After tibial fracture surgery, the big toe cannot be lifted? Hello, Doctor. I would like to ask you: I was involved in a car accident on March 10 of this year, which resulted in a comminuted fracture of my right tibia. I underwent intramedullary nailing surgery on March 11, durin...


Dr. Wang Shouji Reply:
Hello, 1. If the big toe cannot be lifted while the other toes can, the first consideration should be whether there is any damage to the tendons or muscles. If there is tendon damage, it should be addressed promptly. If it is not a muscle or tendon injury, then rehabilitation t...

[Read More] Post-Tibial Fracture Surgery: Why Can't I Lift My Big Toe?


Leg Numbness and Pain a Week After Car Accident: What to Do?

One week after the car accident, I started experiencing numbness in my leg? I was in a car accident on June 23rd, and I had X-rays taken at the hospital that day, which showed no bone injuries. On June 26th, I had another X-ray at a nearby orthopedic clinic, and again, the result...


Dr. Chen Bochen Reply:
Please visit a rehabilitation or orthopedic clinic that offers "musculoskeletal ultrasound" for examination.

[Read More] Leg Numbness and Pain a Week After Car Accident: What to Do?


Understanding Recovery from Car Accident Fractures: Key Concerns and Next Steps

Fractures from a car accident? Hello, doctor. I was in a car accident on May 12, which resulted in a fracture of the right ulnar styloid process, accompanied by a distal radioulnar joint dislocation, as well as a proximal phalanx fracture of the right big toe. My wrist was immobi...


Dr. Chen Bochen Reply:
Hello, this question is exactly the same as the one you asked on the medical forum. 1. A toe fracture can allow for normal walking after one month. Using taping for stabilization can reduce pain, and there is not much concern about the fracture misaligning, but follow-up is neces...

[Read More] Understanding Recovery from Car Accident Fractures: Key Concerns and Next Steps


Understanding Wrist Ligament Injury: Recovery, Treatment, and Care Tips

Wrist ligament laxity? On June 1, I injured my wrist when an external force bent my left palm towards the back of my hand. Initially, for the first two days, I only felt slight discomfort and was able to hold a 9-kilogram child while bathing. However, I later noticed some swellin...


Dr. Shi Guozheng Reply:
1. Ligament injuries typically take about six weeks to heal, regardless of whether injections are administered. 2. Supplementing with nutrients does not provide any benefit. 3. Try to avoid moving the painful joint as much as possible. 4. Not applicable. 5. Effective trea...

[Read More] Understanding Wrist Ligament Injury: Recovery, Treatment, and Care Tips


Persistent Wrist Discomfort and Vascular Swelling After Fracture Recovery

The treatment has been completed for nearly a year, but the wrist joint still frequently feels uncomfortable and there is noticeable vascular edema? On June 6, 2020, the patient sought medical attention for a distal radius fracture and underwent fixation with titanium alloy. Near...


Dr. Shi Guozheng Reply:
Some individuals may experience slower recovery, but continuing rehabilitation can lead to improvement. It is advisable to consult a rehabilitation specialist.

[Read More] Persistent Wrist Discomfort and Vascular Swelling After Fracture Recovery


Post-Operative Concerns: Removing Pins After Radius and Ulnar Surgery

Postoperative Removal of Steel Pins for Radius and Ulnar Fractures Hello Dr. Chen, I underwent two surgeries for internal fixation with plates and screws in early November 2019, specifically for a comminuted fracture of the right radial head and proximal ulnar fracture, as well a...


Dr. Chen Bochen Reply:
I plan to have surgery in July to remove the metal screws and plates. Is there a possibility of nerve damage? >> It is possible, but not common. How long will it take to rehabilitate after the removal? >> It may not necessarily lead to "full recovery," but r...

[Read More] Post-Operative Concerns: Removing Pins After Radius and Ulnar Surgery


Finding Relief from Chronic Knee Pain: Options Beyond Surgery

Suffering from knee pain. Please advise on effective remedies? Hello, Dr. Shi. I have been suffering from degenerative arthritis for about ten years. I have been receiving hyaluronic acid injections for approximately five years, but I feel there has been little improvement and no...


Dr. Shi Guozheng Reply:
1. Normal function can be restored; during the surgery, the deformed joint will be corrected to a straight position. 2. If the knee joint is currently difficult to bend, then after surgery, in order to be able to squat, it is essential to commit to rehabilitation. 3. Performi...

[Read More] Finding Relief from Chronic Knee Pain: Options Beyond Surgery


Understanding Clavicle Dislocation: Long-Term Effects and Rehabilitation

Clavicular dislocation Due to a car accident, there is a partial dislocation of the right clavicle. It has been 6 months since the accident, and the bone has not been realigned. I have undergone physical therapy, including shortwave therapy, electrical stimulation, and laser trea...


Dr. Wang Shouji Reply:
Hello, a partial dislocation of the sternoclavicular joint is difficult to maintain in position even with manual reduction. Its impact on upper limb function should be minimal. It is advisable to focus on rehabilitation, specifically shoulder joint mobility and strength training ...

[Read More] Understanding Clavicle Dislocation: Long-Term Effects and Rehabilitation


Understanding Clavicle Dislocation: Long-Term Effects and Rehabilitation

Sternoclavicular joint dislocation Due to a car accident, there is a partial dislocation of the right clavicle. It has been 6 months since the accident, and the bone has not been realigned. I have undergone physical therapy, including shortwave therapy, electrical stimulation, an...


Dr. Wang Shouji Reply:
Hello, a partial dislocation of the sternoclavicular joint is difficult to maintain in position even with manual reduction. Its impact on upper limb function should be minimal. It is advisable to focus on rehabilitation to improve shoulder joint mobility and strength training. Ch...

[Read More] Understanding Clavicle Dislocation: Long-Term Effects and Rehabilitation


Post-Surgery Heel Pain: Is It Normal During Recovery?

Postoperative weight is distributed on the heel? Hello Doctor, I am currently able to flex my knee to a 90-degree angle post-surgery and can walk normally. However, I feel a tightness (similar to a stretching sensation) at a certain point, and after walking for a while, I experie...


Dr. Chen Bochen Reply:
It is common to experience soreness in the soles of the feet and joint stiffness when you first start walking normally again. Increasing your walking, engaging in rehabilitation exercises, and applying heat along with stretching will gradually lead to improvement.

[Read More] Post-Surgery Heel Pain: Is It Normal During Recovery?


Understanding Coccydynia: Chronic Pain After Tailbone Injury in Teens

Coccyx contusion Hello doctor, I am currently 17 years old. When I was 10, a classmate played a prank by pulling my chair, causing me to fall to the ground. I experienced severe pain near my coccyx and it took about five minutes before I could stand up, but I did not seek medical...


Dr. Chen Yongxue Reply:
Hello, after a coccyx contusion, it is common to experience recurrent pain; however, knee pain should not be related to this. The coccyx is rarely in a normal position and often has deformities. Rehabilitation is not necessary; if there are pain symptoms, it is advisable to apply...

[Read More] Understanding Coccydynia: Chronic Pain After Tailbone Injury in Teens


Understanding Lateral Foot Pain: Causes, Treatment, and Recovery Tips

Swelling and pain on the outer side of the foot? A few days ago, I experienced a moment of pressure on my leg while moving my motorcycle downhill. Within two to three days, it swelled up, and I was even unable to walk. I visited an orthopedic doctor who took X-rays. It has been t...


Dr. Chen Yongxue Reply:
Hello, please apply ice, elevate the affected limb, and reduce activity. In the early stages of an injury, X-rays may not show fractures. If symptoms do not improve, it is possible to take another X-ray. Since you are still in the acute phase, it is not the best time for rehabili...

[Read More] Understanding Lateral Foot Pain: Causes, Treatment, and Recovery Tips


Recovering from a Car Accident: Fixing a Bent Ring Finger After Surgery

Car accident injuries I was injured in a car accident, suffering a comminuted fracture near the palm close to the ring finger. The doctor performed surgery to implant a steel pin, which was removed two months post-operation. The doctor did not require me to wear a brace. However,...


Dr. Wang Shouji Reply:
Hello, deformities and joint stiffness are common sequelae following hand fractures. However, it is essential to determine whether the finger flexion is due to fracture malunion or tendon adhesion in order to understand how to proceed with treatment. Changhua Hospital cares about...

[Read More] Recovering from a Car Accident: Fixing a Bent Ring Finger After Surgery


How to Determine if Your Orthopedic Brace Fits Properly

How can you determine if a brace for a compression fracture fits properly? Thank you for your prompt response. However, the brace was provided by the company personnel, and they indicated on-site that it didn't seem to fit well. When they asked how it felt off, we couldn...


Dr. Shi Guozheng Reply:
When you first start wearing a brace, it can be uncomfortable and may take some time to adjust. If it still doesn't fit properly, it's important to modify the brace. The company that manufactures the brace will have a better understanding of the necessary adjustments. I...

[Read More] How to Determine if Your Orthopedic Brace Fits Properly


Post-Accident Orthopedic Concerns: Managing Recovery and Risks

Post-operative issues following a car accident? Thank you very much, Dr. You, for patiently addressing my concerns. I understand that many medical issues require cooperation between the patient and the physician to achieve the best treatment outcomes. I later explained the situat...


Dr. You Dianqi Reply:
I would like to offer a small piece of advice. Considering the current severe situation of the COVID-19 pandemic, it is unlikely that surgery can be considered in the short term. Additionally, it seems that the patient is not inclined towards surgery based on the article. Therefo...

[Read More] Post-Accident Orthopedic Concerns: Managing Recovery and Risks


Post-Surgery Concerns: Understanding Pain and Mobility After Tibia Surgery

Postoperative care for tibia and fibula fractures? Hello Doctor! A few months ago, I underwent surgery to remove a tibial tumor, and artificial bone was used to fill the area. Recently, I've been experiencing back pain, so I followed some rehabilitation exercises I found onl...


Dr. You Dianqi Reply:
From your response, I noticed that there are concerns about the possibility of the bone plate screws shifting. This issue may require imaging to provide a more informed response. As for your questions about whether you can kneel and similar inquiries, it largely depends on the co...

[Read More] Post-Surgery Concerns: Understanding Pain and Mobility After Tibia Surgery


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