Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Decreased sacral and coccygeal curvature, S3 fracture, L5/S1 disc space narrowing, pubic symphysis diastasis? Dear Dr. Zhan, I am currently working in Southeast Asia and had a car accident two weeks ago, resulting in ruptures of my liver and spleen. I underwent transarterial emb...
Dr. Zhan Xian Reply:
Hello Mr. Bruce, whether surgical treatment for the pelvis is necessary mainly depends on the stability of the pelvic fracture. Since we only have a written report without imaging, it is difficult to assess the extent of the pubic symphysis separation and whether there is any dis...[Read More] Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Recovery Time and Rehabilitation for Sternoclavicular Joint Subluxation
Sternoclavicular joint subluxation Due to a car accident, there is a subluxation of the right sternoclavicular joint. Given that the job requires heavy lifting, how long should one rest before returning to work, and will rehabilitation be necessary afterward? Thank you.
Dr. Wang Shouji Reply:
Hello, you will need to return to the hospital for a final assessment of your recovery in at least two to three months. It is unlikely to affect upper limb mobility. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Recovery Time and Rehabilitation for Sternoclavicular Joint Subluxation
Effective Strategies to Improve Elbow Mobility After Injury
Elbow issues Two months ago, I had a car accident and broke my right arm. After the surgery, the cast was removed after two months, but my elbow has not moved for a long time and cannot fully straighten. The connective tissue feels tight. What can I do to help soften the connecti...
Dr. Shen Boquan Reply:
Hello, after surgery, if your elbow is stiff due to the cast, it's uncertain whether the joint has been injured. If there is no severe damage to the joint, it should recover after rehabilitation. Wishing you good health.[Read More] Effective Strategies to Improve Elbow Mobility After Injury
Post-Surgery Challenges After Distal Humerus Fracture: Recovery Insights
Postoperative issues following distal humeral fracture surgery? Hello Doctor, I am here to inquire again about my car accident on June 2nd of this year, which resulted in a distal humeral fracture in my left arm. On June 3rd, I underwent surgery where two metal plates and eight s...
Dr. Shi Guozheng Reply:
1. Apply heat or use pain relievers. 2. Surgical implantation of a steel plate for distal humeral fracture, as it is very close to the radial nerve, should not be removed unless absolutely necessary. 3. Activities can be resumed after bone healing. 4. Weight should be gradually i...[Read More] Post-Surgery Challenges After Distal Humerus Fracture: Recovery Insights
Understanding Recovery After Hip Replacement Surgery: What to Expect
Total Hip Replacement My father is 58 years old and underwent a ceramic hip joint replacement due to avascular necrosis about two months ago. He recently had surgery on his second leg and is still hospitalized. It has been four days since the anesthesia wore off, and he has no se...
Dr. Shi Guozheng Reply:
It is possible that the same side of the sciatic nerve is affected, requiring active rehabilitation. A referral to a rehabilitation specialist should be made for assessment, or a splint may be needed to prevent foot drop.[Read More] Understanding Recovery After Hip Replacement Surgery: What to Expect
Understanding Knee Injury Recovery: Is Pain After Three Weeks Normal?
Knee injury Three weeks ago, I fell off my bike while turning on a cobblestone road. At that time, I was wearing long pants, so I only sustained bruising and contusions on my knee. Now, three weeks later, the bruising is no longer visible, but I still feel pain when my knee touch...
Dr. Chen Bochen Reply:
If the pain persists for three weeks, consider the possibility of periosteal contusion or ligament injury. It is recommended to wear a knee brace for two weeks, and if there is no improvement, seek consultation with an orthopedic or rehabilitation specialist.[Read More] Understanding Knee Injury Recovery: Is Pain After Three Weeks Normal?
Post-Surgery Shoulder Pain After Clavicle Fracture: Seeking Solutions
Postoperative care for clavicle fracture? Hello Dr. Chen, I sustained an injury while playing basketball about two years ago in October, which resulted in a fracture of my left clavicle. I underwent surgery to insert a plate, and after approximately ten months, I had the plate re...
Dr. Chen Yongxue Reply:
Hello, after a fracture (regardless of whether surgery was performed), approximately 40% of patients may experience lingering soreness. Generally, this discomfort tends to be more pronounced during colder seasons. The symptoms are usually not severe, and keeping warm can provide ...[Read More] Post-Surgery Shoulder Pain After Clavicle Fracture: Seeking Solutions
Understanding Disc Herniation and Its Impact on Finger Sensation
Herniated disc finger issues Hello Doctor, since around mid to late October, I've been experiencing a peculiar sensation on the outer side of my left little toe, as if it's soft when it touches the floor. I consulted a doctor and had an X-ray taken, which revealed that ...
Dr. Wang Shouji Reply:
Hello, the symptoms in your hands and feet are likely not caused by the same issue. First, we need to assess the degree of scoliosis. Given your age, if the curvature is not significant, it is unlikely to affect the nerves, and treatment with medication and rehabilitation should ...[Read More] Understanding Disc Herniation and Its Impact on Finger Sensation
Post-Hip Replacement: Managing Pain and Weakness After Surgery
Postoperative hip joint care In February of this year, I underwent a left hip joint replacement and a decompression surgery on the right side. My left thigh still feels numb, and by August, I started experiencing pain on the right side. In September, I had a right hip joint repla...
Dr. You Dianqi Reply:
Hello, you are quite young to undergo bilateral hip replacement, and the majority of cases are due to avascular necrosis of the femoral head. Given your recovery time, theoretically, you should be able to walk and return to a more normal condition. As a sincere suggestion, it is ...[Read More] Post-Hip Replacement: Managing Pain and Weakness After Surgery
Understanding Tendon Suture Rejection: Symptoms and Management
Post-suture rejection reaction of finger tendon repair? Last October, I injured my left hand and after an emergency visit, I was transferred to orthopedics where I learned that the tendon on the left side of my ring finger was ruptured (I believe it was the flexor tendon). After ...
Dr. You Dianqi Reply:
Hello, if there is a reaction to the ends of non-absorbable sutures used for tendon repair, it may persist for some time due to their non-absorbable nature. I recommend soaking in warm water to promote peripheral circulation. Wishing you a speedy recovery. Thank you.[Read More] Understanding Tendon Suture Rejection: Symptoms and Management
Recovering from a Metatarsal Fracture: Can I Hike Again by January?
Fracture on November 19? On November 19, I was injured when a table fell on my right foot, resulting in a fracture of the third metatarsal. I had a cast applied in the second week, and I am still able to walk, but I am primarily using my heel. I will be going for rehabilitation i...
Dr. Chen Yongxue Reply:
Hello, there is certainly an opportunity, but I really do not recommend it. The mountain roads are uneven, which can easily cause re-injury to fractures that are in the early stages of healing.[Read More] Recovering from a Metatarsal Fracture: Can I Hike Again by January?
Understanding Fifth Metatarsal Fractures: Symptoms, Recovery, and Care
Fracture of the fifth metatarsal? Hello, Doctor. On November 7th, after hanging something, I slipped off a chair while stepping down, landing heavily on my right foot. At that moment, my foot swelled, and I applied ice continuously for about ten days (not realizing I had a fractu...
Dr. Chen Yongxue Reply:
1. Do I need to elevate my leg while sleeping? Answer: If possible, the affected limb should be elevated to reduce swelling, not just during sleep. 2. When should electrical therapy for rehabilitation be initiated? Answer: Electrical therapy can be started once the fracture has...[Read More] Understanding Fifth Metatarsal Fractures: Symptoms, Recovery, and Care
When Will My Ankle Fracture Heal? Pain, Swelling, and Walking Recovery
When will a right ankle fracture heal, and when can I expect to see a reduction in swelling and pain, as well as the ability to walk? Hello Doctor: Regarding case #162885, I had surgery on October 17 and my foot has not healed, making it impossible for me to walk. The doctor ment...
Dr. Chen Yongxue Reply:
Please return to the outpatient clinic to discuss with your attending physician. Thank you.[Read More] When Will My Ankle Fracture Heal? Pain, Swelling, and Walking Recovery
Managing Hip and Shoulder Joint Sounds: Exercises and Self-Care Tips
Hip and shoulder joint crepitus Hello Doctor, I am your patient from a few days ago. Thank you for your thorough explanation and examination. I forgot to ask that day about the clicking and sliding sound in my shoulder when I move it, as well as the situation you mentioned regard...
Dr. Chen Bochen Reply:
Hello: The following information is for your reference. **[Injury Prevention] Is there a correlation between tendon injuries and repetitive strain? Here are two key points to help you address tendon injuries:** 1. **Step One:** Reduce repetitive strain, use medication, and con...[Read More] Managing Hip and Shoulder Joint Sounds: Exercises and Self-Care Tips
Understanding Mild Cervical Spine Issues: Treatment and Risks Explained
Cervical spine issues Hello Doctor, recently my family member (male, 46 years old) underwent a cervical spine X-ray as part of a health check-up. The report indicates Mild Marginal Spur at C5-6, Grade I Retrolisthesis at C5-6, C6-7 Interspace Narrowing, and Mild Reduced Body Heig...
Dr. Chen Bochen Reply:
Hello, the issues you described are quite common. Whether they need to be addressed primarily depends on the presence of symptoms. Mild symptoms include neck pain, limited neck mobility, and frequent neck stiffness. Moderate symptoms involve numbness in the arms and neck movement...[Read More] Understanding Mild Cervical Spine Issues: Treatment and Risks Explained
Knee Swelling and Pain After Car Accident: What to Do Next?
Swelling in the knee after a car accident, unable to fully extend or bend? Hello Doctor: It has been a month since the car accident. Although X-rays showed no bone issues and an MRI indicated that the meniscus and cruciate ligaments are not severely damaged, the orthopedic doctor...
Dr. Shi Guozheng Reply:
Continuous hot compresses combined with exercises for joint flexion and extension should be performed. If you are unable to do this, you need to visit a rehabilitation department for guidance from a physical therapist. Swelling may take about two to three months to completely res...[Read More] Knee Swelling and Pain After Car Accident: What to Do Next?
Managing Post-Surgery Pain After Femoral Fracture: A Caregiver's Guide
Persistent pain while sleeping after fracture surgery? I am sorry to hear about your mother's condition. Here are the answers to your questions: 1. Is it possible that the bone has shifted? If so, what should be done? Yes, it is possible for the bone to shift after surge...
Dr. Chen Bochen Reply:
Hello, 1. The outcomes of fracture surgery can vary significantly and depend on the condition at the time of surgery as well as the X-ray results to determine if there is any displacement and what actions to take. 2. Generally, as long as the surgical fixation is stable, simple r...[Read More] Managing Post-Surgery Pain After Femoral Fracture: A Caregiver's Guide
Managing Complex Knee Issues After ACL Reconstruction: Pain and Solutions
How to address complex knee issues? Hello, doctor. I underwent a posterior cruciate ligament (PCL) reconstruction surgery last October, which was my second reconstruction. The first surgery resulted in ligament laxity after a year, leading to the need for a second operation. Init...
Dr. Chen Bochen Reply:
Hello, your issue is indeed complex and requires a meticulous and skilled physician along with a good rehabilitation team to assist you long-term. I recommend you consult with Dr. Luo Jian-Sheng, the orthopedic specialist at Chung Shan Medical University Hospital. He is an expert...[Read More] Managing Complex Knee Issues After ACL Reconstruction: Pain and Solutions
Recovery After Left Radius Fracture: Managing Elbow Dislocation and Ligament Injury
Fracture of the left radial head accompanied by elbow dislocation and ligament tear? Hello doctor, I underwent surgery on November 9th due to a car accident, resulting in a left radial fracture with dislocation and ligament rupture. A titanium alloy plate and anchors were used fo...
Dr. Chen Yongxue Reply:
Hello, a fracture of the radial head accompanied by dislocation usually leaves varying degrees of sequelae. Therefore, rehabilitation after surgery is very important. The progress of rehabilitation should primarily follow the advice of the attending physician. On one hand, the st...[Read More] Recovery After Left Radius Fracture: Managing Elbow Dislocation and Ligament Injury
Post-ACL Surgery: Understanding and Managing Patellar Tightness
Post-operative tightness of the patella after posterior cruciate ligament surgery? Hello Dr. Lee, I had an accident while riding my bike in April this year, which resulted in a torn posterior cruciate ligament (PCL). I underwent PCL reconstruction surgery in July, during which th...
Dr. Li Wenhong Reply:
Hello, please be patient and continue rehabilitation for at least six months, with regular follow-up visits to discuss with your attending physician. If muscle strength has not yet recovered, it is advisable to reduce the amount of exercise, but you can still run. If you experien...[Read More] Post-ACL Surgery: Understanding and Managing Patellar Tightness