Managing Recurrence After Minimally Invasive Disc Surgery: What to Expect
Recurrent Disc Herniation After Minimally Invasive Spine Surgery Hello Doctor: Three months ago, an MRI showed a herniation at L5-L6, and I underwent minimally invasive surgery where the protruding part was removed. However, there hasn't been significant improvement post-sur...
Dr. Wang Shouji Reply:
Hello, generally speaking, the chance of reherniation after intervertebral disc surgery is about 20%. If symptoms are significant, a second surgery may be necessary, and in some cases, spinal fusion with instrumentation may be required to prevent reherniation. However, this may r...[Read More] Managing Recurrence After Minimally Invasive Disc Surgery: What to Expect
Understanding Ruptured Extensor Tendon in the Right Thumb: Treatment Options
Rupture of the extensor tendon of the right thumb? Hello, Doctor! I have suffered a rupture of the extensor tendon in my right thumb due to sports. Initially, I did not notice it, but later I found that I could not extend my thumb. After visiting the outpatient clinic, I learned ...
Dr. Wang Shouji Reply:
Hello, old tendon ruptures of the finger flexor tendons that are re-sutured often result in common sequelae, such as stiffness affecting finger flexion. Given that your work often requires gripping a pen, the ability to flex is much more important than the ability to extend. I al...[Read More] Understanding Ruptured Extensor Tendon in the Right Thumb: Treatment Options
Understanding Elbow Injuries: Recovery Time and What to Expect
Elbow issues I have been injured for about a month; it's a fascia strain, and I still can't fully bend my hand. I also had an X-ray, and the doctor said there was nothing wrong. Is it normal for it to take this long to heal?
Dr. Shi Guozheng Reply:
Soft tissue injuries near the joints typically take about six to eight weeks to heal, so it is advisable to wait and see. During this period, rehabilitation therapy can be performed.[Read More] Understanding Elbow Injuries: Recovery Time and What to Expect
What to Do About Blister-Like Swelling After Knee Surgery?
What should I do if I have blisters that look like burns? I fell on May 4th and had surgery on my left patella. A month later, I had my stitches removed, but due to stiffness, I was unable to bend my knee. On June 7th, I underwent a minor procedure to improve my knee flexion and ...
Dr. Shi Guozheng Reply:
After a fracture, poor local blood circulation can lead to swelling in the affected area, which is a normal phenomenon. The inability to bend the knee may be due to pain or swelling, and rehabilitation is necessary to gradually practice bending the knee.[Read More] What to Do About Blister-Like Swelling After Knee Surgery?
Managing Swelling and Pain After Tibial Fracture Surgery: A Patient's Journey
Swelling five months after tibial fracture surgery? I apologize for the intrusion, Doctor. I was in a car accident on March 1st of this year, resulting in a fracture of the left tibia, which was repaired with plates and screws. I also fractured my coccyx, and my attending physici...
Dr. You Dianqi Reply:
Hello, regarding these questions, in order to provide accurate information, it may be necessary to review the imaging and physical examination from the time of your injury as well as your current recovery status. Additionally, these questions should be addressed by your attending...[Read More] Managing Swelling and Pain After Tibial Fracture Surgery: A Patient's Journey
Effective Rehabilitation Strategies for Femur Fracture Recovery
Rehabilitation for Femoral Fracture Hello doctor, I fractured my thigh on May 14th of this year. It has been over two months now, and I would like to ask what would be the best way to proceed with rehabilitation. Thank you for your help, doctor.
Dr. Chen Bochen Reply:
Hello, after two months post-femoral fracture surgery, you can generally start practicing normal walking with crutches. Some individuals with faster recovery may even be able to jog lightly. However, it is essential to consult with your attending physician, along with X-ray evalu...[Read More] Effective Rehabilitation Strategies for Femur Fracture Recovery
Post-Surgery Recovery: When to Start Rehabilitation After Ulnar Fracture
Post-operative care for an Olecranon Fracture? Hello Doctor, I would like to ask you a question. I suffered a fracture of the left ulnar bone near the elbow joint due to a car accident. I had surgery on July 9th to implant a steel pin and was discharged after five days in the hos...
Dr. Wang Shouji Reply:
Hello, generally speaking, unless the fracture is severely unstable and comminuted, there should be no significant issues with movement after surgical fixation. If early mobilization is not undertaken, there is a high possibility of joint adhesion. You should consult your attendi...[Read More] Post-Surgery Recovery: When to Start Rehabilitation After Ulnar Fracture
Post-Surgery Care and Rehabilitation for Scaphoid Fracture Dislocation
Postoperative Care for Complete Dislocation of the Scaphoid Bone Hello Doctor: I was in a car accident on June 24, which resulted in a dislocation of my right scaphoid bone. I underwent surgery for reduction on June 27, during which I had a K-wire and a screw placed in my right h...
Dr. Zhan Xian Reply:
Hello Mr. Li, the subsequent rehabilitation will depend on the healing status of your fracture. You can ask your attending physician during your next follow-up appointment![Read More] Post-Surgery Care and Rehabilitation for Scaphoid Fracture Dislocation
Is Spine Surgery Safe for Dialysis Patients? Key Considerations
Is it suitable for dialysis patients to undergo spinal surgery? Doctor, my mother is currently undergoing dialysis and is experiencing significant body pain due to a misalignment of her spine. The physician has determined that her spinal vertebrae are too far apart, and given her...
Dr. Chen Bochen Reply:
Hello Ting: Dialysis patients can undergo spinal surgery, but the risks are relatively higher compared to the general population. In addition to dialysis, it is important to monitor for hypertension, heart disease, diabetes, and lung and liver diseases. The more organs that are a...[Read More] Is Spine Surgery Safe for Dialysis Patients? Key Considerations
Lower Back Pain and Thigh Weakness: When to Seek Medical Attention?
Lower back pain accompanied by weakness in the back of the thigh in the morning? Hello, Doctor: About a year ago, I started experiencing lower back pain due to the nature of my job, which requires prolonged sitting. I visited a rehabilitation specialist and underwent two sessions...
Dr. Chen Yongxue Reply:
Please conduct a further examination for better accuracy.[Read More] Lower Back Pain and Thigh Weakness: When to Seek Medical Attention?
Understanding Pain Behind the Knee: Causes and Solutions
The tendons behind the knee are very painful? I've been having trouble sleeping these past few days because I feel a sharp pain in the muscles behind my knee, as well as in my entire calf and even the soles of my feet. What could be the reason for this?
Dr. Cai Shanglin Reply:
It is possible that you have fasciitis; it is recommended to consult an orthopedic specialist or a rehabilitation physician.[Read More] Understanding Pain Behind the Knee: Causes and Solutions
Recovery Timeline for a 9-Year-Old with a Radius Fracture
Radial fracture in a 9-year-old child? Hello, doctor. Thank you for your clarification and advice. We went to the hospital three weeks after the fracture to have an X-ray taken while wearing a cast. It showed that the fracture at the distal third of the radius is not misaligned a...
Dr. Li Wenhong Reply:
Hello: After the removal of the cast (approximately 6 weeks), you can gradually resume daily activities, including practicing the violin and swimming. However, immediately after the cast is removed, joint mobility may still be limited. Do not push for technique or performance; th...[Read More] Recovery Timeline for a 9-Year-Old with a Radius Fracture
Understanding Distal Radioulnar Joint Dislocation: Treatment Options Explored
Distal radioulnar joint dislocation Initially, I thought the wrist was just sprained and that rest would suffice. However, I experienced headaches when applying force at certain angles. After getting an X-ray, it was discovered that there is a distal radioulnar joint dislocation....
Dr. Chen Bochen Reply:
Hello WU, regarding your question: The X-ray shows a distal radioulnar joint dislocation. Is surgery necessary? The answer is not necessarily. Here are the reasons: 1. Many radioulnar joint dislocations are congenital and may have no symptoms. It is possible that you discovered ...[Read More] Understanding Distal Radioulnar Joint Dislocation: Treatment Options Explored
Understanding Fifth Metatarsal Fractures: Recovery and Rehabilitation Insights
Fifth metatarsal fracture Hello Doctor: On April 26, I suffered a right foot inversion injury that resulted in a diaphyseal fracture of the fifth metatarsal (transverse complete fracture) with slight displacement. The orthopedic surgeon advised against surgery, and I was placed i...
Dr. Chen Bochen Reply:
Hello Ray: 1. It is common to experience stiffness and swelling after having a cast, but 10 weeks is quite a long time. I recommend that you visit a rehabilitation specialist to enhance your recovery and minimize any long-term effects, as there may be adhesions or contractures ...[Read More] Understanding Fifth Metatarsal Fractures: Recovery and Rehabilitation Insights
Post-Surgery Rehabilitation for Ankle Ligament Reconstruction
Rehabilitation after ankle ligament rupture surgery? Hello Dr. Chen, I underwent ligament reconstruction surgery for chronic ankle instability in early May, where the ligaments were sutured and absorbable screws were used on the bones. Although my walking is still not quite norma...
Dr. Chen Yongxue Reply:
Ligament repair and reconstruction surgery typically requires a recovery period of at least eight weeks. Generally, after the recovery period, there may be joint stiffness, which necessitates active rehabilitation.[Read More] Post-Surgery Rehabilitation for Ankle Ligament Reconstruction
Understanding Grade 3 Shoulder Separation: Treatment Options and Recovery Insights
Acromioclavicular joint dislocation Hello Doctor: I have a grade 3 acromioclavicular joint dislocation that has not been surgically treated for three weeks. 1. The injury occurred due to a motorcycle collision, where my left shoulder hit the ground. 2. At the emergency room immed...
Dr. Shi Guozheng Reply:
Dislocation of the acromioclavicular joint may not be clearly visible on X-rays due to potential imaging limitations, and it is usually necessary to take the X-ray while standing. If the injured arm is carrying a heavy object, the dislocation may become more apparent. Both surgic...[Read More] Understanding Grade 3 Shoulder Separation: Treatment Options and Recovery Insights
Exploring Limb Lengthening Surgery: A Guide for Height Increase
I want to undergo height enhancement surgery? I have thought about this for a long time and have also assessed my financial situation. I have depression and hope to find suitable channels for height increase. I have always felt insecure about my height and wish to increase it by ...
Dr. You Dianqi Reply:
This type of surgery is associated with various nerve and wound-related issues, requiring careful consideration and further evaluation. In the medical field, it is essential to first assess whether you have any underlying conditions, such as endocrine issues, your current height,...[Read More] Exploring Limb Lengthening Surgery: A Guide for Height Increase
Height Increase Surgery: Options, Recovery, and Expert Guidance
Height enhancement surgery I have thought about this for a long time and have also assessed financial aspects. I have depression and hope to find suitable channels for height increase surgery to boost my confidence. I have always felt insecure about my height and hope to increase...
Dr. Wang Shouji Reply:
Hello, in order to undergo limb lengthening surgery, you would need to be bedridden and unable to walk, which may last for six months and may not meet your height increase goal of 15-20 centimeters. Additionally, your lower limbs may atrophy due to lack of weight-bearing. From a ...[Read More] Height Increase Surgery: Options, Recovery, and Expert Guidance
Effective Rehabilitation Exercises for Tibia Fracture Recovery
Fracture rehabilitation Hello Doctor, I had a car accident on April 8th and fractured my right tibia. I had my cast removed on May 18th, and since then, I've been rehabilitating at home. My knee can bend about 100-110 degrees now, but it seems to have reached its limit. What...
Dr. Chen Bochen Reply:
Hello: Rehabilitation after a fracture varies from person to person and requires a personal assessment to determine the best approach. However, here are some general guidelines for your reference: 1. Strength Training: It is recommended that you perform the exercises shown in th...[Read More] Effective Rehabilitation Exercises for Tibia Fracture Recovery
Understanding Scaphoid Fractures: Treatment and Recovery Insights
Scaphoid fracture of the right hand? Hello Doctor: Four weeks ago, I suffered a scaphoid fracture in my right hand due to a car accident. The X-ray showed no displacement, so I opted for conservative treatment with a cast. Today, I returned to the hospital to have the cast remove...
Dr. Chen Yongxue Reply:
Hello, with a scaphoid fracture, the main concern is nonunion. If it is confirmed that your fracture is stable and completely non-displaced, it can be treated with a thumb spica cast for four to six weeks to allow for healing before starting rehabilitation. Alternatively, using s...[Read More] Understanding Scaphoid Fractures: Treatment and Recovery Insights