Rehabilitation, Orthopedics FAQ

Understanding Open Tibial Fractures: Recovery and Treatment Insights

Open fracture of the tibia due to a car accident? Hello, Doctor. I have a few questions for you: 1. Chief complaint: A 57-year-old male, in August 2019, was struck by a car, resulting in an open fracture of the tibia, multi-fragmentary fracture of the tibia, and a diaphyseal fr...

Dr. Zhan Xian Reply:
The postoperative X-ray shows an acceptable fracture location; however, there are many factors that can affect fracture healing, such as soft tissue damage and blood circulation at the fracture site, which cannot be assessed by X-ray. Generally, more severe fractures in the lower...

Minimally Invasive Surgery for Elbow Fractures: Recovery Insights

Elbow fracture Hello Dr. Wang: I recently suffered a fracture in my left elbow due to a car accident. I have a long scar from the surgery that I find unsightly. I would like to ask if there is a way to perform minimally invasive surgery for an elbow fracture? After completing reh...

Dr. Ye Qingnian Reply:
For an elbow fracture, the surgical approach depends on the location and severity of the fracture. If the arm is not extending fully, it is important to start rehabilitation as soon as possible; the longer the delay, the more difficult recovery will be.

Managing Post-Operative Pain and Weakness After Knee Replacement Surgery

Postoperative care after total knee arthroplasty? My mother had a knee replacement surgery in March of this year, and it has been nearly six months since then. However, she still experiences 1) severe pain (sharp pain) at times, 2) weakness while walking and a feeling of the knee...

Dr. Shi Guozheng Reply:
The most likely cause of pain after total knee arthroplasty is infection, followed by loosening of the implant. If neither of these is the cause, it may be due to insufficient rehabilitation, muscle weakness, or poor range of motion, leading to mobility issues. A blood test can b...

Understanding O-legs: Effective Exercises and Treatments for Knee Issues

<Knee Joint Issues> Inquiry about knee varus deformity (bow-leggedness)? Hello Dr. Lee, thank you for taking the time to review my situation. When I forcefully bring my legs together, only my ankles can touch, while there is a noticeable gap from my thighs through my knees ...

Dr. Li Yongheng Reply:
For exercises related to knee varus (bowleg) deformity, please consult with the rehabilitation department, as they specialize in exercise therapy more than the orthopedic department. Thank you.

Post-Fracture Recovery: Managing Pain and Uneven Legs After Injury

After using crutches for about three months due to a fracture, I experience pain when walking for extended periods? Dear Vice Dean, I sustained a comminuted fracture of the femur and tibia (and plateau) due to a car accident on March 10, 2018. After two surgeries, I have finally...

Dr. Li Yongheng Reply:
Hello, a 34-year-old female with a comminuted fracture of the femur and tibia (and plateau) has undergone two surgeries and it has been 5 months since. Currently, after walking for a while, there is significant discomfort at the fracture site, especially with severe pain in the k...

Understanding Distal Radius Fractures: Recovery and Rehabilitation Insights

Distal radius fracture Hello, Doctor. I slipped and fell on May 28 of this year, resulting in a distal radius fracture in my left hand. I have been undergoing conservative treatment and only wearing a splint. I regularly consume tea, coffee, milk, and calcium supplements. I had f...

Dr. You Dianqi Reply:
Hello, the general guideline for when a physician allows you to remove the protective brace is when you can start engaging in some light range of motion exercises. Additionally, since you are undergoing conservative treatment, it is normal for the rehabilitation timeline to be sl...

Recovery Tips for Elbow Fractures After a Car Accident

Elbow fracture from a car accident fall? On June 2, 2019, I sustained an injury, and the doctor applied a cast for self-recovery. It has been over a month, but the fracture has not completely healed. What should I do? Are there any methods to promote faster recovery? Will keeping...

Dr. Xie Hongjia Reply:
Hello Mr. Chih-Yuan: Generally, fractures require three months to heal, and there are no specific methods to accelerate this process. Typically, rehabilitation is needed to restore activity afterward, and it is recommended to return to the hospital for a follow-up consultation. T...

Rehabilitation After Distal Radius Fracture: When to Start?

Fracture rehabilitation Hello, Doctor. I slipped and fell on May 28, resulting in a distal radius fracture in my left hand. I did not require surgery and have been undergoing conservative treatment with a splint and sling. I had follow-up X-rays on June 16 and July 14, and there ...

Dr. Li Yongheng Reply:
Hello: It has been nearly two months since the distal radius fracture in your left hand on May 28. Currently, you are experiencing weakness in your hand, and movement is not smooth. Your palm is also swollen, making it difficult to make a fist. Therefore, you should visit the reh...

Post-Patellar Fracture Surgery: Key Rehab Questions Answered

Hello, doctor. I have some questions regarding post-operative issues related to patellar fractures that I would like to ask you? Hello, doctor. It has been 56 days since my patellar fracture and internal fixation surgery (with wires and screws). Two days ago, during a follow-up v...

Dr. Li Yongheng Reply:
Hello: 1. If it has been 56 days since the patellar fracture and internal fixation surgery, but you can only bend your knee about 45 degrees on your own, it may be necessary to take more aggressive measures. You can ask your physician if it is possible to perform manual therapy u...

Post-Patellar Fracture Rehabilitation: Pain, Healing Time, and Recovery Tips

Post-operative and rehabilitation issues following patellar fracture? Hello Doctor, I suffered a comminuted fracture of the patella on May 7th and started rehabilitation last week. While performing quadriceps strengthening exercises, I feel a pulling pain in the patella. I would ...

Dr. Li Yongheng Reply:
Hello, here are the answers to your questions: 1. Patellar fractures typically do not cause pain during rehabilitation and take about six months to heal; X-ray examinations show complete healing in approximately one year. 2. Smoking and alcohol consumption have adverse effects on...

Understanding Ankle Open Fractures in Children After a Car Accident

Open fracture of the ankle due to a car accident? Hello Doctor: At the end of May this year, my 13-year-old child was involved in a car accident, resulting in an open dislocation and fracture of the right ankle joint, as well as fractures of the first and second metatarsals. This...

Dr. Li Yongheng Reply:
Hello, based on what you described: the bones from below the right knee to the ankle are slightly shifted to the right, and the foot is turned inward like a "pigeon toe," which is abnormal. It is advisable for you to return for a follow-up consultation with a surgical s...

Understanding Coccydynia: Recovery Tips After a Tailbone Fracture

Coccygeal fracture Hello, I fell down the stairs yesterday and saw an orthopedic doctor today. The doctor said I have a coccyx fracture and that no special treatment is needed; it should heal on its own in about two months. I would like to know what actions I should avoid during ...

Dr. Li Yongheng Reply:
1. Coccygeal fractures typically heal within 6 to 8 weeks. 2. It is advisable to avoid bending at the waist, squatting, and lifting heavy objects. 3. Currently, there are no specific rehabilitation, exercises, dietary supplements, or medications that can expedite recovery.

Understanding Ankle Sprains: Insights on Ligament Tears and Treatment Options

Ankle sprain - anterior talofibular ligament rupture and tear? Hello, Doctor. I fell down a flight of stairs (about 10 steps) in April 2017, and my right ankle rolled over. It initially rolled inward and then outward. I couldn't get up at first and sat on the ground for over...

Dr. Chen Yongxue Reply:
1. A rehabilitation physician mentioned that my condition may not improve after surgery, so I would like to ask for advice regarding my foot situation. Surgery may not alleviate the issues of pain, numbness, and bruising. Surgical reconstruction of the anterior talofibular ligame...

Could Jaw Impact on Spine Cause Leg Numbness? Expert Advice Needed

Hit on the chin causing spinal impact, resulting in leg numbness? Hello, doctor. I have been hit on the spine several times by my girlfriend's chin (and also pressed on the spine while riding a motorcycle). Last night, after being hit, my left foot was numb the entire night....

Dr. Li Yongheng Reply:
Hello, if your left foot has been numb for an entire night, it may be due to nerve compression. It is advisable to visit an orthopedic or rehabilitation clinic for an evaluation. Thank you.

Understanding Ankle Pain: Causes, Recovery Time, and Rehab Tips

Ankle rotational pain, unable to apply force while stepping? Over a year ago, I sprained my right ankle, and today I am experiencing sensations similar to those after the injury. If I rotate my foot at a slightly larger angle, it causes pain. What could be the issue? How long mig...

Dr. You Dianqi Reply:
Hello: It is possible that the sprain you experienced caused a ligament tear that has not fully healed. Typically, with normal recovery, it takes about one to three months to heal. During this period, it is advisable to avoid running and jumping, and focus on rehabilitation exerc...

Understanding Clavicle Fractures: Recovery, Muscle Tightness, and Rehabilitation

Clavicle fracture Dear Director, I have had a right clavicle fracture for 5 weeks and have been undergoing conservative treatment with a sling without surgery. I take off the sling at night. 1. However, when I remove the sling, I notice that my entire right arm is pressed tigh...

Dr. Li Yongheng Reply:
Hello: 1. It is possible that the weakness in your right hand is due to a period of disuse. 2. This condition may also be caused by prolonged inactivity of the right hand. 3. After starting rehabilitation, the aforementioned symptoms should gradually improve. Wishing you a speedy...

Recovering from Patellar Fracture: Addressing Limited Knee Flexion

Patellar fracture recovery with inability to bend the knee? I would like to ask the doctor: I had a car accident on May 8th and fractured my patella into two pieces. After surgery, I was instructed to wear a knee brace that does not allow bending. The doctor said on June 12th tha...

Dr. Li Yongheng Reply:
1. Currently, there is joint stiffness. 2. Engage in active rehabilitation or consult a surgeon for joint manipulation. 3. You may visit an external rehabilitation clinic. 4. Currently, you may not need to use crutches or a knee brace (please consult your surgeon first). ...

8 Months Post-Patellar Fracture Surgery: Recovery Insights and Concerns

Eight months post patellar fracture surgery? Hello, Doctor. I would like to inquire about my condition regarding a patellar fracture after surgery. It has been about 8 months since my internal fixation surgery. I need to use intramuscular fixation on my knee daily; otherwise, it ...

Dr. Shi Guozheng Reply:
1. If not removed, there may be a foreign body sensation, and touching it could be painful. 2. There is a correlation. 3. Typically, removing the steel pin involves a very small incision, and recovery is usually quick.

Managing Lumbar Spondylolisthesis: When to Consider Surgery?

I would like to inquire about the issue of vertebral arch dissociation combined with lumbar spondylolisthesis? Hello, doctor. Four years ago, I visited a doctor due to lower back pain, and I was told that I had a fracture of the lamina in the fourth and fifth lumbar vertebrae. Re...

Dr. Li Yongheng Reply:
Hello, based on your symptoms, I recommend waiting until the symptoms become more severe before considering spinal fusion surgery. The effectiveness of spinal rehabilitation is limited; it is essential to avoid bending and lifting heavy objects while working. Additionally, contro...

Understanding Ankle Bone Displacement: Symptoms and Insights

Ankle bone displacement? Hello, doctor. Last year, I had an ankle sprain on my left foot, and I have experienced similar sprains one or two times before. After recovering last year, I noticed a clicking sensation when I rotate my ankle, as if a tendon or bone is realigning. This ...

Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have a ligament injury causing instability in your left ankle. It is recommended that you visit an orthopedic or rehabilitation clinic for an examination.

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