Rehabilitation, Orthopedics FAQ

Post-Operative Care for Femoral Head Osteonecrosis: Can I Move My Knee?

Continuation #139582: Decompression Surgery for Avascular Necrosis of the Femoral Head Hello Dr. Shi: Thank you for your response. I would like to ask if, after undergoing femoral decompression surgery, in addition to using crutches to avoid fractures, is it permissible to move a...

Dr. Shi Guozheng Reply:
You can move, but you cannot put weight on it for the time being and must use a cane for assistance.

Is Surgery Necessary for Femoral Necrosis? Understanding Your Options

Is surgery always necessary for femoral head necrosis? Hello, Doctor Shi: About 12 years ago, I suffered a femoral fracture due to a car accident. The injury was located near the knee. I underwent surgery for fracture fixation at that time, and the bone screws were removed six mo...

Dr. Shi Guozheng Reply:
The treatment methods for osteonecrosis of the femoral condyle in the knee joint include decompression and bone grafting. In severe cases, total knee arthroplasty may be necessary, as non-surgical options may not lead to improvement.

Post-Operative Concerns After Clavicle Fracture Surgery: What to Expect

Postoperative Issues Following Comminuted Clavicle Fracture Surgery Hello Doctor: I just had surgery last week to fix my clavicle and scapula fractures with bone screws and a titanium alloy plate. It has been a week now, and I can only raise my left arm to an angle of 70 degrees....

Dr. Li Yongheng Reply:
Hello, generally speaking, after a comminuted clavicle fracture surgery, patients are advised to continue using a sling for 4 weeks. Since the degree of fracture comminution and the stability of the plate fixation can vary, the extent of postoperative rehabilitation should be dis...

Delayed Healing of Femoral Fracture: When Can I Consider Bone Grafting?

Comminuted displaced femoral fracture, non-union for nearly 6 months? Hello Doctor, I would like to ask about my situation. I was in a car accident on March 10 of this year and underwent internal fixation surgery on March 12. I sustained fractures to my tibia and tibial plateau (...

Dr. Shi Guozheng Reply:
Femoral fractures typically heal within six to twelve months. If healing has not occurred after one year, then bone grafting may be necessary. Your attending physician's advice is correct; it is prudent to wait at least nine months before making a decision. Achieving a flexi...

Complex Orthopedic Symptoms: Seeking Expert Advice for Relief

Complex symptoms, could you please take the time to respond, doctor? Thank you? Hello Doctor, I have been troubled by many issues for a long time, and I appreciate your taking the time to respond. Thank you. 1. I previously had an X-ray that indicated a bone spur at the C5 verte...

Dr. Wang Shouji Reply:
Hello: 1. Local bone spurs in the spine do not necessarily cause pain in that area. Surgery should only be considered if there is nerve compression and symptoms cannot be alleviated by medication or rehabilitation. Nerve compression often leads to issues such as limb numbness and...

Understanding Distal Radius Fractures: Surgery, Recovery, and Concerns

Distal radius fracture Hello, doctor. I am the patient who inquired a few days ago. Yesterday, I visited another physician, and after an X-ray, he informed me that my fracture has shifted approximately 1mm towards the palm side. He also noted that my radius is almost at the same ...

Dr. Li Yongheng Reply:
Hello: 1. The recommendation to avoid surgery is reasonable. 2. I cannot specify how much functional loss will occur without surgery, as it depends on the subsequent rehabilitation process. 3. Will there be side effects on the wrist? If there are, they should not be severe. 4. Wi...

Recovering from Severe Leg Fractures: Improving Knee Flexibility After Surgery

Severe foot fracture, with the knee able to bend only 90 degrees? Hello Doctor: I sustained a left leg fracture due to a car accident as follows: On February 27, 2018, I underwent surgery for the application of an external fixator on the left tibia and closed reduction with inter...

Dr. Cai Shanglin Reply:
It is recommended to have the original surgeon follow up with an X-ray to confirm that rehabilitation can begin, as the bone needs to be stable before starting rehabilitation.

Understanding Wrist Fractures: Recovery, Movement, and Rehabilitation Tips

Wrist joint fracture Hello, doctor. I am the person who previously inquired about issue 138740. First of all, thank you for your response, which has put my mind at ease. I would like to ask, since my cast is fixed above the elbow joint, the doctor did not instruct me to use a sli...

Dr. Li Yongheng Reply:
Hello, excessive movement of the elbow joint immediately after a fracture can potentially cause displacement of the fracture. However, since the fracture has been present for four weeks, moving the elbow joint and fingers should not worsen the displacement or affect the healing o...

Post-Surgery Arm Rotation Issues After Distal Ulnar Fracture Repair

Inability to perform arm rotation after distal ulnar fracture surgery? Hello, Doctor: I had a car accident on July 28, resulting in a comminuted fracture of the distal ulna in my right arm. I underwent surgery the following day, July 29, where a steel plate was implanted for inte...

Dr. Shi Guozheng Reply:
It is normal to experience limited joint mobility less than a month after a fracture surgery, and rehabilitation is necessary for gradual recovery.

Rehabilitation After ACL Reconstruction: Addressing Knee Flexibility Issues

Rehabilitation after Posterior Cruciate Ligament Reconstruction Hello Doctor, it has been nearly six months since my surgery, but I still cannot bend my knee to the extent of bringing my thigh to my calf (approximately 170 degrees). Could there be any issues with this? Is it dang...

Dr. Chen Yongxue Reply:
Hello, 1. After anterior cruciate ligament (ACL) reconstruction, general usage is usually fine; however, there may be limitations when bending to extreme angles. It is advisable to discuss this with your attending physician. 2. The strength needed for climbing stairs can be ac...

Understanding Elbow Fractures: Recovery, Nerve Issues, and Surgical Decisions

Radial, ulnar, and olecranon fractures? Hello Doctor: In March of this year, I was involved in a car accident that resulted in a closed, comminuted fracture of the right elbow, ulna, and radius. Both the ulna and radius were completely broken into several pieces. I have surgical ...

Dr. Shi Guozheng Reply:
It is better to remove the bone screws one year after surgery, and finding another physician can also facilitate recovery in approximately 6 to 12 months.

Understanding Right Upper Back Pain: Causes, Symptoms, and Solutions

Right upper back pain, spinal pain, most severe in the morning, better or absent in the evening? Hello Doctor: A few months ago, I experienced pain in my right shoulder and the area behind it. I thought it was a strain from doing housework (as a single parent), and it improved wh...

Dr. Shi Guozheng Reply:
It could be myofascial pain syndrome, and you can consult either an orthopedic specialist or a rehabilitation physician.

Understanding Tibial Plateau Fractures: Recovery, Hardware Removal, and Rehabilitation

Tibial fracture Hello, I have a comminuted and displaced fracture of the tibial plateau due to a car accident. I underwent surgery with the placement of 7 screws and 1 plate, and it took nearly 8 months to recover. I have the following questions: (1) I am a 50-year-old male with ...

Dr. Wang Jiacheng Reply:
In the case of a normally healed fracture, the removal of internal fixation hardware does not affect the original function, and there is no need to fill the screw holes with bone graft.

Managing Neck and Shoulder Pain: Tips for Recovery and Prevention

Shoulder and neck issues? Hello, I have a persistent soreness in a specific area below my right shoulder, and occasionally I experience numbness in my hand. After an X-ray, the doctor mentioned that my cervical vertebrae C3 and C4 are compressing the nerves and there is some calc...

Dr. Li Yongheng Reply:
Hello, based on your symptoms, if the third and fourth cervical vertebrae are compressing the nerves, you should avoid holding your head in an extended or flexed position for prolonged periods and pay attention to your sitting and lying posture. Regularly performing gentle joint ...

Comprehensive Recovery Strategies for Severe Lower Limb Fractures

Open fracture of the tibia, fibula, and closed fractures of the left femoral neck, femoral shaft, and supracondylar region of the left femur. Closed fracture of the left patella? On February 27, 2018, a car accident resulted in: 1. Open fracture of the left tibia and fibula; 2. C...

Dr. Chen Yongxue Reply:
Hello, given the severity of the injury, a full recovery may be challenging. Active rehabilitation therapy should ideally wait until the bones have healed for safety; otherwise, there is a risk of re-fracture. Thank you.

Recovering from Ankle Ligament Tear: Tips for a Smooth Healing Process

Ankle ligament tear? Hello Doctor, I apologize for the interruption. I would like to ask you a few questions regarding my recent ankle injury. On the afternoon of July 13, while playing basketball, I rolled my ankle and it was subsequently compressed. It swelled immediately, and ...

Dr. Zhan Xian Reply:
The timeline for returning to normal walking and resuming sports activities depends on the severity of the injury and the intensity of the sport. According to the statement: if there is no fracture in the bone and the lateral ligament is 70-80% torn, crutches should be used for p...

Understanding Plantar Fasciitis and Bone Spurs: Causes and Treatments

Plantar fasciitis Recently, I've been experiencing pain in the soles of my feet, and it becomes even more painful after just a few hours at my workstation. After a hospital examination, I was diagnosed with plantar fasciitis and bone spurs. The treatment for the bone spurs h...

Dr. Li Yongheng Reply:
Hello, indeed there is no absolute relationship between plantar bone spurs and plantar fasciitis. This means that having a plantar bone spur does not necessarily lead to plantar fasciitis, and having plantar fasciitis does not necessarily mean one has a plantar bone spur. The mos...

Understanding Plantar Fasciitis and Bone Spurs: Causes and Treatments

Effective Treatment Options for Cervical Disc Herniation and Arthritis

Cervical disc herniation and degenerative arthritis? Hello, doctor. I have been receiving treatment at the clinic for three months, which includes electrotherapy, paraffin hand baths, ultraviolet therapy, and cervical traction. However, I am still experiencing headaches, pain and...

Dr. You Dianqi Reply:
Hello: If the initial assessment indicates a cervical spine lesion, but rehabilitation has not shown any improvement, and there are symptoms such as chest tightness that are less commonly seen in cervical spine patients, I would still recommend returning for a thorough examinatio...

Understanding Lateral Meniscus Tears and Patellar Chondromalacia: A Patient's Guide

Lateral meniscus tear & patellar chondromalacia Hello Doctor, Background: About 2 to 3 years ago, I first tried rollerblading, and I may have had improper posture (I did not fall). Since then, I have experienced intermittent pain that persists to this day. Recently, the pai...

Dr. Li Yongheng Reply:
Hello, based on your symptoms and statements, if the MRI was conducted in 2016, I recommend that you undergo a new MRI. A lateral meniscus tear and patellar chondromalacia are completely different conditions, and their treatment methods also differ. I suggest you schedule an appo...

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