Rehabilitation, Orthopedics FAQ - Page 45

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Rib Injury from Electric Door: When to Seek Medical Attention?

Rib injury caused by being caught in an automatic door? I recently had my rib caught in a door, and at the time, I felt some pain in my right anterior rib, but I had no issues with breathing and no visible injuries. The next day, I noticed some discomfort where my clothing presse...


Dr. Li Yongheng Reply:
Hello, based on your symptoms, I recommend that you visit an orthopedic outpatient clinic for an examination. In addition to a frontal chest X-ray, you should also have an oblique X-ray of the right ribs. Generally, it takes about three weeks for the pain to heal. Wishing you a s...

[Read More] Rib Injury from Electric Door: When to Seek Medical Attention?


Managing Post-Surgery Knee Pain: Seeking Solutions for Recovery

It has been over a year since the arthroscopic partial meniscectomy of the posterior horn of the medial meniscus? In Germany, a few months after surgery, it was still considered normal to walk and ride a bike, but my condition has been deteriorating. The time I can walk each day ...


Dr. Shi Guozheng Reply:
Strength training can also be performed while sitting in a chair by allowing the legs to hang down and repeatedly bending and straightening the knee joints. This can help maintain muscle strength. Additionally, lying down and raising the thighs straight up is another effective ex...

[Read More] Managing Post-Surgery Knee Pain: Seeking Solutions for Recovery


Understanding Thigh Fractures: Is Pain Normal After Intramedullary Nailing?

Femoral fracture Experiencing occasional sharp pain in the intramedullary nail is not uncommon. However, the duration for the screws to heal can vary depending on individual factors such as the type of fracture, the patient's overall health, and adherence to rehabilitation p...


Dr. Shi Guozheng Reply:
After surgery to fix a femoral fracture with intramedullary nailing, the recovery period typically lasts from three to six months. During this time, experiencing occasional pain is considered normal. As for your second question regarding how long it takes before the intramedullar...

[Read More] Understanding Thigh Fractures: Is Pain Normal After Intramedullary Nailing?


Understanding Shoulder Labrum Repair: Concerns About Titanium Screws

Inquiry about the glenoid labrum and the use of screws? Hello, Doctor. I have been diagnosed with a tear in the supraspinatus muscle and a labral tear. I have been experiencing pain for a long time, and after more than a year of ineffective rehabilitation, my doctor has recommend...


Dr. Shi Guozheng Reply:
1. Usually, the screws used to fix ligaments do not need to be removed, and if removal is necessary, it can be quite difficult. You can still engage in physical activity later, and the chance of loosening is minimal. You may want to consult your attending physician about this. ...

[Read More] Understanding Shoulder Labrum Repair: Concerns About Titanium Screws


Persistent Tendonitis: When to Seek Further Medical Advice?

Tendinitis not healed? I previously sprained my ankle, which led to tendonitis, and it has been seven weeks since then. Sometimes I still feel soreness in my ankle, and there is occasional pain when I press on it. However, it seems like one of the bones is particularly prominent....


Dr. Shi Guozheng Reply:
If the ankle sprain has been present for seven weeks and there is still pain, it is necessary to rest further. Typically, full recovery can take up to twelve weeks. Currently, it is important to wear an ankle brace for walking, but intense physical activities should be avoided. R...

[Read More] Persistent Tendonitis: When to Seek Further Medical Advice?


Should You Opt for Surgery for a Fifth Metatarsal Fracture?

Fifth metatarsal fracture: to operate or not to operate? Hello Dr. Li, I had an accident on March 3rd that resulted in a fracture of the fifth metatarsal. Since I am working in Japan and cannot return to Taiwan for an extended period, I sought treatment at a nearby hospital in Ja...


Dr. Li Yongheng Reply:
Hello, based on your symptoms and the X-ray results, the outcomes of having surgery versus not having surgery are indeed quite similar. Since the fracture has been present for two weeks and the follow-up X-ray on March 14 showed no displacement, I recommend that you do not need s...

[Read More] Should You Opt for Surgery for a Fifth Metatarsal Fracture?


Post-Exercise Wrist Pain: When to See an Orthopedic Specialist?

Wrist issues after exercise? Hello, doctor! The day before yesterday, while playing volleyball, I hit the ball with my right wrist (where my fingers make a fist) due to poor control of my serve. As a result of the force used during the hit, my wrist was suddenly pushed outward. I...


Dr. Shi Guozheng Reply:
It may be necessary to consult an orthopedic physician and undergo X-ray examinations when needed.

[Read More] Post-Exercise Wrist Pain: When to See an Orthopedic Specialist?


Understanding Fifth Metatarsal Fractures: Recovery and Rehabilitation Insights

Fifth metatarsal fracture Hello, Vice Dean Li: Last Friday, March 9th, I accidentally missed a step while going down the stairs, resulting in a fracture of the fifth metatarsal in my right foot. The doctor said that surgery is not necessary and has applied a splint for stabilizat...


Dr. Li Yongheng Reply:
Hello, if there is an X-ray reference, I could provide a more accurate response, but it's okay if there isn't one; I will reply based on the majority of patient conditions. 1. Normal walking for work will require at least about one month. 2. After six weeks, you should ...

[Read More] Understanding Fifth Metatarsal Fractures: Recovery and Rehabilitation Insights


Managing Post-Fracture Care in Elderly Patients with Polio and Diabetes

The patient has sustained a fracture due to a fall and also has a history of poliomyelitis and diabetes mellitus? Hello, Doctor: The patient is 65 years old and suffered a right tibial fracture from a fall in mid-January, requiring surgery and hospitalization. During the process,...


Dr. Ye Qingnian Reply:
The fixed metal plate will not damage the nerves or muscles. The timing for rehabilitation depends on the severity of the fracture and the stability of the plate fixation after surgery. Therefore, the most appropriate time for rehabilitation should be determined by the attending ...

[Read More] Managing Post-Fracture Care in Elderly Patients with Polio and Diabetes


Accident-Related Shoulder Ligament Injury After Fracture Surgery: What to Know

A car accident resulted in a fracture surgery that caused an accidental rupture of the shoulder ligaments? Hello Doctor, I would like to ask you the following questions: 1. I suffered a car accident on a mountain road, resulting in a fracture of the right humerus and an intra-a...


Dr. Li Yongheng Reply:
Hello, in response to your earlier questions, here are the answers: 1. There is no absolute relationship between the two; the likelihood of cutting the shoulder ligaments is low. 2. Shockwave therapy and glucose injection treatments are beneficial for soft tissue repair, but they...

[Read More] Accident-Related Shoulder Ligament Injury After Fracture Surgery: What to Know


When Can I Start Rehabilitation After Elbow Surgery?

When can rehabilitation begin? Due to a motorcycle accident, I suffered a fracture of the coronoid process. I underwent surgery on February 21 for internal fixation with a titanium alloy plate. Yesterday, on March 2, the stitches were removed and the cast was taken off. Can I sta...


Dr. Shi Guozheng Reply:
You can currently start performing straightening and bending movements, but it is not advisable to lift heavy objects yet. It will take about six weeks to heal, after which you can engage in more vigorous activities.

[Read More] When Can I Start Rehabilitation After Elbow Surgery?


Understanding Periosteal Hyperplasia: Is Military Service Possible?

Periosteal proliferation Hello, doctor. A year ago, I had a motorcycle accident that caused inflammation in my knee. I didn't rest properly, which led to chronic inflammation and significant pain. Eventually, I stopped working to rest and undergo rehabilitation. After some t...


Dr. Hong Ximing Reply:
Hello: There is a bony prominence due to periosteal proliferation on the knee. You can visit the orthopedic outpatient clinic for a diagnosis before enlistment, or have it re-evaluated by a military physician after enlistment. Wishing you a speedy recovery. Hong Hsi-Ming

[Read More] Understanding Periosteal Hyperplasia: Is Military Service Possible?


Recovery from a Torn Ligament in the Big Toe: What to Expect and How to Rehab

Tear of the plantar fascia of the big toe? Hello, two weeks ago I was in a car accident where my foot was run over by a large truck. There are no fractures, but I have a ruptured ligament and lacerations on my right big toe. I have had the stitches removed and am currently restin...


Dr. Chen Yongxue Reply:
Hello, the movement of the toes upward or downward relies on the integrity of the tendons. Therefore, the extent to which they can recover may be better assessed by your attending physician. Thank you.

[Read More] Recovery from a Torn Ligament in the Big Toe: What to Expect and How to Rehab


Minimally Invasive Surgery Options for Finger Joint Fractures

Interphalangeal joint Hello Doctor: I sustained an injury while playing basketball, resulting in a fracture of the fourth finger's metacarpophalangeal joint with downward displacement. However, some bone fragments remain in the original joint position, causing a protrusion o...


Dr. Li Yongheng Reply:
Hello, there is a fracture of the fourth finger's metacarpophalangeal joint surface, causing a protrusion of 0.2-0.3 mm at the joint surface. When trying to straighten the ring finger, it gets stuck and cannot pass through. It is possible that the fracture is causing the blo...

[Read More] Minimally Invasive Surgery Options for Finger Joint Fractures


Post-Fracture Recovery: Key Questions After Wrist Surgery

Post-fracture surgery Hello, doctor. I had a car accident on February 7th and sustained a fracture of the radius near the wrist. The following day, on February 8th, I underwent surgery to implant a steel pin. My attending physician reviewed the X-rays and said the surgery was ver...


Dr. Shi Guozheng Reply:
1. If the implanted steel pins are well-fixed, rehabilitation can begin the day after surgery. 2. If the fracture surgery is well-aligned, the likelihood of developing post-traumatic arthritis will be lower, and there will be less pain in the future. 3. There is no need to us...

[Read More] Post-Fracture Recovery: Key Questions After Wrist Surgery


Understanding Chronic Shoulder and Neck Pain: Causes and Treatment Options

Shoulder and neck pain? Hello doctor, I have been experiencing shoulder and neck pain for almost a year now. Four months ago, it became particularly uncomfortable, and it still feels very sore. Sometimes the pain is constant, and occasionally it feels a bit better, but most of th...


Dr. Li Yongheng Reply:
Hello, based on your symptoms and the normal results from your cervical MRI and X-rays, the most likely diagnosis is myofascial pain syndrome. This condition is related to poor posture, excessive repetitive movements, high levels of stress, and insufficient flexibility exercises....

[Read More] Understanding Chronic Shoulder and Neck Pain: Causes and Treatment Options


Surgical Options for Correcting Prominent Left Rib Edge: What You Need to Know

Is there an active surgical correction method for protrusion under the left rib margin? I have noticed a very prominent protrusion under my left rib cage for the past two years. I have consulted several doctors who suggested that it might be a complication caused by pectus excava...


Dr. Shi Guozheng Reply:
If there is only discomfort without pain, surgery is not recommended, as it may not achieve your expected results. Additionally, the protrusion of the rib may be related to scoliosis, so it would be advisable to get an X-ray of the thoracic spine to check for any issues.

[Read More] Surgical Options for Correcting Prominent Left Rib Edge: What You Need to Know


Post-Cast Care: Managing Elbow Pain After Wrist Surgery

After plaster immobilization Hello, doctor! After my wrist surgery last month, I had a long arm cast for stabilization. It's been a month, and the cast has now been changed to a short arm cast. My next follow-up appointment is in a month, after which the surgical screws will...


Dr. Li Yongheng Reply:
Hello, it is normal to experience elbow pain and limited range of motion four weeks after being in a long arm cast. It is recommended that you undergo rehabilitation therapy at a nearby physical therapy clinic. Wishing you a Happy New Year and a speedy recovery.

[Read More] Post-Cast Care: Managing Elbow Pain After Wrist Surgery


Understanding Wrist Pain: When to See a Specialist in Orthopedics or Pain Management

Inquiry about wrist pain symptoms? I work as a construction worker, and sometimes I experience wrist pain and weakness. What could be the issue? Should I see a pain specialist, an orthopedic doctor, or someone else?


Dr. Shen Boquan Reply:
Hello, excessive force or repetitive motions can often lead to inflammation and discomfort in tendons or muscles, typically manifested as pain and weakness. For specific issues related to tendons or ligaments, it is advisable to consult an orthopedic or rehabilitation physician. ...

[Read More] Understanding Wrist Pain: When to See a Specialist in Orthopedics or Pain Management


Recovery Timeline and Considerations for Patellar Fractures

Patellar comminuted fracture I have a large open wound on my knee due to a car accident, and I have a comminuted fracture of the patella with one-third removed and two-thirds preserved without the use of steel pins. How long will it take for the bone to heal? How long will rehabi...


Dr. Shi Guozheng Reply:
The approximate healing time is three months, with rehabilitation lasting three to six months. There is a possibility of degenerative joint changes between the patella and femur in the future. Before complete healing, the knee joint should not be flexed excessively.

[Read More] Recovery Timeline and Considerations for Patellar Fractures


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