Chronic Wrist Pain: Should You Consider Surgery for Relief?
Wrist issues Hello, I injured my wrist in high school. The injury occurred when I was giving a family member a ride and fell, using my right hand to brace myself on the ground. At that time, I only felt a slight pain and didn't pay much attention to it. However, in the past ...
Dr. Chen Yongxue Reply:
Hello, based on your letter, I am unable to determine your diagnosis and cannot provide you with any recommendations. Please visit the clinic for a detailed examination. Thank you.[Read More] Chronic Wrist Pain: Should You Consider Surgery for Relief?
Returning to Work After Patellar Fracture: Is Two Months Enough?
Can I return to work 2 months after a comminuted fracture of the patella? I was in a car accident on December 2nd of last year, resulting in a comminuted fracture of my left patella and a fractured right clavicle. I underwent surgery on December 3rd (the left patella was shattere...
Dr. Chen Yongxue Reply:
Generally, the initial healing of a fracture takes about six weeks to return to normal daily activities, and most individuals can resume exercise after three months. The letter mentions that the patella is fractured into four pieces (which is actually not too severe and not consi...[Read More] Returning to Work After Patellar Fracture: Is Two Months Enough?
Recovering from Patellar Fracture: Tips for Muscle Regeneration and Emotional Well-being
Comminuted fracture of the patella, with remaining iron wire fixation after screw placement? Hello Doctor, I was in a car accident on September 21, 2017, and my left patella was severely shattered. It has been over four months since then, and I have been using crutches to walk wi...
Dr. Chen Yongxue Reply:
Hello, 1. In principle, patellar fractures can bear weight. Initially, you should avoid bending and actively straightening (including straightening while suspended) both movements. 2. This condition often leads to a decline in thigh muscle strength and muscle atrophy, which i...[Read More] Recovering from Patellar Fracture: Tips for Muscle Regeneration and Emotional Well-being
Understanding Radial Bone Fractures and Wrist Rehabilitation After Surgery
Radial bone issues Hello Doctor: I had a motorcycle accident that resulted in a fracture of the radius and a rupture of the wrist ligaments. I have undergone surgery to have a plate inserted and screws fixed in my wrist, and I have also been using a cast for assistance for over a...
Dr. Shi Guozheng Reply:
I'm not sure about your specific condition, so it's best to consult your surgeon for the most accurate information on when you can stop using the cast. The area around the surgical site is a bit red, and you may need to change the dressing to keep the wound clean.[Read More] Understanding Radial Bone Fractures and Wrist Rehabilitation After Surgery
Understanding Synovitis: Knee Issues After Trauma and Treatment Options
Synovitis knee issues? Hello: After being involved in a car accident, I sustained significant injuries to both knees. Once the external wounds healed, I noticed swelling on the outer sides of both knees, but there is no pain or redness, and my mobility remains unaffected. After a...
Dr. Shi Guozheng Reply:
Swelling or pain may take about two to three months to resolve on its own. Applying heat compresses is sufficient, and over time, the swelling will gradually subside.[Read More] Understanding Synovitis: Knee Issues After Trauma and Treatment Options
Post-Lipoma Surgery: Understanding Swelling, Pain, and Recovery Tips
Post-operative care for lipoma surgery? Hello Doctor, 1. I previously had surgery for a lipoma on my left wrist, but it has been almost a month and a half since the surgery, and I am noticing swelling in that area. There is slight tenderness when I press on it. I thought the sw...
Dr. Shi Guozheng Reply:
1. Swelling after surgery can persist for one to two months. Localized heat application can be used, and if inflammation occurs, there may be redness, swelling, heat, and pain. 2. Recovery typically takes about two to three months. 3. Practice wrist and elbow movements, exten...[Read More] Post-Lipoma Surgery: Understanding Swelling, Pain, and Recovery Tips
Understanding Pain Behind the Knee and Groin: Possible Causes and Solutions
Pain in the muscles behind the knee and in the groin area? Hello: After squatting for five minutes and then standing up (to have a bowel movement), I experience soreness in the back of my "right knee" as if there is a tendon that is painful, and at that moment, my knee ...
Dr. Shi Guozheng Reply:
If the muscle tendon feels tight or there is a possibility of inflammation, you can try rehabilitation. If that doesn't help, then consider consulting a physician.[Read More] Understanding Pain Behind the Knee and Groin: Possible Causes and Solutions
Recovery Concerns for Fifth Metatarsal Fracture: A Patient's Journey
Issues Related to Recovery from Fifth Metatarsal Fracture Hello Doctor: On December 23, 2017, I sustained a non-displaced closed fracture of the fifth metatarsal in my left foot due to a misstep. I applied ice for nearly 48 hours and on December 25, I had a fiberglass cast applie...
Dr. Shi Guozheng Reply:
1. Walking with a cast will not cause secondary injury. 2. The fracture will not worsen as long as the cast is not removed too early. 3. Heat therapy can aid in blood circulation. 4. Typically, healing occurs in about six weeks.[Read More] Recovery Concerns for Fifth Metatarsal Fracture: A Patient's Journey
Traditional vs. Endoscopic Surgery for Lumbar Disc Herniation: A Patient's Dilemma
Traditional Surgery for Herniated Discs vs. Endoscopic Surgery for Herniated Discs Hello, doctor. My father is 60 years old and recently had an MRI at the Veterans General Hospital. The doctor indicated that he has a herniated disc at the L4-L5 level, which is compressing a nerve...
Dr. Shi Guozheng Reply:
The choice of surgical method should be based on the physician's recommendation, as the prognosis for traditional surgery and endoscopic surgery in cases of herniated discs is similar, with both allowing for a quick recovery. If the nerve is already compressed, non-surgical ...[Read More] Traditional vs. Endoscopic Surgery for Lumbar Disc Herniation: A Patient's Dilemma
Understanding Post-Operative Recovery for PCL Reconstruction and Meniscus Repair
Postoperative Outcomes and Differences After Anterior Cruciate Ligament Reconstruction Hello, doctor. I was in a car accident six months ago, and it was only recently discovered through examinations that I have a complete tear of the posterior cruciate ligament (PCL), a partial t...
Dr. Shi Guozheng Reply:
1. The limitation of knee joint flexion may take a bit longer. 2. The duration for wearing a brace should be discussed with the surgeon to understand the specifics of the procedure; it is typically three to six months. 3. Meniscus repair generally requires about six weeks of ...[Read More] Understanding Post-Operative Recovery for PCL Reconstruction and Meniscus Repair
Understanding Lateral Leaning of the Lower Back While Standing
When standing, there is an issue with lateral leaning of the lower back? In the past, I remember my waist being symmetrical when standing, but now it tends to tilt to one side. However, when I sit, the degree of tilt decreases, and when I lie down, my body appears normal. Previou...
Dr. Shi Guozheng Reply:
If a patient has a herniated lumbar disc, undergoing rehabilitation and medication treatment for a period of time may lead to improvement. If there is no improvement, surgical intervention should be considered, and the patient should consult a physician for further management opt...[Read More] Understanding Lateral Leaning of the Lower Back While Standing
Understanding Elbow Injuries: Symptoms, Recovery, and Rehabilitation Tips
Elbow issues Hello, doctor. I fell while riding my bicycle and used my left hand to brace myself against the ground. After that, I started experiencing pain, and now I can't fully extend or bend my arm. If I try to apply some force to bend or extend it completely, I feel a s...
Dr. Li Yongheng Reply:
Hello: Based on your symptoms, there is a high possibility of a ligament injury. It is recommended that you visit an orthopedic clinic for an examination. Generally, ligament injuries take about 4-6 weeks to heal. Wishing you a speedy recovery.[Read More] Understanding Elbow Injuries: Symptoms, Recovery, and Rehabilitation Tips
Understanding Femoral Neck Fractures: Risks and Recovery at 70
Left femoral neck fracture with displacement? Hello Doctor, I originally collapsed and fell due to sudden fever while undergoing rehabilitation at the hospital. I was diagnosed with a urinary tract infection and was admitted. Initially, I thought the fever caused weakness in my l...
Dr. Hong Ximing Reply:
Femoral neck fractures require surgical treatment, and if there are other bodily infections, it may increase the surgical risks. Surgery should only be performed when the patient's condition allows, to avoid impacting the healing and recovery process.[Read More] Understanding Femoral Neck Fractures: Risks and Recovery at 70
Understanding Rehabilitation After Ankle Fracture: Key Questions Answered
Fracture rehabilitation issues? Hello Dr. Hong, three months ago I fractured my right ankle. I have undergone internal fixation surgery and had my cast removed for a month now, but I find it difficult to go down stairs and squat. I would like to ask: 1. Is there a time limit for ...
Dr. Hong Ximing Reply:
Three months after an ankle fracture surgery, the fracture should be healed. It is recommended to strengthen the rehabilitation process as much as possible to restore joint and ligament function quickly, in order to prevent irreversible limitations in mobility.[Read More] Understanding Rehabilitation After Ankle Fracture: Key Questions Answered
Effective Rehabilitation Exercises for Post-Shoulder Surgery Recovery
Shoulder surgery issues? Hello Doctor, I would like to ask, I had arthroscopic surgery for shoulder ligament laxity and it has been 5 months since the surgery. I have been doing rehabilitation for 1-3 hours every day for the past 5 months, but I still have difficulty reaching beh...
Dr. Li Yongheng Reply:
Hello, you underwent arthroscopic surgery for shoulder ligament laxity five months ago, but you still have difficulty reaching behind your upper back. It is recommended that you continue with rehabilitation and discuss with your physical therapist about increasing the intensity o...[Read More] Effective Rehabilitation Exercises for Post-Shoulder Surgery Recovery
Challenges in Healing: Right Ulnar Fracture and Radial Head Dislocation
Right ulnar fracture with radial head dislocation, postoperative nonunion? Dear Dr. Chen, I sustained an injury while attending a meeting on February 10 of this year, resulting in an open fracture: a fracture of the right ulnar bone accompanied by a dislocation of the radial hea...
Dr. Chen Yongxue Reply:
1. The described unusual sensation is likely primarily related to a bone issue. 2. To promote bone development and healing, immobilization is essential in the initial phase, and calcium supplementation is also very important. Additionally, there are reports that ultrasound may ...[Read More] Challenges in Healing: Right Ulnar Fracture and Radial Head Dislocation
Initial Care for a Fractured Fifth Metacarpal: Pins or Cast?
The hand was fractured due to being struck by someone? Doctor, I have a displaced closed fracture at the base of my fifth metacarpal. For initial care, should I get a pin or a cast for recovery? The doctor advised me to seek more opinions. I have an X-ray, but I can't post i...
Dr. Li Yongheng Reply:
A displaced closed fracture of the base of the fifth metacarpal typically requires surgical intervention with the insertion of a pin, followed by immobilization with a splint for four weeks. After four weeks, the pin is removed, and finger rehabilitation begins. Wishing you a spe...[Read More] Initial Care for a Fractured Fifth Metacarpal: Pins or Cast?
Managing Pain from Herniated Discs and Ankylosing Spondylitis: Tips and Solutions
Herniated disc ankylosing spondylitis I would like to ask about my condition. During play, I fell from the bed to the floor and injured my buttocks, which caused pain. The doctor said I have a herniated lumbar disc. Initially, I experienced numbness in my legs, but now it has imp...
Dr. Wang Shouji Reply:
It is recommended to consult a neurosurgeon.[Read More] Managing Pain from Herniated Discs and Ankylosing Spondylitis: Tips and Solutions
Improving Shoulder Strength After Clavicle Fracture Surgery: A 3-Month Guide
How to improve muscle endurance (shoulder weakness) three months after a clavicle fracture surgery? I underwent surgery for a right clavicle fracture on September 21 of this year, during which a titanium alloy plate was inserted. It has now been three months, and the fracture sit...
Dr. Shi Guozheng Reply:
The weight of a water bottle is approximately 600-700 grams. You can start by lifting one to two kilograms and gradually increase the weight. After the fracture heals, you should be able to exert force as you normally would.[Read More] Improving Shoulder Strength After Clavicle Fracture Surgery: A 3-Month Guide
Post-ACL Reconstruction: Safe Weight Training and Exercise Intensity
Post-recovery exercise intensity after anterior cruciate ligament (ACL) tear? Hello, doctor. About three years ago, I suffered a rupture of my right posterior cruciate ligament and underwent arthroscopic ligament reconstruction and rehabilitation. Recently, during a military phys...
Dr. Hong Ximing Reply:
After a successful reconstruction surgery for a torn cruciate ligament, recovery is generally good, and it should be possible to engage in weight training to strengthen muscles, which can further enhance joint stability. However, it is important to proceed with caution and be min...[Read More] Post-ACL Reconstruction: Safe Weight Training and Exercise Intensity