Knee Issues After Car Accident: Understanding Pain and Recovery
Knee issues after a car accident? Hello, Doctor. Five months ago, I suffered a left femoral fracture due to a car accident. I have been undergoing physical therapy for two months, primarily focusing on knee flexion rehabilitation. The angle has improved to nearly match my healthy...
Dr. Li Yongheng Reply:
Hello: 1. Femoral fractures are often associated with injuries to the knee's cruciate ligaments, with clinical manifestations primarily including weakness and instability in the affected limb. It is recommended to perform magnetic resonance imaging (MRI) for evaluation. 2. A...[Read More] Knee Issues After Car Accident: Understanding Pain and Recovery
Understanding ACL Tears and Meniscus Damage: Treatment Options Explained
Artificial ligament rupture/meniscus tear Hello, Doctor. I was injured in a car accident in 1991, resulting in the replacement of the anterior cruciate ligament (ACL) and lateral ligaments in my left knee with artificial ligaments. An MRI in April 2017 revealed that the ACL in my...
Dr. Shi Guozheng Reply:
Not removing the ligament will not affect the wear of the cartilage. Depending on your age, if you are not engaging in vigorous activities, surgery may not be necessary. Rehabilitation to strengthen the muscles can help reduce knee joint instability.[Read More] Understanding ACL Tears and Meniscus Damage: Treatment Options Explained
Persistent Swelling After Foot Injury: Causes and Next Steps
Swelling in the feet that does not subside? Work-related injury resulted in a fracture of the foot bones, with a brace applied. After six months of rehabilitation, the doctor said I could return to work. After three days of work, swelling occurred, and upon follow-up, the doctor ...
Dr. Hong Ximing Reply:
Hello: You have a foot bone fracture that has been present for six months. The fracture should have healed by now, but there is poor blood circulation. It is recommended to continue with warm compress treatments and to engage in normal activities, which will lead to improvement. ...[Read More] Persistent Swelling After Foot Injury: Causes and Next Steps
Post-Accident Fracture Care: How to Remove Cast at a New Clinic
Fracture from a car accident, self-transferred to another hospital for cast removal? Hello Doctor, at the end of November, I had a bike accident and was taken to Changhua Christian Hospital. The doctor there said I had a fracture in my second toe, but I didn't need any pins....
Dr. Li Yongheng Reply:
Hello, you can bring the X-ray films and the diagnosis certificate from Chang Gung Memorial Hospital to China Medical University Hospital for your consultation. Generally, a cast and splint fixation for four weeks should be sufficient. Wishing you a speedy recovery.[Read More] Post-Accident Fracture Care: How to Remove Cast at a New Clinic
Understanding Scoliosis: When to Seek Help and Treatment Options
Scoliosis Hello, Doctor. I would like to ask which specialty I should see if I suspect I have severe scoliosis? If it is indeed very severe, is surgery the only treatment option? Is rehabilitation effective? I have noticed a significant difference in the height of my shoulders. A...
Dr. Li Yongheng Reply:
Hello: Scoliosis should be evaluated by an orthopedic specialist, who will perform X-rays to measure the curvature angle. If there is a cracking sound when turning the neck, it is usually harmless, but it can also be assessed by an orthopedic doctor and confirmed with X-rays. If ...[Read More] Understanding Scoliosis: When to Seek Help and Treatment Options
Challenging Recovery from Distal Tibia-Fibula Fracture: Healing Strategies
Distal tibiofibular comminuted fracture with poor healing? On July 20, 2016, I was involved in a car accident that resulted in a comminuted fracture of the distal tibia and fibula. Traction was performed on the same day, and on July 29, I underwent external fixation surgery (due ...
Dr. Li Yongheng Reply:
Hello, you have sustained a distal tibiofibular comminuted fracture with poor healing, and you have undergone an autologous bone grafting procedure. If the fracture continues to heal poorly, you may require another autologous bone grafting surgery in the future. In addition to au...[Read More] Challenging Recovery from Distal Tibia-Fibula Fracture: Healing Strategies
Rehabilitation Tips for Clavicle Fracture Recovery After Non-Surgical Treatment
Rehabilitation for Clavicle Fracture Hello, doctor. I would like to ask about my right clavicle fracture. I have not undergone surgery and have been using a figure-eight shoulder strap and a triangular bandage for fixation. It has now been 2 months and 8 days. I had a follow-up a...
Dr. Li Yongheng Reply:
Hello, it has been over two months since your fracture, and the doctor has said that the bone is healing well. You should promptly visit a rehabilitation clinic for physical therapy to prevent adhesive capsulitis of the right shoulder, which could affect the range of motion in th...[Read More] Rehabilitation Tips for Clavicle Fracture Recovery After Non-Surgical Treatment
Sudden Knee Pain After Sprinting: Causes and Solutions
Sudden running can lead to knee pain? Hello doctor, today after class I had to rush to catch a bus, so I ran for about a minute. When I got home and went up the stairs, I didn't feel anything unusual. However, when I went downstairs to take out the trash, my left knee sudden...
Dr. Shen Boquan Reply:
If there is no significant impact or trauma, it is unlikely that the bones are injured. However, you may experience pain, which could indicate injury or inflammation of the tendons, ligaments, or even cartilage. If the pain persists after a few days or if it severely interferes w...[Read More] Sudden Knee Pain After Sprinting: Causes and Solutions
Understanding Shoulder Pain: When to See an Orthopedic Specialist
The left arm cannot be raised straight up? Hello, Dr. Shen. About six months ago, I suddenly noticed that I couldn't raise my left arm to my ear, couldn't fasten my bra behind my back, and felt significantly weaker when holding my children. These movements cause pain......
Dr. Shen Boquan Reply:
It appears to be inflammation of the rotator cuff, also known as impingement syndrome. The cause is unclear for about half of the individuals affected. Symptoms may be less painful during daytime activities but can worsen at night. If the pain is bothersome, you should consider m...[Read More] Understanding Shoulder Pain: When to See an Orthopedic Specialist
Do I Need to Serve in the Military After a Leg Injury?
Military service medical examination question - If I have previously fractured my femur, do I still need to serve in the military? I had a car accident around the end of June last year, which resulted in the insertion of an intramedullary nail and rehabilitation. However, the int...
Dr. Ye Qingnian Reply:
It should be evaluated by specialized personnel and physicians.[Read More] Do I Need to Serve in the Military After a Leg Injury?
Can Patellar Malalignment Cause Chondromalacia Without External Displacement?
Patellar malalignment is not a prerequisite for developing patellar chondromalacia? Hello doctor, I experienced sudden pain above my right patella at the beginning of November. Initially, I thought it was tendonitis, but after a long time, there hasn't been significant impro...
Dr. Shi Guozheng Reply:
Patellar malalignment may occur without external rotation, and chondromalacia can still be present. If there is external rotation, it can increase the pressure on the patella, leading to more pain or discomfort. Maintaining proper sitting posture can help prevent bone and joint i...[Read More] Can Patellar Malalignment Cause Chondromalacia Without External Displacement?
Understanding Weight Bearing After Femur Fracture Surgery: A Guide
Bilateral crutch ambulation for femoral fracture? Hello, I had a car accident on October 24th, resulting in a comminuted fracture of the right femur. I underwent surgery on October 25th, where a titanium intramedullary nail was inserted. At my follow-up appointment at the end of ...
Dr. Shi Guozheng Reply:
It is advisable to follow the surgeon's recommendations, as your femur is fractured into several pieces. Although the alignment and fixation are good, the bone has not yet healed completely. Putting weight on it before healing could potentially cause displacement at the frac...[Read More] Understanding Weight Bearing After Femur Fracture Surgery: A Guide
Understanding Recovery from Comminuted and Open Fractures: What to Expect
Comminuted fractures of the thigh and knee with open fractures? I apologize, but I have suffered a comminuted and open fracture in my thigh and knee, and it has been exactly two months. The doctor said that I can start rehabilitation in another month. My parents are saying that I...
Dr. Wang Shouji Reply:
Hello: The management of comminuted and open fractures depends on the presence of infection and the status of bone healing. Generally, if there is no infection and the fracture is healing well, with no severe damage to the joint, most patients can regain over 90% of their origina...[Read More] Understanding Recovery from Comminuted and Open Fractures: What to Expect
Understanding Delayed Healing in Humerus Fractures: Causes and Solutions
Humeral fracture It has been six months since my fracture, and I have not undergone surgery. During my last X-ray, it was observed that the center of the bone is still vacant and has not yet formed new bone, although the outer part has healed. The doctor advised me to consume mor...
Dr. Li Yongheng Reply:
Hello, you are 22 years old, and it has been six months since your humeral fracture. X-rays show that the outer part has healed. Typically, fracture healing begins from the periphery, and it usually takes about a year for a fracture to fully heal. Therefore, it is normal for the ...[Read More] Understanding Delayed Healing in Humerus Fractures: Causes and Solutions
Understanding Acromioclavicular Joint Subluxation After a Bike Accident
Regarding acromioclavicular joint subluxation? Due to a motorcycle accident, I was diagnosed by a physician with a partial dislocation of the left acromioclavicular joint, which is estimated to be between Grade I and II. There were no additional recommendations; the doctor only m...
Dr. Li Yongheng Reply:
Hello, in the case of a grade I or II acromioclavicular joint subluxation of the left shoulder, surgical treatment is usually not necessary. It is generally recommended to use a sling or arm support for 4-6 weeks, after which rehabilitation exercises for the left shoulder can beg...[Read More] Understanding Acromioclavicular Joint Subluxation After a Bike Accident
Can Long-Term Cane Use Cause Wrist Damage? Understanding the Risks
I would like to ask if long-term use of a cane can cause harm to my wrist? I recently injured my knee, and it took nearly six months of rehabilitation for my meniscus damage to heal. I have been using a cane for assistance, but recently I've noticed that my wrist often feels...
Dr. Shi Guozheng Reply:
Using a cane can indeed increase pressure on the wrist joints. When pain occurs, it indicates overuse. It is advisable to take appropriate rest, apply heat, or take some anti-inflammatory medications. The duration of use should not be excessive each day. Of course, if the knee jo...[Read More] Can Long-Term Cane Use Cause Wrist Damage? Understanding the Risks
Knee Issues After Tibial Fracture: Recovery and Rehabilitation Tips
Knee issues following a tibial fracture? Hello, I had a car accident on October 1st, resulting in an open fracture of the tibia and fibula in my right lower leg. That night, I underwent surgery for intramedullary nailing of the tibia. I was able to get out of bed on October 3rd a...
Dr. Shi Guozheng Reply:
Surgical treatment for tibial fractures often involves the use of intramedullary nails, with the entry point located at the proximal tibia near the knee joint. This typically requires an incision through the patellar tendon to insert the nail. Occasionally, this may irritate the ...[Read More] Knee Issues After Tibial Fracture: Recovery and Rehabilitation Tips
Understanding Anesthesia-Assisted Manual Manipulation for Knee Recovery
The issue of manual mobilization under anesthesia? Hello Doctor, I had a car accident three and a half months ago that resulted in a femur fracture. After surgery, my knee cannot bend properly. Although I have been undergoing physical therapy, the range of motion returns to its o...
Dr. Li Yongheng Reply:
Hello, you have had a femoral fracture for three and a half months, and currently, your knee cannot bend normally. Manual mobilization under anesthesia is an appropriate treatment. Typically, intravenous medication is administered, and once the patient is anesthetized, the manual...[Read More] Understanding Anesthesia-Assisted Manual Manipulation for Knee Recovery
Understanding Recurring Lumbar Pain: Seeking Expert Advice on Diagnosis and Treatment
I would like to inquire about lumbar pain issues? Hello Dr. Lee: For the past two years, I have been experiencing recurrent lumbar pain. When the pain becomes severe, I visit a doctor, but the usual diagnosis is either a muscle strain or advice to pay attention to the spaces in...
Dr. Li Yongheng Reply:
Hello, based on your X-ray, there is mild degeneration of the lumbar spine, with no signs of scoliosis or pelvic tilt. Your chronic back pain may be due to long-term work and poor sitting and standing posture, leading to myofascial pain syndrome. It is recommended that you contin...[Read More] Understanding Recurring Lumbar Pain: Seeking Expert Advice on Diagnosis and Treatment
Chronic Shoulder and Neck Pain: When to Consider MRI for Diagnosis
Chronic shoulder and neck pain is difficult to treat? Hello, doctor. I have been experiencing shoulder and neck pain for two to three years, but recently, in the past month, the pain has become unbearable and has shown no improvement. Pain relief medications, anti-inflammatory tr...
Dr. Li Yongheng Reply:
Hello, if you are experiencing shoulder and neck pain and pain relief medications, rehabilitation, exercise, and posture improvement have not been effective, it is recommended to undergo an MRI examination. This is because a herniated disc cannot be detected through X-rays.[Read More] Chronic Shoulder and Neck Pain: When to Consider MRI for Diagnosis