Understanding Rib Injuries: When to Seek Further Imaging After Trauma
Chest contusion Today, I accidentally bumped my knee against my husband's lower right rib cage and heard a popping sound. Due to the pain, I went for an X-ray, and the doctor said the bones should be fine, but mentioned that due to the curvature of the bones, they couldn...
Dr. Shen Boquan Reply:
Hello, the chest contusion you have experienced shows no obvious rib fractures or pneumothorax on the X-ray. It is likely due to soft tissue inflammation. However, sometimes fractures may not be visible due to the angle of the X-ray or the location of the fracture. If your pain i...[Read More] Understanding Rib Injuries: When to Seek Further Imaging After Trauma
Persistent Shoulder Pain After Clavicle Surgery: Is the Plate Misplaced?
The metal plate is not displaced, but there is pain? Hello, Doctor. On June 4th, I had a motorcycle accident and fractured my right distal clavicle. I visited the clinic the next day and underwent surgery, using a self-funded hook plate. After the surgery, the pain significantly ...
Dr. Wang Jiacheng Reply:
If the first X-ray indicates no displacement and you don't believe it, it's best to wait another two weeks and then get another X-ray to check.[Read More] Persistent Shoulder Pain After Clavicle Surgery: Is the Plate Misplaced?
Post-Operative Concerns After Minimally Invasive Knee Replacement Surgery
Minimally Invasive Total Knee Arthroplasty Postoperative Care My father underwent a total knee replacement at the end of March this year. He has been consistently participating in rehabilitation since the surgery, and it has been almost four months post-operation. However, he sti...
Dr. Chen Yongxue Reply:
Hello, the swelling and pain after joint replacement surgery can vary from person to person. It is quite common within the first three months post-surgery. Using a knee brace for compression and elevating the affected limb can help improve the condition. Additionally, diligent re...[Read More] Post-Operative Concerns After Minimally Invasive Knee Replacement Surgery
Understanding a Hard Bump Below the Right Rib: Causes and Concerns
There is a bony protrusion beneath the right costal cartilage? Hello, Doctor. About two months ago, I started doing crunches as part of my fitness routine and occasionally noticed a sensation in my right upper abdomen, as if some tissue was being moved (it’s not painful). At that...
Dr. Shi Guozheng Reply:
It could possibly be a sternal protrusion, so it's best to go to the hospital for an X-ray examination.[Read More] Understanding a Hard Bump Below the Right Rib: Causes and Concerns
Understanding Intermittent Rib and Shoulder Pain: When to Seek Help
The entire upper body often experiences cramping pain? Since last June, I have been experiencing intermittent sharp pain below my chest near the ribs for a year. Accompanied by skin itching, I initially thought it was a liver issue, and the pain lasted for a month. The pain occur...
Dr. You Dianqi Reply:
It is difficult to make a judgment based solely on the text description. I recommend that you seek evaluation from an orthopedic specialist, a hepatobiliary and gastroenterology specialist, or a family medicine physician. Thank you.[Read More] Understanding Intermittent Rib and Shoulder Pain: When to Seek Help
Understanding Rib Pain: Causes, Symptoms, and When to Seek Help
Rib issues Hello Doctor: I have been experiencing rib pain for about 3 to 4 months. I consulted a doctor who said it was inflammation. It has improved somewhat, but I still occasionally feel a dull pain. Recently, when sitting in a chair, I experience pain in my ribs, and I have ...
Dr. Chen Yongxue Reply:
Hello, this is a common presentation of pleurisy, which is often significantly related to prolonged sitting. Please discontinue the medication and develop a habit of exercising. If there is no improvement, please visit the orthopedic clinic for further examination. Thank you.[Read More] Understanding Rib Pain: Causes, Symptoms, and When to Seek Help
Understanding Rib Pain: Causes, Treatments, and When to Worry
Rib issues Hello Doctor: I have been experiencing rib pain for three months. Pressing on the ribs causes pain, and it hurts even more when I sneeze or cough. I consulted a doctor who diagnosed it as inflammation and prescribed anti-inflammatory and pain-relief medications, as wel...
Dr. Wang Shouji Reply:
You can visit the outpatient clinic for an examination.[Read More] Understanding Rib Pain: Causes, Treatments, and When to Worry
Convincing Your Doctor to Remove Intramedullary Nails After Surgery
Removal of metal pins issues Hello Doctor, I was in a car accident in December 2022, resulting in a comminuted fracture of my thigh. After surgery, I was fortunate to recover. It has been almost two years now, and I would like to have the metal screws removed. However, when I inq...
Dr. Zhan Xian Reply:
Whether to remove the metal pins is not definitive; if the patient experiences discomfort or if the pins are protruding, they need to be addressed. Metal pins are considered foreign objects in the body. If the patient is relatively young and in good health, it may be worth discus...[Read More] Convincing Your Doctor to Remove Intramedullary Nails After Surgery
Should You Remove Intramedullary Nails After Fracture Surgery?
Is it necessary to remove the intramedullary nail? Hello Doctor: I was involved in a car accident on July 23, 2023, which resulted in a closed fracture of my right tibia with three segments broken and bone fragmentation. I underwent an open reduction and internal fixation surgery...
Dr. Shi Guozheng Reply:
1. Intramedullary nails should only be removed after the fracture has healed. If the nail is protruding, it should be extracted. 2. Some physicians may not perform bone grafting, and this may not pose any issues. 3. Leaving the nail in place can cause a foreign body sensation...[Read More] Should You Remove Intramedullary Nails After Fracture Surgery?
Understanding Whiplash: Symptoms, Diagnosis, and Treatment Options
Injured in a car accident, experiencing numbness in the back and limbs, vomiting, a feeling of pressure in the head, dizziness, and discomfort in the neck? Hello Doctor: I was involved in a motorcycle accident on April 30, 2023, where I was a passenger on the back seat and was we...
Dr. Shen Boquan Reply:
Hello, if you have been injured in a car accident and are experiencing numbness in your back and limbs, vomiting, a feeling of pressure in your head, dizziness, and discomfort in your neck, you may have a head injury. It is advisable to consult a neurosurgeon or a neurologist. If...[Read More] Understanding Whiplash: Symptoms, Diagnosis, and Treatment Options
Understanding Nerve Compression After Radius Fracture Surgery: Causes and Relief
Radial fracture surgery, one year post-healing with hardware removal, median nerve compression? In June, I underwent a radial fixation surgery, and my post-operative condition was good with no discomfort. The images below are X-rays from October of last year: https://i.imgur.com/...
Dr. Shen Boquan Reply:
Hello, after the removal of the plate following a distal radius fracture surgery, it is common to experience numbness in the fingers. Generally, if the nerves are stimulated or damaged, recovery can take some time, usually around three months or even longer. If the pain at the in...[Read More] Understanding Nerve Compression After Radius Fracture Surgery: Causes and Relief
Understanding Lumbar Compression Fractures: Recovery and Treatment Insights
Compression fracture of the first lumbar vertebra? I had a lumbar compression fracture from a car accident on May 23rd. It's been over two weeks, and the doctor has only prescribed pain medication, which I haven't taken. During my follow-up appointment on June 6th, the ...
Dr. Chen Bochen Reply:
Hello, 1. Compression fractures typically cause pain for at least three weeks or more. 2. Wearing a brace for 2-3 months is primarily to prevent further spinal deformity, which can become permanent and lead to discomfort in older age. Therefore, doctors recommend wearing the brac...[Read More] Understanding Lumbar Compression Fractures: Recovery and Treatment Insights
Understanding Rib Protrusion and Scoliosis: When to Seek Orthopedic Care
The left rib cage is more prominent, and there is scoliosis of the spine? I have always had prominent ribs, and when I stand straight and look at myself in the mirror from the side, there is a noticeable protrusion, with the left side being more pronounced. Occasionally, I feel s...
Dr. Chen Bochen Reply:
Coccydynia is not related to scoliosis but is associated with sitting posture (slouching is the most likely to trigger it). Using a posture-correcting seat cushion can help improve the condition.[Read More] Understanding Rib Protrusion and Scoliosis: When to Seek Orthopedic Care
Understanding Rib Pain After a Fall: Causes and Remedies
There is rib pain? Hello doctor, last week I had a motorcycle accident, and after returning home, I started experiencing pain in my right rib. It hurts when I cough, press on it, or get up. Initially, I had an X-ray at the hospital, and the doctor said there were no fractures, bu...
Dr. You Dianqi Reply:
It is recommended to return for a follow-up appointment for the physician's evaluation. Thank you.[Read More] Understanding Rib Pain After a Fall: Causes and Remedies
Understanding Multiple Comminuted Fractures: Recovery and Rehabilitation Insights
Multiple comminuted fractures Hello, doctor. 🙇🏻♀️ I was in a car accident on the night of February 3rd, lost consciousness at the scene, and was taken to the hospital for emergency treatment. I was in a coma for three days and sustained multiple comminuted fractures, including i...
Dr. Shi Guozheng Reply:
1. Rehabilitation is necessary to gradually improve joint mobility. 2. It will take approximately six months or more.[Read More] Understanding Multiple Comminuted Fractures: Recovery and Rehabilitation Insights
Why Longer Sleep Hours May Lead to Back Pain: Insights and Solutions
The longer you sleep, the more your lower back hurts? I usually sleep about 6 to 7 hours from Monday to Friday, and on weekends, I sleep around 9 to 10 hours. Since last year, I've noticed that the longer I sleep, the more my lower back and back hurt. After changing to a new...
Dr. Wang Shouji Reply:
You can visit the rehabilitation department outpatient clinic.[Read More] Why Longer Sleep Hours May Lead to Back Pain: Insights and Solutions
Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort
Coccyx pain for nearly a year? Hello, Dr. Shen. I have been experiencing pain in my coccyx since early May of last year. The pain is located about 2 centimeters above the tip of the coccyx, seemingly at the junction with the sacrum. The pain is triggered by certain positions, suc...
Dr. Shen Boquan Reply:
Hello, the causes of lower back pain are numerous. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress levels can all contribute to discomfort. If ...[Read More] Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort
Managing L1 Vertebral Fractures: Treatment Options and Recovery Guidance
Fracture of the first lumbar vertebra? I was involved in a car accident on April 8 and was taken to the emergency room where X-rays and a CT scan indicated a fracture of the first lumbar vertebra. The doctor said surgery is not necessary, but I need to wear a brace. The diagnosis...
Dr. Chen Yongxue Reply:
Hello, if you have a diagnosis report or any questions related to your condition, it is advisable to discuss them with your attending physician. Additionally, for compression fractures, you can seek consultation in either orthopedics or neurosurgery. Thank you.[Read More] Managing L1 Vertebral Fractures: Treatment Options and Recovery Guidance
Post-Surgery Concerns: Managing Swelling After Hip Replacement in Elderly Patients
Postoperative care for right femoral neck fracture? Hello Doctor, My mother is 90 years old. On March 8th of this year, she fell and sustained a displaced fracture of the right femoral neck. The orthopedic surgeon recommended a right hemiarthroplasty of the hip. She was hospita...
Dr. Shen Boquan Reply:
Hello, the user. Your mother has suffered a right femoral neck fracture with displacement and has undergone a right hip hemiarthroplasty. Postoperatively, if there is swelling only in the right lower limb that decreases after sleeping, it is likely related to her position (such a...[Read More] Post-Surgery Concerns: Managing Swelling After Hip Replacement in Elderly Patients
Understanding Knee Pain: Causes and Concerns for Your Health
Recent knee discomfort? Recently, I suddenly noticed that after sitting and studying in the morning, when I stood up and started walking, I felt a sudden pain above the outer side of my left knee. However, if I paused for a moment and then walked again, the pain would subside. In...
Dr. Chen Yongxue Reply:
Hello, please proceed to the orthopedic outpatient clinic for further physical examination. Thank you.[Read More] Understanding Knee Pain: Causes and Concerns for Your Health