Understanding Delayed Bone Healing After Open Fracture Surgery
Fracture healing issues? Hello Doctor, I was in a car accident at the end of last year and sustained an open and comminuted fracture of my right thigh, for which I had a steel plate implanted. I underwent three debridement surgeries, and now, five months later, during my last fol...
Dr. Shi Guozheng Reply:
Complete healing without any gaps is necessary before one can walk with strength. Stable bone support is essential for promoting bone growth. Comminuted fractures are typically more challenging to heal; however, if healing does not occur, one must consider whether to undergo bone...[Read More] Understanding Delayed Bone Healing After Open Fracture Surgery
Managing Pain and Recovery After Complete Quadriceps Tendon and Ligament Tears
Complete rupture of the quadriceps tendon and ligaments in both legs? I would like to ask the doctor: 1. How long after surgery will the pain decrease? I just had surgery and the pain is so severe that I can't sleep or eat, and the pain medication prescribed after discharge ...
Dr. Shi Guozheng Reply:
1. The physician may increase the dosage or frequency of pain medication; the pain should gradually alleviate over one to two weeks. 2. If the wound has already subsided, alternating between heat and cold compresses is recommended. 3. The recovery period may take up to three ...[Read More] Managing Pain and Recovery After Complete Quadriceps Tendon and Ligament Tears
Understanding Second Metatarsal Fractures and Treatment Options
Second metatarsal fracture Hello Doctor, I am a male who loves strength training. On April 22, I had an accident on my way to practice, where my left foot was trapped under the front wheel of a car for over 20 seconds before I was able to pull it out. After an emergency examinati...
Dr. Shi Guozheng Reply:
Based on the assessment of several physicians, it appears that there is no serious fracture as you described. A cast immobilization is sufficient, and currently, there is no need for shockwave therapy. The fracture is expected to heal in approximately six to eight weeks. Typicall...[Read More] Understanding Second Metatarsal Fractures and Treatment Options
Understanding Clavicle Fractures: When to Seek Further Medical Attention
Clavicle fracture I would like to ask the doctor, I had a car accident (a fall) on the morning of April 26, which resulted in a clavicle fracture. Is it normal to experience pain when coughing today? Is there a possibility of a rib fracture as well? Do I need to get a chest X-ray...
Dr. Li Wenhong Reply:
Hello: It is normal to experience pain when coughing if your clavicle fracture has not yet healed. If you suspect there may be a rib fracture as well, please return for a follow-up appointment with your attending physician to determine if a chest X-ray is necessary. Changhua Hosp...[Read More] Understanding Clavicle Fractures: When to Seek Further Medical Attention
Ankle Injury: Persistent Swelling and Pain After Trauma
Ankle sprain? Hello, a few years ago I stepped on someone’s foot and my right foot rolled outward. It hurt so much that I thought I had broken a bone (it was probably quite serious, but I couldn't see a doctor at the time). Since then, I have frequently sprained my ankle, an...
Dr. Shi Guozheng Reply:
When a joint is newly injured and swollen, applying ice can help reduce the swelling. Additionally, immobilizing the joint (using a cast or brace) can also alleviate some pain. Most importantly, it is essential to see a physician for an evaluation.[Read More] Ankle Injury: Persistent Swelling and Pain After Trauma
Understanding the Impact of a Small Bone Island on Health
The first rib has a bony island? I would like to ask about a finding in my company's health check that mentions a small nodule shadow overlapping the right first rib and the right upper lung field, suspected to be a bone island. What could be the implications of this? Thank ...
Dr. Chen Yongxue Reply:
Hello, most bone islands are asymptomatic and are usually discovered incidentally during X-rays. Generally, follow-up is sufficient. Thank you.[Read More] Understanding the Impact of a Small Bone Island on Health
Understanding Joint and Spine Pain: When to Seek Medical Advice
Musculoskeletal and joint issues? Yesterday, while doing stretching exercises, I noticed that leaning my upper body back caused some pressure. I initially thought it was due to not exercising for a long time, but after the workout, when I tried to massage the area for relief, I f...
Dr. You Dianqi Reply:
Hello! Thank you for your inquiry. If your condition does not improve after medication treatment, it is recommended to return for a follow-up appointment with your attending physician or to consult with a rehabilitation specialist. Thank you.[Read More] Understanding Joint and Spine Pain: When to Seek Medical Advice
Understanding Chronic Rib Pain: Causes and Concerns
Chronic dull pain in the left and right ribs? I had X-rays taken three times in a month at different clinics. An orthopedic doctor diagnosed me with fasciitis. The pain goes away when I take medication, but returns once I finish the medication. I have pain in my left iliac region...
Dr. Chen Yongxue Reply:
Hello, the common age for bone cancer is not 41 years old. I believe the probability of developing cancer is low, so please don't scare yourself. Based on your description, your symptoms resemble myofascial pain syndrome (with noticeable tender points). Please apply heat to ...[Read More] Understanding Chronic Rib Pain: Causes and Concerns
Understanding Complex Pelvic Fractures and Their Treatment Options
Pelvic crush fracture with right acetabular fracture? Dear Doctor, My husband is the patient who was involved in a car accident on January 28, 2022. The medical summary indicates that he sustained a comminuted fracture of the right acetabulum with mild displacement, as well as c...
Dr. Wang Jiacheng Reply:
After a hip joint fracture, there is a possibility of developing arthritis many years later, which requires ongoing monitoring. As for bladder issues, it may be necessary to consult a urologist.[Read More] Understanding Complex Pelvic Fractures and Their Treatment Options
Understanding Post-Car Accident Orthopedic Care and Recovery Risks
After a car accident Dear Doctor, The patient is my husband, who was involved in a car accident on January 28, 2022. The medical summary indicates a comminuted fracture of the right acetabulum with mild displacement, contusions and lacerations to the forehead, and a concussion r...
Dr. Shi Guozheng Reply:
After a hip joint fracture, there is a possibility of developing arthritis many years later, which requires ongoing monitoring. As for bladder issues, it may be necessary to consult a urologist.[Read More] Understanding Post-Car Accident Orthopedic Care and Recovery Risks
Understanding Herniated Discs: When to Consider Minimally Invasive Surgery
Herniated disc Hello, doctor. I would like to ask for your opinion. I started experiencing lower back pain in early February, which felt sore whether I was standing or sitting. By mid-February, the pain suddenly intensified, radiating from my right leg down to my ankle, causing s...
Dr. Chen Bochen Reply:
Hello: Currently, medical recommendations suggest that if an MRI shows a herniated disc compressing a nerve, and treatments such as medication, rehabilitation, and thermal coagulation therapy have been ineffective, then surgery should be considered as an option. For young patient...[Read More] Understanding Herniated Discs: When to Consider Minimally Invasive Surgery
Chronic Rib and Shoulder Blade Pain: What Specialist Should You See?
Pain in the left and right ribs, pain in the scapula? Doctor: Why do I have rib pain every day, and it has been persistent? I had an X-ray done and visited a family medicine clinic where I was prescribed medication twice. The first medication worked, but after finishing it, the p...
Dr. You Dianqi Reply:
It is recommended to first visit the orthopedic or pulmonology department at the hospital for an examination and arrange for some imaging studies, such as X-rays or bone scans. This will help differentiate whether the issue is intrathoracic (such as pneumonia or pleuritis) or ext...[Read More] Chronic Rib and Shoulder Blade Pain: What Specialist Should You See?
Understanding Rib Injuries: When to Seek Medical Attention After a Fall
Slipped in the bathtub and injured the left rib? Situation description: Slipped and fell in the bathtub. Sought medical attention and had an X-ray. Injury: Left side, the bottom two ribs and the area below. The doctor said: 1. Go home and monitor the pain (of course it hurts...)....
Dr. Chen Bochen Reply:
1. The injured area should be treated with ice packs and accompanied by the use of pain relievers. 2. There is a possibility of splenic injury, but a CT scan is necessary for diagnosis. If symptoms such as low blood pressure or anemia occur, medical attention should be sought p...[Read More] Understanding Rib Injuries: When to Seek Medical Attention After a Fall
Chronic Rib Pain: Which Specialist Should You Consult for Relief?
Initially, there was pain in the right rib cage, and now there is pain in both sides of the rib cage? I have pain when pressing on both sides of my ribs, and I feel a dull ache inside. The health center took an X-ray but didn't find any issues. They prescribed anti-inflammat...
Dr. Shi Guozheng Reply:
You can visit an orthopedic specialist if you experience pain in your chest, which may be caused by exertion, such as lifting or moving heavy objects.[Read More] Chronic Rib Pain: Which Specialist Should You Consult for Relief?
Understanding Chronic Upper Back and Lower Back Pain: Causes and Solutions
Frequent soreness or pain above the waist? Hello, doctor. I have two questions I'd like to ask. Question 1: I have a persistent ache on the right side of my lower back, specifically along two lines of discomfort. One is located at the far right side, where I typically plac...
Dr. Shi Guozheng Reply:
1. If it is a herniated disc, there will be pain radiating from the back down to the thigh, calf, and foot, often accompanied by a tingling sensation. The knee may also be unable to fully extend, and lifting the thigh can be difficult, which is characteristic of sciatica caused b...[Read More] Understanding Chronic Upper Back and Lower Back Pain: Causes and Solutions
Post-Surgery Weakness in Legs After Spinal Spondylolisthesis Treatment
Postoperative weakness in the legs after spinal slip surgery? Hello doctor, my mother has been experiencing leg numbness for nearly 6-7 years. Last April, she underwent surgery for a slipped disc at the L4-L5 level. The surgeon indicated that the slipped portion was pressing on s...
Dr. Wang Shouji Reply:
Hello, prolonged nerve compression can lead to difficulties in recovering certain functions such as weakness and numbness. However, after surgery, there is usually a gradual improvement. It is essential to first confirm whether the nerve compression has been relieved or if new is...[Read More] Post-Surgery Weakness in Legs After Spinal Spondylolisthesis Treatment
Understanding Rib Sclerosis: Causes, Treatment, and Future Implications
Rib sclerosis lesions Hello, doctor. Recently, during a military service physical examination, an X-ray revealed sclerotic lesions on the right fourth rib, suspected to be a bone condition (the word after "bone" is unclear due to smudging). Ultimately, it was stated to ...
Dr. Chen Bochen Reply:
Hello: Without seeing the X-ray, it is impossible to make a diagnosis or provide you with advice (insufficient information could lead to incorrect recommendations that may harm you). I suggest you consult an orthopedic physician for an examination and have another X-ray taken, th...[Read More] Understanding Rib Sclerosis: Causes, Treatment, and Future Implications
Understanding the Link Between Clavicle Deformity and Scoliosis
Clavicle and spinal scoliosis Hello, Doctor: A few years ago, I noticed that my left clavicle is noticeably more prominent. The physician I consulted believed it was caused by scoliosis, and an initial examination did not reveal any significant symptoms. Upon reviewing the X-ray,...
Dr. Shi Guozheng Reply:
Scoliosis occurring in the thoracic region can lead to a rotational deformity of the spine, which may cause the ribs or clavicles to protrude. There is no need for special attention if the skeletal growth has already stabilized at age 26, as it will not worsen.[Read More] Understanding the Link Between Clavicle Deformity and Scoliosis
Understanding Slow Healing in Fibula Fractures: Key Questions Answered
Questions about slow healing of fibula fractures? Hello Dr. Wang, I am currently working in Vietnam and unable to return to Taiwan due to the pandemic. I have some questions I would like to ask you regarding my condition, which is summarized as follows: On September 15, I sus...
Dr. Wang Jiacheng Reply:
1. Slow recovery. 2. It will still heal. 3. The cast will be in place for about three months. 4. Just wait for it to heal. 5. No medication is needed.[Read More] Understanding Slow Healing in Fibula Fractures: Key Questions Answered
Understanding Delayed Healing in Fibula Fractures: Key Questions Answered
Right leg fracture? Hello Doctor, I am currently working in Vietnam and unable to return to Taiwan due to the pandemic. I have some questions I would like to ask you regarding my condition, which is summarized as follows: On September 15, I sustained an injury to the outer side...
Dr. Shi Guozheng Reply:
1. Slow recovery. 2. It will still heal. 3. The cast will be in place for about three months. 4. Just wait for it to heal. 5. No medication is needed.[Read More] Understanding Delayed Healing in Fibula Fractures: Key Questions Answered