Understanding Elbow Olecranon Fractures: Complications and Recovery
Olecranon fracture of the left elbow? On May 10, 2013, I was involved in a car accident and underwent internal fixation surgery on May 11. Two steel pins and wires were used for stabilization. After the surgery, I was instructed to wear rehabilitation equipment as part of my reco...
Dr. Shi Guozheng Reply:
Sometimes, the steel pins used to stabilize a fracture can loosen or protrude through the skin, irritating the skin or soft tissue and causing fluid discharge. If there is no inflammation or bacterial infection and the fracture is still healing, it may be necessary to undergo ano...[Read More] Understanding Elbow Olecranon Fractures: Complications and Recovery
Understanding Inner Shoulder Pain: Causes and Rehabilitation Tips
Medial pain in the left shoulder deltoid? Hello Doctor, I would like to ask you about my left shoulder pain, which occurred during a pull-up. It feels hot, painful, and sore. After some relief, I continue to experience similar pain after exercise training, including push-ups, whi...
Dr. Wang Shouji Reply:
Hello: You should rest for two to three weeks and avoid putting weight on the affected area. More severe symptoms of muscle and soft tissue injuries may persist for two to three months or longer. Gradually increase the weight-bearing activities afterward. If there is no relief, y...[Read More] Understanding Inner Shoulder Pain: Causes and Rehabilitation Tips
Understanding Scoliosis: Treatment Options for a 32-Degree Curve
Scoliosis of 32 degrees? I am 31 years old and have congenital torticollis. While studying at university in Australia, I suffered a spinal injury and underwent surgery for L5-S1 disc herniation in 2008, without any implants. It wasn't until about two years ago (in 2011) that...
Dr. Shi Guozheng Reply:
A 32-degree scoliosis angle is not considered significant. If there are no symptoms of lower back pain or nerve compression, surgery is not necessary. Since you are already 31 years old, the growth plates in your bones have fused, meaning it will not worsen. You can consult an or...[Read More] Understanding Scoliosis: Treatment Options for a 32-Degree Curve
Understanding Elbow Fractures: Surgery and Hyaluronic Acid Injections
Elbow Fracture (Part II) Hello, Doctor! Thank you for your previous response! I am currently continuing with outpatient treatment, but the rehabilitation results are still not satisfactory. My left arm can bend normally but cannot reach my shoulder; it can extend to about 160 deg...
Dr. Shi Guozheng Reply:
Continuous rehabilitation is necessary; hyaluronic acid may not necessarily improve joint mobility. It primarily serves to lubricate the surface cartilage and has some effect in delaying the progression of osteoarthritis.[Read More] Understanding Elbow Fractures: Surgery and Hyaluronic Acid Injections
Post-Fracture Rehabilitation: Overcoming Challenges in Arm Mobility
Rehabilitation after fracture surgery? Doctor, I suffered a spiral fracture of the distal humerus in July, and I have been undergoing rehabilitation for nearly two months now. I feel that there has been little improvement in the range of motion when bending my arm. I have been se...
Dr. Shi Guozheng Reply:
The healing time for a humeral fracture is approximately two to three months. The range of motion you mentioned refers to either the shoulder joint or the elbow joint. Typically, after such fractures heal, the mobility of both joints does not significantly decrease. If it is conf...[Read More] Post-Fracture Rehabilitation: Overcoming Challenges in Arm Mobility
Understanding Clavicle Fractures: Recovery, Nutrition, and Rehabilitation
Clavicle fracture? On August 15th of this year, while riding my motorcycle downhill on the Suhua Highway, I noticed that the cement surface was wet and slippery. Seeing a red light ahead, I immediately braked and lost control, causing me to fall. My right shoulder hit the ground,...
Dr. Zhang Jiahao Reply:
Hello: Basically, you will need to keep your arm immobilized with a triangular bandage after surgery, which can both stabilize and support your upper limb. The time it takes for the bone to heal varies from person to person, but your attending physician should arrange for follow-...[Read More] Understanding Clavicle Fractures: Recovery, Nutrition, and Rehabilitation
Understanding Elbow Fractures: Impact of Bone Fragments on Recovery
Elbow fracture Hello Doctor: Earlier this year, I suffered a humeral fracture in my left arm due to a car accident. I have been undergoing rehabilitation for the past six months. Last week, I had surgery to remove the bone screws, but I still cannot bend my fingers to touch my sh...
Dr. Shi Guozheng Reply:
Post-operative swelling typically lasts for about one to two months, which should not be related to the fractured bone. The degree of joint flexion is associated with the swelling. Unless the fracture is near the joint surface, it is not related. Continuing rehabilitation may hel...[Read More] Understanding Elbow Fractures: Impact of Bone Fragments on Recovery
Understanding Knee Pain: Symptoms, Concerns, and What to Expect
Knee pain Hello, doctor. I've been experiencing discomfort in my left knee for a week. It feels better when sitting or lying down, but when I stand, walk, or climb stairs, I feel a tightness in my knee accompanied by brief sharp pain that resolves quickly. The tightness and ...
Dr. Chen Yongxue Reply:
Hello: Bone cancer commonly occurs near the knee and shoulder joints. The initial symptoms include soreness and pain, which often worsen at night. In the later stages, symptoms may include the development of a mass near the joint. Patients are frequently misdiagnosed with "g...[Read More] Understanding Knee Pain: Symptoms, Concerns, and What to Expect
Understanding Neck and Back Pain: Causes, Treatments, and Long-Term Solutions
Neck, shoulder, and back pain with stiffness in the lower back? Hello, Doctor! Recently, I visited a local hospital due to neck, shoulder, back, and lower back pain and stiffness, which restricted my upper body movement and required me to move slowly. The hospital performed X-ray...
Dr. Chen Yongxue Reply:
Hello: In response to your inquiry, the presence of bone spurs or calcification in the spine is quite common. This is essentially a result of spinal aging or changes following past injuries. The vast majority of bone spurs do not affect daily life (meaning there are no symptoms o...[Read More] Understanding Neck and Back Pain: Causes, Treatments, and Long-Term Solutions
Understanding Cervical and Spinal Bone Spurs: Treatment Options Beyond Pain Relief
Cervical osteophytes and spinal osteophytes with calcification? Hello, Doctor! Recently, I visited a local hospital due to pain and stiffness in my neck, shoulders, back, and lower back, which restricted my upper body movement and required me to move slowly. The hospital performe...
Dr. Shi Guozheng Reply:
Shoulder, neck, and back pain is often related to poor posture or prolonged sitting, which are the main causes. Bone spurs are commonly found on the spine, and if they are not causing symptoms, they can be ignored. Medication can be effective, but it is not necessary to take it l...[Read More] Understanding Cervical and Spinal Bone Spurs: Treatment Options Beyond Pain Relief
Proper Walking Posture: Should You Start with Your Feet or Thighs?
Regarding walking posture? Hello, doctor. Could you please tell me whether the correct walking posture starts from the feet or the thighs? Should we walk using our feet or our thighs?
Dr. Tan Zhuowen Reply:
The correct walking posture is as follows: 1. Keep your shoulders parallel to the ground, with your chest out and abdomen in, which helps to raise your body's center of gravity. 2. When taking a step forward, ensure that your toes and knees are pointing straight ahead, avo...[Read More] Proper Walking Posture: Should You Start with Your Feet or Thighs?
Can Congenital Joint Stiffness Be Treated at Age 13? Insights and Home Exercises
Congenital Joint Stiffness Syndrome Doctor, excuse me, may I ask if it is still possible to treat congenital joint stiffness syndrome at the age of 13? If treatment starts now, to what extent can recovery be expected? (The knee can bend to about 60 degrees.) Are there any exercis...
Dr. Chen Yongxue Reply:
Hello, In response to your inquiry, arthrogryposis multiplex congenita is a rare congenital disorder that affects multiple joints and is associated with symptoms such as muscle weakness and muscle fibrosis. The extent of involvement can vary among patients; some may only have a...[Read More] Can Congenital Joint Stiffness Be Treated at Age 13? Insights and Home Exercises
Which Orthopedic Subspecialty to Consult for Uneven Shoulders in Teens?
One shoulder is higher than the other? For a middle school student with uneven shoulders, which orthopedic subspecialty should they see?
Dr. Chen Yongxue Reply:
Hello: In response to your question, having one shoulder higher than the other is usually caused by scoliosis. You may want to schedule an appointment with a spine specialist. Thank you![Read More] Which Orthopedic Subspecialty to Consult for Uneven Shoulders in Teens?
Emergency Room Oversight: Misdiagnosis of Shoulder Injury After Accident
Medical issues On the evening of Friday, March 8th, I had a car accident (a fall) on my way home from work and was taken by ambulance to a hospital in Taoyuan. When my family arrived, the emergency doctor said everything was fine and that I could go home if I didn't feel nau...
Dr. Shi Guozheng Reply:
The emergency department is generally a place for urgent care or for handling more critical and severe patients. Therefore, after patients are seen by the emergency physician, they are usually advised to return for follow-up in outpatient care to ensure that nothing has been over...[Read More] Emergency Room Oversight: Misdiagnosis of Shoulder Injury After Accident
Understanding Scoliosis Measurement for Military Service Exemptions in Taiwan
Scoliosis I would like to ask how the angle of scoliosis is calculated for military service. It is stated that an angle of 25 degrees constitutes an exemption from service, and the Cobb method is used for measurement. I went to see a doctor, and he mentioned a right dorsal hump f...
Dr. Wang Shouji Reply:
Hello: The Cobb angle is the angle of curvature in the anteroposterior direction of the spine. There may be some degree of error, so if there are any doubts, it is recommended to retest. Thank you.[Read More] Understanding Scoliosis Measurement for Military Service Exemptions in Taiwan
Understanding Post-Surgery Complications After ACL Injury: A Patient's Journey
Inquire about the complications following surgery for anterior cruciate ligament (ACL) injury? Hello Doctor, I would like to inquire about the health issues of a friend abroad. In early January of this year, he sustained injuries to his left knee and right shoulder while playing ...
Dr. Wang Shouji Reply:
Hello~ Surgery is unlikely to cause the aforementioned sequelae, but excessive use can lead to a burning sensation, which is commonly seen in clinical practice. If there is a noticeable temperature difference on both sides, one can palpate both sides and feel the temperature diff...[Read More] Understanding Post-Surgery Complications After ACL Injury: A Patient's Journey
Understanding Right Humerus Fractures: Recovery Challenges and Solutions
Right humeral fracture? I was in a car accident on January 12, 2012, and I fractured my right humerus. However, the treatment I received only involved immobilization and pain medication, with no surgical evaluation. Therefore, I have mostly been waiting for my bone to heal on its...
Dr. Li Wenlin Reply:
Proximal humeral fractures are more likely to affect shoulder joint mobility, and X-rays are necessary to determine whether there is any deformity of the bone causing functional impairment or if it is merely a secondary frozen shoulder.[Read More] Understanding Right Humerus Fractures: Recovery Challenges and Solutions
Understanding Neck Pain: Causes, Symptoms, and Recovery Time
Bilateral neck pain? After I sneezed, my neck and shoulders started to hurt like I have a stiff neck. It hurts no matter how I turn my neck, and there are popping sounds. My arms also feel sore and uncomfortable. I have applied pain relief patches, taken muscle relaxants, and use...
Dr. Zhang Jiahao Reply:
Hello: If you are experiencing neck pain accompanied by pain or numbness in your hands, it is important to first rule out any issues with the cervical spine. It is advisable to seek assistance from an orthopedic clinic nearby. Thank you for your inquiry![Read More] Understanding Neck Pain: Causes, Symptoms, and Recovery Time
Can Clavicle Reconstruction Restore Its Original Appearance?
Can the clavicle be reconstructed? Hello, Doctor! I was in a car accident at the end of 2006, resulting in a fracture of the outer third of my right clavicle. The fracture was clean, and the X-ray showed some overlap. I initially used a figure-of-eight brace, but it did not heal ...
Dr. Li Wenhong Reply:
Hello: If there is significant functional impairment and pain due to improper healing, reconstructive surgery may be considered; however, complete restoration to the pre-injury appearance may not be achievable. If there is only mild deformity with occasional soreness and minimal ...[Read More] Can Clavicle Reconstruction Restore Its Original Appearance?
Understanding Rotator Cuff Tendinitis: Treatment Options and Concerns
Shoulder rotator cuff tendonitis Hello: I have been treating my right shoulder rotator cuff tendinitis for over two months now, and there has been little improvement. I often wake up in pain during the night, which affects my sleep. The treatment consists of receiving anti-inflam...
Dr. Wang Shouji Reply:
Mr. Zhang: Rotator cuff tendonitis is a common cause of shoulder pain at this age. First, it is essential to confirm whether the diagnosis is correct. Good pain management and appropriate rehabilitation are effective methods for treatment. However, one should be mentally prepared...[Read More] Understanding Rotator Cuff Tendinitis: Treatment Options and Concerns