Alternatives to Heavy Casts for Left Tibia Fractures: What You Need to Know
Issues with Cast for Left Tibial Fracture I have attached a photo of my fracture. My fracture has been casted up to my thigh, and the cast is too heavy for me to get out of bed on my own. I have to rely on my family for assistance. Since my mobility is limited, it has been six da...
Dr. Shi Guozheng Reply:
The photo shows a tibial fracture (shinbone fracture) without displacement. The best treatment option is to use a cast for immobilization. Currently, you are using a posterior splint (long leg splint) that covers only the back of the thigh and calf. It should be changed to a shor...[Read More] Alternatives to Heavy Casts for Left Tibia Fractures: What You Need to Know
Recovery Time for Tibial Shaft Fractures: What to Expect After Surgery
The recovery time for a tibial shaft fracture in the lower leg? Hello Doctor: I was hit by a motorcycle on March 2nd and sustained a fracture of the right tibial shaft. On March 3rd, I underwent surgery where an intramedullary nail was placed through the knee, with two screws (no...
Dr. Shi Guozheng Reply:
It is normal for recovery to take about three months, and tightness is a common phenomenon. Rehabilitation can be done independently by performing ankle dorsiflexion and plantarflexion exercises. Additionally, raise the calf and perform knee flexion and extension movements. It is...[Read More] Recovery Time for Tibial Shaft Fractures: What to Expect After Surgery
Managing Ankle Fracture Complications: Pain, Instability, and Rehabilitation
What are the issues following an ankle fracture injury? Dear Dr. Chen, I would like to ask about my condition following a car accident on June 20, 2015. At that time, an X-ray revealed a fracture of the left ankle's lateral malleolus, and I was placed in a cast and used cru...
Dr. Chen Yongxue Reply:
Hello, 1. For instability issues originating from the ligaments, surgical intervention should be considered. Pain and swelling are likely caused by inflammation, which can be managed with medication and rehabilitation. 2. Regarding rehabilitation for tendon rupture, based on ...[Read More] Managing Ankle Fracture Complications: Pain, Instability, and Rehabilitation
Post-Surgery Complications of Tibial Intramedullary Fixation
Complications following internal fixation of the tibia? Hello Dr. Shi, I suffered a comminuted fracture of the tibia and fibula in a car accident last July. The attending physician used internal fixation for the tibia and added a steel plate for the fibula. After the surgery, I n...
Dr. Shi Guozheng Reply:
Intramedullary nails typically cause pain at the entry point in the tibia, while numbness is less common. You might consider taking some active B12 to see if it helps with recovery. Generally, the sensation of numbness may take about a year to improve, and the intramedullary nail...[Read More] Post-Surgery Complications of Tibial Intramedullary Fixation
Recovery Timeline for Tibial Shaft Fractures: What to Expect After Surgery
The recovery time for a tibial shaft fracture in the lower leg? Hello Doctor: I was hit by a motorcycle on March 2nd and sustained a fracture of the right tibial shaft. On March 3rd, I underwent surgery where an intramedullary nail was placed in my knee, and there are two screws ...
Dr. Shi Guozheng Reply:
To determine whether a fracture is comminuted, if it is a simple fracture, recovery can be quicker, typically taking about six to eight weeks. A single crutch can be used for approximately three months, and rehabilitation generally lasts around three months. Full recovery usually...[Read More] Recovery Timeline for Tibial Shaft Fractures: What to Expect After Surgery
Slow Bone Healing After Tibia Fracture: Causes and Solutions
Delayed bone healing? Hello, Doctor Shi: I would like to ask about my right tibial fracture. I had surgery in September 2014 to insert a steel rod for stabilization, but the healing process has been very slow. I do not smoke or drink, maintain a regular lifestyle, and have follow...
Dr. Shi Guozheng Reply:
If there have been several follow-ups without any signs of bone growth, and if there are symptoms of pain, it may be necessary to consider surgical bone grafting to promote bone healing. This should be discussed with your attending physician.[Read More] Slow Bone Healing After Tibia Fracture: Causes and Solutions
Understanding Post-Fracture Complications: Is Traumatic Arthritis Possible?
Post-fracture complications Hello, Doctor: About two years ago, I was involved in a car accident that resulted in three fractures in my right leg: a right femoral shaft fracture, a right tibial plateau fracture, and a right metatarsal wedge-shaped joint fracture with dislocation....
Dr. Shi Guozheng Reply:
Traumatic arthritis refers to arthritis that occurs after a fracture of the bone within a joint. It is not related to osteoarthritis. If it is arthritis, it primarily causes pain, especially during walking, and there may be a reduction in joint mobility. Perhaps your muscle stren...[Read More] Understanding Post-Fracture Complications: Is Traumatic Arthritis Possible?
Understanding Right Knee Pain: Causes and Treatment Options
Right knee pain? Hello, doctor. I have not had any injuries to my right knee, but over the past year, I suddenly started experiencing a small pain on the outer side of my right knee, which began at the back. The pain appeared overnight, and it hurts when I straighten or bend my k...
Dr. Shi Guozheng Reply:
Tendonitis may be caused by strains or overuse, which can result from excessive walking, climbing hills, or going up and down stairs. These activities can increase the stress on the knee joint ligaments, potentially leading to inflammation. The lateral aspect of the knee includes...[Read More] Understanding Right Knee Pain: Causes and Treatment Options
Preventing Infection and Promoting Healing in Open Fracture Recovery
Open fracture Hello Dr. Hong, I would like to ask about my husband, who was hit by a car a few days ago. He has open fractures of the tibia and fibula in both lower legs. His right leg has already undergone surgery yesterday, and a steel rod was inserted. The left leg has a more...
Dr. Hong Ximing Reply:
Bilateral tibia and fibula fractures are quite serious. After surgery, it is important to cooperate with your attending physician, as their team will do their utmost to provide treatment. For detailed information regarding your condition, you should consult with your attending ph...[Read More] Preventing Infection and Promoting Healing in Open Fracture Recovery
Understanding Tibial Plateau Fractures: Treatment, Recovery, and Complications
Regarding comminuted fractures? I came across an article written by Dr. Shi regarding tibial plateau fractures and would like to ask some questions about comminuted tibial plateau fractures: Regarding comminuted fractures, in general orthopedic management, is a CT scan always per...
Dr. Shi Guozheng Reply:
If the X-ray images can clearly diagnose the condition, it may not be necessary to perform a CT scan. Bone grafting may be subject to absorption, and the knee joint could be affected by a possible injury to the lateral tibial plateau, leading to a varus deformity. As a result, th...[Read More] Understanding Tibial Plateau Fractures: Treatment, Recovery, and Complications
Understanding Calf Muscle Pain in Volleyball Players: Causes and Solutions
Calf muscle pain? As a volleyball player, I've recently experienced pain and slight swelling in the muscles adjacent to the tibia on the inner sides of both legs after performing multiple jumping movements. The pain is particularly severe at the moment of landing. Could this...
Dr. Wang Shouji Reply:
Hello: To confirm the location of the pain, this area is often related to muscle disorders or strains. During the moment of landing, the calf experiences significant tensile stress, which may lead to symptoms. It is recommended to undergo rehabilitation until the muscles return t...[Read More] Understanding Calf Muscle Pain in Volleyball Players: Causes and Solutions
Understanding Tibial Plateau Fractures: Recovery and Complications
Tibial plateau fracture After being diagnosed with a tibial plateau fracture, I underwent surgery on the third day. Post-surgery, my knee and lower leg were significantly swollen. Two months later, I noticed valgus deformity of the knee. I am concerned that the bones may have hea...
Dr. Shi Guozheng Reply:
It may be necessary to take another X-ray to confirm the position of the joint, as it can sometimes be slightly angulated. However, if the angle is not significant, it is usually not a major concern.[Read More] Understanding Tibial Plateau Fractures: Recovery and Complications
Managing Knee Pain After Intramedullary Nail Surgery for Leg Fracture
Crush fracture of the tibia underwent intramedullary nailing through a knee incision, resulting in knee discomfort? Dr. Chen, I have a question. I suffered a comminuted fracture of my lower leg in a car accident on January 15, and I had an intramedullary nail inserted through sur...
Dr. Chen Yongxue Reply:
Hello, intramedullary nailing is the standard treatment for tibial fractures. After the insertion of the intramedullary nail, some patients may experience knee pain. However, it is important to rule out the issue of excessive nail prominence. If the length of the nail is appropri...[Read More] Managing Knee Pain After Intramedullary Nail Surgery for Leg Fracture
Understanding Shin Pain in Volleyball: Causes and Relief Strategies
Tibial pain As a volleyball player, I experience pain in the muscles adjacent to the tibia on the inner sides of both calves whenever I perform jumping movements during practice, especially at the moment of landing. Could this be related to my landing technique, or is it another ...
Dr. Shi Guozheng Reply:
It may be due to overexertion; appropriate rest is necessary. After exercising, heat therapy should be applied. If there is no improvement, it may be necessary to see a physician.[Read More] Understanding Shin Pain in Volleyball: Causes and Relief Strategies
Understanding the Bump on Your Tibia: Is It a Muscle or a Cyst?
Palpation of the tibial tuberosity? Today in chemistry class, I accidentally touched a spot on my tibia that felt like something was there. It doesn't really feel like a lump; it feels more like a tendon. When I touch it from side to side, it has a sliding sensation. I'...
Dr. Hong Ximing Reply:
The depression in the tibia refers to the area around the knee joint, where a patellar ligament connects to the femur, and the patella is capable of gliding.[Read More] Understanding the Bump on Your Tibia: Is It a Muscle or a Cyst?
Running After Tibial Fracture: Is Pain Normal and Should Hardware Be Removed?
Running exercises after recovery from a tibial fracture? Last May, I had a tibial fracture and had a titanium alloy plate and screws implanted. Recently, I started jogging with small strides, running about 500 to 600 meters, but I experience soreness at the fracture site where th...
Dr. Shi Guozheng Reply:
After a fracture, it is essential to confirm that healing has occurred before resuming physical activity; otherwise, there is a risk of re-fracture, and caution must be exercised. It is advisable to have an X-ray to ensure there are no issues. If the metal plate is easily removab...[Read More] Running After Tibial Fracture: Is Pain Normal and Should Hardware Be Removed?
Recovery Journey After Tibia and Fibula Fracture: What to Expect
Fracture of the left lower leg? Hello, Doctor. I suffered a fracture in my left lower leg due to a car accident on November 20 of last year, resulting in a comminuted fracture of the tibia and a fractured fibula. I underwent surgery the next day, where steel nails were used for f...
Dr. Shi Guozheng Reply:
If a fracture in the lower leg has been surgically stabilized, it typically takes about three months to heal before follow-up X-rays are taken. After confirming healing, weight-bearing activities can gradually resume, provided there is no injury to the joint.[Read More] Recovery Journey After Tibia and Fibula Fracture: What to Expect
Treatment Options for Posterior Tibial Tendon Issues at the Ankle
Posterior tibial tendon on the lateral ankle? The posterior tibial tendon on the lateral side (lateral malleolus) shifts forward, causing a prominent bump during ankle twisting. What treatment options are available for this condition?
Dr. Shi Guozheng Reply:
It may be necessary to see a physician for an evaluation to determine whether surgery or other treatment options are required.[Read More] Treatment Options for Posterior Tibial Tendon Issues at the Ankle
Understanding Ankle Ligament Issues: Symptoms and Recovery Tips
There seems to be something resembling a ligament jumping onto the ankle? I have previously sprained my ankle, and the injury hasn't healed yet. While wrapping my ankle for basketball, I twisted it again and felt two popping sounds. After that, when I slightly rotate my ankl...
Dr. Shi Guozheng Reply:
If the issue is on the lateral side (lateral ankle), it is possible that the posterior tibial tendon is shifting forward. It would be advisable to consult an orthopedic physician to confirm the diagnosis before taking appropriate measures.[Read More] Understanding Ankle Ligament Issues: Symptoms and Recovery Tips
Understanding Bone Displacement After Multiple Surgeries: A Patient's Inquiry
Is there a displacement of the bone? Hello, doctor. I would like to ask you about my injury. I have had four surgeries on my right leg: a comminuted fracture of the tibia and a femur fracture in two places. The tibia was injured a second time, and I have a brace, but I just had s...
Dr. Shi Guozheng Reply:
Whether there is a displacement or not, an X-ray examination is the most definitive way to check. It is advisable to schedule an appointment for the examination.[Read More] Understanding Bone Displacement After Multiple Surgeries: A Patient's Inquiry