Understanding Congenital Clubfoot: Long-term Effects and Management Strategies
Clubfoot I am a patient with congenital clubfoot on one side and would like to ask the doctor about the progression of this condition if it has not been treated or corrected from childhood to adulthood. What would be the development of the condition? What kind of damage can occur...
Dr. Shi Guozheng Reply:
If the deformity is not severe, it may not be a significant issue. You can consult an orthopedic specialist who specializes in the foot and ankle. Wearing corrective or supportive shoes may help alleviate local discomfort. If surgical treatment is necessary, it is important to di...[Read More] Understanding Congenital Clubfoot: Long-term Effects and Management Strategies
Understanding Bone Contusions: Causes, Symptoms, and Treatment Options
After the injury, I saw a doctor and took medication for two days, but my foot is still swollen and painful? Two days ago, I had a car accident, and my big toe bone was injured at the joint where the foot connects to the toe. Yesterday, my foot became swollen, resembling gout, fe...
Dr. Shi Guozheng Reply:
After a bone or toe contusion, there will be localized bleeding, resulting in swelling and pain. Typically, this will gradually subside after a few days. On the first day, it is important to apply ice, and after the third day, cold compresses can be used. Taking pain relievers an...[Read More] Understanding Bone Contusions: Causes, Symptoms, and Treatment Options
Morning Back Pain: Causes, Exercises, and Solutions for Relief
Unable to stand upright due to back pain upon waking up every day? Hello, For the past two weeks, I have been unable to stand up straight when I wake up in the morning. I need to support myself with my knees and slowly straighten up. When I walk, I can only stand upright and ca...
Dr. Shi Guozheng Reply:
Lower back pain is generally related to posture, and performing excessive bending movements can sometimes lead to muscle fatigue and pain. Waking up in the morning unable to stand upright is often due to muscle stiffness from sleeping the night before. Taking a hot shower or soak...[Read More] Morning Back Pain: Causes, Exercises, and Solutions for Relief
Understanding Chronic Pain After Right Ankle Fracture Recovery
Closed fracture of the right ankle bone? Hello, a year ago I slipped and fractured my bone. I had a cast for over two months, and since the cast was removed, my foot has been experiencing a dull pain. When lying flat, my right foot cannot rest as it used to (with the heel on the ...
Dr. Shi Guozheng Reply:
After a fracture has completely healed, there should typically be no pain. If pain persists, it is important to consider whether there may be an issue with the joint. It is advisable to consult a physician for an examination and possibly an X-ray to check for any other problems o...[Read More] Understanding Chronic Pain After Right Ankle Fracture Recovery
Understanding Leg Pain and Numb Toes: When to See a Specialist
Calf pain and numbness in the toes? My mother (70 years old) has recently been experiencing pain in the back of her right calf, and her toes are numb. The pain often keeps her awake at night. Which specialist should I take her to see? Thank you!
Dr. Wang Shouji Reply:
Hello: It may be a sciatic nerve compression issue, and you can consult either an orthopedic surgeon or a neurosurgeon. Thank you![Read More] Understanding Leg Pain and Numb Toes: When to See a Specialist
Managing Complications After a Crush Injury to the Foot
Crush fracture of the foot? Hello Doctor, there is a 36-year-old man who suffered a crush injury to his right foot in December, resulting in a comminuted fracture. He underwent surgery and had four pins placed near his toes, along with an external fixator on the right side. He wa...
Dr. Shi Guozheng Reply:
If a fracture does not require surgical intervention, it is still important to protect the area for a period of time after the removal of any hardware, such as pins or screws, to ensure complete healing. The duration before resuming physical activity depends on the location of th...[Read More] Managing Complications After a Crush Injury to the Foot
Persistent Ankle Swelling After Fracture: What You Need to Know
Persistent swelling after a fracture? Hello Doctor, I sprained my ankle on November 27, 2015, resulting in a fracture of the smaller bone on the outer side of the ankle, located near the bottom of the ankle. I had a cast for six weeks, and after it was removed, an X-ray showed th...
Dr. Shi Guozheng Reply:
Fractures typically take at least six weeks to begin healing, and complete healing may take up to twelve weeks. Therefore, swelling in the foot before the fracture has fully healed is normal. The bones themselves are richly supplied with blood vessels, and after a fracture, blood...[Read More] Persistent Ankle Swelling After Fracture: What You Need to Know
Post-Cast and Pin Removal: Healing Time and Recovery Tips
Some questions about removing the cast and metal pins from the foot? Hello doctor, I had my cast removed from my foot and the pin from my big toe on January 19th. How many days does it typically take for the pin site to heal? My ankle and the sole of my foot are bruised and swoll...
Dr. Shi Guozheng Reply:
The wound on the shoulder will heal in two to three days, and the swelling may take one to two weeks to subside. Rehabilitation can begin now. To recover from muscle atrophy, it will take approximately three to six months, and continuous training or exercise is necessary. There s...[Read More] Post-Cast and Pin Removal: Healing Time and Recovery Tips
Rehabilitation Tips for First Metatarsal Fracture Recovery After Surgery
First metatarsal fracture Hello, I would like to ask about my condition. I sustained a fracture of the first metatarsal with a closed fracture and joint collapse after a car accident on November 2nd. I had surgery on December 5th, and the doctor has now removed the cast. I would ...
Dr. Hong Ximing Reply:
Foot fractures can lead to joint stiffness post-surgery. It is advisable to consult a rehabilitation specialist for appropriate rehabilitation methods. However, the rehabilitation process can be challenging and requires perseverance.[Read More] Rehabilitation Tips for First Metatarsal Fracture Recovery After Surgery
Post-Surgery Pain in Toes After Lateral Collateral Ligament Repair
Pain in the toes after lateral collateral ligament surgery? Hello, Doctor. I was in a car accident recently and suffered tears to my left knee's anterior and posterior cruciate ligaments, as well as the lateral collateral ligament. After evaluation, the doctor decided to fir...
Dr. Shi Guozheng Reply:
Post-surgical pain is normal and it may take about six weeks for the pain to lessen. Complete recovery may take up to three months.[Read More] Post-Surgery Pain in Toes After Lateral Collateral Ligament Repair
Sharp Pain and Inability to Bend Little Toe: Possible Causes and Solutions
The little toe is experiencing sharp pain and cannot be bent? Hello Doctor: I have SLE, and over the past 2-3 years, I have frequently experienced sharp pain in the little toe, specifically at the second joint (the one connecting to the foot). Occasionally, the first joint also h...
Dr. Shi Guozheng Reply:
Foot pain is often related to footwear. If it is not influenced by systemic lupus erythematosus (SLE) and medication treatment has been ineffective, it may be necessary to see a physician.[Read More] Sharp Pain and Inability to Bend Little Toe: Possible Causes and Solutions
Why Can't My Toes Align on the Floor? Understanding Toe Positioning
The toes cannot come together when pressed against the floor? Why is it that my toes cannot all come together when I press them against the floor? Why do some toes spread apart when I do this?
Dr. Hong Ximing Reply:
Hello: The position of the toes on the floor should be related to the anatomical position of the metatarsal bones and the center of gravity of the body. Hong Shiming[Read More] Why Can't My Toes Align on the Floor? Understanding Toe Positioning
Understanding Fatigue Fractures: Insights on the Fifth Metatarsal Pain
Fatigue fracture of the fifth metatarsal? I am a basketball player. Around July 2015, I started experiencing pain in the fifth toe of my right foot. I went to a general rehabilitation clinic for an examination, and the diagnosis was a stress fracture, although the X-ray did not s...
Dr. Hong Ximing Reply:
Fatigue fractures can heal completely with proper rest and recovery after the fracture has occurred. Pain in the fifth metatarsal may also be caused by tendonitis, and a thorough evaluation by a specialist is recommended.[Read More] Understanding Fatigue Fractures: Insights on the Fifth Metatarsal Pain
Understanding Pain and Anesthesia for Toe Pin Removal After Fracture
Two steel pins were used to stabilize the fractured toes? Hello doctor, I had a car accident in December this year and fractured my big toe. There are two exposed steel pins securing the toe. I have a follow-up appointment in January to remove the pins. I would like to ask, will ...
Dr. Chen Yongxue Reply:
The removal of exposed steel pins is not painful, and there is no need for anesthesia. It may feel a bit sore, but there's no need to worry.[Read More] Understanding Pain and Anesthesia for Toe Pin Removal After Fracture
To Operate or Not: Navigating Surgery Decisions for Foot Pain
To operate or not to operate? I have been experiencing sharp pain in the tips of my left foot's ring and middle toes for 4-5 years. The frequency and duration of the pain have been increasing, often waking me up multiple times at night, especially before my menstrual period....
Dr. Chen Yongxue Reply:
Hello, your situation is described in great detail in your letter, and I sincerely empathize with you. However, every surgery carries its risks, and even physicians themselves are not exempt from this. Ultimately, the decision of whether to undergo surgery is one that only you ca...[Read More] To Operate or Not: Navigating Surgery Decisions for Foot Pain
Understanding Bone Displacement vs. Misalignment in Foot Injuries
Bone (unsure if dislocated or displaced) I apologize for the confusion earlier. The little toe I referred to is not the thumb of the hand but rather the little toe on the outer side of the foot. The X-ray clearly shows an abnormal position of the little toe's bones, which ap...
Dr. Shi Guozheng Reply:
Toe fractures usually heal without the need for surgery. The healing time typically does not exceed three months. If there is displacement, the alignment may be abnormal. Physicians rarely refer to this as a dislocation; they use the term displacement instead. For ankle injuries,...[Read More] Understanding Bone Displacement vs. Misalignment in Foot Injuries
Understanding Sudden Lumbar Pain: Causes, Diagnosis, and Treatment Options
Acute lumbar pain? Hello Doctor, a few days ago, due to my menstrual period, I experienced slight lower back pain. Additionally, I had to kneel all day for a family funeral, and that evening, I felt severe pain. The discomfort extended from my lumbar spine to my knees, and I also...
Dr. Shi Guozheng Reply:
Muscle strains typically do not present with lower limb numbness or extend to the calf or sole of the foot, nor do they cause weakness in the calf or toes. Back injuries are often related to poor posture or repetitive movements. Initial treatment should focus on medication and re...[Read More] Understanding Sudden Lumbar Pain: Causes, Diagnosis, and Treatment Options
Understanding Numbness in the Left Big Toe Joint: Causes and Solutions
Left great toe joint Hello Doctor: My left big toe has a tingling sensation about 1.5 centimeters behind the nail at the joint when I rub or press on it sometimes. I don't feel anything when walking or running. Could this be related to the winter season?
Dr. Shi Guozheng Reply:
This area may have nerve pathways, so when pressure is applied, it can cause tingling sensations. It is likely not due to any specific disease, so try to avoid applying pressure and see if that helps.[Read More] Understanding Numbness in the Left Big Toe Joint: Causes and Solutions
Managing Bruising and Pain After an Ankle Injury: When to Seek Help
Bruising and soreness? I apologize for the inconvenience, but I would like to ask about my condition. Last week, I was involved in a car accident where I sprained my right ankle, resulting in bruising and some abrasions. I went to a hospital for an X-ray, and they confirmed that ...
Dr. Shi Guozheng Reply:
Bruising typically takes about two weeks to resolve on its own. Lower back pain is not necessarily due to a herniated disc; it could also be caused by a strain or contusion. If the pain does not improve after rest, it is advisable to see a physician.[Read More] Managing Bruising and Pain After an Ankle Injury: When to Seek Help
Understanding Foot Injuries: Inability to Stand on Tiptoes
Inability to stand on tiptoes after a foot injury? Hello, Director. I injured my foot three months ago, and currently, I have weakness in my foot, making it difficult to go downstairs. I am unable to stand on my toes (I cannot lift my heel), and I experience pain on the inner and...
Dr. Shi Guozheng Reply:
If there is a bone injury in the foot, and it is merely a sprain, rehabilitation can gradually begin after three months. Range of motion exercises for the ankle joint in all directions can be performed. If there is an inability to invert the ankle, it may be due to an injury to t...[Read More] Understanding Foot Injuries: Inability to Stand on Tiptoes