Understanding Wrist Pain After Non-Surgical Radius Fracture Recovery
Radial fracture Hello Doctor: I fell on August 8 and sustained a fracture (hairline fracture) of the radius in my wrist. I did not undergo surgery and was in a cast for about a month and a half. After that, I started doing some stretching and bending exercises on my own. It has n...
Dr. Shi Guozheng Reply:
Although fractures may not require surgery, healing still takes a certain amount of time, usually around three months. Even after healing, joint mobility must be restored through rehabilitation. It is important to actively move your wrist joint in all directions every day. To enh...[Read More] Understanding Wrist Pain After Non-Surgical Radius Fracture Recovery
When and How to Rehab After Radius and Scaphoid Fractures: A Guide
When and how to rehabilitate after a fracture of the radius and scaphoid bone, as well as the ulnar styloid fracture? Hello, Doctor: I fell and fractured my wrist (distal radius and scaphoid fractures) in mid-September. I underwent surgery to implant a titanium alloy plate and sc...
Dr. Shi Guozheng Reply:
Ulnar styloid fractures typically do not require special treatment; however, if there is an associated tear of the triangular fibrocartilage complex (TFCC) between the radius and ulna, intervention is necessary. Rehabilitation involves performing wrist movements in all directions...[Read More] When and How to Rehab After Radius and Scaphoid Fractures: A Guide
Understanding Osteoporosis X-Ray Checks: Key Areas and Treatment Options
Bone density test How many points should be examined in an X-ray for osteoporosis to be sufficient? Previously, someone went to Chang Gung Memorial Hospital and had their wrist and foot examined, but when I had it done at Taipei Medical University two years ago, only the hip and ...
Dr. Shi Guozheng Reply:
Bone density testing typically measures the lumbar spine and hip. A T-score of -1.8 indicates osteopenia, which is not yet at the level of osteoporosis, and the risk of fractures is relatively low. Generally, increasing physical activity and supplementing with calcium and vitamin...[Read More] Understanding Osteoporosis X-Ray Checks: Key Areas and Treatment Options
Understanding Fifth Metacarpal Base Fractures: Diagnosis and Treatment
Fracture of the base of the fifth metacarpal (doctor's diagnosis) Hello Doctor, I was in a car accident on July 7th, but the emergency physician did not inform me of any fractures despite having an X-ray taken. Since I was still in pain after a month, I switched to another h...
Dr. Wang Shouji Reply:
Hello: Since this fracture is close to the wrist, pain in this area is possible. It is important to first understand the healing status of the fracture, and to perform heat therapy and wrist mobility exercises. If pain persists after one month, it is necessary to assess for any d...[Read More] Understanding Fifth Metacarpal Base Fractures: Diagnosis and Treatment
Managing Old Wrist Injuries: When to Seek Medical Attention Again
Old wrist injury I previously sustained an injury while exercising and did not seek immediate medical attention, which has led to pain on the outer side of my wrist (below the pinky) and sudden weakness. I had undergone rehabilitation before, but I have since stopped, and the pai...
Dr. Wang Shouji Reply:
Hello: Based on your current symptoms, it is recommended that you first go to the hospital for an X-ray and a physical examination. If there are no obvious abnormalities in the bones, further testing of the soft tissues will be necessary, as there may be issues with the stability...[Read More] Managing Old Wrist Injuries: When to Seek Medical Attention Again
Post-Surgery Concerns: Understanding Wrist Surgery Recovery Symptoms
Postoperative issues Hello, doctor. I had surgery to remove wrist screws a week ago, and I feel stiffness and a tingling sensation in the area of my palm near the wrist when I touch it. Is this a normal postoperative phenomenon?
Dr. Shi Guozheng Reply:
It is normal for the wound to heal, and gradually engaging in activities that allow the joint to move in every direction can help improve the feeling of stiffness.[Read More] Post-Surgery Concerns: Understanding Wrist Surgery Recovery Symptoms
Understanding Wrist Fractures: Managing Pain and Recovery After Injury
Wrist fracture Hello Dr. Chen, Five weeks ago, I fractured the bones in my right wrist while skiing. Since then, I have been wearing a new type of hard splint that is similar to a cast and cannot be removed freely. During this time, my arm has been kept in a flexed position to ...
Dr. Chen Yongxue Reply:
Hello, the letter did not specify which bone in the wrist (I suspect it might be the scaphoid bone). If it is the scaphoid, it can be more complicated. The casting must be applied carefully, as the application of the cast can lead to joint stiffness, which is normal. After the ca...[Read More] Understanding Wrist Fractures: Managing Pain and Recovery After Injury
Choosing the Right Surgery for Radial Head Fractures: A Patient's Dilemma
Treatment methods Dr. Shi, the patient has a closed fracture of the radial head. It has been four months since the plate fixation surgery. After multiple communications with the physician post-surgery, today the doctor mentioned the need for radial head excision. The patient is 3...
Dr. Shi Guozheng Reply:
After the excision of the radial head, there may be a reduction in joint pain; however, after several years, symptoms of pain in the wrist or elbow joints may emerge, which is considered degeneration. This occurs because the proximal radius does not articulate with the humeral jo...[Read More] Choosing the Right Surgery for Radial Head Fractures: A Patient's Dilemma
Recovery After Steel Pin Removal from Colles Fracture: What to Expect
Recovery after removal of metal screws? Hello Doctor: I initially suffered a closed Colles fracture of the wrist due to a car accident. At that time, the doctor informed me that the steel pins could be removed after about a year, and that I could be discharged the day after the s...
Dr. Shi Guozheng Reply:
The removal of the wrist bone screws allows for suture removal approximately one week later, and normal function is expected to return within two weeks. However, it is important to avoid excessive force for three months, as the screw holes are relatively weak. Strong impacts duri...[Read More] Recovery After Steel Pin Removal from Colles Fracture: What to Expect
Wrist Pain During Rotation: Causes and When to See an Orthopedic Specialist
Wrist rotation pain A few months ago, I injured my wrist while playing basketball when it was pulled in the opposite direction. It was very painful at first, but it got better afterward, and everything seemed normal for a few months. Recently, over the past month, I experienced a...
Dr. Shi Guozheng Reply:
It is advisable to see an orthopedic specialist to check for any other issues, as it is likely that the ligaments near the wrist are injured.[Read More] Wrist Pain During Rotation: Causes and When to See an Orthopedic Specialist
Rehabilitation Tips for Elbow Dislocation: Regaining Mobility After Injury
Elbow dislocation with inability to flex? Hello, I would like to ask a question. On August 3rd, I accidentally fell and tried to catch myself with my left hand. At that moment, it felt like my hand was broken. I rushed to the hospital and the doctor said it was a dislocated bone....
Dr. Shi Guozheng Reply:
When there is a wrist injury with bone displacement, it is essential to pay attention to whether there is damage to the ligaments between the radius and ulna (distal radioulnar joint). If there is an injury, further examination or surgery may be necessary. If the pain has persist...[Read More] Rehabilitation Tips for Elbow Dislocation: Regaining Mobility After Injury
Is It Normal to Feel Pain from Pins and Plates After Wrist Surgery?
Bone screw issues Doctor, I have an open radius fracture with pins and a plate. Is it normal to be able to feel the pins, and is it normal for it to be a bit painful when touched?
Dr. Shi Guozheng Reply:
Just because you can feel it doesn't necessarily mean it's abnormal; it depends on whether the nail has shifted and whether the fracture has healed. Regular follow-ups with your physician are essential to assess the situation. It's important for the doctor to perso...[Read More] Is It Normal to Feel Pain from Pins and Plates After Wrist Surgery?
Understanding Pain After Physical Therapy for Elbow Rehabilitation
Physical therapy massage In May, a titanium alloy plate was placed for distal radius fixation. After physical therapy on August 29, I experienced pain when bending my elbow upwards. The range of motion for bending is limited. There is no pain when the elbow is not bent, but bendi...
Dr. Shi Guozheng Reply:
The location of the fracture is either at the elbow or the wrist. Changes in the position of the elbow during flexion may be related to rehabilitation. If pain persists after massage therapy, it is necessary to obtain an X-ray to confirm whether there are any issues with the frac...[Read More] Understanding Pain After Physical Therapy for Elbow Rehabilitation
Understanding X-Ray Diagnosis for Orthopedic Injuries: Key Insights
Issuance of a medical certificate? If an X-ray shows a small issue that later disappears in a subsequent X-ray, it may indicate that the initial finding was transient or related to a minor condition that resolved itself. It is important to follow up with your healthcare provider ...
Dr. Shi Guozheng Reply:
Is there a slight indication of a fracture in the wrist X-ray? If it is a fracture, the crack may heal over time, and subsequent X-rays may not show the fracture anymore. A fracture can break into several pieces; if there is no external injury or the skin is not penetrated by the...[Read More] Understanding X-Ray Diagnosis for Orthopedic Injuries: Key Insights
Wrist Pain and Locking During Rotation: Understanding Ligament Issues
Pain and locking occur when flipping the right wrist from palm down to palm up on the side of the little finger? Hello Doctor, I would like to ask you a question. When I perform a twisting motion with my right wrist (from palm down to palm up), it gets stuck just before reaching ...
Dr. Shi Guozheng Reply:
Injury to the triangular ligament of the wrist is a common injury, medically referred to as the triangular fibrocartilage complex (TFCC) injury. It often requires surgery to improve ligament laxity. After surgery, rehabilitation therapy is typically necessary. Patients should see...[Read More] Wrist Pain and Locking During Rotation: Understanding Ligament Issues
Understanding Distal Radioulnar Joint Dislocation: Prognosis and Treatment Options
Distal radioulnar joint dislocation After previously falling off a bicycle and landing on my hand, I have experienced wrist pain that has persisted for over two weeks. An X-ray diagnosis revealed a distal radioulnar joint dislocation. The doctor recommended taking pain medication...
Dr. Wang Shouji Reply:
Hello: If a distal radioulnar joint dislocation remains significantly unstable after being protected and allowed to heal on its own, surgical stabilization of the joint is necessary, as it may affect the pronation and supination of the wrist. Initially, protection (using a cast o...[Read More] Understanding Distal Radioulnar Joint Dislocation: Prognosis and Treatment Options
Understanding Scaphoid Fracture Surgery and Recovery Challenges
Lunate bone separation The screw used to fix the scaphoid fracture in my right wrist has loosened. Earlier this year, I accidentally twisted my wrist violently while working, which caused an injury. Since the pain fluctuated, I didn't pay much attention to it. Recently, due ...
Dr. Shi Guozheng Reply:
The physician's recommendation to switch to a short arm cast is reasonable because prolonged use of a long arm cast (extending beyond the elbow joint) can affect the range of motion in the elbow. This may result in difficulty fully extending or bending the elbow. Since the b...[Read More] Understanding Scaphoid Fracture Surgery and Recovery Challenges
Do Ganglion Cysts Compress Nerves? Surgery and Recovery Insights
Can a ganglion cyst compress nerves? I have ganglion cysts on both of my wrists, with the one on my right hand being larger. I would like to ask the doctor if ganglion cysts can compress nerves and whether surgery is necessary. What is the typical recovery time, and what are some...
Dr. Wang Shouji Reply:
Hello: Generally speaking, the location usually does not compress the nerves. Surgical excision is feasible, but there is a chance of recurrence. The duration of the surgery typically ranges from about ten to twenty minutes, depending on the size. Generally, reducing hand activit...[Read More] Do Ganglion Cysts Compress Nerves? Surgery and Recovery Insights
Recovery Strategies for Scaphoid Fractures: Managing Wrist Limitations
Recovery after a scaphoid fracture? Hello Doctor: I initially had a scaphoid fracture in my wrist and was put in a cast. Now that the bone has healed and I no longer need follow-up visits, I still experience limited wrist mobility. I feel pain when bending it up and down to the m...
Dr. Shi Guozheng Reply:
The wrist joint can move in all directions within a pain-free range of motion. Additionally, grip strength training can be performed by squeezing a ball or other objects, which will gradually help restore grip strength.[Read More] Recovery Strategies for Scaphoid Fractures: Managing Wrist Limitations
Understanding Scaphoid Fractures: Diagnosis, Treatment, and Recovery
Scaphoid fracture assessment I would like to ask: On Sunday morning, I injured my hand while exercising, causing slight swelling and bruising from the area below my little finger to my wrist. I went to a teaching hospital on Monday evening for an X-ray, and the doctor mentioned a...
Dr. Shi Guozheng Reply:
In addition to anteroposterior and lateral X-ray imaging, scaphoid fractures require additional imaging in the wrist's external rotation at 45 degrees and internal rotation at 45 degrees to clearly visualize the fracture site. If the scaphoid fracture is located distally, th...[Read More] Understanding Scaphoid Fractures: Diagnosis, Treatment, and Recovery