X-ray, Orthopedics FAQ

How to Identify a Simple Achilles Tendon Injury After Basketball

Achilles tendon injury How can I determine if I have a mild Achilles tendon injury? Last week, while playing basketball, I felt a pull and experienced pain when I pushed off my foot. Since then, I've been hesitant to use my Achilles tendon for walking. Currently, there is no...

Dr. Shi Guozheng Reply:
Pain in the Achilles tendon area may indicate an injury. If there is no indentation upon palpation, it suggests that there is no complete rupture. An X-ray or ultrasound can be performed for diagnosis.

Understanding Growth Plate Injuries: Impacts on Limb Length and Treatment Options

Growth plate necrosis In the case of a fourth-grade student who suffered a fracture due to a car accident, initially treated with traditional Chinese medicine for a month, the hand regained normal function but the elbow joint developed a deformity. After consulting an orthopedic ...

Dr. Wang Shouji Reply:
Hello, generally speaking, limb length discrepancies are not related to military service; however, the range of motion and angular deformities may be associated with it. If there is an injury to the growth plate on one side, it can lead to uneven development on both sides, result...

Understanding First Metatarsal Fractures: Diagnosis, Treatment, and Recovery Tips

First metatarsal fracture Hello, doctor. I would like to ask some questions. Last week, I was involved in a car accident where I was rear-ended. During the emergency visit, I was informed that I have a fracture of the first metatarsal (the X-ray is as follows: https://upload.cc/i...

Dr. Shen Boquan Reply:
Hello, I apologize, but I cannot view your X-ray. Even if I could, the resolution and image quality would not be as clear as those taken in a hospital. The bones in the foot are quite numerous and complex. Sometimes, additional imaging such as a CT scan may be necessary for confi...

Recovering from Femoral Shaft Fracture: When Can You Walk Without Crutches?

Femoral shaft comminuted fracture? Hello, this is my first time using this, and I'm not sure how to upload photos. I had a car accident on August 26 and suffered a comminuted fracture of the femoral shaft. The doctor said it was broken in three pieces. I then underwent a sel...

Dr. Wang Jiacheng Reply:
Typically, if the images on the X-ray show that the fracture has healed, the use of crutches may no longer be necessary. However, if the bone has not healed properly, caution is required, as there is a possibility of re-fracture. Therefore, it is essential to return for a follow-...

Are Injection Safety Concerns Valid in Orthopedic Treatments?

Concerns about the safety of orthopedic needle injections? I fell in front of the rehabilitation department and experienced severe pain in my fifth toe. The doctor was unable to determine if it was fractured, so to alleviate the pain, I received an injection at that moment. After...

Dr. Shen Boquan Reply:
Hello, if you have sustained a fracture due to a fall, the healing process typically takes two to three months. During this time, you may experience pain and swelling, which can last for several weeks. It would be advisable to consult an orthopedic surgeon to assess whether surgi...

Recovering from a Complex Femoral Shaft Fracture: When to Ditch the Crutches?

Comminuted femoral shaft fracture due to a car accident? Hello, this is my first time using this, and I'm not sure how to upload photos. I had a car accident on August 26, resulting in a comminuted fracture of the femoral shaft, with the doctor stating it was broken in three...

Dr. Shi Guozheng Reply:
Typically, if the images on the X-ray show that the fracture has healed, the use of crutches may no longer be necessary. However, if the bone has not healed properly, caution is required, as there is a possibility of re-fracture. Therefore, it is essential to return for a follow-...

Understanding Health Insurance X-Ray Regulations for Orthopedic Issues

What are the regulations for orthopedic X-rays under health insurance? Recently, I have been experiencing tibial pain that has spread to my knee for nearly a month. I finally found a clinic with X-ray services, but I was told it was just fascia inflammation. However, my bones rea...

Dr. Shi Guozheng Reply:
If the disease treatment is not effective, and based on the physician's assessment, X-rays can be taken if there are indications. Fractures and arthritis are the most common conditions for which X-rays are routinely performed.

Understanding Fifth Metatarsal Fractures: Recovery and Travel Tips

Fifth metatarsal fracture issues? Hello, Doctor. On the night of December 9th, I slipped while running in high heels in the rain, and my foot swelled up that evening. The next day, I went to the emergency room, where the doctor diagnosed a fracture of the fifth metatarsal and app...

Dr. Shi Guozheng Reply:
The URL you provided for the X-ray is incorrect; it would be best to ask the physician directly for clarification.

Knee Pain After Fall: Possible Injuries and Treatment Options

Five days ago, I fell off my bike and landed on my right knee? Hello Doctor, five days ago I fell off my bike and landed on my right knee. Although I don't feel pain when sitting and bending my knee, I experience pain in the front of my knee when standing or walking. What ty...

Dr. Shi Guozheng Reply:
Knee impact injuries can affect various tissues, including soft tissue, bone, and ligaments, which may all sustain contusions. It is advisable to consult an orthopedic specialist. The physician will assess whether an X-ray is necessary. Resting usually helps alleviate pain, and o...

Understanding Fifth Metatarsal Fractures: Recovery, Mobility, and Travel Tips

Fifth metatarsal fracture Hello, Doctor. On December 12, 2022 (Monday), I injured my foot while playing basketball. On December 14 (Wednesday), an X-ray confirmed a fracture of the fifth metatarsal, as determined by the physician. The diagnosis and recommendation were as follows:...

Dr. Shi Guozheng Reply:
1. There is minimal displacement at the fracture site, so conservative treatment is sufficient. 2. The immobilization should last at least one month before the protective device can be removed; otherwise, there is a risk of displacement. 3. Around four weeks, the fracture wil...

Should You See a Doctor After a Chin Injury from a Fall?

If you slip and hit your chin, is there a displacement of the jaw? Should you see a doctor? Hello doctor, I accidentally slipped in front of the bathroom and hit my chin on the floor. Now, it hurts when I touch my chin, and I'm worried if there might be a dislocation. My hea...

Dr. Chen Yongxue Reply:
Hello, if there is a fracture of the mandible, there should be pain when biting. If there is a dislocation, it may be impossible to open or close the mouth. Based on your description, it seems to be a contusion causing a periosteal hematoma, which can result in localized pain, sw...

Recovering from Thigh Fractures: Tips for Healing and Rehabilitation

Comminuted fracture of the femur? I had a car accident on February 17 and underwent surgery on February 18. After nearly three months of rest, I thought I could walk again, so I went out to eat. Unfortunately, I fractured my bone for the second time on May 23. As of December 6, I...

Dr. Chen Bochen Reply:
Hello, Jiang Guanzhi. 1. Avoid smoking (also avoid secondhand smoke), refrain from drinking alcohol, drink more milk, and get sunlight exposure. 2. You will gradually feel less pain. 3. 4. 5. I need to review your X-rays before providing recommendations. If the bone continues...

Post-Surgery Concerns After Clavicle Fracture: Recovery Tips

Some issues after surgery for a clavicle fracture? On October 28, I had a car accident that resulted in a fractured right clavicle. Initially, I underwent conservative treatment, but in November, it was discovered that the bone was displaced, so I had surgery on November 15. It h...

Dr. Chen Bochen Reply:
Hello, Yu-Yang. 1. Generally, the arm sling can be discontinued after 4-6 weeks. 2. Avoid raising the arm above the head. 3. Mild activities are permissible unless the bone fixation is not stable enough. 4. It is recommended to wait about 2 months before starting to practice...

Understanding Complications of L3 Spinal Surgery: Risks and Recovery

Misalignment of the L3 pedicle screw in lumbar spine surgery? Hello Doctor: My father is 72 years old. Before the surgery, he was unable to walk for long periods and experienced numbness and discomfort in his lower limbs after sitting for a while. X-rays showed signs of scoliosis...

Dr. Chen Yongxue Reply:
1. Will inserting a pedicle screw damage the nerves, and will the nerves heal on their own? Not necessarily, but there is a possibility that if the nerve is hit, it will not heal on its own. 2. Is it necessary to remove the screw, reinsert it, or maintain the current situation?...

Rehabilitation After Distal Radius Fracture: Common Concerns and Questions

Rehabilitation for Distal Radius Fracture of the Right Hand Hello Doctor, I had a follow-up appointment in the seventh week after my fracture. After the X-ray, the doctor said that I basically don't need to wear a wrist brace anymore and started to help me with forearm supin...

Dr. Shi Guozheng Reply:
A radial fracture typically begins to heal within six weeks, but it may take over three months for the bone to become sufficiently strong. During this period, pain may still be present, and rehabilitation can be performed to improve or alleviate discomfort.

Understanding Delayed Healing in Femur Fractures: Your Concerns Addressed

Femoral fracture 1. It has been five months since my femur fracture, and the doctor said the bone has not healed at all. Is this normal? 2. However, I can walk with a limp without crutches and I don't feel any pain. Is there a risk that the internal screws might break if I ...

Dr. Shi Guozheng Reply:
Typically, it takes about six months for a fracture to heal properly. If weight is applied too early, the bone screws may break. If the fracture has not healed after a year, it is considered a nonunion. At that point, certain interventions may be necessary to promote healing. If ...

Understanding Pelvic Fractures and Sexual Activity After Injury

Pelvic complex fractures and sexual activity? Hello Doctor, I had an accident on August 13th where I fell from a height of 12.7 meters, resulting in a complex pelvic fracture and internal bleeding. On October 6th, my husband was very eager to engage in sexual activity. I felt gui...

Dr. Shi Guozheng Reply:
Your attending physician is the most familiar with your condition, so make sure to ask questions clearly during your appointment or write them down beforehand to address them one by one. Typically, pelvic fractures heal in about three to six months; if you are still experiencing ...

Addressing Leg Length Discrepancy After Hip Replacement Surgery

Leg length discrepancy after total hip arthroplasty? My husband underwent traditional surgery to replace his right hip joint with a prosthesis several years ago, and he had a revision surgery for his left hip joint at the end of October this year. However, after the surgery at th...

Dr. Shi Guozheng Reply:
1. There is a slight possibility that the condition may worsen, increasing the risk of infection. 2. It cannot be determined. 3. You can discuss this with your physician.

How Often Should You Get Spinal X-Rays to Minimize Radiation Risks?

For spinal X-rays, it is generally recommended to wait at least 6 to 12 months between imaging studies, unless there is a specific medical reason to perform them sooner. This interval helps to minimize radiation exposure while allowing sufficient time to assess any changes in the...

Dr. Li Wenhong Reply:
Hello: Two spinal X-rays have a low radiation dose and can be performed on the same day if necessary. Whether to proceed with the imaging should be determined by the clinical physician based on the patient's condition, and unnecessary radiation exposure should be minimized a...

Understanding Thigh Bone Cyst Surgery: Post-Operative Pain and Recovery Insights

Femoral bone cyst? A 10-year-old child was found to have a bony cyst in the thigh, and underwent curettage and bone grafting surgery. The doctor reported that the procedure went smoothly. Postoperatively, the child was able to move with a walker in the hospital and was discharged...

Dr. Li Wenhong Reply:
Hello: Typically, postoperative pain in the lower limbs lasts about two to three weeks, but it can vary from person to person. If the wound is healing well and follow-up X-rays show no issues, it should not be a concern. When using a walker to move, if there is pain, do not put w...

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