Understanding Whiplash: Symptoms, Diagnosis, and Treatment Options
Injured in a car accident, experiencing numbness in the back and limbs, vomiting, a feeling of pressure in the head, dizziness, and discomfort in the neck? Hello Doctor: I was involved in a motorcycle accident on April 30, 2023, where I was a passenger on the back seat and was we...
Dr. Shen Boquan Reply:
Hello, if you have been injured in a car accident and are experiencing numbness in your back and limbs, vomiting, a feeling of pressure in your head, dizziness, and discomfort in your neck, you may have a head injury. It is advisable to consult a neurosurgeon or a neurologist. If...[Read More] Understanding Whiplash: Symptoms, Diagnosis, and Treatment Options
Understanding Nerve Compression After Radius Fracture Surgery: Causes and Relief
Radial fracture surgery, one year post-healing with hardware removal, median nerve compression? In June, I underwent a radial fixation surgery, and my post-operative condition was good with no discomfort. The images below are X-rays from October of last year: https://i.imgur.com/...
Dr. Shen Boquan Reply:
Hello, after the removal of the plate following a distal radius fracture surgery, it is common to experience numbness in the fingers. Generally, if the nerves are stimulated or damaged, recovery can take some time, usually around three months or even longer. If the pain at the in...[Read More] Understanding Nerve Compression After Radius Fracture Surgery: Causes and Relief
Should You See an Orthopedist for Pelvic Pain After a Fall?
Fell and hit, experiencing pain near the pelvis? Doctor: I fell while running in the park on June 5, 2024. I fell forward and impacted my pelvis against the ground, specifically around the area three fingers' width from my thigh, hitting a brick floor. I have no issues with ...
Dr. Chen Yongxue Reply:
Hello, based on your letter, there should generally be no major issues. However, to be cautious, it is advisable to have an X-ray examination at the orthopedic outpatient clinic. Thank you.[Read More] Should You See an Orthopedist for Pelvic Pain After a Fall?
Healing Time for Non-Displaced Fibula Fractures: What to Expect
How long does it take for a non-displaced closed fracture of the right fibula's lateral malleolus to heal? I had a fall due to a non-collision accident on May 14th, and I was hospitalized for 7 days. The doctor diagnosed me with a non-displaced closed fracture of the right f...
Dr. Zhan Xian Reply:
Fractures generally require a recovery period of about three months, but this can vary depending on the individual's condition and healing process. Please follow your physician's advice for treatment and follow-up appointments. If you have any concerns, it is advisable ...[Read More] Healing Time for Non-Displaced Fibula Fractures: What to Expect
Will Delayed Treatment of a Boxer's Fracture Affect My Keyboard Skills?
If a boxer experiences a fracture and delays seeking medical attention, will I still be able to type on the keyboard? Hello Doctor: After fracturing my fifth metacarpal, I didn't experience severe pain and thought it was just a sprain, which delayed my visit to the doctor fo...
Dr. Chen Yongxue Reply:
Each person's condition and recovery situation is different, so it is best to consult your attending physician for answers based on your X-ray results. Thank you.[Read More] Will Delayed Treatment of a Boxer's Fracture Affect My Keyboard Skills?
Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions
Steel plate fracture I had my first surgery with steel nails, but my hand ended up misaligned by 2.8 mm, which made it difficult to lift. Later, I underwent treatment with a steel plate, and I was able to lift my hand again. However, the steel plate broke within three months, and...
Dr. Shi Guozheng Reply:
You did not specify whether it is a humeral fracture or a fracture of another bone. If there is a dislocation, an X-ray can determine the fracture. After surgery, if the plate has broken again and there has been no subsequent surgery on the bone, the best option would be to suppl...[Read More] Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions
How to Differentiate Between Ankylosing Spondylitis and Other Joint Pain Causes?
How to determine whether joint pain is caused by an outbreak of ankylosing spondylitis or other factors? Hello Doctor, I was recently diagnosed with ankylosing spondylitis (X-ray showing bilateral grade 2 sacroiliitis, HLA-B27 positive), but I am already 52 years old. My age-rela...
Dr. Shi Guozheng Reply:
You should first see an orthopedic specialist and get an X-ray to check. If the joint is already damaged, it could be due to degenerative changes or ankylosing spondylitis. The X-ray findings for these two conditions are different, so it's advisable to consult a specialist f...[Read More] How to Differentiate Between Ankylosing Spondylitis and Other Joint Pain Causes?
Post-Operative Hip Replacement: Addressing Stiffness and Recovery Concerns
Postoperative Issues After Hip Arthroplasty Hello, Doctor. My mother is nearly 80 years old. Last February, she fell and fractured her left leg, undergoing traditional hip joint surgery. However, over a year later, she still feels stiffness in her left leg post-surgery. She has c...
Dr. Shi Guozheng Reply:
Typically, recovery after surgery takes about two to three months, and stiffness is related to the healing of soft tissues. Additionally, if the artificial joint is too tight, this phenomenon may also occur. It is advisable to consult a rehabilitation specialist for physical ther...[Read More] Post-Operative Hip Replacement: Addressing Stiffness and Recovery Concerns
Understanding Metatarsal Fractures: Recovery and Rehabilitation Insights
Metatarsal fracture Hello Doctor, I had a car accident at the beginning of April and sustained a fracture of the third and fourth metatarsal bones. I was put in a cast at the time, and the images are as follows: https://lurl.cc/2bbRd, dated 4/4, 4/22 (cast removal), and 5/20. Aft...
Dr. Wang Shouji Reply:
Hello, generally speaking, metatarsal fractures rarely result in nonunion. Fracture healing typically takes at least three months. If there is initial healing, most weight-bearing activities should not pose significant issues. Displacement in metatarsal fractures has an acceptabl...[Read More] Understanding Metatarsal Fractures: Recovery and Rehabilitation Insights
Understanding Metatarsal Fractures: Healing, Recovery, and Rehabilitation
Metatarsal fracture Hello Doctor, I had a car accident at the beginning of April and sustained a fracture in the third and fourth metatarsal bones. I was in a cast for several weeks, with X-rays taken on 4/4, 4/22 (when the cast was removed), and 5/20. After the cast was removed,...
Dr. Chen Bochen Reply:
Don't worry, the bone will heal on its own. Just make sure to walk and run more (gradually).[Read More] Understanding Metatarsal Fractures: Healing, Recovery, and Rehabilitation
Understanding Metatarsal Fractures: Healing, Recovery, and Rehabilitation
Metatarsal fracture Hello Doctor, I was in a car accident at the beginning of April and sustained a fracture in the third and fourth metatarsals. I had a cast for several weeks, and the X-rays were taken on 4/4, 4/22 (when the cast was removed), and 5/20. After the cast was remov...
Dr. Chen Bochen Reply:
Don't worry, the bone will heal on its own. Just make sure to walk and run more (gradually).[Read More] Understanding Metatarsal Fractures: Healing, Recovery, and Rehabilitation
Understanding Ankle Fractures: Recovery and Treatment Options After an Accident
Left ankle fracture due to a car accident? Hello, I sustained a fracture (hairline fracture) of my left ankle on April 12 due to a car accident. An X-ray taken on May 2 showed slight displacement. Here are the X-ray links: https://lurl.cc/WYawY5/18 and https://lurl.cc/mpXbR1. I h...
Dr. Zhan Xian Reply:
Hello Steve, surgery is recommended because the fracture is displaced. It is not advisable to bear weight as the fracture has not healed, and you will need to use crutches. If the displacement affects the joint, it may increase the risk of post-traumatic arthritis in the future. ...[Read More] Understanding Ankle Fractures: Recovery and Treatment Options After an Accident
Understanding Treatment and Recovery for Left Ankle Fractures
Fracture of the left medial malleolus? Hello, I fractured my left ankle on April 12. The X-ray taken on May 2 can be found at https://lurl.cc/WYawY and the X-ray taken on May 18 is at https://lurl.cc/mpXbR1. I have a few questions: 1. Can I undergo conservative treatment? There...
Dr. Shi Guozheng Reply:
1. Conservative treatment may potentially lead to the occurrence of arthritis in the future, but the probability is uncertain. 2. Normal walking can only resume after healing, as there may be friction on the side. 3. It is possible. 4. There is a possibility. 5. It is bes...[Read More] Understanding Treatment and Recovery for Left Ankle Fractures
Understanding Fractured Cuboid and Grade 2 Sprain: Recovery Insights
Scaphoid fracture and Grade II sprain? Hello Doctor, I fell on April 22, resulting in a fracture of the cuboid bone and a grade 2 sprain. I have been in a cast and have been resting at home for 4 weeks. 1. Currently, I have bruising on the bases of four toes, and they are painf...
Dr. Chen Yongxue Reply:
Hello, I have a fracture of the fibula along with a grade 2 sprain. I have been using a cast for immobilization and have been resting at home for 4 weeks. Bruising is expected with fractures, and it seems to have pooled in my toes, likely due to not elevating my leg. The bruising...[Read More] Understanding Fractured Cuboid and Grade 2 Sprain: Recovery Insights
Understanding Post-Surgery Pain in Femoral Osteonecrosis: What to Expect
Avascular necrosis of the femur Hello Doctor: I underwent femoral decompression last month! The doctor used two types of bone grafts, one is bone allograft and the other is osteoconductive bone graft. It should be better to use these two together, right? On the 20th, it has been ...
Dr. Chen Yongxue Reply:
Hello, avascular necrosis of the femoral head can be treated with decompression surgery in the early stages, a hemiarthroplasty in the mid-stages, and a total hip arthroplasty in the late stages. Each individual's condition is different, so please trust your attending physic...[Read More] Understanding Post-Surgery Pain in Femoral Osteonecrosis: What to Expect
Understanding Clavicle Fractures: Recovery Tips and Surgical Considerations
Clavicle fracture Due to a car accident, I sustained a fracture of the distal clavicle on my left shoulder. It has been approximately 11 days since the injury. The doctor advised that I use a figure-eight brace for six weeks and that I do not need to use a sling. During my last f...
Dr. Zhan Xian Reply:
The figure-eight shoulder strap is used to stabilize a non-displaced clavicle fracture to prevent displacement and alleviate pain. The affected arm should not lift heavy objects, and when sleeping, it is recommended to lie flat and avoid sleeping on the side of the fracture. For ...[Read More] Understanding Clavicle Fractures: Recovery Tips and Surgical Considerations
Understanding Left Ankle Fractures: Surgery, Healing, and Recovery
Fracture of the left medial malleolus? Hello, I apologize for the inconvenience. I suffered a fracture (hairline fracture) of my left ankle on April 12 due to a car accident. An X-ray taken on May 2 showed slight displacement. Here is the link to the X-ray: https://lurl.cc/WYawY1...
Dr. Chen Bochen Reply:
1. If this condition remains stable and does not shift, there is a high chance it will heal on its own. 2. The correct term is avulsion fracture. 3. After healing, walking should gradually return to a natural state. 4. Normal.[Read More] Understanding Left Ankle Fractures: Surgery, Healing, and Recovery
Understanding Growth Plate Injuries: Impact of Playing Baseball on Recovery
Growth plate and fracture at the junction of the fingers? Hello Doctor: I am 14 years old. While playing sports, I accidentally injured my finger by hitting it against a carrot. I went to a nearby hospital for treatment, and after an X-ray, it was found that there is a crack in t...
Dr. Shen Boquan Reply:
Hello, after the X-ray, it was found that there is a crack in the growth plate of the left thumb joint and the bone above it, indicating a fracture. If it is indeed a fracture, early activity is not recommended to avoid improper healing. Wishing you good health, Shen Boquan.[Read More] Understanding Growth Plate Injuries: Impact of Playing Baseball on Recovery
Understanding Pin Displacement After Finger Fracture Rehabilitation
Dislocation of the little finger? Hello, I fractured my little finger in mid-April. After the stitches were removed, the doctor taught me how to rehabilitate it myself. Recently, after rehabilitation, a certain point on my little finger has become very painful and swollen. After ...
Dr. Chen Yongxue Reply:
Hello, a fracture of the little finger generally requires fixation with a steel pin. However, the bone quality of the little finger is not very good, so the fixation effect is naturally poorer compared to other bones. The displacement of the pin is not ideal and may be related to...[Read More] Understanding Pin Displacement After Finger Fracture Rehabilitation
Assessing the Need for Dynamic Intramedullary Nail Surgery After Two Years of Nonunion
Is surgery for dynamization necessary for a femoral nonunion that has persisted for two years? Hello Dr. Chen, Two years ago, in February 2022, I was involved in a car accident and underwent surgery for an intramedullary nail fixation of the femur. Since then, the results have ...
Dr. Chen Yongxue Reply:
Hello, the attached X-ray shows a nonunion of the right femoral shaft fracture after treatment with intramedullary nailing. At this point, a "dynamization" approach can be utilized (removing the locking screws at the ends to promote compression at the fracture site), wh...[Read More] Assessing the Need for Dynamic Intramedullary Nail Surgery After Two Years of Nonunion