Post-Tibial Fracture Surgery: Why Can't I Bend My Knee?
After a tibial fracture surgery, the knee cannot be flexed? Hello doctor, I had surgery on October 9, 2021, and the cast was removed on November 9, after which I was fitted with a protective brace (equivalent to a cast). When I removed the brace to clean my leg, I noticed that my...
Dr. Chen Yongxue Reply:
Hello, fractures around the joints often require fixation with a cast or splint after surgery due to the risk of displacement. However, prolonged immobilization can lead to joint stiffness. Please return for a follow-up appointment to have X-rays taken. If there is evidence of ca...[Read More] Post-Tibial Fracture Surgery: Why Can't I Bend My Knee?
Understanding Thumb Joint Inflammation: Post-Surgery Pain and Nerve Issues
Thumb joint inflammation? Hello, Doctor. I have been experiencing pain near the wrist in both of my thumbs for a long time. After an X-ray, I was diagnosed with arthritis and required surgery for joint stabilization. My right hand is more painful, so I underwent the surgery first...
Dr. Shi Guozheng Reply:
It is normal to experience slight numbness after small nerve injuries on the skin, and this may improve over time. After surgery, joint stiffness can occur, which can be alleviated through rehabilitation. If there are any concerns, you can return for a follow-up appointment with ...[Read More] Understanding Thumb Joint Inflammation: Post-Surgery Pain and Nerve Issues
Should My Elderly Mother Undergo Surgery for Clavicle Fracture?
Clavicle issues Hello, Dr. Shi! My mother is 70 years old and had a car accident on November 14, which resulted in her being taken directly to the emergency room. An X-ray confirmed that she has three fractures in her right clavicle and one fractured rib. The emergency physician ...
Dr. Shi Guozheng Reply:
Conservative treatment typically takes about two to three months and can usually heal the pain, which must be managed with medication.[Read More] Should My Elderly Mother Undergo Surgery for Clavicle Fracture?
Understanding Your Pain: Is It Sciatica, Piriformis Syndrome, or Something Else?
It's unclear whether it's classified as lower back pain or pain just above the buttocks? Hello, doctor. This issue has been bothering me for a long time, especially on days when I have to work. I know it is definitely work-related because my job often requires me to ben...
Dr. Chen Bochen Reply:
Hello: Over 90% of young people's spinal pain, lower back pain, and lumbar pain are functional issues, meaning that the structure is normal, but pain arises due to inadequate care of the spine and improper usage. It is recommended to visit an orthopedic or rehabilitation spe...[Read More] Understanding Your Pain: Is It Sciatica, Piriformis Syndrome, or Something Else?
Two Months of Treatment for Lower Back Pain: Seeking Answers and Solutions
Lumbar sports injury has not improved after two months of treatment? Dear Doctor, I experienced core training at home on September 21st, and possibly due to poor posture or prolonged support time during the "plank exercise," I felt discomfort and pain in my lower back ...
Dr. Chen Yongxue Reply:
Q1. What could be the reasons for experiencing thigh pain in addition to lower back pain? There are many potential causes, ranging from a one-time injury to overuse in daily activities. Q2. How long does it take to see results from medication treatment? Medication can only addr...[Read More] Two Months of Treatment for Lower Back Pain: Seeking Answers and Solutions
Understanding Patellar Fractures: Recovery, Rehabilitation, and Surgery Insights
Patellar fracture Hello, Doctor! I had an unfortunate car accident in September this year that resulted in a patellar fracture. Initially, it was a hairline fracture, and the emergency physician applied a cast, stating that surgery was not necessary and that I should wait for the...
Dr. Wang Jiacheng Reply:
1. It is usually noticeable. 2. Approximately three months. 3. The knee joint should not be excessively flexed. 4. It typically does not occur. 5. It can also be left in place; it only needs to be removed if it interferes with the mobility of the knee joint.[Read More] Understanding Patellar Fractures: Recovery, Rehabilitation, and Surgery Insights
Understanding Patella Fractures: Recovery, Surgery, and Rehabilitation
Patellar fracture caused by a car accident? Hello, Doctor! In September of this year, I unfortunately had a car accident that resulted in a patellar fracture. Initially, it was a hairline fracture, and the emergency doctor applied a cast, stating that surgery was not necessary an...
Dr. Shi Guozheng Reply:
1. It is usually noticeable. 2. Approximately three months. 3. The knee joint should not be excessively flexed. 4. It usually does not. 5. It can also be left in place; it only needs to be removed if it interferes with the movement of the knee joint.[Read More] Understanding Patella Fractures: Recovery, Surgery, and Rehabilitation
Understanding Leg Length Discrepancy: Measurement Errors and Solutions
Measurement errors in leg length discrepancy and inability to stand for prolonged periods? Hello Doctor: I would like to ask, during my first visit to Hospital 804 for an X-ray, the measurement of my right leg was 2.15 cm longer than my left leg, but during my second visit to Vet...
Dr. Zhan Xian Reply:
Hello, scanometry of the lower extremities is primarily used to assess leg length and deformities. There may be some variations in measurements due to different hospitals, software, and physicians. If your leg length discrepancy is between 1-2 centimeters, you can initially use s...[Read More] Understanding Leg Length Discrepancy: Measurement Errors and Solutions
Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained
I am unsure whether the pain is in the muscles or the bones? Hello, doctor. 1. Is it normal to hear popping or cracking sounds when rotating the head during stretching exercises? 2. There is a muscle located two finger widths behind the upper right shoulder that becomes sore a...
Dr. Wang Shouji Reply:
Hello, 1. Joint sounds during movement are usually not a concern if there are no accompanying symptoms such as pain. 2. Shoulder issues may be caused by muscle stiffness or poor circulation, and it is advisable to visit a hospital to check for potential cervical spine issues. 3. ...[Read More] Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained
Understanding Lumbar Vertebra Fractures: Causes, Symptoms, and Treatment Options
Fracture of the fifth lumbar vertebra? I have recently experienced unexplained pain in my lower back and legs. An X-ray examination at the hospital initially indicated a fracture of the fifth lumbar vertebra. A follow-up MRI is scheduled. As I am currently serving in the military...
Dr. Chen Bochen Reply:
Hello, if there is no significant trauma, a fracture of the fifth lumbar vertebra usually refers to a spondylolysis, which is a condition of incomplete congenital development. Generally, as long as there are good exercise habits and avoidance of prolonged sitting and heavy liftin...[Read More] Understanding Lumbar Vertebra Fractures: Causes, Symptoms, and Treatment Options
Understanding Growth Pain and Scoliosis in Adolescents: Height Concerns
Height / Scoliosis / Growing Pains I got my first period in fifth grade when I was 148 cm tall. I graduated from elementary school at 152 cm, with my father at 173 cm and my mother at 170 cm. Based on genetic height, I should be around 164 cm, but now in ninth grade, I am only 15...
Dr. Chen Yongxue Reply:
Hello, height is generally related to factors such as genetics, nutrition, sleep, exercise, and hormonal levels. Typically, a person's height will fall between the heights of their parents, but there are many exceptions. Nutrition, sleep, and exercise are aspects we can acti...[Read More] Understanding Growth Pain and Scoliosis in Adolescents: Height Concerns
Severe Pain from Hip to Calf: Is It Sciatica or Something Else?
Pain from the buttocks to the calves that makes it impossible to walk? Hello Dr. Chen, my mother was initially diagnosed with spinal degeneration and bone spurs compressing the nerves. She initially experienced pain in her lower back and legs, but now she is in pain while lying d...
Dr. Chen Bochen Reply:
Hello, based on your symptom description, it is possible that you have a herniated disc causing nerve compression, leading to sciatica. Please visit an orthopedic or neurosurgery outpatient clinic. The physician will arrange for X-rays or MRI based on your condition. If you exper...[Read More] Severe Pain from Hip to Calf: Is It Sciatica or Something Else?
Managing Spondylolysis and Spondylolisthesis: Key Questions Answered
How should lumbar spondylolysis with spondylolisthesis be managed? Hello Doctor, I previously visited for lower back pain, and the doctor mentioned that I have a lumbosacral fifth vertebra arch dissociation. During my recent follow-up, the doctor indicated that I have signs of sp...
Dr. Wang Shouji Reply:
Hello, strengthening the core muscles is essential. If there is significant low back pain and lower limb numbness, and it progresses to a grade II spondylolisthesis, the likelihood of requiring surgical reduction and fixation is high. The success rate for repair after progressing...[Read More] Managing Spondylolysis and Spondylolisthesis: Key Questions Answered
Understanding Scaphoid Fractures: When Surgery is Not Necessary
Scaphoid fracture I had a car accident in August 2020, which resulted in a non-displaced scaphoid fracture in my left wrist. The treatment provided by the physician was a cast for 1.5 months, followed by a splint for about 2 months. After that, I returned for follow-up appointmen...
Dr. Shen Boquan Reply:
Hello, the scaphoid bone in your left wrist has a non-displaced fracture. After a year of conservative treatment, if you are not experiencing significant pain or discomfort, and medication can alleviate any pain, then surgery may not be necessary. Only consider surgery if you hav...[Read More] Understanding Scaphoid Fractures: When Surgery is Not Necessary
Understanding Ankle Fractures: Recovery, Pain, and Treatment Insights
Tear fracture of the ankle Last month, my boyfriend was in a car accident. Three days later, he woke up with pain in his left ankle and went to the hospital for an X-ray. The doctor informed him that there was a fracture. Initially, walking was uncomfortable and he had a noticeab...
Dr. Chen Bochen Reply:
Hello, fracture healing generally takes 2-3 months. Therefore, the brace should also be worn for 2-3 months. For the first 1-2 weeks after the fracture, it is important to apply ice and elevate the leg. After that, you can switch to heat therapy.[Read More] Understanding Ankle Fractures: Recovery, Pain, and Treatment Insights
Post-Surgery Stiffness in Pediatric Humerus Fracture: Seeking Solutions
Postoperative angular stiffness of the left humerus in a pediatric patient with a lateral condyle fracture? Dear Doctor, On March 13, just before turning four years old, my child accidentally fell from the bed and sustained a deformity in the left elbow due to a fracture. That e...
Dr. You Dianqi Reply:
Hello: As a parent myself, I understand your feelings. It truly pains me to hear about your child's condition. Would it be convenient for me to explain this to you in person? I find that written communication often fails to convey the precise information I wish to share with...[Read More] Post-Surgery Stiffness in Pediatric Humerus Fracture: Seeking Solutions
Managing Cosmetic Concerns After Clavicle Fracture Healing
Clavicular nonunion with a prominent callus? Hello, Dr. You. About two years ago, I had a closed fracture of the distal end of my right clavicle due to a car accident. The doctor recommended conservative treatment, using a figure-eight shoulder strap and a triangular bandage for ...
Dr. You Dianqi Reply:
Hello: Once a bone has healed, it is generally advised not to move it again. Regarding your symptoms, I personally recommend a more thorough evaluation to clarify whether they are related to the healing of the clavicle fracture but with shortening. Any advice I provide from behin...[Read More] Managing Cosmetic Concerns After Clavicle Fracture Healing
Understanding Clavicle Fractures: Recovery, Rehabilitation, and Hardware Removal
Clavicle fracture Hello, Doctor You. I would like to ask about my left clavicle fracture, which has been surgically fixed with health insurance-covered screws for about three months now (in a sling). The X-ray shows that the bone has healed, but I am unable to raise my arm high. ...
Dr. You Dianqi Reply:
Hello: A normal clavicle fracture should recover quite well after three months post-surgery, and there should be no need for a sling. When your condition does not align with typical medical expectations, I become particularly concerned that my explanations may not correspond to y...[Read More] Understanding Clavicle Fractures: Recovery, Rehabilitation, and Hardware Removal
Understanding Fifth Metatarsal Fractures: Recovery and Weight-Bearing Tips
Fracture of the fifth metatarsal bone? Hello: Last week, I rolled my right foot while stepping on the edge of a white frame on the track. The next day, I experienced pain and was unable to stand. After seeing a doctor, it was determined that I have a fracture of the fifth metatar...
Dr. You Dianqi Reply:
Hello: Your fracture displacement is not severe. It is recommended that the cast can be removed after 4 to 6 weeks. For the time being, please focus on non-weight bearing. Thank you, and I wish you a speedy recovery.[Read More] Understanding Fifth Metatarsal Fractures: Recovery and Weight-Bearing Tips
Understanding Avascular Necrosis of the Femoral Condyle: Treatment Options and Recovery
Avascular necrosis of the femoral condyle? Hello Dr. Chen, My mother suddenly fell on the street due to knee pain while walking six months ago. At that time, she had an X-ray examination at a nearby orthopedic clinic, but the doctor did not find any abnormalities. Due to the pan...
Dr. Chen Bochen Reply:
Hello: If the MRI shows early-stage osteonecrosis of the medial condyle, conservative treatment can be employed, which includes non-weight bearing with crutches, along with regenerative treatments such as platelet-rich plasma (PRP) therapy and hyperbaric oxygen therapy. Arthrosco...[Read More] Understanding Avascular Necrosis of the Femoral Condyle: Treatment Options and Recovery