X-ray, Orthopedics FAQ

Understanding Fifth Metatarsal Fractures: Treatment Options and Concerns

Closed fracture of the fifth metatarsal with displacement? Hello, doctor. I had an X-ray at the orthopedic clinic tonight, and the doctor explained that I have a displaced fracture of the fifth metatarsal. I was referred for further treatment or possibly to have it reduced under ...

Dr. Chen Bochen Reply:
1. Bruises can spread and their location may change. 2. Wearing a protective shoe without a cast can have the same effect, or even be more effective.

Understanding Pelvic Fractures: Surgical Options and Recovery Insights

Pelvic fracture Hello, doctor. I would like to ask about my sister. She was in a car accident and has a fracture in her pelvis and a broken small bone in her lower leg (which has been casted). However, she needs surgery for the pelvis. She also has an injury to her pancreas, and ...

Dr. Shi Guozheng Reply:
The question you raised is difficult to answer without an X-ray for reference and without knowing which bone is fractured. If it is a simple fracture, the surgery is relatively straightforward. However, if it is a complex fracture or one near the hip joint, it becomes more challe...

Exploring Minimally Invasive Height Increase Surgery Options for Men

A male who is 159 cm tall is inquiring about minimally invasive height increase surgery? Hello Doctor, I am currently 23 years old and have had an X-ray that shows my growth plates have fully closed. I learned too late that growth hormone therapy could have been an option for me....

Dr. Shi Guozheng Reply:
Bone lengthening surgery involves cutting the original healthy bone (such as the femur or tibia) and then using instruments to gradually lengthen it, often with the implantation of intramedullary nails. After extending the bone to a certain length, it is stabilized to allow for p...

Understanding Radial Head Dislocation and Fracture Recovery Options

Closed fracture of the right radial head on the right side of the right elbow? Hello Doctor, I was in a car accident on November 30th last year. At that time, I had an X-ray of my elbow in the emergency room, and they said there were no fractures, so no further treatment was done...

Dr. Shi Guozheng Reply:
It has been almost three months since the fracture, and it may have already healed. If that is the case, it is still recommended to continue rehabilitation. Radial head fractures are often difficult to diagnose, and if there is displacement, the surgical outcome may not be very f...

Managing Persistent Back Pain After Tuberculosis Treatment: Insights and Solutions

The MRI shows a slight herniation between the lumbar vertebrae L1 and L5, causing pain and discomfort at night while sleeping? I was treated for tuberculosis from December 6, 2019, to June 5, 2020, for a duration of six months. During this time, I have been experiencing lower bac...

Dr. Cai Shanglin Reply:
Hello, Teacher Lin. If you have been experiencing long-term discomfort due to lower back pain and suspect a spinal infection, an MRI can help determine the cause of your back pain, which can be quite complex. Most conservative treatments (non-surgical methods such as medication a...

Managing Post-Surgery Pain: Hip Replacement Complications and Solutions

Pain in the lower back, a specific point in the buttocks, and thigh pain? Hello Doctor, my mother underwent a left hip joint replacement surgery in early November. Initially, she did not experience much pain during her hospital stay or upon discharge, but by December, she started...

Dr. Wang Shouji Reply:
Hello, after hip joint surgery, if you experience severe pain again, it is important to be aware of potential issues such as infection or dislocation. It is advisable to reassess your condition. Changhua Hospital cares about your health. Wang Shou-ji.

Post-Operative Care and Rehabilitation for Humerus Fractures: Key Insights

Postoperative care for humeral fracture? I apologize, but Dr. Chen has some questions to ask. My mother (around 60 years old) was in a car accident in mid-September 2020, and she was taken to the emergency room and underwent surgery. Currently, the doctor has advised aggressive r...

Dr. Chen Yongxue Reply:
1. The X-ray taken at the end of December 2020 shows a bone fragment in the shoulder joint, which likely corresponds to the attachment site of the supraspinatus muscle. This could be a primary reason for the inability to raise the arm. Such findings can occasionally be seen in pa...

Preventing Muscle Loss During Recovery from Metatarsal Fractures

Prevention of Muscle Atrophy Following Metatarsal Fractures Hello, Dr. Wang. On February 6, 2021, I twisted my ankle while walking down the stairs. I had an X-ray in the emergency room, which showed a transverse fracture of the fifth metatarsal, and I am currently in a cast. I wo...

Dr. Wang Shouji Reply:
Hello, for foot fractures, elevating the leg and flexing the ankle joint can help reduce muscle weakness and atrophy. Raising the lower limb can also decrease swelling in the foot. Changhua Hospital cares about your health. Sincerely, Wang Shou-ji.

Managing Post-Surgery Pain: Insights on Hip Replacement Complications

Pain in the lower back, a specific point in the buttocks, and thigh pain? Hello Doctor, my mother underwent a left hip joint replacement surgery at the beginning of November. Initially, she did not experience much pain during her hospital stay and upon discharge. However, in Dece...

Dr. Wang Shouji Reply:
Hello, after hip joint surgery, if you experience severe pain again, it is important to be aware of issues such as infection and dislocation. It is recommended to reassess your condition. Changhua Hospital cares about your health. Dr. Wang Shou-ji.

Understanding Knee Injuries: Causes, Treatment, and Rehabilitation Tips

Knee contusion/swelling Hello Doctor: I was in a car accident and injured my right knee. Initially, I couldn't bend it at all, and bending it caused pain, making it feel like the strength couldn't transfer from my knee to my calf. If I lift my leg without support, my ca...

Dr. Shi Guozheng Reply:
1. Knee joint contusions typically take one to two months to heal; if there is a fracture, it may take three to four months. 2. If the knee joint is still warm, ice therapy should be applied. If the joint is just very tight and cannot bend, then heat therapy can be used. 3. R...

Understanding Patellar Fractures: Recovery Tips and Pain Management

Patellar fracture Hello Doctor: I accidentally fell on February 5th and my left knee hit the ground directly. Initially, it was fine, but after 2 to 3 hours, it started to swell and hurt when I straightened or bent my knee. I started icing it at home. After two days of icing, the...

Dr. Chen Bochen Reply:
1-2. It is recommended to use a cane; if improper weight-bearing leads to a fracture separation, surgery may be required, which would be counterproductive. 3. Using a knee brace can be beneficial.

Understanding Recovery from Radial Bone Fracture: Concerns and Rehabilitation

Radial fracture Hello Doctor, I fractured my right radius on January 24th (approximately in the middle) and underwent surgery to implant a steel plate on January 25th. I had my stitches removed a few days ago. Since I am an artist, I am very anxious about my recovery. I have seve...

Dr. Chen Yongxue Reply:
1. Difficulty in flipping the arm and extending it, with a noticeable protrusion at the site of the steel plate that feels hard to the touch. I would like to know if this indicates that the plate may need to be removed later. You are still very young, and it would be better to re...

Should You Consider Surgery for Slow-Healing Fifth Metatarsal Fractures?

Is surgery necessary for a fifth metatarsal fracture with a wide gap and slow bone healing? On November 8, 2020, I sustained a fracture of the fifth metatarsal. The doctor recommended either a cast or a brace, and I chose to wear a brace (similar to a walking boot with a raised s...

Dr. Chen Bochen Reply:
Patients receiving Xgeva may experience delayed bone healing; however, percutaneous minimally invasive nailing can accelerate the healing process with relatively low risk.

Persistent Pain and Swelling in the Fifth Toe: What to Know

Pain in the fifth toe? Hello, doctor. In August 2020, during the summer vacation, I accidentally kicked a door. Until now, my fifth toe is still red and swollen, and there is a noticeable bump when I touch it. It doesn't hurt much, but there is still some pain when I press o...

Dr. Shi Guozheng Reply:
Toe fractures can heal on their own, but if pain persists, medical attention is necessary, as sometimes the bones may heal improperly or be misaligned.

Ankle Sprain: Persistent Bump on Outer Foot After Two Months

Ankle sprain with swelling on the outer side of the foot? After a sprained ankle, the swelling has subsided after two months, but there is a noticeable bump on the outer side of the foot, close to the fifth metatarsal. There is no pain during normal walking, but there is discomfo...

Dr. Chen Bochen Reply:
You may consider visiting an orthopedic or rehabilitation clinic for an ultrasound to clarify what the protrusion is. X-rays do not need to be repeated within a short period of time.

Understanding Leg Pain When Climbing Stairs: Causes and Solutions

Soreness in the thighs when climbing stairs? Hello, Director Chen! I have a troubling question to ask: I have a daily exercise routine that includes hiking, jogging, cycling, and climbing mountains. However, for the past two to three months, I've noticed that whenever I go u...

Dr. Chen Bochen Reply:
Activities such as climbing hills and cycling that involve forward bending of the spine can cause soreness, which may be due to a herniated intervertebral disc. It is recommended to strengthen core muscles. Using a lumbar support and anti-inflammatory medications may provide shor...

Is My Injured Pinky Finger Serious After a Volleyball Accident?

Fracture after impact? Two years ago, when I was in my first year of high school, I fractured my pinky finger while playing volleyball. I underwent surgery and had a metal plate inserted. The doctor said it could remain in place, so it has been there ever since. However, yesterda...

Dr. Chen Bochen Reply:
If there is no improvement after a week, get an X-ray so you won't have to worry constantly.

Is My Injured Pinky Finger Serious After Hitting the Ground?

Fracture after impact? Two years ago, when I was in my first year of high school, I fractured my pinky finger while playing volleyball. I underwent surgery and had a metal plate inserted. The doctor said it could stay in, so it has remained there. However, yesterday, while receiv...

Dr. Chen Bochen Reply:
If there is no improvement after a week, consider getting an X-ray so you won't have to worry constantly.

Understanding Scoliosis: Symptoms and Concerns in Adolescents

Scoliosis Hello Doctor: I am 15 years old and about two years ago, I was diagnosed with moderate scoliosis (26 degrees). I had a follow-up X-ray, and the comparison showed that the curvature had decreased. For the past six months, I have been experiencing a difficult-to-describe ...

Dr. Chen Bochen Reply:
Numbness in one side of the upper limb may be caused by compression of specific spinal nerve roots. It is advisable to consult a neurologist or orthopedic surgeon to clarify the cause. You can Google "central cord syndrome" to see if it resembles your symptoms.

Understanding a Painful Lump on Your Thigh: What to Do Next

There is a hard lump with a diameter of 4 centimeters on the right thigh? Hello Dr. Chen, I recently noticed a hard lump with a diameter of four centimeters on my right thigh (it is not raised), and its appearance is not due to a bruise from a collision (it has the normal skin co...

Dr. Chen Yongxue Reply:
Hello, 1. Should I go to an orthopedic clinic? Yes, please visit the orthopedic department at a medical center. 2. Should I get an MRI, X-ray, or ultrasound? The physician will decide. 3. Are these examinations covered by health insurance or are they out-of-pocket? If necessary, ...

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