Understanding Disc Herniation and Its Impact on Finger Sensation
Herniated disc finger issues Hello Doctor, since around mid to late October, I've been experiencing a peculiar sensation on the outer side of my left little toe, as if it's soft when it touches the floor. I consulted a doctor and had an X-ray taken, which revealed that ...
Dr. Wang Shouji Reply:
Hello, the symptoms in your hands and feet are likely not caused by the same issue. First, we need to assess the degree of scoliosis. Given your age, if the curvature is not significant, it is unlikely to affect the nerves, and treatment with medication and rehabilitation should ...[Read More] Understanding Disc Herniation and Its Impact on Finger Sensation
Understanding Giant Cell Tumors of the Tibia: Treatment Options and Recurrence Risks
Tibial tumor Dr. Shih: Hello, Dr. Shih! I have developed a tumor on my proximal tibia. In October, I underwent surgery with Professor Yang Rong-Sen at National Taiwan University Hospital. My tumor is a benign giant cell tumor of bone. Dr. Yang recommended that I start treatment w...
Dr. Shi Guozheng Reply:
Dr. Yang is an expert in bone tumors in Taiwan, so it is advisable to consider his opinion. He has extensive experience in treating this type of tumor. It is important to have a thorough discussion with him before deciding on the treatment approach.[Read More] Understanding Giant Cell Tumors of the Tibia: Treatment Options and Recurrence Risks
Understanding Humeral Shaft Fractures in Elderly Patients: Care and Recovery
Fall, mid-shaft humeral fracture? Hello Doctor: My grandmother (85 years old) fell and fractured the middle of her left humerus when she was admitted to the hospital. The doctor advised against surgery due to her age and poor recovery ability. She has been cared for for over a ye...
Dr. You Dianqi Reply:
Hello, the phenomenon you mentioned in medicine is called pseudoarthrosis. If there has been incomplete healing at the fracture site, this is a possibility. As for your grandmother, I would need to review some of her basic imaging before I can provide you with sound advice regard...[Read More] Understanding Humeral Shaft Fractures in Elderly Patients: Care and Recovery
Recovering from a Metatarsal Fracture: Can I Hike Again by January?
Fracture on November 19? On November 19, I was injured when a table fell on my right foot, resulting in a fracture of the third metatarsal. I had a cast applied in the second week, and I am still able to walk, but I am primarily using my heel. I will be going for rehabilitation i...
Dr. Chen Yongxue Reply:
Hello, there is certainly an opportunity, but I really do not recommend it. The mountain roads are uneven, which can easily cause re-injury to fractures that are in the early stages of healing.[Read More] Recovering from a Metatarsal Fracture: Can I Hike Again by January?
Post-Surgery Hip Joint Pain: Seeking Answers for Ongoing Discomfort
After decompression surgery for the left hip joint, there is an inability to walk normally? Hello, Doctor. I underwent left hip joint decompression surgery and artificial bone grafting under general anesthesia at the end of July this year. During a follow-up appointment in mid-Oc...
Dr. Shi Guozheng Reply:
Hip joint decompression is performed from the lateral side of the femur, and the nerves are located behind the bone at a certain distance, typically avoiding contact with the nerves. However, it is possible that avascular necrosis of the femoral head may continue to progress, ren...[Read More] Post-Surgery Hip Joint Pain: Seeking Answers for Ongoing Discomfort
Understanding Fifth Metatarsal Fractures: Symptoms, Recovery, and Care
Fracture of the fifth metatarsal? Hello, Doctor. On November 7th, after hanging something, I slipped off a chair while stepping down, landing heavily on my right foot. At that moment, my foot swelled, and I applied ice continuously for about ten days (not realizing I had a fractu...
Dr. Chen Yongxue Reply:
1. Do I need to elevate my leg while sleeping? Answer: If possible, the affected limb should be elevated to reduce swelling, not just during sleep. 2. When should electrical therapy for rehabilitation be initiated? Answer: Electrical therapy can be started once the fracture has...[Read More] Understanding Fifth Metatarsal Fractures: Symptoms, Recovery, and Care
When Will My Ankle Fracture Heal? Pain, Swelling, and Walking Recovery
When will a right ankle fracture heal, and when can I expect to see a reduction in swelling and pain, as well as the ability to walk? Hello Doctor: Regarding case #162885, I had surgery on October 17 and my foot has not healed, making it impossible for me to walk. The doctor ment...
Dr. Chen Yongxue Reply:
Please return to the outpatient clinic to discuss with your attending physician. Thank you.[Read More] When Will My Ankle Fracture Heal? Pain, Swelling, and Walking Recovery
Understanding Mild Cervical Spine Issues: Treatment and Risks Explained
Cervical spine issues Hello Doctor, recently my family member (male, 46 years old) underwent a cervical spine X-ray as part of a health check-up. The report indicates Mild Marginal Spur at C5-6, Grade I Retrolisthesis at C5-6, C6-7 Interspace Narrowing, and Mild Reduced Body Heig...
Dr. Chen Bochen Reply:
Hello, the issues you described are quite common. Whether they need to be addressed primarily depends on the presence of symptoms. Mild symptoms include neck pain, limited neck mobility, and frequent neck stiffness. Moderate symptoms involve numbness in the arms and neck movement...[Read More] Understanding Mild Cervical Spine Issues: Treatment and Risks Explained
Knee Swelling and Pain After Car Accident: What to Do Next?
Swelling in the knee after a car accident, unable to fully extend or bend? Hello Doctor: It has been a month since the car accident. Although X-rays showed no bone issues and an MRI indicated that the meniscus and cruciate ligaments are not severely damaged, the orthopedic doctor...
Dr. Shi Guozheng Reply:
Continuous hot compresses combined with exercises for joint flexion and extension should be performed. If you are unable to do this, you need to visit a rehabilitation department for guidance from a physical therapist. Swelling may take about two to three months to completely res...[Read More] Knee Swelling and Pain After Car Accident: What to Do Next?
Managing Post-Surgery Pain After Femoral Fracture: A Caregiver's Guide
Persistent pain while sleeping after fracture surgery? I am sorry to hear about your mother's condition. Here are the answers to your questions: 1. Is it possible that the bone has shifted? If so, what should be done? Yes, it is possible for the bone to shift after surge...
Dr. Chen Bochen Reply:
Hello, 1. The outcomes of fracture surgery can vary significantly and depend on the condition at the time of surgery as well as the X-ray results to determine if there is any displacement and what actions to take. 2. Generally, as long as the surgical fixation is stable, simple r...[Read More] Managing Post-Surgery Pain After Femoral Fracture: A Caregiver's Guide
Can Wrist Bone Dislocation Heal Completely in 2-3 Months? Effective Treatment Options
Can a wrist bone dislocation heal completely in two to three months? What is the effective treatment? Hello doctor, my wrist was injured from lifting heavy objects, and initially, only the outer side of my wrist (the side extending from the little finger) hurt. I had an X-ray tak...
Dr. Wang Shouji Reply:
Hello, if you have instability in the distal radioulnar joint that does not improve despite repeated attempts, further evaluation is necessary to determine if surgery is required. Please consult with a hand surgeon. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Can Wrist Bone Dislocation Heal Completely in 2-3 Months? Effective Treatment Options
Understanding Lumbar L5 Spinal Arch Dissociation: Pain, Healing, and Treatment Insights
L5 vertebral arch dissociation, with no slippage of the sacrum? 1. Is the fifth lumbar vertebra arch separation, without any slippage of the sacrum, considered a type of fracture? How long will the pain last? 2. Will the fifth lumbar vertebra arch separation, without any slippage...
Dr. Wang Shouji Reply:
Hello, vertebral arch dissociation trauma cannot be ruled out, but an MRI assessment should be performed as soon as possible. If a significant amount of time has passed and it is difficult to determine whether the injury is new or old, an initial X-ray showing obvious bone defect...[Read More] Understanding Lumbar L5 Spinal Arch Dissociation: Pain, Healing, and Treatment Insights
Is It Normal to Feel a Bump After Hip Replacement Surgery?
After hip replacement surgery Hello, doctor. I apologize for bothering you. I would like to ask you a question. I underwent hip replacement surgery about two weeks ago due to avascular necrosis of the femoral head. After the surgery, I noticed that the area where the replacement ...
Dr. Shi Guozheng Reply:
It may be related to swelling, so you can ask your primary physician for clarification or get another X-ray during your follow-up appointment.[Read More] Is It Normal to Feel a Bump After Hip Replacement Surgery?
Recovery After Left Radius Fracture: Managing Elbow Dislocation and Ligament Injury
Fracture of the left radial head accompanied by elbow dislocation and ligament tear? Hello doctor, I underwent surgery on November 9th due to a car accident, resulting in a left radial fracture with dislocation and ligament rupture. A titanium alloy plate and anchors were used fo...
Dr. Chen Yongxue Reply:
Hello, a fracture of the radial head accompanied by dislocation usually leaves varying degrees of sequelae. Therefore, rehabilitation after surgery is very important. The progress of rehabilitation should primarily follow the advice of the attending physician. On one hand, the st...[Read More] Recovery After Left Radius Fracture: Managing Elbow Dislocation and Ligament Injury
Understanding Foot Fractures: Recovery Tips and Pain Management
The bones in my foot are fractured and there seems to be some displacement issue. I have already seen a doctor and received a cast? On November 20, I accidentally broke the side panel (glass) of my computer. I went to clean it up, but some areas were difficult to reach, so I used...
Dr. Chen Bochen Reply:
1. If your toes turn purple or white, you should return for a follow-up appointment immediately. 2. Apply ice packs and elevate your feet to help reduce swelling; keep your feet elevated while sleeping as well. 3. Symptoms will gradually improve after the acute phase, which l...[Read More] Understanding Foot Fractures: Recovery Tips and Pain Management
Post-ACL Surgery: Understanding and Managing Patellar Tightness
Post-operative tightness of the patella after posterior cruciate ligament surgery? Hello Dr. Lee, I had an accident while riding my bike in April this year, which resulted in a torn posterior cruciate ligament (PCL). I underwent PCL reconstruction surgery in July, during which th...
Dr. Li Wenhong Reply:
Hello, please be patient and continue rehabilitation for at least six months, with regular follow-up visits to discuss with your attending physician. If muscle strength has not yet recovered, it is advisable to reduce the amount of exercise, but you can still run. If you experien...[Read More] Post-ACL Surgery: Understanding and Managing Patellar Tightness
Recovery Timeline for Ankle Fracture Surgery: Managing Swelling and Pain
Ankle fracture surgery with the insertion of screws and plates? Hello, doctor! I slipped on a drink and fractured my right lateral ankle on October 9th. I had surgery and have been elevating my foot daily. It's been almost a month post-surgery, but whenever I stand or sit wi...
Dr. Chen Yongxue Reply:
Hello, an ankle fracture does not always require surgery; however, it is essential to immobilize the area and avoid weight-bearing for at least six weeks. Whether you can start walking with weight-bearing should be determined primarily by X-ray examinations. If managed properly a...[Read More] Recovery Timeline for Ankle Fracture Surgery: Managing Swelling and Pain
Understanding Coccyx Issues: Pain, Tumors, and Treatment Options
Coccygeal issues Hello Doctor: I have found a hard lump just below my coccyx (slightly to the left, near the anus) that is painful when pressed. I had an X-ray, and the doctor said it might be a misaligned coccyx and prescribed pain medication for me. Can an X-ray detect if the l...
Dr. Chen Bochen Reply:
Hello: The treatment methods are quite simple (backed by real medical research): 1. Avoid constant pressure; excessive stimulation will delay healing. 2. If sitting causes pain, use a cushion. 3. If bowel movements are painful, increase vegetable intake, drink more water, or take...[Read More] Understanding Coccyx Issues: Pain, Tumors, and Treatment Options
Understanding Toe Fractures: When to Consider Casting or Surgery
Toe fracture Hello Dr. Shi, I sustained a fracture in my right little toe due to a car accident on October 19, and it has been almost a month since then. The swelling has not subsided, and my foot continues to feel numb, with pain while walking. On the day of the accident, the do...
Dr. Shi Guozheng Reply:
A fracture of the fifth metatarsal that does not have significant displacement does not require surgery. It is sufficient to immobilize the fourth and fifth toes. Follow-up X-rays should be taken in two weeks to check for any changes. Generally, casting is not necessary, and heal...[Read More] Understanding Toe Fractures: When to Consider Casting or Surgery
Understanding Knee Osteoarthritis: Treatment Options and Next Steps
Knee problems Hello, Doctor! My mother is 60 years old and has been experiencing pain in her right knee for four years. The knee feels stiff when walking and she has been diagnosed with osteoarthritis. She has been receiving hyaluronic acid injections, but the pain has worsened i...
Dr. Chen Bochen Reply:
1. At around stage two, the condition is not very severe, and there is no need for a joint replacement. 2. The pain relief effect of PRP (Platelet-Rich Plasma) is not satisfactory; it is essential to identify the underlying cause and address it before targeted injections can be...[Read More] Understanding Knee Osteoarthritis: Treatment Options and Next Steps