Can You Walk Without Crutches After Tibial Fracture Surgery?
Comminuted complete fracture of the tibia? After a month following a comminuted complete fracture of the tibia, treated with surgical intervention and plate fixation along with the addition of bone graft, is it possible to walk slowly without crutches?
Dr. Chen Bochen Reply:
You need to use crutches after the surgery to protect yourself properly and have regular follow-up X-rays. When it's time to start using crutches, your attending physician should remind you. Do not be overly brave; breaking the metal plate and needing another surgery is defi...[Read More] Can You Walk Without Crutches After Tibial Fracture Surgery?
Knee Pain After a Fall: Recovery Tips and Rehabilitation Advice
Knee injury after hitting the floor? Hello Dr. Chen, my mother slipped and fell while riding a scooter on a rainy day two weeks ago, landing on her knee. That night, she experienced pain while walking, but after 4 to 5 days, she was able to walk normally. However, she still feels...
Dr. Chen Bochen Reply:
1. Switch to heat therapy one week after the injury. 2. Wear a knee brace for 2-3 weeks and minimize walking. 3. It is common to experience tightness immediately after the injury. If pain persists for more than two weeks, seek medical attention and get an X-ray. Wishing you a...[Read More] Knee Pain After a Fall: Recovery Tips and Rehabilitation Advice
Post-Tibial Screw Removal: Essential Care Tips and Precautions
Post-removal care for tibial screws should be noted? Hello, I would like to ask what precautions should be taken after removing the tibial screws. If I accidentally bump into the bone, will it break? Thank you.
Dr. Chen Bochen Reply:
Hello, whether or not to remove the intramedullary nail and the associated risks can only be accurately assessed with a physical examination and X-rays. However, I can share some general information: 1. Intramedullary nails in the tibia can typically be removed after the fracture...[Read More] Post-Tibial Screw Removal: Essential Care Tips and Precautions
Understanding Persistent Swelling After Chest Trauma: Causes and Solutions
Post-traumatic sequelae of chest contusion? Hello, I was maliciously attacked by my ex at the end of April this year, and I sustained a significant impact to my chest (at the location of the first rib below the clavicle). However, there were no external injuries, and after an X-r...
Dr. Chen Bochen Reply:
Hello, if you have a fracture, muscle, or soft tissue inflammation, it is usually accompanied by pain. If there is no pain but swelling persists, it is recommended that you undergo an ultrasound examination to determine the cause, which will give you more peace of mind. If the sw...[Read More] Understanding Persistent Swelling After Chest Trauma: Causes and Solutions
Understanding Recovery from Metatarsal Fractures: Expert Advice
Questions regarding fractures of the second, third, and fourth metatarsals? Hello Dr. Chen, I have had fractures in my second, third, and fourth metatarsals for nine weeks now. My cast has been removed, and I have been undergoing rehabilitation for three weeks. I have some questi...
Dr. Chen Bochen Reply:
Hello Ms. Shih, due to the absence of your X-ray and personal physical examination, I will respond to your medical inquiries as follows: 1) During your eight-week follow-up, the doctor mentioned that you no longer need to use crutches and do not need to return for further appoi...[Read More] Understanding Recovery from Metatarsal Fractures: Expert Advice
Understanding Short Leg Casts for Fibula Fractures: Key Insights
Fibula fracture cast? Dear Doctor, Why did the nurse apply a short leg cast for my proximal fibula closed fracture instead of a long leg cast? Initially, I had a longer cast applied in the emergency department, but later the doctor instructed the nurse to change it to a short l...
Dr. Chen Bochen Reply:
Hello, treatment should be determined based on clinical examination and X-rays. However, generally, a cast for the proximal fibula is not applied for more than one month, and in some cases, a cast may not even be necessary. Of course, your situation may be unique.[Read More] Understanding Short Leg Casts for Fibula Fractures: Key Insights
Assessing Knee Pain: MRI, Bone Screw Materials, and Alternative Diagnosis
Low-field MRI + interface bone screws in the knee + X-ray to determine the material of the screws? Hello Dr. Chen, I underwent a right knee anterior cruciate ligament reconstruction surgery 26 years ago due to a sports injury, using my own patellar tendon for the reconstruction ...
Dr. Chen Bochen Reply:
1. Modern MRI technology can utilize MARS (Metal Artifact Reduction Sequence) to reduce artifacts; however, it depends on whether the hospital where the procedure is performed has this technology. Contrast agents cannot reduce artifacts but can assist the physician in obtaining c...[Read More] Assessing Knee Pain: MRI, Bone Screw Materials, and Alternative Diagnosis
Recovering from Hip Dislocation: What to Expect After Injury
Hip dislocation I had a hip dislocation from a car accident in July, and the doctor performed a manual reduction. An X-ray showed no fractures. I would like to know if I can recover to the same level of health as before the injury, or if I will still have limitations such as inab...
Dr. Zhan Xian Reply:
Hello Mr. Wu, a hip joint dislocation is a serious injury and requires continued outpatient follow-up![Read More] Recovering from Hip Dislocation: What to Expect After Injury
Understanding Knee and Lower Back Discomfort: Causes and Solutions
Knee and lower back discomfort? Hello, doctor! Earlier this year, I sustained a bruise and swelling on the inner side of my right knee due to an accidental impact with the ground. After seeing a rehabilitation specialist, the bruising has subsided, and I have undergone rehabilita...
Dr. Chen Bochen Reply:
1. Knee pain can generally be categorized into three sources: inflammatory, structural, and functional. Rehabilitation treatment primarily targets functional injuries, which can lead to inflammatory pain. It is recommended that you take medication for two weeks, which should resu...[Read More] Understanding Knee and Lower Back Discomfort: Causes and Solutions
Understanding Cartilage Wear and Joint Degeneration in Athletes
Cartilage wear and joint degeneration? Hello, doctor. Recently, I experienced sudden pain and slight weakness in my leg after jumping during exercise, which has caused discomfort when going up and down stairs and slight pain during minor jumps (the pain is more noticeable during ...
Dr. Zhan Xian Reply:
Hello, sir. The above issues require imaging and physical examination for assessment. Please visit the orthopedic outpatient clinic.[Read More] Understanding Cartilage Wear and Joint Degeneration in Athletes
Understanding Acquired Flatfoot: What Your Diagnosis Means
Regarding the issue of flat feet? Recently, I had an X-ray taken at the orthopedic department in Taoyuan, and the results showed foot arches of 152.84 and 154.48. The diagnosis is unspecified lateral flatfoot (acquired)! However, I do not understand what the diagnosis means! Is i...
Dr. Wang Shouji Reply:
Hello, you do not meet the diagnostic criteria for flatfoot; you do not have flatfoot. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Acquired Flatfoot: What Your Diagnosis Means
Understanding Sharp Pain in the Back: Causes and Treatments
Sharp pain in the back? Hello doctor, starting last Monday, I began experiencing a sharp pain in the middle of my back, slightly to the right of the spine. My job requires me to lift heavy objects, but I don't recall any specific incident of straining myself. On Thursday, I ...
Dr. Chen Bochen Reply:
Hello Mr. Huang, muscle fascia strains may not be felt immediately and can start to manifest two to three days later; this is known as "delayed onset muscle soreness." In addition to the muscle fascia strain, you should also have someone check your back skin for any sig...[Read More] Understanding Sharp Pain in the Back: Causes and Treatments
Post-ACL Surgery: Understanding Button Detachment and Recovery Challenges
Post-operative button detachment of the posterior cruciate ligament? Hello, doctor. I had surgery at the end of June, and I started rehabilitation 18 days post-op. I was able to walk slowly without crutches after 23 days. Today, on August 14, during my follow-up appointment, an X...
Dr. Zhan Xian Reply:
Hello Mr. Chen, please follow your attending physician's instructions to wear the protective gear. For any other related questions, please consult your attending surgeon.[Read More] Post-ACL Surgery: Understanding Button Detachment and Recovery Challenges
Understanding Ankle Fracture Recovery: Bruising, Pain, and Rehabilitation
Post-fracture bruising on the lateral ankle and associated rehabilitation issues? Hello, about a week after my ankle fracture on the outer side, I was allowed by my doctor to switch to a pneumatic brace. The person selling the brace told me that I could start to lightly bear weig...
Dr. Chen Bochen Reply:
Hello, Miss Hsu. The information provided below is based on averages, and your condition requires X-rays and clinical examination for a definitive diagnosis. 1. For a non-displaced lateral ankle fracture without surgery, using an air cast and crutches is recommended. Generally,...[Read More] Understanding Ankle Fracture Recovery: Bruising, Pain, and Rehabilitation
Understanding Distal Radius Fractures: Seeking the Right Treatment Options
Distal radius fracture At the end of June, I accidentally fell and fractured my left radius. I first went to a Far Eastern clinic for treatment, where I had an X-ray taken. The doctor said that surgery was not necessary and that I only needed to use a splint for stabilization. Wh...
Dr. Zhan Xian Reply:
Hello, sir. A distal radius fracture may experience further displacement during the healing process, so regular follow-up is necessary. Whether surgery is needed and which type of plate and screws to use for fixation should be determined based on X-ray results. Please consult wit...[Read More] Understanding Distal Radius Fractures: Seeking the Right Treatment Options
Understanding Coccyx Pain: Causes, Symptoms, and Treatment Options
Coccygeal issues I injured my coccyx some time ago, and it still hurts occasionally, especially when I exert myself. I have seen a doctor who said that there shouldn't be any issues and did not order an X-ray. It should be fine, right? Thank you.
Dr. Zhan Xian Reply:
If you still experience pain, please visit the orthopedic outpatient clinic![Read More] Understanding Coccyx Pain: Causes, Symptoms, and Treatment Options
Post-Surgery Rehabilitation Challenges for Giant Cell Tumor Patients
Postoperative rehabilitation issues for "giant cell tumor." Hello, doctor. I discovered a benign "giant cell tumor" on the outer side of my right knee in mid-June. I underwent surgery at the end of June, where an artificial bone and a steel plate were implante...
Dr. Zhan Xian Reply:
Hello, may I inquire about the surgeon or the rehabilitation specialist?[Read More] Post-Surgery Rehabilitation Challenges for Giant Cell Tumor Patients
Post-Surgery Recovery Tips for Tibial Plateau Fracture Patients
Postoperative care after tibial plateau surgery? Hello Doctor, I was involved in a car accident on July 3rd this year. At the time of the accident, my leg was in a vertical position. I was taken to the emergency room where X-rays diagnosed me with a torn anterior cruciate ligamen...
Dr. Shi Guozheng Reply:
1. If there is swelling and heat, you can apply ice. If the swelling is not severe but the joint is very stiff and cannot bend, then you can apply heat before attempting to bend the joint. 2. Bone healing occurs after approximately three months. 3. You can regain a certain le...[Read More] Post-Surgery Recovery Tips for Tibial Plateau Fracture Patients
Healing Time and Support for Fifth Metatarsal Fractures: A Guide
Healing time and stabilization of the fifth metatarsal bone? Hello Doctor, here is the link to my X-ray: https://drive.google.com/folderview?id=1nnvALKiT-M34gzkCOSTD93HHX9KTNOnT. I would like to ask you the following questions: (1) On July 11, I injured my foot by hitting it wi...
Dr. Wang Jiacheng Reply:
1. A fracture at the base of the fifth metatarsal with minimal displacement will heal in approximately six weeks and does not require further immobilization. 2. Walking can be practiced after six weeks, and running can be resumed after twelve weeks. 3. There is no need for ad...[Read More] Healing Time and Support for Fifth Metatarsal Fractures: A Guide
Understanding Knee and Hip Pain: When to See an Orthopedic Specialist
Orthopedic Neurology Hello Doctor: I would like to ask about my grandmother (79 years old). For the past few weeks, she has been experiencing pain in both legs from the knees to the pelvis. She has not had any falls, and although she has tried acupuncture, it has not helped. She ...
Dr. Chen Bochen Reply:
Hello Aping, X-rays cannot determine if there is nerve compression. If the pain persists despite conservative treatment, an MRI should be performed to check for nerve compression. You can consult either an orthopedic specialist or a neurosurgeon. Wishing you a speedy recovery.[Read More] Understanding Knee and Hip Pain: When to See an Orthopedic Specialist