X-ray, Orthopedics FAQ

Understanding Neck and Spine Issues: Addressing Unusual Sounds While Walking

Cervical and spinal issues? I had an X-ray after a car accident, and the bones were fine. However, I hear a popping sound when I walk. The sound disappears when I walk with a hunched posture at a certain angle, but it returns when I walk upright. I've undergone rehabilitatio...

Dr. Chen Yongxue Reply:
Hello, the sounds coming from your joints are not considered a disease. As long as there are no accompanying symptoms, you can disregard it. If you still have concerns, please visit an orthopedic clinic for further evaluation. Thank you.

Understanding Gout Symptoms: Can Pain Be Intermittent?

I would like to ask the doctor about the symptoms of gout? Hello, Doctor. Yesterday afternoon, while going down the stairs, I suddenly felt discomfort in my left ankle halfway down. Although it was bearable at first, since my job requires me to walk frequently and go up and down ...

Dr. Shi Guozheng Reply:
Gout attacks typically present with localized joint redness, swelling, heat, and pain. If these symptoms are absent, it is less likely to be gout. Patients with chronic hyperuricemia may not necessarily experience an attack. It may be advisable to consult an orthopedic specialist...

Understanding Right Knee Pain: Causes and Treatment Options

Right knee tenderness? Dear Dr. Li, I had a minor car accident about two years ago (in 2017), which resulted in a bruise and contusion on my right knee. I subsequently visited an orthopedic clinic for an X-ray of my right knee. The doctor reviewed the X-ray and stated that there...

Dr. Li Yongheng Reply:
Hello, the localized tenderness may be a symptom caused by internal soft tissue scarring resulting from a contusion. If the symptoms are bothersome, it is recommended to visit an orthopedic clinic for a low-dose corticosteroid injection. It is very effective and has no side effec...

Understanding Post-Removal Discomfort After Patellar Fracture Surgery

Hello, doctor. I have some questions regarding the removal of screws and wires after a patellar fracture? Hello, doctor. I fractured my patella six months ago, and I went to the hospital the day before yesterday to have the screws and wires removed, followed by a manual mobilizat...

Dr. Li Yongheng Reply:
Hello: 1. We can take another X-ray to check for any remaining bone screws. 2. The sensation of a foreign body is likely not caused by the surgical procedure. 3. It may be too late to start rehabilitation after the wound has healed; we need to begin active rehabilitation now.

Persistent Thigh Pain: Understanding Causes and Seeking Solutions

Persistent, unexplained dull pain in the thigh? I experience a persistent dull pain that extends from the area where the femur connects to the hip bone down to the midpoint of my thigh. The pain feels as though it originates from the bone or possibly from surrounding nerves, and ...

Dr. Ye Qingnian Reply:
Hello, first arrange an X-ray to check for any abnormalities in the femur. If there are none, it is suspected to be myofascial pain. It is recommended to visit an orthopedic outpatient clinic for further evaluation and treatment. Thank you.

Understanding Pain in the Humerus After Fracture Surgery: Causes and Concerns

Pain during specific movements at the site of a humeral fracture? Hello, doctor. I had a spiral fracture of the humerus three months ago and underwent surgery on September 1, where a plate and screws were implanted from the posterior side of my arm. Last week, I accidentally lift...

Dr. Li Yongheng Reply:
I recommend that you return for an X-ray to determine the cause more accurately.

Understanding Hip Joint Pain After Surgery: Is It the Hardware?

Femoral intramedullary nail Hello Dr. Li, My son is currently 30 years old and underwent surgery three years ago for a fracture of the left hip joint, where a steel plate and screws were used for fixation. Recently, he has been experiencing pain on the inner side of his left thi...

Dr. Li Yongheng Reply:
Hello, if the physical therapist says there is a possibility that the metal pin is misaligned, an X-ray can reveal this. It could be due to avascular necrosis of the femoral head or post-traumatic arthritis. Further examination is recommended.

Understanding Lumbar Spine Surgery: Key Questions and Insights

Vertebral arch issues Following the so-called comprehensive report from March of this year, lumbar spine flexion and extension lateral views show a defect at the L5-S1 pars interarticularis, ruling out spondylolysis. Lumbar spine two views reveal a defect at the pars interarticul...

Dr. Li Yongheng Reply:
Hello, here are the responses: 1. The surgery duration is approximately 3-4 hours. 2. Insertion of a spacer is not always necessary. 3. All procedures must be submitted for review first. 4. Bone wax: unclear. 5. Central venous catheter placement is not always required. 6. Blood t...

Understanding Fibula Fractures: Displacement, Initial Care, and More

Fibula fracture explanation? 1. The term "displaced closed fracture of the left fibula's lateral malleolus" indicates that the fracture has indeed resulted in displacement. However, if the previous physician reviewed the X-ray and stated that there was no displacem...

Dr. Li Yongheng Reply:
I apologize, but I cannot explain the condition based solely on the diagnosis report without a personal examination. Thank you for your understanding.

Post-Operative Rehabilitation Questions for Patellar Fracture Recovery

Inquiry about rehabilitation after patellar fracture surgery? Hello, Doctor. I underwent surgery for a patellar fracture in early July. The X-ray showed a crack in the middle, and the doctor said that it could be fixed with steel pins, without the use of wires. It has now been fo...

Dr. Shi Guozheng Reply:
It is normal to experience swelling in the joints or limbs during the bone healing process while undergoing rehabilitation. It is important to gradually practice walking as part of the recovery process.

Ankle Swelling and Numbness After Motorcycle Accident: What to Do?

After a car accident, my ankle is swollen, and my foot feels numb when I sit down? Hello Doctor, I had a motorcycle accident a few days ago, and I have a scrape on my right ankle. It seems that I may have sustained a strain from being run over by the motorcycle. I had an X-ray do...

Dr. Li Yongheng Reply:
Hello, based on your description, swelling in the ankle and experiencing numbness while sitting is likely a normal phenomenon. After 2-3 weeks, the swelling should subside, and you can expect to recover. Please do not worry.

Understanding Growth Plate Issues: Can You Still Grow Taller at 22?

Issues with growth plates? Hello, Doctor. I am 22 years old, 169 cm tall, and I just graduated from university. A few days ago, I had an X-ray of my growth plates. I thought I would be getting a full-body X-ray, but they only took images of my wrist. I went to see an orthopedic s...

Dr. Shi Guozheng Reply:
Typically, the growth plates in male adults close by the age of 22, making it impossible for them to grow taller. Currently, administering growth hormone will not change this.

Understanding Knee Pain After Childbirth: Causes and Solutions

What is the issue of sharp pain in the knee? Hello, doctor. Three years ago, after giving birth, I often found myself kneeling while holding my child to get onto the bed. I noticed that there was a specific point on my left knee that would hurt sharply when kneeling. However, I e...

Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have patellar malalignment or chondromalacia. I recommend that you return for a follow-up appointment to discuss this with your physician.

Managing Clavicle Fractures: Recovery, Complications, and Next Steps

Clavicle fracture I fractured my clavicle in a car accident at the end of April. The doctor performed surgery the next day to insert a steel plate, which I paid for out of pocket. After the surgery, I asked the doctor if I needed to use a sling, but he said it wasn't necessa...

Dr. Li Yongheng Reply:
Hello, if the metal pin is broken and the fracture has healed, even if there is deformity in the bone, there is no need for another surgery. However, if the fracture has not healed, a second surgery may be necessary. It is recommended that you visit another hospital to consult wi...

Understanding Coccyx Injuries: Causes and Recovery Insights

Coccygeal injury A few days ago, I slipped on a wet floor and fell to the ground. Now my legs feel very sore, and I experience pain in the soles of my feet when walking. I had an X-ray taken, and the doctor mentioned that my coccyx, which normally has a curvature, is slightly con...

Dr. Li Yongheng Reply:
Hello, based on your description, a simple coccyx injury should not pose any significant issues. The current soreness in your legs is likely due to the recent fall. It should heal in approximately 3 to 4 weeks.

Understanding Finger Sprains: Symptoms and Recovery Tips

Finger contusion On July 20th, I sustained an injury and had an X-ray, which showed no fractures. Now, my left index finger feels tight and uncomfortable, as if the tendons are being pulled. When I turn my head, the sensation returns, and afterwards, I experience a tingling sensa...

Dr. Zhan Xian Reply:
A diagnosis cannot be made from the description provided; if discomfort persists, please visit an orthopedic outpatient clinic.

Understanding Ligament Injuries After a Car Accident: A Patient's Journey

Ligament issues Hello Dr. Chen Yong-Hsueh, I would like to inquire about an injury I sustained in a car accident. I experienced a significant impact, which resulted in an injury to my right knee. The diagnosis at that time was as follows: "According to the diagnostic certifi...

Dr. Chen Yongxue Reply:
Hello, an anterior cruciate ligament (ACL) tear is often difficult to diagnose in the early stages due to swelling in the knee joint. Typically, a definitive diagnosis can only be made after the swelling subsides and a physical examination is conducted. Ultimately, confirmation o...

Understanding Tibial Fractures: Misdiagnosis and Patient Concerns

Tibial fracture Hello, doctor. I was involved in a car accident on October 26, where my right calf was struck by a motorcycle while I was a pedestrian. The police accompanied me to the hospital for an X-ray, and the doctor said I only had a sprain with no fractures. However, due ...

Dr. Li Yongheng Reply:
Hello, it is indeed possible that an X-ray taken at the time of injury may not show a fracture, but after a period of time (usually 7-10 days), a follow-up X-ray may reveal the fracture. Therefore, you can communicate with the insurance company and advocate for your case.

Jones Fracture: Is It Safe to Avoid Casting After a Week?

Fifth metatarsal fracture without casting condition? Hello Dr. Chen: This is my X-ray: https://imgur.com/1EXNaiQ https://imgur.com/PVTO5Yr. I twisted my ankle while walking and it has been seven days. Initially, the orthopedic doctor diagnosed me with a Jones fracture and recomme...

Dr. Chen Yongxue Reply:
Hello, the key point is to avoid putting weight on the affected limb and to refrain from unnecessary movement. A Jones fracture has tendon attachments, and if the ankle is active, it can pull the fracture site apart. If you decide not to use a cast, please do not bear weight (use...

Understanding Creaking Sounds After Hip Replacement: Causes and Solutions

After hip replacement, a clicking sound may occur during movement, and there may often be a sensation of misalignment without the ability to exert force? Hello, doctor. I had a hip replacement 10 years ago (made of metal). Since last year, I've been experiencing a clicking s...

Dr. Chen Yongxue Reply:
Hello, after ten years post artificial hip joint surgery, the noise may be due to bone proliferation or wear of the metal joint. Metal artificial hip joints were once very popular, but subsequent issues arose, primarily due to wear occurring at a greater extent than expected. Cur...

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