Understanding Self-Healing in Clavicle Fractures: Is It Normal?
Is there a possibility of self-healing for a clavicle fracture? Hello, Doctor. Today marks 4 weeks since I sustained a distal right clavicle fracture. The doctor suggested that I could either undergo surgery or choose not to; I opted for self-recovery using a triangular sling. In...
Dr. Shi Guozheng Reply:
1. It is normal. 2. These symptoms will disappear after the bones have healed.[Read More] Understanding Self-Healing in Clavicle Fractures: Is It Normal?
Do You Need Surgery for a Non-Displaced Fifth Metatarsal Fracture?
Non-displaced fracture of the fifth metatarsal? I'm sorry, but I cannot access external links or images. Please provide the relevant details or describe the X-ray findings, and I will do my best to assist you.
Dr. Li Yongheng Reply:
Hello, a non-displaced fracture of the fifth metatarsal does not require surgery. The left foot should not bear weight for at least four weeks, and it is recommended to use bilateral crutches.[Read More] Do You Need Surgery for a Non-Displaced Fifth Metatarsal Fracture?
Understanding Ligament Injuries: Effective Treatment Options and Recovery
Ligament injury Hello Doctor, in early May, I was riding my motorcycle on a rainy day when the brakes slipped and I collided with a guardrail. Before hitting the guardrail, I instinctively pushed off with my foot. After the incident, I noticed pain in the sole of my right foot an...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have a right knee meniscus injury. I recommend that you return to the hospital for a follow-up examination. If necessary, an MRI may be required (which is covered by health insurance). Wishing you a speedy recovery.[Read More] Understanding Ligament Injuries: Effective Treatment Options and Recovery
Post-Operative Care for Osteochondritis Dissecans in Ankle Surgery
Postoperative Issues Following Arthroscopy for Osteochondritis Dissecans of the Ankle Hello, doctor. I have been practicing karate since I was 11 years old and continued until I graduated from college. Recently, I experienced sudden severe pain in my left ankle, which prevented m...
Dr. You Dianqi Reply:
Hello: Based on your description, it appears that you may have osteochondritis dissecans of the talus and have undergone a bone marrow stimulation procedure. Currently, there is still significant swelling. Since it has been approximately three weeks post-surgery, in addition to e...[Read More] Post-Operative Care for Osteochondritis Dissecans in Ankle Surgery
Understanding Patellar Ligament Injury: Recovery and Concerns
Patellar ligament rupture issues? Hello Dr. Chen, two years ago I underwent surgery for a torn patellar ligament in my left knee at National Taiwan University Hospital in Hsinchu. The post-operative recovery was relatively good, but about a week ago, I bumped my left knee and it ...
Dr. Chen Yongxue Reply:
Hello, if the patellar ligament ruptures again, the knee joint will be unable to fully extend. Based on your description, it does not seem to be a case of patellar ligament rupture. If the symptoms persist, it is advisable to return to the original hospital for further evaluation...[Read More] Understanding Patellar Ligament Injury: Recovery and Concerns
Should I See an Orthopedic or Neurology Specialist for EMG and X-Ray?
If both electromyography (EMG) and X-rays are required, should one consult an orthopedic specialist or a neurologist? Symptoms: 1. There is a difference in height between the two sides of the pelvis, with the right side being more prominent, causing discomfort when sitting. 2. In...
Dr. You Dianqi Reply:
Hello: 1. X-rays and electromyography can be ordered by both orthopedic and neurology departments. 2. Whether to perform a full-body X-ray should be considered in light of radiation exposure; it is advisable to discuss this after a comprehensive physical examination. 3. The neces...[Read More] Should I See an Orthopedic or Neurology Specialist for EMG and X-Ray?
Understanding Ankle Injuries: Symptoms, Diagnosis, and Recovery Insights
Regarding ankle injuries? On May 29th, last Wednesday, I was distracted while going down the stairs and missed a step, causing my left foot to roll outward. It was very painful at the moment, and I was unable to walk normally. My family quickly took me to the hospital for an exam...
Dr. You Dianqi Reply:
Hello: I would like to review your description. Currently, the physician recommends that you check the fracture again in two weeks. During this two-week period, please focus on avoiding weight-bearing activities and not exacerbating your condition. Once the time is up, please con...[Read More] Understanding Ankle Injuries: Symptoms, Diagnosis, and Recovery Insights
Understanding Coccyx Pain: Causes, Treatment, and Recovery Time
Coccygeal issues One morning, I woke up and noticed pain in my coccyx. I went to see a doctor and the X-rays showed nothing wrong with the bones. Could this be inflammation? I've been taking the medication prescribed by the doctor for a week, but it hasn't improved. If ...
Dr. Li Yongheng Reply:
Hello, if the X-ray examination is normal, it is usually indicative of coccygeal tendonitis. It is recommended to reduce prolonged sitting, bending over, lifting heavy objects, and sitting on hard chairs that directly compress the coccyx. Along with medication, improvement can be...[Read More] Understanding Coccyx Pain: Causes, Treatment, and Recovery Time
Understanding Growth Plate Closure in Adolescents: What You Need to Know
The growth plates in the legs of a second-year junior high school student are closing rapidly? Hello Doctor, I am currently in the second year of junior high school, 14 years old, with a height of 163.2 cm and a weight of 73 kg. Last year, I was diagnosed with acquired bilateral ...
Dr. Li Yongheng Reply:
Hello, you are 14 years old, male, and entered puberty when transitioning from sixth grade to seventh grade. X-rays show that most of the growth plates have closed. Therefore, it is recommended that you drink more milk, go to bed before 11 PM, and engage in activities such as run...[Read More] Understanding Growth Plate Closure in Adolescents: What You Need to Know
Managing Osteomyelitis: Antibiotic Use and Follow-Up Care
Antibiotic Use in Osteomyelitis After experiencing an open fracture of the left calf that led to osteomyelitis, there have been no issues for three years. Recently, the area of the previous injury has developed a skin abrasion, with swelling and mild tingling sensations, possibly...
Dr. Shi Guozheng Reply:
CRP and ESR can be checked; the former is C-reactive protein and the latter is erythrocyte sedimentation rate. Both of these indicators are used to assess inflammation or bacterial infection. Antibiotics should be administered according to specific guidelines for medication use. ...[Read More] Managing Osteomyelitis: Antibiotic Use and Follow-Up Care
Understanding Ankle Ligament Tears: Surgery, Recovery, and Cast Duration
Torn ligaments in the left ankle? Hello, doctor. A few days ago, I had an X-ray at the hospital, and the doctor said that I have a torn ligament in my left ankle that requires surgery to replace it with an artificial ligament. If I don't have the surgery, I won't be abl...
Dr. Shi Guozheng Reply:
After surgery, it is usually necessary to wear a cast for a period of about six to twelve weeks. It is possible to return to work while wearing the cast, but it may be somewhat inconvenient, and you might need to use crutches to walk.[Read More] Understanding Ankle Ligament Tears: Surgery, Recovery, and Cast Duration
How to Determine if Your Pinky Toe is Fractured After an Injury
Stubbed toe? Hello, I accidentally kicked my little toe against a chair in the evening, and it hurt for a while. How can a doctor determine if it's fractured? Also, under what circumstances should I see a doctor? Thank you for your response.
Dr. Li Yongheng Reply:
Hello, if there is no bruising or swelling, it is unlikely that there is a fracture. If you are still concerned, you can visit an orthopedic clinic for an X-ray examination.[Read More] How to Determine if Your Pinky Toe is Fractured After an Injury
Understanding Hip Joint Issues: Symptoms, Diagnosis, and Treatment Options
Hip joint issues? Hello, I started noticing something unusual with my right foot when I was around 10 to 11 years old. I could feel the bones rubbing against each other when walking (I can feel it if I place my hand on my right hip joint). I mentioned this to my parents, but they...
Dr. Shi Guozheng Reply:
The conditions you mentioned could all be potential issues, so it's best to go to a major hospital for an examination. An X-ray can reveal whether there is hip dysplasia. Additionally, if there is a snapping hip phenomenon, you may hear a sound when bending the joint, which ...[Read More] Understanding Hip Joint Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Growth Guidance Surgery for Limb Length Discrepancy in Children
Treatment for leg length discrepancy? Hello Doctor, my daughter has congenital clubfoot on her left foot, and she has been receiving treatment since birth. She is currently 8 years old. Aside from a noticeable size difference in the soles of her feet, she also has a leg length di...
Dr. Li Wenhong Reply:
Hello: 1. The risks associated with reverse growth guidance surgery are similar to those of general orthopedic surgeries; however, children tend to have faster healing times and lower risks of nonunion or infection. Side effects may include excessive growth suppression or uneven ...[Read More] Understanding Growth Guidance Surgery for Limb Length Discrepancy in Children
Understanding Coccydynia: Recovery Tips After a Tailbone Injury
Car accident - coccygeal closed fracture On May 9th, I was in a car accident. Initially, my tailbone didn't hurt, but by the time I went to bed, the pain was severe enough to keep me awake. The next day, I went to the hospital for an X-ray, and the doctor mentioned that ther...
Dr. Li Yongheng Reply:
Coccygeal closed fractures should avoid bending and lifting heavy objects. Generally, healing should occur within six to eight weeks. For a sprained elbow, it is recommended to reduce exertion, with healing expected in two to three weeks.[Read More] Understanding Coccydynia: Recovery Tips After a Tailbone Injury
Understanding Finger Tendon Displacement: Causes, Symptoms, and Recovery
Dislocation of the proximal interphalangeal joint of the middle finger? Dear Dr. You, Two weeks ago, while doing housework, I may have twisted or flicked my right hand in a very ordinary motion, and suddenly I felt a sharp pain in my middle finger. I noticed that the tendon of m...
Dr. You Dianqi Reply:
Hello, I appreciate your thorough research, and I am happy to read your text (however, the term "趾" should be corrected to "指"). Here are my responses: 1. It is not called the extensor tendon; it is referred to as the extensor hood or sagittal band. 2. If you...[Read More] Understanding Finger Tendon Displacement: Causes, Symptoms, and Recovery
Understanding Conflicting Diagnoses: Shoulder Tendon Issues Explained
Shoulder issues Hello Doctor: I previously asked about question #145152. In addition to the X-ray that did not reveal any issues, I later visited another hospital's orthopedic department. The orthopedic doctor arranged for a musculoskeletal ultrasound examination in the reha...
Dr. Shi Guozheng Reply:
It's just tendonitis, and there's also a bit of shoulder impingement syndrome, which is causing some catching. You can continue seeking rehabilitation with a physical therapist.[Read More] Understanding Conflicting Diagnoses: Shoulder Tendon Issues Explained
Foot Injury from Luggage: When to Ice and Seek Medical Attention
Toe injury from being crushed? Hello, I just hit my foot when I opened my suitcase and the lid fell on it. It hurt for a moment, but there are currently no visible issues. Should I apply ice or take any other measures? Additionally, under what circumstances should I seek medical ...
Dr. Shi Guozheng Reply:
If there is bruising or significant pain, it is necessary to apply ice and get an X-ray to check for any fractures.[Read More] Foot Injury from Luggage: When to Ice and Seek Medical Attention
Comparing BMD Scanners: Are BMD and DEXA Tests Equally Effective?
Bone density testing machine I would like to ask if the bone mineral density (BMD) scan using a bone density scanner and the dual-energy X-ray absorptiometry (DEXA) are equally effective?
Dr. Shi Guozheng Reply:
DEXA is a type of bone density measurement device that is more accurate than ultrasound examinations. The BMD bone density scanning device you described may refer to the ultrasound device used for heel assessments.[Read More] Comparing BMD Scanners: Are BMD and DEXA Tests Equally Effective?
Understanding Persistent Pain After Clavicle Surgery: Next Steps
Injury from a car accident: fractured clavicle? After a car accident, I fell on my left side, resulting in a fractured left clavicle. I have already undergone surgery with a titanium alloy plate for fixation. It has been two months since the surgery, and I continue to experience ...
Dr. Shi Guozheng Reply:
There are no specific instruments to examine muscle pain, so you might consider physical therapy. Additionally, taking anti-inflammatory medications and trying heat therapy could be helpful. If there is an issue with muscle weakness, an electromyography (EMG) test can be performe...[Read More] Understanding Persistent Pain After Clavicle Surgery: Next Steps