Understanding Tibial Plateau Fractures: When to Seek a Second Opinion
Tibial plateau fracture Hello, I had a car accident recently that caused swelling in my right foot. I had an X-ray taken in the emergency department, and the emergency physician said there was no fracture. A week later, I followed up with an orthopedic doctor, who reviewed the X-...
Dr. Shen Boquan Reply:
Hello, sometimes X-rays may not capture a fracture due to the angle or if there was no displacement at the time of the initial imaging, which can lead to ongoing pain. In such cases, a follow-up appointment may require another X-ray or additional imaging studies. I am unable to a...[Read More] Understanding Tibial Plateau Fractures: When to Seek a Second Opinion
How to Determine if You Have a Fracture: Expert Insights
Fracture issues Hello Dr. Shen, earlier you responded to my inquiry, but there was an issue with the photo that I couldn't open. It has now been fixed. I would like to ask for your help in determining whether there is indeed a fracture. Thank you!
Dr. Shen Boquan Reply:
Hello, the lateral X-ray of the knee shows a faint trace that may indicate a possible avulsion fracture of the posterior cruciate ligament with minimal displacement. An MRI should provide a clearer view, as sometimes there is no initial displacement that later develops. The physi...[Read More] How to Determine if You Have a Fracture: Expert Insights
Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained
Post-operative questions regarding tibial fracture? Hello, doctor! I suffered a distal tibial fracture due to a car accident, and the surgery involved minimally invasive open reduction and internal fixation. A steel rod was inserted from the tibial plateau and secured with four s...
Dr. Chen Yongxue Reply:
Hello, based on your letter, your fracture should be at the proximal tibia rather than the distal tibia. 1. Proximal tibial fractures can range from very minor to highly comminuted, and the surgical approach and recovery can vary significantly. However, since the injury has alr...[Read More] Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained
Can You Get a Return-to-Work Note Right After Cast Removal?
Can I request a doctor's note for returning to work on the same day the cast is removed? Can I request a doctor's note for returning to work on the same day the cast is removed? I sustained a fracture in my hand on November 15, and the doctor mentioned it is not severe ...
Dr. Zhan Xian Reply:
You can request a medical certificate from your attending physician during your follow-up visit. The physician will issue it based on your medical condition. Thank you.[Read More] Can You Get a Return-to-Work Note Right After Cast Removal?
How Long Does It Take to Heal from a Femur Fracture?
The healing time for a femoral fracture typically ranges from 12 to 16 weeks, depending on factors such as the type of fracture, the patient's age, overall health, and adherence to rehabilitation protocols? Hello, doctor. I was in a car accident in July that resulted in a co...
Dr. Wang Shouji Reply:
Hello, if the fracture site is not open, it can mostly heal within three to six months. You should avoid walking with crutches for at least two to three months, and it is necessary to check the healing status with X-rays. Using stairs in the afternoon should also be avoided for a...[Read More] How Long Does It Take to Heal from a Femur Fracture?
Impact of Deep Breathing on Scoliosis X-Ray Results and Follow-Up Care
Inquiry about scoliosis X-rays? 1. I would like to inquire whether taking an X-ray for scoliosis is affected by deep breathing. Initially, I noticed that the midpoint between my nipples and my navel were not aligned (and the difference was quite significant), which prompted me to...
Dr. Chen Bochen Reply:
Hello: 1. Taking a spinal X-ray while inhaling and holding your breath does not have any impact. 2. Unless there are noticeable changes, scoliosis that develops after the age of 20 is unlikely to worsen, with potential deterioration occurring only in middle age. 3. Poor posture m...[Read More] Impact of Deep Breathing on Scoliosis X-Ray Results and Follow-Up Care
Understanding Coccyx Fractures After Car Accidents: Treatment and Recovery
Coccygeal fracture due to a car accident? I would like to ask about my situation. On November 20, 2023, I was involved in a car accident and went to the emergency room for an X-ray. The doctor said I have a significant fracture of the coccyx. Generally, conservative treatment is ...
Dr. Shi Guozheng Reply:
1. Side sleeping or prone position. 2. Rest for about two weeks. 3. Generally, there are usually no long-term sequelae. 4. Typically, fractures will start to heal in about six weeks, and will be fully healed in approximately twelve weeks, with pain diminishing or disappeari...[Read More] Understanding Coccyx Fractures After Car Accidents: Treatment and Recovery
Understanding Distal Phalanx Fractures: Recovery and Care for Your Thumb
Fracture of the distal phalanx of the right thumb? On 10/14, I visited the emergency department and received medication for a right thumb injury classified as S60111A, which is a contusion with nail damage, and initial care was provided. The secondary diagnosis was classified as ...
Dr. Shi Guozheng Reply:
Without an X-ray, it is difficult to make a definitive diagnosis. I recommend that you see another physician and obtain an X-ray. Typically, finger fractures that are non-displaced will heal in about six weeks, and there should not be significant functional impairment.[Read More] Understanding Distal Phalanx Fractures: Recovery and Care for Your Thumb
Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Cyst after anterior cruciate ligament reconstruction? Hello, Doctor. Last November, after school, I had an accident while riding my electric scooter and slipped on construction sand. At that time, my backpack was heavy, and I was carrying other items. I realized I was going to fa...
Dr. Chen Yongxue Reply:
Hello, PVNS is actually quite rare. To confirm the diagnosis, it is essential to rely on the pathology report. PVNS should exhibit specific characteristics in MRI imaging and arthroscopic examination, especially during arthroscopy, where very distinctive colors are observed, maki...[Read More] Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Recovery Insights for Open and Comminuted Femur Fractures: A Patient's Journey
Open and comminuted fracture of the right femur, from July 4 to now November 16, with the fracture located in the middle of the thigh? Hello Doctor, I had an open and comminuted fracture of my right thigh due to a car accident on July 4th. I thought that the absence of pain meant...
Dr. You Dianqi Reply:
It is advisable to discuss your concerns with your original attending physician (surgeon), as each individual's injury severity and recovery process can vary. Please return for a follow-up appointment to discuss your concerns with the doctor, and ask them to evaluate the sub...[Read More] Recovery Insights for Open and Comminuted Femur Fractures: A Patient's Journey
Post-Surgery Stiffness in Proximal Phalanx Fracture: Seeking Solutions
Stiffness issues following surgery for a proximal phalanx fracture of the right little finger? Hello Dr. You, I was involved in a car accident on July 31 of this year, which resulted in a fracture of the proximal phalanx of my right little finger. The doctor in Hualien recommende...
Dr. You Dianqi Reply:
It is advisable to discuss your concerns with your original attending physician (surgeon), as each individual's injury severity and recovery situation can vary. Please return for a follow-up appointment to discuss your concerns with the doctor, and ask them to evaluate the s...[Read More] Post-Surgery Stiffness in Proximal Phalanx Fracture: Seeking Solutions
Understanding Knee Surgery Options: Traditional vs. Minimally Invasive
Knee joint surgery-related issues? Hello, doctor. My family member underwent traditional total knee replacement surgery over a month ago and has been experiencing significant soreness and discomfort postoperatively. We are concerned about the possibility of surgical failure. Howe...
Dr. Shi Guozheng Reply:
1. Currently, most physicians perform total knee arthroplasty using a minimally invasive approach, and they usually explain this to the patients beforehand; communication is essential. 2. Minimally invasive surgery involves smaller incisions, less muscle dissection, and reduced...[Read More] Understanding Knee Surgery Options: Traditional vs. Minimally Invasive
Understanding Left Lower Back Pain After Sleep: Causes and Solutions
Waking up with pain in the left lower back? Hello, I recently woke up with significant soreness in a spot just above my left lower back, around the area of the pelvis. However, once I get up and start moving, I feel completely fine. I've been sleeping on the same bed for a w...
Dr. Wang Shouji Reply:
You can inquire about consultations at the outpatient clinic.[Read More] Understanding Left Lower Back Pain After Sleep: Causes and Solutions
Understanding Symptoms and Treatment Options for Herniated Discs
Symptoms of suspected herniated disc? Hello Doctor, I have already gone to a major hospital for relevant examinations (X-ray, electromyography, MRI) and confirmed that there is a herniation at the third and fourth lumbar vertebrae. Following the doctor's advice, I started re...
Dr. Chen Yongxue Reply:
Hello, generally speaking, a herniated intervertebral disc between the third and fourth lumbar vertebrae typically presents with unilateral symptoms such as numbness, tingling, and pain in the inner side of the calf, as well as difficulty walking for extended periods. It is quite...[Read More] Understanding Symptoms and Treatment Options for Herniated Discs
Understanding Your Cervical Spine X-Ray Report: Next Steps Explained
Please explain the cervical spine X-ray? Cervical Spine AP, Lateral and Bilateral Oblique Views: Osteophytes are observed on the spine. The intervertebral disc spaces are narrowed. The alignment of the spine is acceptable. The neural foramen is encroached by spurs from the hypert...
Dr. Shen Boquan Reply:
Hello, the report describes that your cervical spine shows signs of degeneration, osteophyte formation, narrowed intervertebral spaces, and vascular calcification, which are phenomena that may be observed with aging. If you do not experience long-term neck and shoulder pain or up...[Read More] Understanding Your Cervical Spine X-Ray Report: Next Steps Explained
Morning Back Pain: Is It a Spine Issue or Muscle Weakness?
Unable to bend over upon waking up in the morning? Hello Doctor: I am 39 years old and had minimally invasive surgery for bone spurs on my lumbar spine at L2 or L3 ten years ago. In recent years, I have been experiencing frequent episodes of lumbar strain, and every morning I wak...
Dr. Shi Guozheng Reply:
Muscle issues may be alleviated with heat therapy, and continuing rehabilitation could lead to improvement. Additionally, muscle relaxants can be taken to help relieve discomfort.[Read More] Morning Back Pain: Is It a Spine Issue or Muscle Weakness?
Post-Surgery Shoulder Issues: Understanding Pain and Stiffness
Issues After Right Shoulder Surgery Hello, Doctor. I fell in December last year and my clavicle was displaced. I had surgery in May this year to insert a plate, and in October, I had a second surgery to remove the plate. After the first surgery in May, I experienced the following...
Dr. You Dianqi Reply:
Please return for an evaluation by your attending/surgeon. Thank you.[Read More] Post-Surgery Shoulder Issues: Understanding Pain and Stiffness
Concerns About Nail Shortening After Left Fourth Toe Fracture
Fracture of the fourth toe on the left foot with the insertion of a metal pin? Hello, doctor. About five weeks ago, I accidentally broke my toe while walking and received treatment at the hospital, where they inserted a pin. I am scheduled to have the pin removed in about a week....
Dr. Shi Guozheng Reply:
To determine if there are any issues with the fracture site, it is best to get an X-ray.[Read More] Concerns About Nail Shortening After Left Fourth Toe Fracture
How Long Should a Brace Be Worn After a Burst Fracture?
How long should a brace be worn for a burst fracture? Dr. Chen, greetings! I was involved in a car accident on the highway, resulting in a "burst fracture of the third lumbar vertebra." In addition to the fracture, there is a compression of 0.3 cm. Since there was no ne...
Dr. Chen Bochen Reply:
Hello, 1. A burst fracture requires wearing a brace for three months, with regular X-rays each month to monitor the healing process. 2. After three months, you can switch to a soft brace. 3. Initially wearing a soft brace, you can gradually increase walking and exercise, even...[Read More] How Long Should a Brace Be Worn After a Burst Fracture?
Understanding Broken Pins in Bones: What You Need to Know
The metal pin has broken inside the bone? Hello Dr. You: On August 19, my daughter was involved in a car accident resulting in comminuted fractures of both radius bones, with both wrists broken. On the same day, the doctor performed a surgery to fixate the fractures with nails an...
Dr. You Dianqi Reply:
Each individual's situation is different, so it is recommended to consult your primary physician. Thank you.[Read More] Understanding Broken Pins in Bones: What You Need to Know