Which hospital in Taipei offers X-ray examinations for the patellofemoral joint?
Hello Dr.
You, due to long hours of work and lack of exercise, I started running for fitness after turning 50.
However, I neglected to properly warm up before running after such a long time without exercise, which resulted in pain above the inner side of my right knee.
After experiencing the pain, I stopped running for a while, and once the pain subsided, I resumed running.
After one run, the pain above the inner side of my right knee returned, leading me to completely stop running.
After resting for a year, I experienced unusual soreness in my knee just before it started to rain, so I began a series of treatments at the rehabilitation department at National Taiwan University Hospital, but there has been no improvement.
During the treatment, I underwent X-rays and ultrasound of my knee, but the doctors found no issues.
Recently, I found information online about a "patellofemoral joint X-ray examination." I would like to ask: 1.
Which hospital in Taipei performs the "patellofemoral joint X-ray examination" that can accurately assess the condition of the injured area above the inner side of the knee? 2.
Is this special X-ray examination ordered by an orthopedic doctor or a rehabilitation doctor? 3.
How should I suggest to my doctor that I need a patellofemoral joint X-ray? Thank you.
Chibi, 50~59 year old female. Ask Date: 2023/08/17
Dr. You Dianqi reply Orthopedics
It is recommended to visit an orthopedic outpatient clinic for evaluation.
After assessment by the physician, necessary treatments and examinations will be arranged.
You may also discuss any concerns with the physician.
Thank you.
Reply Date: 2023/08/17
More Info
If you're experiencing persistent knee pain, particularly in the area above the inner side of your right knee, it’s essential to seek appropriate imaging to diagnose any underlying issues. The patellofemoral joint X-ray can be a valuable tool in assessing conditions related to the kneecap (patella) and the thigh bone (femur). Here’s how to navigate your situation in Taipei:
1. Where to Get a Patellofemoral Joint X-Ray in Taipei:
In Taipei, several hospitals and clinics offer specialized imaging services, including patellofemoral joint X-rays. Notable institutions include National Taiwan University Hospital (NTUH), Taipei Veterans General Hospital, and Shin Kong Wu Ho-Su Memorial Hospital. It’s advisable to contact these facilities directly to confirm that they provide the specific X-ray you need and to inquire about appointment availability.
2. Who Can Order the X-Ray:
Typically, a referral from an orthopedic surgeon is required for specialized imaging like a patellofemoral joint X-ray. While rehabilitation specialists can provide valuable insights and treatment options, orthopedic surgeons are primarily responsible for diagnosing structural issues and determining the necessity of specific imaging studies. Therefore, scheduling an appointment with an orthopedic specialist would be the best course of action.
3. How to Suggest the X-Ray to Your Doctor:
When you meet with your doctor, be open about your symptoms and the history of your knee pain. You can say something like, "I've been experiencing persistent pain in the inner side of my right knee, especially after running. I’ve read about the patellofemoral joint X-ray and believe it might help identify any underlying issues. Would you consider referring me for this imaging?" This approach shows that you are proactive about your health while allowing the doctor to make the final decision based on their clinical judgment.
Additional Considerations
Given your age and the history of inactivity followed by a sudden increase in physical activity, it’s crucial to consider a few factors:
- Warm-Up and Stretching: As you mentioned, warming up is vital before engaging in any physical activity, especially running. Incorporating dynamic stretches and mobility exercises can help prepare your muscles and joints for the demands of running.
- Gradual Increase in Activity: After a long period of inactivity, it’s essential to gradually increase your running distance and intensity. This approach helps prevent overuse injuries, which are common in individuals returning to exercise after a hiatus.
- Physical Therapy: If imaging reveals no significant structural issues, physical therapy may be beneficial. A physical therapist can provide tailored exercises to strengthen the muscles around your knee, improve flexibility, and enhance your overall biomechanics.
- Rest and Recovery: If pain persists, consider taking a break from running and engaging in low-impact activities like swimming or cycling, which can help maintain fitness without placing excessive strain on your knee.
- Follow-Up: After any imaging or treatment, ensure you have a follow-up appointment to discuss the results and adjust your rehabilitation plan accordingly.
In summary, seeking a patellofemoral joint X-ray in Taipei involves identifying the right medical facility, obtaining a referral from an orthopedic specialist, and effectively communicating your concerns to your healthcare provider. By taking these steps, you can work towards understanding the cause of your knee pain and developing a suitable treatment plan.
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