Post-Surgery Recovery: Strengthening Quadriceps After Knee Surgery
Postoperative issues Hello, doctor! I had arthroscopic knee surgery for autologous cartilage transplantation using the mosaicplasty technique a month ago. The doctor advised me to strengthen my quadriceps, but my knee is still in a brace and cannot bend. I am unable to perform st...
Dr. Cai Shanglin reply Orthopedics
Hello: Did the original surgeon mention when you can start weight-bearing walking? (The timeline varies based on the location of the cartilage graft, so please consult the original surgeon.) Straight leg raises should be considered the most direct way to train without harming the...[Read More] Post-Surgery Recovery: Strengthening Quadriceps After Knee Surgery
Understanding PRP Injections for Osteoarthritis: Key Questions Answered
I have osteoarthritis of the knee and would like to inquire about the injection of high-concentration platelet-rich plasma (PRP)? Dr. Tsai: Hello, I have osteoarthritis of the knee. The doctor has taken X-rays and said it is mild to moderate. I have undergone three courses of hya...
Dr. Cai Shanglin reply Orthopedics
1. Yes. 2. Avoid taking anti-inflammatory medications, including steroids and non-steroidal anti-inflammatory drugs (NSAIDs). It is unclear whether cold medications contain the above, as each physician may prescribe differently. 3. Generally, there will not be an immediate effect...[Read More] Understanding PRP Injections for Osteoarthritis: Key Questions Answered
Understanding Coccydynia: When to See an Orthopedic Specialist
Coccygeal soft tissue ligament strain Hello, I used to have lower back pain due to my previous job, which often prevents me from sleeping. A diagnosis abroad indicated a soft tissue ligament strain in the coccyx. Should I see an orthopedic specialist when I return to Taiwan? Than...
Dr. Cai Shanglin reply Orthopedics
You can consult either an orthopedic specialist or a rehabilitation physician, as each doctor may have a different diagnosis. If it is a ligament sprain, anti-inflammatory medications can be used in conjunction with rehabilitation therapy.[Read More] Understanding Coccydynia: When to See an Orthopedic Specialist
Post-Hip Replacement Complications: Understanding Bone Fractures and Leg Length Discrepancy
Postoperative hip joint fracture? Hello Dr. Tsai, I would like to consult you. In November of last year, I underwent surgery to replace my left hip joint. Post-operative X-rays during follow-up visits showed everything was normal. On December 17, I used a walker to go up and down...
Dr. Cai Shanglin reply Orthopedics
If everything was normal immediately after the surgery but later developed a leg length discrepancy, this indicates that the prosthetic joint may be loose or sinking. Generally, a revision surgery is recommended in such cases. This time, the procedure would theoretically involve ...[Read More] Post-Hip Replacement Complications: Understanding Bone Fractures and Leg Length Discrepancy
Discomfort Behind the Knee: Understanding Leg Pain and Weakness
Discomfort is felt at the back of the knee where the thigh connects to the calf when straightening the leg, and there are times when walking suddenly feels weak? Last week, I played basketball, but it wasn't too intense. After taking a shower and waking up the next day, I no...
Dr. Cai Shanglin reply Orthopedics
It is essential to warm up adequately before engaging in any exercise, and wearing appropriate clothing and footwear is also necessary. As for the symptoms, they may indicate tendinitis or arthritis. Although it is not very severe and can be alleviated with rest, the recurring ep...[Read More] Discomfort Behind the Knee: Understanding Leg Pain and Weakness
Understanding Pain from Lower Back to Outer Thigh: Causes and Solutions
Right lower back to the outer thigh? Hello Doctor, I started jogging on December 1, 2015, and everything was going well until April of this year. At the end of April, I ran for an hour continuously, and the next day I felt pain in the upper right side of my lower back (possibly t...
Dr. Cai Shanglin reply Orthopedics
Tendinitis is possible, and this condition may not be visible on X-rays. Diagnosis primarily relies on medical history and physical examination. Based on your description, it seems to resolve on its own without any treatment, but it recurs. It is still advisable to undergo furthe...[Read More] Understanding Pain from Lower Back to Outer Thigh: Causes and Solutions
Recovery Tips for Tibial Fracture and Lateral Ligament Injury
Closed fracture of the proximal tibia with lateral collateral ligament tear? Hello Dr. Tsai: I was in a car accident on May 16th and underwent open reduction and internal fixation of a right tibial fracture and lateral collateral ligament repair on May 17th. It has been about 47 ...
Dr. Cai Shanglin reply Orthopedics
Six weeks after surgery, an initial X-ray will typically be taken to assess whether the plate has shifted or if there is any further displacement of the fracture. Your attending physician should explain these findings to you and inform you whether you can put weight on your right...[Read More] Recovery Tips for Tibial Fracture and Lateral Ligament Injury
Understanding Tailbone Pain: Causes and Solutions for Seniors
Coccyx pain when sitting down and standing up, but no pain when standing or walking? Hello Doctor: I have a question regarding my father's coccyx issue. He is about 65 years old, and recently he has been experiencing pain in the coccyx when transitioning from standing to sit...
Dr. Cai Shanglin reply Orthopedics
Based on the description, it could possibly be myofascial pain syndrome in the lower back, but it is important to rule out any spinal issues. It is recommended to visit a nearby hospital or clinic for an examination to determine if further medication or physical therapy is needed...[Read More] Understanding Tailbone Pain: Causes and Solutions for Seniors