Understanding Patellar Dislocation and Cartilage Damage: Treatment Options
Patellar dislocation with chondromalacia? Hello, Dr. Yeh. At the beginning of this year, while I was rushing to take out the trash at home, I suddenly stopped at a corner, and my right foot remained on the ground. My knee immediately started to hurt. Initially, there was some swe...
Dr. Ye Qingnian Reply:
Hip bone softening is a precursor to arthritis, as improper positioning of the hip can lead to cartilage wear in the knee joint. Rehabilitation therapy is crucial, and it can be done at home. Lie flat and extend one leg straight up, performing 100 repetitions, then switch to the ...[Read More] Understanding Patellar Dislocation and Cartilage Damage: Treatment Options
Should I Continue Seeing an Orthopedic Doctor for My Knee Pain?
Hello doctor, should I continue seeing an orthopedic specialist? Hello Doctor, I was in a minor car accident at the end of August last year. I hit my knee on the ground and went to see an orthopedic doctor the same day. The doctor said that although my knee was painful, I could s...
Dr. Chen Yongxue Reply:
Hello, the symptoms you described may be related to patellar malalignment or chondromalacia, and they are likely not directly related to an injury. Please consult an orthopedic specialist for further evaluation. Thank you.[Read More] Should I Continue Seeing an Orthopedic Doctor for My Knee Pain?
Understanding Coccydynia: Pain Management After Tailbone Injury
Coccydynia Hello doctor, three days ago I fell and my coccyx hit the edge of the stairs. When I went to the emergency room, the doctor said there was a fracture, but it was unclear whether it was congenital or acquired. Later, I visited a nearby orthopedic clinic, and the doctor ...
Dr. Wang Shouji Reply:
Hello: For a general coccyx contusion, apply ice without pressure and avoid prolonged sitting. Rest for a week and normal pain medication should help improve the condition. If the contusion is more severe, it may take one to two months to heal. Whether the coccyx is fractured or ...[Read More] Understanding Coccydynia: Pain Management After Tailbone Injury
Understanding Sciatica: Treatment Options and When to Consider Surgery
Sciatica If bending at the waist causes pain or if standing up from a sitting position also causes pain, the doctor has recommended physical therapy, which I am currently doing about six times a week. If there is no improvement, I may need to undergo an MRI. Does this examination...
Dr. Shi Guozheng Reply:
First, it is essential to confirm that the diagnosis is correct; otherwise, the treatment will also be incorrect. Sciatica refers to the phenomenon of nerve pain caused by compression of the lumbar nerves. This pain is located in the buttocks and can radiate down to the thigh, ca...[Read More] Understanding Sciatica: Treatment Options and When to Consider Surgery
Understanding Posterior Cruciate Ligament Injuries and Recovery Tips
Posterior cruciate ligament tear with associated fracture? Last week, after a motorcycle accident, I went to the hospital where the doctor diagnosed me with a 71784 right knee posterior cruciate ligament (PCL) strain and a tibial fracture. After reviewing the X-rays, the doctor m...
Dr. Chen Yongxue Reply:
The cruciate ligament brace is used for patients undergoing cruciate ligament reconstruction or those with cruciate ligament tear-related fractures. This brace provides a certain degree of joint mobility under safe conditions. It is recommended that you wear this brace until the ...[Read More] Understanding Posterior Cruciate Ligament Injuries and Recovery Tips
Vertebral Compression Fractures in Osteoporosis: Is Cement Surgery Effective for Seniors?
Compression fractures of the first and second vertebrae due to a fall caused by osteoporosis? My mother is currently 84 years old and has suffered compression fractures of the first and second vertebrae due to osteoporosis after a fall. She no longer experiences much pain, but sh...
Dr. Shi Guozheng Reply:
Typically, after a spinal injury, the pain will decrease within one to two weeks, and the patient may gradually be able to sit up. However, complete recovery may take two to three months. The use of bone cement in surgical procedures has shown excellent results, providing immedia...[Read More] Vertebral Compression Fractures in Osteoporosis: Is Cement Surgery Effective for Seniors?
Understanding Incomplete Clavicle Healing After Fracture: Key Insights
Clavicle fracture, with partial bone healing? Hello! I was in a car accident and fractured my left clavicle (in the mid-section). The fracture ends are significantly misaligned. I did not have surgery. Each time I visited the doctor (I have seen him four times), he said, "Th...
Dr. Shi Guozheng Reply:
Clavicle fractures typically heal in about three months, so based on the current situation, it may be worth waiting a bit longer as there is a possibility of healing. Rehabilitation can continue to be performed.[Read More] Understanding Incomplete Clavicle Healing After Fracture: Key Insights
Understanding Partial Clavicle Healing After Fracture: What to Do Next?
Clavicle fracture, with partial bone healing? Hello! I was in a car accident and fractured my left clavicle (midshaft location). The fracture ends are significantly displaced. I did not undergo surgery. Each time I visited the doctor (I have seen him four times), he said, "T...
Dr. Hong Ximing Reply:
Midshaft clavicle fractures typically heal with figure-of-eight bandaging. If there is significant displacement, consideration should be given to surrounding soft tissue entrapment, which may lead to delayed or poor healing. If healing is inadequate, surgical intervention should ...[Read More] Understanding Partial Clavicle Healing After Fracture: What to Do Next?
Understanding Clavicle Protrusion: Causes, Symptoms, and Treatment Options
Prominent clavicle I would like to ask the doctor, since the past until now, my left clavicle tends to protrude due to posture. When the two prominent bones in the middle of the chest extend backward, I feel a sensation of the left one popping out, and when it returns to normal, ...
Dr. Wang Shouji Reply:
Hello: It is recommended to visit an outpatient clinic to assess whether there are any issues with the sternoclavicular joint. Generally, problems in this area are rare and are mostly caused by injuries or overuse. Thank you![Read More] Understanding Clavicle Protrusion: Causes, Symptoms, and Treatment Options
Understanding Knee Crepitus: Causes and Treatment Options
Knee cartilage wear with crepitus? Hello, I recently suffered a ligament strain while playing basketball. Initially, I couldn't bend my right leg fully, and there was a small popping sound. Since I had no issues with daily activities, I continued to play. The next day, my ra...
Dr. Shi Guozheng Reply:
Your treatment has been proactive and has shown improvement, but the body's recovery takes a certain amount of time. Typically, injured tissues require more than six weeks to gradually heal, and in more severe cases, it may take up to three months. The treatment you have rec...[Read More] Understanding Knee Crepitus: Causes and Treatment Options
Effective Strategies for Managing Chronic Pain in Multiple Joints
Shoulder blade, wrist joint, knee joint, ankle joint, lumbar intervertebral disc, sternum? The trapezius muscle has been in a forward-leaning position for a period of time while using a laptop about 8.9 years ago, resulting in long-term stiffness and soreness in the deeper areas ...
Dr. Shi Guozheng Reply:
Shoulder and neck pain is usually caused by overuse, and reducing activity in this area along with moderate heat therapy or some rehabilitation treatments may lead to improvement. If the right wrist joint continues to be problematic, it may be necessary to check for ligament issu...[Read More] Effective Strategies for Managing Chronic Pain in Multiple Joints
Understanding Knee Discomfort: Causes, Treatments, and When to Seek Help
Knee discomfort? Hello Doctor: I usually play badminton, and last Wednesday I suddenly felt discomfort in my right knee. There wasn't a significant pain, but rather a sensation of weakness and tightness in the knee, which made walking and going up and down stairs difficult. ...
Dr. Wang Shouji Reply:
Hello: If the physician's physical examination does not reveal any significant discomfort or pain, there is no urgent need for an MRI, as it is likely caused by soft tissue inflammation or strain. In cases of severe soft tissue injury, treatment may take up to two months for...[Read More] Understanding Knee Discomfort: Causes, Treatments, and When to Seek Help
Understanding Spondylolysis: Symptoms, Treatment, and Recovery Options
Vertebral arch dissociation Hello Doctor: Recently, I experienced lower back pain. Initially, I suspected it might be prostatitis or a ligament strain. I first visited an orthopedic specialist and had an X-ray done. The doctor informed me that I have a condition called spondyloly...
Dr. Chen Yongxue Reply:
Patients with spondylolisthesis may experience soreness when bending or changing positions, but most do not have nerve compression. It is important to take care of the lower back, avoid heavy lifting, and have regular follow-ups. If any of the following occur: (1) worsening sympt...[Read More] Understanding Spondylolysis: Symptoms, Treatment, and Recovery Options
Understanding Avascular Necrosis After Fractures: Treatment and Recovery Insights
Avascular necrosis of the femoral head due to fracture of the wide joint? Is it necessary to replace the hip joint with an artificial joint for avascular necrosis of the femoral head due to closed fracture? If detected and treated early, will a replacement still be needed? How lo...
Dr. Shi Guozheng Reply:
Avascular necrosis of the femoral head requires assessment of its severity; only severe cases necessitate surgical intervention. In the early stages, surgery is not required, but close monitoring is essential. Typically, recovery from a total hip replacement takes about 6 to 12 w...[Read More] Understanding Avascular Necrosis After Fractures: Treatment and Recovery Insights
Understanding Posterior Cruciate Ligament Injuries: Diagnosis and Treatment Options
Posterior cruciate ligament injury? Hello Dr. Luo, two days ago I was going down the stairs and I exerted too much force. At that time, I felt a sharp pain behind my right knee, and there is a bruise on the back of my knee, but no external injury. Earlier today, I visited a commu...
Dr. Luo Zhongwei Reply:
Ms. Hsiu-Ju: Please come to the outpatient clinic for a clinical examination for an accurate diagnosis. A letter cannot be used to diagnose your condition. Thank you![Read More] Understanding Posterior Cruciate Ligament Injuries: Diagnosis and Treatment Options
Understanding Lumbar Bone Spurs: Causes, Symptoms, and Treatment Options
Lumbar osteophytes Hello Dr. Wang: For about a week, I have been experiencing slight numbness in the tips of my toes and calves. Today, I went to an orthopedic clinic for an X-ray and found out that I have bone spurs in my lumbar spine. The doctor mentioned that this is likely th...
Dr. Wang Shouji Reply:
Hello: In response to your questions, here are the answers: 1. Individuals over the age of 20 may show signs of degenerative diseases such as bone spurs on X-rays. 2. Poor posture and excessive weight-bearing can lead to spinal degeneration and the formation of bone spurs. 3. Per...[Read More] Understanding Lumbar Bone Spurs: Causes, Symptoms, and Treatment Options
Is It Normal for Clavicle Implant to Protrude and Cause Pain?
Protruding clavicle implant screw? In mid-April 2014, I underwent fixation of a clavicular displacement with a steel pin, but recently the head of the pin has protruded from the back of my hand, causing pain and bruising. Is this normal?
Dr. Shi Guozheng Reply:
The fixation screws for a clavicle fracture may sometimes protrude and press against the skin and the underlying soft tissue. Typically, they can only be removed after the fracture has healed; however, if an infection occurs, the situation may differ. Current pain can be managed ...[Read More] Is It Normal for Clavicle Implant to Protrude and Cause Pain?
Understanding and Managing Calf Hemangiomas: Risks and Treatment Options
Calf hemangioma I have a four-centimeter lump on the back of my left calf that I discovered about three years ago. I had an X-ray done, which showed no abnormalities, and later an MRI was performed. The doctor said it is a hemangioma, which appears to be benign. When standing, I ...
Dr. Chen Yongxue Reply:
Hello: A benign hemangioma will not turn malignant. The pain you are experiencing may be due to vascular swelling caused by walking. Regarding the anesthesia method for surgery, since your hemangioma is 4 centimeters, local anesthesia may not be suitable. Please discuss the choic...[Read More] Understanding and Managing Calf Hemangiomas: Risks and Treatment Options
Why Is My Ankle Still Swollen After a Fracture? Causes and Solutions
Swelling on the posterior lateral aspect of the ankle? Hello, I sustained a fracture at the base of the fifth metatarsal in my left foot on February 7th, and it has been over two months now. Why is there still swelling on the outer back of my ankle? It hurts when I walk. Is there...
Dr. Shi Guozheng Reply:
Fractures in the bones of the foot may not have healed properly, which can lead to swelling during standing, walking, or excessive exertion. Resting with the foot elevated can promote blood circulation, potentially improving the condition. Over time, most individuals will recover...[Read More] Why Is My Ankle Still Swollen After a Fracture? Causes and Solutions
Recovery Concerns After Left Elbow Dislocation and Olecranon Fracture
Issues related to the treatment period for a left elbow dislocation? On March 14, I accidentally fell while exercising, resulting in a dislocated left elbow. I managed to push it back into place myself and secured it with a triangular bandage. Within an hour, I went to the hospit...
Dr. Chen Yongxue Reply:
Hello, regarding your elbow dislocation, most cases do not have any sequelae after reduction. However, in rare instances, ligament damage can lead to joint instability, at which point ligament reconstruction surgery may be necessary. You mentioned that you dislocated your elbow a...[Read More] Recovery Concerns After Left Elbow Dislocation and Olecranon Fracture