Understanding PVNS: Treatment Options and Risks for Knee Recurrence
Pigmented Villonodular Syn Hello Doctor: I have undergone MRI scans at China Medical University in Taichung and Taipei Veterans General Hospital, both confirming a diagnosis of pigmented villonodular synovitis (PVNS). Previously, I had an arthroscopy performed at China Medical Un...
Dr. Shi Guozheng Reply:
1. PVNS often recurs; it has been over six months since the surgery in October, and it should still be manageable unless the symptoms are severe and affect function. 2. If the articular cartilage is ultimately damaged, there is a higher likelihood of needing knee arthroplasty co...[Read More] Understanding PVNS: Treatment Options and Risks for Knee Recurrence
Overcoming Stiffness After Leg Surgery: Tips for Recovery
Removal of plaster cast due to stiffness in the bones? Hello Doctor: I had a car accident on December 18th last year, resulting in an open fracture of the tibia in my right leg. Due to concerns about infection from the wound, I was treated with a triangular external fixator. Afte...
Dr. Chen Yongxue Reply:
Hello, it is quite common to experience joint stiffness after a fracture. It is important to engage in rehabilitation to restore the knee joint's original range of motion as soon as possible. If rehabilitation is not effective, and depending on the situation, an anesthetic m...[Read More] Overcoming Stiffness After Leg Surgery: Tips for Recovery
Understanding Knee Injuries: ACL Tears and Recovery After a Car Accident
Knee fracture and anterior cruciate ligament tear due to a car accident, Dr. Si? Hello Dr. Shih, I was in a car accident last December, and I still cannot walk independently and need a walker. I have some concerns regarding the entire medical process conducted by the surgeon who ...
Dr. Shi Guozheng Reply:
A cruciate ligament tear with an associated fracture that is non-displaced does not require surgical fixation. If there is displacement, surgery can be performed to stabilize the fracture. The issue with the ligament is not solely about treating instability, but rather addressing...[Read More] Understanding Knee Injuries: ACL Tears and Recovery After a Car Accident
Understanding Knee Noises: Causes and Treatment Options
There is a crunching sound in the knee? During high school, I dislocated my kneecap while playing basketball. Now, in my junior year of college, I've experienced multiple instances of quadriceps atrophy and insufficient muscle strength, which have led to several sprains. Cur...
Dr. Shi Guozheng Reply:
The cartilage of the patella may be injured, resulting in an uneven surface that can produce sounds during movement. It is advisable to get an X-ray to assess the condition or undergo rehabilitation to strengthen the quadriceps muscle.[Read More] Understanding Knee Noises: Causes and Treatment Options
Cost and Recovery of Triangular Fibrocartilage Repair Surgery
Triangular fibrocartilage complex (TFCC) injury wrist arthroscopy? Hello doctor, may I ask how much the cost of arthroscopic surgery for repairing a triangular fibrocartilage complex (TFCC) tear typically is? What are the potential postoperative complications? Is it possible to a...
Dr. Shi Guozheng Reply:
For issues in this area, you may need to consult a hand surgeon or an orthopedic specialist at a medical center. As for the costs, it would be best to discuss them with the attending physician, as they may vary depending on the potential for recovery.[Read More] Cost and Recovery of Triangular Fibrocartilage Repair Surgery
Understanding Triangular Fibrocartilage Complex Injuries: Symptoms and Recovery
Triangular fibrocartilage complex (TFCC) injury Hello Doctor, my wrist was sprained eight months ago when I fell on it, and it has improved to about 70%, but it’s not completely healed. I saw a physician at the clinic today, and he mentioned that there is damage to the triangular...
Dr. Shi Guozheng Reply:
If there is a tear in the triangular fibrocartilage, it may not heal easily. It is advisable to consult a hand surgeon to evaluate the necessity of surgical treatment, as the effectiveness of injections is uncertain.[Read More] Understanding Triangular Fibrocartilage Complex Injuries: Symptoms and Recovery
Understanding Knee Discomfort: Causes and Treatment Options
Occasional mild swelling and soreness in the knee affecting physical activity? Hello, Doctor! Over the years, my knee has been injured multiple times due to motorcycle riding and sports. I thought it was just external injuries and paid little attention to it, and it seemed to rec...
Dr. Shi Guozheng Reply:
It is possible that there is an issue with the patellar cartilage. An X-ray can be taken at the hospital to examine the relative position of the patella and the femoral joint, as well as to check for any lesions on the patella. Platelet-rich plasma (PRP) is more effective for the...[Read More] Understanding Knee Discomfort: Causes and Treatment Options
Understanding Knee Ligament Injuries: Impact and Recovery After Trauma
Anterior cruciate ligament (ACL) injury? Hello, I would like to ask about a previous car accident. The other party suffered from two knee lacerations, which were sutured and subsequently treated with traditional Chinese medicine rehabilitation. After 2-3 months, the doctor diagno...
Dr. Chen Yongxue Reply:
Hello, there are four main ligaments in the knee. Ligament injuries can vary in symptoms depending on the location and severity. The cruciate ligaments are divided into the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL), which are primarily responsible...[Read More] Understanding Knee Ligament Injuries: Impact and Recovery After Trauma
Understanding Triangular Fibrocartilage Injuries: Recovery and Treatment Options
Triangular fibrocartilage complex (TFCC) injury Hello Doctor, eight months ago I slipped while playing basketball and injured my wrist when I fell. Over the past eight months, I have undergone rehabilitation, taken anti-inflammatory medications, used topical patches, and received...
Dr. Hong Ximing Reply:
Injury to the ulnar collateral ligament of the little finger, if it does not affect function, will typically heal naturally. However, some individuals may still experience residual symptoms, causing pain at certain angles. It is advisable to avoid re-injury and consider protectiv...[Read More] Understanding Triangular Fibrocartilage Injuries: Recovery and Treatment Options
Understanding Knee Pain: Diagnosis and Treatment for Ligament Injuries
Knee pain Hello, doctor. I would like to ask you again regarding the previous question. If it is a ligament injury, what kind of examinations are needed? The knee pain is felt internally, and it also hurts after sitting in the same position for a while. If there is an issue with ...
Dr. Shi Guozheng Reply:
Generally, a physical examination can provide a rough assessment, but to confirm a diagnosis, additional tests may be necessary. If surgery is required, an MRI (Magnetic Resonance Imaging) can be performed. Issues related to the spine can be evaluated by an orthopedic specialist,...[Read More] Understanding Knee Pain: Diagnosis and Treatment for Ligament Injuries
Knee Pain and Clicking Sounds: Understanding Your Symptoms at 19
Knee pain with a subtle ache and audible sounds during bending? Hello Doctor, I am a 19-year-old female in my second year of college. My knees make a sound when I bend them, and I have been experiencing occasional dull pain since high school. Sometimes, they even swell slightly, ...
Dr. Hong Ximing Reply:
Based on your condition, it is likely that the angle of your body's center of gravity is causing misalignment of the patella, which can lead to patellofemoral syndrome and cartilage softening. It is advisable to avoid direct pressure on the patella and activities involving u...[Read More] Knee Pain and Clicking Sounds: Understanding Your Symptoms at 19
Managing Wrist Ligament and Cartilage Injuries: When to Apply Pressure and Rotate
Ligament, cartilage If your wrist ligament and cartilage injury has not healed after more than four months, it is advisable to avoid activities that involve compression and rotation. Performing movements that stretch the wrist, such as placing your palm against your back and pull...
Dr. Shi Guozheng Reply:
Let him improve a bit before performing any compression maneuvers.[Read More] Managing Wrist Ligament and Cartilage Injuries: When to Apply Pressure and Rotate
Understanding Knee Issues: Causes and Solutions for Pain and Stiffness
Knee problems Hello, Doctor: Two weeks ago, I played about three hours of baseball. After the game, every morning I wake up with a feeling of my left knee being stuck when I try to straighten it, and the hamstring behind the knee feels tight. It feels a bit better when I external...
Dr. Hong Ximing Reply:
The sensation of the knee feeling locked when straightened may be due to thickening of the meniscus causing friction with the knee cartilage. Tightness in the lower back muscles could potentially be caused by physical activity. It is advisable to consult an orthopedic specialist ...[Read More] Understanding Knee Issues: Causes and Solutions for Pain and Stiffness
Understanding Rib Protrusion: Is It Due to Softer Bones?
Protrusion of the left rib? After seeing the doctor and getting an X-ray, the doctor said that the protrusion of my left rib is due to my bones being softer. My bones are healthy and there are no significant issues. Is the rib protrusion really due to softer bones?
Dr. Shi Guozheng Reply:
It is possible for a rib to transition from the posterior spine to the anterior chest wall, where it connects bone to cartilage. Typically, there may be a noticeable bump at the junction, but it is usually not of significant concern.[Read More] Understanding Rib Protrusion: Is It Due to Softer Bones?
Can You Apply for Disability Benefits After Joint Replacement Surgery?
Can individuals who receive joint replacement surgery apply for disability benefits? Hello Doctor: My father had artificial joints implanted in both legs a few years ago, but in the past year or two, he has found that he cannot stand or walk for long periods without experiencing ...
Dr. Shi Guozheng Reply:
If the function of an artificial joint is still good, it may not meet the criteria for disability application. However, a professional evaluation by a physician is necessary to make a determination. After undergoing joint replacement surgery, glucosamine is ineffective. Glucosami...[Read More] Can You Apply for Disability Benefits After Joint Replacement Surgery?
Understanding Ulnar Impaction Syndrome: Causes, Treatment, and Recovery
Ulnar impaction syndrome Hello Doctor: I have been working in logistics for four years. At the beginning of the year, I started experiencing pain and numbness in both wrists. The doctor diagnosed me with ulnar impaction syndrome in both wrists, along with cartilage wear and ligam...
Dr. Shi Guozheng Reply:
Whether it is an occupational injury diagnosed by an occupational medicine physician, your overwork may lead to pain. Continuing with rehabilitation might improve the condition.[Read More] Understanding Ulnar Impaction Syndrome: Causes, Treatment, and Recovery
Understanding Wrist Pain: Treatment Options for TFCC Inflammation
Continuation: Wrist Issues Questioner: Fatty / Male / 29, 2016/03/29 Hello, Dr. Shi. I have been suffering from a wrist condition for nearly a month. The symptoms include pain on the ulnar side of my left wrist when I rotate it outward in a clockwise direction. Additionally, whe...
Dr. Shi Guozheng Reply:
Both medication and rehabilitation should be conducted with caution, as excessive use or overexertion of the joints can hinder recovery.[Read More] Understanding Wrist Pain: Treatment Options for TFCC Inflammation
Understanding Wrist Pain: Causes, Treatments, and Recovery Tips
Wrist discomfort? Hello, Dr. Shi. I have been suffering from a wrist condition for almost a month. The symptoms include pain on the ulnar side of my left wrist when I rotate it outward in a clockwise direction. Additionally, when I carry a tray or a book (with my palm facing up a...
Dr. Shi Guozheng Reply:
Symptoms of this nature typically take about six weeks to resolve, so continued treatment is necessary. Additionally, it is important not to exert too much force on the affected joint. Inflammation of the wrist can be difficult to heal, but with patience in treatment, improvement...[Read More] Understanding Wrist Pain: Causes, Treatments, and Recovery Tips
Post-Surgery Knee Rehabilitation: Safe Exercises for Recovery
Postoperative Issues Following Knee Joint Debridement Surgery Hello, Doctor. At the beginning of January this year, I underwent an MRI which confirmed that my left knee's lateral meniscus was severely damaged and had to be removed. It has now been two months post-surgery, an...
Dr. Shi Guozheng Reply:
The condition of the thighs and calves is due to muscle atrophy caused by lack of exercise on the affected side. Gradually engaging in physical activity can lead to some recovery. Suitable exercises include walking, swimming, and cycling at a slow pace.[Read More] Post-Surgery Knee Rehabilitation: Safe Exercises for Recovery
Injury from Parallel Bar Dips: Understanding Chest Pain and Recovery
Injured while performing dip exercises on parallel bars? Hello, doctor: Three days ago, while performing dips, I suspect that my posture was incorrect, which caused a popping sound from my sternum, similar to cracking knuckles, and it was quite loud. At that moment, I felt a lot ...
Dr. Hong Ximing Reply:
Performing dips incorrectly can lead to dislocation between the sternum and ribs, resulting in pain. It is recommended to rest for at least 4 to 6 weeks to allow for recovery. X-rays cannot reveal this condition, and diagnosis primarily relies on palpation. Resting will facilitat...[Read More] Injury from Parallel Bar Dips: Understanding Chest Pain and Recovery