Navigating ACL Tears: When to Consider Surgery or Rehabilitation
Torn posterior cruciate ligament (PCL) complete tear? Hello Doctor: Four years ago, during a competitive sports event, I collided with another athlete and was unable to fully extend my left knee. At that time, the sports medic assessed a ligament tear but was unsure of the severi...
Dr. Hong Ximing Reply:
A torn cruciate ligament can affect the stability of the knee joint, increase cartilage wear, and lead to joint degeneration and pain. Surgical reconstruction should be discussed in detail with the attending physician, and changing hospitals will only allow for a reevaluation.[Read More] Navigating ACL Tears: When to Consider Surgery or Rehabilitation
Navigating Joint Replacement Surgery Risks in Elderly Patients with Complications
My father wants to undergo joint replacement surgery, but his physical condition seems to be unsuitable? Hello Doctor! My father, born in 1970, suffers from ankylosing spondylitis and, due to severe pulmonary tuberculosis many years ago, has almost lost function in his left lung,...
Dr. Shi Guozheng Reply:
Patients with ankylosing spondylitis are generally less suitable for lumbar anesthesia; however, a regional femoral nerve block can be used for surgical procedures near the hip joint on one side. This approach eliminates the need for spinal anesthesia. We have had numerous cases ...[Read More] Navigating Joint Replacement Surgery Risks in Elderly Patients with Complications
Understanding Knee Pain: Causes, Treatments, and Growth Concerns in Teens
Recently, I have been experiencing knee pain? Hello, I would like to ask: Previously, I had knee pain and went to see a doctor. The doctor asked if I had been running or exercising, and I said yes, during physical education class, practicing for a relay race. When I stood up or w...
Dr. Shi Guozheng Reply:
Knee pain can be caused by various conditions, and the location of the pain can help determine the diagnosis. If the pain is located at the front or next to the patella, it may indicate different issues. Pain at the interface between the patella and the femur could suggest a prob...[Read More] Understanding Knee Pain: Causes, Treatments, and Growth Concerns in Teens
Can Patellar Malalignment Be Corrected with Bracing?
Patellar valgus Doctor, I previously had an X-ray at the hospital, and it was diagnosed as mild patellar valgus, which is due to congenital factors and long-term running causing pain. The doctor suggested that I wear a patellar brace for improvement. I would like to ask if patell...
Dr. Hong Ximing Reply:
Patellar valgus is caused by the body's center of gravity. In severe cases, surgery may be required for correction. Long-term running should be avoided to prevent accelerated cartilage wear.[Read More] Can Patellar Malalignment Be Corrected with Bracing?
Knee Pain During Basketball: Should You See a Doctor or Self-Rehab?
Knee pain during exercise? I went out to play basketball in the morning, and while attempting a jump shot, I felt a sharp pain in my knee when I landed. A few minutes later, I found it difficult to jump, and jumping caused pain. Squatting also hurts. After a few days, it improved...
Dr. Hong Ximing Reply:
There are many causes of knee pain related to exercise, most of which involve issues with the joint cartilage and ligaments. It is advisable to visit a specialist at a hospital for a thorough examination.[Read More] Knee Pain During Basketball: Should You See a Doctor or Self-Rehab?
Do I Need Surgery for a Torn TFCC in My Left Wrist?
Tear of the left triangular fibrocartilage ligament? As a professional soldier, I sustained an injury to my left wrist when a tool struck it during work. At the time, I thought it was just a minor bruise and did not seek medical attention. However, after two months of experiencin...
Dr. Shi Guozheng Reply:
Injuries to the triangular fibrocartilage complex (TFCC) typically require surgical treatment. However, if the current symptoms have improved, it may be advisable to wait a while longer. If the condition does not improve, then surgery can be considered.[Read More] Do I Need Surgery for a Torn TFCC in My Left Wrist?
Understanding Patellofemoral Pain Syndrome and Its Management Strategies
Patellofemoral chondromalacia Hello Doctor: I have a habit of walking, doing yoga, and aerobic exercises about three times a week. On August 20, 2015, while wearing new shoes, I experienced some friction in my knee during my second walking session (on an elementary school playgro...
Dr. Wang Shouji Reply:
Hello: If pain and discomfort persist despite treatment and activity restrictions (such as limited climbing, squatting, and going up and down stairs), and the pain is primarily located in the knee joint, it is necessary to consider the possibility of patellar chondromalacia or pa...[Read More] Understanding Patellofemoral Pain Syndrome and Its Management Strategies
Understanding Post-Operative Pain After Meniscus Arthroscopy: Is It Normal?
Post-operative care following meniscus arthroscopy? Hello, doctor. I would like to ask about my condition. It has been 20 days since I underwent arthroscopic surgery on my meniscus, where the procedure involved removing fluid accumulation and addressing the folds within the menis...
Dr. Hong Ximing Reply:
Three weeks after meniscus arthroscopy, the external wound has healed, but the cartilage and folds inside the joint will take additional time, approximately 6-8 weeks or even longer (depending on the extent of cartilage damage), to gradually heal.[Read More] Understanding Post-Operative Pain After Meniscus Arthroscopy: Is It Normal?
Understanding Sciatica: Causes, Symptoms, and Treatment Options
Hip pain On the morning of the 19th of last month, I woke up and suddenly felt pain in the left side of my lower back near the hip while picking something up. After exercising that evening, I found it very difficult to climb stairs. A rehabilitation specialist diagnosed me with a...
Dr. Shi Guozheng Reply:
If it is a herniated disc, the pain may radiate from one side of the buttock down the back of the thigh to the calf and into the sole of the foot, potentially accompanied by neurological symptoms such as numbness and decreased sensation in the foot. Additionally, an increase in a...[Read More] Understanding Sciatica: Causes, Symptoms, and Treatment Options
Understanding Knee Joint Issues: Symptoms and Potential Conditions
Knee joint issues? I'm sorry to ask, but I would like to inquire about my condition. Ever since I increased my physical activity (around November to December of last year), my right knee has been uncomfortable. Initially, I felt that my knee couldn't bear weight when st...
Dr. Hong Ximing Reply:
The issue of the knee feeling locked is likely related to the cartilage and ligaments, and there may be a concern of damage. An MRI is necessary for diagnosis.[Read More] Understanding Knee Joint Issues: Symptoms and Potential Conditions
Understanding Pain and Indentation in the Second Rib: Causes and Solutions
Depressed rib? Recently, I have felt a depression in the second rib from the bottom when counting upwards, and it hurts when I press on it. What could this be?
Dr. Shi Guozheng Reply:
It may be inflammation at the junction of the rib and cartilage, which usually improves with a few days of rest. This condition is often related to overexertion or trauma. If it does not improve, it is advisable to consult a physician.[Read More] Understanding Pain and Indentation in the Second Rib: Causes and Solutions
Understanding Disc Herniation: Concerns and Surgical Options for Young Patients
Herniated disc Hello Doctor: I am a 21-year-old female. I have a herniated disc at the L5-S1 level with nerve compression (specifically a ruptured type herniation), which has been affecting the entire back of my left thigh for over a year. I have undergone three months of rehabil...
Dr. Wang Shouji Reply:
Hello: 1. If the resection area is relatively large, it may affect some stability, but generally, it is not severe. 2. This depends on how much intervertebral disc is removed; without disc protection, there is a higher risk of developing degenerative joint disease. 3. Statistical...[Read More] Understanding Disc Herniation: Concerns and Surgical Options for Young Patients
Understanding Wrist Injuries: Ligament or Cartilage Issues?
There is an issue with the joints? I injured my wrist nearly two months ago and had an X-ray, which showed no bone displacement. However, I still experience a sensation of something catching in my wrist when I rotate it, accompanied by a faint sound. Currently, there is no pain a...
Dr. Shi Guozheng Reply:
It is likely that both the ligaments and cartilage are injured. If the symptoms persist and the pain does not alleviate, further examination may be necessary. Typically, improvement occurs within about three months, and any minor sounds may disappear, but this will take time.[Read More] Understanding Wrist Injuries: Ligament or Cartilage Issues?
Recovery Timeline After Cartilage Tear Surgery: What to Expect
Cartilage rupture Two weeks ago, I underwent arthroscopic surgery to remove a blood clot and torn cartilage from my right knee. I have been in a cast for two weeks, and the doctor said that the ligaments are fine and that I need to keep the cast on for six weeks. Will the muscles...
Dr. Shi Guozheng Reply:
Although it is wrapped in a cast, leg lifting exercises can still be performed to prevent muscle atrophy. Typically, the cast is worn for more than six weeks, and if there is a reluctance to move, atrophy can easily occur. Generally, walking can be resumed after about six weeks.[Read More] Recovery Timeline After Cartilage Tear Surgery: What to Expect
Understanding Patellar Malalignment: Causes and Symptoms in Dancers
Patellar valgus Hello doctor, I am a dancer and I injured my knee about three years ago. However, I have only received massage and acupuncture treatments. In the past two weeks, my knee has swollen, so I had an X-ray taken and it revealed patellar malalignment. I would like to as...
Dr. Hong Ximing Reply:
Hello: Patellar valgus can easily lead to wear and tear of the knee joint cartilage, resulting in pain. It is recommended to consult with your attending physician for detailed advice. Hong Hsi-Ming[Read More] Understanding Patellar Malalignment: Causes and Symptoms in Dancers
Post-ACL Reconstruction: Understanding Knee Noises and Movement Issues
Issues After Anterior Cruciate Ligament Reconstruction Surgery Hello Doctor, I injured my knee in 2013 and was diagnosed with an anterior cruciate ligament (ACL) tear. My attending physician believed that it was unnecessary to reconstruct the ligament and only removed the tissue ...
Dr. Shi Guozheng Reply:
It is possible that something is stuck, so it would be better to consult a surgeon for clarification. Typically, sounds coming from the knee joint are caused by ligaments sliding over the bones. If there is no pain associated with it, there is usually no cause for concern.[Read More] Post-ACL Reconstruction: Understanding Knee Noises and Movement Issues
Chronic Knee Pain After Motorcycle Accident: Seeking Solutions
Pain below the knee? Two years ago, I fell off my motorcycle due to a slippery road surface, and the motorcycle landed on my left knee, causing a protrusion below the knee that is painful to the touch. I have tried many treatment methods without significant improvement. I paused ...
Dr. Shi Guozheng Reply:
Knee joint compression injuries may damage the soft tissues and cartilage. If you experience pain when squatting, it could be related to an injury of the patella. It is advisable to consult a physician to check for any issues with the patellar cartilage or potential patellar disl...[Read More] Chronic Knee Pain After Motorcycle Accident: Seeking Solutions
Understanding Occasional Knee Pain: When to See an Orthopedist or Rehab Specialist
Intermittent severe pain behind the left knee, with the left leg unable to bend or squat normally? Hello Doctor, I have been experiencing intermittent pain behind my left knee for over a year. Initially, I thought it was a common injury, so I visited a general massage clinic. Whi...
Dr. Hong Ximing Reply:
Based on the symptoms you described, it is not merely a case of ligament or joint discomfort. It is advisable to seek an evaluation from a neurologist to clarify any symptoms that may be caused by neurological issues.[Read More] Understanding Occasional Knee Pain: When to See an Orthopedist or Rehab Specialist
Understanding Meniscus Tears and ACL Injuries: Surgical Options and Recovery
Lateral meniscus tear and anterior cruciate ligament (ACL) tear? In September, I was involved in a car accident and later X-rays revealed a fracture. An MRI later showed that I have a lateral meniscus tear and an anterior cruciate ligament (ACL) tear in my left knee. With the win...
Dr. Shi Guozheng Reply:
In cases of anterior cruciate ligament (ACL) injury combined with a lateral meniscus tear, it is generally preferable to repair the meniscus if possible. If repair is not feasible, then partial meniscectomy may be performed. Sometimes, only a partial removal of the meniscus is ne...[Read More] Understanding Meniscus Tears and ACL Injuries: Surgical Options and Recovery
Understanding Knee Pain: Arthritis or Old Injury?
Knee pain and weakness due to weather changes? Two years ago, I started experiencing soreness and weakness in my knees every time the weather changes. I'm not sure if it's arthritis or related to an old injury. I would like to see a doctor, but I'm unsure which spe...
Dr. Shi Guozheng Reply:
You can see an orthopedic specialist. Changes in weather can cause soreness and weakness, which may be due to cartilage damage or arthritis. Additionally, misalignment of the joints can also lead to pain.[Read More] Understanding Knee Pain: Arthritis or Old Injury?