Understanding Knee Instability After ACL Reconstruction: Causes and Solutions
My knee feels unstable! Hello Doctor: Two years ago, I underwent anterior cruciate ligament (ACL) reconstruction on my right knee without any accompanying symptoms. However, at the end of July this year, while pitching, my right knee twisted, and I experienced swelling and pain. ...
Dr. Shi Guozheng Reply:
1. There will be no instability. 2. Yes. 3. It is easy to injure the ligaments and the meniscus (articular cartilage) within the joints. 4. You can train, but avoid excessive intensity.[Read More] Understanding Knee Instability After ACL Reconstruction: Causes and Solutions
Understanding Wrist Injuries After a Car Accident: Causes and Recovery
Wrist sprain from a car accident? Last year at the end of the year, I sustained a wrist sprain from a car accident. The emergency room doctor said there were no abnormalities in the bones, and that I could manage it with medication and ice therapy. At that time, my symptoms inclu...
Dr. Shi Guozheng Reply:
Wrist injury pain can persist for a long time. Since an MRI has already been scheduled, we will wait for the results before proceeding with treatment. Based on your description, it seems to be improving. If it turns out to be a triangular fibrocartilage complex (TFCC) issue, we c...[Read More] Understanding Wrist Injuries After a Car Accident: Causes and Recovery
Understanding Trigger Finger: Causes, Treatments, and Healing Options
What treatment options are available, and is it curable? Trigger finger is caused by inflammation of the tendon sheath, leading to impaired tendon movement and pain, typically occurring between the proximal interphalangeal joints of the fingers and thumb. The condition is often d...
Dr. Shi Guozheng Reply:
First, start with medication; if there is no improvement, add rehabilitation. If pain remains uncontrolled, then consider whether to undergo surgery.[Read More] Understanding Trigger Finger: Causes, Treatments, and Healing Options
Understanding the Differences Between Trigger Points and Arthritis
Trigger points and arthritis? What is the difference between arthritis and different types of rheumatic arthritis?
Dr. Shi Guozheng Reply:
Trigger finger is caused by inflammation of the tendon sheath, leading to impaired tendon movement and pain, typically occurring between the finger and thumb's proximal interphalangeal joints. The condition is often due to overuse and can sometimes result in the finger getti...[Read More] Understanding the Differences Between Trigger Points and Arthritis
Understanding Wrist Ligament Injuries: Diagnosis, Treatment, and Risks
Wrist ligament tear Hello, how can I determine if there is an injury to the wrist ligaments, and what tests should I undergo? What is the difference between a complete ligament tear and a partial tear? What are the different treatment options? If surgery is not performed, what po...
Dr. Chen Xingyuan Reply:
Dear Netizens, Wrist ligament injuries are very common in the wrist area, but making an accurate diagnosis clinically can be quite challenging. This is due to the complex structure of wrist ligaments, which consist of many ligaments of various sizes. Among wrist ligament injurie...[Read More] Understanding Wrist Ligament Injuries: Diagnosis, Treatment, and Risks
Understanding Mysterious Knee Pain: Causes and Solutions for Young Adults
Unexplained pain in the front of the knee? Hello, Doctor. I am a fourth-year student, 22 years old. Recently, for some unknown reason, my knees have been hurting after walking for a while. It started with my right knee, but in the past two days, my left knee has also begun to hur...
Dr. Ye Qingnian Reply:
Hello: It is recommended to seek outpatient care for clearer evaluation. Thank you, and wishing you peace and good health.[Read More] Understanding Mysterious Knee Pain: Causes and Solutions for Young Adults
Understanding Knee Pain: Common Issues and When to Seek Help
My knee is having issues!!! Hello Doctor: My (left) knee has felt strange since I was in the third year of junior high school, and I am now in my first year of high school. Could it be a ligament sprain? When I start playing basketball, I don't feel any pain at first, but th...
Dr. Wang Shouji Reply:
Hello: If there are no specific symptoms with mild activity, it is possible that intense activity could be due to complications from a previous injury; rehabilitation and strength training would be sufficient. However, if there is noise during knee movement accompanied by pain or...[Read More] Understanding Knee Pain: Common Issues and When to Seek Help
Sudden Knee Weakness: Causes and When to Seek Medical Advice
Sudden knee weakness? Hello Doctor, last December, while I was walking a longer distance in Tokyo, mostly on flat ground or slight inclines, I suddenly felt weakness in my right knee joint, but there was no pain. After resting for a bit, I felt fine. Since then, I have occasional...
Dr. Hong Ximing Reply:
Based on your description, the symptoms in your right knee are more similar to patellofemoral syndrome, which is caused by cartilage softening. This typically occurs after a period of excessive activity and can improve with rest; however, prolonged issues may lead to cartilage we...[Read More] Sudden Knee Weakness: Causes and When to Seek Medical Advice
Understanding Knee Pain and Tailbone Injuries: When to Seek Further Treatment
Knee pain with sacral concavity? Hello doctor, I have pain on both sides of my left knee that used to be so severe I couldn't walk. After an X-ray, the orthopedic doctor said the bones are fine and only prescribed painkillers. I currently engage in minimal vigorous exercise,...
Dr. Wang Shouji Reply:
Hello, 1. Given your age and the absence of significant trauma, it is unlikely that you have ligament or cartilage issues. If the pain is severe enough to prevent you from walking, please pay attention to whether there is any accompanying heat or swelling. It is advisable to fo...[Read More] Understanding Knee Pain and Tailbone Injuries: When to Seek Further Treatment
Understanding Knee Weakness After an Injury: When to Seek Further Evaluation
Knee weakness Hello Doctor: I was in a car accident on September 28 of this year, and my left knee directly hit the ground and scraped against it. The pain was so intense that I couldn't stand up. After returning home and examining the injury, I noticed that my left knee was...
Dr. Chen Xingyuan Reply:
Dear Netizen: The X-ray examination is primarily used to determine if there are any fractures or dislocations. Some injuries, such as damage to the articular cartilage, ligaments, or meniscus, may not be visible on X-rays. After an injury, it is common to experience swelling, pai...[Read More] Understanding Knee Weakness After an Injury: When to Seek Further Evaluation
Effective Pain Relief and Recovery Tips for Knee Injuries
How to manage a knee injury? Hello Dr. Hong, my boyfriend's right knee was hit by a car a couple of days ago, causing it to swell to about twice the size of his left knee. He saw a doctor who said there is a bone injury. He is currently in so much pain that he can't wal...
Dr. Hong Ximing Reply:
Knee injuries with swelling should first undergo an X-ray examination to check for fractures. Additionally, it is important to assess for any ligament or cartilage damage that may cause intra-articular hematoma. These conditions require evaluation by a specialist in a hospital se...[Read More] Effective Pain Relief and Recovery Tips for Knee Injuries
Understanding Cartilage Pain: Causes, Diagnosis, and Treatment Options
Cartilage pain Hello Dr. Lee: I have been experiencing pain in the cartilage located just above the right side of my navel for the past nine months. In January, I had a bone scan done in Hsinchu, and the report was normal, but the pain has not improved. It is a localized pain, no...
Dr. Li Wenlin Reply:
Your condition appears to be somewhat complex, and it's difficult to provide specific advice based solely on this information. It would be best for you to be referred by your primary care physician, who can provide the relevant examination reports. Otherwise, you might consi...[Read More] Understanding Cartilage Pain: Causes, Diagnosis, and Treatment Options
Understanding Rib Protrusion After Injury: Causes and Concerns
Doctor, may I ask? Hello doctor, originally my ribs were parallel, but after a car accident, the left rib near the stomach has become protruded by 5 cm. The doctor said there were no issues on the X-ray and that I do not need to return for a follow-up. However, since the left rib...
Dr. Li Wenhong Reply:
Hello: The ends of the ribs (the ends near the sternum) are made of cartilage and are not calcified in youth, making them invisible on X-rays. If there are no symptoms, no treatment is necessary. If there are any issues, please visit the outpatient clinic. Changhua Hospital, Orth...[Read More] Understanding Rib Protrusion After Injury: Causes and Concerns
Understanding Lateral Ligament Laxity and Treatment Options for Knee Pain
Lateral collateral ligament laxity Hello Doctor: My left knee has severe patellar valgus. Since January 12 of this year, it has been about six months, and the lateral pain has not improved significantly despite physical therapy. I can walk on flat surfaces, but going up and down ...
Dr. Hong Ximing Reply:
Severe patellar valgus, combined with training, will definitely lead to cartilage damage. It is advisable to seek evaluation from a sports medicine specialist at a medical center to determine whether surgical correction is the best course of action.[Read More] Understanding Lateral Ligament Laxity and Treatment Options for Knee Pain
Understanding Gaps Between Steel Plates and Cartilage in Orthopedic Care
There is a gap between the metal plate and the cartilage? Thank you, I have received your response. May I ask another question? During a follow-up visit for pain management, the doctor reviewed the X-rays and mentioned that there is a gap between the metal plate and the cartilage...
Dr. Shi Guozheng Reply:
If there is a gap between the implant (presumably referring to the prosthetic joint) and the bone, it may indicate that the prosthetic joint is not securely fixed within the bone (medullary cavity). If this is indeed the case, a revision surgery may need to be considered. However...[Read More] Understanding Gaps Between Steel Plates and Cartilage in Orthopedic Care
Understanding Knee and Hip Joint Sounds: Causes and Concerns
The popping or cracking sound in the knee joint? Hello Doctor: I am 35 years old and have been jogging for about two years, averaging once a week, running approximately 5-8 kilometers each time at a moderate pace. Over the past year, I have noticed that when I stand up from a squ...
Dr. Shi Guozheng Reply:
As long as there is no pain, it's normal for joints to make sounds. Many people experience noise in their knees when squatting or standing up. Overexertion can sometimes lead to discomfort in the joints, cartilage wear, or excessive strain on the ligaments. Typically, if sym...[Read More] Understanding Knee and Hip Joint Sounds: Causes and Concerns
Understanding Tibial Osteotomy: When Surgery is Necessary and What to Expect
Tibial osteotomy surgery Hello, Doctor: I would like to ask under what circumstances surgery is necessary to correct a misaligned tibia? My doctor mentioned wanting to perform an osteotomy, where he plans to remove the upper edge of the tibia, realign it, and then secure it with ...
Dr. Hong Ximing Reply:
Based on your description, it seems to be a lateral displacement of the patella, causing the patella to be out of its normal position and resulting in cartilage wear. Generally, if there is a patellar subluxation or greater, a patellar ligament realignment surgery is required; ot...[Read More] Understanding Tibial Osteotomy: When Surgery is Necessary and What to Expect
Understanding Knee Issues: Do You Need Arthroscopy for Osteoarthritis?
Osteoarthritis Hello Dr. Lee: I am 45 years old and have been hiking intensively for the past two and a half years. After a year of hiking, I noticed a loud popping sound when bending or straightening my knee, and sometimes the kneecap does not align properly and requires adjustm...
Dr. Li Wenlin Reply:
Hello, your condition appears to be patellar malalignment accompanied by chondromalacia. Patellar malalignment may be congenital, leading to uneven stress on the medial and lateral cartilage of the patella, with the lateral side bearing most of the load. After the age of 25, the ...[Read More] Understanding Knee Issues: Do You Need Arthroscopy for Osteoarthritis?
Post-Operative Care for Knee Arthroscopy: Is Rehab Necessary?
Knee arthroscopic debridement surgery Hello Dr. Chang, My mother underwent a left knee arthroscopy at the end of July this year and has recently received hyaluronic acid treatment. However, she has not been feeling well since the surgery (there is no redness, swelling, heat, or...
Dr. Zhang Jiahao Reply:
Hello: The findings during knee arthroscopy are very important. Possible intraoperative findings include cartilage softening or damage, meniscal tears, or soft tissue proliferation, among others. Different intraoperative findings determine the surgical approach and outcomes. The ...[Read More] Post-Operative Care for Knee Arthroscopy: Is Rehab Necessary?
Understanding Treatment Options for Degenerative Knee Arthritis: A Patient's Guide
Treatment of Degenerative Knee Osteoarthritis My father has pain in his left knee. He has seen the director of Zhudong Hospital twice and has taken Sulinton tablets and the muscle relaxant AN-AN, but he still does not require surgery. However, after about a month of medication, h...
Dr. Shi Guozheng Reply:
Degenerative arthritis can occur in a single knee joint, but it may also affect both knees, especially if there are old injuries or degeneration present. The use of arthroscopy for debridement in cases of degenerative arthritis has significantly decreased in recent years due to i...[Read More] Understanding Treatment Options for Degenerative Knee Arthritis: A Patient's Guide