Understanding Patellar Dislocation: Pain Management and Treatment Options
Patella Hello Doctor: Here’s the situation. Occasionally, my right knee joint hurts when I bend it. I went to the hospital for an examination; one doctor said it was gout, while another said it was a sports injury, so I left it unresolved. Two days ago, my left foot suddenly made...
Dr. Shi Qiming Reply:
Hello: Misalignment of the knee (patella) can lead to knee pain, including recurrent subluxation and dislocation. Sometimes the appearance may not be obvious, and a detailed examination is necessary to determine whether it is caused by muscle asymmetry or skeletal abnormalities. ...[Read More] Understanding Patellar Dislocation: Pain Management and Treatment Options
Understanding Hallux Valgus and Osteoarthritis: A Patient's Dilemma
Degenerative arthritis Dear Doctor, Last month, I visited a physician due to severe friction and pain between my big toe and second toe while walking, which resulted in skin breakdown. It later formed a scab, and I noticed that the bone next to my big toe was severely protruding...
Dr. Shi Qiming Reply:
Hello: Based on your description, it seems that you are experiencing symptoms caused by hallux valgus, which leads to friction between the toes. I recommend that you visit our orthopedic outpatient clinic for further examination and assessment. Generally, you can start by using a...[Read More] Understanding Hallux Valgus and Osteoarthritis: A Patient's Dilemma
Can Human Joint Transplants Be Done? Understanding Orthopedic Surgery Risks
Surgical Issue Three Dear Director Shih, I have another question that I hope you can help clarify. Someone asked me if it is possible to use a real joint from another person for joint replacement surgery. Perhaps that person is not very informed! You mentioned that undergoing su...
Dr. Shi Guozheng Reply:
Bone donation typically does not involve an entire joint; even if it does, it may not be usable due to mismatched joint sizes and unresolved cartilage issues. There are still numerous challenges associated with this. Therefore, if one is considering joint replacement surgery, it ...[Read More] Can Human Joint Transplants Be Done? Understanding Orthopedic Surgery Risks
Understanding Knee Joint Pain: Is Arthroscopy the Right Solution?
Joint pain I have been experiencing pain in my left knee for one to two years. I have undergone rehabilitation at a general orthopedic clinic for over a year, and after X-rays, the doctor said there were no issues with the bones. However, my symptoms have not improved, especially...
Dr. Shi Guozheng Reply:
Based on your description, there may be an issue with the patellar joint surface. There is a joint interface between the patella and the femur (thigh bone) that experiences increased pressure when standing up or squatting. If there are problems with the cartilage on its surface o...[Read More] Understanding Knee Joint Pain: Is Arthroscopy the Right Solution?
Understanding Heel Pain and Knee Issues: Causes and Solutions
Heel 1. When I wake up every morning, my heels feel stiff and painful. Sometimes it also hurts when I massage them. Could this be due to standing too long, or is there another reason? What would be the best way to address this? 2. My knees sometimes hurt with changes in the weat...
Dr. Shi Qiming Reply:
Hello: Based on your description, it appears to be inappropriate excessive use leading to tendonitis symptoms. However, we recommend that you visit our orthopedic sports medicine department for a detailed examination and further diagnosis. Thank you![Read More] Understanding Heel Pain and Knee Issues: Causes and Solutions
Do I Need Treatment for Pectus Carinatum? Risks and Options Explained
Does chickenpox require treatment? I have pectus carinatum. Although it doesn't affect my daily life, it makes me feel very self-conscious. Can it be treated? Is the surgical risk high? How much does it cost? What are the treatment options? How long is the recovery? Thank yo...
Dr. Chen Xingyuan Reply:
Dear Ms. Nikki, The treatment for pectus carinatum (commonly referred to as "chicken breast") falls under the scope of thoracic surgery, and it would be best to consult a specialist in this field for satisfactory answers. Attached is some online information for your re...[Read More] Do I Need Treatment for Pectus Carinatum? Risks and Options Explained
Understanding Non-Union Fractures: Key Questions for Orthopedic Recovery
I'm sorry, but I need more context or specific content to provide a translation. Please provide the text you would Once, I heard a rehabilitation therapist say that if the bone has not healed, any rehabilitation efforts will be ineffective. Later, I sought treatment at Natio...
Dr. Zhou Hongzhi Reply:
1. It depends on the duration of time. 2. It should not be. 3. Caused by a comminuted fracture. 5. Yes. 6. There should be improvement. 7. Yes. 8. Possibly. 9. Yes. 10. It depends on the location of the fracture.[Read More] Understanding Non-Union Fractures: Key Questions for Orthopedic Recovery
Understanding Elbow Deformities in Infants: Causes and Treatment Options
Elbow (cartilage protrusion) Doctor: The child is almost five months old and has been observed to have an outward angulation of the left elbow. After examination, it seems there may be an issue with the cartilage. (1) Sometimes, the elbow returns to a normal position, (2) and she...
Dr. Li Wenlin Reply:
Hello: In response to your question, your description does not easily lead to a conclusion. I recommend that you consult a pediatric orthopedic specialist nearby, as they will be able to provide explanations that will help you understand better. Wishing you a pleasant day every d...[Read More] Understanding Elbow Deformities in Infants: Causes and Treatment Options
Understanding Knee Injuries After a Bike Accident: When to Seek Help
Knee injury from a motorcycle accident? Hello Doctor: On March 3rd, I had a motorcycle accident and injured my right forearm, which has a bruise, and it seems my elbow was also impacted. My knee did not show any obvious external injuries, but the force of the impact was significa...
Dr. Yang Nanping Reply:
Hello: Knee injuries often accompany damage to cartilage and ligaments. If there is no improvement after resting and applying ice for a period of time, it is recommended to visit an outpatient clinic for treatment. Sincerely, Dr. Yang Nan-Ping, Orthopedics.[Read More] Understanding Knee Injuries After a Bike Accident: When to Seek Help
Understanding Post-ACL Surgery Symptoms: Pain, Sounds, and Recovery
Post-Operative Care After Posterior Cruciate Ligament Surgery Hello, doctor. It has been about six months since I underwent anterior cruciate ligament (ACL) reconstruction surgery. Three months post-surgery, I briefly played table tennis (not intensely, just swinging the racket w...
Dr. Lin Gengxiao Reply:
Hello! Pain under the patella or at the surgical site may take a long time to heal, but sometimes this sensation can persist when bending or squatting. However, most people recover within one to two years. If there are sounds coming from the joint but no pain in the short term, i...[Read More] Understanding Post-ACL Surgery Symptoms: Pain, Sounds, and Recovery
Effective Strategies to Alleviate Knee Pain from Sports Injuries
Knee joint pain Hello Doctor: My brother is currently studying, but he is under a significant physical burden with a fixed training schedule every day. Recently, for more than a week, he has frequently reported experiencing pain in his knee. In the past few days, the pain has bee...
Dr. Yang Nanping Reply:
Hello: Based on the description, it may be quadriceps tendonitis. If there is also tenderness at the knee joint interface, there may be associated cartilage damage. Rest is the most important principle in treating this type of sports injury. Other measures, such as wearing a knee...[Read More] Effective Strategies to Alleviate Knee Pain from Sports Injuries
Understanding Knee Joint Effusion: Causes, Treatments, and Recovery Options
Knee joint effusion (hemarthrosis) My mother suffered a knee joint injury in a car accident last year. Although the external wounds have healed, she has been experiencing swelling in the joint. After returning to the doctor, she was informed that there is still bleeding within th...
Dr. Xu Zhaoren Reply:
A hematoma within the knee joint indicates the possibility of ligament rupture, cartilage damage, or linear fractures. It is essential to identify the underlying cause before treatment, as it cannot be resolved solely through medication or joint aspiration; treatment must be dire...[Read More] Understanding Knee Joint Effusion: Causes, Treatments, and Recovery Options
Understanding Knee Pain: When to Seek Further Evaluation and Treatment
Knee joint pain Hello, I would like to ask the doctor about knee joint pain. If touching the knee does not cause pain but there is pain inside, does that indicate a problem? Recently, I have experienced pain in my left knee while walking. I have had previous injuries but did not ...
Dr. Shi Guozheng Reply:
Knee injuries can be painful for a period of time. However, if the pain persists for an extended duration, such as six months, it is likely that there are still underlying issues. In addition to bones, the knee joint contains cartilage, ligaments, and menisci, all of which can al...[Read More] Understanding Knee Pain: When to Seek Further Evaluation and Treatment
Understanding Knee Noises: Should You Be Concerned?
Knee problems? Hello, doctor. I would like to ask about a situation where my knees make a sound, similar to an electrical noise, when I squat down and then stand up. I usually run and jump without any issues. I'm not sure if I'm just being overly concerned or if there i...
Dr. Shi Guozheng Reply:
It is normal for tendons or ligaments to make sounds as they glide over the surfaces of bones or cartilage. If there are no accompanying symptoms of pain, there is generally no cause for concern.[Read More] Understanding Knee Noises: Should You Be Concerned?
Innovative Treatments for Knee Cartilage Damage: What’s New?
Knee cartilage degeneration? When I was 16 years old, I had a motorcycle accident that injured the cartilage in both of my knees. At that time, the doctor performed an arthroscopy and said it was a permanent injury, advising me to avoid any intense physical activities (except swi...
Dr. Shi Guozheng Reply:
The cartilage in your patella has issues, and currently, there are no specific treatments available. However, rehabilitation may provide some benefits. Additionally, using glucosamine may help prevent further cartilage degeneration. Since your patella was not fractured after the ...[Read More] Innovative Treatments for Knee Cartilage Damage: What’s New?
Understanding Patellar Chondromalacia: Diagnosis and Treatment Options
Patellar chondromalacia When I try to fully extend my knee, I feel a bone catching, but I never experience pain. I have seen a traditional Chinese medicine practitioner who diagnosed me with patellar degeneration and treated me with acupuncture and tui na. I also consulted a tui ...
Dr. Su Yiren Reply:
Dear Miss Ah-Hui, I apologize for the delayed response due to the busy work during the New Year. Regarding the diagnosis of knee joint-related diseases, relying solely on physical examination (as mentioned by traditional Chinese medicine practitioners, massage therapists, and th...[Read More] Understanding Patellar Chondromalacia: Diagnosis and Treatment Options
Understanding Leg Alignment Issues and Their Impact on Sports Injuries
Regarding leg shape and exercise? Hello doctor, I sprained my right knee when I was 15 years old. Although I applied ice, I still feel swelling almost every time I play basketball or run. I also hear a "cracking" sound when I walk. Later, in September 2004, when school ...
Dr. Yang Nanping Reply:
Hello: It sounds like your issue is more related to the soft tissues of the knee, such as cartilage and ligaments, which are not visible on X-rays. It is recommended to apply heat therapy regularly and use a knee brace. If necessary, you can visit an orthopedic or rehabilitation ...[Read More] Understanding Leg Alignment Issues and Their Impact on Sports Injuries
Understanding Discoid Meniscus: Navigating Conflicting Medical Diagnoses
Disc-shaped meniscus When I try to fully extend my knee, I feel a bone catching, but I never experience pain. I have seen a traditional Chinese medicine practitioner who diagnosed me with patellar degeneration and treated me with acupuncture and tui na. I also consulted a tui na ...
Dr. Shi Qiming Reply:
Hello: Generally speaking, magnetic resonance imaging (MRI) is considered a fairly accurate examination. If it is indeed a meniscal tear, different treatment methods should be discussed based on the specific classification, and this is a specialized area that should be discussed ...[Read More] Understanding Discoid Meniscus: Navigating Conflicting Medical Diagnoses
Understanding Knee Replacement: Concerns and Recovery for RA Patients
Artificial knee joint I am a patient with rheumatoid arthritis (RA) and underwent surgeries on my left and right knee joints in July and October of this year. The left knee joint had more severe wear, and the doctor mentioned that a second-generation material was used, with a few...
Dr. Shi Guozheng Reply:
This phenomenon is normal because the hardness of artificial joints is greater than that of bone and cartilage, so it is inevitable that there will be some sounds during joint movement. If there is no pain, it is not a concern. The second set of materials will not affect joint fu...[Read More] Understanding Knee Replacement: Concerns and Recovery for RA Patients
Understanding Elbow Surgery: Complications and Recovery After Hardware Removal
Removal of metal screws Hello Director Li, I was injured in a car accident last year, resulting in a comminuted fracture of the ulnar olecranon in my right elbow. After an emergency surgery where steel pins were used for internal fixation, the pins were removed three months later...
Dr. Li Wenlin Reply:
Hello: In response to your question... Postoperative stiffness of the elbow joint is indeed challenging to manage. The treatment methods are as follows: 1. Active rehabilitation 2. Arthrolysis 3. Gradual use of splints or casting 4. Capsular release and adhesiolysis. Generally sp...[Read More] Understanding Elbow Surgery: Complications and Recovery After Hardware Removal