Post-Surgery Limitations in Arm Rotation After Distal Ulnar Fracture
Unable to perform arm rotation after distal ulnar fracture surgery? Hello Dr. Chen, I had a car accident on July 28 that resulted in a distal ulnar fracture (the prominent bone on the arm). After surgery, a steel plate was used for fixation, but it was noted that the ulnar appe...
Dr. Chen Yongxue Reply:
Hello, whether it is a distal radioulnar joint dislocation, TFCC injury, or ulnar nonunion (including nonunion of fractures or malunion), any of these conditions can lead to limitations in pronation and supination (the palm facing up and down). Please visit the orthopedic clinic ...[Read More] Post-Surgery Limitations in Arm Rotation After Distal Ulnar Fracture
Understanding Triangular Fibrocartilage Complex Injury After a Car Accident
Triangular fibrocartilage complex (TFCC) injury? Hello, doctor. I was involved in a car accident on June 18 and subsequently visited an orthopedic department at a regional hospital and an orthopedic clinic, where I continued to take medication and follow up. My wrist has been ver...
Dr. You Dianqi Reply:
Dear Mr. Lee, Hello. Based on your description, I would like to ask you about a specific part: When you mentioned the prominence on the radial side, are you certain it is on the radial side, or could it be on the ulnar side? Generally, symptoms of a triangular fibrocartilage com...[Read More] Understanding Triangular Fibrocartilage Complex Injury After a Car Accident
Understanding Knee Pain: Causes and Solutions for Athletes
Knee Hello, doctor. Recently, after playing badminton and weight training, I suddenly experienced pain in the front side of my right knee. Sometimes it also hurts when I walk, and my knee often makes noises. Could you please explain why I am experiencing these symptoms?
Dr. Shi Guozheng Reply:
It could be patellar cartilage inflammation or tendonitis. Resting and avoiding intense exercise may help improve the condition.[Read More] Understanding Knee Pain: Causes and Solutions for Athletes
Managing Knee Pain After Meniscus Surgery: Best Options Explained
It has been two years since my meniscus surgery, and I still experience pain? Dear Doctor, my boyfriend is 39 years old and two years ago he experienced knee pain. After examination, he was diagnosed with a meniscus tear and underwent surgery to remove the damaged portion. Howeve...
Dr. Shi Guozheng Reply:
Joint replacement surgery is not recommended for younger individuals.[Read More] Managing Knee Pain After Meniscus Surgery: Best Options Explained
Understanding Disability Diagnosis for Rib Deformities in Taiwan
Regarding the diagnosis of rib dysfunction? Dear Vice Dean Li, Regarding the standards for disability benefits under labor insurance for significant deformities of the trunk and other skeletal structures, specifically item 8-4 concerning significant deformities of the clavicle, ...
Dr. Li Yongheng Reply:
Hello, I am not very familiar with disability diagnosis, so my answers are for reference only. Question 1: "Deformations detectable by X-ray are not included in the criteria." This indicates that significant deformities can be identified by the naked eye, rather than re...[Read More] Understanding Disability Diagnosis for Rib Deformities in Taiwan
Understanding Knee Pain in Young Athletes: Causes and Management Strategies
Knee problems I am a member of the table tennis school team and occasionally run track. Suddenly, my knees started to hurt in middle school, and I couldn't pinpoint the exact location of the pain; it was just very painful, so I went to see a doctor. I had an X-ray done, whic...
Dr. Shi Guozheng Reply:
It could be ligament inflammation or an issue with the patella; you may want to consult another physician for further evaluation.[Read More] Understanding Knee Pain in Young Athletes: Causes and Management Strategies
Understanding Persistent Knee Pain: Causes and Treatment Options
Right knee issues? Hello Doctor: Last July, I experienced discomfort on the inner side of my right knee due to weight training, so I stopped training. After a period of rehabilitation, the discomfort shifted to the outer side. I have been in rehabilitation for about 8 months (inc...
Dr. Shi Guozheng Reply:
Your pain may be related to a ligament issue or cartilage wear or inflammation of the patella. Additionally, it is important to check for any lateral displacement or valgus deformity of the patella. In any case, you should consult an orthopedic physician for further evaluation.[Read More] Understanding Persistent Knee Pain: Causes and Treatment Options
Understanding Knee Noises After ACL and Meniscus Surgery: Causes and Solutions
Knee flexion and extension accompanied by audible sounds? Hello Doctor, I previously injured my knee in a car accident and underwent posterior cruciate ligament reconstruction and meniscus repair surgery. It has been almost four months since the surgery, but I recently noticed a ...
Dr. Shi Guozheng Reply:
If there is pain, it may not be a concern; it could be the sound of bones rubbing against each other. Sometimes, the lateral displacement of the patella may also be related. If you are still worried, you can return to the surgeon's clinic for a follow-up examination.[Read More] Understanding Knee Noises After ACL and Meniscus Surgery: Causes and Solutions
Understanding Wrist Pain from Push-Ups: Causes and Treatment Options
Experiencing wrist pain during push-ups? Hello, doctor. Six months ago, I started experiencing pain at the junction of my right palm and wrist when doing push-ups. It feels fine most of the time, but it hurts when I press on it. I believe it might be an injury from work. I have s...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have a ligament injury or an issue with the wrist joint itself, such as a triangular fibrocartilage tear. Therefore, I recommend that you visit an orthopedic clinic for an X-ray examination. If it is just a ligament injury, p...[Read More] Understanding Wrist Pain from Push-Ups: Causes and Treatment Options
Persistent Knee Pain After Injury: Seeking Answers and Solutions
Severe pain persists in the knee two and a half months after the injury? Hello Doctor: Thank you for your tireless efforts in answering the questions of netizens. I truly appreciate it. In mid-February, while running, I tripped over an unknown object and fell, landing on both kne...
Dr. Chen Yongxue Reply:
Hello, both meniscus and cruciate ligament injuries cannot be diagnosed with X-rays; an MRI is necessary. Regarding the interpretation of MRI results, there can be some margin of error. PRP injections cannot alleviate pain from a right knee fracture; if there is no displacement, ...[Read More] Persistent Knee Pain After Injury: Seeking Answers and Solutions
Managing Triangular Fibrocartilage Complex Tears: Treatment Options and Recovery
Triangular fibrocartilage tear injury? Last month, I experienced wrist pain due to a car accident, likely from bracing myself with my wrist during the fall. Since a month has passed and the pain persists, I visited an orthopedic doctor. The doctor confirmed that there are no bone...
Dr. Shi Guozheng Reply:
It is more appropriate to seek treatment from a hand surgeon at a medical center, as non-surgical options may not lead to improvement.[Read More] Managing Triangular Fibrocartilage Complex Tears: Treatment Options and Recovery
Can Manual Manipulation Surgery Be Done After Leg Fracture with Metal Implants?
Manual therapy for lower extremities surgery Hello, I was in a car accident at the end of December last year, which resulted in an open fracture of the tibia and fibula, along with comminuted cartilage damage in my knee. I had a steel plate and screws inserted. Initially, my knee...
Dr. Li Yongheng Reply:
Hello, it has been 3-4 months since your surgery, and you should be able to undergo manipulation surgery with anesthesia. You can discuss this with your surgeon and ask them to arrange it. However, I want to remind you that if you do not actively participate in rehabilitation aft...[Read More] Can Manual Manipulation Surgery Be Done After Leg Fracture with Metal Implants?
Understanding TFCC Injuries and Ulnar Dislocation: When to Consider Surgery
The issue of the ulna being misaligned and the injury to the triangular fibrocartilage complex (TFCC) raises the question of whether surgical intervention is necessary? Hello Doctor, about four and a half months ago, I fell while playing basketball and landed on my hand. Initiall...
Dr. Wang Shouji Reply:
Hello: There is a discrepancy in the position of the distal radioulnar joint. A bilateral wrist X-ray should provide more information. If a TFCC injury is suspected, forceful rotation of the wrist can cause pain in the distal radioulnar joint, which cannot be seen on X-ray; an MR...[Read More] Understanding TFCC Injuries and Ulnar Dislocation: When to Consider Surgery
Understanding Rib Issues: Symptoms, Causes, and Treatment Options
Rib issues Hello Doctor, I have been experiencing these symptoms for almost two weeks now. I feel a slight swelling at the last rib on my left side, and a few days ago, when I pressed on it, I heard a popping sound. Pressing on the anterior edge of that rib, especially from below...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, the likelihood of intercostal neuralgia is the highest. However, issues with internal organs cannot be ruled out, so it is still recommended that you seek medical examination. Wishing you a speedy recovery.[Read More] Understanding Rib Issues: Symptoms, Causes, and Treatment Options
Post-Surgery Complications: Unremoved Fragments in Femoral Osteochondral Fracture
After the surgery for a right femoral condyle fracture, it was found that some fragments of bone were not completely removed. Is this considered a malpractice? Dear Doctor, My mother underwent surgery for a right femoral condyle fracture, but she has been experiencing persistent...
Dr. Shi Guozheng Reply:
The cartilage on the femur is located at the knee joint or hip joint, but it is not clearly stated in the document. It does not specify how long after the surgery the patient may experience pain. Typically, there will be a varying period of time post-surgery during which pain may...[Read More] Post-Surgery Complications: Unremoved Fragments in Femoral Osteochondral Fracture
Understanding ACL Tears and Meniscus Damage: Treatment Options Explained
Artificial ligament rupture/meniscus tear Hello, Doctor. I was injured in a car accident in 1991, resulting in the replacement of the anterior cruciate ligament (ACL) and lateral ligaments in my left knee with artificial ligaments. An MRI in April 2017 revealed that the ACL in my...
Dr. Shi Guozheng Reply:
Not removing the ligament will not affect the wear of the cartilage. Depending on your age, if you are not engaging in vigorous activities, surgery may not be necessary. Rehabilitation to strengthen the muscles can help reduce knee joint instability.[Read More] Understanding ACL Tears and Meniscus Damage: Treatment Options Explained
Sudden Knee Pain After Sprinting: Causes and Solutions
Sudden running can lead to knee pain? Hello doctor, today after class I had to rush to catch a bus, so I ran for about a minute. When I got home and went up the stairs, I didn't feel anything unusual. However, when I went downstairs to take out the trash, my left knee sudden...
Dr. Shen Boquan Reply:
If there is no significant impact or trauma, it is unlikely that the bones are injured. However, you may experience pain, which could indicate injury or inflammation of the tendons, ligaments, or even cartilage. If the pain persists after a few days or if it severely interferes w...[Read More] Sudden Knee Pain After Sprinting: Causes and Solutions
Can Long-Term Cane Use Cause Wrist Damage? Understanding the Risks
I would like to ask if long-term use of a cane can cause harm to my wrist? I recently injured my knee, and it took nearly six months of rehabilitation for my meniscus damage to heal. I have been using a cane for assistance, but recently I've noticed that my wrist often feels...
Dr. Shi Guozheng Reply:
Using a cane can indeed increase pressure on the wrist joints. When pain occurs, it indicates overuse. It is advisable to take appropriate rest, apply heat, or take some anti-inflammatory medications. The duration of use should not be excessive each day. Of course, if the knee jo...[Read More] Can Long-Term Cane Use Cause Wrist Damage? Understanding the Risks
Understanding Knee Pain: Causes and Solutions for Runners
Knee pain Hello, doctor. A few days ago, I did some running exercises, and today when I got up from the chair, I felt a tight sensation in my right knee, accompanied by pain and weakness.
Dr. Shi Guozheng Reply:
If the pain is located inside the knee, it may be an issue with the cartilage. If the pain is around the outside of the kneecap, it could be related to the ligaments. Usually, resting for a few days will lead to recovery, but if the pain persists, it is necessary to see a doctor ...[Read More] Understanding Knee Pain: Causes and Solutions for Runners
Post-Surgery Knee Cartilage Damage: What to Expect and Next Steps
Knee cartilage tear, post-surgery? Hello Doctor, I am currently 23 years old. It has been a year since I underwent cartilage debridement surgery. The surgeon mentioned that my left knee cartilage was severely damaged, but did not provide any follow-up treatment plan. Now, a year ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, you should return to the original surgical hospital and consult with your primary surgeon to clarify whether your meniscus tear was treated with partial meniscectomy or meniscus repair surgery. The feeling of looseness in your knee may be related to...[Read More] Post-Surgery Knee Cartilage Damage: What to Expect and Next Steps