Cartilage, Orthopedics FAQ - Page 9

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Understanding Triangular Fibrocartilage Complex Injuries in the Wrist

Triangular fibrocartilage complex injury of the wrist? Hello, doctor! I fell off my bike last Wednesday and my left wrist has been very painful and swollen. I went to the emergency room and had an X-ray, and the doctor said there were no fractures. During my follow-up visit today...


Dr. Shi Guozheng Reply:
It is important to protect the wrist and avoid excessive strain, as it typically takes more than six weeks for it to gradually recover.

[Read More] Understanding Triangular Fibrocartilage Complex Injuries in the Wrist


Understanding Disc Herniation from Improper Weightlifting Techniques

Herniated disc due to improper weightlifting posture (speculated by orthopedic clinic physician)? About a week ago, I injured myself while doing squats during weight training. It was very painful at the time, and bending over at home was painful as well. I had difficulty putting ...


Dr. Wang Shouji Reply:
It's unclear how you would know if there is an issue with the cartilage. If it's just a muscle strain in the back, then rest and rehabilitation should suffice. However, if there is damage to the intervertebral disc cartilage, the treatment will depend on the severity of...

[Read More] Understanding Disc Herniation from Improper Weightlifting Techniques


Managing Post-Tibial Plateau Fracture Complications: Treatment Options and Insights

Post-traumatic sequelae of lateral tibial plateau fracture collapse? Dear Dr. Shi, I previously inquired about the issue of knee stiffness and tightness following a tibial plateau fracture (case #124076), and I appreciate your response. You mentioned that intra-articular fractur...


Dr. Shi Guozheng Reply:
Joint adhesion after a fracture is common, and rehabilitation may help. Post-traumatic arthritis can lead to cartilage wear, eventually resulting in arthritis. You might consider trying PRP (platelet-rich plasma) therapy to see if it has any effect. If it remains ineffective and ...

[Read More] Managing Post-Tibial Plateau Fracture Complications: Treatment Options and Insights


Understanding Synovial Chondromatosis: Treatment and Recovery Insights

Synovial chondromatosis Hello, Doctor, I am a patient with synovial chondromatosis, and the affected area is my right hip joint. I have experienced a progression from initial symptoms of a stiff gait and mild pain to mid-stage joint effusion, and ultimately to the removal of gran...


Dr. Shi Guozheng Reply:
1. Currently, rehabilitation therapy is the only option available. 2. This condition typically only allows for synovectomy or removal of the proliferative loose bodies, with no other treatment methods available.

[Read More] Understanding Synovial Chondromatosis: Treatment and Recovery Insights


Understanding Ankle Pain: OCD, Cartilage Damage, and Surgical Options

Ankle pain I have been experiencing ankle pain for three months, and after an examination at the hospital, I was diagnosed with osteochondritis dissecans (OCD) and instability due to cartilage wear. Should I consider surgery in this situation? Is it possible that the assessment o...


Dr. Cai Shanglin Reply:
The instability phenomenon you mentioned refers to the cartilage or the joint? If it is the cartilage, surgical treatment may need to be considered. Regarding the diagnosis, in addition to MRI, the most direct method is arthroscopy (which can also provide treatment in addition to...

[Read More] Understanding Ankle Pain: OCD, Cartilage Damage, and Surgical Options


Post-Surgery Knee Stiffness After Tibial Plateau Fracture: Causes and Solutions

Post-operative knee stiffness and tightness after tibial plateau fracture? Hello: At the end of last year, I suffered a car accident that resulted in fractures of the right lower leg, specifically the tibia and fibula, with a collapse of the lateral tibial plateau. The cartilage ...


Dr. Shi Guozheng Reply:
Joint stiffness is usually due to injury or surgery, and it is essential to continue rehabilitation therapy to potentially regain function. There is no need for special examinations, as intra-articular fractures can already lead to tissue adhesion or fibrosis.

[Read More] Post-Surgery Knee Stiffness After Tibial Plateau Fracture: Causes and Solutions


Understanding Ankle Pain: Can Cartilage Regenerate After OCD Diagnosis?

Ankle pain If a doctor diagnoses OCD (Osteochondritis Dissecans) and indicates instability and pain, it may suggest the need for surgery. However, regarding cartilage wear, the question arises whether cartilage can regenerate or if artificial options are available. Thank you.


Dr. Shi Guozheng Reply:
Cartilage typically does not regenerate, and the durability of artificial ankle joints is not very good, so there are not many people who undergo this procedure.

[Read More] Understanding Ankle Pain: Can Cartilage Regenerate After OCD Diagnosis?


Essential Nutrients and Remedies for Knee Pain Relief After Injury

Knee issues Hello, Doctor. A friend of mine mentioned that they were in a car accident previously and now they are experiencing pain in their knee. It hurts when they walk and also when they stand. Could you please advise on what foods and nutrients, as well as medications, shoul...


Dr. Shi Guozheng Reply:
If you are concerned about cartilage degeneration, you can supplement with glucosamine (such as medications or supplements like glucosamine sulfate). However, if you experience severe pain symptoms, it is important to consult a physician.

[Read More] Essential Nutrients and Remedies for Knee Pain Relief After Injury


Wrist Pain: Understanding Symptoms and Treatment Options

Wrist issues Hello Doctor, after making a fist with my left hand and then relaxing, I experience soreness and pain in my left wrist (the right hand is not affected, and the pain is located on the inner side of the wrist). I also feel pain when I press my left hand flat against th...


Dr. Li Yongheng Reply:
Based on your symptoms, it doesn't seem to be carpal tunnel syndrome. It could be tendonitis or a triangular fibrocartilage complex (TFCC) injury. I recommend that you visit an orthopedic clinic for further diagnosis and treatment. Wishing you a speedy recovery.

[Read More] Wrist Pain: Understanding Symptoms and Treatment Options


Persistent Knee Pain After Hiking: When to Seek Further Treatment

Since I injured my knee while hiking in mid-December last year, I have been experiencing persistent sharp pain that has not improved? Hello Doctor, my question is that in mid-December last year, while hiking down a mountain as it was getting dark, I hurried down and started exper...


Dr. Shi Guozheng Reply:
You can visit the rehabilitation department.

[Read More] Persistent Knee Pain After Hiking: When to Seek Further Treatment


Understanding Knee Pain: The Impact of Leg Raises After Surgery

Leg raises can cause knee pain? Five years ago, I underwent arthroscopic surgery for patellar chondromalacia combined with patellar malalignment. After the surgery, I received high-dose hyaluronic acid injections and a course of PRP therapy. Nine months post-surgery, I began expe...


Dr. Shi Guozheng Reply:
The cartilage in the patella may have issues, causing discomfort when standing up from a squatting position.

[Read More] Understanding Knee Pain: The Impact of Leg Raises After Surgery


Understanding Weightlifting Injuries: Knee Pain and Recovery Insights

Weightlifting injuries Hello doctor, about a month ago, I was doing squats with a weight of 100 kg during weight training when I heard a popping sound on the outer side of my left knee. After standing up, I experienced severe pain in my hamstring, making it impossible to bend my ...


Dr. Hong Ximing Reply:
Lateral thigh pain in the knee area is likely due to a tear in the tendon or muscle. If only a small portion is affected, it may not impact function; however, a rest period of four weeks is still necessary before resuming exercise. If there is no improvement, an MRI should be per...

[Read More] Understanding Weightlifting Injuries: Knee Pain and Recovery Insights


Understanding Triangular Fibrocartilage Complex Injury in the Wrist

Triangular fibrocartilage complex (TFCC) injury of the left wrist? Hello, doctor. Recently, I've been experiencing pain in my left wrist, and I just visited an orthopedic clinic today where the director, who is also a physician at National Cheng Kung University, examined me....


Dr. Shen Boquan Reply:
Injury to the triangular fibrocartilage complex (TFCC) is also a cause of wrist pain. Typically, conservative treatments such as adequate rest, topical analgesics, adhesive patches, and nonsteroidal anti-inflammatory drugs (NSAIDs) will lead to improvement in most cases. If these...

[Read More] Understanding Triangular Fibrocartilage Complex Injury in the Wrist


Understanding Pain Below the Knee: Tibial Tuberosity Issues and Recovery

Pain upon palpation of the tibial tuberosity and discomfort after squatting and standing up? Previously, when I was kneeling on a stone bench with one leg, I pressed on the bony prominence below my knee (I found online that this area is called the tibial tuberosity). A day or two...


Dr. Hong Ximing Reply:
Excessive pressure on the tibial tuberosity can cause pain, which is normal. However, if there is insufficient rest or frequent stair climbing, it can lead to overuse of the hip ligaments and hip cartilage, resulting in persistent pain. It is recommended to reduce stair climbing ...

[Read More] Understanding Pain Below the Knee: Tibial Tuberosity Issues and Recovery


Understanding Post-Operative Sounds and Sensations After Knee Surgery

Minimally invasive cartilage surgery for joints I underwent cartilage removal and knee arthroscopy on my right knee at the hospital on the 14th of last week. However, it has been 10 days since the surgery, and I still hear clicking and popping sounds when walking on that leg. Som...


Dr. Shi Guozheng Reply:
A short period of observation is still required after the surgery.

[Read More] Understanding Post-Operative Sounds and Sensations After Knee Surgery


Understanding Patellar Cartilage Softening: Causes and Treatment Options

Patellar chondromalacia Hello, I have been experiencing occasional mild knee pain in both legs since I gave birth 3-4 years ago. However, over the past six months, the pain has worsened and become more frequent. When I squat and then stand up, my knees cannot fully extend immedia...


Dr. Shi Guozheng Reply:
Typically, rehabilitation will lead to improvement; if that is not sufficient, medication treatment may be necessary. One can also take supplements such as glucosamine. If these measures are still ineffective, one might consider intra-articular injections of hyaluronic acid or pl...

[Read More] Understanding Patellar Cartilage Softening: Causes and Treatment Options


Understanding Meniscus Wear and Medial Ligament Injury in Athletes

Meniscus degeneration and medial collateral ligament injury? Hello Dr. Shen, A month ago, after finishing a boxing aerobic workout, I noticed pain on the inner side of my right knee the next day. During the workout, there was no external impact, but there were many movements in...


Dr. Shen Boquan Reply:
Hello, netizen: The knee is the largest joint in the human body, and it bears a significant amount of load due to its high level of activity. There are many causes and conditions associated with knee pain, including ligament sprains, tendon strains, joint inflammation, such as os...

[Read More] Understanding Meniscus Wear and Medial Ligament Injury in Athletes


ACL Reconstruction vs. High Tibial Osteotomy: Which Surgery is Better?

Questions about Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy? Hello Doctor, I injured my knee 8 years ago and underwent anterior cruciate ligament (ACL) reconstruction surgery. After a sports-related sprain last year, I have been experiencing discomfort in ...


Dr. Shi Guozheng Reply:
Ligament reconstruction surgery should be performed first, as high tibial osteotomy (HTO) cannot improve the condition of ligament instability.

[Read More] ACL Reconstruction vs. High Tibial Osteotomy: Which Surgery is Better?


Understanding Growth Plates: Can You Still Grow Taller?

Concerns about Growing Taller The growth plates in different parts of the body have similarities and differences in terms of their location, function, and timing of closure. Generally, growth plates, or epiphyseal plates, are areas of developing cartilage tissue near the ends of ...


Dr. Shi Guozheng Reply:
Typically, the growth plates near the knees will close, and further height increase will not occur.

[Read More] Understanding Growth Plates: Can You Still Grow Taller?


Understanding Knee Pain from Sitting Cross-Legged: Causes and Remedies

Experiencing soreness and pain in the knees after sitting cross-legged for an extended period? Hello doctor, I have a habit of sitting cross-legged, and recently I've noticed that my knees start to hurt after sitting this way for a while. A while ago, when the weather was ve...


Dr. Hong Ximing Reply:
Sitting cross-legged for too long can cause soreness, which is normal. This occurs due to prolonged pressure on the knee joint, leading to excessive stress that can result in cartilage softening, causing discomfort. The sensation of numbness and tingling is due to the nerves bein...

[Read More] Understanding Knee Pain from Sitting Cross-Legged: Causes and Remedies


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