Understanding Knee Stability: Impact of Past Injuries and Muscle Atrophy
Knee stability Hello, Director Yeh: I have a few questions regarding my previous left calf fracture. I used crutches for eight months, which resulted in severe atrophy of my quadriceps. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and the adjacent...
Dr. Ye Qingnian Reply:
1. The tibia and the bone it connects to are misaligned, and based on your description, it's difficult to determine which bone it is, so I cannot provide a detailed explanation. 2. If the bones are misaligned, it can easily lead to knee osteoarthritis, resulting in pain. ...[Read More] Understanding Knee Stability: Impact of Past Injuries and Muscle Atrophy
Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Bone misalignment? Hello Director Li, I have a few questions regarding my previous left calf fracture. I used crutches for eight months, which resulted in severe atrophy of my quadriceps. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and the adjac...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is difficult to provide a direct answer without being able to examine your limbs and review your X-rays. I personally recommend that you consult your attending physician, as they are most familiar with your condition and should be able to a...[Read More] Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Understanding Knee Pain: When to Seek Medical Advice After Injury
Knee pain Hello Doctor, I would like to ask you a question. Many years ago, I was in a car accident and injured my left knee. At that time, I delayed seeking medical attention, and my entire knee was swollen and bruised, making it impossible to walk. The doctor drained a signific...
Dr. Shi Guozheng Reply:
You need to see an orthopedic specialist again. Typically, after a knee injury, there may be a hematoma, and some structures within the joint, such as the anterior cruciate ligament, meniscus, or others, may sustain damage. If the injury is not severe, it may heal on its own over...[Read More] Understanding Knee Pain: When to Seek Medical Advice After Injury
What to Do About Unusual Noises in Your Knee?
What should I do if my knee makes unusual sounds? Hello, doctor! When I perform the action of squatting down and standing up, my left knee, particularly around the anterior cruciate ligament area, makes a sound similar to something being torn or a scraping noise. The same action ...
Dr. Shi Qiming Reply:
Hello, based on the symptoms, it is possible that there were pre-existing issues in the knee (such as meniscal abnormalities or plica syndrome) that were exacerbated by a subsequent injury. It is unclear whether the knee has sustained any injury or if the original problem has wor...[Read More] What to Do About Unusual Noises in Your Knee?
Understanding Knee Stiffness: Causes and Solutions After Injury
Inability to bend the knee? Hello Dr. Yeh, I am currently in the United States. A month and a half ago, I injured my left knee while playing basketball. I went to the hospital for an X-ray, and the doctor said there were no issues with the bones, only that the knee ligaments wer...
Dr. Ye Qingnian Reply:
The X-ray of the left knee is normal, but after one and a half months, there is still pain and inability to bend the knee. It is recommended to consult an orthopedic clinic to determine if an arthroscopy is necessary to check for any injuries to the meniscus or cruciate ligaments...[Read More] Understanding Knee Stiffness: Causes and Solutions After Injury
Can I Combine ACL Reconstruction and Plate Removal Surgery?
A surgical issue? Hello Dr. Wang, I have a question. If I need to undergo anterior cruciate ligament reconstruction and a plate and screw removal surgery on the same leg, would a typical physician agree to perform both procedures in one surgery? Can I request this from my docto...
Dr. Wang Shouji Reply:
Xiao Jie: Generally speaking, if the fracture has healed, there should be no conflict in performing both surgeries simultaneously. Wishing you a successful operation.[Read More] Can I Combine ACL Reconstruction and Plate Removal Surgery?
Effective Rehabilitation for Persistent Knee Swelling After Injury
My knee is very swollen? Since the car accident two years ago, my knee has not healed and I cannot stand for long periods. I have taken medication before, but it hasn't helped. What rehabilitation should I pursue, and are there any renowned doctors specializing in knee treat...
Dr. Hong Ximing Reply:
Knee injuries involve multiple tissues such as cartilage, meniscus, and cruciate ligaments. It is advisable to consult an orthopedic specialist for a thorough examination, including arthroscopy and MRI, to identify the underlying cause and provide appropriate treatment. Wishing y...[Read More] Effective Rehabilitation for Persistent Knee Swelling After Injury
Overcoming Knee Injuries: A Basketball Player's Journey to Recovery
I hope to get back on the basketball court! Hello, Doctor. I am a basketball player living in Taichung. My height is 178 cm and my weight is 78 kg. I have had surgery on both knees: my left knee underwent anterior cruciate ligament reconstruction a year ago, and my right knee had...
Dr. Shi Qiming Reply:
Hello: It is recommended that you continue with rehabilitation and avoid any vigorous activities for the time being to prevent re-injury. Some benefits of rehabilitation may not be immediately apparent and require a prolonged treatment period. If you have any questions, please vi...[Read More] Overcoming Knee Injuries: A Basketball Player's Journey to Recovery
Managing Joint Stiffness After ACL Reconstruction: Causes and Solutions
After anterior cruciate ligament (ACL) reconstruction, if there is joint stiffness, how should it be managed? I injured my ligaments on June 21 of this year (anterior cruciate ligament tear and posterior cruciate ligament strain). I went to the emergency room that day, but the or...
Dr. Wang Shouji Reply:
Post-operative joint stiffness is a common issue following anterior cruciate ligament (ACL) reconstruction surgery. Generally, this condition is related to post-operative rehabilitation or the surgical reconstruction technique used. At this point, approximately two months post-su...[Read More] Managing Joint Stiffness After ACL Reconstruction: Causes and Solutions
Understanding Long-Term Effects of Ligament Tears After Injury
What are the sequelae after a ligament tear? Three months ago, I suffered a ligament tear and a tibial fracture due to a car accident. The bone has healed well, but my doctor has specifically advised me to pay attention to the recovery of the ligament. I am very concerned about t...
Dr. Shi Guozheng Reply:
First, it is important to identify which ligament is affected and the extent of the injury—whether it is a complete tear or an incomplete tear. If the injury is not severe, recovery typically takes about one and a half to three months. However, if it involves ligaments within the...[Read More] Understanding Long-Term Effects of Ligament Tears After Injury
Post-ACL Reconstruction Challenges: Pain, Instability, and Rehabilitation
Issues After Anterior Cruciate Ligament Reconstruction Surgery I am currently 44 years old. In December 1990, I underwent ligament reconstruction surgery for my left knee's anterior cruciate ligament (ACL). After surgery and rehabilitation, I regained my original function, a...
Dr. Chu Baijun Reply:
What does "approximately" mean? I believe that the current rehabilitation treatment can focus on rebuilding the strength of your thigh muscles, which will help improve muscle atrophy and enhance protection for the ligaments, preventing re-injury. Thank you for your mess...[Read More] Post-ACL Reconstruction Challenges: Pain, Instability, and Rehabilitation
Understanding ACL and LCL Reconstruction: Key Questions Answered
Ligament reconstruction Hello Dr. Lee, I previously had a car accident and underwent examinations and an MRI. The doctor determined that I have a partial tear of the posterior cruciate ligament (PCL) in my left leg, and a complete tear of the PCL and a lateral collateral ligamen...
Dr. Li Wenlin Reply:
Hello, in response to your questions: 1. The purpose of the surgery is to restore your original function. Your description did not mention your symptoms. In some cases, even if the posterior cruciate ligament (PCL) and lateral ligaments are torn, clinical outcomes can still be s...[Read More] Understanding ACL and LCL Reconstruction: Key Questions Answered
Can I Have ACL Reconstruction and Hardware Removal Surgery Together?
Anterior cruciate ligament (ACL) tear Hello Dr. Hong: I was in a car accident and after examination and MRI, the doctor informed me that I have torn posterior cruciate ligaments in both of my legs. I would like to ask if I can request to have the surgery to remove the steel plate...
Dr. Hong Ximing Reply:
Hello Xiao Jie: The simultaneous rupture of both cruciate ligaments in your knees indicates a significant injury. The use of a steel plate and ligament reconstruction is not mutually exclusive. You can choose to undergo both procedures at the same time or separately. It is import...[Read More] Can I Have ACL Reconstruction and Hardware Removal Surgery Together?
Persistent Foot Pain: Causes and Solutions for Long-Term Relief
My feet start to hurt after wearing shoes for a long time or standing for an extended period? I experience pain in the sole of my right foot after wearing shoes for a long time or standing for extended periods. There is a protrusion on the side of my ankle that is painful when to...
Dr. Huang Longde Reply:
Hello: Based on your description, the physician should have performed an X-ray to confirm whether there is an old ankle fracture. Your outer ankle often swells and hurts repeatedly due to prolonged standing or wearing shoes, which is caused by injury to the lateral ligaments or u...[Read More] Persistent Foot Pain: Causes and Solutions for Long-Term Relief
Understanding ACL Injuries: MRI Accuracy and Medical Liability Concerns
Issues related to the assessment of cruciate ligaments? I was in a car accident in 2001, injuring my right knee, and later discovered that I had a torn ligament. The physician at that time diagnosed it as an anterior cruciate ligament (ACL) tear and preserved the MRI imaging file...
Dr. Shi Guozheng Reply:
The diagnosis of a cruciate ligament tear can be made through physical examination. If it is a complete tear, an experienced physician can determine whether it is the anterior or posterior cruciate ligament without relying on imaging studies. Immediately after the injury, due to ...[Read More] Understanding ACL Injuries: MRI Accuracy and Medical Liability Concerns
ACL Autograft Surgery: Recovery Tips and Common Concerns
Anterior cruciate ligament autograft reconstruction surgery Hello Doctor: I have a good friend who underwent an autologous graft reconstruction surgery for the anterior cruciate ligament (ACL) a month ago. Although they have been doing rehabilitation, their knee still cannot bend...
Dr. Shi Qiming Reply:
Hello: Postoperative pain is not normal, and whether there is adhesion or if a reoperation is needed will depend on the actual situation. It is recommended that you return to your original surgeon's clinic for further follow-up and treatment. Active muscle training after sur...[Read More] ACL Autograft Surgery: Recovery Tips and Common Concerns
Understanding Knee Impact Injuries: Symptoms, Diagnosis, and Next Steps
Knee impact injury? Last year, I fell while going down the stairs, and the front part of my right knee (toward the upper area) hit the protruding edge of the stairs. It was extremely painful at the time, but after a while, I have experienced the following sensations: 1. I often f...
Dr. Chu Baijun Reply:
Hello Ray: The hard bone at the front of the knee is called the patella. After a knee impact, in addition to potential bone injury, the prepatellar bursa, posterior cartilage, and surrounding patellar tendons and ligaments may also be injured, leading to discomfort. At this time,...[Read More] Understanding Knee Impact Injuries: Symptoms, Diagnosis, and Next Steps
Post-Arthroscopy Knee Concerns: Sounds, Recovery, and Exercise Guidelines
Post-operative issues following arthroscopic surgery? Hello, doctor. I previously underwent arthroscopic surgery, and now my knee makes noise when I walk, but there is no pain. I asked the surgeon who performed the operation, and he said that after anterior cruciate ligament (ACL...
Dr. Hong Ximing Reply:
Hello Hunter: The presence of sounds in the knee does not affect your ability to exercise. The primary goal of anterior cruciate ligament (ACL) reconstruction is to restore joint stability, and if there is no pain, treatment is not necessary. Taking glucosamine may not aid in lig...[Read More] Post-Arthroscopy Knee Concerns: Sounds, Recovery, and Exercise Guidelines
Rehabilitation After ACL Reconstruction: Addressing Common Concerns
Arthroscopic surgery rehabilitation Doctor, thank you for your response. I have some additional questions that I need your clarification on. After anterior cruciate ligament (ACL) reconstruction, there is a sound in my knee, which may be caused by the patella sliding over the syn...
Dr. Shi Guozheng Reply:
Six months post-surgery, you should be able to climb stairs, and by nine months, you can return to your pre-injury level of physical activity.[Read More] Rehabilitation After ACL Reconstruction: Addressing Common Concerns
Post-Arthroscopic Surgery Concerns: Knee Noises and Recovery Tips
Questions After Arthroscopic Reconstruction Surgery Hello, doctor. Last year, I underwent arthroscopic surgery, during which the physician examined my meniscus and said there were no issues. They only performed a reconstruction of the anterior cruciate ligament (ACL). After the s...
Dr. Shi Guozheng Reply:
After anterior cruciate ligament reconstruction, if there are sounds coming from the knee, it may be due to the patella sliding over the synovium. As long as there is no pain associated with it, there is no cause for concern. Six months post-surgery, you can engage in some light ...[Read More] Post-Arthroscopic Surgery Concerns: Knee Noises and Recovery Tips