Joints, Orthopedics FAQ - Page 10

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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?


Understanding Lisfranc Fractures: Recovery, Treatment Options, and Foot Strengthening

Fractures of the first and second metatarsal bones of the left foot and ligament rupture, known as Lisfranc fracture? Dear Dr. Shih, On November 2, 2016, I experienced pain in my left foot after colliding with a stone pillar while riding a bike. An orthopedic surgeon diagnosed m...


Dr. Shi Guozheng Reply:
This type of fracture may not fully recover after surgery for the displacement of nearby joints, but the use of foot pads and rehabilitation may improve some aspects.

[Read More] Understanding Lisfranc Fractures: Recovery, Treatment Options, and Foot Strengthening


Why Are Toes Left Exposed in a Cast for Foot Fractures?

Foot cast Hello, doctor. Recently, I fell and fractured my left foot while walking down the stairs, and I had to have it immobilized with a cast. I would like to ask why the toes are left exposed when the foot is casted, instead of covering the entire foot?


Dr. Shi Guozheng Reply:
The area of plaster immobilization should encompass the joints above and below the fracture. Therefore, for a tibial fracture, the immobilization should extend to the knee joint and the ankle joint. In the case of an ankle fracture, it is sufficient to immobilize just above and b...

[Read More] Why Are Toes Left Exposed in a Cast for Foot Fractures?


Wrist Pain When Weight Bearing: Symptoms and Treatment Options

Unable to bear weight on the wrist? The wrist can rotate normally, but it hurts when bearing weight. Pressing on a protruding area below the thumb also causes significant pain. What could these symptoms indicate? Will using a pain relief patch help?


Dr. Shi Guozheng Reply:
There may be inflammation or issues with the joints, so it is advisable to consult a physician.

[Read More] Wrist Pain When Weight Bearing: Symptoms and Treatment Options


Recovery Tips for Tibia and Fibula Fractures: What to Expect

Tibiofibular fracture Hello Doctor, I had a car accident a month ago that resulted in a closed tibial fracture and a fibular hairline fracture. I underwent surgery to insert a steel rod, and the fibula was not treated and was not put in a cast. I asked my attending physician if I...


Dr. Shi Guozheng Reply:
Rehabilitation involves moving your knee and ankle joints. The ankle should move up and down to engage the muscles, preventing muscle atrophy. After completing the exercises, if your foot or calf is swollen, you can elevate it. Additionally, it's important to have regular fo...

[Read More] Recovery Tips for Tibia and Fibula Fractures: What to Expect


Managing Swelling and Recovery After Fibula Fracture: Key Insights

Fracture issues? Hello, doctor. Thank you for answering my previous question regarding the swelling sensation I experience when standing after a week of being in a cast for a fibula fracture. I would like to ask a few more questions: 1. How long does this type of symptom typica...


Dr. Shi Guozheng Reply:
1. The feeling of swelling has lasted for about one to two months. 2. Elevate the calf as much as possible. 3. Rest frequently; typically, fibula fractures heal quickly if they are not near the joint. 4. Practice lifting and lowering the leg; also, make sure to move the kne...

[Read More] Managing Swelling and Recovery After Fibula Fracture: Key Insights


Understanding Whole Body Bone Pain: Causes and Concerns

Generalized bone pain? Hello Doctor: For the past few months, I have often felt discomfort in my bones. I can't quite describe it as pain or pressure. The uncomfortable areas include the bones above my palms, finger bones, elbow bones, toe bones, as well as the bones in my c...


Dr. Shi Guozheng Reply:
The most likely cause of widespread bone pain is overuse or improper usage. First, assess whether you have any of these conditions before seeking medical attention. It is essential for a physician to evaluate your situation in order to determine the appropriate course of action.

[Read More] Understanding Whole Body Bone Pain: Causes and Concerns


Post-ACL Reconstruction: Managing Stiffness and Numbness in Recovery

Cruciate ligament Hello, doctor. It has been over a year since my reconstructive surgery. I have no major issues with running and exercising, but I often experience difficulty straightening my limb after bending for a long time, or bending it after keeping it straight for too lon...


Dr. Shi Guozheng Reply:
You can continue to perform extension and flexion movements after surgery. Strength training for tighter joints can help stabilize your joints and make them stronger, reducing the risk of re-injury.

[Read More] Post-ACL Reconstruction: Managing Stiffness and Numbness in Recovery


Bilateral Acromioclavicular Joint Subluxation: What You Need to Know

Bilateral acromioclavicular joint subluxation? Hello, doctor. I would like to ask about an abnormal chest X-ray result during my military service medical examination. It states that there is bilateral acromioclavicular joint subluxation. What does this mean? Does it require immed...


Dr. Chen Yongxue Reply:
Hello, bilateral acromial subluxation may be caused by an injury or due to congenital structural factors. Additionally, part of it may be attributed to the angle of the X-ray (a chest X-ray is not the standard angle for assessing shoulder joints). If you have no symptoms, please ...

[Read More] Bilateral Acromioclavicular Joint Subluxation: What You Need to Know


Understanding Recovery from Left Wrist Radius Fracture: Treatment Options Explained

Fracture of the left radius? On December 25 of last year, I fell off my bicycle and underwent surgery for a left distal radius fracture, where titanium alloy was implanted. During my follow-up appointment on January 16, the doctor instructed me to perform rehabilitation exercises...


Dr. Shi Guozheng Reply:
It is normal for joints to feel a bit stiff after surgery, and it is essential to actively engage in rehabilitation activities to restore joint function.

[Read More] Understanding Recovery from Left Wrist Radius Fracture: Treatment Options Explained


Understanding Knee Instability: Causes, Risks, and Recovery for Athletes

Knee instability Hello Doctor: I am patient 118600. Thank you for your consultation last time! I have a few questions I would like to ask you again. My knee instability is not in the forward and backward direction, but rather a slight side-to-side wobble. There is minimal movemen...


Dr. Shi Guozheng Reply:
1. It is possible. 2. It will not happen. 3. If there are any unstable phenomena present, it may have an impact. It is advisable to wear knee braces during your regular exercise to protect your knee joints.

[Read More] Understanding Knee Instability: Causes, Risks, and Recovery for Athletes


Understanding Closed Fractures of the Metacarpals: Recovery and Rehabilitation

Closed fracture of the metacarpal bone? Hello, Doctor. On December 30, 2016, I sustained closed fractures of the second, third, and fourth metacarpals in my right hand due to a car accident. I underwent open reduction and internal fixation surgery, where 3, 2, and 2 steel pins we...


Dr. Shi Guozheng Reply:
Metacarpal fractures typically show initial callus formation within two to three weeks, providing some stability, especially if stabilized with pins. If there is no displacement, it is generally acceptable to perform some hand movements, and self-rehabilitation should be sufficie...

[Read More] Understanding Closed Fractures of the Metacarpals: Recovery and Rehabilitation


Understanding Unexplained Joint Pain: Causes and Concerns

Unexplained joint pain? Hello, doctor. I sometimes experience swelling and pain in my joints. Before the pain occurs, I don't recall any significant impact or injury. Generally, I might feel some soreness the day before, and then the next day, I experience swelling or pain. ...


Dr. Shi Guozheng Reply:
It is normal for joints to hurt if they are overused. However, if there is pain all over, it may be necessary to check for conditions like rheumatoid arthritis. You can consult an orthopedic specialist or a rheumatologist. In the early stages of arthritis, joints typically do not...

[Read More] Understanding Unexplained Joint Pain: Causes and Concerns


Dealing with Persistent Bruising and Tightness After Ankle Fracture

Joint fracture Hello, I was involved in a serious car accident where I fractured the knee and ankle joints of my left leg. The bones have healed, and I can walk now, but there is still a bruise on the inner side of my left ankle joint that hasn't faded away. The faint bruise...


Dr. Chen Yongxue Reply:
Hello, fractures usually require stabilization, which may involve surgery or casting depending on the situation. Once the stabilization period is sufficient, rehabilitation should begin to restore the joint to its original range of motion as quickly as possible. It is normal for ...

[Read More] Dealing with Persistent Bruising and Tightness After Ankle Fracture


Understanding Ankylosing Spondylitis: Blood Tests and Age Factors

I would like to inquire about ankylosing spondylitis? Hello Dr. Wang, I would like to ask about ankylosing spondylitis. If a blood test comes back positive, does that mean the disease will definitely develop? Also, is it true that only individuals under 40 can develop ankylosing ...


Dr. Wang Shouji Reply:
Hello: At this age, the pain is mostly likely due to ankylosing spondylitis. A positive HLA-B27 test does not necessarily mean that it is ankylosing spondylitis; there must also be evidence of enteropathic arthritis or even chronic inflammatory changes leading to fusion to make t...

[Read More] Understanding Ankylosing Spondylitis: Blood Tests and Age Factors


Common Questions About Hip Joint Replacement Surgery

Questions about total hip replacement surgery? Hello, Doctor. I am experiencing hip joint pain and had an X-ray at the hospital, which revealed avascular necrosis in both femoral heads. The doctor has recommended total hip replacement surgery for both sides, but I have some quest...


Dr. Shi Guozheng Reply:
Typically, recovery of physical strength can take one to three months, with three months being the ideal timeframe. However, if the patient's health status is good, it is possible to perform bilateral surgeries under a single anesthesia. This decision depends on the surgeon&...

[Read More] Common Questions About Hip Joint Replacement Surgery


Can a Child Stand After 5 Weeks of Tibial Fracture Healing?

Can I stand if my bone fracture has not completely healed after five weeks? A three-year-old child sustained a tibial stress fracture on August 31 while playing soccer. It has been five weeks since the injury, and during a follow-up visit on October 6, X-rays showed that the frac...


Dr. Li Yongheng Reply:
Fracture healing in three-year-old children generally occurs quickly. If the physician indicates that the child can stand and walk, and the child is not experiencing any pain, parents can feel reassured. However, it is important to avoid falls and running or jumping.

[Read More] Can a Child Stand After 5 Weeks of Tibial Fracture Healing?


Addressing O-Shape Legs in Young Athletes: Concerns and Solutions

Could you please provide more details regarding the issues faced by athletes with bowlegs (O-shaped legs)? Hello Doctor, I apologize for the interruption. I am a senior high school girl, and I am a member of both the baseball and volleyball teams. I run, play, and engage in a sig...


Dr. Shi Guozheng Reply:
Bow legs do not necessarily indicate a problem if the alignment of the knee joints is not significantly deviated. If X-rays show no narrowing of the joint space and no signs of degenerative arthritis, correction is not needed. If you are concerned, you can get an X-ray at the hos...

[Read More] Addressing O-Shape Legs in Young Athletes: Concerns and Solutions


Understanding Knee Pain in Stroke Patients: Causes and Solutions

My father had a stroke about 20 years ago and is now completely unable to walk? Dear Doctor, I apologize for taking up your valuable time. I have a question regarding my father, who has suffered from a stroke for many years, resulting in difficulties with his right hand and righ...


Dr. Shi Guozheng Reply:
You should continue medication treatment and use rehabilitation as an adjunct. If there is no improvement, consider consulting a different physician for further evaluation.

[Read More] Understanding Knee Pain in Stroke Patients: Causes and Solutions


Understanding Growth Plates: When Do They Close and Height Potential?

Height issues Hello Doctor: On September 10, 2016, I had an X-ray taken by an orthopedic doctor to check if my growth plates had closed. The X-ray was of my pelvis, and the doctor said they had not closed yet, so there is still a chance for me to grow a bit more. I would like to ...


Dr. Shi Guozheng Reply:
Whether one will grow taller depends on the growth plates near the knee joints. By the age of seventeen, it is generally expected that further height increase is unlikely, and there is no need to take any special medications.

[Read More] Understanding Growth Plates: When Do They Close and Height Potential?


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