Recovering from Tibial Fracture Surgery: Muscle Rehabilitation Tips
Two days after surgery for a tibial fracture? It has been over a month since I had surgery for a tibial fracture in my lower leg. The doctor advised me not to put weight on it for six weeks, so I will start rehabilitation afterward. Can I regain my muscle strength? I have also no...
Dr. Shi Guozheng Reply:
Although you cannot bear weight, you can still perform flexion and extension movements of the knee and ankle joints, as this engages the muscles. Muscle contraction occurs with joint movement, which helps prevent atrophy. After six weeks, you can begin to bear weight, which will ...[Read More] Recovering from Tibial Fracture Surgery: Muscle Rehabilitation Tips
Understanding Knee Replacement Longevity and Revision Surgery for Seniors
Artificial knee joint Hello, my mother-in-law had bilateral knee arthroplasties 10 years ago, and she has been experiencing significant pain recently. I would like to ask the doctor... What is the lifespan of a prosthetic joint, and at the age of 75, is it possible for her to und...
Dr. Shi Guozheng Reply:
Artificial knee joints have a certain lifespan, typically exceeding ten years, after which they may become unstable, wear out, or loosen. If pain persists, it is possible that the artificial joint is damaged, and it is necessary to consult a physician to assess whether any of the...[Read More] Understanding Knee Replacement Longevity and Revision Surgery for Seniors
Understanding and Correcting O-Shaped Legs: Options and Insights
I want to correct my bow legs? Hello, Doctor. I have O-shaped legs, but I'm not sure how severe it is. I drew a diagram: http://imgur.com/N9BL8WS (the black represents bones, and the pink represents muscles). It feels like my thighs are very separated from the pelvis. My upp...
Dr. Shi Guozheng Reply:
To determine whether there is a varus or valgus deformity of the knee joint, an X-ray examination is necessary. In a normally aligned adult, the centers of the hip, knee, and ankle joints should form a straight line. If the center of the knee joint is deviated inward, it indicate...[Read More] Understanding and Correcting O-Shaped Legs: Options and Insights
Unexplained Neck Sounds After Sports: Causes and Solutions
Experiencing unusual sounds when turning your head after exercise? On the evening before the Dragon Boat Festival holiday (June 18), after finishing at the batting cage, I noticed that when I turned my head to the left beyond a certain degree, it would make a "pop" soun...
Dr. Huang Minxu Reply:
Hello: In general outpatient clinics, the primary concern regarding joint sounds during movement is whether they are accompanied by pain. Common causes may include the presence of gas bubbles within the joint that change size during movement, resulting in sound. Based on your des...[Read More] Unexplained Neck Sounds After Sports: Causes and Solutions
Understanding Muscle Atrophy After Tibial Fracture Surgery: Recovery Tips
Post-operative care after tibial fracture surgery? Why is there significant muscle atrophy in the calf after surgery? Compared to the unoperated leg, it has decreased by one size. Will it regain strength after starting rehabilitation? Is it beneficial to massage the muscles durin...
Dr. Shi Guozheng Reply:
First, it is important to determine the location of your surgery, whether it is on the tibia, femur, hip joint, or knee joint. After surgery, the affected limb may become hesitant to move due to pain, which can lead to muscle atrophy. In fact, it is recommended to begin movements...[Read More] Understanding Muscle Atrophy After Tibial Fracture Surgery: Recovery Tips
Experiencing Numbness and Weakness in Finger Joints: When to Seek Help?
Numbness and weakness in the finger joints? Waking up, I often feel numbness and weakness from my elbow joint to my finger joints. I also feel weakness when I make a fist. Should I seek medical attention?
Dr. Shi Guozheng Reply:
Numbness from the elbow to the hand may be caused by compression of the nerves near the elbow joint, with the ulnar nerve and radial nerve being the most commonly affected. The ulnar nerve runs along the inner side of the elbow joint, and if the compression is severe, it can lead...[Read More] Experiencing Numbness and Weakness in Finger Joints: When to Seek Help?
Understanding Shoulder Dislocation: Recovery, Rehabilitation, and Concerns
Acromioclavicular joint dislocation A few days ago, I suffered a shoulder ligament tear and clavicle dislocation (without fracture) due to a car accident. I underwent surgery at Tamsui Mackay Memorial Hospital on May 28, 2015, and was discharged on the 30th. The doctor used a &qu...
Dr. Lin Jingwei Reply:
Hello: 1. Currently, due to the time required for the repair of ligaments and other soft tissues, it is recommended to use a sling for protection for 4-6 weeks post-surgery. 2. The fixation button for the acromioclavicular joint is made of metal and generally does not need to be ...[Read More] Understanding Shoulder Dislocation: Recovery, Rehabilitation, and Concerns
Understanding PRP Injections for Osteoarthritis in Elderly Patients
Regarding the issue of injecting high-concentration platelet-rich plasma in patients with degenerative knee osteoarthritis? My mother is 78 years old and has a history of hypertension. The cartilage in both of her knee joints has worn down or is no longer present. She sometimes e...
Dr. Shi Guozheng Reply:
The effects can last approximately nine months to a year. After PRP injection, a follow-up appointment is required in about two weeks to assess the level of improvement. Medications can also be used as adjunctive therapy. Subsequently, follow-up visits should occur every one to t...[Read More] Understanding PRP Injections for Osteoarthritis in Elderly Patients
Understanding Knee Crepitus: Causes and Treatment Options
Knee cartilage wear with crepitus? Hello, I recently suffered a ligament strain while playing basketball. Initially, I couldn't bend my right leg fully, and there was a small popping sound. Since I had no issues with daily activities, I continued to play. The next day, my ra...
Dr. Shi Guozheng Reply:
Your treatment has been proactive and has shown improvement, but the body's recovery takes a certain amount of time. Typically, injured tissues require more than six weeks to gradually heal, and in more severe cases, it may take up to three months. The treatment you have rec...[Read More] Understanding Knee Crepitus: Causes and Treatment Options
Effective Strategies for Managing Chronic Pain in Multiple Joints
Shoulder blade, wrist joint, knee joint, ankle joint, lumbar intervertebral disc, sternum? The trapezius muscle has been in a forward-leaning position for a period of time while using a laptop about 8.9 years ago, resulting in long-term stiffness and soreness in the deeper areas ...
Dr. Shi Guozheng Reply:
Shoulder and neck pain is usually caused by overuse, and reducing activity in this area along with moderate heat therapy or some rehabilitation treatments may lead to improvement. If the right wrist joint continues to be problematic, it may be necessary to check for ligament issu...[Read More] Effective Strategies for Managing Chronic Pain in Multiple Joints
Effective Treatments for Tendon Adhesions in the Toes: A Guide
Tendon adhesion I would like to ask the doctor how to treat soft tissue adhesions that are not related to the joints but involve the tendons of the toes?
Dr. Chen Yongxue Reply:
Tendon adhesions in the toes are likely related to injury. Initially, physical therapy can be attempted. If the condition is severe or if rehabilitation is ineffective, surgery may be necessary to separate the adhered tendons. If you have any questions, please visit our orthopedi...[Read More] Effective Treatments for Tendon Adhesions in the Toes: A Guide
Understanding Hip Joint Protrusion: Causes and Solutions for Discomfort
Hip joint protrusion makes the buttocks appear larger, giving the lower body a more feminine appearance? Hello Dr. Chen, I am 168 cm tall and weigh 58 kg, which should be considered normal. However, my hip joints appear prominent, and my legs have an X-shaped alignment with notic...
Dr. Chen Yongxue Reply:
Hello, the text mentions that the hip joint appears prominent and the legs are in an X-shaped alignment. However, the gender and age are unknown. If it is a female, there may be a possibility of developmental dysplasia of the hip. If the knees are X-shaped, an X-ray should be tak...[Read More] Understanding Hip Joint Protrusion: Causes and Solutions for Discomfort
Understanding Hip Joint Protrusion and Its Impact on Lower Body Shape
Hip joint protrusion results in a larger appearance of the lower body? Hello, Doctor. I am 168 cm tall and weigh 58 kg, which should be considered normal. However, my hip joints appear prominent, and my legs have an X-shaped alignment with noticeable swelling in the lower body. O...
Dr. Shi Guozheng Reply:
You may need to see an orthopedic doctor for an examination and possibly get an X-ray to determine if there are any issues with your knee or hip joint.[Read More] Understanding Hip Joint Protrusion and Its Impact on Lower Body Shape
Can X-rays Distinguish Between Ceramic and Metal Hip Implants?
Artificial hip joint Hello, doctor. My father had a ceramic hip joint replacement three months ago. The surgery was performed in the northern part of Taiwan, and we live in Taichung, so we went to a local hospital in Taichung for an X-ray to check the healing status of the bones ...
Dr. Shi Guozheng Reply:
Some commonly used artificial hip joints can be roughly identified by their material and brand from X-rays, and experienced physicians can often recognize them at a glance. However, the quality of the material cannot be determined solely from X-rays.[Read More] Can X-rays Distinguish Between Ceramic and Metal Hip Implants?
Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Recovery
Avascular necrosis of the femoral head Hello, Doctor: I was diagnosed with avascular necrosis of the femoral head in early February this year at the Penghu Naval Hospital, affecting both legs, with a smaller area of necrosis in the right leg. I will undergo a decompression surger...
Dr. Hong Ximing Reply:
Bilateral femoral head necrosis is best supported by X-ray evidence. Before the acetabulum is damaged, a hemiarthroplasty can be performed, but ultimately a total hip arthroplasty will be necessary. Decompression surgery is a procedure performed prior to joint replacement. Curren...[Read More] Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Recovery
Understanding Joint Sounds and Pain: Common Orthopedic Concerns
The bones in the hands and feet often make cracking sounds? 1. I recently injured my right shoulder and neck after recovering from an injury on the left side at the beginning of January this year. The current injury is quite severe. Initially, I thought I would recover from both ...
Dr. Wang Shouji Reply:
Hello: 1. It is best to have a medical examination for shoulder and neck injuries, as chronic inflammation can lead to chronic pain. Additionally, be mindful of issues such as poor posture or lack of exercise. 2. Joint sounds are often related to individual constitution and misal...[Read More] Understanding Joint Sounds and Pain: Common Orthopedic Concerns
Is It Normal for Joints to Make Cracking Sounds?
The bones in my hands and feet often crack? I would like to ask if it is normal to frequently hear sounds from my left elbow and ankle that resemble cracking or popping noises, sometimes quite loudly. This has been happening for a while.
Dr. Shi Guozheng Reply:
If there is sound but it is just the noise of ligaments or tendons sliding past the joint near a fracture, there is usually no significant issue. If there is no pain or swelling, it can be ignored.[Read More] Is It Normal for Joints to Make Cracking Sounds?
Understanding Hip Joint Noises and Pain: Causes and Solutions
The joint area between the thigh and the groin? I have been experiencing a loud grinding noise in the joint area between my left thigh and groin when squatting down several times over the past few days. After a few days, I now find it painful to sit cross-legged, as I cannot open...
Dr. Shi Guozheng Reply:
A sound in the hip joint does not necessarily indicate a problem; it may be due to inflammation of the tendons or ligaments. Resting for a period of time or using medication for treatment can lead to improvement.[Read More] Understanding Hip Joint Noises and Pain: Causes and Solutions
Understanding Hip Clicking: Is It a Sign of Ankylosing Spondylitis?
Ankylosing Spondylitis Hello doctor, three months ago I experienced lower back pain after lifting heavy objects, and during an incidental examination, I was found to have the HLA-B27 gene associated with ankylosing spondylitis. However, after examination, the doctor determined th...
Dr. Shi Guozheng Reply:
Ankylosing spondylitis does not cause joint crepitus. Crepitus in the hip is unrelated to hip joint necrosis. It occurs due to the fibrosis and subsequent stiffness of the gluteus maximus muscle, which produces a sound as it glides over the greater trochanter of the femur. This s...[Read More] Understanding Hip Clicking: Is It a Sign of Ankylosing Spondylitis?
Understanding Joint Sounds: When to Worry About Knee and Arm Noises
Joint crepitus in the hands and feet? Hello Doctor, I would like to ask about a concern I have. I sometimes hear a "cracking" sound in the area where my knee connects with my thigh and hip, as well as in my arms. This occurs when I kick my knee or when I raise and low...
Dr. Shi Guozheng Reply:
The presence of sounds in the joints without pain is usually not indicative of any specific disease. It is common for joint surfaces to make sounds as they move past each other, so there is generally no need for concern.[Read More] Understanding Joint Sounds: When to Worry About Knee and Arm Noises