Understanding Bone Tumors in the Knee: Biopsy, Surgery, and Recurrence Risks
There is a tumor on the right patella? Can the biopsy determine whether a tumor is benign or malignant? How is a biopsy performed? Since the tumor is located in the bone, is surgery still necessary? I read online about articles related to bone tumors in the knee, and there seems ...
Dr. Chen Yongxue Reply:
Hello, because the surgical methods and extent differ between benign and malignant tumors, if a biopsy is not performed first, there is a risk of misidentifying a malignant tumor as benign. Insufficient surgical margins may lead to poorer healing outcomes. Conversely, misidentify...[Read More] Understanding Bone Tumors in the Knee: Biopsy, Surgery, and Recurrence Risks
Understanding Lower Back Pain and Popping Sounds: Causes and Solutions
Lower back pain with popping sounds in the joints? In recent months, I have been experiencing significant lower back discomfort. When I sit in a chair and move one foot outward, I can hear a cracking sound from my lower back, accompanied by a sensation of bone movement, which pro...
Dr. Shi Guozheng Reply:
Lower back pain may be related to work or prolonged standing. If the symptoms persist, it is necessary to see a physician. The presence of sounds from the bones does not necessarily indicate a disease; it is often the result of ligaments sliding over the bones, which can produce ...[Read More] Understanding Lower Back Pain and Popping Sounds: Causes and Solutions
Post-Fracture Rehabilitation: Concerns About Joint Stiffness and Treatment Options
Post-Fracture Rehabilitation (Continued Part Two) I went for a follow-up appointment today, and the attending physician believes that my range of motion has improved too little and is concerned about stiffness. They plan to schedule me for anesthesia in the operating room next we...
Dr. Shi Guozheng Reply:
Performing this treatment under anesthesia is feasible and yields good results, significantly improving issues related to limited mobility. The only caution is to avoid excessive force, as overexertion can lead to fractures, so it must be done carefully. This procedure is known a...[Read More] Post-Fracture Rehabilitation: Concerns About Joint Stiffness and Treatment Options
Post-Fracture Rehabilitation: Overcoming Challenges in Arm Mobility
Rehabilitation after fracture surgery? Doctor, I suffered a spiral fracture of the distal humerus in July, and I have been undergoing rehabilitation for nearly two months now. I feel that there has been little improvement in the range of motion when bending my arm. I have been se...
Dr. Shi Guozheng Reply:
The healing time for a humeral fracture is approximately two to three months. The range of motion you mentioned refers to either the shoulder joint or the elbow joint. Typically, after such fractures heal, the mobility of both joints does not significantly decrease. If it is conf...[Read More] Post-Fracture Rehabilitation: Overcoming Challenges in Arm Mobility
Effective Rehabilitation Strategies for Ankylosing Spondylitis Management
Ankylosing Spondylitis Hello Doctor: I would like to ask what rehabilitation methods can be used for ankylosing spondylitis in daily life? How can I prevent it from worsening? I heard that taking vitamin C is effective; is that true? Thank you!
Dr. Shi Guozheng Reply:
This disease can cause calcification of soft tissues, leading to stiffness and immobility of the joints, typically occurring in the cervical spine, lumbar spine, and hip joints. The usual rehabilitation approach involves regular exercise and engaging in gentle activities such as ...[Read More] Effective Rehabilitation Strategies for Ankylosing Spondylitis Management
Understanding Elbow Adhesions After Dislocation: Rehabilitation Tips and Care
I am undergoing rehabilitation for a dislocated right elbow, and the therapist informed me about adhesion issues? Dr. Chen: Thank you for your detailed response to my previous question. I have a dislocated right elbow joint and am currently undergoing rehabilitation. The therapis...
Dr. Chen Yongxue Reply:
Hello: In response to your question, elbow adhesion refers to stiffness of the elbow joint, which is one of the joints most prone to stiffness in the human body. Whenever there is trauma, orthopedic issues, or dislocation, one must be cautious about the development of elbow stiff...[Read More] Understanding Elbow Adhesions After Dislocation: Rehabilitation Tips and Care
Understanding Knee Instability After ACL Reconstruction: Causes and Solutions
My knee feels unstable! Hello Doctor: Two years ago, I underwent anterior cruciate ligament (ACL) reconstruction on my right knee without any accompanying symptoms. However, at the end of July this year, while pitching, my right knee twisted, and I experienced swelling and pain. ...
Dr. Shi Guozheng Reply:
1. There will be no instability. 2. Yes. 3. It is easy to injure the ligaments and the meniscus (articular cartilage) within the joints. 4. You can train, but avoid excessive intensity.[Read More] Understanding Knee Instability After ACL Reconstruction: Causes and Solutions
Understanding Trigger Finger: Causes, Treatments, and Healing Options
What treatment options are available, and is it curable? Trigger finger is caused by inflammation of the tendon sheath, leading to impaired tendon movement and pain, typically occurring between the proximal interphalangeal joints of the fingers and thumb. The condition is often d...
Dr. Shi Guozheng Reply:
First, start with medication; if there is no improvement, add rehabilitation. If pain remains uncontrolled, then consider whether to undergo surgery.[Read More] Understanding Trigger Finger: Causes, Treatments, and Healing Options
Understanding the Differences Between Trigger Points and Arthritis
Trigger points and arthritis? What is the difference between arthritis and different types of rheumatic arthritis?
Dr. Shi Guozheng Reply:
Trigger finger is caused by inflammation of the tendon sheath, leading to impaired tendon movement and pain, typically occurring between the finger and thumb's proximal interphalangeal joints. The condition is often due to overuse and can sometimes result in the finger getti...[Read More] Understanding the Differences Between Trigger Points and Arthritis
Post-Dislocation Recovery: Key Tips for Diet and Exercise
Dislocated right arm due to a fall? Dr. Chen: Hello, I dislocated my right arm due to a fall on July 8, had my cast removed on July 22, and started rehabilitation on July 23. What should I pay attention to, such as dietary or exercise restrictions? Thank you!
Dr. Chen Yongxue Reply:
Hello: In response to your inquiry, you mentioned an arm dislocation that was treated with a cast. If I am correct, you are likely referring to an elbow joint dislocation. In cases of elbow dislocation without associated fractures, nerve, or ligament damage, rehabilitation therap...[Read More] Post-Dislocation Recovery: Key Tips for Diet and Exercise
Understanding Knee Pain: Symptoms, Concerns, and What to Expect
Knee pain Hello, doctor. I've been experiencing discomfort in my left knee for a week. It feels better when sitting or lying down, but when I stand, walk, or climb stairs, I feel a tightness in my knee accompanied by brief sharp pain that resolves quickly. The tightness and ...
Dr. Chen Yongxue Reply:
Hello: Bone cancer commonly occurs near the knee and shoulder joints. The initial symptoms include soreness and pain, which often worsen at night. In the later stages, symptoms may include the development of a mass near the joint. Patients are frequently misdiagnosed with "g...[Read More] Understanding Knee Pain: Symptoms, Concerns, and What to Expect
Understanding Bone Density Tests: Safety and Considerations for Women
Testing Inquiry Hello Doctor: I would like to ask you some questions. Is the bone density measurement device used in general hospitals a type of X-ray? Will full-body exposure have any effects? Since I have never been pregnant or given birth, would you still recommend having the ...
Dr. Shi Guozheng Reply:
It is a type of X-ray that involves a very low radiation dose. If it is not performed during pregnancy, it generally does not have a significant impact. Typically, it is done on the lumbar spine or hip joints, and there is usually no need to wait to have it done later.[Read More] Understanding Bone Density Tests: Safety and Considerations for Women
Can Congenital Joint Stiffness Be Treated at Age 13? Insights and Home Exercises
Congenital Joint Stiffness Syndrome Doctor, excuse me, may I ask if it is still possible to treat congenital joint stiffness syndrome at the age of 13? If treatment starts now, to what extent can recovery be expected? (The knee can bend to about 60 degrees.) Are there any exercis...
Dr. Chen Yongxue Reply:
Hello, In response to your inquiry, arthrogryposis multiplex congenita is a rare congenital disorder that affects multiple joints and is associated with symptoms such as muscle weakness and muscle fibrosis. The extent of involvement can vary among patients; some may only have a...[Read More] Can Congenital Joint Stiffness Be Treated at Age 13? Insights and Home Exercises
Understanding Cellulitis: Causes, Treatment, and Prevention Tips
Cellulitis I was bitten by an insect on the dorsum of my left foot, and after scratching it, it became inflamed and painful. I went to see a doctor, who diagnosed it as cellulitis and administered an injection. He prescribed me three medications: cephalexin 500 mg capsules, aceta...
Dr. Chen Yongxue Reply:
Hello: In response to your inquiry, it is quite common for cellulitis to occur due to poor wound care following an insect bite on the dorsum of the foot. The treatment prescribed by your physician is appropriate; however, follow-up in an outpatient setting is necessary. If there ...[Read More] Understanding Cellulitis: Causes, Treatment, and Prevention Tips
Can Surgery Effectively Treat Tendonitis in the Fingers?
Tendinitis Hello Dr. Chen: I am currently working in cleaning, and I may have overexerted myself, which has caused pain in my finger joints. They appear swollen, and when pressed, it feels like there is fluid. So far, my treatment has mainly consisted of anti-inflammatory and pai...
Dr. Chen Yongxue Reply:
Hello: It is recommended that you visit the outpatient clinic for evaluation and treatment by a physician, depending on the patient's condition. Thank you![Read More] Can Surgery Effectively Treat Tendonitis in the Fingers?
Post-Surgery Recovery: Managing Swelling and Pain After Metatarsal Fracture
Postoperative care after metatarsal osteotomy with screw removal? Hello, I had a car accident on February 16, resulting in fractures of the 1st, 2nd, and 3rd metatarsals in my right foot. There were no open wounds, and the following day I had three metal pins and a cast placed. I...
Dr. Shi Guozheng Reply:
As time progresses, the condition you described will gradually improve. The slight inflammation is a response of the tissue following surgery, and the swelling should subside in approximately two to four weeks.[Read More] Post-Surgery Recovery: Managing Swelling and Pain After Metatarsal Fracture
Understanding ACL Injuries: Conflicting MRI and Clinical Diagnoses
Questions about MRI of the anterior cruciate ligament (ACL)? Dear Director, My child, who is currently serving in the military, has been passionate about playing basketball for a long time. Recently, he has been experiencing some discomfort in his left knee, feeling a bit "...
Dr. Shi Guozheng Reply:
A tear of the anterior cruciate ligament (ACL) typically requires a significant external force to occur, and it is usually accompanied by joint swelling and bleeding at the time of injury. The pain is often severe, making it difficult to walk, and there may be several weeks of in...[Read More] Understanding ACL Injuries: Conflicting MRI and Clinical Diagnoses
Managing Hand Injuries from Dough Machine: Symptoms and Treatment
The palm was injured by a dough press? I accidentally got my hand caught in a dough sheeter, causing my entire palm to be pulled into the rollers. Despite my efforts to pull my hand out, it was firmly trapped until I turned off the power. It has been a month since the incident. A...
Dr. Chen Xingyuan Reply:
Dear Mr. Jiang, After a crush injury to the hand, the tissues in the hand may swell and become painful. In addition to medication, it is crucial to undergo proper rehabilitation therapy to prevent stiffness in the hand tissues or joints. I recommend that you promptly visit the r...[Read More] Managing Hand Injuries from Dough Machine: Symptoms and Treatment
Should You See a Doctor for Arm Pain After a Fall?
Pain upon palpation of the upper arm? Hello Dr. Lee, I accidentally slipped and fell the other day, landing on my left side and instinctively bracing myself with my left hand. Initially, I didn't feel much discomfort, but by the afternoon, I started to feel soreness when p...
Dr. Li Wenhong Reply:
Hello Tina: If you experience not only soreness and localized tenderness but also limited movement in your elbow or wrist joints, please visit the outpatient clinic for further evaluation. Orthopedics, Changhua Hospital, Dr. Li Wen-Hong.[Read More] Should You See a Doctor for Arm Pain After a Fall?
Understanding Knee Pain: Causes, Treatments, and Recovery Tips
Patellar pain I often experience pain in my right knee for several days after hiking. What could be the issue? I've seen a few doctors, and their opinions vary; some say it's degeneration, while others mention bone spurs. The doctors advised me to rest more and avoid hi...
Dr. Shi Guozheng Reply:
Knee pain after exercise is related to the intensity of the activity. If pain occurs after only mild exercise, it is important to be cautious as it may indicate wear or degeneration of the joint surface between the patella (kneecap) and the femur (thigh bone). Another possibility...[Read More] Understanding Knee Pain: Causes, Treatments, and Recovery Tips