Understanding Knee Discomfort: Causes and Solutions for Office Workers
Knee issues Hello, I am an office worker who occasionally runs (once or twice a week) and started playing badminton in July (once a week). Since last Thursday, I've been experiencing a tight, achy sensation in my knees after sitting for a long time, similar to the feeling on...
Dr. Shi Guozheng Reply:
It is possible that the cartilage on the joint surface of the patella is inflamed. When we exercise and bend the knee joint, the joint surfaces of the patella and femur can rub against each other. If there is inflammation or injury, it can cause discomfort or pain. It is advisabl...[Read More] Understanding Knee Discomfort: Causes and Solutions for Office Workers
Understanding Ligament Injuries: Choosing Between Allograft and Autograft
Ligament injury Hello Doctor, I had a car accident last June where my knee suffered an open fracture (bone crack). Initially, I had no issues with rehabilitation after the accident, but recently I've been feeling instability in my knee joint, so I scheduled an MRI. After the...
Dr. You Dianqi Reply:
Hello, the options for ligament reconstruction include autografts, allografts, and synthetic ligaments. Generally, most people prefer autografts. However, if you have a need for rapid recovery and a return to the playing field, allografts may be more ideal. Allografts themselves ...[Read More] Understanding Ligament Injuries: Choosing Between Allograft and Autograft
How to Differentiate Between Ankylosing Spondylitis and Other Joint Pain Causes?
How to determine whether joint pain is caused by an outbreak of ankylosing spondylitis or other factors? Hello Doctor, I was recently diagnosed with ankylosing spondylitis (X-ray showing bilateral grade 2 sacroiliitis, HLA-B27 positive), but I am already 52 years old. My age-rela...
Dr. Shi Guozheng Reply:
You should first see an orthopedic specialist and get an X-ray to check. If the joint is already damaged, it could be due to degenerative changes or ankylosing spondylitis. The X-ray findings for these two conditions are different, so it's advisable to consult a specialist f...[Read More] How to Differentiate Between Ankylosing Spondylitis and Other Joint Pain Causes?
Understanding PCL Avulsion Fractures: Healing Status After Six Months
PCL avulsion fracture (six months duration) Hello Doctor: I had a car accident last November and was diagnosed with a PCL avulsion fracture. At that time, I did not undergo surgery and was only immobilized for two months. It has now been six months, and my orthopedic doctor arran...
Dr. Chen Yongxue Reply:
Hello, according to the MRI report you provided, the posterior cruciate ligament has not yet healed (which is actually to be expected). As for the treatment you should pursue, it depends on your daily activities: if you are an active person who enjoys sports, especially those tha...[Read More] Understanding PCL Avulsion Fractures: Healing Status After Six Months
Post-Hip Replacement Knee Pain: Causes and Treatment Options Explained
Knee pain after hip replacement surgery? Hello Doctor, two years ago I underwent a left total hip arthroplasty. Aside from slight improvement in thigh numbness, I have the following concerns: 1. Upon waking and getting out of bed, my left knee makes a popping sound when I stand...
Dr. Shi Guozheng Reply:
1. If there is loosening of the femoral stem, it can also cause knee joint pain. 2. This has been documented. 3. If it is severe, reoperation may be necessary; if it is not severe, medication treatment will suffice. 4. Continued outpatient follow-up is required to monitor its cha...[Read More] Post-Hip Replacement Knee Pain: Causes and Treatment Options Explained
Managing Risks of ACL and Meniscus Injuries: Is PRP Therapy Effective?
How to manage the risks associated with ligament and meniscus tears? Hello, doctor! Due to a car accident, I have suffered severe damage to my left knee's anterior cruciate ligament and partial meniscus tear. I previously consulted a physician who mentioned that this conditi...
Dr. Shi Guozheng Reply:
PRP theoretically can help repair mildly damaged cartilage, but if a ligament is completely torn, it cannot regenerate. For ligament injuries, strengthening exercises can compensate for joint stability. If the joint has severely degenerated over many years, a total joint replacem...[Read More] Managing Risks of ACL and Meniscus Injuries: Is PRP Therapy Effective?
Understanding Knee Pain: Causes and Solutions for Persistent Discomfort
Knee problems Hello, Doctor: I have been experiencing pain behind my knee since February 26. The pain occurs whenever I sit for a prolonged period and then get up to walk. It has been hurting for two weeks now. What could be the cause of this? Thank you!
Dr. Chen Yongxue Reply:
Hello, there are many causes of knee joint pain. It is advisable to visit an orthopedic clinic for an examination. Thank you.[Read More] Understanding Knee Pain: Causes and Solutions for Persistent Discomfort
Post-Operative Care and Concerns After Knee Arthroscopy Surgery
Postoperative care after knee arthroscopy? I discovered a loose body in my knee and underwent arthroscopic surgery on January 31 to remove it. During the procedure, the doctor found that I had cartilage damage, so he drilled a few holes in the cartilage to see if it would regener...
Dr. Shi Guozheng Reply:
You can take pain relievers to alleviate discomfort, but avoid excessive bending of the knee joint. Please consult your physician in detail during your follow-up appointment.[Read More] Post-Operative Care and Concerns After Knee Arthroscopy Surgery
How to Address Stunted Growth at 18: Can You Still Get Taller?
What should be done if there has been no height increase over a four-year period? I'm sorry, but I would like to ask, since I haven't grown taller since the third year of junior high school, my height has been stuck at 176 cm. Now, at 18 years old in my senior year of h...
Dr. Shi Guozheng Reply:
You can go to the hospital for a bone age assessment or to get an X-ray to check if the growth plates in the knee joint have closed.[Read More] How to Address Stunted Growth at 18: Can You Still Get Taller?
Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Cyst after anterior cruciate ligament reconstruction? Hello, Doctor. Last November, after school, I had an accident while riding my electric scooter and slipped on construction sand. At that time, my backpack was heavy, and I was carrying other items. I realized I was going to fa...
Dr. Chen Yongxue Reply:
Hello, PVNS is actually quite rare. To confirm the diagnosis, it is essential to rely on the pathology report. PVNS should exhibit specific characteristics in MRI imaging and arthroscopic examination, especially during arthroscopy, where very distinctive colors are observed, maki...[Read More] Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Overcoming Knee Stiffness After Steel Pin Surgery: Tips and Insights
Nail problems Hello, doctor. I would like to ask about my knee injury caused by an accident. I currently have metal screws in my knee, and it has been about two to three years since the injury. During this time, I have been able to exercise and walk normally without pain. The onl...
Dr. Shi Guozheng Reply:
Try rehabilitation to see if the steel pins in the knee joint affect mobility, and then consult the surgeon to inquire if the pins can be removed.[Read More] Overcoming Knee Stiffness After Steel Pin Surgery: Tips and Insights
Does Bone Necrosis Affect Height Development in Gout Patients?
Does bone necrosis affect height development? Earlier this year, I experienced sudden pain and swelling in my arches and the tops of my feet. When there is no pain, there is slight swelling and discomfort in the posterior part of the arch, especially after standing for long perio...
Dr. Shi Guozheng Reply:
1. Gout does not cause bone necrosis. 2. It does not affect height in the ankle region; however, it can impact height if it occurs in the hip or knee joints.[Read More] Does Bone Necrosis Affect Height Development in Gout Patients?
Understanding MRI Reports: Insights on PCL Injury and Reconstruction
Can you help interpret an MRI report? Right knee MRI consisted of multiplanar T1 and T2 weighted images with multiple sequences showing: > PCL injury, status post PCL reconstruction. > Ligamentous edema of the PCL is noted. > Fluid collection within the knee joint. > ...
Dr. Shi Guozheng Reply:
The MRI results indicate a rupture of the posterior cruciate ligament in the right knee, with edema present in the posterior cruciate ligament following reconstruction surgery.[Read More] Understanding MRI Reports: Insights on PCL Injury and Reconstruction
Post-Operative Care for Patellar Fracture: Rehabilitation and Concerns
Postoperative care for patellar fracture? Hello, Doctor. At the end of last month, I slipped in the bathroom and my knee directly hit the ground, causing a fracture of the patella into two pieces. I have had it fixed with wires at the hospital and am currently undergoing rehabili...
Dr. Shi Guozheng Reply:
After the surgery for a fractured bone, it is important to protect the area for a period of time. Premature bending movements may cause the fracture site to separate. It is essential to wait until complete healing occurs before fully bending the knee joint. Ice therapy can be app...[Read More] Post-Operative Care for Patellar Fracture: Rehabilitation and Concerns
Understanding MRI and Ultrasound Reports for Knee Injuries
MRI Report and Musculoskeletal Ultrasound Report Hello, Doctor! Below are my MRI and musculoskeletal ultrasound reports. I would like to ask if there are any other issues that require treatment besides the medial collateral ligament (MCL) tear. Note: I am currently undergoing PRP...
Dr. Zhan Xian Reply:
Hello, the report primarily indicates a partial tear of the medial collateral ligament of the left knee and a distal femoral avulsion fracture. Due to the lack of imaging and physical examination, the stability cannot be assessed, and follow-up evaluation in an outpatient setting...[Read More] Understanding MRI and Ultrasound Reports for Knee Injuries
Post-Surgery Recovery Tips for Tibial Fractures: What to Expect
Post-operative care for tibial fractures? On July 19, I was involved in a car accident that resulted in a comminuted fracture of the left femur, with the fracture extending approximately 30 centimeters from above the knee joint to below the hip joint. I also sustained a fracture ...
Dr. Shi Guozheng Reply:
The duration for which a walker is needed depends on the healing status of the bone, which should be assessed through follow-up X-rays. If it is not a comminuted fracture, typically, one can start walking within three months, but a walker will still be necessary. To safely discon...[Read More] Post-Surgery Recovery Tips for Tibial Fractures: What to Expect
Choosing the Right Knee Brace for Osteoarthritis Relief
Knee Joint Degeneration Consultation Hello Doctor, my father has knee joint degeneration. According to his attending physician, the cartilage in his knee has worn away due to years of use, leaving bone rubbing against bone, which occasionally causes him pain. I would like to buy ...
Dr. Wang Shouji Reply:
Hello, the treatment for knee arthritis depends on the degenerative areas. If it is related to hip osteoarthritis, you may consider using a hip stabilizing brace; otherwise, other options are available. Changhua Hospital cares about your health. Dr. Wang Shou-ji.[Read More] Choosing the Right Knee Brace for Osteoarthritis Relief
Post-Cast Recovery: Proper Leg Positioning After Fibula Fracture
Activity of the leg after removal of the cast for fibula fracture (non-surgical)? Hello Doctor, I sustained a fibula fracture near my ankle at the end of March. After evaluation, surgery was deemed unnecessary, and I was placed in a cast. The cast was removed in early May, and I ...
Dr. Shi Guozheng Reply:
You can perform flexion and extension exercises for the ankle and knee joints regardless of the position. Additionally, local heat therapy can be applied.[Read More] Post-Cast Recovery: Proper Leg Positioning After Fibula Fracture
Managing Osteoarthritis: Hyaluronic Acid Injections and Rehabilitation Tips
Regarding case #195715, recommendations for hyaluronic acid injection and rehabilitation for osteoarthritis? Hello Dr. Shi, I am the one who previously inquired in post #195715. Recently, after considering your advice, my mother decided to rest and take medication. However, last ...
Dr. Shi Guozheng Reply:
If there is inflammation of the ligaments or tendons near the knee joint, corticosteroid injections can provide improvement. In cases of joint degeneration, hyaluronic acid injections may be beneficial. For joint pain, anti-inflammatory medications can be taken to alleviate sympt...[Read More] Managing Osteoarthritis: Hyaluronic Acid Injections and Rehabilitation Tips
Meniscus Injury: Choosing Between Arthroscopy and PRP Treatment Options
Meniscus injury: choosing between arthroscopic surgery or PRP therapy? On March 23, I was involved in a car accident. After undergoing an MRI this week, the doctor diagnosed me with an outer meniscus tear and injuries to the anterior cruciate ligament (ACL) and medial collateral ...
Dr. Chen Yongxue Reply:
1. Is it only during the arthroscopic examination that we can determine whether the meniscus can heal on its own? 2. If the arthroscopic examination indicates that it can heal on its own, will no repair surgery be performed? (Is it just sutured?) If it is merely an examination, ...[Read More] Meniscus Injury: Choosing Between Arthroscopy and PRP Treatment Options