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 Rib Injuries: When to Seek Further Imaging After Trauma
Chest contusion Today, I accidentally bumped my knee against my husband's lower right rib cage and heard a popping sound. Due to the pain, I went for an X-ray, and the doctor said the bones should be fine, but mentioned that due to the curvature of the bones, they couldn...
Dr. Shen Boquan Reply:
Hello, the chest contusion you have experienced shows no obvious rib fractures or pneumothorax on the X-ray. It is likely due to soft tissue inflammation. However, sometimes fractures may not be visible due to the angle of the X-ray or the location of the fracture. If your pain i...[Read More] Understanding Rib Injuries: When to Seek Further Imaging After Trauma
Post-Operative Concerns After Minimally Invasive Knee Replacement Surgery
Minimally Invasive Total Knee Arthroplasty Postoperative Care My father underwent a total knee replacement at the end of March this year. He has been consistently participating in rehabilitation since the surgery, and it has been almost four months post-operation. However, he sti...
Dr. Chen Yongxue Reply:
Hello, the swelling and pain after joint replacement surgery can vary from person to person. It is quite common within the first three months post-surgery. Using a knee brace for compression and elevating the affected limb can help improve the condition. Additionally, diligent re...[Read More] Post-Operative Concerns After Minimally Invasive Knee Replacement Surgery
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
Concerns About Meniscus Repair Surgery in 9-Year-Olds
Questions Regarding Meniscus Repair in a 9-Year-Old Child A 9-year-old child experiences a sensation of instability in the knee when bending the legs during team training, along with sharp pain and weakness when performing squats. An MRI has revealed a meniscus tear. A physician ...
Dr. Wang Shouji Reply:
Hello, if you are injured, treatment should be prioritized for the current injury site. Whether it will affect development depends on the severity of the injury. Generally speaking, meniscus repair is a specialty within sports medicine (a subspecialty of orthopedics). Changhua Ho...[Read More] Concerns About Meniscus Repair Surgery in 9-Year-Olds
Can You Climb Stairs After a Year of Lumbar Spine Fracture?
"Is it safe to climb stairs regularly one year after a burst fracture of the third vertebra?" Hello Dr. Shen, I sustained a burst fracture of the third lumbar vertebra due to a car accident, with a compression of 0.4 cm at the third lumbar vertebra. I have been undergoi...
Dr. Shen Boquan Reply:
Hello, netizen. You have a fracture of the third lumbar vertebra that has healed for a year without pain. Climbing stairs can put a significant strain on your knees. If you do not experience noticeable knee pain or back pain, it should not have a major impact. However, if you exp...[Read More] Can You Climb Stairs After a Year of Lumbar Spine Fracture?
Post-Surgery Rehabilitation Challenges for Femoral Fractures: Common Concerns
Rehabilitation Issues After Surgery for Femoral Closed Fracture 1. The left thigh femur surgery was completed on May 22. Starting from June 27, I began using a walker to take steps in place. My knee can bend to 90 degrees, but without support from the walker, my left leg feels we...
Dr. You Dianqi Reply:
It is normal to experience soreness and pain in the affected limb after surgery; however, home rehabilitation should be carried out according to medical advice. You may consult a physical therapist in the rehabilitation department. Ice packs can be used to alleviate swelling and ...[Read More] Post-Surgery Rehabilitation Challenges for Femoral Fractures: Common Concerns
Post-ACL Reconstruction and Meniscus Repair: Common Concerns and Recovery Tips
Questions After Anterior Cruciate Ligament Reconstruction and Meniscus Repair Surgery Hello Doctor, I would like to ask you about my condition. I underwent anterior cruciate ligament reconstruction (using autologous tendon from my leg) and meniscus repair surgery about 5 days ago...
Dr. Chen Yongxue Reply:
Please continue to monitor and return for your scheduled follow-up appointment. Thank you.[Read More] Post-ACL Reconstruction and Meniscus Repair: Common Concerns and Recovery Tips
Should You Remove Intramedullary Nails After Fracture Surgery?
Is it necessary to remove the intramedullary nail? Hello Doctor: I was involved in a car accident on July 23, 2023, which resulted in a closed fracture of my right tibia with three segments broken and bone fragmentation. I underwent an open reduction and internal fixation surgery...
Dr. Shi Guozheng Reply:
1. Intramedullary nails should only be removed after the fracture has healed. If the nail is protruding, it should be extracted. 2. Some physicians may not perform bone grafting, and this may not pose any issues. 3. Leaving the nail in place can cause a foreign body sensation...[Read More] Should You Remove Intramedullary Nails After Fracture Surgery?
Post-Operative Knee Pain: Is It Normal After 3 Weeks of Surgery?
Three weeks after total knee arthroplasty, there is still soreness and pain? My mother has osteoarthritis in her right knee. She is able to move normally during the day, but experiences severe pain in the morning upon waking, requiring her to sit and move her right leg for a whil...
Dr. You Dianqi Reply:
Postoperative redness, heat, and swelling typically last for about three months. Initially, observe the wound dressing to ensure it is dry and free of any tissue exudate. If there are no abnormalities, applying ice for 5 to 10 minutes can help alleviate discomfort; there is no li...[Read More] Post-Operative Knee Pain: Is It Normal After 3 Weeks of Surgery?
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?
Challenges in Achieving Knee Flexion After Patella Fracture Surgery
After surgery for a patellar fracture, the range of motion cannot exceed 50 degrees of flexion? It has been 2 months and 10 days since the patellar surgery. I have undergone extracorporeal shock wave therapy and manual manipulation to improve the knee flexion angle at an orthoped...
Dr. Wang Shouji Reply:
Hello, if a fracture has not yet healed or is excessively comminuted, it is generally not recommended to bend it too much to avoid displacement of the fracture. If the fracture heals but there is still limited range of motion, a joint mobilization procedure may be performed under...[Read More] Challenges in Achieving Knee Flexion After Patella Fracture Surgery
Managing Pain After Knee Replacement: Options for Seniors
Years after total knee arthroplasty, recent onset of pain? Hello Doctor, my grandmother is currently 90 years old. She underwent a total knee arthroplasty over 20 years ago and had a good recovery, experiencing only occasional discomfort with weather changes. However, she has rec...
Dr. Chen Yongxue Reply:
Hello, after 20 years of total joint replacement surgery, the likelihood of wear is quite high. 1. Is it necessary to replace the artificial joint again? 2. If surgery is not performed again, are there any methods to alleviate pain? This requires careful evaluation by a physician...[Read More] Managing Pain After Knee Replacement: Options for Seniors
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
Understanding Multiple Comminuted Fractures: Recovery and Rehabilitation Insights
Multiple comminuted fractures Hello, doctor. 🙇🏻♀️ I was in a car accident on the night of February 3rd, lost consciousness at the scene, and was taken to the hospital for emergency treatment. I was in a coma for three days and sustained multiple comminuted fractures, including i...
Dr. Shi Guozheng Reply:
1. Rehabilitation is necessary to gradually improve joint mobility. 2. It will take approximately six months or more.[Read More] Understanding Multiple Comminuted Fractures: Recovery and Rehabilitation Insights
Why Longer Sleep Hours May Lead to Back Pain: Insights and Solutions
The longer you sleep, the more your lower back hurts? I usually sleep about 6 to 7 hours from Monday to Friday, and on weekends, I sleep around 9 to 10 hours. Since last year, I've noticed that the longer I sleep, the more my lower back and back hurt. After changing to a new...
Dr. Wang Shouji Reply:
You can visit the rehabilitation department outpatient clinic.[Read More] Why Longer Sleep Hours May Lead to Back Pain: Insights and Solutions
Understanding Bone Graft Durability After Femoral Decompression Surgery
Femoral decompression with bone necrosis exposure? On the 23rd of this month, I underwent femoral decompression surgery, which was triggered by alcohol consumption. Two years ago, I had a failed decompression on my left leg, which resulted in a second total knee arthroplasty. The...
Dr. Shen Boquan Reply:
Hello, the ischemic necrosis of the femoral head decompression surgery may help alleviate pain. As for the addition of bone graft or artificial bone, whether it can delay or treat the necrosis of the femoral head, I apologize as I have not explored or tried this. If you have furt...[Read More] Understanding Bone Graft Durability After Femoral Decompression Surgery
Understanding Thigh Weakness and Knee Pain from Cellulitis
Weakness in lifting the thigh? The patient is experiencing weakness in lifting the left thigh and has knee pain while walking, but has strength in lifting the calf. What could be the underlying issue? Thank you!
Dr. Chen Yongxue Reply:
Hello, "The weakness in lifting the left thigh and the knee pain while walking may be due to cellulitis." It is advisable to visit an orthopedic or surgical outpatient clinic for examination. Thank you.[Read More] Understanding Thigh Weakness and Knee Pain from Cellulitis
Post-Hip Replacement Surgery: Understanding Left Calf Numbness and Nerve Damage
Loss of sensation in the left calf following hip replacement surgery? I underwent left hip joint replacement surgery on November 14th of last year. After the surgery, I noticed that the back of my left calf, from below the knee to the ankle, had no sensation. Touching it feels li...
Dr. Chen Yongxue Reply:
Hello, according to the letter, the electromyography findings indicate: (1) left sciatic neuropathy, (2) coexisting chronic lumbosacral radiculopathy, and (3) an underlying sensorimotor polyneuropathy may also be considered. Thank you.[Read More] Post-Hip Replacement Surgery: Understanding Left Calf Numbness and Nerve Damage