Knee, Orthopedics FAQ

Post-Surgery Concerns: Understanding Pain and Mobility After Tibia Surgery

Postoperative care for tibia and fibula fractures? Hello Doctor! A few months ago, I underwent surgery to remove a tibial tumor, and artificial bone was used to fill the area. Recently, I've been experiencing back pain, so I followed some rehabilitation exercises I found onl...

Dr. You Dianqi Reply:
From your response, I noticed that there are concerns about the possibility of the bone plate screws shifting. This issue may require imaging to provide a more informed response. As for your questions about whether you can kneel and similar inquiries, it largely depends on the co...

Understanding Posterior Cruciate Ligament Reconstruction Surgery

Posterior cruciate ligament reconstruction surgery? Hello, due to a car accident in early March, I only discovered the bone issues a month later. Now, at the end of May, I had an MRI, and the doctor said my posterior cruciate ligament (PCL) did not show up, which suggests it may ...

Dr. Chen Bochen Reply:
1. First, consult a rehabilitation physician to arrange rehabilitation for the injured area. Strengthening the quadriceps is essential to compensate for the deficiency of the posterior cruciate ligament. 2. Commit to rehabilitation for at least three months; if discomfort persist...

Improving Knee Flexibility After Medial Collateral Ligament Injury

Medial collateral ligament (MCL) tear? Hello, I have been diagnosed with a medial collateral ligament (MCL) tear. I am currently using a knee brace for stabilization. While the brace allows me to extend my knee, I am unable to bend it. Before using the brace, I was able to bend m...

Dr. Chen Yongxue Reply:
Medial collateral ligament (MCL) tears can often be treated with bracing for stabilization, allowing for gradual recovery. During the bracing period, there may be a risk of joint stiffness as a side effect. This stiffness can typically be addressed through rehabilitation after th...

Post-Operative Care and Concerns After Knee Tumor Surgery (PVNS)

Postoperative care after knee tumor resection? Last week, I underwent surgery for the removal of a knee tumor (PVNS), and I have wounds on both sides of my knee. I would like to ask: 1. Is it normal to have noticeable swelling in my thigh and persistent pain in the front of my th...

Dr. Chen Yongxue Reply:
1. Swelling and pain after surgery are very common. Please elevate the affected limb. 2. It is recommended to return for a follow-up appointment to check for any possible infection. Thank you.

Understanding ACL Tears: Diagnosis, Treatment Options, and Recovery Insights

Anterior cruciate ligament (ACL) tear Hello Doctor, three years ago I slipped while playing basketball and went to a clinic where an X-ray diagnosed me with a ligament strain in my knee. I didn't experience pain for about a year, but last year I started to feel something stu...

Dr. Shi Guozheng Reply:
1. Anterior cruciate ligament (ACL) tears require a physical examination to assess for any signs of joint laxity, followed by imaging studies for a definitive diagnosis. If the degree of laxity is not significant, surgery may not be necessary. 2. Cartilage damage is irreversibl...

Can Antibiotics Cause Joint Pain? Understanding Side Effects and Solutions

Can antibiotics cause joint pain? Hello, my mother was hospitalized previously to receive antibiotics, but the more she received them, the worse she felt. Eventually, she developed knee pain and weakness, as well as shoulder pain that hasn't improved. She is in so much pain ...

Dr. Chen Yongxue Reply:
Hello, some antibiotics can have joint pain as a side effect, which depends on the type of antibiotic. However, it could also be due to inflammation from knee joint degeneration. It is advisable to visit an orthopedic clinic for evaluation. Thank you.

Understanding Right Foot Nerve Issues and Persistent Lower Body Tension

Abnormal nerve sensation in the right foot (toes) and overall tightness in the right lower extremity? I underwent spinal scoliosis correction surgery at the age of 16 (in 2005). Before the correction, I had an S-shaped curvature when viewed from the back, with an angle of approxi...

Dr. Chen Yongxue Reply:
Hello, based on what you described, the symptoms seem quite severe. However, please consider whether it could simply be a case of myofascial inflammation. The reasons are as follows: 1. MRI shows only mild compression of the nerve (L5-S1). 2. There has been no improvement after s...

Post-ACL Reconstruction: Understanding Anterior Knee Pain and Rehab Tips

Anterior knee pain after posterior cruciate ligament reconstruction? Hello Doctor, I underwent an autologous ligament graft reconstruction surgery for my anterior cruciate ligament at the end of March this year, and it has just been a little over a month since the procedure. Curr...

Dr. Shi Guozheng Reply:
You can practice increasing the range of motion, but you also need to return to the outpatient clinic for follow-up to check for any abnormalities. It is also advisable to go to the rehabilitation department of the hospital for physical therapy and seek guidance from a physical t...

Understanding Glucose Injections for Thigh Pain During Climbing

Injection of glucose 1. This could be a symptom of patellofemoral pain syndrome or quadriceps weakness. Glucose injection is not typically indicated for this condition; more conservative treatments such as physical therapy and strengthening exercises are usually recommended. 2. ...

Dr. Chen Bochen Reply:
1. What could be the symptoms? Is glucose injection appropriate? >> Sarcopenia, hip and knee osteoarthritis, vascular claudication, and neurogenic claudication are all possible. >> None of these conditions are suitable for glucose injection. 2. Is there any relation...

Sudden Knee Pain and Joint Discomfort: Seeking Solutions for Relief

Sudden pain in the left knee while sleeping, along with pain in the finger joints? I suddenly woke up one night with pain in my left knee and was unable to put weight on it when getting out of bed. I went to the orthopedic department at Asia University Hospital, where they took X...

Dr. Shen Boquan Reply:
Hello, if you suddenly experience pain in your left knee and both hands, it is important to consider whether you have sustained an injury or if your workload has been excessive. If this occurs occasionally and improves with rest or pain relief medication, you should take care to ...

Understanding Joint Adhesions: Risks and Recovery After Knee Surgery

Joint adhesion Hello doctor, I had a femur fracture about a year and a half ago and I always thought it was due to the internal fixation being stuck, which is why my rehabilitation has been stagnant and I could only maintain the angle. Three days ago, I had the internal fixation ...

Dr. Chen Bochen Reply:
After the removal of the metal screws and arthroscopic surgery, it is important to actively engage in rehabilitation within three months. Aim for at least three sessions per week, and also perform exercises at home to maximize your chances of improvement.

Why Shockwave Therapy May Worsen Knee Pain: A Patient's Experience

After shockwave therapy, it may actually feel more uncomfortable? My boyfriend (34 years old) experienced knee discomfort on April 18. By April 19, he felt somewhat better, but since this was not the first occurrence of knee discomfort, he decided to see an orthopedic specialist ...

Dr. Shi Guozheng Reply:
Extracorporeal shock wave therapy may cause some discomfort during the procedure, and it is important to reduce activity for a few days afterward to allow the tissues to recover. The shock wave therapy can be performed by other healthcare professionals and does not necessarily re...

Can Hip Joint Pain Delay Knee Replacement Surgery?

Hip joint pain and artificial knee joint? I have severe nerve compression pain in my hip joint (grade 4), and both of my knees also hurt, making it difficult to walk. I have recently scheduled surgery for a hip joint replacement. Is it possible to replace the knee joint while add...

Dr. You Dianqi Reply:
Hello: You have recently scheduled a knee joint replacement, but you are currently experiencing significant pain in your hip joint. As a personal recommendation, I suggest discussing the cause of your hip pain with your attending physician before making any further decisions rega...

Understanding Sudden Knee Instability During Sports Activities

Knee movement issues? Hello Doctor, I have noticed that while playing badminton, sometimes my left knee suddenly gives way, accompanied by a "pop" sound. At that moment, I am unable to stand and need to squat down, but there is not much pain. If I squat and rotate my kn...

Dr. You Dianqi Reply:
Hello: Due to concerns about potential issues with your cruciate ligament or meniscus, I still recommend that you seek medical attention to confirm whether there are any problems. Once you have clarity, you can exercise with peace of mind, which I believe will make you feel much ...

Persistent Knee Pain After Replacement: Causes and Solutions

Knee replacement surgery has been performed, but there is still pain? Hello Doctor, I am inquiring on behalf of my brother-in-law. He underwent knee replacement surgery in May 2020, and he has been experiencing pain for the past year, which has recently worsened significantly. He...

Dr. You Dianqi Reply:
Hello: I would like to clarify your question first. Generally, artificial joints do not have specific steel pins; are you sure the doctor mentioned steel pins? Do you have any images for reference? Before I respond, I must fully understand the issue. 1: The term "guarantee&q...

Knee Joint Issues and Medication Concerns: Expert Insights

Knee joint and medication issues? Hello, Doctor: I have two questions I would like to ask. 1. I previously injured my knee and underwent arthroscopy, during which a fragment of cartilage was found and removed. It has been about 8 months since then, and the wound has healed, but...

Dr. Shi Guozheng Reply:
The recovery period after surgery for intra-articular cartilage, such as meniscal cartilage or articular cartilage, can take up to a year. You will need to undergo rehabilitation, and it is possible to use these two types of medications in combination.

Revisiting Knee Replacement: Addressing Pain from Short Pins After Surgery

One year after total knee arthroplasty, the screws are too short and require another surgery? Hello, doctor. I underwent knee arthroplasty in May 2020, and I have been experiencing pain for about a year post-surgery, which has recently worsened. I consulted the original surgeon, ...

Dr. Shi Guozheng Reply:
What you are describing as misalignment may be due to the tilting of the tibial stem, which is referred to as prosthetic loosening. The term "replacing the steel pin to adjust the length" pertains to surgery and is not related to length but rather to the fixation of the...

Post-Operative Symptoms After Knee Arthroscopy: Causes and Relief Options

Symptoms after arthroscopy? Hello, doctor. My mother has been diagnosed with grade 3 to 4 osteoarthritis in her knee. She underwent arthroscopic knee surgery last May, primarily to repair the meniscus and receive PRP injections. Nearly a year post-surgery, she continues to experi...

Dr. Shi Guozheng Reply:
The current treatment trend for osteoarthritis does not recommend arthroscopic surgery. If you search online, you will find this information. For patients with grade three to four osteoarthritis, if conservative treatment is ineffective, they may need to undergo total knee arthro...

Knee Pain When Kneeling: Causes and When to Seek Medical Help

Knee problems Hello, doctor. I started noticing some issues with my knees around middle school. I don't experience any problems while running or jumping, but whenever I kneel, my knees hurt a lot. Even if I kneel gently or on a mat, I can't hold the position for more th...

Dr. Shi Guozheng Reply:
There are many potential causes for anterior knee pain that can be evaluated by an orthopedic specialist, including issues related to the tendons as well as problems with the patella.

Managing Knee, Hip, Ankle, and Finger Issues for Office Workers

Knee, hip, and ankle joint issues + finger problems? Hello, doctor. I am an office worker who spends eight hours a day in front of a computer, and I have two questions: 1. Issues with my knees, hips, and ankles: (1) About five years ago, I experienced heat and pain in my le...

Dr. Chen Bochen Reply:
1. Knee, hip, and ankle joint issues: (1) About five years ago, I experienced heat and pain in my left knee, which was diagnosed by an orthopedic physician as patellar malalignment. The doctor advised me to perform self-rehabilitation exercises such as leg raises and kicks. Howev...

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