Understanding Tibial Fractures: Recovery Tips and Exercises
Tibia fracture Hello Doctor, I was in a car accident on August 18 and went to the emergency room where an X-ray was taken. The doctor diagnosed me with a closed fracture of the proximal tibia. That day, I received a removable L-shaped cast, which was changed to a non-removable ca...
Dr. Wang Shouji Reply:
Hello, if a tibial fracture is treated with a cast, the immobilized joint will inevitably experience stiffness. Once the cast is removed, applying heat can help soften the tissues, followed by rehabilitation exercises. The recovery time will depend on the severity of the fracture...[Read More] Understanding Tibial Fractures: Recovery Tips and Exercises
Knee Pain Below During Squats: Causes and Solutions
Pain in the muscles below the knee when squatting? Hello doctor, recently I have started a weight loss exercise program due to my overweight condition. Initially, I was walking briskly for 10,000 steps a day, and later I gradually added about 100 meters of slow jogging followed b...
Dr. Zhan Xian Reply:
Hello Mr. Ji, issues such as meniscus and hip ligament problems cannot be ruled out. A physical examination is necessary first. If the pain persists, please visit the orthopedic outpatient clinic.[Read More] Knee Pain Below During Squats: Causes and Solutions
Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?
Swelling after tibial plateau fracture surgery in mid-April? Hello, I would like to ask about my condition. I had an internal fixation with steel nails and plates for a tibial plateau fracture, along with bone grafting and arthroscopy, and it has been almost six months since the ...
Dr. Wang Shouji Reply:
Hello, tibial plateau fractures are intra-articular fractures that carry a risk of developing post-traumatic arthritis. It is important to monitor for any intra-articular irregularities or the presence of arthritis. Resting and staying in bed usually helps reduce swelling, but on...[Read More] Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?
Concerns After ACL Reconstruction: MRI Findings and Next Steps
Issues related to anterior cruciate ligament (ACL) reconstruction? I underwent anterior cruciate ligament reconstruction on December 6, 2018, and last month I had an MRI that showed an unknown mass inside my knee. The MRI did not provide a clear diagnosis, and the doctor suggeste...
Dr. Chen Yongxue Reply:
Hello, 1. The arthroscopic examination will not affect the surgical site, so please rest assured. 2. The cleaning method involves using a special instrument (similar to a weed whacker) to remove the inflamed tissue. 3. Will recovery from the arthroscopic examination take as long ...[Read More] Concerns After ACL Reconstruction: MRI Findings and Next Steps
Understanding Tibial Tuberosity Bumps: Osgood-Schlatter Disease Insights
Proximal tibial prominence below the knee? Hello, doctor. I started noticing a hard bump near the proximal left tibia, just below the knee, around the age of 13, specifically near the tibial tuberosity. There is no swelling, and it does not hurt when pressed; I can run and jump n...
Dr. Chen Bochen Reply:
1. Your medical history and symptoms are consistent with Osgood-Schlatter Disease, but a diagnosis should be confirmed with X-rays. However, Osgood-Schlatter Disease does not always cause pain. 2. It typically does not occur after puberty, and there could be various reasons for t...[Read More] Understanding Tibial Tuberosity Bumps: Osgood-Schlatter Disease Insights
Understanding Tibial Tuberosity Pain: Causes and Treatment Options
The area of the tibia near the knee joint? Hello, doctor. I previously started doing some weight training, such as barbell squats, but later I noticed a small bump on my right knee. It doesn't bother me much in daily life, but it hurts when I press on it or exert myself too ...
Dr. Chen Yongxue Reply:
Hello, tibial tuberosity chondritis is essentially inflammation of the ligament where the patellar tendon attaches to the tibia. This condition can be triggered by excessive knee flexion activities in a short period, such as deep squats, stair climbing, and jumping. It is advisab...[Read More] Understanding Tibial Tuberosity Pain: Causes and Treatment Options
Assessing Disability Certification After Total Knee Replacement Surgery
Total knee arthroplasty in disability assessment? Please consult a physician regarding your condition. After undergoing a custom total knee arthroplasty due to a bone tumor, are any of the following items applicable for disability assessment? Lower limb structure S750.1: □1. A...
Dr. Shi Guozheng Reply:
None of what you mentioned meets the criteria, but you can still consult a physician for evaluation. Additionally, it's important to assess whether the functional status aligns with the requirements.[Read More] Assessing Disability Certification After Total Knee Replacement Surgery
Understanding Ligament Tears: Recovery and Rehabilitation Insights
Ligament tear injury On September 5, I sustained an injury, and on September 7, during an orthopedic consultation, it was diagnosed as a left knee sprain with associated ligament tear. An ultrasound was performed, and rehabilitation was recommended (ultrasound therapy, electrical...
Dr. Chen Bochen Reply:
1. If there is redness, swelling, or warmth upon touch, apply ice packs primarily. If these symptoms are absent, you may switch to heat therapy. 2. You can try to gradually progress into diving; if it doesn't cause pain, you should be fine. Generally, it has little impact,...[Read More] Understanding Ligament Tears: Recovery and Rehabilitation Insights
Knee Pain After a Fall: Recovery Tips and Rehabilitation Advice
Knee injury after hitting the floor? Hello Dr. Chen, my mother slipped and fell while riding a scooter on a rainy day two weeks ago, landing on her knee. That night, she experienced pain while walking, but after 4 to 5 days, she was able to walk normally. However, she still feels...
Dr. Chen Bochen Reply:
1. Switch to heat therapy one week after the injury. 2. Wear a knee brace for 2-3 weeks and minimize walking. 3. It is common to experience tightness immediately after the injury. If pain persists for more than two weeks, seek medical attention and get an X-ray. Wishing you a...[Read More] Knee Pain After a Fall: Recovery Tips and Rehabilitation Advice
Can New Joint Mobilization Techniques Help with Knee Contracture?
Knee joint contracture issues? Hello Dr. Chen, my father (63 years old) has been experiencing long-term pain in his knee joint due to osteoarthritis, which has led him to maintain a flexed knee position and even walk with a bent knee. Last year, he underwent cartilage regeneratio...
Dr. Chen Bochen Reply:
Hello, Xiaoxian. The best management for osteoarthritis combined with joint contracture is total knee arthroplasty. This procedure can significantly alleviate arthritis pain, and with an experienced surgeon, it can also restore mobility, allowing for straightening and squatting. ...[Read More] Can New Joint Mobilization Techniques Help with Knee Contracture?
Understanding Sensory Changes After Patellar Fracture Surgery
Patellar closed comminuted fracture Hello doctor, it has been four days since the incident. Yesterday, I removed the cast and noticed that the skin on my knee has a slight loss of sensation. Is this normal or abnormal?
Dr. Xie Hongjia Reply:
Ms. Tsai: Hello, it is not possible to make a diagnosis based solely on description. It is recommended that you consult your primary physician. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Sensory Changes After Patellar Fracture Surgery
Do You Need a Knee Brace After Tibia Screw Removal?
Is a knee brace necessary after tibial screw removal? Hello, I am going to have my tibial screws removed soon. Do I need to wear a knee brace after the removal? Thank you.
Dr. Chen Bochen Reply:
Hello, generally speaking, it is not necessary to wear a knee brace after the procedure. However, some patients may experience pain at the knee incision site, and in such cases, wearing a knee brace can be helpful.[Read More] Do You Need a Knee Brace After Tibia Screw Removal?
Understanding Knee Sensation Loss: Causes and Concerns After Patellar Fracture
Patellar fracture non-surgical treatment? Why is the skin on my knee numb? Is it due to swelling or have I injured a ligament or something similar?
Dr. Zhan Xian Reply:
Hello Ms. Chen, based on your description, a medical history, physical examination, and imaging studies are required for assessment. Please visit the orthopedic outpatient clinic![Read More] Understanding Knee Sensation Loss: Causes and Concerns After Patellar Fracture
Understanding Patellar Fractures: Healing Time and Recovery Tips
Patellar fracture Last month, I slipped and fell on my knee, resulting in a minor bone fracture. After seeing a doctor, I was not given a cast but was advised to keep my leg straight and limit movement. A month later, during a follow-up appointment, the doctor said the bone is gr...
Dr. Chen Yongxue Reply:
Hello, I have had a patella fracture for a month. I would like to ask if it is normal to still experience some pain when bending and lifting my leg? Yes, the healing of the fracture requires more time. Will climbing stairs or squatting affect the healing? Yes, the attending physi...[Read More] Understanding Patellar Fractures: Healing Time and Recovery Tips
Understanding Baker's Cyst: Recurrence, Symptoms, and Treatment Options
Baker's cyst I previously underwent surgery for a Baker's cyst located in front of my knee, which had hardened into a lump. After the removal, it recurred about two months later. The doctor at National Taiwan University advised me to just monitor it, and after approxima...
Dr. Chen Bochen Reply:
1. The swelling in front of the knee is likely not a Baker's cyst, but rather bursitis. 2. If the cyst is asymptomatic, surgery is not necessary; aspiration and local corticosteroid injection may be attempted. 3. The recurrence rate after surgery is high, ranging from 30...[Read More] Understanding Baker's Cyst: Recurrence, Symptoms, and Treatment Options
Assessing Knee Pain: MRI, Bone Screw Materials, and Alternative Diagnosis
Low-field MRI + interface bone screws in the knee + X-ray to determine the material of the screws? Hello Dr. Chen, I underwent a right knee anterior cruciate ligament reconstruction surgery 26 years ago due to a sports injury, using my own patellar tendon for the reconstruction ...
Dr. Chen Bochen Reply:
1. Modern MRI technology can utilize MARS (Metal Artifact Reduction Sequence) to reduce artifacts; however, it depends on whether the hospital where the procedure is performed has this technology. Contrast agents cannot reduce artifacts but can assist the physician in obtaining c...[Read More] Assessing Knee Pain: MRI, Bone Screw Materials, and Alternative Diagnosis
Managing Osteoporosis: Treatment Options and Dental Considerations
Post-osteoporosis management? Hello Dr. Chen, Since the beginning of this year, I have noticeably lost height and my weight has decreased by 6.7 kg. I underwent a bone density test (hip) and my T-score was -3.3. The rehabilitation physician advised me to supplement with calcium...
Dr. Chen Bochen Reply:
Hello Ms. Lin: Based on your condition, it is recommended that you adopt the following multi-faceted treatment approach: dietary supplementation of calcium and vitamin D, along with sun exposure (20 minutes of sunlight daily between 10 AM and 3 PM), exercise (walking, hiking, or ...[Read More] Managing Osteoporosis: Treatment Options and Dental Considerations
Understanding Knee and Lower Back Discomfort: Causes and Solutions
Knee and lower back discomfort? Hello, doctor! Earlier this year, I sustained a bruise and swelling on the inner side of my right knee due to an accidental impact with the ground. After seeing a rehabilitation specialist, the bruising has subsided, and I have undergone rehabilita...
Dr. Chen Bochen Reply:
1. Knee pain can generally be categorized into three sources: inflammatory, structural, and functional. Rehabilitation treatment primarily targets functional injuries, which can lead to inflammatory pain. It is recommended that you take medication for two weeks, which should resu...[Read More] Understanding Knee and Lower Back Discomfort: Causes and Solutions
Effective Rehabilitation Strategies for Mild Knee Effusion
Knee issues Hello, doctor. I have a small amount of fluid accumulation in my knee. What kind of rehabilitation would be most suitable?
Dr. Zhan Xian Reply:
Hello Ms. Chen, there are many causes of knee joint effusion, and it is essential to identify the underlying reason![Read More] Effective Rehabilitation Strategies for Mild Knee Effusion
Understanding Cartilage Wear and Joint Degeneration in Athletes
Cartilage wear and joint degeneration? Hello, doctor. Recently, I experienced sudden pain and slight weakness in my leg after jumping during exercise, which has caused discomfort when going up and down stairs and slight pain during minor jumps (the pain is more noticeable during ...
Dr. Zhan Xian Reply:
Hello, sir. The above issues require imaging and physical examination for assessment. Please visit the orthopedic outpatient clinic.[Read More] Understanding Cartilage Wear and Joint Degeneration in Athletes