Understanding Osteoarthritis: Diagnosis and X-ray Insights for Knee Pain
Degenerative arthritis?? with X-ray? Hello Doctor, my mother is 58 years old. Recently, she experienced knee pain and went to the hospital for an examination. Two doctors provided different opinions: one said she has osteoarthritis and needs a knee replacement, while the other sa...
Dr. Li Yongheng Reply:
Hello: Based on the X-ray you provided, your mother has been diagnosed with stage III osteoarthritis of the knee. She has not yet reached the criteria for joint replacement surgery. It is recommended that she consider treatment with high-concentration platelet-rich plasma (PRP) o...[Read More] Understanding Osteoarthritis: Diagnosis and X-ray Insights for Knee Pain
Understanding Patellar Injuries: When to Seek Medical Attention After a Fall
Falls and patellar issues? Currently, the individual in the UK fell forward on an escalator on July 23, impacting the right angle of the stairs just below the midline of the left patella, resulting in a wound approximately 1 cm in diameter that likely extends into the dermis. Aft...
Dr. Li Yongheng Reply:
Hello, 1. If there is slight swelling at the affected area and the bruise is not prominent, the likelihood of a patellar fracture is low, and you can apply ice and monitor the situation. 2. It is important to reduce walking and avoid squatting, kneeling, and bending the knee join...[Read More] Understanding Patellar Injuries: When to Seek Medical Attention After a Fall
Post-Patellar Fracture Surgery: Key Rehab Questions Answered
Hello, doctor. I have some questions regarding post-operative issues related to patellar fractures that I would like to ask you? Hello, doctor. It has been 56 days since my patellar fracture and internal fixation surgery (with wires and screws). Two days ago, during a follow-up v...
Dr. Li Yongheng Reply:
Hello: 1. If it has been 56 days since the patellar fracture and internal fixation surgery, but you can only bend your knee about 45 degrees on your own, it may be necessary to take more aggressive measures. You can ask your physician if it is possible to perform manual therapy u...[Read More] Post-Patellar Fracture Surgery: Key Rehab Questions Answered
Understanding Ankle Open Fractures in Children After a Car Accident
Open fracture of the ankle due to a car accident? Hello Doctor: At the end of May this year, my 13-year-old child was involved in a car accident, resulting in an open dislocation and fracture of the right ankle joint, as well as fractures of the first and second metatarsals. This...
Dr. Li Yongheng Reply:
Hello, based on what you described: the bones from below the right knee to the ankle are slightly shifted to the right, and the foot is turned inward like a "pigeon toe," which is abnormal. It is advisable for you to return for a follow-up consultation with a surgical s...[Read More] Understanding Ankle Open Fractures in Children After a Car Accident
Is Rollerblading Safe for Those with Knee Cartilage Damage?
The cartilage in the knee has worn away? Hello Doctor, due to issues with my knee cartilage, my knees hurt after walking for a long time. I would like to ask if inline skating is suitable as a recreational activity in this condition (purely for leisure, not practicing tricks). Wi...
Dr. Wang Jiacheng Reply:
It is recommended that you first consult with an orthopedic physician to discuss your condition before deciding whether to engage in roller skating activities. Wishing you good health. Precautions: 1. Activities that place additional stress on the knees (such as hiking, climbi...[Read More] Is Rollerblading Safe for Those with Knee Cartilage Damage?
Understanding Surgery Risks and Costs for Mild X-Leg Correction
Surgical issues related to mild genu varum (bowleggedness)? I have mild genu varum (bow-leggedness), with X-ray measurements of 3° and 5°. The doctor mentioned that it was caused by insufficient muscle development during my growth period (173 cm). The growth plates have fused, an...
Dr. You Dianqi Reply:
Hello: If the angle you mentioned is accurate, the normal valgus angle of the knee for most individuals is 5-7 degrees, while you stated yours is approximately 3-5 degrees. Therefore, what is the necessity for valgus correction? Our physical characteristics are inherited from our...[Read More] Understanding Surgery Risks and Costs for Mild X-Leg Correction
Recovering from Patellar Fracture: Addressing Limited Knee Flexion
Patellar fracture recovery with inability to bend the knee? I would like to ask the doctor: I had a car accident on May 8th and fractured my patella into two pieces. After surgery, I was instructed to wear a knee brace that does not allow bending. The doctor said on June 12th tha...
Dr. Li Yongheng Reply:
1. Currently, there is joint stiffness. 2. Engage in active rehabilitation or consult a surgeon for joint manipulation. 3. You may visit an external rehabilitation clinic. 4. Currently, you may not need to use crutches or a knee brace (please consult your surgeon first). ...[Read More] Recovering from Patellar Fracture: Addressing Limited Knee Flexion
8 Months Post-Patellar Fracture Surgery: Recovery Insights and Concerns
Eight months post patellar fracture surgery? Hello, Doctor. I would like to inquire about my condition regarding a patellar fracture after surgery. It has been about 8 months since my internal fixation surgery. I need to use intramuscular fixation on my knee daily; otherwise, it ...
Dr. Shi Guozheng Reply:
1. If not removed, there may be a foreign body sensation, and touching it could be painful. 2. There is a correlation. 3. Typically, removing the steel pin involves a very small incision, and recovery is usually quick.[Read More] 8 Months Post-Patellar Fracture Surgery: Recovery Insights and Concerns
Understanding Ligament Injuries: Effective Treatment Options and Recovery
Ligament injury Hello Doctor, in early May, I was riding my motorcycle on a rainy day when the brakes slipped and I collided with a guardrail. Before hitting the guardrail, I instinctively pushed off with my foot. After the incident, I noticed pain in the sole of my right foot an...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have a right knee meniscus injury. I recommend that you return to the hospital for a follow-up examination. If necessary, an MRI may be required (which is covered by health insurance). Wishing you a speedy recovery.[Read More] Understanding Ligament Injuries: Effective Treatment Options and Recovery
Understanding Patellar Ligament Injury: Recovery and Concerns
Patellar ligament rupture issues? Hello Dr. Chen, two years ago I underwent surgery for a torn patellar ligament in my left knee at National Taiwan University Hospital in Hsinchu. The post-operative recovery was relatively good, but about a week ago, I bumped my left knee and it ...
Dr. Chen Yongxue Reply:
Hello, if the patellar ligament ruptures again, the knee joint will be unable to fully extend. Based on your description, it does not seem to be a case of patellar ligament rupture. If the symptoms persist, it is advisable to return to the original hospital for further evaluation...[Read More] Understanding Patellar Ligament Injury: Recovery and Concerns
Post-Surgery Fever After Patella Fracture: Causes and Concerns
Hello doctor, I have been experiencing low-grade fever about a month after my patellar fracture surgery? Hello, Doctor. It has been about a month since my patellar fracture surgery. Although the affected limb has some swelling and warmth in the knee, the surface of the wound has ...
Dr. Li Yongheng Reply:
In the past two to three days, there has been a recurring low-grade fever, which may not necessarily indicate an infection following patellar fracture surgery. Postoperative infections from fractures typically present with swelling and warmth around the knee, along with noticeabl...[Read More] Post-Surgery Fever After Patella Fracture: Causes and Concerns
Should I See an Orthopedic or Neurology Specialist for EMG and X-Ray?
If both electromyography (EMG) and X-rays are required, should one consult an orthopedic specialist or a neurologist? Symptoms: 1. There is a difference in height between the two sides of the pelvis, with the right side being more prominent, causing discomfort when sitting. 2. In...
Dr. You Dianqi Reply:
Hello: 1. X-rays and electromyography can be ordered by both orthopedic and neurology departments. 2. Whether to perform a full-body X-ray should be considered in light of radiation exposure; it is advisable to discuss this after a comprehensive physical examination. 3. The neces...[Read More] Should I See an Orthopedic or Neurology Specialist for EMG and X-Ray?
Understanding Knee Pain: Causes and Treatment Options for Swelling
Pain in the popliteal region? Hello, doctor. I would like to ask about my right knee, which appears to be somewhat swollen, and I have been experiencing unexplained pain in the popliteal area for several years. I am unable to squat fully; bending to about 90 degrees causes signif...
Dr. Shi Guozheng Reply:
Is there a possibility of a cyst in the popliteal area if there is swelling in the knee joint? The bones are fine, so it could be a soft tissue issue such as a ligament or meniscus injury. Additionally, could it be related to gout (high uric acid levels)? It may be necessary to c...[Read More] Understanding Knee Pain: Causes and Treatment Options for Swelling
Managing Knee Pain and Stiffness After Tibia-Fibula Fracture Surgery
Knee issues About a month after my left lower leg tibia and fibula fracture surgery, I experience tightness and pain when bending my knee. What can I do to alleviate this sensation?
Dr. Ye Qingnian Reply:
After a fracture, the knee may feel tight when bending. If bending the knee is allowed after the fracture surgery, I recommend frequently performing knee flexion exercises. This will help increase the range of motion in the knee joint and reduce tightness. If you avoid movement d...[Read More] Managing Knee Pain and Stiffness After Tibia-Fibula Fracture Surgery
Knee Pain and Inability to Straighten: Understanding Lateral Ligament Injuries
Inability to fully extend the knee with lateral pain? Hello Doctor, I injured my knee while playing basketball. The specific symptoms are that I cannot fully extend my knee, and if I force it to extend, there is significant pain on the outer side of the knee. I also feel discomfo...
Dr. Wang Jiacheng Reply:
It is advisable to seek multiple opinions, such as consulting other orthopedic surgeons for treatment. I hope this helps you. Wishing you good health.[Read More] Knee Pain and Inability to Straighten: Understanding Lateral Ligament Injuries
Can You Walk with a Medial Ligament Tear? Surgery or Knee Brace Needed?
Medial ligament tear Can I walk with a medial ligament tear? Will cycling pose too much of a problem, and will I need surgery? Or can I just use a knee brace?
Dr. Wang Jiacheng Reply:
It is recommended that you visit a healthcare facility for a consultation with a physician, which would be more appropriate. Wishing you good health.[Read More] Can You Walk with a Medial Ligament Tear? Surgery or Knee Brace Needed?
Post-Surgery Hip Replacement: Understanding Pain and Swelling Concerns
Hip joint replacement with a partial prosthesis due to a fall fracture? Hello Doctor: My mother suffered a fall and fractured her hip. The doctor determined that she needed a partial hip replacement, which she underwent three weeks ago. However, she is experiencing sharp pain in ...
Dr. Li Yongheng Reply:
Hello, it has been three weeks since the surgery, and I am experiencing sharp pain in the groin and knee, along with tightness and hardness in the groin area. These are normal postoperative symptoms. Currently, my foot is still swollen, which is also a normal postoperative phenom...[Read More] Post-Surgery Hip Replacement: Understanding Pain and Swelling Concerns
Why Can't I Bend My Knee After a Recent Injury?
Inability to bend the knee? Hello Doctor: I was in a car accident two weeks ago, and I had a 3 cm laceration on my left knee that required seven stitches. The stitches have now been removed. During these two weeks, I was hesitant to bend my knee due to the sutures, but now that t...
Dr. Shi Guozheng Reply:
A knee joint contusion can cause swelling, which may limit the ability to bend the knee. As the swelling gradually subsides, typically over a period of one to one and a half months, you should be able to bend the knee again. You can practice bending it; if you still have difficul...[Read More] Why Can't I Bend My Knee After a Recent Injury?
Do Glucosamine Hydrochloride Supplements Have Side Effects?
Does glucosamine hydrochloride have any side effects in joint health supplements? In the past six months, I have been taking glucosamine supplements from Taiwan Salt, and I feel that my limbs are stronger and less sore. I work in a labor-intensive job, so I have long-term wear an...
Dr. Shi Guozheng Reply:
Glucosamine is primarily a supplement and typically has no significant side effects when taken in moderation. It does not possess anti-inflammatory properties, and many medications only alleviate pain without necessarily curing the underlying condition.[Read More] Do Glucosamine Hydrochloride Supplements Have Side Effects?
Understanding Knee Issues: Is Your Minor Injury a Cause for Concern?
Knee problems Recently, while pushing something at home, my left knee slightly hit the floor (my body was already supported, and it was my left foot that hit the floor). Although there was a mild pain at the moment, afterward, I only felt a strange sensation (not pain). The impac...
Dr. Shi Guozheng Reply:
It may only be a bruise if you can still walk, the knee joint can bend, and the pain is not severe. In that case, it is not a major concern. Monitor the situation for a few days; if the symptoms improve, then there is no issue. However, if the condition worsens, you should seek m...[Read More] Understanding Knee Issues: Is Your Minor Injury a Cause for Concern?