Understanding Knee Noises: What Does It Mean for Your Joint Health?
Knee problems Hello, Doctor. My knee makes a *crackling* sound when I bend, straighten, or lift my leg, but I do not feel any pain, and there is no discomfort while walking. I would like to ask what might be the issue with my knee. Thank you, Doctor.
Dr. Shi Guozheng Reply:
It may be an issue with the knee cartilage. Typically, when the knee joint is bent, the patella can rub against the femur at the joint interface. If there is a problem with the cartilage, it may produce sounds. Additionally, if the position of the patella is misaligned, such as i...[Read More] Understanding Knee Noises: What Does It Mean for Your Joint Health?
Post-Surgery Concerns: Managing Complications After Knee Surgery
Postoperative issues Hello Doctor, I would like to ask you some questions regarding post-operative issues concerning my father (59 years old). He suffered a comminuted fracture of the right knee on January 8th of this year and underwent surgery at 804. While recovering at home, h...
Dr. You Dianqi Reply:
Hello: First of all, I must express my highest admiration for your filial piety; your writing reveals a deep love for your father. Regarding your father's fracture, it is in the knee, but could you provide me with a more precise location? For example: Is it the patella (knee...[Read More] Post-Surgery Concerns: Managing Complications After Knee Surgery
Post-Operative Recovery Insights for Patellar Fracture Patients
Patellar fracture - postoperative Hello, Doctor. Last month, I inquired about patellar fractures (#142575). It has been 2.5 months since my surgery, and I have had my knee brace removed. I can currently bend my knee to 120 degrees and am undergoing water therapy and rehabilitatio...
Dr. Shi Guozheng Reply:
1. After a patellar fracture surgery, if the muscles are not used for a period of time, they may become weaker. However, with gradual rehabilitation therapy, they usually recover. The vibrations you mentioned may be due to insufficient muscle strength. If the surface of the fract...[Read More] Post-Operative Recovery Insights for Patellar Fracture Patients
Understanding Baker's Cyst: Symptoms, Treatment Options, and Pain Management
Popliteal cyst I have a popliteal cyst that has been present for several years. It hasn't caused much inconvenience, so I ignored it. However, I decided to see a doctor, who recommended surgery. I have heard that there is a high recurrence rate, so I am not considering that ...
Dr. You Dianqi Reply:
Hello: The difficulty in aspirating the cyst may be due to the smaller size of your cyst or the lack of imaging (ultrasound) assistance. If you can come to my clinic, I would be happy to perform an ultrasound examination for you. If necessary, we can indeed consider performing a ...[Read More] Understanding Baker's Cyst: Symptoms, Treatment Options, and Pain Management
Understanding Patellar Dislocation: Diagnosis, Treatment, and Recovery Tips
Patellar dislocation issues? Echo: Musculoskeletal System Ultrasound Examination Chief Complaint: Sonar Diagnosis of left knee MPFL complete rupture from patella MRI: Knee MRI without contrast MRI of left knee using a 1.5 Tesla machine with axial section FSE PD with fat sup...
Dr. Li Yongheng Reply:
Hello, I have previously responded to some of your questions. Here are my replies one by one: 1. I am allergic to certain NSAIDs, but usually not to all NSAIDs. If I cannot take medication, then I will have to rely on ice packs and rest. 2. If there is no further dislocation, ...[Read More] Understanding Patellar Dislocation: Diagnosis, Treatment, and Recovery Tips
Understanding Leg Pain and Numbness After a Motorcycle Accident
Numbness and pain in the left foot due to a car accident? Hello Doctor, on the evening of December 18th at 6:20 PM, I was hit by a pedestrian while riding my motorcycle, resulting in a contusion to my left hand and foot (the more severe areas are below the knee and the front of t...
Dr. Chen Yongxue Reply:
Thank you for your detailed description. However, no matter how well you describe it, nothing compares to an in-person examination by an orthopedic physician. If it is just a bruise, the symptoms can vary significantly from mild to severe, and sometimes fractures may not be visib...[Read More] Understanding Leg Pain and Numbness After a Motorcycle Accident
Understanding Complete MPFL Rupture: Treatment Options and Recovery
Complete rupture of the medial patellofemoral ligament (MPFL) from the patella in the left Hello doctor, on November 7th, I bumped into a chair and dislocated my patella. The emergency physician performed a manual reduction of the knee dislocation. The next day, an orthopedic doc...
Dr. Li Yongheng Reply:
Hello, 1. The Medial Patellofemoral Ligament (MPFL) is typically injured due to traumatic patellar dislocation. It is generally recommended to use a knee brace for stabilization and to limit flexion for at least six weeks. Most patients will experience spontaneous recovery of t...[Read More] Understanding Complete MPFL Rupture: Treatment Options and Recovery
How to Differentiate Between ACL and MCL Injuries in Your Knee
I would like to confirm whether it is an injury to the anterior cruciate ligament (ACL) or the medial collateral ligament (MCL)? Hello, doctor. I sprained my knee on December 16. At that time, I was able to walk and immediately had an X-ray done, which showed no major bone issues...
Dr. Zhan Xian Reply:
The mechanism of injury for anterior cruciate ligament (ACL) tears often involves forces of valgus, external rotation, and hyperextension. Acute symptoms frequently present as hemarthrosis in the knee joint, while the pain point for the medial collateral ligament (MCL) is typical...[Read More] How to Differentiate Between ACL and MCL Injuries in Your Knee
Understanding Patellar Ligament Injuries: Surgery, Recovery, and Expert Opinions
Patellar ligament issues Hello Doctor, I injured my knee and dislocated my patella on November 7th when I bumped into a chair. The emergency physician performed a manual reduction, and the next day, an orthopedic doctor at Mackay Hospital removed the cast and drained the blood ac...
Dr. Li Yongheng Reply:
I recommend undergoing an MRI for further evaluation. I am not sure which ligament is torn, so I cannot provide the name of the surgery at this time. However, in general, for ligament reconstruction surgery, given your age, autograft tendons would be prioritized.[Read More] Understanding Patellar Ligament Injuries: Surgery, Recovery, and Expert Opinions
Post-Operative Care and Recovery Tips for Patellar Fracture Patients
Patellar fracture - postoperative Hello, Doctor. Last month, I inquired about my patellar fracture - post-operative status. I am currently 6-7 weeks post-surgery. My attending physician allowed me to adjust the knee brace to a 90-degree angle after 6 weeks post-op, and I am permi...
Dr. Shi Guozheng Reply:
1. If you walk too much every day, the swelling in your feet may worsen. It is advisable to walk moderately, and if swelling occurs, elevate your feet to promote blood circulation. 2. You can continue training. 3. You can consult a rehabilitation specialist right now.[Read More] Post-Operative Care and Recovery Tips for Patellar Fracture Patients
Understanding Ligament Damage: Repair Options and Surgical Insights
Ligament tear In early December of the previous year, I dislocated my patella after being hit by a ball on my knee. After seeking medical attention, I was placed in a brace for two weeks. The first doctor I consulted mentioned that I might have injured my ligaments but suggested ...
Dr. Shi Guozheng Reply:
There are four ligaments in the knee joint, and it's unclear which one is injured and the extent of the injury. If the anterior or posterior cruciate ligament is damaged, reconstruction may be necessary. If the patella is laterally displaced, a realignment operation may be r...[Read More] Understanding Ligament Damage: Repair Options and Surgical Insights
Is Your Knee Pain Linked to ACL Reconstruction Hardware?
Issues with Anterior Cruciate Ligament Reconstruction Screws Hello, Doctor: I sustained an injury to my right knee in a car accident in 1994, resulting in a torn anterior cruciate ligament (ACL) and meniscus damage. In 1996, I underwent ACL reconstruction surgery, during which th...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is likely unrelated to the metal screws; the most probable issue remains with the meniscus. Therefore, attempting to remove the screws may not be beneficial for symptom improvement.[Read More] Is Your Knee Pain Linked to ACL Reconstruction Hardware?
Understanding Joint and Cervical Spine Issues: UC-II and Bone Growth Concerns
Joint and cervical spine issues? Hello Doctor, I would like to ask: I have been experiencing knee discomfort (a tight feeling) due to osteoarthritis and have been taking UC-II (undenatured type II collagen) for about 6 to 7 years to alleviate the discomfort. Although the knee dis...
Dr. Li Yongheng Reply:
Hello, taking UC-II (undenatured type II collagen) does not cause bone spurs as a side effect. Poor posture resulting from long-term work (as a watchmaker) is the actual cause of cervical spine bone spurs.[Read More] Understanding Joint and Cervical Spine Issues: UC-II and Bone Growth Concerns
Knee Swelling After Car Accident: When to Seek Further Treatment?
Knee swelling after a car accident? Hello, Doctor. I am Ms. Lai, who has previously asked a question. I apologize for informing you that I have been diagnosed with a knee contusion. On November 3rd, I was involved in a car accident where I impacted the outer side of my right kn...
Dr. Chen Yongxue Reply:
Hello, generally speaking, a knee contusion may swell and be painful for about one to two weeks, depending on the situation. If your symptoms do not improve as expected, it would be advisable to seek further evaluation. Thank you.[Read More] Knee Swelling After Car Accident: When to Seek Further Treatment?
Understanding Hyperextended Knees: When to Seek Treatment
Knee joint Hello, I have been able to hyperextend my knees since childhood, and they bend quite significantly. After researching similar cases online, it seems to be more related to knee hyperextension. Aside from being unable to perform a standing long jump, it hasn't cause...
Dr. You Dianqi Reply:
Hello; based on your description, it seems to refer to what we call knee recurvatum in medicine. This condition may have a certain degree of impact on your knee, but whether it requires treatment would depend on more information (including subjective and objective data) to provid...[Read More] Understanding Hyperextended Knees: When to Seek Treatment
Swollen Knee After Car Accident: When to Seek Further Medical Evaluation
Knee swelling due to injuries from a car accident? Hello, Doctor. I would like to ask about an incident that occurred on November 3rd when I was involved in a car accident that impacted the outer side of my right knee. However, I am experiencing significant pain and swelling on t...
Dr. Chen Yongxue Reply:
Hello. Ms. Lai mentioned the issue of swelling and pain in her right knee. It may be necessary to inform me of the final diagnosis, as the same symptoms can lead to completely different treatment approaches depending on the diagnosis. If there are any doubts about the diagnosis, ...[Read More] Swollen Knee After Car Accident: When to Seek Further Medical Evaluation
Understanding Ligament Injuries: Impact of Delayed MRI on Recovery
Ligament issues I participated in a friendly match on November 25th as part of my school team. While cutting in, I twisted my left knee and fell to the ground. I have a history of anterior cruciate ligament (ACL) tear in my left knee. Since it was a Sunday, there were no orthoped...
Dr. You Dianqi Reply:
Hello: If you have not engaged in any strenuous exercise during this period, which could lead to further injury, then the nearly one-month waiting period should not result in any significant changes. This time allows the injured tissue to experience some reduction in swelling, an...[Read More] Understanding Ligament Injuries: Impact of Delayed MRI on Recovery
Understanding Post-ACL Reconstruction Loosening: Causes and Treatment Options
Postoperative laxity of the posterior cruciate ligament? Hello, doctor. I underwent posterior cruciate ligament reconstruction and meniscus repair surgery at the end of January this year. It has been almost a year, but my muscle strength has not returned, and my passive flexion i...
Dr. Shi Guozheng Reply:
It is possible that it did not heal properly, and a reoperation may be more appropriate. Regenerative therapy cannot tighten the ligaments.[Read More] Understanding Post-ACL Reconstruction Loosening: Causes and Treatment Options
Understanding Patellar Dislocation: Recovery, Prevention, and Support Gear
Patellar dislocation On November 7th, I injured my left knee by colliding with a chair, resulting in a patellar dislocation. That same day, the school promptly took me to Cheng Hsin General Hospital, where the dislocated bone was manually reduced. The next day (November 8th), I v...
Dr. Li Wenhong Reply:
Hello: Removing the cast early and starting to move is to prevent knee joint fibrosis and stiffness. For more details, please consult the attending physician. Generally, after an acute injury, immobilization is required for 2 to 3 weeks, but if there is no obvious instability, ac...[Read More] Understanding Patellar Dislocation: Recovery, Prevention, and Support Gear
Severe Knee Pain Near the Left Leg: Causes and Solutions
If extending the knee on your left leg causes sharp pain near the knee, it could indicate a strain or injury to the ligaments, tendons, or muscles around the knee joint. Conditions such as patellar tendinitis, ligament sprains, or even issues with the meniscus could be potential ...
Dr. Chen Yongxue Reply:
Hello, there are many possible diagnoses for the situation described in your letter. It is advisable to visit an orthopedic clinic for further examination. Thank you.[Read More] Severe Knee Pain Near the Left Leg: Causes and Solutions