Knee, Orthopedics FAQ

Managing Knee Degeneration in Elderly Patients: Alternatives to Surgery

Knee degeneration, after hyaluronic acid injection? Hello, doctor. My grandmother is 83 years old and suffers from Parkinson's disease and severe knee degeneration. She has been regularly visiting the clinic and taking medications prescribed by both orthopedic and neurology ...

Dr. Shi Guozheng Reply:
1. You may need to consult with doctors from other specialties. 2. You can try platelet-rich plasma (PRP) therapy, but if your overall health is good, you might consider undergoing surgery.

Understanding Knee Pain: Causes and Solutions for Athletes

Knee Hello, doctor. Recently, after playing badminton and weight training, I suddenly experienced pain in the front side of my right knee. Sometimes it also hurts when I walk, and my knee often makes noises. Could you please explain why I am experiencing these symptoms?

Dr. Shi Guozheng Reply:
It could be patellar cartilage inflammation or tendonitis. Resting and avoiding intense exercise may help improve the condition.

Rehabilitation After ACL Reconstruction: Addressing Knee Flexibility Issues

Rehabilitation after Posterior Cruciate Ligament Reconstruction Hello Doctor, it has been nearly six months since my surgery, but I still cannot bend my knee to the extent of bringing my thigh to my calf (approximately 170 degrees). Could there be any issues with this? Is it dang...

Dr. Chen Yongxue Reply:
Hello, 1. After anterior cruciate ligament (ACL) reconstruction, general usage is usually fine; however, there may be limitations when bending to extreme angles. It is advisable to discuss this with your attending physician. 2. The strength needed for climbing stairs can be ac...

Managing Knee Pain After Meniscus Surgery: Best Options Explained

It has been two years since my meniscus surgery, and I still experience pain? Dear Doctor, my boyfriend is 39 years old and two years ago he experienced knee pain. After examination, he was diagnosed with a meniscus tear and underwent surgery to remove the damaged portion. Howeve...

Dr. Shi Guozheng Reply:
Joint replacement surgery is not recommended for younger individuals.

Understanding Knee Issues: MRI Insights and Home Remedies

Knee problems Dear Doctor, Thank you for your response. Yesterday, I had my knees examined by a doctor. Currently, the doctor has arranged for an MRI to check the knees first to determine where the issue lies (whether it's the meniscus or something else). However, scheduli...

Dr. Shi Guozheng Reply:
Reducing activity may also help alleviate symptoms.

Post-Surgery Complications: Misalignment of Artificial Joint and Next Steps

Postoperative Issues After Joint Replacement Surgery In early July, I underwent surgery for a joint replacement. After the surgery, I had X-rays and blood tests, all of which showed no issues. I was hospitalized for about a week for recovery before being discharged. After dischar...

Dr. Shi Guozheng Reply:
Your artificial joint is either a hip joint or a knee joint, and typically, improvement is seen two to three months after surgery. When you describe the artificial joint as being misaligned, is it sinking or loosening? This may require another surgery. As for whether there was ne...

Understanding Knee Issues: Bursitis, Treatment Options, and Recovery

Knee problems Dear Doctor, I had a motorcycle accident on July 26 while returning home from work. I went to the emergency room that night, where X-rays were taken of both knees and my left wrist. The doctor said there seemed to be no issues with the bones. Last week, I visited a...

Dr. Shi Guozheng Reply:
Currently, it is advisable to monitor the situation. If there is bleeding within the knee joint, it may be more comfortable to aspirate the joint fluid, which can also reduce pain. You can wait one to two months to decide whether surgery is necessary. Of course, a definitive diag...

Persistent Knee Swelling and Pain After Injury: What to Do Next?

Knee swelling and pain with bending? Hello Doctor, three weeks ago I was in a car accident where my left knee hit the ground, causing my pants to tear. I was taken to the emergency room where they performed an X-ray, and the doctor said there was no significant bone injury. They ...

Dr. Shi Guozheng Reply:
Swelling after a knee joint injury typically takes about six weeks to subside, although it may take longer for some individuals. The swelling and pain can limit the joint's ability to bend fully. During this time, analgesics and anti-inflammatory medications can be taken to ...

Non-Painful Knee Lump After Injury: When to Seek Medical Advice?

A small lump on the knee that does not go away over time but is not painful? Hello doctor, I had a motorcycle accident a year and a half ago, and I sustained a contusion (abrasion) on my right knee with a large bruise. At that time, I treated it with Betadine and applied artifici...

Dr. Li Yongheng Reply:
Hello, based on your symptoms, if there is no pain, then no special treatment is necessary. However, if you would like to be cautious and get checked, it is recommended to see an orthopedic surgeon. Thank you for your inquiry.

Understanding Knee Noises: Causes and Care Tips for Young Adults

Knee problems I would like to ask the doctor, today I noticed that when I am sitting and touch my knees, there is a cracking sound when I move my knees. This happens in both legs, but I do not feel any pain or discomfort. I would like to know what could be the reason for this, es...

Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you are experiencing either plica syndrome or patellar malalignment. Generally, these conditions are not serious, so there is no need to worry excessively. Strength training can be beneficial for maintaining knee health. Numerous...

Comprehensive Recovery Strategies for Severe Lower Limb Fractures

Open fracture of the tibia, fibula, and closed fractures of the left femoral neck, femoral shaft, and supracondylar region of the left femur. Closed fracture of the left patella? On February 27, 2018, a car accident resulted in: 1. Open fracture of the left tibia and fibula; 2. C...

Dr. Chen Yongxue Reply:
Hello, given the severity of the injury, a full recovery may be challenging. Active rehabilitation therapy should ideally wait until the bones have healed for safety; otherwise, there is a risk of re-fracture. Thank you.

Understanding Intramedullary Nail Removal After Femoral Fracture

Issues related to the removal of intramedullary nails for femoral fractures? Hello, Doctor. A year ago today, I was involved in a car accident that resulted in a closed fracture of the femoral shaft. I have been continuously monitored over the past year, and the bone has healed. ...

Dr. Li Yongheng Reply:
Hello, here are the responses to your questions: 1. Although the bone has healed, it is still recommended to wait a year and a half before removing the screws. 2. There should be no major issues. 3. Generally, crutches can be discontinued after suture removal; however, there may ...

Challenges in Femoral Fracture Healing: A Patient's Journey

Poor healing of the femur? Hello, doctor. During last year's Lunar New Year, I was involved in a car accident that resulted in an open fracture of my left femur, located in the middle of the femur near the knee (approximately 3/2 of the way down). The doctor inserted a steel...

Dr. Li Yongheng Reply:
Hello, after undergoing autologous bone grafting for poor healing of the femur, and with an additional layer of steel plate fixation, it has now been six months and only half of the bone callus has formed, while the other half shows little progress. My personal recommendation ali...

Understanding Lateral Meniscus Tears and Patellar Chondromalacia: A Patient's Guide

Lateral meniscus tear & patellar chondromalacia Hello Doctor, Background: About 2 to 3 years ago, I first tried rollerblading, and I may have had improper posture (I did not fall). Since then, I have experienced intermittent pain that persists to this day. Recently, the pai...

Dr. Li Yongheng Reply:
Hello, based on your symptoms and statements, if the MRI was conducted in 2016, I recommend that you undergo a new MRI. A lateral meniscus tear and patellar chondromalacia are completely different conditions, and their treatment methods also differ. I suggest you schedule an appo...

Understanding Shoulder Dislocation and Fracture Recovery: Common Concerns

Humeral head dislocation fracture I fell on April 4th and may have hit the wall, resulting in only a knee abrasion. However, my entire right shoulder is painful and has shifted forward. I went to the emergency room at China Medical University Hospital. After the doctor examined m...

Dr. Li Wenhong Reply:
Hello: You have symptoms of swelling, pain, and numbness. If these symptoms persist for a long time and it has been 3 months since your surgery, please return to the outpatient clinic for further evaluation. Changhua Hospital Orthopedics Dr. Li Wen-Hong.

Understanding Pyogenic Arthritis: Antibiotic Treatment and Chronic Inflammation Concerns

Pyogenic arthritis Hello, Doctor. Last time I asked about antibiotics for pyogenic arthritis. Today, during my outpatient visit, blood tests were conducted. The doctor mentioned that the acute inflammation markers have returned to normal, but the chronic inflammation markers seem...

Dr. Shi Guozheng Reply:
Pyogenic arthritis, also known as bacterial arthritis, requires treatment principles that focus on the complete eradication of bacteria. Incomplete treatment can lead to recurrent infections, so it is essential to follow medical advice. Swelling and pain are expected outcomes.

Understanding Knee and Patellar Issues: Causes and Solutions

Knee and patellar issues Hello, Doctor. For the past three months, I have been experiencing what I believe is tendonitis in my knee (I was doing deep squats and playing basketball at the time). After resting for about two months, I have been able to play basketball, run, and go u...

Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have patellar tendinopathy or patellar chondromalacia. It is recommended that you visit an orthopedic or rehabilitation clinic for an examination. Thank you for your inquiry.

Understanding Ligament Injuries: Knee Pain and Treatment Options

Ligament issues Hello, doctor. I would like to ask about an injury I sustained approximately three years ago when I was about 15 years old while playing basketball. At that time, I completely ignored it, thinking it was not serious, and continued to play with the injury for a lon...

Dr. Chen Yongxue Reply:
Hello, your current symptoms seem to be quite bothersome. Please visit the orthopedic outpatient clinic for further evaluation. We will conduct a physical examination, as well as X-rays and MRI for additional assessment. Thank you.

Understanding Inner Knee and Thigh Pain: Possible Causes and Solutions

Thigh root, knee? Hello, doctor. This issue has been going on for about two weeks. Initially, I experienced a dull pain on the inner side of my right knee. Two days later, I also started feeling soreness in the groin area of my right thigh and in the knee, intermittently, without...

Dr. Shi Guozheng Reply:
Issues with the spine or pelvis can be evaluated with an X-ray, which may clarify the cause of the popping sound in the thigh, potentially related to ligaments near the hip joint. Pain on the inner side of the knee may be associated with the ligaments or tendons around the joint....

Understanding Baker's Cyst Surgery: What to Expect and FAQs

Baker's cyst surgery (1) Will I need general anesthesia, regional anesthesia, or local anesthesia? (2) Will a urinary catheter be necessary? (3) How many nights will I need to stay in the hospital? (4) Initially, it seems that a long incision is made behind the knee, b...

Dr. Shi Guozheng Reply:
1. Local anesthesia will suffice. 2. Necessary. 3. One to two days. 4. Usually, a standard surgical method is sufficient. 5. It's not minimally invasive; you can walk the next day. Only soft tissues are affected, and the bones are not involved, so recovery is quick a...

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