Growing Pains at 17: Understanding Late Development in Teens
Growing pains at the age of 17? Hello, doctor. I will be turning 18 this October. My family members are generally not very tall, and I haven't grown much during my three years in middle school; my height is currently only 164 cm. Recently, I've noticed that sometimes wh...
Dr. Shi Guozheng Reply:
At 17 years old, the growth plates should typically have closed, so growth pain is unlikely. The knee joint pain may be due to other reasons, and your development is not considered late.[Read More] Growing Pains at 17: Understanding Late Development in Teens
Recovery Timeline and Considerations for Patellar Fractures
Patellar comminuted fracture I have a large open wound on my knee due to a car accident, and I have a comminuted fracture of the patella with one-third removed and two-thirds preserved without the use of steel pins. How long will it take for the bone to heal? How long will rehabi...
Dr. Shi Guozheng Reply:
The approximate healing time is three months, with rehabilitation lasting three to six months. There is a possibility of degenerative joint changes between the patella and femur in the future. Before complete healing, the knee joint should not be flexed excessively.[Read More] Recovery Timeline and Considerations for Patellar Fractures
Returning to Work After Patellar Fracture: Is Two Months Enough?
Can I return to work 2 months after a comminuted fracture of the patella? I was in a car accident on December 2nd of last year, resulting in a comminuted fracture of my left patella and a fractured right clavicle. I underwent surgery on December 3rd (the left patella was shattere...
Dr. Chen Yongxue Reply:
Generally, the initial healing of a fracture takes about six weeks to return to normal daily activities, and most individuals can resume exercise after three months. The letter mentions that the patella is fractured into four pieces (which is actually not too severe and not consi...[Read More] Returning to Work After Patellar Fracture: Is Two Months Enough?
Post-Surgery Complications: Unremoved Fragments in Femoral Osteochondral Fracture
After the surgery for a right femoral condyle fracture, it was found that some fragments of bone were not completely removed. Is this considered a malpractice? Dear Doctor, My mother underwent surgery for a right femoral condyle fracture, but she has been experiencing persistent...
Dr. Shi Guozheng Reply:
The cartilage on the femur is located at the knee joint or hip joint, but it is not clearly stated in the document. It does not specify how long after the surgery the patient may experience pain. Typically, there will be a varying period of time post-surgery during which pain may...[Read More] Post-Surgery Complications: Unremoved Fragments in Femoral Osteochondral Fracture
Understanding Sciatica: Causes, Symptoms, and Treatment Options
Sciatica? Hello, Doctor. Since the end of 2016, I've been experiencing a feeling of fullness in my left buttock and left thigh after sitting for a long time. There is some pain when pressure is applied to the buttock. At that time, I was diagnosed with autonomic nervous syst...
Dr. Shi Guozheng Reply:
The diagnosis from a computed tomography (CT) scan is quite accurate. Your symptoms may be related to myofascial pain syndrome. If the symptoms persist, it is recommended that you consult a neurologist.[Read More] Understanding Sciatica: Causes, Symptoms, and Treatment Options
Effective Physical Therapy Techniques to Improve O-Shaped Legs
Please advise on methods to improve bow legs (genu varum) through physical therapy or stretching? Hello, doctor. I have bow legs with a normal knee distance of about 4 cm. Although it's not severe, it appears relatively noticeable due to my height (162 cm). After researching...
Dr. Shi Guozheng Reply:
Bow legs are due to an inward bending of the knee joint (tibia vara). If there are no symptoms, it is not necessary to take any action. Currently, there are no other non-invasive treatment options. If you are concerned, you can consult an orthopedic physician to obtain X-rays to ...[Read More] Effective Physical Therapy Techniques to Improve O-Shaped Legs
Understanding Synovitis: Knee Issues After Trauma and Treatment Options
Synovitis knee issues? Hello: After being involved in a car accident, I sustained significant injuries to both knees. Once the external wounds healed, I noticed swelling on the outer sides of both knees, but there is no pain or redness, and my mobility remains unaffected. After a...
Dr. Shi Guozheng Reply:
Swelling or pain may take about two to three months to resolve on its own. Applying heat compresses is sufficient, and over time, the swelling will gradually subside.[Read More] Understanding Synovitis: Knee Issues After Trauma and Treatment Options
Understanding Knee Injuries: Symptoms, Causes, and Care Tips
Knee impact I fell on a stone path today and when I got up, I noticed that my right knee was a bit swollen and I couldn't stand straight. It hurts a lot when I try to stand up straight, and even after applying ice at home, it still feels the same. What could I have injured? ...
Dr. Shi Guozheng Reply:
Typically, direct impact to the knee joint will cause swelling and pain in the anterior patella. Ice therapy and rest are recommended for the first 24 hours, after which heat therapy can be applied, and activity can gradually resume.[Read More] Understanding Knee Injuries: Symptoms, Causes, and Care Tips
Understanding Pain Behind the Knee and Groin: Possible Causes and Solutions
Pain in the muscles behind the knee and in the groin area? Hello: After squatting for five minutes and then standing up (to have a bowel movement), I experience soreness in the back of my "right knee" as if there is a tendon that is painful, and at that moment, my knee ...
Dr. Shi Guozheng Reply:
If the muscle tendon feels tight or there is a possibility of inflammation, you can try rehabilitation. If that doesn't help, then consider consulting a physician.[Read More] Understanding Pain Behind the Knee and Groin: Possible Causes and Solutions
Understanding Knee Pain: When to Seek Medical Attention
Knee pain is a common issue? Hello doctor, in the past, I only experienced pain in my right knee (specifically on the outer side, in the recessed area) during intense exercise or after walking for long periods. However, in the last two to three weeks, I've started to feel sh...
Dr. Chen Yongxue Reply:
Hello, if you are experiencing discomfort in your knee joint, please visit the outpatient clinic for further examination. Thank you.[Read More] Understanding Knee Pain: When to Seek Medical Attention
Understanding Post-Operative Recovery for PCL Reconstruction and Meniscus Repair
Postoperative Outcomes and Differences After Anterior Cruciate Ligament Reconstruction Hello, doctor. I was in a car accident six months ago, and it was only recently discovered through examinations that I have a complete tear of the posterior cruciate ligament (PCL), a partial t...
Dr. Shi Guozheng Reply:
1. The limitation of knee joint flexion may take a bit longer. 2. The duration for wearing a brace should be discussed with the surgeon to understand the specifics of the procedure; it is typically three to six months. 3. Meniscus repair generally requires about six weeks of ...[Read More] Understanding Post-Operative Recovery for PCL Reconstruction and Meniscus Repair
Understanding Anterior Knee Pain: Patellar Tendonitis vs. Osgood-Schlatter Disease
Anterior knee pain During high school, while coaching the basketball team, I encountered a player with anterior knee pain (diagnosed as inflammation at the distal patellar tendon insertion on the tibial tuberosity). This is likely patellar tendinitis, right? Or could it also be O...
Dr. Shi Guozheng Reply:
X-rays can reveal changes in the bones associated with Osgood-Schlatter disease, whereas simple patellar tendinitis does not show any bone changes. In high school-aged individuals, pain may also be due to changes in the bones, so it is advisable to consult a physician for an exam...[Read More] Understanding Anterior Knee Pain: Patellar Tendonitis vs. Osgood-Schlatter Disease
Knee Bruising and Pain After Car Accident: What You Need to Know
Bruising on the knee after a car accident has not improved? I had a car accident around August, and my knee was injured. At that time, there were surface abrasions and bruising. The abrasions healed, but the bruise has turned dark and has not improved since then. Additionally, my...
Dr. Shi Guozheng Reply:
Knee joint contusions typically result in bruising that resolves in about four weeks. If there is a larger accumulation of blood, the resolution time may be longer. Pain may be due to incomplete tissue healing. Applying heat can be beneficial; however, if there are concerns about...[Read More] Knee Bruising and Pain After Car Accident: What You Need to Know
Is PRP Injection Necessary for Long-Lasting Ligament Injury?
Ligament rupture Hello Doctor: Six months ago, I twisted my knee while skiing. Since then, I have been swimming and cycling, but I often feel pain on the inner side of my knee. Last week, the pain became unbearable, so I went to see a doctor. After an ultrasound, the doctor found...
Dr. Cai Shanglin Reply:
If the pain is severe, you may consider corticosteroid injections (covered by health insurance).[Read More] Is PRP Injection Necessary for Long-Lasting Ligament Injury?
Can You Still Grow Taller If Wrist Growth Plates Are Closed?
Growth plate issues If the growth plate in the wrist has already closed, but the growth plate in the knees has not, is there still a chance for further height increase?
Dr. Hong Ximing Reply:
If the growth plates in the knees have not yet closed, theoretically, there should still be an opportunity for growth in height.[Read More] Can You Still Grow Taller If Wrist Growth Plates Are Closed?
Understanding White Spots on Knee X-rays: Causes and Treatment Options
The X-ray of the knee shows white spots? Hello Doctor, five years ago I slipped and hit my knee. Recently, I have been experiencing knee pain for the past 2-3 months, and when the pain occurs, I am unable to walk. An X-ray showed white masses in the front and back of the knee. Th...
Dr. Shi Guozheng Reply:
Without seeing the X-ray, it's difficult to determine if the white spot could be calcification or other types of crystals. If the joint continues to experience pain and swelling, it needs to be addressed. If it's a sarcoma, a hard mass is usually palpable.[Read More] Understanding White Spots on Knee X-rays: Causes and Treatment Options
Managing Bilateral Femur Fractures: Common Concerns and Aids
Bilateral femoral fractures? Hello, I have the following questions: 1. Is it normal to occasionally hear a cracking sound in the knee area 1 to 3 days after both thighs have been fractured and the physician has realigned them? 2. When moving to an outpatient clinic after simult...
Dr. Li Yongheng Reply:
If both thighs are fractured simultaneously, the medical recommendations will vary depending on the location of the fractures and the degree of displacement. However, at a minimum, you will need to use a wheelchair for mobility assistance.[Read More] Managing Bilateral Femur Fractures: Common Concerns and Aids
Understanding Lumbar Pain: Causes and Solutions for Right-Side Discomfort
Lumbar pain Hello, doctor. Recently, while doing core exercises, I performed an air bicycle training movement. Every time I bend my right knee and extend my right leg forward, I feel a clicking sensation in my right lumbar spine along with some soreness. However, when I extend my...
Dr. Wang Shouji Reply:
It is recommended to undergo an X-ray examination of the lumbar spine.[Read More] Understanding Lumbar Pain: Causes and Solutions for Right-Side Discomfort
Understanding Knee Pain: Possible Injuries and When to Seek MRI
Knee problems Hello, Doctor: I am currently unable to squat all the way down; I can squat, but I experience a soreness sensation. Additionally, when I stand straight, there is a clicking and slight pain on the right side of my anterior cruciate ligament (ACL). Sometimes I feel pa...
Dr. Shi Guozheng Reply:
If the meniscus is injured and torn, clinically there may be a locking sign symptom. Physical examination may reveal sudden pain due to locking, and sometimes there may be effusion in the joint. The range of motion will be reduced. If the symptoms do not improve, it is advisable ...[Read More] Understanding Knee Pain: Possible Injuries and When to Seek MRI
Post-ACL Reconstruction: Safe Weight Training and Exercise Intensity
Post-recovery exercise intensity after anterior cruciate ligament (ACL) tear? Hello, doctor. About three years ago, I suffered a rupture of my right posterior cruciate ligament and underwent arthroscopic ligament reconstruction and rehabilitation. Recently, during a military phys...
Dr. Hong Ximing Reply:
After a successful reconstruction surgery for a torn cruciate ligament, recovery is generally good, and it should be possible to engage in weight training to strengthen muscles, which can further enhance joint stability. However, it is important to proceed with caution and be min...[Read More] Post-ACL Reconstruction: Safe Weight Training and Exercise Intensity