Knee Issues After Car Accident: Understanding Pain and Recovery
Knee issues after a car accident? Hello, Doctor. Five months ago, I suffered a left femoral fracture due to a car accident. I have been undergoing physical therapy for two months, primarily focusing on knee flexion rehabilitation. The angle has improved to nearly match my healthy...
Dr. Li Yongheng Reply:
Hello: 1. Femoral fractures are often associated with injuries to the knee's cruciate ligaments, with clinical manifestations primarily including weakness and instability in the affected limb. It is recommended to perform magnetic resonance imaging (MRI) for evaluation. 2. A...[Read More] Knee Issues After Car Accident: Understanding Pain and Recovery
Managing Pain from Rectal Cancer Metastasis to the Femur
Rectal cancer metastasis to the femur? Hello Doctor: I am a 52-year-old female patient with rectal cancer. I underwent surgery and oral chemotherapy last year, and this year I discovered bone metastasis (in the right thigh). In May, I had surgery to implant a steel rod to prevent...
Dr. Chen Yongxue Reply:
Hello: Malignant tumors that metastasize to the bones can cause insufficient support and pain. Typically, intramedullary nails or plates are used to enhance support. If the pain is severe, analgesics can be used, and if necessary, morphine may also be administered. Additionally, ...[Read More] Managing Pain from Rectal Cancer Metastasis to the Femur
Understanding ACL Tears and Meniscus Damage: Treatment Options Explained
Artificial ligament rupture/meniscus tear Hello, Doctor. I was injured in a car accident in 1991, resulting in the replacement of the anterior cruciate ligament (ACL) and lateral ligaments in my left knee with artificial ligaments. An MRI in April 2017 revealed that the ACL in my...
Dr. Shi Guozheng Reply:
Not removing the ligament will not affect the wear of the cartilage. Depending on your age, if you are not engaging in vigorous activities, surgery may not be necessary. Rehabilitation to strengthen the muscles can help reduce knee joint instability.[Read More] Understanding ACL Tears and Meniscus Damage: Treatment Options Explained
Understanding Ganglion Cyst Rupture: Causes, Symptoms, and Care
Suspected rupture of a ganglion cyst..? A child suddenly developed a lump the size of a ping pong ball above the left knee, which is not painful. An orthopedic specialist diagnosed it as a ganglion cyst and recommended surgery. However, two days later, while playing at an amuseme...
Dr. Wang Shouji Reply:
Hello: If a tendon sheath cyst is compressed forcefully, it may temporarily disappear. If there are no symptoms, no treatment is necessary at this time; management can be considered when symptoms arise.[Read More] Understanding Ganglion Cyst Rupture: Causes, Symptoms, and Care
Understanding Growth Plates and Bone Age Development in Children
Growth plates and bone age? I would like to ask the doctor if the growth plates and bone age development are synchronized. If the bone age is younger than the actual age, does that mean the growth plates close more slowly? Until what age should shorter children have their bone ag...
Dr. Wang Shouji Reply:
Hello: Everyone develops at different rates, and generally, girls mature earlier than boys. If you want to assess bone age, an X-ray of the knees and pelvis should provide a good estimate. It is recommended to check if a child is shorter than their peers by the time they reach mi...[Read More] Understanding Growth Plates and Bone Age Development in Children
Sudden Knee Pain After Sprinting: Causes and Solutions
Sudden running can lead to knee pain? Hello doctor, today after class I had to rush to catch a bus, so I ran for about a minute. When I got home and went up the stairs, I didn't feel anything unusual. However, when I went downstairs to take out the trash, my left knee sudden...
Dr. Shen Boquan Reply:
If there is no significant impact or trauma, it is unlikely that the bones are injured. However, you may experience pain, which could indicate injury or inflammation of the tendons, ligaments, or even cartilage. If the pain persists after a few days or if it severely interferes w...[Read More] Sudden Knee Pain After Sprinting: Causes and Solutions
Do I Need to Serve in the Military After a Leg Injury?
Military service medical examination question - If I have previously fractured my femur, do I still need to serve in the military? I had a car accident around the end of June last year, which resulted in the insertion of an intramedullary nail and rehabilitation. However, the int...
Dr. Ye Qingnian Reply:
It should be evaluated by specialized personnel and physicians.[Read More] Do I Need to Serve in the Military After a Leg Injury?
Can Patellar Malalignment Cause Chondromalacia Without External Displacement?
Patellar malalignment is not a prerequisite for developing patellar chondromalacia? Hello doctor, I experienced sudden pain above my right patella at the beginning of November. Initially, I thought it was tendonitis, but after a long time, there hasn't been significant impro...
Dr. Shi Guozheng Reply:
Patellar malalignment may occur without external rotation, and chondromalacia can still be present. If there is external rotation, it can increase the pressure on the patella, leading to more pain or discomfort. Maintaining proper sitting posture can help prevent bone and joint i...[Read More] Can Patellar Malalignment Cause Chondromalacia Without External Displacement?
Choosing the Right Knee Brace After a Car Accident: A Guide for Recovery
How to choose a knee brace after an injury from a car accident? About three years ago, I was involved in a motorcycle accident when I collided with a car door that was opened while parked. I was taken to the hospital by ambulance, where I underwent surgery for a left knee meniscu...
Dr. Xie Hongjia Reply:
Hello, Miss Mischievous: Joint fractures often lead to joint wear issues, which can cause pain. It is advisable to use a standard knee brace for protection. For internal fixation devices, it is generally recommended for younger individuals to have them removed, but this may vary ...[Read More] Choosing the Right Knee Brace After a Car Accident: A Guide for Recovery
Understanding Recovery from Comminuted and Open Fractures: What to Expect
Comminuted fractures of the thigh and knee with open fractures? I apologize, but I have suffered a comminuted and open fracture in my thigh and knee, and it has been exactly two months. The doctor said that I can start rehabilitation in another month. My parents are saying that I...
Dr. Wang Shouji Reply:
Hello: The management of comminuted and open fractures depends on the presence of infection and the status of bone healing. Generally, if there is no infection and the fracture is healing well, with no severe damage to the joint, most patients can regain over 90% of their origina...[Read More] Understanding Recovery from Comminuted and Open Fractures: What to Expect
Can Long-Term Cane Use Cause Wrist Damage? Understanding the Risks
I would like to ask if long-term use of a cane can cause harm to my wrist? I recently injured my knee, and it took nearly six months of rehabilitation for my meniscus damage to heal. I have been using a cane for assistance, but recently I've noticed that my wrist often feels...
Dr. Shi Guozheng Reply:
Using a cane can indeed increase pressure on the wrist joints. When pain occurs, it indicates overuse. It is advisable to take appropriate rest, apply heat, or take some anti-inflammatory medications. The duration of use should not be excessive each day. Of course, if the knee jo...[Read More] Can Long-Term Cane Use Cause Wrist Damage? Understanding the Risks
Can Knee Movement Affect Healing After a Leg Fracture?
Tibia fracture I fell and fractured both bones in my lower leg. After surgery, my cast extended above the knee. However, after half a month, it was changed to a cast below the knee. Will I be able to move my knee? Will moving my knee frequently cause the bones to heal improperly?
Dr. Ye Qingnian Reply:
If the fracture is located at the distal end of the tibia, a cast can be applied below the knee joint, allowing for knee joint mobility. Movement of the knee joint will not cause the fracture to misalign, but it is important to follow the attending physician's instructions. ...[Read More] Can Knee Movement Affect Healing After a Leg Fracture?
Understanding Knee Pain: Causes and Solutions for Runners
Knee pain Hello, doctor. A few days ago, I did some running exercises, and today when I got up from the chair, I felt a tight sensation in my right knee, accompanied by pain and weakness.
Dr. Shi Guozheng Reply:
If the pain is located inside the knee, it may be an issue with the cartilage. If the pain is around the outside of the kneecap, it could be related to the ligaments. Usually, resting for a few days will lead to recovery, but if the pain persists, it is necessary to see a doctor ...[Read More] Understanding Knee Pain: Causes and Solutions for Runners
Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Knee issues I have been experiencing pain above my right knee for two weeks. The pain feels like a needle prick and worsens when going up and down stairs or when getting up from a seated position. I have researched online and suspect it might be quadriceps tendinitis. I don'...
Dr. Hong Ximing Reply:
Hello: Pain above the knee for two weeks may be due to osteomalacia of the hip. Going up and down stairs tends to be more painful. During this time, it is advisable to minimize pressure on the knee and avoid stairs as much as possible. With time, it should gradually improve. Wish...[Read More] Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Post-Surgery Knee Cartilage Damage: What to Expect and Next Steps
Knee cartilage tear, post-surgery? Hello Doctor, I am currently 23 years old. It has been a year since I underwent cartilage debridement surgery. The surgeon mentioned that my left knee cartilage was severely damaged, but did not provide any follow-up treatment plan. Now, a year ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, you should return to the original surgical hospital and consult with your primary surgeon to clarify whether your meniscus tear was treated with partial meniscectomy or meniscus repair surgery. The feeling of looseness in your knee may be related to...[Read More] Post-Surgery Knee Cartilage Damage: What to Expect and Next Steps
Knee Issues After Tibial Fracture: Recovery and Rehabilitation Tips
Knee issues following a tibial fracture? Hello, I had a car accident on October 1st, resulting in an open fracture of the tibia and fibula in my right lower leg. That night, I underwent surgery for intramedullary nailing of the tibia. I was able to get out of bed on October 3rd a...
Dr. Shi Guozheng Reply:
Surgical treatment for tibial fractures often involves the use of intramedullary nails, with the entry point located at the proximal tibia near the knee joint. This typically requires an incision through the patellar tendon to insert the nail. Occasionally, this may irritate the ...[Read More] Knee Issues After Tibial Fracture: Recovery and Rehabilitation Tips
Understanding Post-Surgery Symptoms After Lumbar Decompression
Lumbar decompression surgery Dear Vice Dean Li, I have an 82-year-old elder at home who has been experiencing left leg numbness (from the back of the left knee down to the sole of the foot) for over a decade. Additionally, there is a burning sensation on the dorsum of the foot, ...
Dr. Li Yongheng Reply:
Hello, your 82-year-old family member underwent lumbar decompression surgery on the fourth and fifth lumbar vertebrae two months ago. If there has been no improvement in symptoms at all, it is indeed somewhat unusual. Typically, after decompression surgery, there should be some d...[Read More] Understanding Post-Surgery Symptoms After Lumbar Decompression
Understanding Anesthesia-Assisted Manual Manipulation for Knee Recovery
The issue of manual mobilization under anesthesia? Hello Doctor, I had a car accident three and a half months ago that resulted in a femur fracture. After surgery, my knee cannot bend properly. Although I have been undergoing physical therapy, the range of motion returns to its o...
Dr. Li Yongheng Reply:
Hello, you have had a femoral fracture for three and a half months, and currently, your knee cannot bend normally. Manual mobilization under anesthesia is an appropriate treatment. Typically, intravenous medication is administered, and once the patient is anesthetized, the manual...[Read More] Understanding Anesthesia-Assisted Manual Manipulation for Knee Recovery
Knee Weakness and Pain: Understanding the Impact of Past Injuries and Obesity
Knee weakness in a kneeling position? Hello, doctor. When I was in elementary school, I had several falls that left scars on both of my knees. Since then, my knees have been weak in a kneeling position, causing my body to lean forward. I'm not sure what issues my knees might...
Dr. Li Yongheng Reply:
Hello, if your knees are in a kneeling position and feel weak, your body may tilt forward, necessitating further examination to determine whether the issue lies with the knee or hip. Additionally, if you feel like you are going to fall backward after taking just a few steps up th...[Read More] Knee Weakness and Pain: Understanding the Impact of Past Injuries and Obesity
Understanding Ligament Reconstruction: When Is Surgery Necessary?
Regarding ligament reconstruction? Hello, doctor. I have been experiencing abnormal pain in my left foot, so I went to see an orthopedic specialist. The doctor mentioned that both my knee and ankle are relatively loose. After taking X-rays, the doctor suspects that I have a ligam...
Dr. Li Yongheng Reply:
Hello, generally speaking, with proper rehabilitation to strengthen muscle strength, ligament laxity can often improve. However, if physical therapy does not lead to improvement, long-term reliance on braces for protection or ligament reconstruction surgery may be necessary. Wish...[Read More] Understanding Ligament Reconstruction: When Is Surgery Necessary?