Understanding Recovery After Intramedullary Nail Removal in Femur Fractures
Removal of intramedullary nail from the femur? Hello, doctor. I am 23 years old and four years ago, I underwent surgery for femoral fractures in both legs due to a car accident, during which intramedullary nails were inserted. I am now considering having them removed. Will the re...
Dr. Shi Guozheng Reply:
1. Recovery after the removal of intramedullary nails is usually quick. 2. Weight-bearing on both feet should be resumed within a week. 3. Knee adhesions will not have any impact. 4. It will take about one to two months.[Read More] Understanding Recovery After Intramedullary Nail Removal in Femur Fractures
How to Reduce Knee Wear for Marathon Training with Bow Legs
I want to participate in a marathon? I have bow legs, and my knees make a popping sound when I bend them. I am 170 cm tall and weigh 70 kg. For my health, I have decided to start running, and I plan to participate in a marathon in the future. However, since my knees make a poppin...
Dr. Shi Guozheng Reply:
You can wear a knee brace, but avoid choosing races that are too long. It's important to practice gradually and not to jump into long races all at once.[Read More] How to Reduce Knee Wear for Marathon Training with Bow Legs
Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery
Posterior cruciate ligament (PCL) tear? Recently, I had a motorcycle accident and my knee and calf are swollen and painful. I went to an orthopedic doctor and had an MRI done. Doctor, could you tell me if this is serious? Here are the findings: Examination: Non-contrast MRI of ...
Dr. Shi Guozheng Reply:
A posterior cruciate ligament (PCL) tear occurs when the ligament is torn along with the bone at the back of the tibia, resulting in a type of avulsion fracture. This can be treated surgically using bone screws to reattach the ligament. It is advisable to consult with a physician...[Read More] Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery
Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Cyst after anterior cruciate ligament reconstruction? Hello, Doctor. Last November, after school, I had an accident while riding my electric scooter and slipped on construction sand. At that time, my backpack was heavy, and I was carrying other items. I realized I was going to fa...
Dr. Chen Yongxue Reply:
Hello, PVNS is actually quite rare. To confirm the diagnosis, it is essential to rely on the pathology report. PVNS should exhibit specific characteristics in MRI imaging and arthroscopic examination, especially during arthroscopy, where very distinctive colors are observed, maki...[Read More] Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Post-Hip Replacement Surgery: Understanding Leg Weakness and Nerve Issues
Inability to lift the leg after total hip replacement surgery? After undergoing right total hip arthroplasty, there is a sensation of numbness extending from the front of the thigh to the front of the calf on the right leg. When walking without straightening the leg, the knee fee...
Dr. Shi Guozheng Reply:
Rehabilitation or neurology departments can conduct strength training to improve muscle function. Additionally, taking active vitamin B12 may provide some benefits.[Read More] Post-Hip Replacement Surgery: Understanding Leg Weakness and Nerve Issues
Understanding Knee Bumps: Causes, Symptoms, and Treatment Options
Knee problems Hello, Doctor! When I was in elementary school, I fell while playing sports, and shortly after, I felt a bone protruding from my knee. Since it didn't hurt, I didn't see a doctor. However, when I became aware of the bone protrusion, it became very painful ...
Dr. Shen Boquan Reply:
Hello Ms. Dai, I am unsure whether your current discomfort is due to pain or bone protrusion. Pain from bone protrusion can be alleviated through rest or anti-inflammatory pain medications. Surgical removal may be necessary to address the protrusion. Avoiding kneeling or squattin...[Read More] Understanding Knee Bumps: Causes, Symptoms, and Treatment Options
Understanding Knee Surgery Options: Traditional vs. Minimally Invasive
Knee joint surgery-related issues? Hello, doctor. My family member underwent traditional total knee replacement surgery over a month ago and has been experiencing significant soreness and discomfort postoperatively. We are concerned about the possibility of surgical failure. Howe...
Dr. Shi Guozheng Reply:
1. Currently, most physicians perform total knee arthroplasty using a minimally invasive approach, and they usually explain this to the patients beforehand; communication is essential. 2. Minimally invasive surgery involves smaller incisions, less muscle dissection, and reduced...[Read More] Understanding Knee Surgery Options: Traditional vs. Minimally Invasive
Understanding Left Lower Back Pain After Sleep: Causes and Solutions
Waking up with pain in the left lower back? Hello, I recently woke up with significant soreness in a spot just above my left lower back, around the area of the pelvis. However, once I get up and start moving, I feel completely fine. I've been sleeping on the same bed for a w...
Dr. Wang Shouji Reply:
You can inquire about consultations at the outpatient clinic.[Read More] Understanding Left Lower Back Pain After Sleep: Causes and Solutions
Managing Pain and Swelling After Patellar Fracture Rehabilitation
Patellar swelling and pain? I had a car accident on September 15, resulting in a right clavicle fracture and a left patellar fracture. I would like to ask about the rehabilitation; the doctor said I could do it at home. However, after almost a month of rehabilitation, I can only ...
Dr. Shi Guozheng Reply:
Patellar fractures, if not treated surgically, typically take about three months to heal. After approximately one month, achieving a range of motion up to 90 degrees is reasonable, and it can be gradually increased. For pain relief, analgesics can be taken, and alternating hot an...[Read More] Managing Pain and Swelling After Patellar Fracture Rehabilitation
Understanding Recovery Time After a Comminuted Fracture and Fixation Removal
Comminuted fracture Doctor, I had a car accident on May 31 and suffered a comminuted fracture, for which I had an external fixation device placed on my thigh, knee, and ankle. How long will it take to regain normal mobility after the device is removed? The bones have not been hea...
Dr. Shi Guozheng Reply:
It may take more than six months to regain normal mobility after a comminuted fracture, as the healing process is slower and bone regeneration is not significantly related to the fixation device. If the device is removed before healing is complete, the bone will not heal properly...[Read More] Understanding Recovery Time After a Comminuted Fracture and Fixation Removal
Chronic Ankle Pain: A Journey Through Misdiagnosis and Treatment
Ankle pain lasting over a year, with each episode of pain not exceeding one minute? The initial foot pain began over a year ago when I accidentally twisted my ankle after not noticing a pothole. Since I had a habit of treating ankle sprains with traditional Chinese medicine, I ap...
Dr. Chen Yongxue Reply:
Hello, based on your letter, it does not seem to be an issue related to autoimmune rheumatism. You should visit an orthopedic clinic for further examination. If the orthopedic evaluation shows no issues, it is recommended to see a rehabilitation specialist for further rehabilitat...[Read More] Chronic Ankle Pain: A Journey Through Misdiagnosis and Treatment
Understanding Meniscus Repair, ACL Fold Repair, and Hyaluronic Acid Injections
Meniscus repair and anterior cruciate ligament (ACL) fold repair, confusion regarding the number of hyaluronic acid injections for hip displacement? Hello, Doctor. Due to a sports injury, my right knee MRI has shown that I need to undergo meniscus repair and anterior cruciate lig...
Dr. You Dianqi Reply:
Each type of hyaluronic acid treatment is different; please discuss with your attending physician. Thank you.[Read More] Understanding Meniscus Repair, ACL Fold Repair, and Hyaluronic Acid Injections
Can You Climb Stairs After Extracorporeal Shock Wave Therapy for Knees?
Can I go up and down stairs after extracorporeal shock wave therapy for both knees? Dear Dr. Zhan, I would like to ask you about undergoing extracorporeal shock wave therapy on both of my knees. The issue with my right knee is more severe, and it will receive 1500 pulses, while ...
Dr. Zhan Xian Reply:
Hello, you can go up and down the stairs, but do not overdo it. Wishing you safety![Read More] Can You Climb Stairs After Extracorporeal Shock Wave Therapy for Knees?
Persistent Knee Pain After Years: Seeking Advanced Treatment Options
Pain behind the left knee joint for N years, unable to walk for long periods (about 30 minutes before pain occurs)? 1. I have consulted with the orthopedic departments at Shuang Ho Hospital, Veterans General Hospital, and Tri-Service General Hospital. They have all recommended me...
Dr. You Dianqi Reply:
Pain behind the knee can have various causes, including trauma, sports injuries, knee degeneration, poor posture, prolonged sitting or standing, and damage to the lumbar spine or posterior cruciate ligament. It is advisable to undergo a thorough examination and then treat accordi...[Read More] Persistent Knee Pain After Years: Seeking Advanced Treatment Options
Understanding Knee Sensations: When to Seek Medical Attention
Knee problems Hello Doctor, Recently, I have suddenly felt a sensation in my left knee while walking, as if there is something (like a bandage or dressing) sticking to my knee. When I touch my knee, it doesn't hurt, but it feels a bit numb. Additionally, I have observed th...
Dr. Shi Guozheng Reply:
There may be an issue with the patella; it is advisable to visit a hospital for an examination.[Read More] Understanding Knee Sensations: When to Seek Medical Attention
Overcoming Knee Stiffness After Steel Pin Surgery: Tips and Insights
Nail problems Hello, doctor. I would like to ask about my knee injury caused by an accident. I currently have metal screws in my knee, and it has been about two to three years since the injury. During this time, I have been able to exercise and walk normally without pain. The onl...
Dr. Shi Guozheng Reply:
Try rehabilitation to see if the steel pins in the knee joint affect mobility, and then consult the surgeon to inquire if the pins can be removed.[Read More] Overcoming Knee Stiffness After Steel Pin Surgery: Tips and Insights
Does Bone Necrosis Affect Height Development in Gout Patients?
Does bone necrosis affect height development? Earlier this year, I experienced sudden pain and swelling in my arches and the tops of my feet. When there is no pain, there is slight swelling and discomfort in the posterior part of the arch, especially after standing for long perio...
Dr. Shi Guozheng Reply:
1. Gout does not cause bone necrosis. 2. It does not affect height in the ankle region; however, it can impact height if it occurs in the hip or knee joints.[Read More] Does Bone Necrosis Affect Height Development in Gout Patients?
Effective Treatments for Chronic Pain in the Spine and Joints
Treatment options for chronic pain in the lumbar spine, cervical spine, and knees? I would like to ask about an issue I experienced over six years ago. Due to prolonged sitting, I had severe lower back pain and a tingling, electric shock-like sensation in one leg, which was so in...
Dr. Shi Guozheng Reply:
1. It could be a steroid. 2. The physician administering the injection would know best. 3. If it is a localized tendonitis, an injection can be administered.[Read More] Effective Treatments for Chronic Pain in the Spine and Joints
Understanding MRI Reports: Insights on PCL Injury and Reconstruction
Can you help interpret an MRI report? Right knee MRI consisted of multiplanar T1 and T2 weighted images with multiple sequences showing: > PCL injury, status post PCL reconstruction. > Ligamentous edema of the PCL is noted. > Fluid collection within the knee joint. > ...
Dr. Shi Guozheng Reply:
The MRI results indicate a rupture of the posterior cruciate ligament in the right knee, with edema present in the posterior cruciate ligament following reconstruction surgery.[Read More] Understanding MRI Reports: Insights on PCL Injury and Reconstruction
Post-Operative Care for Patellar Fracture: Rehabilitation and Concerns
Postoperative care for patellar fracture? Hello, Doctor. At the end of last month, I slipped in the bathroom and my knee directly hit the ground, causing a fracture of the patella into two pieces. I have had it fixed with wires at the hospital and am currently undergoing rehabili...
Dr. Shi Guozheng Reply:
After the surgery for a fractured bone, it is important to protect the area for a period of time. Premature bending movements may cause the fracture site to separate. It is essential to wait until complete healing occurs before fully bending the knee joint. Ice therapy can be app...[Read More] Post-Operative Care for Patellar Fracture: Rehabilitation and Concerns