Do You Need the Same Surgeon for Plate Removal After Injury?
Does the removal of steel plates and screws need to be performed by the same physician? Hello Doctor: I was involved in a car accident in Hualien on April 9th of this year and was hospitalized. I underwent surgery on April 10th, and my diagnoses were: 1. Medial proximal tibial fr...
Dr. Shi Guozheng Reply:
The removal of the steel plate does not necessarily have to be performed by the same physician; as long as a physician at the hospital you are visiting is willing to perform the surgery, it is acceptable. Injury to the common peroneal nerve causing foot drop may not recover, and ...[Read More] Do You Need the Same Surgeon for Plate Removal After Injury?
Rehabilitation After Right Tibial Plateau Fracture with ACL Tear
Right tibial plateau fracture with anterior cruciate ligament tear? Right tibial plateau fracture with anterior cruciate ligament tear (a piece of bone from the anterior cruciate ligament at the tibia was elevated, and two screws were used to fix the bone) post-operative 6 weeks....
Dr. Chen Yongxue Reply:
Hello, based on your description, it seems to be a tear of the anterior cruciate ligament (ACL) with an associated fracture. After stabilization of the fracture, it will take approximately six to eight weeks to achieve initial healing. During this time, rehabilitation exercises s...[Read More] Rehabilitation After Right Tibial Plateau Fracture with ACL Tear
Should You See a Doctor for Knee Pain After a Jump?
Knee issues If I jumped down from about five steps and felt a lot of pain, and the next day I still have some soreness, should I see a doctor?
Dr. Shi Guozheng Reply:
If the pain persists, you must go to the hospital for an examination. If you are able to move normally after a few days, there may be no need to see a doctor. However, you should carefully observe whether your knee can move freely and check for any pain points or swelling.[Read More] Should You See a Doctor for Knee Pain After a Jump?
Swollen Ankle After Bike Accident: Causes and Concerns
Swelling of the foot after a car accident? Dr. Chen, I would like to ask you a question. Last week, I fell off my bike and scraped my knee. A week later, the ankle on the injured leg has swollen, but I did not injure my ankle. What could be the reason for this? Is it serious? Tha...
Dr. Chen Yongxue Reply:
Hello, the blood circulation in the lower limbs relies on arteries to deliver blood downward, and then on muscle contractions to return venous blood to the heart. Typically, in an injured lower limb, the use of muscles significantly decreases, reducing the ability to push blood b...[Read More] Swollen Ankle After Bike Accident: Causes and Concerns
Understanding Health Insurance Coverage for Knee Replacement Surgery
What are the criteria for eligibility for health insurance coverage? Hello Doctor: My symptoms are as follows: The cartilage in my right knee has worn down to about 2-3 mm, while the cartilage in my left knee has worn down to 0, making the left knee more severe. I have been evalu...
Dr. Hong Ximing Reply:
Due to the inability to view your X-ray, I cannot provide a definitive answer. Please consult your attending physician for further details.[Read More] Understanding Health Insurance Coverage for Knee Replacement Surgery
Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Knee pain Hello Doctor, I am currently a senior in college. During a practice session in my sophomore year, I suddenly lost sensation below my knee while running and almost fell. After resting for a while, I felt fine, but since then, I have experienced intermittent pain in my kn...
Dr. Hong Ximing Reply:
Based on the symptoms you described, it is likely that you are experiencing patellar chondromalacia due to exercise, and initial X-rays may not show any changes. It is advisable to minimize vigorous activities, avoid prolonged stair climbing, and limit squatting to prevent premat...[Read More] Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Understanding PVNS: Treatment Options and Risks for Knee Recurrence
Pigmented Villonodular Syn Hello Doctor: I have undergone MRI scans at China Medical University in Taichung and Taipei Veterans General Hospital, both confirming a diagnosis of pigmented villonodular synovitis (PVNS). Previously, I had an arthroscopy performed at China Medical Un...
Dr. Shi Guozheng Reply:
1. PVNS often recurs; it has been over six months since the surgery in October, and it should still be manageable unless the symptoms are severe and affect function. 2. If the articular cartilage is ultimately damaged, there is a higher likelihood of needing knee arthroplasty co...[Read More] Understanding PVNS: Treatment Options and Risks for Knee Recurrence
Understanding Knee Pain: Recovery, Rehabilitation, and Treatment Options
Knee pain Hello, Doctor. At the end of March, I went hiking on Yangmingshan without wearing knee braces or using trekking poles. After returning home, my knee felt strange, but I didn't think much of it. However, after a month, the pain intensified, making it painful to go u...
Dr. Shi Guozheng Reply:
Knee pain after hiking is mostly due to tendon or ligament inflammation, and some cases may be caused by patellar wear. First, you need to confirm the diagnosis with a physician. If it is tendon or ligament inflammation, rest and medication will help improve the condition, along ...[Read More] Understanding Knee Pain: Recovery, Rehabilitation, and Treatment Options
Best Shoes for Achilles Tendonitis: Choosing the Right Support
What type of shoes should be worn for Achilles tendonitis? What type of shoes should be worn for Achilles tendonitis and foot muscle inflammation? How should one choose knee and ankle braces?
Dr. Shi Guozheng Reply:
Achilles tendinitis, also known as inflammation of the Achilles tendon, is often associated with friction. It may be related to prolonged rubbing of the tendon by shoes, so it is recommended to temporarily wear shoes without a heel to avoid friction on the Achilles tendon. Additi...[Read More] Best Shoes for Achilles Tendonitis: Choosing the Right Support
Understanding Loose Knee Ligaments: Treatment Options and Recovery Time
Knee ligament laxity? I have dislocated my kneecap twice. On Saturday, I saw a doctor who said that the ligaments in my knee are loose, preventing the bone from stabilizing. The doctor suggested surgery to tighten the knee or resting and wearing a knee brace. However, due to work...
Dr. Shi Guozheng Reply:
Are you referring to patellar lateralization or subluxation? The degree of displacement and the severity of symptoms are important factors to consider. If wearing a knee brace improves the condition, then surgery may not be necessary. However, if there is already joint surface we...[Read More] Understanding Loose Knee Ligaments: Treatment Options and Recovery Time
Managing Knee Injuries: Patellar Healing and ACL Reconstruction Options
Patellar tendon and posterior cruciate ligament (PCL) of the knee? I would like to ask about my knee condition after a previous car accident that resulted in three broken bones, which have healed. However, my patella has not fully healed yet, and there is still a small crack. The...
Dr. Chen Yongxue Reply:
It is recommended to focus on ligament reconstruction, typically performed at least three weeks after the injury for better outcomes. Prior to surgery, the main goal should be to reduce swelling. Additionally, strengthening exercises for the quadriceps are crucial to prevent musc...[Read More] Managing Knee Injuries: Patellar Healing and ACL Reconstruction Options
Understanding Knee Weakness After Basketball: Causes and When to Seek Help
Knee weakness Doctor, I played a basketball game yesterday and my knee felt normal during the game. However, after the game, I was unable to put weight on my knee. This morning, I also couldn't bear weight on it. I can still walk, but it's slow because my knee feels wea...
Dr. Shi Guozheng Reply:
It is normal to experience weakness in the legs or knee joints after intense exercise. However, if this weakness is accompanied by pain that does not subside after two to three days, it may be necessary to see a physician.[Read More] Understanding Knee Weakness After Basketball: Causes and When to Seek Help
Managing Tight Leg Muscles in Seniors: Solutions for Squatting Difficulties
Father has very tight calf muscles and is unable to get up after squatting down? Hello, Dr. Hong. My father is nearly 70 years old and works in agriculture, which makes him quite fatigued. He often squats and bends over to lift heavy objects. Previously, he experienced issues wit...
Dr. Hong Ximing Reply:
Based on your description, it seems you may have age-related degenerative joint disease affecting the spine and both knees. It is recommended to visit a hospital for X-rays and then consult with your attending physician regarding a treatment plan.[Read More] Managing Tight Leg Muscles in Seniors: Solutions for Squatting Difficulties
Understanding Shin Pain: Causes, Symptoms, and Relief Options
Tibial pain Hello Doctor: Last night, I noticed unexplained pain in the mid-anterior region of my tibia, along with a feeling of tightness in my knee and the muscles in the front of my lower leg. This has somewhat affected my walking and ability to sleep. However, I only took a b...
Dr. Hong Ximing Reply:
The best treatment for tibial muscle pain is rest and heat therapy.[Read More] Understanding Shin Pain: Causes, Symptoms, and Relief Options
Persistent Ankle Pain After Surgery: Unremoved Screw and Complications
After an ankle fracture, a fixed steel pin was not removed, and the sutures are said to be rejected by the foot. It has been painful to walk for several months? Hello Doctor, earlier this year I had surgery to remove three fixation screws from an ankle fracture that occurred a ye...
Dr. Hong Ximing Reply:
If an ankle fracture has healed, it should not be related to the presence of screws or sutures. Consideration should be given to the condition of the ligaments after the injury or the possibility of post-traumatic arthritis. Please consult your attending physician for further det...[Read More] Persistent Ankle Pain After Surgery: Unremoved Screw and Complications
Understanding X-Ray Reports: Insights on Tibial Plateau Fractures and Bone Grafting
Regarding X-ray examinations? Today, I received an X-ray report at the front desk and didn't have time to ask the attending physician. Here, I would like to ask Dr. Shi: X-ray findings indicate severely comminuted left lateral tibial plateau with poor surgical technique. Phy...
Dr. Shi Guozheng Reply:
The absorption of artificial bone is relatively slow and may take six months to a year for complete absorption.[Read More] Understanding X-Ray Reports: Insights on Tibial Plateau Fractures and Bone Grafting
Understanding Tibial Plateau Fractures: Recovery and Rehabilitation Insights
Regarding tibial plateau fractures? Three months ago, I suffered a tibial plateau fracture and underwent open reduction and internal fixation along with bone grafting. I did not put weight on my leg for the first two months post-surgery. After about a month of rehabilitation at a...
Dr. Hong Ximing Reply:
Tibial plateau fractures are very complex, and without X-ray references, I cannot answer your question. Please consult your attending physician for more detailed information.[Read More] Understanding Tibial Plateau Fractures: Recovery and Rehabilitation Insights
Why Can't You Lift Your Leg After a Patella Fracture?
Why can't the foot be lifted with a patellar fracture? A fracture of the patella can cause difficulty in lifting the leg due to pain, swelling, and instability in the knee joint. The patella, or kneecap, plays a crucial role in the mechanics of the knee, and when it is fract...
Dr. Shi Guozheng Reply:
The patella is a bone that connects the quadriceps muscle tendon in the thigh to the patellar ligament in the lower leg. After a fracture, the leg will be unable to lift unless it undergoes treatment, such as casting or surgery. Following healing, rehabilitation is necessary to r...[Read More] Why Can't You Lift Your Leg After a Patella Fracture?
Understanding Sudden Lateral Knee Pain: Causes and Precautions
Sharp pain on the outer side of the knee? Hello Doctor: This afternoon, after waking up from my nap, I suddenly experienced sharp pain on the outer side of my left knee when I got up from my chair and started walking. Prior to this, I had a fracture in my ankle and had not engage...
Dr. Shi Guozheng Reply:
It could be a lateral tendon strain or inflammation, which often occurs after sitting for a long time and then suddenly standing up. Rest for a while to see if it improves; if the pain persists, then you should consult a physician.[Read More] Understanding Sudden Lateral Knee Pain: Causes and Precautions
Understanding Medial Collateral Ligament Tears: Recovery and Rehabilitation Tips
Medial collateral ligament (MCL) tear? Hello, Dr. Wang. I sustained an injury while exercising a month ago. I went to see a doctor who only performed an X-ray and did not conduct an MRI. The doctor pressed on my foot and indicated that I had a medial collateral ligament (MCL) tea...
Dr. Wang Shouji Reply:
Hello: If a ligament injury or strain is not severe enough to affect stability, surgery may not be necessary. However, knee ligament injuries can often impact recovery for several months to half a year, and monitoring the recovery process is essential. Thank you![Read More] Understanding Medial Collateral Ligament Tears: Recovery and Rehabilitation Tips