Knee, Orthopedics FAQ

Why You Wake Up with Lower Back Pain: Causes and Solutions

Waking up with lower back pain during sleep? Hello doctor, I have been waking up due to lower back pain for the past month. I have seen a doctor and had an X-ray, which showed no significant issues. The doctor prescribed pain relievers and muscle relaxants, which alleviate the pa...

Dr. Chen Yongxue Reply:
Hello, if the X-ray does not reveal any lesions, it may indicate a soft tissue issue, which can be confirmed through palpation (such as identifying specific tender points, etc.). This is commonly seen in patients who have to sit for prolonged periods or maintain a single posture ...

Understanding Knee Pain: Causes and Connections to Thigh Injuries

Knee problems Hello Doctor: Since I strained my right thigh last year, my knee has started to feel uncomfortable. An MRI revealed slight valgus of the knee and a small amount of effusion. An ultrasound showed inflammation of the medial collateral ligament. Currently, I experience...

Dr. Shi Guozheng Reply:
A thigh strain may affect the soft tissues near the knee joint, including the medial collateral ligament (MCL). Mild valgus of the knee does not necessarily present with symptoms. You can visit a larger hospital to consult with an orthopedic physician.

Understanding Knee Joint Issues: Symptoms and Potential Conditions

Knee joint issues? I'm sorry to ask, but I would like to inquire about my condition. Ever since I increased my physical activity (around November to December of last year), my right knee has been uncomfortable. Initially, I felt that my knee couldn't bear weight when st...

Dr. Hong Ximing Reply:
The issue of the knee feeling locked is likely related to the cartilage and ligaments, and there may be a concern of damage. An MRI is necessary for diagnosis.

Understanding Leg Numbness and Pain: When to Seek Further Medical Help

Numbness in the knee extending to the entire leg? After sitting for a long time and then standing up, my left leg suddenly felt uncomfortable, unable to lift it, and was very painful. After an examination at the hospital, the doctor determined that it was due to long-term heavy l...

Dr. Chen Yongxue Reply:
Hello, if the described condition does not improve, it is advisable to visit an orthopedic specialist for further evaluation. Thank you.

Morning Back Pain: Causes, Exercises, and Solutions for Relief

Unable to stand upright due to back pain upon waking up every day? Hello, For the past two weeks, I have been unable to stand up straight when I wake up in the morning. I need to support myself with my knees and slowly straighten up. When I walk, I can only stand upright and ca...

Dr. Shi Guozheng Reply:
Lower back pain is generally related to posture, and performing excessive bending movements can sometimes lead to muscle fatigue and pain. Waking up in the morning unable to stand upright is often due to muscle stiffness from sleeping the night before. Taking a hot shower or soak...

Can Anesthesia Help Relieve Pain from Long-Term Femoral Neck Injury?

Anesthesia relaxation It has been over 8 months since the femoral neck injury. Lying flat and hugging the knees to the chest still causes pain. Is it possible to use anesthesia for relaxation?

Dr. Wang Shouji Reply:
Hello: There is a certain percentage of femoral head fractures that may result in nonunion or avascular necrosis as sequelae. It is necessary to assess whether such sequelae are causing pain. If you are still able to perform activities such as hugging your knees with both hands, ...

Understanding Knee Pain: Causes and Solutions for Stiffness After Sitting

Knee pain Hello Doctor: I would like to ask, whenever I sit for a while and then stand up, I am unable to immediately straighten my right leg to walk normally. If I try to walk normally, my knee hurts a lot. I have to stand still and slowly straighten my leg for about 5 seconds, ...

Dr. Chen Yongxue Reply:
Young women with this issue should be cautious of the possibility of patellar valgus or patellar chondromalacia. Please obtain specialized X-rays of the patella at specific angles and consult an orthopedic physician for evaluation. Thank you.

Can My Stiff Pinky and Knee Injuries Be Reversed After an Accident?

The little finger cannot bend at all? Hello, doctor. I had a car accident on November 29 of last year, which resulted in my little finger being unable to bend, and my ring finger can only bend a little, not fully. I went to a traditional Chinese medicine clinic and an orthopedic ...

Dr. Shi Guozheng Reply:
Rehabilitation should be initiated as soon as possible, as joints can become stiff within six to twelve weeks. Engaging in rehabilitation before this timeframe can be effective. You can start by applying heat to the joint or soaking it in warm water, and then gradually attempt to...

Morning Finger Stiffness: Understanding Possible Causes and Concerns

Finger joints Hello Doctor, for the past couple of days, I have noticed that my fingers feel a bit stiff and slightly painful when I wake up, but this sensation disappears within two minutes of getting out of bed. Upon examining my fingers, I noticed a slight swelling at the join...

Dr. Shi Guozheng Reply:
Typically, if the finger joints are overused, they may feel stiff in the morning upon waking, but if it is not arthritis, this stiffness usually resolves within a few minutes and is not a significant concern. Rheumatoid arthritis (RA) is an autoimmune disorder that occurs symmetr...

Understanding ACL Injuries: Treatment Options and Recovery Insights

Anterior cruciate ligament (ACL) injury A few days ago, I went for a follow-up appointment at the sports medicine clinic regarding my previous minimally invasive surgery. My knee had been hurting a bit while going up and down stairs, but it seemed to improve. Recently, however, t...

Dr. Shi Guozheng Reply:
The assessment of a torn anterior cruciate ligament (ACL) in the hand depends on the severity of the injury. If there is a complete tear, surgery is the most ideal option. In cases of partial tears, the decision to operate depends on whether the injury affects mobility or causes ...

Understanding Knee Injuries: When to Seek Further Evaluation and Treatment

Knee contusion issues? Hello Doctor, I would like to consult you regarding my left knee. On December 31, while working abroad, I was bumped into and fell on the ground, resulting in an injury. The bruise has not yet faded. I have visited an orthopedic specialist who confirmed t...

Dr. Chen Yongxue Reply:
Hello, as your orthopedic surgeon mentioned, the likelihood of injuring the meniscus or cruciate ligaments from a fall is indeed very low. Based on your description, your symptoms are very similar to a medial collateral ligament strain. In the vast majority of cases, this will he...

Understanding PRP Therapy for Anterior Cruciate Ligament Injuries

The function of PRP (Platelet-Rich Plasma) in relation to the anterior cruciate ligament (ACL)? Hello Dr. Shi, I am a patient with a torn anterior cruciate ligament (ACL) that occurred about a year and a half ago. The injury happened during my first skiing experience when I fell,...

Dr. Shi Guozheng Reply:
PRP has a certain effect on ligament repair; however, if the anterior cruciate ligament (ACL) has already become lax after an injury, there may still be laxity even after healing, which diminishes its effectiveness. According to this study, injecting PRP after ligament reconstruc...

Understanding Ankylosing Spondylitis: Morning Stiffness and Pain Explained

Questions about ankylosing spondylitis? Hello Doctor: I have a question. In the morning, I am unable to bend forward and can only bend to about my knees, and I experience severe pain on the left side of my lower back. The doctor diagnosed it as ankylosing spondylitis, but during ...

Dr. Wang Shouji Reply:
Hello: If the symptoms persist for a longer duration, and HLA-B27 and sacroiliitis are not associated with arthritis, it may not be completely indicative of ankylosing spondylitis. Attention should be paid to posture and whether there is excessive activity. Thank you!

Understanding Lateral Knee Pain After Running: Causes and Remedies

Pain on the outer sides of the lower leg near the knee? Hello, Doctor. Last Sunday, I just finished jogging, and two days later, when going up and down stairs (especially down), I experienced a sharp pain near the outer side of my calves close to the knee joint, specifically arou...

Dr. Shi Guozheng Reply:
It may be tendonitis; you should rest for a few more days. Applying heat can help improve the condition.

Understanding Intermittent Pain in the Left Calf: Causes and When to Seek Help

Intermittent soreness in the left calf? The patient has congenital heart disease with moderate regurgitation and suffered a car accident 13 years ago, during which an EMG revealed C5 injury. Since the accident, the patient has noticed decreased responsiveness in the left leg. In ...

Dr. Shi Guozheng Reply:
Pain in the lower extremities may be related to the lumbar spine. It is advisable to consult a physician and get an X-ray to check for any issues with the lumbar vertebrae. Additionally, it is important to assess whether there are any problems with the knee joints as well.

Can a Cracked Bone Heal on Its Own After a Fall?

Fractured bone? When the knee hits the ground during a fall, it can cause a fracture at the junction of the lower leg bones. Can the fractured bone heal on its own, or is surgery recommended?

Dr. Chen Yongxue Reply:
Hello, are you referring to the "connection point of the calf" as the patella? Typically, when the knee is on the ground, it is prone to patellar fractures, which can easily become displaced. Once a patellar fracture is displaced, surgical intervention is required for t...

Persistent Ankle Swelling After Fracture: What You Need to Know

Persistent swelling after a fracture? Hello Doctor, I sprained my ankle on November 27, 2015, resulting in a fracture of the smaller bone on the outer side of the ankle, located near the bottom of the ankle. I had a cast for six weeks, and after it was removed, an X-ray showed th...

Dr. Shi Guozheng Reply:
Fractures typically take at least six weeks to begin healing, and complete healing may take up to twelve weeks. Therefore, swelling in the foot before the fracture has fully healed is normal. The bones themselves are richly supplied with blood vessels, and after a fracture, blood...

Understanding Right Knee Discomfort: Causes and Solutions

Right knee soreness and swelling? Hello, I have a question. The lower middle side of my right knee feels sore, extending to both sides of the bone in my lower leg. It feels a bit achy, and I have difficulty fully extending my knee when standing, but it’s not painful—just a feelin...

Dr. Shi Guozheng Reply:
It may be inflammation at the tendon attachment point below the knee joint, and it might be necessary to see a doctor for an examination. Sometimes, activities such as going up and down stairs, walking longer distances, or standing for extended periods can contribute to this issu...

Understanding Delayed Healing in Femur Fractures: What to Do Next?

Femoral fracture Hello Doctor, I suffered a femur fracture in a car accident on September 21 of last year, just above my left knee. It's been four months now, and the bone hasn't healed, which is puzzling to me. It's strange because I can bend my leg fully without ...

Dr. Shi Guozheng Reply:
Femoral fractures typically require fixation with bone screws or plates, and the healing time is approximately six months. If there are no signs of healing after six months, it is referred to as delayed union. If there is no healing after one year, it is classified as non-union o...

Recovering from Clavicle Fracture: Tips for Balanced Push-Ups

Clavicle fracture After a clavicle fracture, if you find it difficult to perform push-ups and your weight shifts to your right hand, it may be due to a lack of strength in your left arm, which was affected by the injury. This imbalance can occur if the left side has not regained ...

Dr. Shi Guozheng Reply:
After a fracture, a period of inactivity can lead to a decrease in muscle strength around the shoulder joint. Therefore, it is essential to gradually practice strengthening exercises. You can perform lifting movements (pulling actions) and also incorporate pushing movements. Prog...

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