Understanding Tibial Bumps: Could It Be a Bone Tumor?
Tibial mass Hello, I have a small bump on my right tibia, but I don't recall any injury. It is not visible to the naked eye; I can only feel it when I palpate along the bone, and there is a bruised sensation when I press on it. Aside from that, there are no other abnormaliti...
Dr. Shi Guozheng Reply:
It is very likely to be a bone tumor, which is most commonly found in the tibia (the upper end of the lower leg bone near the knee joint). The most common type of this tumor is called osteochondroma (or exostosis). You can visit an orthopedic department at a hospital for an X-ray...[Read More] Understanding Tibial Bumps: Could It Be a Bone Tumor?
Can I Return to Jumping and Running After a Tibia Fracture?
Fracture from running and jumping? Hello, doctor. Two years ago, I had a car accident where both my tibia and fibula were fractured. The position and length of the steel rod extend from my knee to near my ankle. The fibula has healed, but the tibia is healing slowly, possibly due...
Dr. Wang Shouji Reply:
Hello: The tibia bears more than five-sixths of the weight of the lower leg. Based on your symptoms, there should be no issues with intense activity. It is advisable to focus on strengthening exercises. If the fracture has healed, the presence of the steel pin should not have any...[Read More] Can I Return to Jumping and Running After a Tibia Fracture?
Is ACL Surgery Necessary for Active Athletes? Understanding Your Options
The necessity of surgery for anterior cruciate ligament (ACL) injuries? Hello, Doctor: I completely tore my anterior cruciate ligament (ACL) and my meniscus is fine. I delayed getting an MRI for nearly six months because I initially thought it wasn't a big deal; I felt like ...
Dr. Hong Ximing Reply:
Hello: A complete tear of the anterior cruciate ligament (ACL) will definitely lead to instability in the knee joint. Autograft ligament reconstruction requires sacrificing another ligament. Currently, artificial ligaments have advanced significantly, and the surgical techniques ...[Read More] Is ACL Surgery Necessary for Active Athletes? Understanding Your Options
Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Knee pain with muscle tightness? Hello Doctor: My mother (53 years old) experiences knee pain and muscle tightness, and she feels discomfort during basic activities such as walking, standing, sitting, and squatting. She has seen a doctor who diagnosed her with acute inflammation ...
Dr. Wang Shouji Reply:
Hello: It is recommended to further investigate with an MRI and arthroscopy to check for any damage to the meniscus, ligaments, or cartilage. Thank you![Read More] Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Understanding Post-Operative Swelling After Knee Osteotomy Surgery
Hello, doctor. I would like to discuss knee osteotomy surgery? Hello Doctor, due to a car accident many years ago, I did not receive proper treatment at the time, which has led to a deformity of 17 to 19 degrees of valgus in my right knee (X-shaped leg, but only on the right side...
Dr. Wang Shouji Reply:
Hello: It is not necessarily a problem if the swelling has not subsided more than a month after surgery. Just be sure to monitor for any signs of surgical infection (such as: tingling, fever). If there is severe osteoporosis, be cautious with movements to avoid falls and do not e...[Read More] Understanding Post-Operative Swelling After Knee Osteotomy Surgery
Understanding Knee Flexion After Thigh Fracture Surgery: What to Expect
Knee flexion Hello, doctor. I had a femur fracture surgery a month ago (with locking screws and plates) and was in a cast for two months prior to the surgery. Is it normal for my knee to still be swollen? My attending physician told me to try bending my knee while lying in bed, b...
Dr. Shi Guozheng Reply:
Swelling and the use of a cast can both affect joint mobility. If it still feels a bit tight, it's important to continue rehabilitation. Gradually bending the joint will help improve the situation. Typically, during rehabilitation sessions, heat therapy is applied first befo...[Read More] Understanding Knee Flexion After Thigh Fracture Surgery: What to Expect
Exploring Non-Surgical Options for ACL Tear Recovery
Options for ACL tear management include: 1. ** Hello Doctor, I am the patient who previously asked you about the ACL. My condition is a grade 1 tear of the anterior cruciate ligament (ACL) with instability of about 0.5 cm. Thank you for informing me that the ACL may not heal com...
Dr. Shi Guozheng Reply:
PRP has some effects on tissue repair, but it cannot restore a previously loosened anterior cruciate ligament (ACL) to normal healing, resulting in some residual instability. ACL reconstruction is not solely aimed at addressing instability; it also aims to improve function. If th...[Read More] Exploring Non-Surgical Options for ACL Tear Recovery
Understanding Knee Injuries: ACL Tears and Treatment Options
Knee issues Hello doctor, I am 27 years old. My knee may have been injured when I fell while skiing at the age of 24, but I had no symptoms at that time. Later, at 26, while serving in the military, I twisted my right knee in a state of muscle weakness, which swelled significantl...
Dr. Shi Guozheng Reply:
Typically, once a ligament is torn, it cannot regenerate. However, if the instability is around 0.5 centimeters, surgery is not necessary. Strengthening exercises for the muscles around the knee joint can be sufficient. The decision on which treatment method to pursue, such as su...[Read More] Understanding Knee Injuries: ACL Tears and Treatment Options
Knee Pain When Fully Extended: Understanding the Causes and Solutions
Pain occurs when the knee is fully extended? This is the question I asked last time: https://adoctor.tw/article/87401 &SortBy=q_no&PageNo=2. I went to see an orthopedic doctor and had an X-ray, but the doctor said there was no bone injury. The doctor mentioned that my bon...
Dr. Shi Guozheng Reply:
Knee pain may be related to issues with the cartilage of the patella or improper alignment. You can consult a physician to get an X-ray to examine the relative position of the patella and the femur. A skyline view or merchant view X-ray is necessary to assess this properly.[Read More] Knee Pain When Fully Extended: Understanding the Causes and Solutions
Understanding Inversion Therapy for Osteoarthritis and Back Pain Relief
Degenerative arthritis. Lower back pain and the "inversion table." Hello: I have osteoarthritis and am currently undergoing hyaluronic acid treatment, which is in the fourth phase of therapy. I also have a chronic lower back pain condition (left lumbar region - middle l...
Dr. Shi Guozheng Reply:
If degenerative arthritis is not severe, it can be treated with medication. If this is ineffective, intra-articular hyaluronic acid injections may be considered, although their effectiveness is not guaranteed. In cases of severe arthritis that do not improve, surgical interventio...[Read More] Understanding Inversion Therapy for Osteoarthritis and Back Pain Relief
Recovery After ACL Reconstruction: What to Expect at 10 Days Post-Surgery
Postoperative recovery status after anterior cruciate ligament reconstruction? Hello, Doctor! I would like to ask you about my current condition. I am about 10 days post-surgery, and while I still have some swelling, I do not experience any inflammation or pain. My knee flexion h...
Dr. Chen Yongxue Reply:
Hello, the possibilities you mentioned certainly exist, but if you take good care of it, most of them will not occur. After surgery, do not rush into exercising; you must wait until the ligaments have healed. If the ligaments tear again, the knee will experience instability, simi...[Read More] Recovery After ACL Reconstruction: What to Expect at 10 Days Post-Surgery
Knee Pain When Straightening: Understanding Possible Causes and Solutions
Experiencing pain when straightening the knee? In middle school, I experienced intense physical activity during winter sports events and team practices, which led to knee pain. I consulted a traditional Chinese medicine doctor who suggested that I might have chondritis. At that t...
Dr. Shi Guozheng Reply:
It may be inflammation of the cartilage, requiring medication or the use of a knee brace. An X-ray of the knee joint can be taken to check for any valgus deformity or other issues.[Read More] Knee Pain When Straightening: Understanding Possible Causes and Solutions
Understanding Patellar Fractures: Treatment Options and Recovery Insights
There is a suspected fracture at the one-third point of the left knee patella? Hello Dr. Shi, I apologize for bothering you. In July 2014, I hit my left knee against the handle of a plastic waist-high table. The impact was quite forceful (similar to suddenly standing up from a c...
Dr. Shi Guozheng Reply:
Without seeing the actual X-ray, it is difficult to determine whether the surgery has been beneficial for you. However, based on your description, it seems that your patella may be congenitally bipartite, meaning that the kneecap is composed of two separate pieces. This condition...[Read More] Understanding Patellar Fractures: Treatment Options and Recovery Insights
Understanding Tendon Lengthening Surgery for Children with Cerebral Palsy
Tendon lengthening surgery for children with cerebral palsy? Hello Dr. Shi: I am a 10-year-old girl with cerebral palsy and spasticity. I am currently facing an evaluation for a tendon lengthening surgery due to the curvature of my knees, and I have a few questions I would like t...
Dr. Shi Guozheng Reply:
There are very few long-term effects that impact bone growth. A small number of individuals may experience some reduction in muscle strength. The tension you mentioned is unclear. It is difficult to stretch a tendon that has already contracted relying solely on rehabilitation. Th...[Read More] Understanding Tendon Lengthening Surgery for Children with Cerebral Palsy
Managing ACL Injury: Tips to Delay Further Knee Damage
Inquiry about anterior cruciate ligament (ACL) tear? Hello, I recently suffered a torn anterior cruciate ligament (ACL) while playing basketball. The doctor recommended surgery, but due to work commitments, I cannot take time off for at least six months. However, I have recently ...
Dr. Hong Ximing Reply:
Hello: For a complete tear of the anterior cruciate ligament (ACL), it is essential to confirm the diagnosis first. If it is a complete tear, surgery will be necessary to reconstruct the ligament using a graft from other ligaments. In the meantime, it is important to use a knee b...[Read More] Managing ACL Injury: Tips to Delay Further Knee Damage
Post-Surgery Walking Issues: Understanding Limb Length Discrepancy and Swelling
After surgery, I am walking with a limp without the crutches? Hello Doctor, on July 13th of this year, I underwent surgery to remove the accessory navicular bone from my left foot and to correct the outward angulation of my entire left foot. Bone grafting was also performed. Duri...
Dr. Shi Guozheng Reply:
Leg length discrepancy is related to pelvic tilt; for example, if the left side is tilted downward, it may feel like the left lower limb is slightly longer. After surgery, there may be swelling in the leg for a period of time, and elevating the leg or lower limb can help improve ...[Read More] Post-Surgery Walking Issues: Understanding Limb Length Discrepancy and Swelling
Understanding Knee Pain After an Injury: Diagnosis and Treatment Options
Knee injury Hello Doctor: I had a motorcycle accident over four years ago, during which I sustained multiple abrasions on my body, particularly around my knee. Since then, my knee has felt different. I can walk, run, and jump without much issue, but my knee becomes very painful a...
Dr. Shi Guozheng Reply:
It is important to distinguish whether the pain is on the outside or the inside of the kneecap. If the pain is on the outside, beneath the skin, it may be due to inflammation, and it is advisable to avoid pressing on that area. However, if the pain is on the inside, such as when ...[Read More] Understanding Knee Pain After an Injury: Diagnosis and Treatment Options
Understanding Knee Pain While Sitting Cross-Legged: Causes and Solutions
I'm not sure what will happen? I don't know why, but my knee hurts on the side when I sit cross-legged.
Dr. Shi Guozheng Reply:
It is usually related to tendon strain. If resting does not improve the condition or if you are unable to bend your hip joint, it is necessary to consult a physician.[Read More] Understanding Knee Pain While Sitting Cross-Legged: Causes and Solutions
Knees Together but Heels Lifted: Understanding Your Squatting Issue
When squatting down, the knees can come together, but the heels will lift off the ground? Hello Doctor: When I squat down, my knees can come together, but my heels lift off the ground. This issue has been present since elementary school. At that time, my teacher said it wasn'...
Dr. Wang Shouji Reply:
Hello: This is likely caused by tightness in the inner thigh muscles near the gluteal region. If there is no pain, no treatment is necessary, but you can visit an orthopedic department for confirmation. Thank you![Read More] Knees Together but Heels Lifted: Understanding Your Squatting Issue
Understanding Recovery After Cast Removal: Tips for Ankle Injury Patients
[About removing the cast and directly using the affected limb] Hello Dr. Shi, thank you for this platform that allows patients and doctors to communicate. To help you understand my condition, please allow me to describe it. In July, I inverted my right ankle while exercising. I ...
Dr. Shi Guozheng Reply:
An ankle ligament sprain typically takes about six to twelve weeks to heal. It has been nearly six weeks, and you can remove the cast and start exercising. If you can walk adequately, you may not need to use crutches. Swelling in the affected limb is expected due to prolonged ina...[Read More] Understanding Recovery After Cast Removal: Tips for Ankle Injury Patients