Is Surgery Necessary for Knee Osteonecrosis in Older Adults?
Is surgery always necessary for knee degeneration? Hello Doctor: My mother is in her 60s and has been experiencing knee pain while walking for the past six months, which led her to see a doctor. The doctor performed an X-ray and an MRI, which revealed a dark shadow in the knee. T...
Dr. Shi Guozheng Reply:
In older patients, typically in their sixties or seventies, there may be signs of necrosis in the femoral condyle of the knee joint. If the articular surface remains smooth, without any depressions, and the joint space is still present, conservative treatment can be considered, w...[Read More] Is Surgery Necessary for Knee Osteonecrosis in Older Adults?
Essential Rehab Supplies for Meniscus Injury Recovery
Knee meniscus injury? Hello doctors: Recently, my colleague needs surgery for a meniscus tear in her knee. We would like to raise funds to help her purchase rehabilitation supplies or other medications, but we are unsure what would be most suitable for rehabilitation of the menis...
Dr. Zhang Jiahao Reply:
Hello: The efficacy of glucosamine for the knee meniscus is limited. Knee braces provide some assistance post-surgery, but there are many types of knee braces. It may be necessary for the surgeon who performs the operation to determine the findings and diagnosis during the surger...[Read More] Essential Rehab Supplies for Meniscus Injury Recovery
Understanding Joint Sounds: Causes and Solutions for Knee and Other Issues
I have many issues with my muscles and joints, especially my knees. Please help me! Hello, doctor. I would like to ask: 1. My (ankles) (wrists) (shoulders) (knees) (left elbow) (right hip joint) (coccyx) all make continuous cracking sounds, and the frequency is quite high. Each...
Dr. Wang Shouji Reply:
Panic: It seems you have quite a few issues that should be evaluated by a sports medicine specialist first. If minor injuries are not addressed properly, they could lead to further problems. If you are considering a career in professional sports, it is even more important to take...[Read More] Understanding Joint Sounds: Causes and Solutions for Knee and Other Issues
Understanding and Managing Pain from Tibial Tuberosity Issues
Treatment and Prevention of Shin Splints When I was 14 years old, I injured my knee while playing basketball, resulting in an oval-shaped bone protrusion below my right knee. Now that I am 19, it still hurts. I believe my growth period is over, but it becomes very painful wheneve...
Dr. Shi Guozheng Reply:
Typically, pain can be managed with medication or by temporarily reducing physical activity. Surgery is only necessary when severe pain occurs repeatedly and cannot be controlled with medication. However, surgery should be performed only after reaching adulthood to avoid damaging...[Read More] Understanding and Managing Pain from Tibial Tuberosity Issues
Understanding Osteoporosis: Side Effects of Bone Strength Injections
The issue of osteoporosis? Hello Doctor: My mother is 65 years old. Recently, she underwent a bone density test and was found to have severe osteoporosis. The doctor recommended a medication called "Bone Strength," produced by Novartis, which only requires an injection ...
Dr. Zhang Jiahao Reply:
Hello: This condition is relatively uncommon. It is advisable to first visit an outpatient clinic to check if there are any other issues with the knee or foot for safety.[Read More] Understanding Osteoporosis: Side Effects of Bone Strength Injections
Understanding Knee Swelling and Pain: Can I Start Walking?
Continuation of the inquiry from July 16? Dr. Chang, thank you for your explanation regarding my inquiry on July 16! During my follow-up appointment on July 20, the doctor informed me that I should start practicing walking. However, as I mentioned on July 16, my knee is still swo...
Dr. Zhang Jiahao Reply:
Hello: In order to provide you with accurate advice regarding your issue, it may be necessary to undergo an examination and review the X-rays. I apologize for any inconvenience![Read More] Understanding Knee Swelling and Pain: Can I Start Walking?
Understanding ACL Injuries: Pain After Surgery and Military Service Implications
Cruciate ligament I apologize for the inconvenience, but I would like to ask you about my right knee. Due to a car accident, I sustained damage to my cruciate ligaments. After a hospital examination, the doctor informed me that my anterior cruciate ligament (ACL) is partially tor...
Dr. Li Wenlin Reply:
1. Knee joint instability exceeding 1 centimeter after more than one year of treatment, or evidence of joint pathology confirmed by X-ray examination. 2. Reconstruction of the anterior cruciate ligament in both knees. Only one of the above conditions is required for exemption fro...[Read More] Understanding ACL Injuries: Pain After Surgery and Military Service Implications
How Long Does Knee Swelling Last After Fracture? Can Heat Therapy Help?
How long does it take for swelling to subside after a knee fracture? Is it okay to apply heat? I suffered a knee fracture in a car accident on May 18, and the fracture site is nearly healed now. However, there is still swelling due to fluid accumulation in the knee. Currently, th...
Dr. Zhang Jiahao Reply:
Hello: After a fracture, there is often blood accumulation in the knee joint. Is it advisable to apply heat? It cannot be judged solely by time. Generally speaking, if there is no acute inflammation, redness, swelling, or heat, applying heat can help with the resolution of blood ...[Read More] How Long Does Knee Swelling Last After Fracture? Can Heat Therapy Help?
Understanding Lateral Ligament Laxity and Treatment Options for Knee Pain
Lateral collateral ligament laxity Hello Doctor: My left knee has severe patellar valgus. Since January 12 of this year, it has been about six months, and the lateral pain has not improved significantly despite physical therapy. I can walk on flat surfaces, but going up and down ...
Dr. Hong Ximing Reply:
Severe patellar valgus, combined with training, will definitely lead to cartilage damage. It is advisable to seek evaluation from a sports medicine specialist at a medical center to determine whether surgical correction is the best course of action.[Read More] Understanding Lateral Ligament Laxity and Treatment Options for Knee Pain
Understanding Knee Noises: Should You Be Concerned About Joint Health?
When bending the knee joint, there is often a popping sound? Hello Doctor: Since I was 17 to 18 years old, I have often experienced a cracking sound in my knee joint when bending it (but there is no pain). Sometimes, after squatting for too long, I feel pain when I stand up. As I...
Dr. Wang Shouji Reply:
KUN: There is an abnormal sound in the knee joint, but there is no pain. This is usually caused by the synovial membrane folds rubbing against the femur. Typically, it is not a concern and is unrelated to the need for correction. If there is pain, it is advisable to visit a hospi...[Read More] Understanding Knee Noises: Should You Be Concerned About Joint Health?
Understanding Tibial Osteotomy: Addressing Knee Pain and Patellar Issues
Tibial realignment surgery Hello Doctor: I underwent arthroscopy on my knee in 2004. After recovery, I attempted to run, but my knee started to hurt again. This pain sometimes resolves suddenly, but at times it lingers for an extended period (about six months with a dull ache). A...
Dr. Ye Qingnian Reply:
Hello: I have not performed surgeries or conducted research in this area at the regional hospital. Please consult a physician at a medical center who specializes in sports medicine for a more in-depth understanding. I apologize for any disappointment this may cause. Wishing you p...[Read More] Understanding Tibial Osteotomy: Addressing Knee Pain and Patellar Issues
Understanding Right Knee and Ankle Pain: Causes and Solutions
Right ankle and knee pain? Hello Dr. Wang, I experience soreness and pain in my right knee and right ankle whenever I sit down. When I stand, my knee feels okay, but my right ankle still hurts a lot. There is no swelling, but I have to use pain relief patches every day. Could yo...
Dr. Wang Shouji Reply:
This issue involves whether there is a history of injury, what type of work is usually performed, and whether there is a need for prolonged standing or walking. This is not significantly related to osteoporosis; whether there is a leg length discrepancy should be evaluated by a p...[Read More] Understanding Right Knee and Ankle Pain: Causes and Solutions
Understanding Knee Aspiration: Is Swelling and Bruising Normal?
Knee aspiration issue? Hello, doctor. My girlfriend (in her 20s) has been experiencing knee pain while walking. After visiting Chang Gung Memorial Hospital, the doctor diagnosed her with patellar tendinitis. Since her knee was slightly swollen, the doctor suggested performing an ...
Dr. Zhang Jiahao Reply:
Hello: Severe tendon inflammation can indeed lead to fluid accumulation. If the amount is significant, aspiration may be considered. After aspiration, applying an elastic bandage can help reduce swelling. If there is mild bruising, observation is sufficient; however, if it is sev...[Read More] Understanding Knee Aspiration: Is Swelling and Bruising Normal?
Can I Remove My Orthopedic Hardware at a Different Hospital?
Hello! May I ask about the issue regarding tooth extraction? Hello! I would like to ask if I must return to the original hospital to have the metal implant removed, since I found out that my original attending physician has left the practice. I am considering having it removed at...
Dr. Li Wenlin Reply:
You can schedule an appointment with Dr. Kuo Chuhua, Dr. Lee Wenlin, or Dr. Chang Shihliat at our hospital for an evaluation to determine the next steps in your treatment. Alternatively, you may visit a local physician at a convenient location for an assessment. Thank you![Read More] Can I Remove My Orthopedic Hardware at a Different Hospital?
Concerns About ACL Rehab: Can Long-Term Brace Use Cause Muscle Atrophy?
"Slipped while rehabilitating the anterior cruciate ligament." Hello Doctor, two months ago I asked about "slipping while rehabilitating my anterior cruciate ligament." At that time, the doctor said I could remove the knee brace only after I could fully extend...
Dr. Shi Guozheng Reply:
When the knee joint cannot support weight, it is safer to wear a brace. Muscle atrophy is inevitable, but the most important thing is to start rehabilitation as soon as possible to facilitate recovery. You can try to walk a little.[Read More] Concerns About ACL Rehab: Can Long-Term Brace Use Cause Muscle Atrophy?
Rehabilitation Challenges After Tibial Plateau Fracture: Seeking Guidance
Rehabilitation issues following a right tibial plateau fracture? Dear Doctor, I was involved in a car accident on February 28 of this year, which resulted in a fracture of the right tibial plateau and an avulsion fracture of the lateral ligament. I underwent internal fixation su...
Dr. Li Wenlin Reply:
After a knee joint fracture, the degree of fracture reduction can affect the range of motion of the joint. Since you have been rehabilitating for a month without significant progress, you should first consult an orthopedic surgeon to assess whether there are any issues with the j...[Read More] Rehabilitation Challenges After Tibial Plateau Fracture: Seeking Guidance
Post-ACL Surgery Diet: Foods to Eat and Avoid for Recovery
Postoperative Diet After Anterior Cruciate Ligament Surgery Hello, I would like to ask for advice on what types of food are suitable for my family member who has a torn knee ligament and is scheduled for surgery at the end of the month. What foods should be avoided? Is bass soup ...
Dr. Li Wenlin Reply:
If the individual's health condition does not involve other diseases and does not require additional medication management or dietary restrictions, high-quality protein sources such as bass can be considered to support the body's repair needs.[Read More] Post-ACL Surgery Diet: Foods to Eat and Avoid for Recovery
Missed Early Detection of Shoulder Ligament Tear: A Cautionary Tale
Shoulder ligament tear, missed early detection? Hello Doctor: My grandmother is in her seventies. About a year ago, she fell and landed on her left arm, after which she has been complaining of left shoulder pain. Initially, she visited an orthopedic clinic where the doctor sugges...
Dr. Hong Ximing Reply:
Hello: Grandma's old shoulder injury has resulted in limited joint mobility, preventing her from lifting. I can only suggest that she actively engage in rehabilitation exercises. Most of these exercises are focused on weight-bearing knee joints, and ligament replacement is n...[Read More] Missed Early Detection of Shoulder Ligament Tear: A Cautionary Tale
Understanding ACL Reconstruction: Surgery Duration, Rehab, and Work Leave
Ligament reconstruction Knee pain and numbness... After squatting for about 2 minutes, I experience pain behind the knee and cannot stand for a moment, but it returns to normal quickly... The hospital wants me to undergo arthroscopy and ligament reconstruction... I am unsure how ...
Dr. Shi Guozheng Reply:
The surgical time for an anterior cruciate ligament (ACL) reconstruction of the knee is approximately one to two hours, and the rehabilitation period is about three to six months.[Read More] Understanding ACL Reconstruction: Surgery Duration, Rehab, and Work Leave
Understanding Pain Behind the Knee: Causes and Solutions
Pain behind the knee? I usually don't feel discomfort in the knee while walking or exercising, but whenever I squat or bend my knee excessively, I experience pain and cannot apply force. There is no history of injury, and X-rays of the bones showed no abnormalities, yet the ...
Dr. Wang Shouji Reply:
Banban: Based on your age, gender, and the position that causes pain, it is likely a patellofemoral joint issue. It could be "malalignment" or "chondromalacia patella," and you should consult a physician for a proper examination. Wishing you a speedy recovery.[Read More] Understanding Pain Behind the Knee: Causes and Solutions