Understanding Elbow Noises and Knee Pain: When to Seek Treatment
Elbow crepitus and knee pain? Hello, doctor. I apologize for asking two questions at once. First, my right elbow has been making a popping sound when I do push-ups recently, but there is no pain associated with it. This occurs even with a small number of repetitions (around ten),...
Dr. Li Wenlin Reply:
Hello, Zhang: It is normal for joints to make sounds during activity; this is caused by the friction between cartilage and tendons or ligaments. If there is no pain, there is no need for concern or treatment. Some people have a habit of creating friction sounds in their finger jo...[Read More] Understanding Elbow Noises and Knee Pain: When to Seek Treatment
Can a Benign Cartilage Tumor Affect My Height Growth?
There is a chondroma in the knee? I have a chondroma on my right knee. I went to the hospital for an examination, and the doctor said it is benign. However, since the examination until now, I have not grown taller; I have been stuck at around 162 cm from the end of junior high sc...
Dr. Wang Shouji Reply:
XW: Osteochondromas near the knee are the most common benign bone tumors in clinical practice, and there is no medical evidence to support a correlation with height. Wishing you good health.[Read More] Can a Benign Cartilage Tumor Affect My Height Growth?
Preventing Osteomyelitis: Key Insights for Rheumatoid Arthritis Patients
Prevention of Osteomyelitis Hello, Doctor! I am a 42-year-old patient with rheumatoid arthritis. Since the onset of my condition, my inflammatory markers (ESR) have consistently been above 9, which is quite high. As a result, I have undergone total knee and hip replacements. Unfo...
Dr. Shi Guozheng Reply:
The transmission route is usually through the bloodstream and is related to immunosuppressive medications. There is a possibility of recurrence. If there are implants or artificial joints in the body, antibiotics may be less effective in reaching the site. Prevention involves mai...[Read More] Preventing Osteomyelitis: Key Insights for Rheumatoid Arthritis Patients
Is Cycling Bad for Your Knees? Choosing the Right Exercise for Joint Health
Exercise and Joint Issues Hello, Dr. Luo. I would like to ask about my situation. I am overweight (170 cm, 80 kg), which causes my legs to feel sore shortly after I start jogging. Recently, I have begun using a stationary bike for weight loss (about 50 minutes daily at a speed of...
Dr. Luo Zhongwei Reply:
DEAR ANDY: You mentioned that your feet hurt while jogging, which is different from knee joint pain. If your feet hurt, you need to gradually increase your exercise intensity. If you are experiencing knee joint pain (I’m not sure how old you are), there could be various possibili...[Read More] Is Cycling Bad for Your Knees? Choosing the Right Exercise for Joint Health
Post-Fracture Care: Addressing Complications and Recovery Strategies
Post-operative care for fractures? My mother (69 years old) was injured in a car accident two and a half months ago, with the most severe injury being an open fracture of the lower leg that was shattered into three pieces, with about 90% of the skin and tissue torn away. The firs...
Dr. Li Wenlin Reply:
Congratulations on your mother's leg being saved. However, it is important to understand that successfully treating a severe open fracture will take a considerable amount of time and will require the expertise of many specialists, as well as multiple surgeries. You may have ...[Read More] Post-Fracture Care: Addressing Complications and Recovery Strategies
Knee Pain When Descending Stairs: Causes and Solutions
Experiencing pain in the knee when going down stairs? Hello Doctor: I am someone who usually does not exercise, but since I will be enlisting in the military next month, I wanted to start training my physical fitness. Therefore, I began running 3000 meters on the track every day ...
Dr. Wang Shouji Reply:
Based on your symptoms, it is most likely a problem with the patellofemoral joint. It could be due to malalignment of the joint or patellar chondromalacia. I recommend visiting an orthopedic clinic for further evaluation. Wishing you a speedy recovery.[Read More] Knee Pain When Descending Stairs: Causes and Solutions
Understanding Open Knee Fractures: Causes of Fever and Post-Surgery Care
Open fracture of the knee, including tendon rupture? After a car accident, I sustained an open fracture of the knee and underwent surgery on June 3rd, which went well. However, a week later, I developed a high fever with increasing frequency. What could be the reason for this? Al...
Dr. Hong Ximing Reply:
One week after open fracture surgery of the knee, an increase in fever frequency is most likely due to a bacterial infection, and close monitoring is necessary. It is important to observe the fracture wound for signs of infection such as redness, swelling, heat, and pain. Promptl...[Read More] Understanding Open Knee Fractures: Causes of Fever and Post-Surgery Care
Does Using a Stationary Bike Accelerate Wear on Artificial Joints?
Joint replacement with artificial prosthesis? If a physician has replaced a joint with a prosthetic joint, does frequently using a stationary exercise bike accelerate wear on the artificial joint and shorten its lifespan? Are there any special precautions to take while using it? ...
Dr. Zhang Jiahao Reply:
Hello: After knee joint replacement surgery, it is important to maintain moderate exercise, and using a stationary bike is acceptable. Remember to adjust the seat height properly to avoid excessive bending of the knee joint. Additionally, do not set the bike resistance too high t...[Read More] Does Using a Stationary Bike Accelerate Wear on Artificial Joints?
Managing Left Shoulder, Neck, and Arm Pain: Treatment and Exercises
Left shoulder, neck, and arm issues? 1. Several months ago, I experienced soreness and numbness in my left hand, making it difficult to lift heavy objects. After an X-ray examination by a physician, I was informed that I have cervical spine deformity. After taking medication for ...
Dr. Li Wenlin Reply:
Hello: In response to your question, based on your description, your symptoms indicate cervical spondylosis with nerve compression. The standard treatment is to start with medication; if the response is inadequate, physical therapy can be added (which typically includes cervical ...[Read More] Managing Left Shoulder, Neck, and Arm Pain: Treatment and Exercises
Understanding Knee Pain: IT Band Syndrome vs. Patellar Malalignment
Knee Hello, Doctor. Thank you for your response. Today, I visited the orthopedic clinic, and the doctor diagnosed me with patellar valgus. However, I am a bit confused. The doctor explained that my pain on the outer side of the knee is caused by the IT band. But isn't IT ban...
Dr. Li Wenlin Reply:
Hello: In response to your question, online consultations cannot include physical examinations, and some information can only be inferred, so it is not possible to provide a definitive answer. Since you have such doubts about the physician's response, you may consider bringi...[Read More] Understanding Knee Pain: IT Band Syndrome vs. Patellar Malalignment
Understanding Lateral Collateral Ligament Injury in the Knee
Lateral collateral ligament injury? Hello doctor, a few months ago, after performing a jump shot while playing basketball, I experienced significant pain on the inner side of my left knee upon landing (the pain point is near the lateral side of the patella). A couple of days ago,...
Dr. Li Wenlin Reply:
Hello: In response to your inquiry, based on your description, it is highly likely that you have sustained an injury to your left knee (possibly involving ligaments or other soft tissues). I recommend that you seek medical attention as soon as possible and not delay![Read More] Understanding Lateral Collateral Ligament Injury in the Knee
Understanding Meniscus Injuries: Recovery and Concerns After Surgery
Meniscus Hello, Doctor. I sustained an injury while playing basketball when I sprinted forward and collided with another player. After the collision, I landed on my right foot, and my right knee hyperextended in the opposite direction upon landing. I went to the hospital where th...
Dr. Shi Guozheng Reply:
Generally, knee joint instability does not require surgery unless there are symptoms of pain or functional impairment. After meniscus surgery, there may be some issues with joint stiffness that could take more time to recover. When the knee is injured, both the meniscus and ligam...[Read More] Understanding Meniscus Injuries: Recovery and Concerns After Surgery
Understanding the Differences Between Knee Implant Materials: A Patient's Guide
Total Knee Replacement Hello, my mother recently underwent a total knee arthroplasty, and the surgery was very successful. Her rehabilitation is also progressing well. The only issue is that she initially requested a self-pay knee implant, but due to an oversight by the hospital,...
Dr. Zhang Jiahao Reply:
Hello: The lifespan of artificial joints is primarily related to the patient's post-operative usage. Even with the use of so-called ultra-durable liners, engaging in heavy work can still lead to damage (including osteolysis). There are many cases where health insurance-cover...[Read More] Understanding the Differences Between Knee Implant Materials: A Patient's Guide
Understanding Knee Pain: Possible Causes Beyond X-Ray Results
Please provide the content you would like me to translate? Hello: For the past two to three days, I have been experiencing pain in my right knee when squatting (there was no impact; it just started after I woke up). I visited an orthopedic clinic, and the X-ray examination showed...
Dr. Shi Guozheng Reply:
Pain experienced when squatting is often caused by tendonitis near the knee joint or inflammation of the knee cartilage. The location of the pain is also related to the underlying cause. If it is due to high uric acid levels, it can lead to redness, swelling, heat, and severe pai...[Read More] Understanding Knee Pain: Possible Causes Beyond X-Ray Results
Understanding Knee Hematomas: Causes, Symptoms, and Treatment Options
Knee hematoma Hello Doctor, my knee has been experiencing abnormal pain since I seemingly strained it one day. After seeing a doctor, I was told it was inflammation with effusion. I was advised to rest, which should help, but even after three months, there is still a small swolle...
Dr. Shi Guozheng Reply:
If the swelling is located directly in front of the kneecap, the most likely diagnosis is prepatellar bursitis. If it causes pain, treatment with medication is necessary. The physician may need to aspirate the fluid; if it persists after several aspirations, surgical intervention...[Read More] Understanding Knee Hematomas: Causes, Symptoms, and Treatment Options
Understanding Snapping Knee: Symptoms, Treatment, and Recovery Options
Frog leg or Jumping leg Hello Doctor: I previously asked about the issue of frog legs and went to the physician you recommended for an examination. After a simple check-up, the doctor believes it is not frog legs but rather snapping knee syndrome. I did some research online, and ...
Dr. Li Wenlin Reply:
Hello: In response to your question, please trust the physician's advice. The diagnosis of snapping knee can be made through physical examination alone, and no additional tests are necessary. As for the size of the surgical incision, you can directly ask the surgeon. Whether...[Read More] Understanding Snapping Knee: Symptoms, Treatment, and Recovery Options
Understanding Spinal Sounds: Impact on Growth and Prevention Tips
Spinal sounds Hello, doctor. Recently, I've noticed that my spine makes sounds when I sit down and then stand up, and sometimes when I twist my body. I'm currently in my teenage years. Will this affect my development? How can I prevent it? Also, I've been experienc...
Dr. Wang Shouji Reply:
Joint sounds during movement do not necessarily indicate a problem and typically do not affect development, so prevention is not applicable. Growth plates do not get injured without reason; however, if accompanied by pain, it is advisable to visit an orthopedic specialist for fur...[Read More] Understanding Spinal Sounds: Impact on Growth and Prevention Tips
Long-Term Use of Ultracet After Knee Replacement: Risks and Concerns
Long-term use of Ultracet? Dear Doctor: My mother, who is 80 years old, underwent a total knee replacement surgery five weeks ago. Although she has been undergoing rehabilitation, she is still experiencing severe pain. The doctor has prescribed Ultracet, three tablets daily, for ...
Dr. Zhang Jiahao Reply:
Hello, any medication has its side effects, so it is important to understand the patient's level of pain and whether they have had poor responses to other analgesics. For patients with severe pain who do not respond well to other pain relievers, Ultracet is indeed one of the...[Read More] Long-Term Use of Ultracet After Knee Replacement: Risks and Concerns
Understanding Frog Legs: Orthopedic Concerns and Treatment Options
Is it frog leg? I would like to ask about the two small indentations on my buttocks. In the past, I was unable to squat with my legs together, but it seems to have improved a bit now, and I can manage to squat, although my legs become very sore, and I walk with my feet turned out...
Dr. Li Wenlin Reply:
Hello: Don't worry about your question. Frog leg syndrome (gluteal muscle spasm) is now quite rare, so there's no need for concern. I recommend that you consult Dr. Lin Liu-Chi (available on Monday and Thursday afternoons) for the best answers and treatment. Wishing you...[Read More] Understanding Frog Legs: Orthopedic Concerns and Treatment Options
Are Wrinkled Wall Syndrome and Patellar Dislocation the Same Condition?
Is the wrinkled wall syndrome the same as patellar locked dislocation? Hello, Dr. Fan: Is surgery the only option for the diagnosis of (wrinkled wall syndrome)? Additionally, the orthopedic doctor at the National Defense Medical Center 804 Hospital diagnosed it as (patellar dislo...
Dr. Fan Hongbin Reply:
Hello, regarding your question, here is the response: 1. Plica syndrome and patellar instability are different conditions and diagnoses. Plica syndrome: The knee does not cause pain under normal use, but prolonged friction between the articular cartilage can lead to inflammator...[Read More] Are Wrinkled Wall Syndrome and Patellar Dislocation the Same Condition?