Understanding Patellofemoral Pain Syndrome and Its Management Strategies
Patellofemoral chondromalacia Hello Doctor: I have a habit of walking, doing yoga, and aerobic exercises about three times a week. On August 20, 2015, while wearing new shoes, I experienced some friction in my knee during my second walking session (on an elementary school playgro...
Dr. Wang Shouji Reply:
Hello: If pain and discomfort persist despite treatment and activity restrictions (such as limited climbing, squatting, and going up and down stairs), and the pain is primarily located in the knee joint, it is necessary to consider the possibility of patellar chondromalacia or pa...[Read More] Understanding Patellofemoral Pain Syndrome and Its Management Strategies
Understanding Greater Trochanteric Bursitis: Causes and Solutions
Hallux Valgus Hello Doctor: I have a large protrusion on the outer side of my thigh (near the buttocks). After researching online, I found out that it is likely a greater trochanteric prominence, possibly due to poor sitting posture during childhood. I heard that it's best n...
Dr. Chen Yongxue Reply:
Hello, the prominence of the greater trochanter is a phenomenon that occurs in every normal individual, so there is no need to worry. What is important to note is the pathological prominence, which may cause prolonged friction on the tendons, leading to the occurrence of fasciiti...[Read More] Understanding Greater Trochanteric Bursitis: Causes and Solutions
Understanding Persistent Hip Pain After Hip Replacement Surgery
Artificial hip joint Hello doctor, I would like to ask about my grandmother. She has been experiencing significant pain in the hip joints of both thighs. The left side has already undergone surgery for a hip replacement, but she is still in pain. It has been 7 months since the su...
Dr. Shi Guozheng Reply:
After hip joint surgery, it usually takes about two to three months for recovery, during which pain typically decreases. If pain persists, further evaluation is necessary, and medication can be prescribed for pain management. If surgery is also needed on the other side, it is imp...[Read More] Understanding Persistent Hip Pain After Hip Replacement Surgery
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...[Read More] Understanding PRP Therapy for Anterior Cruciate Ligament Injuries
Post-Surgery Complications and Disability Certification in Orthopedics
Postoperative sequelae & disability certification More than two years ago, I accidentally fell from the third floor, resulting in what appears to be two fractured lumbar vertebrae and open fractures in both legs. I have undergone approximately ten surgeries, including hardwar...
Dr. Wang Shouji Reply:
Hello: Having a disability does not mean that one can apply for certification with just a slight functional impairment; there is a standardized criterion. Based on your symptoms, unless there is a noticeable difference in muscle size bilaterally, it may be difficult to demonstrat...[Read More] Post-Surgery Complications and Disability Certification in Orthopedics
Understanding Inner Knee Pain: Causes, Recovery, and Sleep Tips
Medial knee pain? Hello, Doctor: I experienced pain on the inner side of my knee yesterday, and today I visited a clinic where I was diagnosed with a medial ligament tear. I would like to ask about the possibility of a tear occurring without any obvious trauma, as my last exercis...
Dr. Shi Guozheng Reply:
If it is a tear, there will be a noticeable injury, and the pain after a sprain is usually related to inflammation of the ligaments. Rest for a few days to see if it improves. Mild tears typically require six weeks of rest for recovery.[Read More] Understanding Inner Knee Pain: Causes, Recovery, and Sleep Tips
Understanding Stability and Endurance in Standing: Key Muscle Groups
About Standing To stand stable and for a long duration, it is important to engage the muscles of the anterior (front) and posterior (back) aspects of the thighs and calves, as well as the inner and outer sides of the legs. Additionally, it is crucial to activate the core muscles,...
Dr. Shi Guozheng Reply:
The width of the feet should be approximately shoulder-width apart, with the weight evenly distributed between both feet. It is recommended to practice for about half an hour to an hour initially, gradually increasing the duration over time.[Read More] Understanding Stability and Endurance in Standing: Key Muscle Groups
Understanding Non-Painful Knee Bumps: Causes and Solutions
Bilateral knee lateral protrusion? Why do I have protrusions (bones) next to my knees on both legs, but they are not painful? What could be the cause of this? Are there any methods to reduce the protrusions?
Dr. Chen Yongxue Reply:
Hello, regarding the protruding bone next to your knee mentioned in your letter, it's difficult to visualize. Could you please come to the clinic for an examination by a physician? Thank you.[Read More] Understanding Non-Painful Knee Bumps: Causes and Solutions
Could Your Neck Be the Cause of Dizziness and Numbness?
Is there an issue with the cervical spine? I have been experiencing dizziness and numbness on the right side of my body for the past four years. The dizziness comes and goes, and it doesn't feel like the room is spinning; instead, it feels more like a sense of terror, accomp...
Dr. Shi Guozheng Reply:
Dizziness is often related to balance issues involving the brain or inner ear. It is advisable to consult an otolaryngologist, as there may be a problem with the auditory nerve in the brain.[Read More] Could Your Neck Be the Cause of Dizziness and Numbness?
Knee Tightness and Pain: When to Seek Further Diagnosis and Treatment
Knee tightness and inability to squat? Recently, I may have developed discomfort in my right knee due to improper sitting posture while crossing my legs for an extended period. Initially, I experienced a popping sound and pain when bending and straightening my knee, and there was...
Dr. Shi Guozheng Reply:
Prolonged excessive bending of the knee joint can lead to ligament strain, which may take several weeks to recover. Currently, applying heat and performing some light movements are advisable. Avoid intentionally bending the knee to an extreme degree; recovery should occur gradual...[Read More] Knee Tightness and Pain: When to Seek Further Diagnosis and Treatment
Understanding Patellar Chondromalacia: Causes, Symptoms, and Treatment Options
Patellar chondromalacia Doctor, six months ago, without any trauma or exercise, I started experiencing pain in the upper sides of both knees, significant soreness in the outer sides of my calves, and aching in my ankles. The pain persists throughout the day, and my right foot fee...
Dr. Hong Ximing Reply:
Hello: Based on what you described, the symptoms are quite evident, and with the presence of scoliosis, the imbalance in body weight will further exacerbate the wear on the patella. Arthroscopic lavage treatment could be considered, followed by rehabilitation. The specific situat...[Read More] Understanding Patellar Chondromalacia: Causes, Symptoms, and Treatment Options
Understanding Pelvic Fractures and Leg Length Discrepancy After Surgery
Pelvic fracture with limb length discrepancy? Hello, I had surgery for a comminuted fracture of my left knee with the placement of steel nails and plates on September 30. A month later, I discovered that I also have a pelvic fracture, and since then, I have noticed that the crack...
Dr. Wang Shouji Reply:
Hello: Limb length discrepancy may be caused by pelvic fracture displacement. It is necessary to assess the degree of displacement to determine if surgical correction is required. If the displacement of the pelvic fracture is minimal, conservative treatment may be sufficient. Tha...[Read More] Understanding Pelvic Fractures and Leg Length Discrepancy After Surgery
Standards for Removing External Fixators in Limb Lengthening Surgery
Standards for the removal of external fixators? Dear Dr. Shi, Hello. My son is 7 years old and has a discrepancy of about 4 centimeters between his left and right legs. We are considering limb lengthening surgery for him. However, we are not familiar with the procedure and are c...
Dr. Shi Guozheng Reply:
Before removing the external fixator, it is essential to confirm that the fracture site (or osteotomy site) has healed, which can be assessed through X-ray imaging. Additionally, the healing of the osteotomy site typically requires a certain period, usually between three to six m...[Read More] Standards for Removing External Fixators in Limb Lengthening Surgery
Managing Knee Injuries and Relapses of Tailbone Pain: Effective Strategies
Knee contusion and old coccyx injury? I injured my right knee after being knocked down while riding a bicycle, and it has been over six months. It seems that my right leg is also affected. I have undergone acupuncture, chiropractic treatment, and X-rays, which showed no bone issu...
Dr. Luo Zhongwei Reply:
It is recommended that you schedule an appointment for further examination and evaluation.[Read More] Managing Knee Injuries and Relapses of Tailbone Pain: Effective Strategies
Understanding Congenital Bow Legs: Causes, Symptoms, and Treatment Options
Congenital bow legs? Since childhood, I have frequently visited doctors due to knee pain, and they always diagnosed it as chondritis. Recently, after an X-ray for my knee pain, a doctor informed me that I have congenital bow legs, and my inner thigh muscles are underdeveloped (wh...
Dr. Shi Guozheng Reply:
Tibial vara, also known as tibial internal rotation or bowing, is a condition that is often congenital. If there is no arthritis present, it typically does not require treatment. Surgery is only necessary if there is arthritis and conservative treatments are ineffective. Currentl...[Read More] Understanding Congenital Bow Legs: Causes, Symptoms, and Treatment Options
Preventing Further Deterioration of Hip Joint Health
Preventing further deterioration of the hip joint? 1. X-rays show sclerosis and narrowing of the hip joint, making it difficult to cross the legs and slightly challenging to abduct the thigh. Standing up after squatting requires assistance to rise quickly. Occasionally, there is ...
Dr. Shi Guozheng Reply:
Based on your description, the hip joint likely has severe arthritis if the joint space is already narrowed. The effectiveness of PRP injection therapy may not be very good in this case. Swimming is not necessarily detrimental to the joint, but it is important to avoid excessive ...[Read More] Preventing Further Deterioration of Hip Joint Health
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
Effective Ways to Lengthen Legs and Improve Height
Lengthening the legs? Doctor, how can I make my legs longer? I’ve read online that reducing salt intake, stretching in the morning, and using stairs can be effective. Is this true? Will stretching the calf muscles make them longer? What else can I do to increase my height? Thank ...
Dr. Shi Guozheng Reply:
Exercise stimulates bone growth, and adequate nutrition also plays a significant role. Stretching may not necessarily be effective. Height is related to genetics, and generally, the height of parents influences the height of their children.[Read More] Effective Ways to Lengthen Legs and Improve Height
How to Identify Early Symptoms of Hip Joint Necrosis
Stage I avascular necrosis of the hip joint? Hello, Doctor: How can I self-assess the symptoms of early-stage avascular necrosis of the hip joint? Recently, I've been experiencing soreness in my thigh and discomfort in the area where my thigh connects to my buttocks (it hurt...
Dr. Shi Guozheng Reply:
Early stages typically do not cause pain; changes are usually only visible on X-rays or MRI scans. You can go to the hospital for an initial examination to determine if further tests are necessary. A physician can assess whether there is avascular necrosis of the femoral head in ...[Read More] How to Identify Early Symptoms of Hip Joint Necrosis
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