Understanding Ligament Injuries: Choosing Between Allograft and Autograft
Ligament injury Hello Doctor, I had a car accident last June where my knee suffered an open fracture (bone crack). Initially, I had no issues with rehabilitation after the accident, but recently I've been feeling instability in my knee joint, so I scheduled an MRI. After the...
Dr. You Dianqi Reply:
Hello, the options for ligament reconstruction include autografts, allografts, and synthetic ligaments. Generally, most people prefer autografts. However, if you have a need for rapid recovery and a return to the playing field, allografts may be more ideal. Allografts themselves ...[Read More] Understanding Ligament Injuries: Choosing Between Allograft and Autograft
Understanding Coccyx Pain: Causes and Treatment Options
Coccygeal pain or discomfort around the coccyx? I would like to ask about experiencing a dull pain around the coccyx, sometimes accompanied by a sore and soft sensation. This discomfort has persisted for several months. I have had an X-ray taken, which showed a significant inward...
Dr. Wang Shouji Reply:
Hello, if the pain from the injury has not improved since then, it may be a sequela. It is recommended to apply heat therapy frequently and avoid prolonged sitting. Maintain an upright posture while sitting, and when riding a bicycle or motorcycle, avoid direct pressure on the ta...[Read More] Understanding Coccyx Pain: Causes and Treatment Options
Reinjury After Ankle Ligament Surgery: Autograft vs. Synthetic Options
After ankle ligament reconstruction surgery, the patient experienced a second fall resulting in a re-rupture? First question: Three and a half months ago, I underwent surgery for a torn ankle ligament. A few days ago, I fell again while playing in Kenting, and the same ligament h...
Dr. Chen Bochen Reply:
1. Both options are equally good; however, autologous ligament has a longer recovery period but is more durable. It depends on the surgical habits of the physician performing the procedure. 2. A revision surgery is more likely to have sequelae and requires a longer rehabilitation...[Read More] Reinjury After Ankle Ligament Surgery: Autograft vs. Synthetic Options
Post-ACL Reconstruction and Meniscus Repair: Common Concerns and Recovery Tips
Questions After Anterior Cruciate Ligament Reconstruction and Meniscus Repair Surgery Hello Doctor, I would like to ask you about my condition. I underwent anterior cruciate ligament reconstruction (using autologous tendon from my leg) and meniscus repair surgery about 5 days ago...
Dr. Chen Yongxue Reply:
Please continue to monitor and return for your scheduled follow-up appointment. Thank you.[Read More] Post-ACL Reconstruction and Meniscus Repair: Common Concerns and Recovery Tips
Post-Operative Knee Pain: Is It Normal After 3 Weeks of Surgery?
Three weeks after total knee arthroplasty, there is still soreness and pain? My mother has osteoarthritis in her right knee. She is able to move normally during the day, but experiences severe pain in the morning upon waking, requiring her to sit and move her right leg for a whil...
Dr. You Dianqi Reply:
Postoperative redness, heat, and swelling typically last for about three months. Initially, observe the wound dressing to ensure it is dry and free of any tissue exudate. If there are no abnormalities, applying ice for 5 to 10 minutes can help alleviate discomfort; there is no li...[Read More] Post-Operative Knee Pain: Is It Normal After 3 Weeks of Surgery?
Managing Pain After Thumb Basal Joint Arthritis Surgery
Basal joint arthritis of the thumb Hello Doctor, I frequently use my right thumb for work, and I have been experiencing long-term pain that required treatment. Recently, I underwent ligament surgery and reconstruction for basal joint arthritis of the thumb, and it has been one mo...
Dr. Shen Boquan Reply:
Hello, if you have undergone ligament surgery and reconstruction for thumb basal joint arthritis, it generally takes some time for the ligaments to heal, usually around three months or even longer. If you are experiencing significant pain at the surgical site that affects your da...[Read More] Managing Pain After Thumb Basal Joint Arthritis Surgery
Understanding PCL Avulsion Fractures: Healing Status After Six Months
PCL avulsion fracture (six months duration) Hello Doctor: I had a car accident last November and was diagnosed with a PCL avulsion fracture. At that time, I did not undergo surgery and was only immobilized for two months. It has now been six months, and my orthopedic doctor arran...
Dr. Chen Yongxue Reply:
Hello, according to the MRI report you provided, the posterior cruciate ligament has not yet healed (which is actually to be expected). As for the treatment you should pursue, it depends on your daily activities: if you are an active person who enjoys sports, especially those tha...[Read More] Understanding PCL Avulsion Fractures: Healing Status After Six Months
Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort
Coccyx pain for nearly a year? Hello, Dr. Shen. I have been experiencing pain in my coccyx since early May of last year. The pain is located about 2 centimeters above the tip of the coccyx, seemingly at the junction with the sacrum. The pain is triggered by certain positions, suc...
Dr. Shen Boquan Reply:
Hello, the causes of lower back pain are numerous. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress levels can all contribute to discomfort. If ...[Read More] Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort
Understanding Ankle Ligament Calcification: Causes, Treatment, and Surgery
Calcification of the ankle ligaments Hello, doctor. I recently sprained my ankle and went to the hospital for an X-ray. The doctor mentioned that I have calcification of the ligaments due to a previous injury, which is causing pain (I did have pain before the sprain). He suggeste...
Dr. You Dianqi Reply:
The treatment approach should depend on your condition and the degree of ligament calcification. If it is mild, conservative treatments such as medication and rehabilitation may be considered first. If these are ineffective, other treatment options, such as surgery, may be consid...[Read More] Understanding Ankle Ligament Calcification: Causes, Treatment, and Surgery
Recovery After ACL and Tibial Plateau Fracture: When Can You Ride a Motorcycle?
Diagnosis: Tear of the anterior and posterior cruciate ligaments with associated fracture? I had a car accident on January 3rd this year, resulting in a tibial plateau fracture and tears of both the anterior and posterior cruciate ligaments. I underwent surgery where plates and s...
Dr. Chen Yongxue Reply:
Hello, riding a motorcycle is generally fine, but in case of an emergency situation, your affected limb may not be able to react in time. It is advisable not to attempt it before you are able to exercise properly. Thank you.[Read More] Recovery After ACL and Tibial Plateau Fracture: When Can You Ride a Motorcycle?
Preventing Traumatic Arthritis: Is Annual PRP Treatment Recommended?
Preventing Traumatic Joint Degeneration Hello, doctor! I am only 35 years old, but I have undergone anterior cruciate ligament reconstruction and meniscus repair on my left knee. I want to prevent further issues arising from these injuries. In this situation, do you recommend con...
Dr. Chen Yongxue Reply:
Hello, PRP has benefits, thank you.[Read More] Preventing Traumatic Arthritis: Is Annual PRP Treatment Recommended?
Effective Treatment Options for Finger Joint Pain After Injury
Pain at the distal interphalangeal joint of the fingers? Hello, doctor. I previously sustained a bruise from external force, initially thinking it was due to eating radishes. However, after two months of taking anti-inflammatory medication, undergoing rehabilitation, and receivin...
Dr. Shi Guozheng Reply:
Injuries to the wrist typically take a longer recovery time, usually over twelve weeks. Currently, you can continue with rehabilitation or apply heat therapy. If there is significant pain, you may intermittently take pain relievers to alleviate discomfort.[Read More] Effective Treatment Options for Finger Joint Pain After Injury
Long-Term Effects of Non-Surgical Treatment for Grade 2 Shoulder Dislocation
Is there any long-term consequence of a grade 2 acromioclavicular joint dislocation if it is not surgically treated? Hello, Doctor. I fell while running on March 27, 2024, and impacted my left shoulder, resulting in a Grade 2 acromioclavicular joint dislocation. I am currently wi...
Dr. Shi Guozheng Reply:
1. Changes in twenty years are difficult to predict; even an uninjured shoulder joint may undergo degeneration. 2. Grade II injuries may not require surgery. 3. Choosing surgery does not guarantee complete recovery.[Read More] Long-Term Effects of Non-Surgical Treatment for Grade 2 Shoulder Dislocation
Managing Risks of ACL and Meniscus Injuries: Is PRP Therapy Effective?
How to manage the risks associated with ligament and meniscus tears? Hello, doctor! Due to a car accident, I have suffered severe damage to my left knee's anterior cruciate ligament and partial meniscus tear. I previously consulted a physician who mentioned that this conditi...
Dr. Shi Guozheng Reply:
PRP theoretically can help repair mildly damaged cartilage, but if a ligament is completely torn, it cannot regenerate. For ligament injuries, strengthening exercises can compensate for joint stability. If the joint has severely degenerated over many years, a total joint replacem...[Read More] Managing Risks of ACL and Meniscus Injuries: Is PRP Therapy Effective?
Does ACL Tear Lead to Joint Degeneration? Insights and Prevention Strategies
Does a torn anterior cruciate ligament lead to joint degeneration issues? Hello! I would like to understand whether a torn anterior cruciate ligament (ACL) and a meniscus tear are associated with joint degeneration issues. Have physicians reviewed any relevant studies that confir...
Dr. Shi Guozheng Reply:
Joint instability can accelerate degeneration. When the meniscus is torn, it can no longer cushion the stress on the joint, leading to premature aging of the joint.[Read More] Does ACL Tear Lead to Joint Degeneration? Insights and Prevention Strategies
Understanding Osteochondritis Dissecans: Treatment Options for Knee Pain
Treatment methods for OCD (Obsessive-Compulsive Disorder) Hello Dr. You, I fell in November 2023 and landed directly on my left knee. Despite ongoing treatment in rehabilitation and traditional Chinese medicine, my pain has not improved. I still experience pain on both sides of t...
Dr. You Dianqi Reply:
Please bring your report to the orthopedic outpatient clinic to consult with the physician. Thank you.[Read More] Understanding Osteochondritis Dissecans: Treatment Options for Knee Pain
Understanding Patellar Pain After Knee Injury: Causes and Recovery Tips
Patellar pain Hello, doctor. I would like to ask about my condition. After a car accident where I fell and landed on my left side, I experienced pain in my left leg and was unable to fully bend it (it seems like there is pressure behind the knee and around the patella, but I'...
Dr. Shen Boquan Reply:
Hello, due to a car accident, you are experiencing pain in your left knee. There could be many possible reasons for this, including injuries to the anterior cruciate ligament, posterior cruciate ligament, meniscus, or medial and lateral collateral ligaments, or it could simply be...[Read More] Understanding Patellar Pain After Knee Injury: Causes and Recovery Tips
Understanding Persistent Knee Pain: When to Seek Further Medical Help
Knee pain and tingling? Hello, doctor. I am a high school freshman. Previously, in the second year of junior high, I practiced weightlifting and was hit on the left knee by a 62-kilogram barbell. At that time, I didn't rest and continued training. After returning home, I app...
Dr. Shi Guozheng Reply:
It is necessary to return to the physician for a consultation, and further imaging studies may be performed if needed.[Read More] Understanding Persistent Knee Pain: When to Seek Further Medical Help
Understanding Post-Operative Sounds After Arthroscopic Knee Surgery
Arthroscopic surgery I have a sports injury and underwent surgery for meniscus repair, anterior cruciate ligament reconstruction, and medial collateral ligament tightening. Currently, it has been three weeks since the surgery. I have noticed that when bending my knee, there is a ...
Dr. Wang Shouji Reply:
Hello, it is not uncommon to experience joint stiffness and reduced mobility after surgery due to decreased activity. It is recommended to engage in more heat therapy and rehabilitation exercises. Most patients find relief within two to three months. Changhua Hospital cares about...[Read More] Understanding Post-Operative Sounds After Arthroscopic Knee Surgery
Can Knee Anesthesia Cause Meniscus Damage After ACL Surgery?
Will knee anesthesia and flexion cause damage to the meniscus? Hello, Doctor. I have two questions and a somewhat lengthy situation I would like you to review. Thank you for taking the time to read this. Question 1: After undergoing anterior cruciate ligament (ACL) reconstructio...
Dr. Chen Yongxue Reply:
Hello, 1. In three months, I will undergo anesthesia for a knee procedure. Will it damage the meniscus? No, during the arthroscopic surgery after anesthesia, the pressure is applied gradually, which will not harm the meniscal cartilage. 2. Can X-rays detect a small fragment ne...[Read More] Can Knee Anesthesia Cause Meniscus Damage After ACL Surgery?