Understanding Bone Displacement vs. Misalignment in Foot Injuries
Bone (unsure if dislocated or displaced) I apologize for the confusion earlier. The little toe I referred to is not the thumb of the hand but rather the little toe on the outer side of the foot. The X-ray clearly shows an abnormal position of the little toe's bones, which ap...
Dr. Shi Guozheng Reply:
Toe fractures usually heal without the need for surgery. The healing time typically does not exceed three months. If there is displacement, the alignment may be abnormal. Physicians rarely refer to this as a dislocation; they use the term displacement instead. For ankle injuries,...[Read More] Understanding Bone Displacement vs. Misalignment in Foot Injuries
Understanding Knee Injuries: From Bruises to Possible Ligament Issues
Left knee impact with the ground? After falling from a motorcycle, my left knee hit the ground. Initially, the skin on the inner side became completely numb. Later, after being taken to the hospital and having an X-ray, it was determined that there were no fractures. The doctor d...
Dr. Shi Guozheng Reply:
A knee joint contusion means that the tissues inside are injured due to impact, typically affecting the bones or ligaments. If there is no involvement of these structures, it may only be soft tissue injury. If there are no significant functional impairments, further examination i...[Read More] Understanding Knee Injuries: From Bruises to Possible Ligament Issues
Understanding Displaced Bones and Ligament Tears in Sports Injuries
Bone displacement, ligament tear, avulsion fracture? I'm sorry, doctor, I'm back again... You already know about the previous incident, which was a traumatic fracture caused by a collision while playing basketball. Since the bone was too small, conservative treatment wa...
Dr. Shi Guozheng Reply:
The little finger is located in the hand, while the avulsion fracture you mentioned is in the foot. The question is a bit confusing; please clarify which specific joint or bone fracture you are referring to for a better response.[Read More] Understanding Displaced Bones and Ligament Tears in Sports Injuries
Recovery Timeline After ACL Surgery: When Can You Jump and Run?
Anterior cruciate ligament (ACL) I would like to ask how long it will take for me to return to normal activities like jumping, considering that I had minimally invasive surgery over three months ago and my knee brace has been removed. My range of motion is already fully restored....
Dr. Hong Ximing Reply:
Hello: It has been 3 months since your anterior cruciate ligament surgery, and you can run without affecting the joint angle, which indicates that the surgery was very successful. I recommend that you continue with a gradual rehabilitation program, progressively increasing your s...[Read More] Recovery Timeline After ACL Surgery: When Can You Jump and Run?
Understanding Foot Injuries: Inability to Stand on Tiptoes
Inability to stand on tiptoes after a foot injury? Hello, Director. I injured my foot three months ago, and currently, I have weakness in my foot, making it difficult to go downstairs. I am unable to stand on my toes (I cannot lift my heel), and I experience pain on the inner and...
Dr. Shi Guozheng Reply:
If there is a bone injury in the foot, and it is merely a sprain, rehabilitation can gradually begin after three months. Range of motion exercises for the ankle joint in all directions can be performed. If there is an inability to invert the ankle, it may be due to an injury to t...[Read More] Understanding Foot Injuries: Inability to Stand on Tiptoes
Understanding Occasional Knee Pain: When to See an Orthopedist or Rehab Specialist
Intermittent severe pain behind the left knee, with the left leg unable to bend or squat normally? Hello Doctor, I have been experiencing intermittent pain behind my left knee for over a year. Initially, I thought it was a common injury, so I visited a general massage clinic. Whi...
Dr. Hong Ximing Reply:
Based on the symptoms you described, it is not merely a case of ligament or joint discomfort. It is advisable to seek an evaluation from a neurologist to clarify any symptoms that may be caused by neurological issues.[Read More] Understanding Occasional Knee Pain: When to See an Orthopedist or Rehab Specialist
Understanding Knee Sprain Recovery: Limited Flexibility and Pain Concerns
Knee sprain with inability to fully flex? Hello, Doctor: I sustained a knee sprain a month ago, and the examination revealed an injury to the medial collateral ligament. I can walk and bend my knee now, and there is no swelling or pain, but I am unable to fully bend it. When I at...
Dr. Shi Guozheng Reply:
Ligament injuries typically take about one to two months to heal, so the current situation is still considered normal. Gradual bending is possible, and full recovery can ultimately be achieved.[Read More] Understanding Knee Sprain Recovery: Limited Flexibility and Pain Concerns
Recovering from a Right Knee Sprain: Rehabilitation Tips and Advice
Right knee sprain? Hello Doctor: Four weeks ago, I was playing basketball and my right knee was bumped from the side by another player. I went to the hospital at that time, and an X-ray showed no bone issues. The doctor diagnosed a sprain of the medial collateral ligament (MCL). ...
Dr. Hong Ximing Reply:
Hello: It has been 4 weeks since the knee sprain involving the medial collateral ligament, and rehabilitation exercises should be possible. However, it is still recommended to wear a knee brace for protection and to temporarily avoid running and jumping activities. Hong Hsi-Ming[Read More] Recovering from a Right Knee Sprain: Rehabilitation Tips and Advice
Understanding Ankle Adhesion: Recovery Timeline and Rehabilitation Tips
Ankle joint adhesion Hello, I previously inquired about a car accident on September 19 that resulted in an open fracture of the talus and ligament tears. I underwent internal fixation and ligament repair surgery on October 1, and the external fixator was removed on November 1. Af...
Dr. Shi Guozheng Reply:
To ensure a quick recovery from joint adhesions, it is essential to start rehabilitation as early as possible. Typically, if more than three months have passed, recovery becomes more challenging, and the longer the duration, the more difficult it is. The progress of rehabilitatio...[Read More] Understanding Ankle Adhesion: Recovery Timeline and Rehabilitation Tips
Understanding Meniscus Tears and ACL Injuries: Surgical Options and Recovery
Lateral meniscus tear and anterior cruciate ligament (ACL) tear? In September, I was involved in a car accident and later X-rays revealed a fracture. An MRI later showed that I have a lateral meniscus tear and an anterior cruciate ligament (ACL) tear in my left knee. With the win...
Dr. Shi Guozheng Reply:
In cases of anterior cruciate ligament (ACL) injury combined with a lateral meniscus tear, it is generally preferable to repair the meniscus if possible. If repair is not feasible, then partial meniscectomy may be performed. Sometimes, only a partial removal of the meniscus is ne...[Read More] Understanding Meniscus Tears and ACL Injuries: Surgical Options and Recovery
Managing Ligament Swelling After Ankle Sprain: Recovery Tips
Ligament swelling? Hello, doctor. I would like to ask you about an injury I sustained in August when I accidentally slipped and twisted my right big toe (the left side of the toe), which has since swollen. I went to the hospital, and the X-ray results showed no bone issues, but t...
Dr. Hong Ximing Reply:
A sprain of the right big toe with swelling and pain is normal. Since the X-ray shows no issues with the bones, it should gradually heal. It is advisable to soak it in warm water to improve circulation, which will help accelerate the healing process.[Read More] Managing Ligament Swelling After Ankle Sprain: Recovery Tips
Understanding Persistent Ankle Pain After Injury: Causes and Solutions
Avulsion fracture Hello doctor, I injured my ankle while playing basketball after colliding with someone and falling down. Although it was very painful, I managed to walk home with a limp. I went to a small clinic where they diagnosed me with a ligament tear and put me in a cast ...
Dr. Shi Guozheng Reply:
An avulsion fracture typically occurs at the junction between a ligament and a bone, meaning that the ligament is not torn; rather, a piece of bone has been pulled away. Treatment at the site where the ligament and bone connect usually involves conservative management, as the fra...[Read More] Understanding Persistent Ankle Pain After Injury: Causes and Solutions
Is Extracorporeal Shock Wave Therapy Effective for Knee Ligament Inflammation?
Ligament inflammation Is extracorporeal shock wave therapy effective for inflammation of the knee tendons and ligaments? Thank you!
Dr. Shi Guozheng Reply:
It may be effective, but generally, medication treatment and rehabilitation will lead to improvement.[Read More] Is Extracorporeal Shock Wave Therapy Effective for Knee Ligament Inflammation?
Understanding Complications of Exposed Artificial Ligaments in Orthopedic Surgery
Exposed artificial ligament Hello Doctor, I would like to ask a few more questions: 1. When you mentioned that further evaluation might be needed after removal, does that mean there could be an impact on the function of my left shoulder and hand? For example, if the artificial ...
Dr. Shi Guozheng Reply:
A slight upward tilt of the clavicle does not actually affect its function. Since the clavicle has healed, it is not due to the influence of an infection. If an infection cannot be resolved, then it would be necessary to remove the implant.[Read More] Understanding Complications of Exposed Artificial Ligaments in Orthopedic Surgery
Understanding Post-ACL Surgery: Managing Pain and Knee Mobility
Posterior cruciate ligament, meniscus, pubic bone? Hello, doctor. I underwent surgery on my right knee for a torn anterior cruciate ligament, meniscus, and fibula due to a car accident in August of this year. The doctor mentioned that I could manage my rehabilitation on my own, b...
Dr. Shi Guozheng Reply:
The range of motion in the knee joint should be at least 110 degrees to manage daily activities more easily, with a normal range reaching up to 150 degrees, which allows for kneeling or squatting. If your range of motion is only 90 degrees, it may be due to injury or adhesions fo...[Read More] Understanding Post-ACL Surgery: Managing Pain and Knee Mobility
Managing Exposed Artificial Ligaments After Shoulder Surgery: Key Concerns
Exposed artificial ligament Hello Doctor: Last November, I suffered a distal clavicle fracture-dislocation of my left shoulder, along with ligament injuries. After undergoing surgery with self-funded artificial ligaments and two titanium screws for fixation, everything healed wel...
Dr. Shi Guozheng Reply:
If there is no discharge from the wound, it is unlikely to be infected. Blood tests can determine the presence of infection. Inflammation may occur before an infection develops, making healing more difficult. Debridement may improve healing, but after removal, further evaluation ...[Read More] Managing Exposed Artificial Ligaments After Shoulder Surgery: Key Concerns
Understanding Ligament Calcification: Treatment Options for Knee Pain
Ligament calcification In recent months, I have been experiencing recurrent inflammation of the patellar tendons in both knees, and an ultrasound has revealed calcification of the tendons. What should the physician do? Is the calcification serious? Thank you.
Dr. Shi Guozheng Reply:
Calcification should be evaluated through X-rays or other imaging studies. There is no direct correlation between calcification and inflammation; inflammation may be related to physical activity. Rehabilitation or medication treatment can be considered.[Read More] Understanding Ligament Calcification: Treatment Options for Knee Pain
Understanding Ankle Pain and Recovery After a Fracture: A Patient's Journey
Pain below the medial malleolus, difficulty extending the foot arch, and pain behind the ankle? Dear Doctor, Hello, I sprained my right foot over two months ago, and at that time, I was diagnosed with a fracture of the fifth metatarsal. I was treated with a splint but did not re...
Dr. Shi Guozheng Reply:
Toe fractures typically heal in about two months. Pain in the sole and ankle may be related to the initial injury. It is advisable to get an X-ray to check for any fractures in the ankle bones. Consulting a specialist is recommended.[Read More] Understanding Ankle Pain and Recovery After a Fracture: A Patient's Journey
Understanding Ankle Pain After Surgery: Is Screw Migration a Concern?
The ankle screws may still cause intermittent pain, and there is a possibility of screw displacement? Hello, I was involved in a car accident on September 19, which resulted in an open fracture of the talus in my left ankle and severe dislocation. I underwent surgery on October 1...
Dr. Shi Guozheng Reply:
Pain during movement is normal; typically, the steel pin will not displace unless there is another injury.[Read More] Understanding Ankle Pain After Surgery: Is Screw Migration a Concern?
Understanding Neck and Back Sounds: Are They Signs of Aging?
Hello, doctor? Hello, Doctor. I'm not sure why, but recently the bones in my cervical spine (specifically the first joint that can be seen when I slightly lower my head) have been making sounds. I often find myself unconsciously slouching, and whenever I become aware of it, ...
Dr. Shi Guozheng Reply:
This may be the sound of bones and ligaments or nearby synovial tissue rubbing against each other, which is not related to pain. If you are very concerned, you can get an X-ray to check for any other issues.[Read More] Understanding Neck and Back Sounds: Are They Signs of Aging?