Effective Strategies for Managing Chronic Pain in Multiple Joints
Shoulder blade, wrist joint, knee joint, ankle joint, lumbar intervertebral disc, sternum? The trapezius muscle has been in a forward-leaning position for a period of time while using a laptop about 8.9 years ago, resulting in long-term stiffness and soreness in the deeper areas ...
Dr. Shi Guozheng Reply:
Shoulder and neck pain is usually caused by overuse, and reducing activity in this area along with moderate heat therapy or some rehabilitation treatments may lead to improvement. If the right wrist joint continues to be problematic, it may be necessary to check for ligament issu...[Read More] Effective Strategies for Managing Chronic Pain in Multiple Joints
Understanding Spondylolysis: Symptoms, Treatment, and Recovery Options
Vertebral arch dissociation Hello Doctor: Recently, I experienced lower back pain. Initially, I suspected it might be prostatitis or a ligament strain. I first visited an orthopedic specialist and had an X-ray done. The doctor informed me that I have a condition called spondyloly...
Dr. Chen Yongxue Reply:
Patients with spondylolisthesis may experience soreness when bending or changing positions, but most do not have nerve compression. It is important to take care of the lower back, avoid heavy lifting, and have regular follow-ups. If any of the following occur: (1) worsening sympt...[Read More] Understanding Spondylolysis: Symptoms, Treatment, and Recovery Options
Post-ACL Surgery: Understanding Nerve Sensations and Recovery Tips
Post-operative complications of anterior cruciate ligament (ACL) surgery? Hello: About three years ago, I underwent arthroscopic surgery for anterior cruciate ligament reconstruction in my right knee. Since then, I have been experiencing unusual sensations on the outer side of my...
Dr. Hong Ximing Reply:
After undergoing knee joint surgery, many patients experience numbness in the skin on the outer side, which is likely a residual sensory symptom following the surgery. Symptoms can be improved through regular heat application and massage, or by consulting a specialist physician f...[Read More] Post-ACL Surgery: Understanding Nerve Sensations and Recovery Tips
Understanding Posterior Cruciate Ligament Injuries: Diagnosis and Treatment Options
Posterior cruciate ligament injury? Hello Dr. Luo, two days ago I was going down the stairs and I exerted too much force. At that time, I felt a sharp pain behind my right knee, and there is a bruise on the back of my knee, but no external injury. Earlier today, I visited a commu...
Dr. Luo Zhongwei Reply:
Ms. Hsiu-Ju: Please come to the outpatient clinic for a clinical examination for an accurate diagnosis. A letter cannot be used to diagnose your condition. Thank you![Read More] Understanding Posterior Cruciate Ligament Injuries: Diagnosis and Treatment Options
Post-Surgery Care and Recovery for Knee Ligament Transfer: Common Concerns
Regarding postoperative care after knee ligament reconstruction surgery? Hello Doctor, my mother is 47 years old. Last year, she was in a car accident where she suffered a 40% tear of the posterior cruciate ligament and complete tears of all other ligaments. She underwent surgery...
Dr. Shi Guozheng Reply:
Swelling six weeks after knee surgery is considered normal and typically takes six to twelve weeks to resolve. Swelling can be managed with alternating ice and heat therapy. Additionally, rehabilitation exercises should be performed gradually to increase the range of motion in th...[Read More] Post-Surgery Care and Recovery for Knee Ligament Transfer: Common Concerns
Can Ligament Relaxation in Toes Heal After Injury and Pressure?
Toe ligament laxity Thank you, doctor, for your response. After my car accident on March 19, I had a fracture and had my cast removed after three weeks. I noticed that there are deep bruises and blood spots on the midsection of the top of my foot, above my big toe and second toe....
Dr. Chen Yongxue Reply:
Hello, the bruising and blood spots from the bandage should improve over time, so there is no need to worry too much. The text does not clearly specify the location of the fracture, whether it is in the thumb (hand) or the big toe (foot), and it also does not clarify the extent o...[Read More] Can Ligament Relaxation in Toes Heal After Injury and Pressure?
Understanding Distal Radioulnar Joint Dislocation: Treatment Options and Risks
Distal radioulnar joint dislocation Dear Dr. Chen, I have a wrist joint dislocation that was delayed in reduction by a martial arts school. An X-ray taken by an orthopedic doctor indicated that it is a distal radioulnar joint dislocation that has not been reduced, and it has been...
Dr. Chen Yongxue Reply:
Hello, when facing a distal radioulnar joint dislocation, it is important to check for associated fractures, triangular fibrocartilage complex injuries, or tendon dislocations. A professional physician and radiological examination are necessary for further evaluation. Distal radi...[Read More] Understanding Distal Radioulnar Joint Dislocation: Treatment Options and Risks
Effective Treatments for Loose Toe Ligaments: Recovery Insights
Toe ligament laxity I would like to ask the doctor how to treat laxity of the toe ligaments? Will it recover?
Dr. Chen Yongxue Reply:
Toe ligaments do not loosen without reason, so the possibility of recovery is related to the underlying causes of the laxity and cannot be generalized. Please visit an orthopedic clinic to evaluate your symptoms and identify the underlying cause, which will allow for a more detai...[Read More] Effective Treatments for Loose Toe Ligaments: Recovery Insights
Understanding Fifth Metatarsal Fractures: Symptoms, Healing, and Weight Bearing
Fifth metatarsal fracture I sustained a non-displaced fracture at the base of my fifth metatarsal on February 7th, with a blurred fracture line. I still experience some pain when I get up in the morning and walk. My ankle tends to swell more with walking and standing. Is this a n...
Dr. Chen Yongxue Reply:
A fracture at the base of the fifth metatarsal typically does not require surgical intervention and can heal with conservative treatment. As mentioned in the correspondence, since the fracture occurred over three months ago, it should have healed by now. During the healing period...[Read More] Understanding Fifth Metatarsal Fractures: Symptoms, Healing, and Weight Bearing
Understanding Ligament Injuries: Medications and Treatment Explained
Ligament injury After reviewing the X-ray, the doctor informed me that I have a ligament injury and recommended that I purchase a wrist brace for protection. The doctor also prescribed two medications: one is a pain reliever, which is a non-steroidal anti-inflammatory drug (NSAID...
Dr. Wang Shouji Reply:
Hello: Sometimes, physicians prescribe such medications to help alleviate patients' anxiety and related issues. If your pain is not that severe, you may consider using it as needed, and then regularly follow up on your recovery status. Thank you![Read More] Understanding Ligament Injuries: Medications and Treatment Explained
Effective Strategies for Improving Knee Flexion After Surgery
The left knee joint cannot bend fully, currently bending to about 100 degrees? Over a month ago, I underwent arthroscopic surgery on my left knee to remove synovial membrane hyperplasia. The doctor advised me not to bend my knee for two weeks to prevent further hyperplasia. Curre...
Dr. Chen Yongxue Reply:
Hello, arthroscopic surgery has diagnostic and therapeutic effects and is currently the most direct and effective method for diagnosing knee joint surfaces. Therefore, if individuals suspect issues with cartilage or cruciate ligaments, they should consult the operating physician....[Read More] Effective Strategies for Improving Knee Flexion After Surgery
Strengthening Inner Thigh Muscles for Knee Pain Relief After ACL Surgery
Discomfort in the patella and lateral aspect of the knee while cycling? Hello Doctor: I have had a reconstruction of my anterior cruciate ligament in my knee. During rehabilitation, I noticed that the lateral muscles of my thigh are developing faster than the medial muscles. I wo...
Dr. Chen Yongxue Reply:
Hello, after anterior cruciate ligament reconstruction, rehabilitation must be progressive. It is crucial to avoid rushing the process. Please consult with your rehabilitation physician regarding your current treatment plan. Thank you.[Read More] Strengthening Inner Thigh Muscles for Knee Pain Relief After ACL Surgery
Recovery Concerns After Left Elbow Dislocation and Olecranon Fracture
Issues related to the treatment period for a left elbow dislocation? On March 14, I accidentally fell while exercising, resulting in a dislocated left elbow. I managed to push it back into place myself and secured it with a triangular bandage. Within an hour, I went to the hospit...
Dr. Chen Yongxue Reply:
Hello, regarding your elbow dislocation, most cases do not have any sequelae after reduction. However, in rare instances, ligament damage can lead to joint instability, at which point ligament reconstruction surgery may be necessary. You mentioned that you dislocated your elbow a...[Read More] Recovery Concerns After Left Elbow Dislocation and Olecranon Fracture
Understanding Left Elbow Clicking: Ligament vs. Tendon Issues
Clicking sound in the left hand? I would like to know whether the issue with my left elbow is due to ligament laxity or tendon laxity. This concern makes me wonder if I should consult a professional doctor or seek help from a qualified traditional Chinese medicine practitioner. M...
Dr. Shi Guozheng Reply:
It is advisable to consult an orthopedic specialist first rather than casually receiving any manipulation.[Read More] Understanding Left Elbow Clicking: Ligament vs. Tendon Issues
Post-ACL Reconstruction: Understanding Sensory Loss and Swelling in the Leg
After posterior cruciate ligament reconstruction surgery, there is a loss of sensation in certain areas of the leg? Hello, Doctor. I would like to consult you regarding a patient who underwent anterior cruciate ligament (ACL) reconstruction surgery on the left knee one month ago....
Dr. Chen Yongxue Reply:
1. After surgery, there may be partial damage to the superficial nerves, which can lead to numbness in certain areas of the skin. This is a common phenomenon experienced by most surgical patients and is generally not a cause for concern. Some superficial nerves may recover to a c...[Read More] Post-ACL Reconstruction: Understanding Sensory Loss and Swelling in the Leg
Effective Rehabilitation Strategies for Shoulder Dislocation Recovery
Shoulder dislocation Hello, Doctor! I would like to ask about my left shoulder dislocation. After an X-ray, the doctor said that the ligaments in my left shoulder are torn, causing my left shoulder to be slightly elevated, but the distance between my right and left shoulders is n...
Dr. Chen Yongxue Reply:
As mentioned in your letter, you likely have an injury to the left acromioclavicular joint due to trauma. If there is a noticeable elevation, the treatment approach can be determined based on the patient's needs: if appearance is not a concern and there is no requirement for...[Read More] Effective Rehabilitation Strategies for Shoulder Dislocation Recovery
Understanding M-Shaped Metal Fixation in Orthopedic Surgery: Uses and Concerns
Metal fixation devices left in the muscles after orthopedic surgery—function and removal? 1. The "ㄇ字釘" is commonly referred to as a "M-shaped screw" or "M-shaped fixation device" in English. Its purpose is to provide stabilization for adjacent soft t...
Dr. Shi Guozheng Reply:
If the U-shaped staples used for fixing tendons or ligaments are about one centimeter in size, they do not need to be removed. However, if they are used to staple the skin, they must be removed because they can irritate the subcutaneous tissue. These staples are approximately 0.5...[Read More] Understanding M-Shaped Metal Fixation in Orthopedic Surgery: Uses and Concerns
Understanding Tendon and Ligament Inflammation: Diagnosis and Treatment Options
Tendon or ligament inflammation Hello, Doctor: Last time you mentioned that the pain might be due to tendon or ligament inflammation, and that resting for a period or using medication would help improve it. May I ask: Can tendon or ligament inflammation be detected using imaging ...
Dr. Shi Guozheng Reply:
Tendinitis is generally not detectable through imaging studies; however, clinically, its inflammation can cause swelling and pain at the tendon attachment sites on the bone, leading to discomfort during joint movement and potentially affecting joint mobility. Occasionally, there ...[Read More] Understanding Tendon and Ligament Inflammation: Diagnosis and Treatment Options
Is It Normal for Joints to Make Cracking Sounds?
The bones in my hands and feet often crack? I would like to ask if it is normal to frequently hear sounds from my left elbow and ankle that resemble cracking or popping noises, sometimes quite loudly. This has been happening for a while.
Dr. Shi Guozheng Reply:
If there is sound but it is just the noise of ligaments or tendons sliding past the joint near a fracture, there is usually no significant issue. If there is no pain or swelling, it can be ignored.[Read More] Is It Normal for Joints to Make Cracking Sounds?
Understanding Hip Joint Noises and Pain: Causes and Solutions
The joint area between the thigh and the groin? I have been experiencing a loud grinding noise in the joint area between my left thigh and groin when squatting down several times over the past few days. After a few days, I now find it painful to sit cross-legged, as I cannot open...
Dr. Shi Guozheng Reply:
A sound in the hip joint does not necessarily indicate a problem; it may be due to inflammation of the tendons or ligaments. Resting for a period of time or using medication for treatment can lead to improvement.[Read More] Understanding Hip Joint Noises and Pain: Causes and Solutions