Understanding Clavicle Prominence: Causes and Treatment Options
Clavicular prominence About two weeks ago, I experienced right shoulder pain due to work-related reasons. Last week, I noticed that the entire right clavicle is protruding, and when I move my right shoulder up and down, I can clearly see the inner end of the clavicle moving as we...
Dr. Hong Ximing Reply:
The protrusion of the clavicle at the shoulder may indicate a possible injury to the coracoclavicular ligament. It is recommended to see an orthopedic specialist immediately for evaluation to determine the extent of the injury and to decide on the appropriate treatment.[Read More] Understanding Clavicle Prominence: Causes and Treatment Options
Understanding ACL Injuries: Pain After Surgery and Military Service Implications
Cruciate ligament I apologize for the inconvenience, but I would like to ask you about my right knee. Due to a car accident, I sustained damage to my cruciate ligaments. After a hospital examination, the doctor informed me that my anterior cruciate ligament (ACL) is partially tor...
Dr. Li Wenlin Reply:
1. Knee joint instability exceeding 1 centimeter after more than one year of treatment, or evidence of joint pathology confirmed by X-ray examination. 2. Reconstruction of the anterior cruciate ligament in both knees. Only one of the above conditions is required for exemption fro...[Read More] Understanding ACL Injuries: Pain After Surgery and Military Service Implications
Understanding Lateral Ligament Laxity and Treatment Options for Knee Pain
Lateral collateral ligament laxity Hello Doctor: My left knee has severe patellar valgus. Since January 12 of this year, it has been about six months, and the lateral pain has not improved significantly despite physical therapy. I can walk on flat surfaces, but going up and down ...
Dr. Hong Ximing Reply:
Severe patellar valgus, combined with training, will definitely lead to cartilage damage. It is advisable to seek evaluation from a sports medicine specialist at a medical center to determine whether surgical correction is the best course of action.[Read More] Understanding Lateral Ligament Laxity and Treatment Options for Knee Pain
Inner Thigh Pain: When to See a Doctor and What Tests to Consider
Pain in the inner thigh close to the body? If you are experiencing pain on the inner thigh close to the body that worsens when turning in bed or when standing up, you should consult an orthopedic specialist. They may recommend imaging studies such as an X-ray or MRI to assess for...
Dr. Zhang Jiahao Reply:
Hello: If you are currently not experiencing any fever or similar symptoms, you can visit the orthopedic outpatient clinic. The physician will provide necessary examinations based on your condition. I hope this is helpful to you![Read More] Inner Thigh Pain: When to See a Doctor and What Tests to Consider
Ankle Injury from Basketball: Persistent Pain and Swelling Solutions
I sprained my ankle while playing basketball last December? Hello Dr. Lee: Last year, I sprained my ankle while playing basketball when I stepped on someone else's foot. At that moment, I heard a tearing sound, and my entire left foot swelled up. Although I had an X-ray and ...
Dr. Li Wenlin Reply:
X-rays are normal, but there is a possibility of ligament injury. It is advisable to use an ankle brace for three weeks after the initial injury. If there is chronic inflammation, a local corticosteroid injection may be necessary.[Read More] Ankle Injury from Basketball: Persistent Pain and Swelling Solutions
Understanding Wrist Pain After a Fall: Causes and Solutions
Falling while using your hands for support can cause muscle pain? Six months ago, I accidentally fell while playing basketball and landed on my hand. It got better for a while, but recently, after increasing my wrist activity during basketball practice, the tendons in my wrist ha...
Dr. Li Wenlin Reply:
It is likely a wrist ligament injury, and chronic inflammation can also lead to persistent symptoms. It is recommended to use a wrist brace and rest. If there is no improvement, please return for a follow-up appointment.[Read More] Understanding Wrist Pain After a Fall: Causes and Solutions
Concerns About ACL Rehab: Can Long-Term Brace Use Cause Muscle Atrophy?
"Slipped while rehabilitating the anterior cruciate ligament." Hello Doctor, two months ago I asked about "slipping while rehabilitating my anterior cruciate ligament." At that time, the doctor said I could remove the knee brace only after I could fully extend...
Dr. Shi Guozheng Reply:
When the knee joint cannot support weight, it is safer to wear a brace. Muscle atrophy is inevitable, but the most important thing is to start rehabilitation as soon as possible to facilitate recovery. You can try to walk a little.[Read More] Concerns About ACL Rehab: Can Long-Term Brace Use Cause Muscle Atrophy?
Rehabilitation Challenges After Tibial Plateau Fracture: Seeking Guidance
Rehabilitation issues following a right tibial plateau fracture? Dear Doctor, I was involved in a car accident on February 28 of this year, which resulted in a fracture of the right tibial plateau and an avulsion fracture of the lateral ligament. I underwent internal fixation su...
Dr. Li Wenlin Reply:
After a knee joint fracture, the degree of fracture reduction can affect the range of motion of the joint. Since you have been rehabilitating for a month without significant progress, you should first consult an orthopedic surgeon to assess whether there are any issues with the j...[Read More] Rehabilitation Challenges After Tibial Plateau Fracture: Seeking Guidance
Post-ACL Surgery Diet: Foods to Eat and Avoid for Recovery
Postoperative Diet After Anterior Cruciate Ligament Surgery Hello, I would like to ask for advice on what types of food are suitable for my family member who has a torn knee ligament and is scheduled for surgery at the end of the month. What foods should be avoided? Is bass soup ...
Dr. Li Wenlin Reply:
If the individual's health condition does not involve other diseases and does not require additional medication management or dietary restrictions, high-quality protein sources such as bass can be considered to support the body's repair needs.[Read More] Post-ACL Surgery Diet: Foods to Eat and Avoid for Recovery
Missed Early Detection of Shoulder Ligament Tear: A Cautionary Tale
Shoulder ligament tear, missed early detection? Hello Doctor: My grandmother is in her seventies. About a year ago, she fell and landed on her left arm, after which she has been complaining of left shoulder pain. Initially, she visited an orthopedic clinic where the doctor sugges...
Dr. Hong Ximing Reply:
Hello: Grandma's old shoulder injury has resulted in limited joint mobility, preventing her from lifting. I can only suggest that she actively engage in rehabilitation exercises. Most of these exercises are focused on weight-bearing knee joints, and ligament replacement is n...[Read More] Missed Early Detection of Shoulder Ligament Tear: A Cautionary Tale
Understanding ACL Reconstruction: Surgery Duration, Rehab, and Work Leave
Ligament reconstruction Knee pain and numbness... After squatting for about 2 minutes, I experience pain behind the knee and cannot stand for a moment, but it returns to normal quickly... The hospital wants me to undergo arthroscopy and ligament reconstruction... I am unsure how ...
Dr. Shi Guozheng Reply:
The surgical time for an anterior cruciate ligament (ACL) reconstruction of the knee is approximately one to two hours, and the rehabilitation period is about three to six months.[Read More] Understanding ACL Reconstruction: Surgery Duration, Rehab, and Work Leave
Recovering from ACL Rehab: Overcoming Setbacks and Pain Management
"Slipped while rehabilitating the anterior cruciate ligament." Hello, doctor. A few days ago, I asked about "slipping during ACL rehabilitation," and I appreciate your response. Initially, my original doctor mentioned that the MRI showed a white area near the ...
Dr. Shi Guozheng Reply:
After anterior cruciate ligament (ACL) surgery, the typical rehabilitation period is about six to nine months. Although you have sustained another injury, the good news is that there is no further significant damage. Therefore, continuing with rehabilitation therapy to strengthen...[Read More] Recovering from ACL Rehab: Overcoming Setbacks and Pain Management
Understanding Sudden Knee Pain: Causes and Solutions for Relief
Knee Sometimes I experience sudden cramping pain in my knee, and the pain intensifies. I want to straighten my leg to "stretch" it, but I can't feel any relief. The pain seems to originate from within the joint. What could this condition be?
Dr. Shi Guozheng Reply:
Before the onset of pain, it is important to determine whether there was any exercise or injury. Clarifying whether the pain is located in the front, back, or sides is essential for understanding the cause of the pain, which could be due to inflammation or injury to bones, tendon...[Read More] Understanding Sudden Knee Pain: Causes and Solutions for Relief
Understanding Knee and Hip Joint Sounds: Causes and Concerns
The popping or cracking sound in the knee joint? Hello Doctor: I am 35 years old and have been jogging for about two years, averaging once a week, running approximately 5-8 kilometers each time at a moderate pace. Over the past year, I have noticed that when I stand up from a squ...
Dr. Shi Guozheng Reply:
As long as there is no pain, it's normal for joints to make sounds. Many people experience noise in their knees when squatting or standing up. Overexertion can sometimes lead to discomfort in the joints, cartilage wear, or excessive strain on the ligaments. Typically, if sym...[Read More] Understanding Knee and Hip Joint Sounds: Causes and Concerns
Recovering from ACL Reconstruction: Managing Setbacks and Concerns
Slipping during rehabilitation after anterior cruciate ligament reconstruction? Hello, Doctor. I previously asked you about the rehabilitation progress after my anterior cruciate ligament (ACL) reconstruction and bilateral meniscus repair surgery on February 2nd. Now, three month...
Dr. Shi Guozheng Reply:
Your MRI report is not very clear, and the extent of the knee joint injury is uncertain. However, the conditions you mentioned are all possible. The most important thing now is to establish a diagnosis before determining the treatment or rehabilitation plan. There is still a chan...[Read More] Recovering from ACL Reconstruction: Managing Setbacks and Concerns
Managing Degenerative Knee Ligament Issues in Middle-Aged Women
Knee ligament degeneration Hello, Doctor: I have a question regarding a 50-year-old female patient who is currently experiencing degeneration of the ligaments in one knee (there is a clicking sound when bending). She has been taking pain relief and anti-inflammatory medications c...
Dr. Zhang Jiahao Reply:
Hello: The diagnosis of knee ligament degeneration is often ambiguous. It is usually not due to knee ligament degeneration but rather patellar malalignment or patellar chondromalacia. Since a precise diagnosis cannot be determined, it is not advisable to provide recommendations w...[Read More] Managing Degenerative Knee Ligament Issues in Middle-Aged Women
Understanding Knee Ligament Issues: Causes and Treatment Options
Knee ligament issues Hello doctor, I injured my knee while playing basketball three months ago. I have seen both traditional Chinese medicine and Western medicine, but my knee still feels unstable when applying force. When I squat down to a certain angle (when my calf is almost t...
Dr. Hong Ximing Reply:
Knee ligament injuries should be initially protected, and if symptoms persist after some time, consideration can be given to using arthroscopy or magnetic resonance imaging (MRI) for diagnosis. It is advisable to consult an orthopedic specialist to avoid any delay in treatment.[Read More] Understanding Knee Ligament Issues: Causes and Treatment Options
Understanding Tibial Osteotomy: When Surgery is Necessary and What to Expect
Tibial osteotomy surgery Hello, Doctor: I would like to ask under what circumstances surgery is necessary to correct a misaligned tibia? My doctor mentioned wanting to perform an osteotomy, where he plans to remove the upper edge of the tibia, realign it, and then secure it with ...
Dr. Hong Ximing Reply:
Based on your description, it seems to be a lateral displacement of the patella, causing the patella to be out of its normal position and resulting in cartilage wear. Generally, if there is a patellar subluxation or greater, a patellar ligament realignment surgery is required; ot...[Read More] Understanding Tibial Osteotomy: When Surgery is Necessary and What to Expect
Understanding Leg Length Discrepancy After Knee Arthroscopy Surgery
After undergoing arthroscopy of the knee, it was discovered that there is a leg length discrepancy? Hello, Doctor: I would like to ask if undergoing arthroscopy on the knee can cause leg length discrepancy. I can confirm that I did not have this issue before the arthroscopy. The ...
Dr. Hong Ximing Reply:
Hello Tina! Undergoing arthroscopic surgery should not cause a leg length discrepancy. Based on your description, it seems that the difference in the extension angles between your legs may be due to muscle or ligament fibrosis post-surgery, which can create the sensation of havin...[Read More] Understanding Leg Length Discrepancy After Knee Arthroscopy Surgery
Understanding Knee Issues: Do You Need Arthroscopy for Osteoarthritis?
Osteoarthritis Hello Dr. Lee: I am 45 years old and have been hiking intensively for the past two and a half years. After a year of hiking, I noticed a loud popping sound when bending or straightening my knee, and sometimes the kneecap does not align properly and requires adjustm...
Dr. Li Wenlin Reply:
Hello, your condition appears to be patellar malalignment accompanied by chondromalacia. Patellar malalignment may be congenital, leading to uneven stress on the medial and lateral cartilage of the patella, with the lateral side bearing most of the load. After the age of 25, the ...[Read More] Understanding Knee Issues: Do You Need Arthroscopy for Osteoarthritis?