Understanding Whiplash: Symptoms, Diagnosis, and Treatment Options
Injured in a car accident, experiencing numbness in the back and limbs, vomiting, a feeling of pressure in the head, dizziness, and discomfort in the neck? Hello Doctor: I was involved in a motorcycle accident on April 30, 2023, where I was a passenger on the back seat and was we...
Dr. Shen Boquan Reply:
Hello, if you have been injured in a car accident and are experiencing numbness in your back and limbs, vomiting, a feeling of pressure in your head, dizziness, and discomfort in your neck, you may have a head injury. It is advisable to consult a neurosurgeon or a neurologist. If...[Read More] Understanding Whiplash: Symptoms, Diagnosis, and Treatment Options
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
Understanding MRI Findings of the Right Wrist: TFCC Issues Explained
Wrist MRI (Magnetic Resonance Imaging) Hello Doctor, this is my MRI report and I would like to ask what the issue might be. Thank you for your help. Imaging findings: MRI of Right Wrist: Parameters: 1. SE, T1-weighted, axial images. 2. TSE, T2-weighted, FS (fat suppressed) and n...
Dr. You Dianqi Reply:
Hello, it is recommended to return for a follow-up appointment to have your attending physician interpret the report. Thank you.[Read More] Understanding MRI Findings of the Right Wrist: TFCC Issues Explained
Understanding MRI Reports: Insights on PCL Injury and Reconstruction
Can you help interpret an MRI report? Right knee MRI consisted of multiplanar T1 and T2 weighted images with multiple sequences showing: > PCL injury, status post PCL reconstruction. > Ligamentous edema of the PCL is noted. > Fluid collection within the knee joint. > ...
Dr. Shi Guozheng Reply:
The MRI results indicate a rupture of the posterior cruciate ligament in the right knee, with edema present in the posterior cruciate ligament following reconstruction surgery.[Read More] Understanding MRI Reports: Insights on PCL Injury and Reconstruction
Understanding MRI and Ultrasound Reports for Knee Injuries
MRI Report and Musculoskeletal Ultrasound Report Hello, Doctor! Below are my MRI and musculoskeletal ultrasound reports. I would like to ask if there are any other issues that require treatment besides the medial collateral ligament (MCL) tear. Note: I am currently undergoing PRP...
Dr. Zhan Xian Reply:
Hello, the report primarily indicates a partial tear of the medial collateral ligament of the left knee and a distal femoral avulsion fracture. Due to the lack of imaging and physical examination, the stability cannot be assessed, and follow-up evaluation in an outpatient setting...[Read More] Understanding MRI and Ultrasound Reports for Knee Injuries
Understanding Knee Injury Treatments: Surgery vs. Alternative Options
Treatment methods for knee injuries? Four months ago, after exercising, I suddenly found it difficult to squat down the next day. My right knee was somewhat swollen but not painful. A few days later, I visited an orthopedic doctor who drained the excess fluid. After the drainage,...
Dr. Shi Guozheng Reply:
The MRI report did not indicate a meniscus tear, so conservative treatment can be considered. If there is no improvement, we can reassess the situation later.[Read More] Understanding Knee Injury Treatments: Surgery vs. Alternative Options
Do I Need Surgery for My Right Knee Injury? Understanding MRI Results
Could you please let me know if the report indicates whether surgery is needed (specifically regarding any damage to the cruciate ligaments or meniscus)? Thank you? Hello Doctor, here is my MRI report. Currently, I do not experience pain in my right knee while walking, but it bec...
Dr. Shi Guozheng Reply:
According to the English report, there is no ligament rupture, only a contusion, which can be treated conservatively. It is necessary to continue follow-up with the original treating physician.[Read More] Do I Need Surgery for My Right Knee Injury? Understanding MRI Results
Understanding Your Right Knee MRI Report: Key Findings Explained
Could you help interpret the MRI report? MRI of the right knee without IV contrast showed: - Right PCL: Status post reconstruction of the right PCL. - Right medial meniscus: Intrameniscal tear of the right medial meniscus. - Right LCL: Fluid collection along the right later...
Dr. Shi Guozheng Reply:
The status after right knee posterior cruciate ligament reconstruction requires follow-up with a clinical physician for further evaluation.[Read More] Understanding Your Right Knee MRI Report: Key Findings Explained
Managing Severe Right Shoulder Pain: Treatment Options and Specialist Guidance
I have severe pain in my right shoulder, to the point that I can't sleep well? Hello, I have severe pain in my right shoulder. It hurts whether I lie on my side or on my back at night, making it difficult to sleep. I have a history of hypertension, hyperlipidemia, and diabet...
Dr. Shi Guozheng Reply:
Rotator cuff tears in the shoulder are often very painful. Rehabilitation can help alleviate the pain, and corticosteroid injections into the shoulder joint or the use of anti-inflammatory pain medications can also provide relief. If there is no improvement, it is advisable to co...[Read More] Managing Severe Right Shoulder Pain: Treatment Options and Specialist Guidance
Chronic Knee Pain: Understanding Deep Popliteal Discomfort and Treatment Options
Deep pain in the popliteal fossa of the knee? Hello Doctor, I have been experiencing knee pain for almost three years now. During this time, I have undergone three MRI scans and had an arthroscopic surgery in early 2021 to remove a bucket handle tear of the meniscus. However, the...
Dr. You Dianqi Reply:
Hello: The MRI report you provided does not mention the meniscus tear you referred to in your text. I may need to review the images or see a third report to provide you with more insights. On the other hand, regarding the popliteal area, the MRI indicates that there is no Baker&#...[Read More] Chronic Knee Pain: Understanding Deep Popliteal Discomfort and Treatment Options
Understanding Meniscus Tears and Patellar Ligament Injuries in Knee MRI
Meniscus and patellar ligament? 1. MRI of the left knee without contrast enhancement shows: 1. No definite bony fracture. 2. Increased signal at the medial patellofemoral ligament (se/im: 3/6-8). 3. Increased signal at the lateral patellofemoral ligament (se/im: 3/5-1...
Dr. Shi Guozheng Reply:
The medial meniscus of the left knee joint is torn, and it is necessary to consult an orthopedic surgeon to review the imaging and determine whether arthroscopic surgery is needed.[Read More] Understanding Meniscus Tears and Patellar Ligament Injuries in Knee MRI
Post-Thoracic Surgery: Why Can't My Left Heel Support My Weight?
After thoracic spine surgery, the left heel is unable to bear weight? Hello Doctor: I suffered a burst fracture of the twelfth thoracic vertebra last October and had steel rods and bone cement implanted. Currently, I am able to walk with both legs. However, my left heel cannot su...
Dr. Chen Bochen Reply:
Based on the information you provided, it appears that the primary injury is to the L5 nerve. The MRI shows no stenosis at the L4/5 level, but the L5 nerve may have been injured at the T12 level. It is recommended that, in addition to investigating the cause, active rehabilitatio...[Read More] Post-Thoracic Surgery: Why Can't My Left Heel Support My Weight?
Understanding ACL Tears: Symptoms, Diagnosis, and Treatment Options
Anterior cruciate ligament (ACL) tear? Hello, Director... I was diagnosed with a torn anterior cruciate ligament (ACL) at the beginning of this month and I am currently waiting for an MRI. Before going to a major hospital, I consulted a traditional Chinese medicine doctor who men...
Dr. Chen Yongxue Reply:
Please wait for the MRI report. Thank you.[Read More] Understanding ACL Tears: Symptoms, Diagnosis, and Treatment Options
Understanding Lumbar Spine Issues: Spondylolysis and Treatment Options
Vertebral arch issues I apologize for the inconvenience. Here is the translation of your inquiry: "Excuse me, I would like to consult with the doctor regarding my X-ray examination report. The lumbar spine flexion and extension lateral views show a defect at the L5-S1 pars ...
Dr. Shi Guozheng Reply:
1. If the surgery is successful, pain is usually alleviated. 2. There is health insurance coverage, but if there are internal fixation devices, there may be some costs involved; for detailed information, it is best to consult the surgeon. 3. Typically, it is better to resolve the...[Read More] Understanding Lumbar Spine Issues: Spondylolysis and Treatment Options
Understanding Ligament Injuries: Insights on MRI Reports and Treatment Options
Regarding ligament injury issues (and MRI report) Hello, I am inquiring about the case of student Lin regarding ligament damage. If it is indeed a ligament injury (as I seem to have misremembered; the doctor mentioned ligaments rather than tendons), is PRP therapy still not recom...
Dr. Cai Shanglin Reply:
According to the MRI report, it states that most of the major tendons and ligaments are intact, but some lesions require contrast agents to be visualized.[Read More] Understanding Ligament Injuries: Insights on MRI Reports and Treatment Options
Persistent Knee Pain After Injury: Seeking Answers and Solutions
Severe pain persists in the knee two and a half months after the injury? Hello Doctor: Thank you for your tireless efforts in answering the questions of netizens. I truly appreciate it. In mid-February, while running, I tripped over an unknown object and fell, landing on both kne...
Dr. Chen Yongxue Reply:
Hello, both meniscus and cruciate ligament injuries cannot be diagnosed with X-rays; an MRI is necessary. Regarding the interpretation of MRI results, there can be some margin of error. PRP injections cannot alleviate pain from a right knee fracture; if there is no displacement, ...[Read More] Persistent Knee Pain After Injury: Seeking Answers and Solutions
Understanding Shoulder Pain: Labral Tears vs. Frozen Shoulder
Shoulder issues (labral tear of the shoulder joint) Hello Doctor: Last June, I had a motorcycle accident and fell, using my right hand to break the fall. At the time, it hurt a little, but I didn't pay much attention to it. One or two months later, I started experiencing dee...
Dr. Hong Ximing Reply:
The shoulder joint has a wide range of motion and complex tendons, making it prone to tendon injuries during physical activity. Typically, diagnosis relies on magnetic resonance imaging (MRI), and in some cases, arthroscopy may be necessary for treatment. Rehabilitation is also a...[Read More] Understanding Shoulder Pain: Labral Tears vs. Frozen Shoulder
Understanding ACL Reconstruction: Addressing Post-Surgery Instability
Laxity persists after anterior cruciate ligament reconstruction? Hello Doctor: I sustained an injury on February 17, 2015, resulting in a torn anterior cruciate ligament (ACL). I underwent reconstruction surgery using a bone-tendon-bone (BTB) technique on August 10, 2015. After a...
Dr. Shi Guozheng Reply:
It is generally not recommended to undergo another surgery to strengthen muscle power if there is still looseness after the initial surgery; instead, focusing on muscle strengthening exercises is more feasible, as this can help reduce instability.[Read More] Understanding ACL Reconstruction: Addressing Post-Surgery Instability
Left Thigh Pain While Lying Down: Causes and Treatment Options
Experiencing numbness and tingling in the front of the left thigh while lying flat during sleep can significantly affect sleep quality? Hello Doctor, my father is 60 years old and has been experiencing pain in his left thigh for the past two months, which has severely affected hi...
Dr. Shi Guozheng Reply:
First, let's review the MRI report to determine if there are any issues with the spine. It may be beneficial to take some active vitamin B12 to see if it improves the condition.[Read More] Left Thigh Pain While Lying Down: Causes and Treatment Options
Understanding Knee Pain: Is It Meniscus Injury or Something Else?
Knee crepitus? Hello Doctor: Previously, my knee was stiff and I couldn't walk. Recently, I've been feeling not only stiffness but also a sensation of instability and looseness in my knee. Could this be a symptom of a meniscus injury? The last MRI report indicated that ...
Dr. Shi Guozheng Reply:
It is recommended that you follow the arrangements made by the physician at Chang Gung Memorial Hospital for examinations, after which the radiologists will provide a formal report.[Read More] Understanding Knee Pain: Is It Meniscus Injury or Something Else?