Musculoskeletal, Orthopedics FAQ

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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


Understanding Joint and Spine Pain: When to Seek Medical Advice

Musculoskeletal and joint issues? Yesterday, while doing stretching exercises, I noticed that leaning my upper body back caused some pressure. I initially thought it was due to not exercising for a long time, but after the workout, when I tried to massage the area for relief, I f...


Dr. You Dianqi Reply:
Hello! Thank you for your inquiry. If your condition does not improve after medication treatment, it is recommended to return for a follow-up appointment with your attending physician or to consult with a rehabilitation specialist. Thank you.

[Read More] Understanding Joint and Spine Pain: When to Seek Medical Advice


Leg Numbness and Pain a Week After Car Accident: What to Do?

One week after the car accident, I started experiencing numbness in my leg? I was in a car accident on June 23rd, and I had X-rays taken at the hospital that day, which showed no bone injuries. On June 26th, I had another X-ray at a nearby orthopedic clinic, and again, the result...


Dr. Chen Bochen Reply:
Please visit a rehabilitation or orthopedic clinic that offers "musculoskeletal ultrasound" for examination.

[Read More] Leg Numbness and Pain a Week After Car Accident: What to Do?


Understanding Foot Pain After Tibia and Fibula Fractures: Next Steps

Plantar pain due to tibial and fibular fractures? Hello Dr. Chen, I sustained fractures of the left tibia and fibula on February 10 (the X-ray only showed the fibula fracture, while the tibia fracture was identified through a CT scan, which was not visible on the X-ray). I subseq...


Dr. Chen Bochen Reply:
I would like to ask if I should consult another orthopedic or rehabilitation specialist to confirm whether my foot pain is indeed plantar fasciitis? It would be advisable to find a physician who performs musculoskeletal ultrasound, as rehabilitation specialists typically do this ...

[Read More] Understanding Foot Pain After Tibia and Fibula Fractures: Next Steps


Understanding Abnormal X-Ray Findings in Newborns: Next Steps for Parents

Abnormalities in neonatal bone X-rays? The child was born in April of this year. During prenatal check-ups, the leg bones were found to be approximately 2-3 weeks behind in development, but in the last check-up, the leg bones measured over 6.5 cm. Upon discharge, the pediatrician...


Dr. Li Wenhong Reply:
Hello: Abnormal bone development may be due to genetic abnormalities or mutations, and a diagnosis cannot be made solely based on X-ray images. Please consult a genetic specialist, as there may be other abnormalities beyond the musculoskeletal system, although the bone developmen...

[Read More] Understanding Abnormal X-Ray Findings in Newborns: Next Steps for Parents


Understanding Unexplained Joint Pain and Swelling: A Comprehensive Guide

Knee and fingertip heat, swelling, and pain? Hello Doctor, if there are multiple areas of the body that frequently experience unexplained swelling and pain, along with fever, and there is a feeling of swelling in the knees (both inner and outer sides), fingertips, toes, behind th...


Dr. Wang Shouji Reply:
Hello, if you experience swelling, pain, and fever in your joints that migrates to multiple areas, it is important to first consider potential issues with the immune system. Musculoskeletal pain is often more prevalent and tends to worsen with activity. In cases of rheumatic pain...

[Read More] Understanding Unexplained Joint Pain and Swelling: A Comprehensive Guide


Persistent Lower Back Pain After Menstruation: Causes and Solutions

Persistent lower back pain after menstruation? In mid-December, I experienced lower back pain for the first time during my menstrual period, which I had not experienced before. After my period ended, the back pain eased, but the pain on the right side of my lower back has persist...


Dr. Chen Yongxue Reply:
Hello, the levels of female hormones do indeed affect the function of the musculoskeletal system. However, based on your description, the pain is located in the right lower back, which is mostly related to muscle inflammation and is often associated with overuse from work or dail...

[Read More] Persistent Lower Back Pain After Menstruation: Causes and Solutions


Understanding Conflicting Diagnoses: Shoulder Tendon Issues Explained

Shoulder issues Hello Doctor: I previously asked about question #145152. In addition to the X-ray that did not reveal any issues, I later visited another hospital's orthopedic department. The orthopedic doctor arranged for a musculoskeletal ultrasound examination in the reha...


Dr. Shi Guozheng Reply:
It's just tendonitis, and there's also a bit of shoulder impingement syndrome, which is causing some catching. You can continue seeking rehabilitation with a physical therapist.

[Read More] Understanding Conflicting Diagnoses: Shoulder Tendon Issues Explained


Understanding Patellar Dislocation: Diagnosis, Treatment, and Recovery Tips

Patellar dislocation issues? Echo: Musculoskeletal System Ultrasound Examination Chief Complaint: Sonar Diagnosis of left knee MPFL complete rupture from patella MRI: Knee MRI without contrast MRI of left knee using a 1.5 Tesla machine with axial section FSE PD with fat sup...


Dr. Li Yongheng Reply:
Hello, I have previously responded to some of your questions. Here are my replies one by one: 1. I am allergic to certain NSAIDs, but usually not to all NSAIDs. If I cannot take medication, then I will have to rely on ice packs and rest. 2. If there is no further dislocation, ...

[Read More] Understanding Patellar Dislocation: Diagnosis, Treatment, and Recovery Tips


Eight Months Post-Ankle Fracture: Struggling to Walk Normally

Eight months after a right ankle fracture, I am still unable to walk normally? Hello Doctor: I have a right ankle fracture due to a car accident. It has been eight months since the injury. Currently, the following is known: (1) Musculoskeletal ultrasound report: right ankle sho...


Dr. Zhan Xian Reply:
Ankle fractures accompanied by nerve injury require both physical and neurological examinations, as they are not merely simple fractures. The treatment duration is longer. If there are any discomfort or questions, please visit the orthopedic outpatient clinic.

[Read More] Eight Months Post-Ankle Fracture: Struggling to Walk Normally


Understanding Complete MPFL Rupture: Treatment Options and Recovery

Complete rupture of the medial patellofemoral ligament (MPFL) from the patella in the left Hello doctor, on November 7th, I bumped into a chair and dislocated my patella. The emergency physician performed a manual reduction of the knee dislocation. The next day, an orthopedic doc...


Dr. Li Yongheng Reply:
Hello, 1. The Medial Patellofemoral Ligament (MPFL) is typically injured due to traumatic patellar dislocation. It is generally recommended to use a knee brace for stabilization and to limit flexion for at least six weeks. Most patients will experience spontaneous recovery of t...

[Read More] Understanding Complete MPFL Rupture: Treatment Options and Recovery


Understanding Patellar Ligament Injuries: Surgery, Recovery, and Expert Opinions

Patellar ligament issues Hello Doctor, I injured my knee and dislocated my patella on November 7th when I bumped into a chair. The emergency physician performed a manual reduction, and the next day, an orthopedic doctor at Mackay Hospital removed the cast and drained the blood ac...


Dr. Li Yongheng Reply:
I recommend undergoing an MRI for further evaluation. I am not sure which ligament is torn, so I cannot provide the name of the surgery at this time. However, in general, for ligament reconstruction surgery, given your age, autograft tendons would be prioritized.

[Read More] Understanding Patellar Ligament Injuries: Surgery, Recovery, and Expert Opinions


Understanding Sudden Chest Pain: Is It Just a Muscle Strain?

Sudden chest wall pain? Hello, doctor. About two weeks ago, I suddenly experienced pain above my left nipple. The pain was acute and only lasted for a moment; afterward, I didn’t feel much discomfort regardless of movement or pressure. A few days later, I visited a nearby orthope...


Dr. Wang Shouji Reply:
Hello: First, if the pain is localized to the same area, it is important to consider whether you regularly engage in exercise, particularly weight training or chest expansion exercises. If so, it is advisable to stop these activities temporarily. Generally, if there is no signifi...

[Read More] Understanding Sudden Chest Pain: Is It Just a Muscle Strain?


Can Non-Surgical Treatment of Fibula Fracture Lead to Full Recovery?

Will a non-surgical treatment for a displaced fibula fracture allow for complete recovery in the future? Hello, Doctor: This year, before the Lunar New Year, I fell while playing basketball and fractured the fibula in my left leg (approximately 8 cm above the ankle). The X-ray sh...


Dr. Li Wenhong Reply:
Hello: Based on your description, conservative treatment (non-surgical) for the fibula fracture is feasible. As for whether complete recovery is possible, it depends on your definition of "complete recovery." With a 4mm displacement, is it considered incomplete if it is...

[Read More] Can Non-Surgical Treatment of Fibula Fracture Lead to Full Recovery?


Is It Tendonitis or Ligament Injury? Understanding Shoulder Pain After Weightlifting

Tendinitis or ligament injury? Hello Doctor, I have sustained an injury to my left shoulder due to weight training. I have undergone a musculoskeletal ultrasound, and the rehabilitation doctor diagnosed me with left shoulder tendonitis, noting the presence of calcific deposits. A...


Dr. Chen Yongxue Reply:
Hello, ligaments and tendons are different. Diagnosis relies on physical examination, ultrasound, or MRI. Based on the description in the letter, it is indeed difficult to determine. Please consult your attending physician. Thank you.

[Read More] Is It Tendonitis or Ligament Injury? Understanding Shoulder Pain After Weightlifting


Understanding Elbow Pain After a Fall: Diagnosis and Treatment Options

Fell and landed on the ground, and my right elbow made a loud popping sound? Hello Doctor: On the evening of February 15, when I got up to use the bathroom, I tripped while getting out of bed. I fell on my hands, and my right elbow made a popping sound. At that moment, I felt a s...


Dr. Shi Guozheng Reply:
It is necessary to continue rehabilitation for at least three more months for improvement. If there is a rupture, it is essential to carefully review the imaging studies and seek clarification.

[Read More] Understanding Elbow Pain After a Fall: Diagnosis and Treatment Options


Long-Term Pain: Seeking Insights on Musculoskeletal Issues

Long-term suffering requires advice? Hello, I have been suffering from a range of symptoms for about a year and a half. These include dizziness, headaches, tinnitus, hearing loss, weakness in my limbs (I struggle to open a glue bottle, and from an outsider's perspective, it ...


Dr. Shi Guozheng Reply:
Based on your description, it is possible that this could be a systemic condition, such as an issue related to rheumatology or autoimmune disorders. You may consider consulting a rheumatologist or a rehabilitation physician. Generally, with shoulder periarthritis, engaging in reh...

[Read More] Long-Term Pain: Seeking Insights on Musculoskeletal Issues


Chronic Inflammation and Its Link to Bone Tumors: Understanding the Risks

Chronic inflammation leads to bone tumors? Hello, Doctor. At the end of August 2016, I slipped on a slope due to rain and wet roads, with my left foot above and my right foot below. I did not fall to the ground, but since then, I have felt pain on the outer side of my right knee....


Dr. Shi Guozheng Reply:
1. It will not have an impact. 2. Chronic inflammation does not cause bone tumors; a correct diagnosis must rely on the physician's analysis through imaging. 3. The onset of the condition is not too long ago. 4. The diagnosis of bone tumors can be made through the three type...

[Read More] Chronic Inflammation and Its Link to Bone Tumors: Understanding the Risks


Understanding Occupational Injuries: Seeking Relief for Musculoskeletal Pain

I'm here to help! Please provide the content you would like me to translate Hello, doctor... I would like to ask about my condition. I previously worked in the service industry and developed a repetitive strain injury in my hands. Later, I experienced a strain, and my foot a...


Dr. Chen Yongxue Reply:
Hello, tendons won't move around randomly, so don't worry. Please visit the orthopedic clinic for further examination. Thank you.

[Read More] Understanding Occupational Injuries: Seeking Relief for Musculoskeletal Pain


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