Understanding Knee Discomfort: Causes and Solutions for Office Workers
Knee issues Hello, I am an office worker who occasionally runs (once or twice a week) and started playing badminton in July (once a week). Since last Thursday, I've been experiencing a tight, achy sensation in my knees after sitting for a long time, similar to the feeling on...
Dr. Shi Guozheng Reply:
It is possible that the cartilage on the joint surface of the patella is inflamed. When we exercise and bend the knee joint, the joint surfaces of the patella and femur can rub against each other. If there is inflammation or injury, it can cause discomfort or pain. It is advisabl...[Read More] Understanding Knee Discomfort: Causes and Solutions for Office Workers
Challenges in Achieving Knee Flexion After Patella Fracture Surgery
After surgery for a patellar fracture, the range of motion cannot exceed 50 degrees of flexion? It has been 2 months and 10 days since the patellar surgery. I have undergone extracorporeal shock wave therapy and manual manipulation to improve the knee flexion angle at an orthoped...
Dr. Wang Shouji Reply:
Hello, if a fracture has not yet healed or is excessively comminuted, it is generally not recommended to bend it too much to avoid displacement of the fracture. If the fracture heals but there is still limited range of motion, a joint mobilization procedure may be performed under...[Read More] Challenges in Achieving Knee Flexion After Patella Fracture Surgery
Understanding Osteochondritis Dissecans: Treatment Options for Knee Pain
Treatment methods for OCD (Obsessive-Compulsive Disorder) Hello Dr. You, I fell in November 2023 and landed directly on my left knee. Despite ongoing treatment in rehabilitation and traditional Chinese medicine, my pain has not improved. I still experience pain on both sides of t...
Dr. You Dianqi Reply:
Please bring your report to the orthopedic outpatient clinic to consult with the physician. Thank you.[Read More] Understanding Osteochondritis Dissecans: Treatment Options for Knee Pain
Understanding Patellar Pain After Knee Injury: Causes and Recovery Tips
Patellar pain Hello, doctor. I would like to ask about my condition. After a car accident where I fell and landed on my left side, I experienced pain in my left leg and was unable to fully bend it (it seems like there is pressure behind the knee and around the patella, but I'...
Dr. Shen Boquan Reply:
Hello, due to a car accident, you are experiencing pain in your left knee. There could be many possible reasons for this, including injuries to the anterior cruciate ligament, posterior cruciate ligament, meniscus, or medial and lateral collateral ligaments, or it could simply be...[Read More] Understanding Patellar Pain After Knee Injury: Causes and Recovery Tips
Understanding Post-Operative Sounds After Arthroscopic Knee Surgery
Arthroscopic surgery I have a sports injury and underwent surgery for meniscus repair, anterior cruciate ligament reconstruction, and medial collateral ligament tightening. Currently, it has been three weeks since the surgery. I have noticed that when bending my knee, there is a ...
Dr. Wang Shouji Reply:
Hello, it is not uncommon to experience joint stiffness and reduced mobility after surgery due to decreased activity. It is recommended to engage in more heat therapy and rehabilitation exercises. Most patients find relief within two to three months. Changhua Hospital cares about...[Read More] Understanding Post-Operative Sounds After Arthroscopic Knee Surgery
Can Knee Anesthesia Cause Meniscus Damage After ACL Surgery?
Will knee anesthesia and flexion cause damage to the meniscus? Hello, Doctor. I have two questions and a somewhat lengthy situation I would like you to review. Thank you for taking the time to read this. Question 1: After undergoing anterior cruciate ligament (ACL) reconstructio...
Dr. Chen Yongxue Reply:
Hello, 1. In three months, I will undergo anesthesia for a knee procedure. Will it damage the meniscus? No, during the arthroscopic surgery after anesthesia, the pressure is applied gradually, which will not harm the meniscal cartilage. 2. Can X-rays detect a small fragment ne...[Read More] Can Knee Anesthesia Cause Meniscus Damage After ACL Surgery?
Choosing the Right Knee Brace for Patellar Malalignment: A Guide
Knee brace for patellar valgus? Hello doctor, what type of knee brace should someone with patellar valgus choose? Should it be worn only when experiencing discomfort, or is it necessary to wear a knee brace while walking regularly?
Dr. Shen Boquan Reply:
Hello, generally speaking, knee braces do not have a significant unloading effect for patellar valgus, so their effectiveness may be limited. However, if you feel more comfortable wearing a knee brace while exercising, you can certainly continue to use one. Wishing you good healt...[Read More] Choosing the Right Knee Brace for Patellar Malalignment: A Guide
Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained
Post-operative questions regarding tibial fracture? Hello, doctor! I suffered a distal tibial fracture due to a car accident, and the surgery involved minimally invasive open reduction and internal fixation. A steel rod was inserted from the tibial plateau and secured with four s...
Dr. Chen Yongxue Reply:
Hello, based on your letter, your fracture should be at the proximal tibia rather than the distal tibia. 1. Proximal tibial fractures can range from very minor to highly comminuted, and the surgical approach and recovery can vary significantly. However, since the injury has alr...[Read More] Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained
Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery
Posterior cruciate ligament (PCL) tear? Recently, I had a motorcycle accident and my knee and calf are swollen and painful. I went to an orthopedic doctor and had an MRI done. Doctor, could you tell me if this is serious? Here are the findings: Examination: Non-contrast MRI of ...
Dr. Shi Guozheng Reply:
A posterior cruciate ligament (PCL) tear occurs when the ligament is torn along with the bone at the back of the tibia, resulting in a type of avulsion fracture. This can be treated surgically using bone screws to reattach the ligament. It is advisable to consult with a physician...[Read More] Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery
Managing Pain and Swelling After Patellar Fracture Rehabilitation
Patellar swelling and pain? I had a car accident on September 15, resulting in a right clavicle fracture and a left patellar fracture. I would like to ask about the rehabilitation; the doctor said I could do it at home. However, after almost a month of rehabilitation, I can only ...
Dr. Shi Guozheng Reply:
Patellar fractures, if not treated surgically, typically take about three months to heal. After approximately one month, achieving a range of motion up to 90 degrees is reasonable, and it can be gradually increased. For pain relief, analgesics can be taken, and alternating hot an...[Read More] Managing Pain and Swelling After Patellar Fracture Rehabilitation
Understanding Knee Sensations: When to Seek Medical Attention
Knee problems Hello Doctor, Recently, I have suddenly felt a sensation in my left knee while walking, as if there is something (like a bandage or dressing) sticking to my knee. When I touch my knee, it doesn't hurt, but it feels a bit numb. Additionally, I have observed th...
Dr. Shi Guozheng Reply:
There may be an issue with the patella; it is advisable to visit a hospital for an examination.[Read More] Understanding Knee Sensations: When to Seek Medical Attention
Understanding Patellar Fractures: Common Sounds and Concerns After Surgery
Patellar fracture Hello, I am a patient with a patellar fracture. I underwent traditional surgery on June 23, where two steel pins and an 8-shaped wire were used. When I sit and lift my leg straight out in front of me, I hear a popping sound each time I do this. Is this normal? I...
Dr. Shi Guozheng Reply:
It could be the sound of ligaments sliding over the bone or the sound of friction between wires or bone screws. Please have the doctor check during your follow-up appointment.[Read More] Understanding Patellar Fractures: Common Sounds and Concerns After Surgery
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
Post-Operative Care for Patellar Fracture: Rehabilitation and Concerns
Postoperative care for patellar fracture? Hello, Doctor. At the end of last month, I slipped in the bathroom and my knee directly hit the ground, causing a fracture of the patella into two pieces. I have had it fixed with wires at the hospital and am currently undergoing rehabili...
Dr. Shi Guozheng Reply:
After the surgery for a fractured bone, it is important to protect the area for a period of time. Premature bending movements may cause the fracture site to separate. It is essential to wait until complete healing occurs before fully bending the knee joint. Ice therapy can be app...[Read More] Post-Operative Care for Patellar Fracture: Rehabilitation and Concerns
Understanding Cuboid Bone Fractures: Recovery, Pain Management, and Exercises
Cuboid bone fracture Hello doctor, I fell on July 29 due to numbness in my leg when getting out of bed, resulting in a fracture of the talus bone. I went to the emergency room immediately, and the doctor applied a removable cast to stabilize it. On August 28, I had an X-ray, and ...
Dr. Chen Yongxue Reply:
Hello, regarding your inquiry about the so-called "dice bone," are you referring to the femur (thigh bone) or the patella (kneecap)? You also mentioned the ankle and heel. If it is a fracture of the femur or patella, most cases require surgical treatment, as surgery can...[Read More] Understanding Cuboid Bone Fractures: Recovery, Pain Management, and Exercises
Chronic Knee Pain: Five Years of Unexplained Discomfort and Failed Treatments
Deep pain in the popliteal fossa, at the junction of the tibial plateau and the lateral femur, has persisted for over five years with no identifiable cause? Dear Doctor, I have been suffering from knee pain for five years, which is a persistent issue that lasts 24 hours a day. Du...
Dr. You Dianqi Reply:
Hello, online consultations cannot replace in-person diagnoses. We recommend that you bring your medical history, imaging, and other relevant information to an orthopedic or neurosurgery outpatient clinic for evaluation. Thank you.[Read More] Chronic Knee Pain: Five Years of Unexplained Discomfort and Failed Treatments
Understanding Knee Pain and Movement Sensations After Injury
When the body is lying flat or the knees are straightened, and then the knees are bent, there is a sensation of something moving forcefully near the indentation on the outer side of the knee? Dear Dr. Chen, I have experienced two sprains in my right knee over the past two years,...
Dr. Chen Bochen Reply:
Hello, based on your symptoms, it is initially assessed that you may have a ligament injury around the patella caused by external force. You will need to rest for 3-6 weeks, and performing isometric exercises for the quadriceps can aid in your recovery.[Read More] Understanding Knee Pain and Movement Sensations After Injury
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
Recovery Timeline for Comminuted Femur Fracture: What to Expect
Comminuted fracture of the left femur, 30 centimeters? On July 19, I was involved in a car accident that resulted in a comminuted fracture of the left femur, fractures of the right ankle and fifth toe, and a fracture of the right patella. The surgery lasted about six hours and wa...
Dr. Shi Guozheng Reply:
In the case of a comminuted fracture of the femur, it is generally recommended to begin walking immediately, with protection for at least three months. Crutches should be used for approximately six to nine months before they can be discontinued. Whether a return to work is possib...[Read More] Recovery Timeline for Comminuted Femur Fracture: What to Expect
Is Post-Surgery Meniscus Pain a Sign of Re-Injury?
Is postoperative meniscus pain a new injury? About seven weeks ago, I underwent arthroscopic surgery to repair a tear in the lateral meniscus of my left knee. The doctor mentioned that there was a slight tear and looseness near the patella. Six weeks post-surgery, I was able to b...
Dr. Chen Yongxue Reply:
Hello, the meniscus itself does not have nerves, so a tear may not cause significant pain. It is advisable to visit an outpatient clinic for a physician to conduct an examination. Thank you.[Read More] Is Post-Surgery Meniscus Pain a Sign of Re-Injury?