Navigating ACL Tears: When to Consider Surgery or Rehabilitation
Torn posterior cruciate ligament (PCL) complete tear? Hello Doctor: Four years ago, during a competitive sports event, I collided with another athlete and was unable to fully extend my left knee. At that time, the sports medic assessed a ligament tear but was unsure of the severi...
Dr. Hong Ximing Reply:
A torn cruciate ligament can affect the stability of the knee joint, increase cartilage wear, and lead to joint degeneration and pain. Surgical reconstruction should be discussed in detail with the attending physician, and changing hospitals will only allow for a reevaluation.[Read More] Navigating ACL Tears: When to Consider Surgery or Rehabilitation
Understanding Knee Surgery Recovery: Pain, Rehab, and Swelling Explained
Knee Surgery Techniques Hello, doctor. I had a car accident in December 2015, which resulted in a fracture of my right knee cap. I underwent surgery where two screws were inserted. The doctor mentioned it would take three months to heal, and now that almost three months have pass...
Dr. Ye Qingnian Reply:
After a patellar (kneecap) fracture surgery, there is swelling and pain in the ankle, which may be due to poor circulation in the lower limb and inadequate postoperative rehabilitation. The first step is to reduce the swelling. Lying flat with the injured leg elevated and perform...[Read More] Understanding Knee Surgery Recovery: Pain, Rehab, and Swelling Explained
Understanding Complications of Orthopedic Screws After Fracture Surgery
Nail rotation I suffered a right femur fracture from a fall on January 10 of this year and had two metal screws inserted, secured with a steel cable. During a follow-up appointment on February 15, it was discovered that one of the screws, which was supposed to be anchored in the ...
Dr. Chen Yongxue Reply:
Hello, for a patella fracture, using two steel pins and wires for fixation is considered standard practice. After the surgery, once the swelling subsides, it is common to see the steel pins protruding, which can sometimes be sensitive for the patient. It would be unwise to avoid ...[Read More] Understanding Complications of Orthopedic Screws After Fracture Surgery
Improving Gait and Posture for Patellar Malalignment
Patellar valgus 2? So should I start by correcting my walking posture and addressing some issues that may lead to a shift in my center of gravity?
Dr. Hong Ximing Reply:
Hello: Hip abduction is related to body shape and gait. For more details, please discuss with a specialist. Thank you! Hong Hsi-Ming[Read More] Improving Gait and Posture for Patellar Malalignment
Understanding Knee Pain: Causes, Treatments, and Growth Concerns in Teens
Recently, I have been experiencing knee pain? Hello, I would like to ask: Previously, I had knee pain and went to see a doctor. The doctor asked if I had been running or exercising, and I said yes, during physical education class, practicing for a relay race. When I stood up or w...
Dr. Shi Guozheng Reply:
Knee pain can be caused by various conditions, and the location of the pain can help determine the diagnosis. If the pain is located at the front or next to the patella, it may indicate different issues. Pain at the interface between the patella and the femur could suggest a prob...[Read More] Understanding Knee Pain: Causes, Treatments, and Growth Concerns in Teens
Can Patellar Malalignment Be Corrected with Bracing?
Patellar valgus Doctor, I previously had an X-ray at the hospital, and it was diagnosed as mild patellar valgus, which is due to congenital factors and long-term running causing pain. The doctor suggested that I wear a patellar brace for improvement. I would like to ask if patell...
Dr. Hong Ximing Reply:
Patellar valgus is caused by the body's center of gravity. In severe cases, surgery may be required for correction. Long-term running should be avoided to prevent accelerated cartilage wear.[Read More] Can Patellar Malalignment Be Corrected with Bracing?
Knee Pain and Popping Sounds: Understanding Your Symptoms
Knee pain accompanied by a cracking sound? Hello, doctor. I would like to ask about a knee issue. For the past few weeks, my right knee has been experiencing pain that is not severe and is bearable, but it's difficult to pinpoint the exact location of the pain as it seems to...
Dr. Shi Guozheng Reply:
Knee pain accompanied by a cracking sound is often indicative of issues with the joint surfaces between the patella and the femur, or it may be related to patellar malalignment. This condition can lead to pain, and it is advisable to consult a physician to assess for these potent...[Read More] Knee Pain and Popping Sounds: Understanding Your Symptoms
Understanding Patellofemoral Pain Syndrome and Its Management Strategies
Patellofemoral chondromalacia Hello Doctor: I have a habit of walking, doing yoga, and aerobic exercises about three times a week. On August 20, 2015, while wearing new shoes, I experienced some friction in my knee during my second walking session (on an elementary school playgro...
Dr. Wang Shouji Reply:
Hello: If pain and discomfort persist despite treatment and activity restrictions (such as limited climbing, squatting, and going up and down stairs), and the pain is primarily located in the knee joint, it is necessary to consider the possibility of patellar chondromalacia or pa...[Read More] Understanding Patellofemoral Pain Syndrome and Its Management Strategies
Understanding the Bump on Your Tibia: Is It a Muscle or a Cyst?
Palpation of the tibial tuberosity? Today in chemistry class, I accidentally touched a spot on my tibia that felt like something was there. It doesn't really feel like a lump; it feels more like a tendon. When I touch it from side to side, it has a sliding sensation. I'...
Dr. Hong Ximing Reply:
The depression in the tibia refers to the area around the knee joint, where a patellar ligament connects to the femur, and the patella is capable of gliding.[Read More] Understanding the Bump on Your Tibia: Is It a Muscle or a Cyst?
Understanding Knee Pain: Causes and Solutions for Stiffness After Sitting
Knee pain Hello Doctor: I would like to ask, whenever I sit for a while and then stand up, I am unable to immediately straighten my right leg to walk normally. If I try to walk normally, my knee hurts a lot. I have to stand still and slowly straighten my leg for about 5 seconds, ...
Dr. Chen Yongxue Reply:
Young women with this issue should be cautious of the possibility of patellar valgus or patellar chondromalacia. Please obtain specialized X-rays of the patella at specific angles and consult an orthopedic physician for evaluation. Thank you.[Read More] Understanding Knee Pain: Causes and Solutions for Stiffness After Sitting
Understanding Knee Injuries: When to Seek Further Evaluation and Treatment
Knee contusion issues? Hello Doctor, I would like to consult you regarding my left knee. On December 31, while working abroad, I was bumped into and fell on the ground, resulting in an injury. The bruise has not yet faded. I have visited an orthopedic specialist who confirmed t...
Dr. Chen Yongxue Reply:
Hello, as your orthopedic surgeon mentioned, the likelihood of injuring the meniscus or cruciate ligaments from a fall is indeed very low. Based on your description, your symptoms are very similar to a medial collateral ligament strain. In the vast majority of cases, this will he...[Read More] Understanding Knee Injuries: When to Seek Further Evaluation and Treatment
Can a Cracked Bone Heal on Its Own After a Fall?
Fractured bone? When the knee hits the ground during a fall, it can cause a fracture at the junction of the lower leg bones. Can the fractured bone heal on its own, or is surgery recommended?
Dr. Chen Yongxue Reply:
Hello, are you referring to the "connection point of the calf" as the patella? Typically, when the knee is on the ground, it is prone to patellar fractures, which can easily become displaced. Once a patellar fracture is displaced, surgical intervention is required for t...[Read More] Can a Cracked Bone Heal on Its Own After a Fall?
Understanding Knee Pain: Early Onset Osteoarthritis in Young Adults
Knee problems Hello Doctor: I injured my right thigh in September of last year, and two weeks later, I suddenly started experiencing knee pain (initially, it felt like there was air inside my knee when standing, which was quite uncomfortable). Eventually, I found it difficult to ...
Dr. Shi Guozheng Reply:
Based on your age, the likelihood of osteoarthritis is quite low; the pain is usually caused by inflammation of the ligaments or tendons near the knee joint. Medication, rest, and rehabilitation typically lead to improvement. Chondromalacia generally occurs at the patellofemoral ...[Read More] Understanding Knee Pain: Early Onset Osteoarthritis in Young Adults
Understanding Patellar Malalignment: Causes and Symptoms in Dancers
Patellar valgus Hello doctor, I am a dancer and I injured my knee about three years ago. However, I have only received massage and acupuncture treatments. In the past two weeks, my knee has swollen, so I had an X-ray taken and it revealed patellar malalignment. I would like to as...
Dr. Hong Ximing Reply:
Hello: Patellar valgus can easily lead to wear and tear of the knee joint cartilage, resulting in pain. It is recommended to consult with your attending physician for detailed advice. Hong Hsi-Ming[Read More] Understanding Patellar Malalignment: Causes and Symptoms in Dancers
Post-ACL Reconstruction: Understanding Knee Noises and Movement Issues
Issues After Anterior Cruciate Ligament Reconstruction Surgery Hello Doctor, I injured my knee in 2013 and was diagnosed with an anterior cruciate ligament (ACL) tear. My attending physician believed that it was unnecessary to reconstruct the ligament and only removed the tissue ...
Dr. Shi Guozheng Reply:
It is possible that something is stuck, so it would be better to consult a surgeon for clarification. Typically, sounds coming from the knee joint are caused by ligaments sliding over the bones. If there is no pain associated with it, there is usually no cause for concern.[Read More] Post-ACL Reconstruction: Understanding Knee Noises and Movement Issues
Understanding Patellar Pain: Seeking Solutions for Chronic Knee Issues
Patellar tendinopathy Hello doctor, I am a long-term patient suffering from knee pain. I have undergone various treatments with little effect. Since the car accident on December 28, 2014, I have experienced issues. After the accident, there was a small localized hematoma and swel...
Dr. Shi Guozheng Reply:
If the prominence of the patella affects knee joint function or causes pain, local injection may be considered to see if it improves the condition. Additionally, rehabilitation should be pursued unless it can be proven that the elevated area is indeed the cause of the problem, in...[Read More] Understanding Patellar Pain: Seeking Solutions for Chronic Knee Issues
Effective Remedies for Knee Pain: Tips for Relief and Treatment
Knee pain, and I would like to inquire about possible methods for improvement? Hello, I'm currently abroad and I'm unsure how to handle this situation (>_<). My left knee hurts a lot whenever I bend it, especially when going up or down stairs. Could it be due to a...
Dr. Shi Guozheng Reply:
If the pain is located on either side of the kneecap, it may be related to ligament issues, often caused by overuse and inflammation. Resting and taking some analgesics can help, and applying topical patches to the affected area may alleviate symptoms. If the pain is located insi...[Read More] Effective Remedies for Knee Pain: Tips for Relief and Treatment
Chronic Knee Pain After Motorcycle Accident: Seeking Solutions
Pain below the knee? Two years ago, I fell off my motorcycle due to a slippery road surface, and the motorcycle landed on my left knee, causing a protrusion below the knee that is painful to the touch. I have tried many treatment methods without significant improvement. I paused ...
Dr. Shi Guozheng Reply:
Knee joint compression injuries may damage the soft tissues and cartilage. If you experience pain when squatting, it could be related to an injury of the patella. It is advisable to consult a physician to check for any issues with the patellar cartilage or potential patellar disl...[Read More] Chronic Knee Pain After Motorcycle Accident: Seeking Solutions
Understanding Ligament Calcification: Treatment Options for Knee Pain
Ligament calcification In recent months, I have been experiencing recurrent inflammation of the patellar tendons in both knees, and an ultrasound has revealed calcification of the tendons. What should the physician do? Is the calcification serious? Thank you.
Dr. Shi Guozheng Reply:
Calcification should be evaluated through X-rays or other imaging studies. There is no direct correlation between calcification and inflammation; inflammation may be related to physical activity. Rehabilitation or medication treatment can be considered.[Read More] Understanding Ligament Calcification: Treatment Options for Knee Pain
Does Patellar Malalignment Cause Knee Pain in Cold Weather?
Does patellar valgus cause pain in cold temperatures? Hello Dr. Wang, I used to ride a stationary bike for 2.5 hours daily for four years and occasionally go hiking, but I stopped due to knee pain. After resting, I was unable to walk for extended periods for the first two years, ...
Dr. Wang Shouji Reply:
Hello: Joint pain in cold weather is related to individual constitution and poor microcirculation. Some people experience this, so it is advisable to engage in activities such as squatting, hiking, and climbing stairs to reduce the chances of inflammation. Thank you![Read More] Does Patellar Malalignment Cause Knee Pain in Cold Weather?