Managing Swollen Knee and Limited Flexibility After Patella Fracture
Patellar fracture I had a car accident on March 7, 2013, which resulted in a fractured patella and swelling in the knee area. During a follow-up appointment on April 9, 2013, the doctor noted that my knee was still swollen (despite the fact that the injured area had not been pain...
Dr. Ye Qingnian Reply:
Hello: It is recommended to visit an orthopedic outpatient clinic for consultation. Wishing you peace and good health.[Read More] Managing Swollen Knee and Limited Flexibility After Patella Fracture
Strengthening Your Knees: Effective Squat Exercises for Recovery
To strengthen the knees, perform squats? Hello Doctor, last year I injured my left knee while playing basketball. After going to the hospital, the doctor diagnosed it as a "patellar ligament strain," but it wasn't very serious, and I was only given pain relief patc...
Dr. Shi Guozheng Reply:
After a strain, it is essential to have adequate rest for the injured area to recover. Typically, soft tissue injuries require at least six weeks of rest. Strengthening exercises generally include knee flexion and extension, as well as muscle strength training to strengthen the q...[Read More] Strengthening Your Knees: Effective Squat Exercises for Recovery
Understanding Pubic Bone Fractures: Treatment Options and Recovery
Pubic bone fracture Hello, doctor. I would like to ask for your opinion because my family member was in a car accident. An X-ray revealed a displaced fracture of the left pubis, a fracture above the right pubis, an open fracture of the left femur, a fractured left patella, and in...
Dr. Shi Guozheng Reply:
The pubis is a bone that surrounds the pelvis, which functions like a ring, with ligaments and muscles attached to the surrounding bones. If there is a fracture on only one side of the pubis, it is considered a stable fracture, and surgical intervention may not be necessary. Howe...[Read More] Understanding Pubic Bone Fractures: Treatment Options and Recovery
Understanding Post-Accident Knee Swelling: Causes and Treatment Options
Knee contusion after a car accident with swelling and pain during the healing process? I had a car accident on February 2nd, during which I sustained abrasions on my knee. After an X-ray at the orthopedic clinic, the doctor confirmed that there were no fractures or breaks in the ...
Dr. Chen Xingyuan Reply:
Dear User: The course of your condition resembles Prepatellar Bursitis, but it is important to first determine the possibility of infection. Bursae can become inflamed or infected due to overuse or injury. Injuries may result from direct impact or chronic irritation, such as exce...[Read More] Understanding Post-Accident Knee Swelling: Causes and Treatment Options
Impact of Retained Steel Pins on Knee Health After Patella Fracture
Steel nails for patellar fractures associated with posterior cruciate ligament injuries? Hello Doctor: Two years ago, I had a car accident and suffered a patellar fracture, for which I underwent surgery and had two steel pins inserted for fixation. During my last follow-up appoin...
Dr. Shi Guozheng Reply:
If the steel pin does not protrude or affect the joint, it can be left in place. The pin is made of stainless steel, which is less prone to oxidation. However, if it has already protruded and is piercing the skin or subcutaneous tissue, it is advisable to have it removed.[Read More] Impact of Retained Steel Pins on Knee Health After Patella Fracture
Understanding Knee Pain: Causes, Treatments, and Recovery Tips
Patellar pain I often experience pain in my right knee for several days after hiking. What could be the issue? I've seen a few doctors, and their opinions vary; some say it's degeneration, while others mention bone spurs. The doctors advised me to rest more and avoid hi...
Dr. Shi Guozheng Reply:
Knee pain after exercise is related to the intensity of the activity. If pain occurs after only mild exercise, it is important to be cautious as it may indicate wear or degeneration of the joint surface between the patella (kneecap) and the femur (thigh bone). Another possibility...[Read More] Understanding Knee Pain: Causes, Treatments, and Recovery Tips
Understanding Pain Below the Knee: Causes and Solutions
Pain below the knee? Hello Dr. Wang, My husband is 38 years old and has recently been experiencing pain below his left knee in the afternoon. When going down stairs, if he puts too much pressure, it feels as if it might be fractured. A few days ago, he visited an orthopedic doct...
Dr. Wang Shouji Reply:
If there is no significant history of severe injury below the knee, it is important to consider issues such as patellofemoral joint misalignment, wear and tear, or inflammation of the patellar ligament. If the condition is not severe, medication treatment and rehabilitation focus...[Read More] Understanding Pain Below the Knee: Causes and Solutions
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
Understanding Tibial Osteotomy: Addressing Knee Pain and Patellar Issues
Tibial realignment surgery Hello Doctor: I underwent arthroscopy on my knee in 2004. After recovery, I attempted to run, but my knee started to hurt again. This pain sometimes resolves suddenly, but at times it lingers for an extended period (about six months with a dull ache). A...
Dr. Ye Qingnian Reply:
Hello: I have not performed surgeries or conducted research in this area at the regional hospital. Please consult a physician at a medical center who specializes in sports medicine for a more in-depth understanding. I apologize for any disappointment this may cause. Wishing you p...[Read More] Understanding Tibial Osteotomy: Addressing Knee Pain and Patellar Issues
Understanding Knee Aspiration: Is Swelling and Bruising Normal?
Knee aspiration issue? Hello, doctor. My girlfriend (in her 20s) has been experiencing knee pain while walking. After visiting Chang Gung Memorial Hospital, the doctor diagnosed her with patellar tendinitis. Since her knee was slightly swollen, the doctor suggested performing an ...
Dr. Zhang Jiahao Reply:
Hello: Severe tendon inflammation can indeed lead to fluid accumulation. If the amount is significant, aspiration may be considered. After aspiration, applying an elastic bandage can help reduce swelling. If there is mild bruising, observation is sufficient; however, if it is sev...[Read More] Understanding Knee Aspiration: Is Swelling and Bruising Normal?
Understanding Pain Behind the Knee: Causes and Solutions
Pain behind the knee? I usually don't feel discomfort in the knee while walking or exercising, but whenever I squat or bend my knee excessively, I experience pain and cannot apply force. There is no history of injury, and X-rays of the bones showed no abnormalities, yet the ...
Dr. Wang Shouji Reply:
Banban: Based on your age, gender, and the position that causes pain, it is likely a patellofemoral joint issue. It could be "malalignment" or "chondromalacia patella," and you should consult a physician for a proper examination. Wishing you a speedy recovery.[Read More] Understanding Pain Behind the Knee: Causes and Solutions
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
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 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 Knee Twitches: Causes and Concerns for Dancers
Knee twitching I have been diagnosed with "patellar valgus," so I took a break from dancing for a while. Recently, I've started dancing again and more frequently. My knee feels fine, though occasionally I experience mild discomfort. However, recently I've been...
Dr. Wang Shouji Reply:
A-Jia: This should be caused by abnormal contractions of the muscles due to fatigue. Rest and heat therapy should help improve the condition. Wishing you a speedy recovery.[Read More] Understanding Knee Twitches: Causes and Concerns for Dancers
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?
Is This Medical Malpractice? A Case Study on ACL Reconstruction Issues
Does this constitute medical malpractice? I underwent anterior cruciate ligament (ACL) reconstruction surgery in 1996 due to a torn ACL, using a patellar tendon graft for the reconstruction. After the surgery, I participated in rehabilitation. However, since the surgery, I have e...
Dr. Shi Guozheng Reply:
Based solely on your description, it is not possible to determine that all surgeries carry their own risks and complications, especially since the surgery was performed many years ago, making it even more difficult to assess.[Read More] Is This Medical Malpractice? A Case Study on ACL Reconstruction Issues
Understanding Knee Bursitis: Causes, Treatment, and Recovery After Injury
Knee joint effusion? Hello Doctor, In July, I had a bicycle accident that resulted in an open laceration on my left knee. I received three stitches at the time, and after the wound completely healed, I noticed a small swelling at the inferior border of the patella, accompanied b...
Dr. Li Wenlin Reply:
Hello Liveupto, 1. The injury was caused by trauma. 2. For bursitis, using a knee brace or elastic compression can help reduce swelling. It is not advisable to engage in intense exercise or weight training, such as squats or deadlifts, for six weeks. 3. Surgery is not a panac...[Read More] Understanding Knee Bursitis: Causes, Treatment, and Recovery After Injury
Understanding Patellar Chondromalacia and Cartilage Damage: Treatment Options
Patellar chondromalacia and cartilage damage? Hello, Doctor! I have been suffering from chondromalacia of the right knee for seven to eight years. I have undergone physical therapy at the rehabilitation department of the hospital for both legs, including shortwave therapy, ultras...
Dr. Li Wenlin Reply:
Hello, Xiao Luo: 1. The principle of shortwave therapy cannot burn the cartilage in the knee joint, but it is indeed not advisable to adjust the intensity of the shortwave machine by yourself. If you are interested in the intensity of shortwave therapy, you can proactively discu...[Read More] Understanding Patellar Chondromalacia and Cartilage Damage: Treatment Options
Understanding Synovitis: Symptoms, Concerns, and Treatment Options
Regarding synovitis? Hello Dr. Chang, Two years ago, I accidentally discovered a slight swelling in the tendons around my right knee (it feels like a 3 cm swollen line). At that time, I didn't pay much attention to it. However, since the condition hasn't changed and t...
Dr. Zhang Jiahao Reply:
Hello: The synovitis you mentioned likely refers to inflammation of the synovial membrane in front of the patella, resulting in the accumulation of fluid. If conservative treatment is ineffective or if there are signs of infection, surgical removal may be necessary. However, this...[Read More] Understanding Synovitis: Symptoms, Concerns, and Treatment Options