Understanding Old Knee Injuries: Impacts and Concerns
Old knee injury Hello, doctor! I would like to ask a question. When I was in the ninth grade (about six years ago), I had an incident where I collided with a classmate, and my knee was pressed down suddenly. At that moment, I felt a tendon in my knee suddenly shift, and after I s...
Dr. Zhou Lizhi Reply:
According to the user, it may be a patellar dislocation, often caused by tight lateral ligaments or previous injuries, leading to dislocation of the knee during certain positions or activities. Generally, the patella will spontaneously reduce after the knee is fully extended; how...[Read More] Understanding Old Knee Injuries: Impacts and Concerns
Understanding Surgical Treatment Options for Patellar Malalignment
Patellar chondromalacia Hello, I have seen your previous response regarding "patellar chondromalacia." According to my physician's diagnosis, I have congenital valgus deformity of the patella (and both legs are affected). I have also undergone rehabilitation, but t...
Dr. Shi Qiming Reply:
Hello: Traditionally, a 3.95 cm incision is made on the lateral side of the knee, followed by a surgical incision of the lateral knee fascia. The potential complications include a 5% risk of knee hematoma, knee weakness, wound infection, among others. Thank you![Read More] Understanding Surgical Treatment Options for Patellar Malalignment
Effective Exercises and Supplements for Patellar Chondromalacia Management
What can be done to improve? Hello Dr. Wang: I am the one who is a bit clumsy... I received a letter today... I have a small question to ask you... Regarding the patellar chondromalacia you mentioned, in addition to improving through exercise, do I still need to continue taking g...
Dr. Wang Shouji Reply:
Strengthening and properly protecting the muscles (Quadriceps training: engaging the thigh muscles to keep the knee joint straight) is more important and practical than simply taking supplements like glucosamine. There is no absolute correlation between the inability to perform i...[Read More] Effective Exercises and Supplements for Patellar Chondromalacia Management
Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Bone misalignment? Hello Director Li: I have a few questions regarding my previous left calf fracture. After using crutches for eight months, I experienced severe atrophy of the quadriceps muscle. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is difficult to provide a direct answer without being able to examine your limbs and review your X-rays. I personally recommend that you consult your attending physician, as they are most familiar with your condition and should be able to a...[Read More] Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Understanding Knee Stability: Impact of Past Injuries and Muscle Atrophy
Knee stability Hello, Director Yeh: I have a few questions regarding my previous left calf fracture. I used crutches for eight months, which resulted in severe atrophy of my quadriceps. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and the adjacent...
Dr. Ye Qingnian Reply:
1. The tibia and the bone it connects to are misaligned, and based on your description, it's difficult to determine which bone it is, so I cannot provide a detailed explanation. 2. If the bones are misaligned, it can easily lead to knee osteoarthritis, resulting in pain. ...[Read More] Understanding Knee Stability: Impact of Past Injuries and Muscle Atrophy
Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Bone misalignment? Hello Director Li, I have a few questions regarding my previous left calf fracture. I used crutches for eight months, which resulted in severe atrophy of my quadriceps. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and the adjac...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is difficult to provide a direct answer without being able to examine your limbs and review your X-rays. I personally recommend that you consult your attending physician, as they are most familiar with your condition and should be able to a...[Read More] Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Understanding Knee Pain: Why Can't I Squat?
Inability to squat? Hello, Doctor: I have a question... Last winter, my foot started to feel sore for some unknown reason... and it has been getting worse. The soreness lasted for about a month, and then it stopped, but I still cannot squat down. Whenever I try to squat, my knee ...
Dr. Wang Shouji Reply:
Based on your age and symptoms, it seems more likely that you have patellar chondromalacia. You should pay attention to whether there is patellar malalignment or subluxation, especially since symptoms are more pronounced when squatting or going up and down stairs. In most cases, ...[Read More] Understanding Knee Pain: Why Can't I Squat?
Understanding Knee Stiffness: Causes and Solutions After Injury
Inability to bend the knee? Hello Dr. Yeh, I am currently in the United States. A month and a half ago, I injured my left knee while playing basketball. I went to the hospital for an X-ray, and the doctor said there were no issues with the bones, only that the knee ligaments wer...
Dr. Ye Qingnian Reply:
The X-ray of the left knee is normal, but after one and a half months, there is still pain and inability to bend the knee. It is recommended to consult an orthopedic clinic to determine if an arthroscopy is necessary to check for any injuries to the meniscus or cruciate ligaments...[Read More] Understanding Knee Stiffness: Causes and Solutions After Injury
Knee Pain: Surgery vs. Exercise for Patellar Chondromalacia
Knee pain If diagnosed with patellar chondromalacia, and one physician recommends knee exercises while another suggests surgery, it's important to consider the nature of your symptoms and the severity of your condition. Surgery may not be necessary for everyone, and conserva...
Dr. Chu Baijun Reply:
Hello: Whether surgery is needed for patellofemoral chondromalacia depends on the severity of the condition. Based on your description, it is difficult to make an accurate assessment. I recommend seeking a third physician's opinion for further reference. Sincerely, Dr. Chou ...[Read More] Knee Pain: Surgery vs. Exercise for Patellar Chondromalacia
Overcoming Knee Injuries: A Basketball Player's Journey to Recovery
I hope to get back on the basketball court! Hello, Doctor. I am a basketball player living in Taichung. My height is 178 cm and my weight is 78 kg. I have had surgery on both knees: my left knee underwent anterior cruciate ligament reconstruction a year ago, and my right knee had...
Dr. Shi Qiming Reply:
Hello: It is recommended that you continue with rehabilitation and avoid any vigorous activities for the time being to prevent re-injury. Some benefits of rehabilitation may not be immediately apparent and require a prolonged treatment period. If you have any questions, please vi...[Read More] Overcoming Knee Injuries: A Basketball Player's Journey to Recovery
Managing Joint Stiffness After ACL Reconstruction: Causes and Solutions
After anterior cruciate ligament (ACL) reconstruction, if there is joint stiffness, how should it be managed? I injured my ligaments on June 21 of this year (anterior cruciate ligament tear and posterior cruciate ligament strain). I went to the emergency room that day, but the or...
Dr. Wang Shouji Reply:
Post-operative joint stiffness is a common issue following anterior cruciate ligament (ACL) reconstruction surgery. Generally, this condition is related to post-operative rehabilitation or the surgical reconstruction technique used. At this point, approximately two months post-su...[Read More] Managing Joint Stiffness After ACL Reconstruction: Causes and Solutions
Post-ACL Reconstruction Challenges: Pain, Instability, and Rehabilitation
Issues After Anterior Cruciate Ligament Reconstruction Surgery I am currently 44 years old. In December 1990, I underwent ligament reconstruction surgery for my left knee's anterior cruciate ligament (ACL). After surgery and rehabilitation, I regained my original function, a...
Dr. Chu Baijun Reply:
What does "approximately" mean? I believe that the current rehabilitation treatment can focus on rebuilding the strength of your thigh muscles, which will help improve muscle atrophy and enhance protection for the ligaments, preventing re-injury. Thank you for your mess...[Read More] Post-ACL Reconstruction Challenges: Pain, Instability, and Rehabilitation
Understanding ACL and LCL Reconstruction: Key Questions Answered
Ligament reconstruction Hello Dr. Lee, I previously had a car accident and underwent examinations and an MRI. The doctor determined that I have a partial tear of the posterior cruciate ligament (PCL) in my left leg, and a complete tear of the PCL and a lateral collateral ligamen...
Dr. Li Wenlin Reply:
Hello, in response to your questions: 1. The purpose of the surgery is to restore your original function. Your description did not mention your symptoms. In some cases, even if the posterior cruciate ligament (PCL) and lateral ligaments are torn, clinical outcomes can still be s...[Read More] Understanding ACL and LCL Reconstruction: Key Questions Answered
Understanding Knee Pain: Causes, Symptoms, and Recommended Tests
Knee pain Hello Dr. Hong: I just graduated from university and I regularly run marathons and ride my bike. A year ago, I noticed that I experience pain in my right knee when cycling uphill, but I don't feel pain when riding on flat surfaces or while running. Sometimes, when ...
Dr. Hong Ximing Reply:
Hello, knee joint pain caused by running or cycling is a common complication. Due to the frequent movement of the patella, it can lead to patellar cartilage softening. The most direct approach is, of course, to rest for a period of time, avoiding jogging and substituting it with ...[Read More] Understanding Knee Pain: Causes, Symptoms, and Recommended Tests
Knee Injury After a Fall: Understanding Pain and Possible Effects
Knee contusion? Hello, doctor: I accidentally fell down the stairs a while ago and hit my knee, but there was no bruising. However, it hurts when I touch the injured area. I thought since there was no bruising, it wasn't serious, but recently I accidentally bumped the same s...
Dr. Wang Shouji Reply:
A: Your condition may be patellar tendinitis. Generally, it will heal on its own, but you should avoid friction and impact to the affected area to prevent worsening, which may require surgery. If you have any questions, it is advisable to visit an orthopedic department for furthe...[Read More] Knee Injury After a Fall: Understanding Pain and Possible Effects
Should You See a Doctor for a Month-Long Knee Injury?
I have had knee pain for a month. Should I see a doctor? Hello Doctor: At the end of June, I slipped and my knee hit the floor hard. I felt at that moment that it was serious. Indeed, it has been over a month since the injury, and I have been using topical analgesics for joint pa...
Dr. Chu Baijun Reply:
Hello Miss QQ: When falling, a direct impact of the knee against the floor can lead to serious injuries, including fractures of the patella. Some types of patellar fractures may allow for basic knee function despite swelling and pain, which can cause patients to overlook the impo...[Read More] Should You See a Doctor for a Month-Long Knee Injury?
Understanding Knee Impact Injuries: Symptoms, Diagnosis, and Next Steps
Knee impact injury? Last year, I fell while going down the stairs, and the front part of my right knee (toward the upper area) hit the protruding edge of the stairs. It was extremely painful at the time, but after a while, I have experienced the following sensations: 1. I often f...
Dr. Chu Baijun Reply:
Hello Ray: The hard bone at the front of the knee is called the patella. After a knee impact, in addition to potential bone injury, the prepatellar bursa, posterior cartilage, and surrounding patellar tendons and ligaments may also be injured, leading to discomfort. At this time,...[Read More] Understanding Knee Impact Injuries: Symptoms, Diagnosis, and Next Steps
Understanding Synovial Fluid Issues in the Knee: Symptoms, Causes, and Treatments
What is synovial fluid? Hello, Doctor. What symptoms are associated with issues in the knee bursa fluid? What are the causes, and how can it be prevented and treated? Thank you.
Dr. Shi Qiming Reply:
Hello: If bursitis in the knee leads to an increase in synovial fluid, there will be swelling and pain above the patella, along with a sensation of fluid movement. Generally, it is advisable to avoid vigorous exercise and sports injuries. Anti-inflammatory medications, along with...[Read More] Understanding Synovial Fluid Issues in the Knee: Symptoms, Causes, and Treatments
Understanding Knee Pain: Essential Tests to Diagnose Your Condition
What tests should be conducted to determine the cause? Hello Doctor: A few years ago, my knee was injured when I fell off my bike, causing a significant swelling in the area. The doctor said that the skin and underlying tissue had separated, and there was a collection of blood an...
Dr. Chu Baijun Reply:
Hello: Based on the symptoms you described, it is highly likely that your knee is experiencing a hematoma and inflammation in the prepatellar bursa following an injury. Currently, the presence of scar tissue may be causing pain when kneeling, as well as soreness after prolonged w...[Read More] Understanding Knee Pain: Essential Tests to Diagnose Your Condition
Post-Arthroscopy Knee Concerns: Sounds, Recovery, and Exercise Guidelines
Post-operative issues following arthroscopic surgery? Hello, doctor. I previously underwent arthroscopic surgery, and now my knee makes noise when I walk, but there is no pain. I asked the surgeon who performed the operation, and he said that after anterior cruciate ligament (ACL...
Dr. Hong Ximing Reply:
Hello Hunter: The presence of sounds in the knee does not affect your ability to exercise. The primary goal of anterior cruciate ligament (ACL) reconstruction is to restore joint stability, and if there is no pain, treatment is not necessary. Taking glucosamine may not aid in lig...[Read More] Post-Arthroscopy Knee Concerns: Sounds, Recovery, and Exercise Guidelines