Rehabilitation After ACL Reconstruction: Addressing Common Concerns
Arthroscopic surgery rehabilitation Doctor, thank you for your response. I have some additional questions that I need your clarification on. After anterior cruciate ligament (ACL) reconstruction, there is a sound in my knee, which may be caused by the patella sliding over the syn...
Dr. Shi Guozheng Reply:
Six months post-surgery, you should be able to climb stairs, and by nine months, you can return to your pre-injury level of physical activity.[Read More] Rehabilitation After ACL Reconstruction: Addressing Common Concerns
Post-Arthroscopic Surgery Concerns: Knee Noises and Recovery Tips
Questions After Arthroscopic Reconstruction Surgery Hello, doctor. Last year, I underwent arthroscopic surgery, during which the physician examined my meniscus and said there were no issues. They only performed a reconstruction of the anterior cruciate ligament (ACL). After the s...
Dr. Shi Guozheng Reply:
After anterior cruciate ligament reconstruction, if there are sounds coming from the knee, it may be due to the patella sliding over the synovium. As long as there is no pain associated with it, there is no cause for concern. Six months post-surgery, you can engage in some light ...[Read More] Post-Arthroscopic Surgery Concerns: Knee Noises and Recovery Tips
Understanding Knee Pain in Growing Teens: Causes and Solutions
Hello, doctor? Doctor, may I ask? My sister is in the second year of junior high school, and her knees often feel sore. Is this due to her growth spurt, or is there another reason? She hasn't had any injuries.
Dr. Shi Guozheng Reply:
At around fourteen years old, during the second year of junior high school, it is possible to experience knee pain due to growth spurts. However, there are other potential causes, such as issues with the patella or ligaments. Additionally, problems with the meniscus within the kn...[Read More] Understanding Knee Pain in Growing Teens: Causes and Solutions
Understanding Patellar Chondromalacia and Ligament Tears: Treatment Options
Patellar chondromalacia and ligament tear? Hello Doctor: I am a Taekwondo practitioner and have been experiencing softening of the patella on the inner side of my right knee, as well as a tear in the medial collateral ligament (MCL). I have undergone MRI and X-ray examinations, b...
Dr. Shi Qiming Reply:
Hello: Based on your description, it seems that your main issue arises from practicing Taekwondo, with problems in the anterior knee joint caused by overuse and accidental injury. Here are my recommendations: 1. Temporarily suspend Taekwondo and other high-impact activities such ...[Read More] Understanding Patellar Chondromalacia and Ligament Tears: Treatment Options
Understanding Quadriceps Tightness: Causes, Diagnosis, and Management
Frog legs Hello Dr. Su, In December, I wrote an email to inquire about issues related to quadriceps muscle spasms. I also visited you in person at Chiayi Hospital at the end of December, so you should remember me. Currently, the doctors at Chang Gung Memorial Hospital have condu...
Dr. Su Yiren Reply:
Dear TJD, Thank you for providing various reports. I hope to choose an effective method to address the current symptoms. If the situation is severe, a quadriceps lengthening procedure may be necessary. However, if we proceed with this, it must be thorough; a lengthening of at le...[Read More] Understanding Quadriceps Tightness: Causes, Diagnosis, and Management
Understanding Knee Pain: When to Seek Further Medical Evaluation
Joint pain Hello, I have been experiencing numbness and pain in the ligament below my right knee joint for 2 weeks. It doesn't hurt when lying down, but sitting causes pain due to the pulling of the ligament below the knee, making it impossible for me to drive (after driving...
Dr. Shi Guozheng Reply:
The pain in the ligament below the right knee is likely due to the patellar ligament. The pain during stretching may be caused by inflammation. The treatment is relatively straightforward, which involves sufficient rest and medication to alleviate the symptoms. Consulting another...[Read More] Understanding Knee Pain: When to Seek Further Medical Evaluation
Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Knee pain On the inner side of the right knee patella, there is often a sensation of catching during the movement from flexion to extension, accompanied by a bit of pain. After repeating the flexion and extension several times, a "catch" sound can be heard, after which ...
Dr. Chu Baijun Reply:
Hello: Based on the information provided, it seems that the symptoms in your right knee are likely related to an issue with the internal soft tissues of the knee joint. However, due to the limitations of online communication, I am unable to perform a clinical examination or condu...[Read More] Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Managing Knee Pain: Effective Self-Care Tips for Young Athletes
Knee I would like to ask... I’m not sure if it’s related to a previous knee injury, but now my knee hurts a lot when I squat and go up and down stairs, and I also feel tightness in the surrounding tendons. If I apply herbal ointment myself, will it help? Or do I need other treatm...
Dr. Wang Shouji Reply:
There may be a false value: If you have been active in sports during your youth, it's important to assess whether you have experienced any sports-related injuries. Based on your condition, it may be related to the patellofemoral joint (such as patellar chondromalacia or pate...[Read More] Managing Knee Pain: Effective Self-Care Tips for Young Athletes
Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Knee pain Hello, Doctor Shi: I have noticed that my kneecap area feels particularly sore—it's quite painful! However, it doesn't happen all the time, just occasionally. This issue has been bothering me for quite a while, probably for about six months now. I have also co...
Dr. Shi Guozheng Reply:
Based on the symptoms you've described, it's difficult to determine the exact condition. However, generally speaking, knee pain in young individuals is often related to issues with the cartilage of the patella or misalignment of the patella itself. It would be advisable...[Read More] Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Understanding Knee Pain When Descending Stairs: Causes and Solutions
Knee pain when going down stairs? Hello, my left kneecap on the outer side (at the 9 o'clock position) does not hurt when I walk normally, but it does hurt when going down stairs. I have seen doctors several times, but it often recurs. I am currently not engaging in intense ...
Dr. Chu Baijun Reply:
Hello: There are indeed various issues related to the knee, and based on your description, it is difficult to accurately determine your problem. If I had to make an educated guess, it could be patellar chondromalacia; however, I strongly recommend that you seek a personal medical...[Read More] Understanding Knee Pain When Descending Stairs: Causes and Solutions
ACL Reconstruction Options for Patients with Patellar Tendon Injury
I want to undergo anterior cruciate ligament (ACL) reconstruction surgery, but I have a history of patellar tendon rupture? Hello, doctor. A few years ago, I ruptured my anterior cruciate ligament while playing basketball. I've been experiencing persistent knee pain and woul...
Dr. Hong Ximing Reply:
Wan: Hello, currently for anterior cruciate ligament reconstruction, there are many available graft options. In addition to the patellar tendon and synthetic grafts, the semimembranosus tendon from the thigh can also be utilized.[Read More] ACL Reconstruction Options for Patients with Patellar Tendon Injury
Understanding Recovery After ACL Reconstruction: Nerve Sensation Changes
One and a half months post-anterior cruciate ligament reconstruction? Hello Doctor: I underwent anterior cruciate ligament (ACL) reconstruction surgery on my left knee at Veterans General Hospital a month and a half ago. After the surgery, I noticed a scar about five centimeters ...
Dr. Shi Guozheng Reply:
Numbness in the skin around the knee after surgery is a normal phenomenon and may resolve after some time. The size of the surgical incision depends on the condition at the time of the procedure, especially since harvesting the patellar tendon requires a longer incision. While th...[Read More] Understanding Recovery After ACL Reconstruction: Nerve Sensation Changes
Understanding Patellar Chondromalacia: Symptoms, Treatment, and Prognosis
Patellar chondromalacia Hello Doctor: My right knee has been feeling painful when standing for long periods and bending for the past few months. After undergoing arthroscopy, the doctor informed me that I have patellar malalignment and grade II chondromalacia patellae. The doctor...
Dr. Shi Guozheng Reply:
Typically, changes do not occur rapidly. Swimming can increase the strength of the quadriceps, which can reduce pressure on the patella, potentially improving symptoms. Currently, surgery may not be necessary; with consistent rehabilitation and medication treatment, most individu...[Read More] Understanding Patellar Chondromalacia: Symptoms, Treatment, and Prognosis
Understanding Arthroscopy: Causes of Meniscus Swelling and Procedure Insights
Arthroscopy Hello, Doctor: I would like to ask... My right knee has been experiencing pain on the inner joint area. Initially, I received acupuncture and massage from a traditional Chinese medicine practitioner, but after 2 to 3 months, there was no improvement (I cannot stand or...
Dr. Hong Ximing Reply:
Lin: Patellar valgus is caused by a change in the body's center of gravity, leading to cartilage softening, resulting in pain and wear on the medial side of the knee joint. If there is a sports injury, it can cause meniscal tears. Arthroscopic surgery requires anesthesia and...[Read More] Understanding Arthroscopy: Causes of Meniscus Swelling and Procedure Insights
Understanding Patellar Misalignment: Causes, Treatments, and Recovery
Patellar malalignment? I was involved in a car accident previously, and my right knee joint was injured. At that time, I did not receive any treatment and just let it heal naturally. For the past four years, I have felt a slight lack of smoothness in movement (a cracking sensatio...
Dr. Shi Guozheng Reply:
X-rays can reveal the degree of lateral deviation, but they cannot determine the extent of cartilage damage. Muscle tissue injuries typically heal within six to eight weeks. Current rehabilitation must continue, and there is a possibility of recovery. There are no other options u...[Read More] Understanding Patellar Misalignment: Causes, Treatments, and Recovery
Managing Cartilage Softening: Tips for Athletes with Knee Pain
Cartilage softening Hello doctor, I am an athlete who has experienced cartilage softening in my knee due to long-term overuse from practicing long jump. I have been in pain for nearly a year, and recently the symptoms have been increasing. The pain is primarily on the outer side ...
Dr. Hong Ximing Reply:
Chondromalacia commonly occurs in the patella (kneecap) due to overuse of the quadriceps muscle, leading to an inability of the subchondral bone beneath the patellar cartilage to support the pressure. Receiving an injection may not be effective without adequate rest. Additionally...[Read More] Managing Cartilage Softening: Tips for Athletes with Knee Pain
Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Knee problems? Hello, doctor. My condition has persisted for nearly two months. I haven't engaged in any intense exercise; I only traveled abroad in May. I wonder if walking too much could be the cause. Initially, I felt a sensation in my left knee as if the ligaments were b...
Dr. Shi Guozheng Reply:
It could be an issue with the cartilage in the patella, or it may be due to improper alignment or instability of the knee. It's important to consult another physician to determine the exact condition. Quadriceps training may take three to six months to show results, so it is...[Read More] Understanding Knee Pain: Causes, Symptoms, and Treatment Options
Understanding Patellar Subluxation: Insights on Surgery and Rehabilitation
After performing patellar stabilization surgery for patellar subluxation? Hello Doctor: I have a few questions that I hope you can answer. 1. How can one determine whether the phenomenon of patellar subluxation is congenital or caused by acquired sports injuries? My left knee w...
Dr. Shi Guozheng Reply:
Congenital issues and those caused by injury should be assessed based on the patient's injury history, as well as whether there was an immediate dislocation of the patella following the injury. Typically, congenital conditions will affect both knees and symptoms may appear a...[Read More] Understanding Patellar Subluxation: Insights on Surgery and Rehabilitation
Understanding Knee Bumps: Causes, Symptoms, and Treatment Options
A lump on the knee? I have a lump that appears on my left wrist when I bend it in a certain way, and it can be quite painful at times. I had an X-ray, and the doctor said there are no issues with the bones, but sometimes after playing basketball, it hurts when I try to bend it. T...
Dr. Yang Nanping Reply:
Hello: This situation is usually caused by excessive pulling of the patellar ligament during the developmental phase, resulting in a noticeable prominence of the proximal tibia. Generally, no special treatment is required. During painful episodes, reducing activity, applying ice,...[Read More] Understanding Knee Bumps: Causes, Symptoms, and Treatment Options
Knee Injuries After a Car Accident: Understanding Symptoms and Recovery
Knee injuries after a car accident? Hello, Director Shi: A few months ago, I was in a car accident where my knee hit the ground and struck some gravel. My knee swelled up, and at first, I thought it was just swelling, so I applied a bandage. After some time, I noticed that my inj...
Dr. Shi Guozheng Reply:
You can visit a larger hospital for further evaluation. Typically, after a patellar impact, there will be swelling for a period of time, and the pain may take three to six months to completely resolve. If there is a noticeable indentation on the surface of the patella, it may be ...[Read More] Knee Injuries After a Car Accident: Understanding Symptoms and Recovery