Understanding Patellar Chondromalacia: Diagnosis and Treatment Options
Patellar chondromalacia When I try to fully extend my knee, I feel a bone catching, but I never experience pain. I have seen a traditional Chinese medicine practitioner who diagnosed me with patellar degeneration and treated me with acupuncture and tui na. I also consulted a tui ...
Dr. Su Yiren Reply:
Dear Miss Ah-Hui, I apologize for the delayed response due to the busy work during the New Year. Regarding the diagnosis of knee joint-related diseases, relying solely on physical examination (as mentioned by traditional Chinese medicine practitioners, massage therapists, and th...[Read More] Understanding Patellar Chondromalacia: Diagnosis and Treatment Options
Understanding Discoid Meniscus: Navigating Conflicting Medical Diagnoses
Disc-shaped meniscus When I try to fully extend my knee, I feel a bone catching, but I never experience pain. I have seen a traditional Chinese medicine practitioner who diagnosed me with patellar degeneration and treated me with acupuncture and tui na. I also consulted a tui na ...
Dr. Shi Qiming Reply:
Hello: Generally speaking, magnetic resonance imaging (MRI) is considered a fairly accurate examination. If it is indeed a meniscal tear, different treatment methods should be discussed based on the specific classification, and this is a specialized area that should be discussed ...[Read More] Understanding Discoid Meniscus: Navigating Conflicting Medical Diagnoses
Understanding Congenital Knee Deformities and Treatment Options
Congenital deformity of both knees? I have patellar chondromalacia in my knees, and I have now discovered congenital bone deformities in both knees. I'm unsure if there are any treatments or corrections available. The military doctor suggested that if treatment is not possib...
Dr. Li Wenlin Reply:
Hello: Don't be too pessimistic. The current orthopedic medical technology is very advanced. Even congenital bone deformities can be treated through surgery. I recommend that you seek treatment at a regional hospital (such as 802 or 803) that can refer you to the Tri-Service...[Read More] Understanding Congenital Knee Deformities and Treatment Options
Understanding Knee Pain in Teens: When Bending Causes Discomfort
The knee only experiences soreness when bent? Hello Dr. Lin: My son is 16 years old, 170 cm tall, and weighs 88 kg. Recently, he has been frequently telling me that his right knee experiences pain (more pain than soreness) when bent, and this has been going on for some time. We l...
Dr. Lin Gengxiao Reply:
1. The pain and deformity in your right knee should first be assessed for whether it occurs during weight-bearing (bending while standing) or non-weight-bearing (bending while seated). 2. Bending the knee increases the pressure at the joint cartilage interface, and this pressur...[Read More] Understanding Knee Pain in Teens: When Bending Causes Discomfort
Understanding Ankle and Heel Pain After Fracture Recovery
Ankle and heel pain? Hello Doctor: At the end of September this year, I fell down the stairs and fractured my right foot. I have been treated with anti-inflammatory medication, calcium supplements, and a cast. The fracture has healed, and X-rays show no external damage. However, ...
Dr. Hong Ximing Reply:
A-Chen: Hello, I'm not sure which part of the foot you are referring to as the "foot bone." However, after a fracture has healed and the cast has been removed, it can still affect the movement of the joints and ligaments. Therefore, it is important to continue with...[Read More] Understanding Ankle and Heel Pain After Fracture Recovery
Managing Patellar Chondromalacia: Beyond Supplements for Runners
I am a long-distance runner and often participate in various road races, with my longest distance being a half marathon. I mostly train on asphalt surfaces, but I have been experiencing pain in my right knee? I am a long-distance runner and often participate in various road races...
Dr. Li Wenlin Reply:
Hello: In response to your question... The main significance of patellar chondromalacia lies in the structural changes of the patella due to injury or other non-injury-related inflammatory responses. The mechanisms involved include not only structural alterations but also an incr...[Read More] Managing Patellar Chondromalacia: Beyond Supplements for Runners
Understanding Cartilage Injury: Pain Below the Knee and Recovery Tips
Cartilage injury (protrusion below the knee)? Once, while playing badminton, I suddenly experienced intense pain below both knees, not in the area of the cruciate ligaments. By the time I got home, I could barely walk. After resting for two weeks, I was able to walk again, but sq...
Dr. Shi Guozheng Reply:
This could be inflammation of the ligaments or tendons, which usually improves with a few weeks of rest. If it does not get better, you should see a doctor, specifically an orthopedic specialist, to check if there is an underlying issue. The area you mentioned is most likely the ...[Read More] Understanding Cartilage Injury: Pain Below the Knee and Recovery Tips
Understanding Patellar Chondromalacia: Symptoms, Causes, and Concerns
Patellar chondromalacia I am 20 years old and currently serving in the military. In my childhood, I experienced impacts to both knees and received treatment at a martial arts clinic. At that time, there were no significant issues, just occasional discomfort similar to rheumatism....
Dr. Shi Qiming Reply:
Dear netizens: Patellar chondromalacia is a type of patellofemoral pain syndrome characterized by widespread anterior knee pain when the patient uses the patellofemoral joint. This pain is particularly exacerbated during activities such as climbing stairs, running, squatting, or ...[Read More] Understanding Patellar Chondromalacia: Symptoms, Causes, and Concerns
Understanding Patellar Malalignment: Non-Surgical Treatment Options and Prevention
Patellar valgus Hello, I would like to ask about patellar malalignment. I noticed some stiffness in my knees during the summer, but I didn't pay much attention to it. Recently, I have experienced pain in both knees, so I visited the hospital for a consultation. After an X-ra...
Dr. Shi Qiming Reply:
Dear Xiao Pei, Surgery is a definitive treatment method. The patellar support brace can also be beneficial, but it should be worn consistently, and it is advisable to avoid climbing stairs as it may lead to valgus deformity, pain, and joint wear. Therefore, a thorough evaluatio...[Read More] Understanding Patellar Malalignment: Non-Surgical Treatment Options and Prevention
Understanding Knee Osteoarthritis: Surgery Options and Q Angle Insights
Regarding knee cartilage valgus? Hello, Doctor. I have been experiencing knee pain for many years, and I recently learned that it is caused by knee cartilage valgus. I have undergone arthroscopic cleaning and smoothing, and I have also been doing rehabilitation exercises such as ...
Dr. Shi Guozheng Reply:
If the valgus condition is more severe, lateral release surgery may be considered to reposition the patella to its normal alignment. The average Q angle is typically around 15 degrees, with males averaging about 14 degrees and females about 17 degrees. An excessively large angle ...[Read More] Understanding Knee Osteoarthritis: Surgery Options and Q Angle Insights
Understanding ACL Reconstruction: Is It Necessary After Injury?
Ligament reconstruction surgery Hello, Dr. Yeh: Due to a sports injury, I have not exercised for a long time. Recently, I experienced frequent locking in my knee while walking, so I consulted a doctor at Chung Shan Medical University. The doctor diagnosed me with a meniscus tear ...
Dr. Ye Qingnian Reply:
Anterior cruciate ligament (ACL) tears can be managed through rehabilitation or ligament reconstruction surgery. It is important to gradually increase the weight during leg raises to strengthen the thigh muscles and restore stability to the knee joint. I recommend focusing on str...[Read More] Understanding ACL Reconstruction: Is It Necessary After Injury?
Understanding Osteomalacia: Symptoms, Diagnosis, and Treatment Options
Questions about osteomalacia? In the past two weeks, I visited the orthopedic department at Hualien Tzu Chi Hospital, and after an X-ray examination, it was diagnosed that I might have osteomalacia. I am unsure about the implications of this condition. The hospital only increased...
Dr. Li Wenlin Reply:
Hello: In response to your question... I am not sure if you are referring to patellar chondromalacia. Generally speaking, if the knee joint experiences pain due to patellar chondromalacia, you may have difficulty squatting or experience pain when going down stairs. Additionally, ...[Read More] Understanding Osteomalacia: Symptoms, Diagnosis, and Treatment Options
Long-Lasting Right Knee Pain: Seeking Solutions for Ligament Recovery
The pain in the right knee joint has persisted for a long time? Dear Dr. Shi, Around March or April of this year, I started experiencing pain in my right knee while walking. I visited a nearby traditional Chinese medicine clinic, where the practitioner indicated that the ligamen...
Dr. Shi Guozheng Reply:
Ligaments typically do not loosen unless there is an injury. Your condition may be due to patellar valgus, but this can only be confirmed through an X-ray. It is advisable to consult a physician to obtain an accurate diagnosis before proceeding with appropriate rehabilitation tre...[Read More] Long-Lasting Right Knee Pain: Seeking Solutions for Ligament Recovery
Understanding Knee Pain: Causes, Symptoms, and When to Seek Help
Knee joint pain Hello, Doctor. I have been experiencing pain in my left knee for about two and a half months now. Initially, the pain would only occur after walking for a long time, but gradually I started to feel a slight "tingling" sensation even when sitting or stand...
Dr. Shi Guozheng Reply:
Knee joint pain without signs of redness, swelling, or heat is less likely to be rheumatic in nature. The location of the pain is also significant; if the pain is in the front, it is generally related to the patella. If the pain is felt internally, it may be associated with intra...[Read More] Understanding Knee Pain: Causes, Symptoms, and When to Seek Help
Understanding Knee Surgery Options: Insights on Recovery and Rehabilitation
I'm sorry Dr. Li: Thank you for your detailed response to my questions. I have already gone for a consultation at the Veterans General Hospital with Dr. Ma. He used a patellar tendon graft and informed me that this method is stronger, but the recovery time is longer, and the...
Dr. Li Wenlin Reply:
Hello: In response to your questions... 1. During arthroscopic surgery, the condition of the meniscus can be clearly assessed, and if possible, it can be addressed simultaneously (for example, partial tears can be treated with partial meniscectomy). 2. You should currently be wea...[Read More] Understanding Knee Surgery Options: Insights on Recovery and Rehabilitation
Understanding Tibial Osteotomy: Risks and Recovery Time Explained
Regarding tibial osteotomy surgery? I have patellar chondromalacia and underwent arthroscopic debridement and lavage two years ago, but the results were unsatisfactory. Therefore, my doctor has recommended a tibial osteotomy. I would like to inquire about (1) the potential compli...
Dr. Shi Guozheng Reply:
The effectiveness of tibial osteotomy for chondromalacia needs to be thoroughly evaluated; if it proves ineffective after the procedure, it could be problematic. Additionally, there are potential postoperative complications: one is the change in bone alignment, which may complica...[Read More] Understanding Tibial Osteotomy: Risks and Recovery Time Explained
Understanding ACL Reconstruction Surgery: Key Questions Answered
Anterior cruciate ligament reconstruction surgery Hello Dr. Li, I injured my right knee while playing basketball. I have undergone X-rays and an MRI, and the sports medicine doctor has diagnosed me with a torn anterior cruciate ligament (ACL) and a torn medial collateral ligament...
Dr. Li Wenlin Reply:
Hello, in response to your question... Based on your description, if you have a rupture of the anterior cruciate ligament (ACL) and a rupture of the medial collateral ligament (MCL) in your right knee, the following treatment considerations should be prioritized: 1. First and f...[Read More] Understanding ACL Reconstruction Surgery: Key Questions Answered
Understanding Patellar Chondromalacia: Seeking Answers for Knee Discomfort
Patellar chondromalacia When I try to fully extend my knee, it feels like the bones are getting stuck, but I never feel any pain. I have seen a traditional Chinese medicine practitioner who diagnosed me with patellar degeneration. He performed acupuncture and tui na (Chinese ther...
Dr. Shi Qiming Reply:
Dear netizen: If multiple treatments and diagnoses from various hospitals, including examinations at National Taiwan University Hospital, show no abnormalities, it is recommended to observe the situation before proceeding with further treatment. Orthopedics, Hsinchu Hospital, Dep...[Read More] Understanding Patellar Chondromalacia: Seeking Answers for Knee Discomfort
Understanding Patellar Chondromalacia: Recurrence and Recovery Insights
Patellar chondromalacia I am currently undergoing rehabilitation, and my condition has improved, but will there be a possibility of recurrence in the future?
Dr. Shi Qiming Reply:
Dear User: The information you provided is insufficient for a response. Please attach additional information. Thank you! Orthopedic Department, Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Understanding Patellar Chondromalacia: Recurrence and Recovery Insights
Understanding Knee Cartilage Abnormalities: Symptoms, Treatment, and Rehab Options
Knee cartilage abnormalities Hello, Doctor. I have knee pain and went to the clinic for an examination. The results showed that the cartilage in my knee is asymmetrical, with one side being abnormal. The doctor informed me that this is due to a deficiency in cartilage and collage...
Dr. Shi Qiming Reply:
Dear Xiaoqi, The asymmetry of the patella refers to the lateral tilt of the kneecap, which may be one of the causes of chondromalacia. Medication and rehabilitation are among the treatment options. Strengthening the quadriceps is one method, and avoiding squatting movements can ...[Read More] Understanding Knee Cartilage Abnormalities: Symptoms, Treatment, and Rehab Options