Managing Knee, Hip, Ankle, and Finger Issues for Office Workers
Knee, hip, and ankle joint issues + finger problems? Hello, doctor. I am an office worker who spends eight hours a day in front of a computer, and I have two questions: 1. Issues with my knees, hips, and ankles: (1) About five years ago, I experienced heat and pain in my le...
Dr. Chen Bochen Reply:
1. Knee, hip, and ankle joint issues: (1) About five years ago, I experienced heat and pain in my left knee, which was diagnosed by an orthopedic physician as patellar malalignment. The doctor advised me to perform self-rehabilitation exercises such as leg raises and kicks. Howev...[Read More] Managing Knee, Hip, Ankle, and Finger Issues for Office Workers
Understanding Knee Pain: Ligament vs. Cartilage Inflammation Concerns
Knee issues Hello Doctor: I have been experiencing knee pain for about two months, with pain on both sides but more severe on the left. The main pain point is in the outer indentation area, and occasionally I feel discomfort in the middle of the knee while walking, but that only ...
Dr. Shi Guozheng Reply:
Based on your description, it is difficult to determine the specific issue. Typically, an X-ray is needed to check for patellar valgus. If there is valgus deformity, it may lead to cartilage wear. Therefore, you should visit a hospital to consult a physician for an accurate diagn...[Read More] Understanding Knee Pain: Ligament vs. Cartilage Inflammation Concerns
Understanding Inner Knee Pain: Meniscus Injury and Patellar Tendonitis
Medial knee stabbing pain and meniscus pain? Dear Dr. Chen, I would like to consult you regarding an issue I previously inquired about five years ago concerning my knee injury sustained abroad. Following your advice on applying heat and resting, my knee returned to normal after ...
Dr. Chen Yongxue Reply:
Hello, the meniscus does not have nerves, so a tear does not cause pain. Based on your description, it is possible that there is inflammation of the medial collateral ligament and the pes anserinus. Symptoms are likely to occur when bending or straightening the knee. Localized te...[Read More] Understanding Inner Knee Pain: Meniscus Injury and Patellar Tendonitis
Understanding Knee Cartilage Damage: Healing and Treatment Options
Knee cartilage defect issue? Hello, doctor. Three months ago, I experienced pain in my left knee after overstretching my ankle while pumping at home. I can walk on flat surfaces without pain, but going up and down stairs is extremely painful. I can only walk in places with ramps....
Dr. Shi Guozheng Reply:
Continue taking medication and undergoing rehabilitation; if that doesn't work, we can consider trying PRP (Platelet-Rich Plasma) therapy.[Read More] Understanding Knee Cartilage Damage: Healing and Treatment Options
Rehabilitation After Clavicle Fracture and Patellar Ligament Tear: What to Know
Rehabilitation for a clavicle fracture combined with a patellar ligament rupture (on the same side, right arm/right leg) should be approached carefully and typically involves the following steps: 1. **Initial Phase (0-6 weeks)**: - **Immobilization**: Use a sling for the clav...
Dr. Chen Bochen Reply:
Is it appropriate to start rehabilitation less than 24 hours after ligament surgery? Is it reasonable to question the rehabilitation of the right clavicle just 12 days post-surgery? 1. As long as the movements are moderate and appropriate, the sooner rehabilitation begins after...[Read More] Rehabilitation After Clavicle Fracture and Patellar Ligament Tear: What to Know
Knee Ligamentitis and Mild Meniscus Injury: Diagnosis and Recovery Insights
Patellar ligamentitis and mild meniscal injury? Dear Dr. Shi, I apologize for the intrusion. Since the beginning of last month, I have been experiencing sharp pain on the inner side of my knee. There have been no records of falls or injuries during this period. After a week, the...
Dr. Shi Guozheng Reply:
1. May be related to previous knee injuries. 2. May require approximately six weeks.[Read More] Knee Ligamentitis and Mild Meniscus Injury: Diagnosis and Recovery Insights
Understanding Knee Injuries: Causes, Treatment, and Rehabilitation Tips
Knee contusion/swelling Hello Doctor: I was in a car accident and injured my right knee. Initially, I couldn't bend it at all, and bending it caused pain, making it feel like the strength couldn't transfer from my knee to my calf. If I lift my leg without support, my ca...
Dr. Shi Guozheng Reply:
1. Knee joint contusions typically take one to two months to heal; if there is a fracture, it may take three to four months. 2. If the knee joint is still warm, ice therapy should be applied. If the joint is just very tight and cannot bend, then heat therapy can be used. 3. R...[Read More] Understanding Knee Injuries: Causes, Treatment, and Rehabilitation Tips
Understanding Left Knee Clicking: Causes and Concerns
Abnormal sounds in the left knee? Since early January of this year (I participated in a marathon relay race last December and had no issues with my knee afterward), I have been experiencing a popping sound near the lower left side of my left patella during the process of straight...
Dr. Shi Guozheng Reply:
In the case of a meniscus injury, there is usually persistent pain, and sometimes there may be swelling in the joint. A sound may be heard beneath the patella, which could be the sound of ligaments sliding over the bone.[Read More] Understanding Left Knee Clicking: Causes and Concerns
Understanding Patellar Fractures: Recovery Tips and Pain Management
Patellar fracture Hello Doctor: I accidentally fell on February 5th and my left knee hit the ground directly. Initially, it was fine, but after 2 to 3 hours, it started to swell and hurt when I straightened or bent my knee. I started icing it at home. After two days of icing, the...
Dr. Chen Bochen Reply:
1-2. It is recommended to use a cane; if improper weight-bearing leads to a fracture separation, surgery may be required, which would be counterproductive. 3. Using a knee brace can be beneficial.[Read More] Understanding Patellar Fractures: Recovery Tips and Pain Management
Understanding Knee Discomfort: Causes, Concerns, and Care Tips
Knee problems Hello Doctor: I have three questions. 1. My left knee has been uncomfortable for two days, but it’s not painful to the point where I can describe the sensation. There is a spot on the outer upper side of my left knee that hurts when pressed, but the appearance of ...
Dr. Shi Guozheng Reply:
1. It could be tendonitis near the knee, and the noise might indicate a problem with the patella. 2. Bone cancer typically causes localized swelling and significant pain, such as in the knee or hip. If it has metastasized to the bones, back pain would indicate advanced stages, ...[Read More] Understanding Knee Discomfort: Causes, Concerns, and Care Tips
Patellar Fracture: Do I Need Surgery or Just a Cast?
Patellar fracture Hello, doctor. I fell on January 6 and fractured my patella into two pieces. The doctor mentioned surgery to insert screws and wires for fixation, but also suggested the option of using a cast for a month. I would like to opt for surgery and return for a follow-...
Dr. Chen Bochen Reply:
Whether surgery is needed should primarily be determined by X-rays! Just reducing swelling does not mean surgery is unnecessary. If there is a displaced patellar fracture, it is advisable to proceed with surgical repair; otherwise, it may lead to knee weakness and premature degen...[Read More] Patellar Fracture: Do I Need Surgery or Just a Cast?
Understanding Pain Above the Tibia After Playing Sports: Causes and Concerns
Pain above the tibia after playing basketball? Hello Doctor, I am 18 years old. When I went to the court to play basketball tonight, I initially felt some soreness above my knee (which I believe is the quadriceps tendon). Later, the area above my tibia became painful when bending...
Dr. Chen Bochen Reply:
1. The prominent area of the tibia in adolescents is often a benign condition known as Osgood–Schlatter disease. 2. The area you described seems more like patellar tendonitis, which requires moderate rest (about two weeks) followed by a gradual return to activity. Additionally,...[Read More] Understanding Pain Above the Tibia After Playing Sports: Causes and Concerns
Understanding Knee Popping Sounds: Causes and Solutions for Pain-Free Movement
There is a persistent popping sound in the knee? A few days ago, I asked a question, and you mentioned that it might be a ligament or cartilage injury in the patella, and that not feeling pain is okay. What can I do to improve this condition? I've heard that continuous abnor...
Dr. Shi Guozheng Reply:
The sounds coming from the knee joint are likely related to issues with the ligaments or the cartilage of the patella. It may be necessary to visit a hospital for a physician to evaluate the condition, as these sounds can occur when there is inflammation during movement.[Read More] Understanding Knee Popping Sounds: Causes and Solutions for Pain-Free Movement
Understanding Knee Clicking Sounds: Causes and Solutions for Your Symptoms
There is a persistent popping sound in the knee? In July, while performing kettlebell squats, it seems that the pressure was too much, resulting in a knee injury. During that time, my knee started making a clicking sound. Unless I kept moving, it would click every few seconds wit...
Dr. Shi Guozheng Reply:
It could be an injury to the ligament or the cartilage of the patella, which may cause noise during joint movement due to friction. If there is no pain, it is generally not a concern.[Read More] Understanding Knee Clicking Sounds: Causes and Solutions for Your Symptoms
Post-ACL Surgery: Understanding and Managing Patellar Tightness
Post-operative tightness of the patella after posterior cruciate ligament surgery? Hello Dr. Lee, I had an accident while riding my bike in April this year, which resulted in a torn posterior cruciate ligament (PCL). I underwent PCL reconstruction surgery in July, during which th...
Dr. Li Wenhong Reply:
Hello, please be patient and continue rehabilitation for at least six months, with regular follow-up visits to discuss with your attending physician. If muscle strength has not yet recovered, it is advisable to reduce the amount of exercise, but you can still run. If you experien...[Read More] Post-ACL Surgery: Understanding and Managing Patellar Tightness
Understanding Disability Qualifications for Knee Valgus Conditions
Regarding the disability qualifications for knee valgus? I have congenital genu valgum in both knees, and there is a certain degree of cartilage wear. Years ago, due to knee pain, I sought medical attention and was referred to a teaching hospital, where an orthopedic physician is...
Dr. Cai Shanglin Reply:
Generally, patellar valgus or degenerative arthritis may qualify for disability assessment only if there is severe impairment in knee joint mobility. It is recommended that you visit a medical facility for a re-evaluation and assessment; this will provide a clearer understanding ...[Read More] Understanding Disability Qualifications for Knee Valgus Conditions
Can ACL Reconstruction Improve Patellar Maltracking?
Knee ligaments A grade III tear of the anterior cruciate ligament (ACL) that is not completely torn, along with patellar malalignment, raises the question of whether ACL reconstruction can improve the patellar malalignment.
Dr. Chen Bochen Reply:
Hello, most sports medicine physicians would recommend that you first strengthen the quadriceps and hamstrings to correct patellar maltracking and provide support for the cruciate ligaments. Reconstruction of the cruciate ligaments does not have a therapeutic effect on patellar m...[Read More] Can ACL Reconstruction Improve Patellar Maltracking?
Recovery Tips for Lateral Collateral Ligament Tear and Patellar Dislocation
Lateral collateral ligament tear of the right knee, patellar dislocation? Hello, I underwent surgery for a torn lateral collateral ligament and patellar dislocation on September 3rd, and it has been over two months since then. My knee can still only bend to less than 90 degrees, ...
Dr. Chen Bochen Reply:
Hello, 1. Rehabilitation includes strength training, range of motion training (both active and passive), balance and sensory integration training, physical therapy, and more. Simply performing strength training is not sufficient; please consult a rehabilitation physician for gu...[Read More] Recovery Tips for Lateral Collateral Ligament Tear and Patellar Dislocation
Assessing the Need for Knee Arthroscopy: Unidentified Lesion Below Patella
MRI imaging shows an unidentified mass beneath the patella, raising concerns regarding potential issues for arthroscopic surgery? Hello Doctor, In mid to late August, I experienced swelling in my right knee and tight pain when squatting completely, although I had no issues with...
Dr. Chen Bochen Reply:
Hello: Your MRI findings are more indicative of OCD (osteochondral defect). It is generally recommended to surgically remove it. Typically, arthroscopy can be used for removal, but since your OCD is relatively large, it may pose some challenges during arthroscopic removal, though...[Read More] Assessing the Need for Knee Arthroscopy: Unidentified Lesion Below Patella
Rehabilitation After Patellar Fracture Screw Removal: Key Recovery Tips
Rehabilitation after screw removal surgery for patellar fracture? Hello, doctor! I have a patellar fracture in my knee due to a car accident, which broke into three large pieces and several smaller fragments. I had a health insurance-covered surgery with bone screws, but the firs...
Dr. Chen Bochen Reply:
Hello, regarding the general conditions after a patellar fracture, the decision about your personal situation should be made by your surgeon based on the surgical status, X-rays, and physical examination. (1) After the removal of the screws, when can I bend my knee to 90 degree...[Read More] Rehabilitation After Patellar Fracture Screw Removal: Key Recovery Tips