Understanding Posterior Cruciate Ligament Reconstruction Surgery
Posterior cruciate ligament reconstruction surgery? Hello, due to a car accident in early March, I only discovered the bone issues a month later. Now, at the end of May, I had an MRI, and the doctor said my posterior cruciate ligament (PCL) did not show up, which suggests it may ...
Dr. Chen Bochen Reply:
1. First, consult a rehabilitation physician to arrange rehabilitation for the injured area. Strengthening the quadriceps is essential to compensate for the deficiency of the posterior cruciate ligament. 2. Commit to rehabilitation for at least three months; if discomfort persist...[Read More] Understanding Posterior Cruciate Ligament Reconstruction Surgery
Understanding Spondylolisthesis: Symptoms, Treatment, and Recovery
Spondylolisthesis Hello, Doctor. I would like to ask about the issue of spondylolisthesis. I was diagnosed with grade 1 spondylolisthesis last month. Initially, I experienced lower back pain and numbness in my left thigh extending to my foot. The pain subsided with rest, but it w...
Dr. Chen Yongxue Reply:
Spondylolisthesis can potentially worsen, and strengthening the core muscles cannot completely prevent the deterioration or the timing for surgery. The progression of the condition varies depending on the underlying cause, rate of deterioration, and changes in symptoms. It is adv...[Read More] Understanding Spondylolisthesis: Symptoms, Treatment, and Recovery
Improving Knee Flexibility After Medial Collateral Ligament Injury
Medial collateral ligament (MCL) tear? Hello, I have been diagnosed with a medial collateral ligament (MCL) tear. I am currently using a knee brace for stabilization. While the brace allows me to extend my knee, I am unable to bend it. Before using the brace, I was able to bend m...
Dr. Chen Yongxue Reply:
Medial collateral ligament (MCL) tears can often be treated with bracing for stabilization, allowing for gradual recovery. During the bracing period, there may be a risk of joint stiffness as a side effect. This stiffness can typically be addressed through rehabilitation after th...[Read More] Improving Knee Flexibility After Medial Collateral Ligament Injury
Understanding Pelvic Fractures: Recovery and Rehabilitation Concerns
Pelvic fracture Hello, doctor. Last week, I was involved in a car accident that resulted in a fracture of the left inferior pubic ramus, making it difficult for me to get out of bed and walk. At that time, the doctor advised against surgery and suggested that it heal on its own. ...
Dr. Wang Shouji Reply:
Hello, with a pubic bone fracture, using crutches to move around is acceptable as long as the pelvic ring is stable; it should not have a significant impact. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Pelvic Fractures: Recovery and Rehabilitation Concerns
40 Days Post-Humerus Fracture Surgery: Recovery and Smoking Concerns
40 days post humeral fracture surgery? Hello, doctor. I have a proximal humerus and humeral shaft fracture, and I have left radial nerve palsy. It has been forty days since my surgery, and I am experiencing postoperative adhesions. I am actively undergoing rehabilitation and am s...
Dr. Shi Guozheng Reply:
According to medical research, smoking affects blood circulation, which can further impede bone healing. Therefore, it is recommended to avoid smoking until the fracture has healed. If healing does not occur, another surgery may be necessary.[Read More] 40 Days Post-Humerus Fracture Surgery: Recovery and Smoking Concerns
Understanding Right Foot Nerve Issues and Persistent Lower Body Tension
Abnormal nerve sensation in the right foot (toes) and overall tightness in the right lower extremity? I underwent spinal scoliosis correction surgery at the age of 16 (in 2005). Before the correction, I had an S-shaped curvature when viewed from the back, with an angle of approxi...
Dr. Chen Yongxue Reply:
Hello, based on what you described, the symptoms seem quite severe. However, please consider whether it could simply be a case of myofascial inflammation. The reasons are as follows: 1. MRI shows only mild compression of the nerve (L5-S1). 2. There has been no improvement after s...[Read More] Understanding Right Foot Nerve Issues and Persistent Lower Body Tension
Post-ACL Reconstruction: Understanding Anterior Knee Pain and Rehab Tips
Anterior knee pain after posterior cruciate ligament reconstruction? Hello Doctor, I underwent an autologous ligament graft reconstruction surgery for my anterior cruciate ligament at the end of March this year, and it has just been a little over a month since the procedure. Curr...
Dr. Shi Guozheng Reply:
You can practice increasing the range of motion, but you also need to return to the outpatient clinic for follow-up to check for any abnormalities. It is also advisable to go to the rehabilitation department of the hospital for physical therapy and seek guidance from a physical t...[Read More] Post-ACL Reconstruction: Understanding Anterior Knee Pain and Rehab Tips
Persistent Ankle Swelling After Ligament Injury: Rehabilitation Insights
Ankle ligament tear with partial rupture. It has been six months, and there is still swelling? Hello Doctor: I was in a car accident on October 23 of last year, and my ankle bones were displaced, making it impossible for me to walk. I went to a rehabilitation center where they re...
Dr. Shen Boquan Reply:
Hello IVY, if your symptoms persist, it may be advisable to have your orthopedic or rehabilitation physician reassess your condition. If there are no structural injuries, taking pain relievers can help alleviate your discomfort. Wishing you good health.[Read More] Persistent Ankle Swelling After Ligament Injury: Rehabilitation Insights
Understanding Chronic Neck and Shoulder Pain: Diagnosis and Treatment Options
Shoulder and neck pain (2) I previously inquired about my shoulder and neck pain, but the doctor's response seemed somewhat off-target. Could you please clarify the issues I raised? Additionally, when the doctor mentioned, "If you can't afford the tests, it might b...
Dr. Chen Bochen Reply:
I have been experiencing shoulder and neck pain for at least 10 years. Once, I visited a pain management specialist who performed an ultrasound on my right shoulder and found a small bone that was different from the left side. The doctor prescribed a topical ointment, saying that...[Read More] Understanding Chronic Neck and Shoulder Pain: Diagnosis and Treatment Options
Understanding Joint Adhesions: Risks and Recovery After Knee Surgery
Joint adhesion Hello doctor, I had a femur fracture about a year and a half ago and I always thought it was due to the internal fixation being stuck, which is why my rehabilitation has been stagnant and I could only maintain the angle. Three days ago, I had the internal fixation ...
Dr. Chen Bochen Reply:
After the removal of the metal screws and arthroscopic surgery, it is important to actively engage in rehabilitation within three months. Aim for at least three sessions per week, and also perform exercises at home to maximize your chances of improvement.[Read More] Understanding Joint Adhesions: Risks and Recovery After Knee Surgery
Understanding Ankle Ligament Injuries: Symptoms, Diagnosis, and Treatment Options
Ankle ligament injury Hello, Doctor. On April 15th, I twisted my ankle while playing basketball. After seeing a doctor and getting an X-ray, I was told that there were no bone issues, but it is still very swollen. The next day, April 16th, I went to another hospital where the doc...
Dr. Chen Bochen Reply:
1. Ligament sprains typically involve partial tears, and with appropriate protection, the body can heal itself without the need for surgery. However, subsequent rehabilitation is still necessary. 2. Within the first week of a sprain, it is important to actively apply ice, elevate...[Read More] Understanding Ankle Ligament Injuries: Symptoms, Diagnosis, and Treatment Options
Post-Surgery Challenges After Car Accident: Orthopedic Insights
Post-operative issues following a car accident? Dear Doctor, I apologize for bothering you with some questions. I previously inquired about post-surgery issues following a car accident and will consult the hospital again, but I still have some doubts and would like to hear differ...
Dr. You Dianqi Reply:
Hello: 1. In my personal opinion, the reason for the incomplete reduction of the greater tuberosity, where the rotator cuff attaches, may lead to functional limitations that cannot be fully restored. However, there are many reasons for the malposition, such as various difficult...[Read More] Post-Surgery Challenges After Car Accident: Orthopedic Insights
Knee Joint Issues and Medication Concerns: Expert Insights
Knee joint and medication issues? Hello, Doctor: I have two questions I would like to ask. 1. I previously injured my knee and underwent arthroscopy, during which a fragment of cartilage was found and removed. It has been about 8 months since then, and the wound has healed, but...
Dr. Shi Guozheng Reply:
The recovery period after surgery for intra-articular cartilage, such as meniscal cartilage or articular cartilage, can take up to a year. You will need to undergo rehabilitation, and it is possible to use these two types of medications in combination.[Read More] Knee Joint Issues and Medication Concerns: Expert Insights
Post-Operative Symptoms After Knee Arthroscopy: Causes and Relief Options
Symptoms after arthroscopy? Hello, doctor. My mother has been diagnosed with grade 3 to 4 osteoarthritis in her knee. She underwent arthroscopic knee surgery last May, primarily to repair the meniscus and receive PRP injections. Nearly a year post-surgery, she continues to experi...
Dr. Shi Guozheng Reply:
The current treatment trend for osteoarthritis does not recommend arthroscopic surgery. If you search online, you will find this information. For patients with grade three to four osteoarthritis, if conservative treatment is ineffective, they may need to undergo total knee arthro...[Read More] Post-Operative Symptoms After Knee Arthroscopy: Causes and Relief Options
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
Should You Remove Plates and Screws After Orthopedic Surgery?
Should the plates and screws be removed? In late February, I was involved in a car accident and had an interlocking plate fixed to my acetabulum. A few days later, I underwent surgery for my tibia, which was stabilized with screws. The doctor mentioned that if I don't feel a...
Dr. Chen Yongxue Reply:
Hello, 1. What are the pros and cons of removing the plate versus not removing it? The metal plate is considered a foreign body in the human body. At this stage, not removing it is unlikely to cause significant issues. However, as one ages and the body's immune system weak...[Read More] Should You Remove Plates and Screws After Orthopedic Surgery?
Understanding Meniscus Issues: Symptoms, Treatment, and Recovery
Meniscus issues Hello, Doctor: I discovered at the end of December last year that my right knee often makes a popping sound. Later, I experienced pain when going up and down stairs for about 2-3 weeks. In mid-January 2021, I went to the hospital, and the doctor prescribed a 14-da...
Dr. Chen Yongxue Reply:
Hello, 1. Whether the condition will worsen without surgery depends on the extent of the meniscal damage. Generally speaking, it is possible for the condition to become more severe. 2. Is there an option for insurance coverage for the surgery, or is it only out-of-pocket? The...[Read More] Understanding Meniscus Issues: Symptoms, Treatment, and Recovery
Can Herniated Discs Heal with Exercise and Rehabilitation?
Can a herniated disc heal? Hello doctor, I had an X-ray and MRI that confirmed I have a herniated disc, but the doctor said it's mild. Can I recover through exercise and rehabilitation?
Dr. Wang Shouji Reply:
Hello, the symptoms can be alleviated by medication and rehabilitation. Afterwards, you can strengthen your core muscles and be mindful of reducing the intensity of work and activities to decrease the chances of recurrence. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Can Herniated Discs Heal with Exercise and Rehabilitation?
Understanding Sudden Joint Pain: Causes and When to Seek Help
Bone pain Hello Doctor: In mid-March, I have been experiencing sudden, brief episodes of aching or tingling pain in my ankles, calves, arms, knees, and collarbones. However, after some rubbing, the pain subsides quickly. It seems to occur randomly in different areas. What could b...
Dr. Shi Guozheng Reply:
Muscle soreness or joint pain can be evaluated by an orthopedic specialist, and lower back pain can also be addressed by orthopedics.[Read More] Understanding Sudden Joint Pain: Causes and When to Seek Help
Understanding Thigh Pain from Stair Climbing: Causes and Treatments
Soreness in the thighs after climbing stairs? Hello, Director! I have a long-standing habit of exercising (hiking, jogging, cycling, climbing). However, for the past three to four months, I have experienced soreness in my thighs when climbing stairs or uphill, but not on flat sur...
Dr. Shi Guozheng Reply:
If the pain is purely in the thigh, it may be a problem of muscle fatigue, and strengthening the quadriceps (the thigh muscles) could be beneficial. Injecting glucose seems inappropriate; it could also be an issue with the knee or hip joint, so it would be advisable to consult an...[Read More] Understanding Thigh Pain from Stair Climbing: Causes and Treatments