Understanding ACL Tears: Symptoms, Diagnosis, and Treatment Options
Anterior cruciate ligament tear Hello Doctor: I am currently a freshman at National Taiwan Sports University. This past Chinese New Year, I suddenly experienced pain in my right knee. However, after the winter break, I did not engage in any physical activity, and the pain starts ...
Dr. You Dianqi Reply:
Hello: I recommend that you undergo further imaging studies for your knee, such as an MRI. Currently, if walking is painful, it may indicate that the injured knee cannot bear full weight without causing you discomfort. In the initial stages, using crutches can provide some assist...[Read More] Understanding ACL Tears: Symptoms, Diagnosis, and Treatment Options
Understanding Growth Plate Fractures: Recovery After Knee Surgery
Growth plate fracture Hello, I recently fractured my tibia near the knee while playing basketball. Is it normal for my knee to get stuck when bending? It has been one month since my surgery.
Dr. Shen Boquan Reply:
Hello, you inquired about a recent injury where you fractured your tibia near the knee while playing basketball, and now your knee bends and gets stuck. Could you please provide more details about the injury? Did you have surgery, and was a plate inserted? Bone fractures typicall...[Read More] Understanding Growth Plate Fractures: Recovery After Knee Surgery
Neck Pain After Cervical Impact: Seeking Solutions for Recovery
Cervical spine impact pain issues? Hello, Doctor. In mid-December 2019, I performed a backflip catch during a cheerleading competition, and my cervical spine directly hit the ground. At that moment, I experienced symptoms such as chest tightness and nausea. Due to the neck pain, ...
Dr. Shi Guozheng Reply:
Injuries to the cervical spine may not involve fractures of the bones, but there is a possibility of damage to the surrounding soft tissues, which typically requires more than three months to heal. Continued rehabilitation is necessary and may lead to improvement.[Read More] Neck Pain After Cervical Impact: Seeking Solutions for Recovery
Managing PVNS After Knee Surgery: Rehabilitation and Radiation Therapy Options
Pigmented Villonodular Syn Hello, a family member recently underwent surgery for PVNS, and the operation was relatively successful. After researching online, it seems that combining rehabilitation with low-dose radiation therapy may help reduce the recurrence rate as much as poss...
Dr. Chen Yongxue Reply:
Hello, PVNS (Pigmented Villonodular Synovitis) has a high recurrence rate and presents similarly to a malignant condition, but it is actually a benign synovial membrane inflammation. It does not metastasize and is not life-threatening; however, the high recurrence rate is a conce...[Read More] Managing PVNS After Knee Surgery: Rehabilitation and Radiation Therapy Options
Chronic Neck Pain: Causes, Treatments, and Long-Term Effects
Chronic pain in the posterior neck? Hello Doctor, I have been experiencing persistent pain in my neck for several months, accompanied by a cracking sound. A few weeks ago, I visited a major hospital and saw an orthopedic specialist who took X-rays and said there were no issues. T...
Dr. Zhan Xian Reply:
Hello Mr. Chen, if you have already visited a major hospital for consultation, it should not be a serious issue. You can start with rehabilitation, and if there is no improvement, you can return for a follow-up to see if further examinations are necessary.[Read More] Chronic Neck Pain: Causes, Treatments, and Long-Term Effects
Understanding Shoulder Stiffness After Clavicle Surgery: Key Concerns
Stiffness in the shoulder after fracture surgery? Hello Doctor: I was in a car accident on November 22, 2019, and underwent clavicle surgery on December 2, 2019. I have been returning for monthly check-ups and performing pendulum and up-and-down arm exercises daily, but I am hesi...
Dr. Shi Guozheng Reply:
1. This is a normal condition and does not require further examination. 2. It is possible; after the bone heals, rehabilitation should be done gradually. 3. The shoulder may become stiff and unable to return to its normal range of motion.[Read More] Understanding Shoulder Stiffness After Clavicle Surgery: Key Concerns
Managing Pain from Degenerative Lumbar Osteophytes in Seniors
Pain caused by degenerative bone spurs in the lumbar spine? My mother is 86 years old and has recently been experiencing pain in her lower back and hips. After consulting an orthopedic doctor and undergoing X-rays, it was found that she has degenerative changes in her lumbar spin...
Dr. You Dianqi Reply:
Hello: Regarding degenerative issues, it is important to first assess the severity before deciding on a treatment method. There are various treatment options available, including medication, rehabilitation therapy, injections, and surgery. The choice should be based on the severi...[Read More] Managing Pain from Degenerative Lumbar Osteophytes in Seniors
Post-Operative Pain and Stiffness in TFCC Repair: What to Expect?
Post-operative pain or locking on the ulnar side during forearm rotation after TFCC arthroscopy? Hello Doctor, I was in a car accident last year that caused pain on the ulnar side of my wrist during forearm rotation. I underwent prolotherapy and shockwave therapy for six months. ...
Dr. Zhan Xian Reply:
Hello Mr. Dou, the attending physician who will perform your surgery will have a better understanding of your condition. He will be able to directly observe the extent of the tear during the arthroscopy and assess whether it can be sutured properly. Postoperatively, rehabilitatio...[Read More] Post-Operative Pain and Stiffness in TFCC Repair: What to Expect?
Understanding Recovery Issues After a Leg Injury from Heavy Object
Recovery issues from crush injuries? Hello, doctor. Two years ago, I sustained a contusion on the front side of my lower leg from a heavy object. I had an X-ray taken, and the bones were fine. However, the injured area still has slight swelling, and it feels like there is a layer...
Dr. Cai Shanglin Reply:
It is recommended to consult a rehabilitation specialist, as there may be soft tissue damage and fibrosis. Physical therapy could be beneficial.[Read More] Understanding Recovery Issues After a Leg Injury from Heavy Object
Post-Surgery Complications After Hip Fracture in Elderly Patients
Postoperative care after hip joint fracture surgery? My grandfather is 82 years old. He fell before the Lunar New Year and had a large bruise on his buttocks. An X-ray taken at a clinic showed no bone injury, but as the pain became more pronounced, he was unable to bear weight wh...
Dr. Shi Guozheng Reply:
After surgery for fractures near the hip joint, there is often poor blood circulation, so it is necessary to elevate the lower leg. Additionally, rehabilitation exercises for the knee and ankle joints should be performed. If there is redness, swelling, heat, or pain, one should s...[Read More] Post-Surgery Complications After Hip Fracture in Elderly Patients
Understanding Conservative Treatment for Elderly Patients with Shoulder Fractures
Seventy-year-old woman with a right clavicular fracture and a right scapular fracture? On December 23, 2019, I fell from the third floor to the second floor, resulting in a right clavicular fracture and a right scapular fracture. It has been 40 days since the injury. Due to my ag...
Dr. Zhan Xian Reply:
Hello, an X-ray is needed to assess the location and degree of displacement of the fracture. The timing for rehabilitation also requires evaluation through physical examination and imaging studies. Only a small portion of the plate needs to be removed (whether covered by insuranc...[Read More] Understanding Conservative Treatment for Elderly Patients with Shoulder Fractures
Is My Pain Sciatica? Understanding Symptoms and Seeking Relief
I would like to ask the doctor if my symptoms are indicative of sciatica? On the evening of January 20th, after singing, I suddenly felt pain in my lower back while walking home, thinking I had strained my back. When I got up on January 21st, the pain in my lower back was so seve...
Dr. Ye Qingnian Reply:
Hello, it is recommended to visit an orthopedic outpatient clinic. After a diagnosis by the physician, please have the attending physician provide an explanation.[Read More] Is My Pain Sciatica? Understanding Symptoms and Seeking Relief
Understanding Wrist Pain: Causes, Treatments, and Recovery Tips
Wrist issues Hello doctor, three months ago in the morning, I was taking pictures with my camera and seemed to have twisted my left hand while adjusting the lens, but I didn't notice it at the time. It wasn't until the afternoon that I started to feel pain. Initially, I...
Dr. Shi Guozheng Reply:
It is most likely caused by improper wrist positioning, and continuous medication or rehabilitation may improve the condition.[Read More] Understanding Wrist Pain: Causes, Treatments, and Recovery Tips
Understanding Non-Displaced Femoral Neck Fractures: Recovery and Pain Management
Non-displaced closed fracture of the right femoral greater trochanter? Your mother had a fall a few days ago and was diagnosed in the emergency department with a non-displaced closed fracture of the right femoral greater trochanter. This means that the bone is broken but the frag...
Dr. Zhan Xian Reply:
Without an X-ray, it is not possible to assess and respond to your question. Please attach the X-ray for consultation at the orthopedic outpatient clinic![Read More] Understanding Non-Displaced Femoral Neck Fractures: Recovery and Pain Management
Common Concerns About Manual Therapy in Orthopedic Treatment
Questions related to manual therapy? Hello Dr. Chen, I recently underwent manual therapy at a physical therapy clinic and have two questions to ask: 1. After the treatment, my old injury, which has been bothering me for over a decade, has become more painful. Is this phenomenon...
Dr. Chen Yongxue Reply:
First of all, I am not aware of the reason (diagnosis) for your visit to "manual therapy," nor do I understand which specific treatment you are referring to. I suggest that you directly consult a rehabilitation physician for clarification. Thank you.[Read More] Common Concerns About Manual Therapy in Orthopedic Treatment
Understanding Adhesive Capsulitis After Humerus Fracture: Treatment Options
Adhesive capsulitis of the humerus fracture? Hello, doctor. I suffered a humeral fracture due to a hand injury in June of this year and have been undergoing rehabilitation for over six months. However, my range of motion is limited due to adhesions, and I can only lift my arm to ...
Dr. Li Yongheng Reply:
Hello, 1. Adhesive activity is restricted, but continuing rehabilitation will be effective. 2. If the adhesions are released and there is a period of inactivity, adhesions may occur again. 3. Anesthesia is administered, and after a 10-minute rest, the adhesions are addressed thro...[Read More] Understanding Adhesive Capsulitis After Humerus Fracture: Treatment Options
Post-Shoulder Labrum Repair: Common Concerns and Recovery Tips
Questions After Shoulder Labrum Repair Hello, Dr. You. I would like to ask a few questions as follows: 1. It has been six weeks since my arthroscopy on October 25, and I have already removed the brace. Is it normal to still feel discomfort in my right shoulder? How long will it...
Dr. You Dianqi Reply:
Hello, first I need to confirm whether your shoulder labrum repair was due to frequent dislocations. If so, it is likely that you had an anterior inferior labral tear that was repaired arthroscopically. How are you feeling? If you still experience some tightness and pain, that is...[Read More] Post-Shoulder Labrum Repair: Common Concerns and Recovery Tips
Understanding Neck and Spine Issues: Addressing Unusual Sounds While Walking
Cervical and spinal issues? I had an X-ray after a car accident, and the bones were fine. However, I hear a popping sound when I walk. The sound disappears when I walk with a hunched posture at a certain angle, but it returns when I walk upright. I've undergone rehabilitatio...
Dr. Chen Yongxue Reply:
Hello, the sounds coming from your joints are not considered a disease. As long as there are no accompanying symptoms, you can disregard it. If you still have concerns, please visit an orthopedic clinic for further evaluation. Thank you.[Read More] Understanding Neck and Spine Issues: Addressing Unusual Sounds While Walking
Understanding and Managing Acromioclavicular Joint Dislocation: Key Questions Answered
Acromioclavicular joint dislocation Hello Doctor: I have a grade 2-3 acromioclavicular joint dislocation that has not been surgically treated, and it has been 2 months and 5 days since the injury. 1. How can I confirm whether the coracoclavicular and acromioclavicular ligaments h...
Dr. Ye Qingnian Reply:
It's important to start moving quickly and not to keep the arm in a sling for too long. Prolonged immobilization of the shoulder joint can lead to stiffness, and maintaining function is crucial. It's been two months, and if conservative measures like compression and rep...[Read More] Understanding and Managing Acromioclavicular Joint Dislocation: Key Questions Answered
Understanding Post-Removal Discomfort After Patellar Fracture Surgery
Hello, doctor. I have some questions regarding the removal of screws and wires after a patellar fracture? Hello, doctor. I fractured my patella six months ago, and I went to the hospital the day before yesterday to have the screws and wires removed, followed by a manual mobilizat...
Dr. Li Yongheng Reply:
Hello: 1. We can take another X-ray to check for any remaining bone screws. 2. The sensation of a foreign body is likely not caused by the surgical procedure. 3. It may be too late to start rehabilitation after the wound has healed; we need to begin active rehabilitation now.[Read More] Understanding Post-Removal Discomfort After Patellar Fracture Surgery