Is Regenerative Therapy Effective for Partial Ligament Tears After a Year?
Is self-funded regenerative therapy effective for partial ligament tears one year after the injury? Hello Doctor, my thumb was injured at the end of November last year while playing tennis when I tried to save a ball, causing it to bend backward. It was extremely painful at the t...
Dr. Cai Shanglin Reply:
If the diagnosis is a tendon rupture, early surgical treatment should be undertaken, and prolotherapy is not recommended.[Read More] Is Regenerative Therapy Effective for Partial Ligament Tears After a Year?
Understanding Patellar Fractures: Recovery and Rehabilitation Tips
Patellar fracture Doctor, thank you for your previous response. Regarding my earlier question: On October 13, 2018, I slipped and fractured my patella into three pieces. I underwent surgery for internal fixation and was discharged five days later. I returned for a follow-up appoi...
Dr. Li Yongheng Reply:
Condition 1: 1. At 21 days post-surgery, the knee can only bend approximately 30 degrees, which indicates that the range of motion has not progressed to normal levels. However, is it possible to use passive assistance by leveraging the strength of the hand to support the thigh an...[Read More] Understanding Patellar Fractures: Recovery and Rehabilitation Tips
Post-Surgery Recovery Challenges After Humerus Fracture: Pain and Mobility Issues
Post-operative care after humeral fracture surgery? Hello Doctor: I had surgery on August 31 for a fracture above my right elbow, where a steel pin was implanted. I started rehabilitation six weeks later (on October 12) and have been undergoing therapy since then. Currently, my l...
Dr. Shi Guozheng Reply:
Inability to bend the elbow is often related to injuries and surgeries. Post-operative soft tissue adhesions can commonly occur after surgery, especially when bone screws are well-fixed. Rehabilitation should be initiated as soon as possible, typically within three months post-su...[Read More] Post-Surgery Recovery Challenges After Humerus Fracture: Pain and Mobility Issues
Understanding Hand Pain: Causes and Solutions for Palm Pressure Discomfort
Pain occurs when applying pressure or pressing down on the palm? Hello, doctor! For the past month, I have been experiencing pain in my right hand when applying pressure on my palm, particularly in the muscle just below my thumb and the upper right area of my palm. In addition to...
Dr. Shi Guozheng Reply:
It may be caused by overuse leading to fascial inflammation. Appropriate rest, medication for pain relief and anti-inflammation, along with rehabilitation, will generally result in improvement.[Read More] Understanding Hand Pain: Causes and Solutions for Palm Pressure Discomfort
Post-Car Accident: Managing Lumbar and Cervical Spine Issues
Lumbar and cervical spine after a car accident? Doctor: Hello, I was in a car accident in mid-June where I rolled onto my right side, resulting in a pelvic contusion and bruising, a torn rotator cuff in my right shoulder, a dislocated right wrist with radial and ulnar ligament in...
Dr. Li Yongheng Reply:
1. Lower back pain and lower limb weakness, with ultrasound showing a hematoma, symptoms have persisted for 4 months. It is recommended to arrange an MRI at the orthopedic outpatient clinic. 2. If the cervical spine X-ray shows no abnormalities, further observation is advised. ...[Read More] Post-Car Accident: Managing Lumbar and Cervical Spine Issues
Managing Pain After Periosteum Injury: Tips for Recovery
Periostitis Hello Doctor, I fell and injured my elbow at the end of August, which resulted in an inability to bend my arm. After an orthopedic examination, it was determined that the periosteum was injured. However, due to the upcoming school term, I only underwent three sessions...
Dr. Shi Guozheng Reply:
Bruising of the limbs or bones may not result in swelling, which is a normal phenomenon. It typically takes two to three weeks for the pain to completely subside. During this period, applying heat is advisable, and there is no need to apply any topical medications.[Read More] Managing Pain After Periosteum Injury: Tips for Recovery
Understanding the Connection Between Rib Pain and Lumbar Ligament Issues
Lumbar ligament issues? Hello Doctor, About five years ago, during my high school years, I experienced a tight, warm discomfort under my left rib cage, and I also felt a slight indentation in that area. Since then, I have noticed that the left side of my rib cage appears to be ...
Dr. Shi Guozheng Reply:
Pain under the left rib may be due to inflammation of the abdominal muscles, tendons, or ligaments. The physician mentioned that it is also related to the lumbar region. The abdomen and lower back are surrounded by muscles, tendons, and ligaments, in addition to bones and organs,...[Read More] Understanding the Connection Between Rib Pain and Lumbar Ligament Issues
Understanding Left Knee Injuries: Recovery from Tibial Fracture and ACL Tear
Left posterior knee avulsion fracture of the tibial plateau with posterior cruciate ligament tear? Doctor, my daughter suffered a fracture of the posterior tibial plateau and a rupture of the posterior cruciate ligament due to a car accident. Initially, the fracture was stabilize...
Dr. Li Yongheng Reply:
Hello, your daughter is unable to kneel and has difficulty squatting, which is likely related to the rehabilitation following her surgery a year ago, and is not related to the anterior cruciate ligament (ACL) not being reattached or reconstructed. As long as the knee joint is sta...[Read More] Understanding Left Knee Injuries: Recovery from Tibial Fracture and ACL Tear
Understanding Back Pain: Causes, Symptoms, and When to Seek Help
Back pain In the past two years, I have occasionally experienced a sensation of my back (near the scapula) getting stuck when leaning on the sofa or getting out of bed, making it difficult to move. I need to apply external force to get up. For the past year, I have felt pain and ...
Dr. Shen Boquan Reply:
Hello, there are many causes of back pain. Statistics show that 90% of people, especially younger individuals, often do not have issues with their bones but rather with muscles, tendons, and other soft tissues, which is referred to as myofascial pain syndrome. This condition is u...[Read More] Understanding Back Pain: Causes, Symptoms, and When to Seek Help
Understanding Partial Ligament Tears in the Thumb: Treatment Options and Recovery
The thumb was accidentally bent backward, resulting in a partial ligament tear, and it has been nearly one year since the injury? Hello, doctor. My left thumb was bent backward during sports last November, causing significant pain and swelling. I have been following up with ortho...
Dr. Li Yongheng Reply:
Hello, your thumb has experienced a backward bend due to an accident, resulting in partial ligament rupture for nearly a year. The effects of self-funded PRP therapy may not be very significant. Therefore, it is recommended that you consult with another physician (a hand surgeon)...[Read More] Understanding Partial Ligament Tears in the Thumb: Treatment Options and Recovery
Long-Term Tendon Rupture: Treatment Options and Care for Ankle Pain
Chronic tendon rupture? Dear Vice Dean Li, Hello. My father, who is 71 years old, has recently been experiencing discomfort in his right ankle. Externally, there appears to be swelling on the right side, and there is tenderness upon pressure. He experiences soreness while walkin...
Dr. Li Yongheng Reply:
Hello, your father's right ankle tendon has been ruptured for a long time, and it is unlikely that it can be reattached. Daily care should involve avoiding prolonged standing and weight-bearing activities. It is advisable to purchase some supportive braces to provide stabili...[Read More] Long-Term Tendon Rupture: Treatment Options and Care for Ankle Pain
Understanding Treatment Options for Head Tilt Due to Scoliosis
Could you please provide more context or details regarding "head tilt"? Hello, doctor. I have an issue with scoliosis, and I forgot the degree of the curvature, but it has reached a level that exempts me from military service. In the past, other doctors have said that o...
Dr. Li Yongheng Reply:
Cervical scoliosis can cause the patient's head to tilt to one side. Generally, if the curvature angle of the spinal scoliosis is less than 20 degrees, it can be monitored; for angles between 20 and 40 degrees, a corrective brace is necessary; and for angles greater than 40 ...[Read More] Understanding Treatment Options for Head Tilt Due to Scoliosis
Understanding Patellar Fractures: Recovery, Pain Management, and Rehabilitation
Patellar fracture Hello Doctor: I suffered a patellar fracture at the end of August (it was a transverse fracture, splitting into two parts) and I am currently in the fourth week post-surgery. I am undergoing rehabilitation and have achieved 90 degrees of knee flexion. My physica...
Dr. Li Yongheng Reply:
Hello, it has been 4 weeks since your patellar fracture surgery, and currently, your knee flexion has reached 90 degrees. Due to the protrusion of the screws, it may cause pain. It is recommended to remove the screws and wires one year after the fracture. You should be able to ac...[Read More] Understanding Patellar Fractures: Recovery, Pain Management, and Rehabilitation
Understanding Arm Pain: Causes, Symptoms, and Treatment Options
Arm pain Last summer, I tried weight training, and while doing diamond push-ups, I suddenly felt pain in the ulnar nerve area of my left hand. At that time, I thought it was just a strain and didn’t pay much attention to it. After undergoing six sessions of electrical therapy, ul...
Dr. Shen Boquan Reply:
Hello, based on your description, the pain caused by a sports injury, combined with work-related fatigue, has persisted for a long time. During this period, aside from rehabilitation, have you considered any other treatments? Rehabilitation therapy typically requires patience and...[Read More] Understanding Arm Pain: Causes, Symptoms, and Treatment Options
Managing Stiffness After Achilles Tendon Repair Surgery: Solutions and Tips
Post-surgical tendon stiffness following Achilles tendon repair? Hello, in February of this year, I ruptured my left Achilles tendon while playing basketball. I underwent tendon repair surgery on the same day. It has now been seven months, and I experience a pulling pain in my Ac...
Dr. Li Yongheng Reply:
It is recommended that you undergo an ultrasound examination or MRI to assess the healing status of the Achilles tendon. Typically, it takes about a year for the Achilles tendon to return to normal after surgery.[Read More] Managing Stiffness After Achilles Tendon Repair Surgery: Solutions and Tips
Recovery Time After Elbow Growth Plate Displacement Surgery
Medial elbow growth plate displacement? Hello doctor, I fell while riding my bike at school and displaced the growth plate on the inner side of my elbow. I would like to ask how long the rehabilitation period will be after I have removed the metal pins. (I just had the pins remov...
Dr. Shi Guozheng Reply:
It will take approximately three months of continuous rehabilitation to potentially achieve a better recovery status.[Read More] Recovery Time After Elbow Growth Plate Displacement Surgery
Understanding Limited Supination After Distal Ulnar Fracture Surgery
Postoperative limitation of forearm supination following distal ulnar fracture? Hello Dr. Yeh, On July 28th of this year, I was involved in a car accident that resulted in a distal ulnar fracture in my right arm. After more than a month, I am still experiencing limited external ...
Dr. Ye Qingnian Reply:
Please go to the rehabilitation department for therapy; doing more rehabilitation will lead to improvement.[Read More] Understanding Limited Supination After Distal Ulnar Fracture Surgery
Understanding Ligament Strains: Recovery and Rehabilitation Tips
Ligament sprain I injured myself while playing basketball, but that was already at the end of January. When I went for a follow-up appointment, the doctor said that doing more rehabilitation and exercising would help. Now I still don't know if I can jump again. Is it because...
Dr. Shen Boquan Reply:
Hello, online friend: I'm not sure which ligament is injured. If the ligament injury is not severe enough to require surgery, rehabilitation often leads to recovery. Therefore, please consult an orthopedic or rehabilitation physician to discuss your condition. Consistent reh...[Read More] Understanding Ligament Strains: Recovery and Rehabilitation Tips
Why Am I Limping After a Thigh Fracture? Understanding Recovery
Limping while walking? Hello, I fractured my thigh on June 4th, and it has been three months since then. I can now walk with crutches, but my walking is still unsteady. I am currently undergoing rehabilitation. I would like to know if I will continue to walk this way in the futur...
Dr. Chen Yongxue Reply:
Hello, postoperative limping may be primarily due to changes in leg length or muscle weakness. Generally, a typical femoral fracture should not result in a change in leg length (please consult your attending physician for confirmation). It is possible that muscle strength is insu...[Read More] Why Am I Limping After a Thigh Fracture? Understanding Recovery
Recovery After Patellar Fracture: Key Questions and Concerns
Recovery status after a patellar fracture? Hello, I fractured my patella (it split into two pieces) at the end of August. I underwent surgery where two steel pins were inserted and wire was wrapped around. The attending physician mentioned during the rounds on the second day that...
Dr. Li Yongheng Reply:
1. Continue practicing knee flexion to 90 degrees. 2. Heat therapy is permissible. 3. With appropriate rehabilitation, there should be no residual effects. 4. If knee flexion does not reach 90 degrees after 3-4 weeks, it is recommended to seek rehabilitation.[Read More] Recovery After Patellar Fracture: Key Questions and Concerns