Knee Weakness and Pain: Understanding the Impact of Past Injuries and Obesity
Knee weakness in a kneeling position? Hello, doctor. When I was in elementary school, I had several falls that left scars on both of my knees. Since then, my knees have been weak in a kneeling position, causing my body to lean forward. I'm not sure what issues my knees might...
Dr. Li Yongheng Reply:
Hello, if your knees are in a kneeling position and feel weak, your body may tilt forward, necessitating further examination to determine whether the issue lies with the knee or hip. Additionally, if you feel like you are going to fall backward after taking just a few steps up th...[Read More] Knee Weakness and Pain: Understanding the Impact of Past Injuries and Obesity
Understanding Ligament Reconstruction: When Is Surgery Necessary?
Regarding ligament reconstruction? Hello, doctor. I have been experiencing abnormal pain in my left foot, so I went to see an orthopedic specialist. The doctor mentioned that both my knee and ankle are relatively loose. After taking X-rays, the doctor suspects that I have a ligam...
Dr. Li Yongheng Reply:
Hello, generally speaking, with proper rehabilitation to strengthen muscle strength, ligament laxity can often improve. However, if physical therapy does not lead to improvement, long-term reliance on braces for protection or ligament reconstruction surgery may be necessary. Wish...[Read More] Understanding Ligament Reconstruction: When Is Surgery Necessary?
Understanding Knee Ligament Injuries: Will Natural Healing Work?
Knee problems Thank you for the doctor's advice. I would like to ask: I have a ligament injury and cannot squat or run. Will it heal naturally? (Just to confirm)
Dr. Shi Guozheng Reply:
Typically, after an injury, a period of rehabilitation is necessary for recovery, which usually takes about six weeks.[Read More] Understanding Knee Ligament Injuries: Will Natural Healing Work?
Addressing Elbow Asymmetry After Shoulder Surgery: Solutions and Insights
Elbow issues Hello doctor, three months ago I underwent arthroscopic surgery on my right shoulder due to ligament laxity. When I looked in the mirror, I noticed that when both arms are relaxed and hanging down, my elbows are noticeably asymmetrical; my right arm is slightly turne...
Dr. Li Yongheng Reply:
Hello, three months after undergoing arthroscopic surgery for a loose ligament in the right shoulder, you may notice that your right hand is slightly outward and you feel some sensations and a faint sound during rotation. These are often normal occurrences. As long as you continu...[Read More] Addressing Elbow Asymmetry After Shoulder Surgery: Solutions and Insights
Understanding Rib Strain: Rest or Stretching for Recovery?
Rib issues I have been dealing with a rib strain for a month without improvement, so I went to a major hospital for an examination. The bones are fine, and it was diagnosed as a strain. The doctor advised me to move more and do stretching exercises. I followed the doctor's a...
Dr. Li Yongheng Reply:
Hello, generally speaking, a rib strain should gradually recover in 4-6 weeks. Currently, you can move, but you should avoid heavy lifting, deep breathing, and vigorous stretching. After one month post-injury, it's important to rest, but you can indeed start some gentle reha...[Read More] Understanding Rib Strain: Rest or Stretching for Recovery?
Understanding Shoulder Dislocation: Recovery and Sensation Issues
Dislocation of the left shoulder joint? Hello Dr. Lee: Last Thursday, I dislocated my left arm at the shoulder joint in Taitung. I was taken directly to the emergency room, where a doctor attended to me immediately. The diagnosis certificate stated dislocation and a fracture of t...
Dr. Li Yongheng Reply:
Hello, if you experience a lack of sensation in your left shoulder after a dislocation and reduction, be cautious of potential brachial plexus injury. Do not take this lightly; you must return for a follow-up appointment, and if necessary, a nerve conduction study should be perfo...[Read More] Understanding Shoulder Dislocation: Recovery and Sensation Issues
Understanding Femoral Shaft Fractures: Recovery, Pain, and Rehabilitation Insights
Femoral shaft closed fracture Hello, Doctor. I was involved in a car accident at the end of July, resulting in a closed fracture of the left femoral shaft. It has now been three months since the incident. During my follow-up appointment, an X-ray showed that the bone is healing, ...
Dr. Li Yongheng Reply:
Hello, there is a 7 cm long light gray bruise-like mark on the skin above the fracture site, which is painful when pressed. This may be a soft tissue contusion that occurred simultaneously with the fracture. It is recommended that you apply heat and perform gentle local massage t...[Read More] Understanding Femoral Shaft Fractures: Recovery, Pain, and Rehabilitation Insights
Recovery Timeline for Open and Comminuted Fractures: What to Expect
Open fracture with comminuted fracture? Doctor, I had a severe car accident on October 2nd, and I currently have comminuted fractures in my right thigh, knee, and lower leg, along with an open fracture. I need to avoid putting weight on it for three months. I would like to know h...
Dr. Li Yongheng Reply:
Hello, generally speaking, comminuted and open fractures of the thigh, knee, and calf tend to have a slower recovery process, and rehabilitation may take longer and be more challenging. You may need to discuss with your attending physician whether you must wait three months befor...[Read More] Recovery Timeline for Open and Comminuted Fractures: What to Expect
Understanding Toe Dislocation: Causes of Stiffness and Recovery Time
Dislocation - Sports Injury Three months ago, I dislocated my fourth toe, and it is still stiff and unable to bend like the others. What could be the reason for the stiffness? Is it because the swelling hasn't completely gone down? Sometimes, when I use it more frequently, l...
Dr. Li Yongheng Reply:
Hello, the fourth toe has been dislocated for three months and still cannot bend normally, which may be related to ligament damage or joint capsule contracture. It is recommended to soak in warm water and perform rehabilitation exercises for the toe joint. Generally, normal funct...[Read More] Understanding Toe Dislocation: Causes of Stiffness and Recovery Time
Understanding Elbow Pain: Causes, Diagnosis, and Treatment Options
Elbow issues Hello doctor, my elbow feels like it is stuck on the back side, and this has been going on for about 4.5 years. I can clearly feel that I cannot fully extend it. I have seen a rehabilitation specialist in the past, and treatments like heat therapy and electrical stim...
Dr. Li Yongheng Reply:
Hello, if your elbow injury has persisted for 4-5 years and you feel it is catching, it could be due to joint capsule contracture or cartilage damage. I recommend that you see an orthopedic specialist in sports medicine. A computed tomography (CT) scan may be necessary, and if ne...[Read More] Understanding Elbow Pain: Causes, Diagnosis, and Treatment Options
Reinjury After Ligament Repair: Understanding Ankle Pain and Recovery
Re-injury after ligament laxity repair? Hello Doctor: I had surgery on my left ankle on September 18. After the surgery, the doctor informed me that the ligaments were loose and he repaired them. However, I accidentally twisted my ankle again after the surgery. I have been soakin...
Dr. Shi Guozheng Reply:
After ankle ligament surgery, there is a possibility of re-injury if it is twisted again. Currently, the best approach is to start with conservative treatment, which includes stabilizing the ankle and reducing swelling before beginning rehabilitation. Typically, ligament injuries...[Read More] Reinjury After Ligament Repair: Understanding Ankle Pain and Recovery
Understanding Patellar-Femoral Joint Cartilage Wear and Recovery Time
Further inquiry into the wear of cartilage in the patellofemoral joint? Thank you, Dr. Li, for your response. Your reply has given me a better understanding of my condition, and I truly appreciate it! I would like to continue consulting you regarding recovery and treatment for th...
Dr. Li Yongheng Reply:
Hello: 1. Rehabilitation treatment is typically required for about 3-6 months from the date of injury. 2. It is generally not recommended to wear braces for extended periods to avoid muscle atrophy. If long periods of standing or walking are necessary, you may consider using a pa...[Read More] Understanding Patellar-Femoral Joint Cartilage Wear and Recovery Time
Recovering from ACL Injury: Insights and Rehabilitation Tips
Right knee anterior cruciate ligament injury (Japan) In early August this year, I fell while living in Japan. Two hours after the fall, my right knee swelled, and I was unable to bend it, experiencing severe pain. I sought medical attention that same day, and due to internal blee...
Dr. Shi Guozheng Reply:
Typically, recovery takes about three months, and after that, one can return to work. If the anterior cruciate ligament (ACL) is torn, rehabilitation will restore some function, but it may not be 100%. Achieving 80-90% recovery is considered good, as it helps increase muscle stre...[Read More] Recovering from ACL Injury: Insights and Rehabilitation Tips
Understanding Cartilage Damage and Rehabilitation After Weight Training Injuries
Weight training can lead to cartilage wear? Hello Dr. Lee, I would like to ask a question. In July of this year, I sustained a knee injury while doing strength training, which has caused discomfort in my knee. It feels weak when walking, and I experience discomfort after walkin...
Dr. Li Yongheng Reply:
Hello, cartilage can be classified into meniscus or general articular cartilage. Based on your description, it seems more like patellar tilt causing wear on the cartilage of the patellofemoral joint. Therefore, the physician has arranged for hydrotherapy and quadriceps strengthen...[Read More] Understanding Cartilage Damage and Rehabilitation After Weight Training Injuries
Post-Surgery Recovery: Managing Right Knee Swelling and Rehabilitation
Right knee swelling surgery (rehabilitation issues) Hello, Doctor. When I was about 13 years old, I had an accident while riding a bicycle, which caused bruising or swelling in my right knee; the bone was not injured (I'm not sure, as I was treated at Linkou Chang Gung Memor...
Dr. Shi Guozheng Reply:
Swelling after knee surgery typically lasts for about six weeks. Rehabilitation involves gradually bending the knee, which can be assisted with heat therapy. The muscles of the thigh and calf can be stretched while sitting, and then slowly bent back. This should be done three tim...[Read More] Post-Surgery Recovery: Managing Right Knee Swelling and Rehabilitation
Understanding Clavicle Fractures: Recovery, Surgery, and Rehabilitation
Please inquire about clavicle issues? Hello, Doctor! I have a mid-shaft fracture of the left clavicle with some comminution. The orthopedic surgeon at Li Hsin Hospital suggested surgery to fix it with a titanium alloy plate. I would like to ask the following questions: 1. After...
Dr. Shi Guozheng Reply:
After recovery, there may be a slight decrease in muscle strength, but most patients can return to their pre-injury state. No physician can guarantee a full 100% recovery. Removing the plate has its benefits, as it reduces local irritation; however, if it is not removed, there is...[Read More] Understanding Clavicle Fractures: Recovery, Surgery, and Rehabilitation
Understanding Chronic Lower Back Pain: Causes and Treatment Options
Lower back pain when bending over..? Hello, Vice Dean Li. I would like to ask you about a situation. Three years ago, I injured my lower back while lifting heavy objects. After treatment, I improved, but a few months ago, I started experiencing lower back pain when bending over, ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, the lower back pain could be due to a herniated disc, while the pain in the left foot's sole is likely plantar fasciitis. A herniated disc typically requires an MRI for diagnosis. I recommend that you schedule an appointment with a rehabilitati...[Read More] Understanding Chronic Lower Back Pain: Causes and Treatment Options
Understanding Wrist and Elbow Pain After a Car Accident: When to Seek Further Imaging
The wrist cannot rotate, and the elbow feels stiff? A car accident occurred in July, and I was taken to a nearby hospital where they examined a fracture in the inner bone of my elbow (I was put in a cast). There was no specific mention of my wrist at that time. After a week, I re...
Dr. Li Yongheng Reply:
Hello, the car accident injury has resulted in an elbow fracture, and there may also be damage to the wrist, particularly with regard to potential injuries such as scaphoid fractures, triangular fibrocartilage complex (TFCC) tears, and distal radioulnar joint dislocations. It has...[Read More] Understanding Wrist and Elbow Pain After a Car Accident: When to Seek Further Imaging
Understanding Shoulder Arthroscopy: Recovery Tips and Concerns
Shoulder arthroscopy issues? Due to ligament laxity, the preoperative explanation for the endoscopic surgery indicated that a backpack-like brace should be used for stabilization on the side. However, I have been using a regular arm sling hanging in front of my chest during the s...
Dr. Li Yongheng Reply:
Using a standard arm sling provides less stabilization than a brace; however, since you have been using the sling for six weeks, there is no need for a brace at this point. Postoperative rehabilitation is equally important as the surgery itself, so you may ask your attending phys...[Read More] Understanding Shoulder Arthroscopy: Recovery Tips and Concerns
Effective Remedies for Lumbar Degeneration: Tips for Young Patients
Lumbar degeneration Hello, doctor. I recently went to the hospital for an X-ray due to lower back pain, and it was found that I have degeneration of the L5 lumbar vertebra. What remedies are available? I am still quite young. Should I take any supplements, perform specific rehabi...
Dr. Li Yongheng Reply:
Hello, lower back pain in a 28-year-old is mostly caused by poor posture, and lumbar degeneration is relatively uncommon. There are no specific supplements or injections available for treating lumbar degeneration. Strengthening the core muscles can help reinforce the back muscles...[Read More] Effective Remedies for Lumbar Degeneration: Tips for Young Patients