Understanding Ligament Laxity: Diagnosis, Treatment, and Rehabilitation
Ligament laxity Doctor: Hello, I went to the hospital for an examination in the past few days. The doctor used X-rays and ultrasound and said that I have a ligament laxity in my right wrist. Does this confirm the diagnosis? I am currently wearing a wrist brace and going to physic...
Dr. Shi Guozheng Reply:
The term "ligament laxity in the wrist" does not specify which ligament is affected. Generally, if there are no symptoms of pain or discomfort, it may not require any intervention. The decision to undergo surgery should be based on whether it is expected to be effective...[Read More] Understanding Ligament Laxity: Diagnosis, Treatment, and Rehabilitation
ACL Tear: Should You Consider Surgery for Active Lifestyles?
Complete tear of the anterior cruciate ligament (ACL) in the right knee? Hello, Doctor. On May 24, I completely tore my right anterior cruciate ligament while playing badminton. The meniscus only has a small hole and a gap that the doctor evaluated. My rehabilitation progress see...
Dr. Hong Ximing Reply:
A complete tear of the cruciate ligament will inevitably lead to instability in the knee joint. If ligament reconstruction surgery is not accepted, it is essential to avoid high-intensity activities involving the knee joint to prevent the early onset of arthritis. In summary, whe...[Read More] ACL Tear: Should You Consider Surgery for Active Lifestyles?
Understanding Meniscus Injuries: Symptoms, Treatment, and Recovery Tips
Meniscus injury A week ago, I fell while getting off my scooter and dislocated my knee and displaced my femur. I have seen a chiropractor who realigned it, but I am still in pain. I went to an orthopedic doctor for an ultrasound, and he said I have a meniscus cartilage injury wit...
Dr. Chen Yongxue Reply:
Hello, ligaments and tendons are different. Diagnosis relies on physical examination, ultrasound, or MRI. Based on the description in the letter, it is indeed difficult to determine. Please consult your attending physician. Thank you.[Read More] Understanding Meniscus Injuries: Symptoms, Treatment, and Recovery Tips
Is It Tendonitis or Ligament Injury? Understanding Shoulder Pain After Weightlifting
Tendinitis or ligament injury? Hello Doctor, I have sustained an injury to my left shoulder due to weight training. I have undergone a musculoskeletal ultrasound, and the rehabilitation doctor diagnosed me with left shoulder tendonitis, noting the presence of calcific deposits. A...
Dr. Chen Yongxue Reply:
Hello, ligaments and tendons are different. Diagnosis relies on physical examination, ultrasound, or MRI. Based on the description in the letter, it is indeed difficult to determine. Please consult your attending physician. Thank you.[Read More] Is It Tendonitis or Ligament Injury? Understanding Shoulder Pain After Weightlifting
Lower Back Pain and Knee Weakness: Is It Sciatica?
Lumbar pain, with weakness behind the knees while walking? Hello doctor, recently while moving heavy objects, I felt a twist in my lower back. For the past few days, I've been experiencing discomfort specifically in the lower right side of my back. Sometimes, while walking, ...
Dr. Li Yongheng Reply:
Hello, based on your reported symptoms, it is possible that you are experiencing sciatica due to a herniated disc. I recommend that you consult with an orthopedic specialist, a neurosurgeon, or a rehabilitation physician. If necessary, further evaluation with an MRI may be requir...[Read More] Lower Back Pain and Knee Weakness: Is It Sciatica?
Understanding Recovery from Left Wrist Radius Fracture: Pain and Concerns
Left distal radius fracture? About a month ago, I fell while playing basketball and dislocated and fractured my left radius. After seeing a doctor, I did not require surgery; instead, I underwent manual reduction and was placed in a cast. The cast has now been completely removed ...
Dr. Li Yongheng Reply:
If there is a dislocation and fracture of the radius in the wrist, it is usually considered a more severe injury. Since it has only been one month since the injury, it is normal to still experience some pain and to be hesitant to move the wrist. Heat therapy can be used to allevi...[Read More] Understanding Recovery from Left Wrist Radius Fracture: Pain and Concerns
Do I Need Surgery for My Old Ankle Injury? Understanding Your Options
Do I need surgery for an old ankle injury? Hello doctor, I fractured my ankle when I was about 19 years old. At that time, the doctor at Mennonite Hospital told me that my right ankle was slightly displaced and that there was a small crack in my tibia, recommending surgery. Howev...
Dr. Shi Guozheng Reply:
Plantar fasciitis requires wearing shoes with softer soles to reduce pressure on the plantar fascia. Additionally, being overweight can increase stress on the plantar surface. It is advisable to consult an orthopedic specialist.[Read More] Do I Need Surgery for My Old Ankle Injury? Understanding Your Options
Understanding Rehabilitation Restrictions for Unhealed Radius Fractures
What should be noted for an unhealed radius fracture? It has been one and a half months since the autologous bone graft for the radius. I have been getting X-rays once a month for follow-up. The doctor mentioned that the situation looked good in the first month and that we would ...
Dr. Shi Guozheng Reply:
Strenuous activities should be avoided until healing is complete, but waiting to start rehabilitation may be too slow. As long as there is no pain, it is important to begin moving the nearby joints.[Read More] Understanding Rehabilitation Restrictions for Unhealed Radius Fractures
Knee Pain and Stiffness After Car Accident: Recovery Insights
Knee unable to bend and weakness after stitches from a car accident? Hello Doctor, I was in a car accident on July 2nd where my right knee struck the back of a truck, resulting in stitches on my knee. At that time, I was still able to walk properly. After the stitches, I was afra...
Dr. Shi Guozheng Reply:
If the swelling in the knee joint has subsided, you can apply heat and then gradually practice bending it. Improvement should be expected in about a few weeks.[Read More] Knee Pain and Stiffness After Car Accident: Recovery Insights
Post-Surgery Leg Cramps: Is Rehabilitation Necessary After Fracture?
After being discharged from surgery for a fracture due to a car accident, the patient has been experiencing persistent muscle cramps in the calf? Hello Dr. Chen, I would like to ask about my condition. I had surgery on June 26 and was hospitalized for five days. However, even af...
Dr. Shi Guozheng Reply:
You can see a physician to prescribe some muscle relaxants for relief. Additionally, you may consider physical therapy for your calf. If there is no sign of inflammation, you can apply heat; there is no need for ice therapy at this time.[Read More] Post-Surgery Leg Cramps: Is Rehabilitation Necessary After Fracture?
Persistent Ankle Sprain: When to Seek Further Treatment After a Month
An ankle sprain that has not healed and still prevents walking after more than a month? I sprained my ankle over a month ago on June 3rd. At the time, it was extremely painful and I was unable to walk. There was a large swelling on the top of my foot. I subsequently saw a doctor ...
Dr. Shi Guozheng Reply:
Typically, rest and rehabilitation will lead to improvement within about six to twelve weeks. If there is no improvement by then, it is necessary to see a physician again.[Read More] Persistent Ankle Sprain: When to Seek Further Treatment After a Month
Managing Ankle Sprain Swelling: Recovery Tips and Rehabilitation
Ankle sprain with swelling? Hello, doctor! In mid-May, I sprained my ankle while playing basketball and it immediately swelled up, making it impossible for me to walk. I went to the hospital for an X-ray, and the doctor said there was no bone damage and prescribed anti-inflammato...
Dr. Shi Guozheng Reply:
Ankle joint injuries are most commonly associated with ligament damage, which typically takes two to three months to gradually recover. Currently, rehabilitation is necessary, and heat therapy can continue. Range of motion exercises for the ankle joint, as well as strength traini...[Read More] Managing Ankle Sprain Swelling: Recovery Tips and Rehabilitation
Persistent Pain in the Left Glute: Seeking Solutions After Running
Left posterior hip pain issue? Since I started doing intense running, I've been experiencing soreness on the side of my hip for a year and a half. I haven't run for seven months now. I've consulted with orthopedic specialists, rehabilitation doctors, and traditiona...
Dr. Hong Ximing Reply:
There are several small muscles in the posterior lateral area that may be injured due to overexertion. The only options are to avoid re-injury or to engage in rehabilitation exercises to aid recovery.[Read More] Persistent Pain in the Left Glute: Seeking Solutions After Running
Dealing with Wrist Stiffness After Cast Removal from Radius Fracture
Severe stiffness in the wrist after removal of the cast for a radial fracture? Hello, Doctor. I previously asked a question, and now the cast and external fixator have been removed. My attending physician said that I do not need to go to a rehabilitation clinic and can do rehabil...
Dr. Shi Guozheng Reply:
Continuing rehabilitation therapy may lead to improvements in various aspects.[Read More] Dealing with Wrist Stiffness After Cast Removal from Radius Fracture
Can PRP Therapy Help Treat Degenerative Arthritis After Stroke?
Can degenerative arthritis be treated with PRP? Hello Dr. Shih, Last March, I brought my father to Miaoli Hospital for a total hip replacement surgery performed by you, and he has been recovering well since then. Thank you, Dr. Shih. However, on December 3rd of last year, my fa...
Dr. Shi Guozheng Reply:
Degenerative joint disease can be treated with medications, with non-steroidal anti-inflammatory drugs (NSAIDs) being the first choice. Additionally, glucosamine supplements can be taken for support. Hyaluronic acid injections may also be considered. If these options are insuffic...[Read More] Can PRP Therapy Help Treat Degenerative Arthritis After Stroke?
Understanding Post-Surgery Pain After Achilles Tendon Lengthening Procedure
Achilles tendon lengthening surgery Hello, doctor. About a month ago, I underwent an Achilles tendon lengthening surgery and had a cast applied. My doctor told me that since I have a cast, I wouldn't need rehabilitation. It has been about a month now, and the wound no longer...
Dr. Shi Guozheng Reply:
1. Soft tissue reattachment typically takes six weeks to heal, and pain may still persist during this time. 2. A six-week cast immobilization is necessary to ensure complete healing of the ligaments. Removing the cast too early may result in ligament rupture, so caution is esse...[Read More] Understanding Post-Surgery Pain After Achilles Tendon Lengthening Procedure
Understanding Disc Herniation from Improper Weightlifting Techniques
Herniated disc due to improper weightlifting posture (speculated by orthopedic clinic physician)? About a week ago, I injured myself while doing squats during weight training. It was very painful at the time, and bending over at home was painful as well. I had difficulty putting ...
Dr. Wang Shouji Reply:
It's unclear how you would know if there is an issue with the cartilage. If it's just a muscle strain in the back, then rest and rehabilitation should suffice. However, if there is damage to the intervertebral disc cartilage, the treatment will depend on the severity of...[Read More] Understanding Disc Herniation from Improper Weightlifting Techniques
Managing Post-Tibial Plateau Fracture Complications: Treatment Options and Insights
Post-traumatic sequelae of lateral tibial plateau fracture collapse? Dear Dr. Shi, I previously inquired about the issue of knee stiffness and tightness following a tibial plateau fracture (case #124076), and I appreciate your response. You mentioned that intra-articular fractur...
Dr. Shi Guozheng Reply:
Joint adhesion after a fracture is common, and rehabilitation may help. Post-traumatic arthritis can lead to cartilage wear, eventually resulting in arthritis. You might consider trying PRP (platelet-rich plasma) therapy to see if it has any effect. If it remains ineffective and ...[Read More] Managing Post-Tibial Plateau Fracture Complications: Treatment Options and Insights
Managing Persistent Knee Pain After a Fall: When to See a Specialist
Knee pain when squatting or going down stairs? A few months ago, I fell and my left knee directly hit the floor. After an X-ray examination, it was diagnosed as inflammation. The doctor advised me to apply ice for the first three days, and then switch to heat therapy for a while,...
Dr. Shi Guozheng Reply:
After visiting the orthopedic department for a contusion, it is possible for knee joint inflammation to persist for a period of time.[Read More] Managing Persistent Knee Pain After a Fall: When to See a Specialist
Understanding Synovial Chondromatosis: Treatment and Recovery Insights
Synovial chondromatosis Hello, Doctor, I am a patient with synovial chondromatosis, and the affected area is my right hip joint. I have experienced a progression from initial symptoms of a stiff gait and mild pain to mid-stage joint effusion, and ultimately to the removal of gran...
Dr. Shi Guozheng Reply:
1. Currently, rehabilitation therapy is the only option available. 2. This condition typically only allows for synovectomy or removal of the proliferative loose bodies, with no other treatment methods available.[Read More] Understanding Synovial Chondromatosis: Treatment and Recovery Insights