Understanding Rehabilitation After Tibia Fracture: Recovery Timeline and Tips
Rehabilitation issues Hello, doctor: I was in a car accident on December 7 and suffered a tibial fracture. I had my cast removed last week, but since then, I have been unable to fully extend or bend my leg. My entire leg feels very stiff. The outpatient physician advised me to do...
Dr. Hong Ximing Reply:
Dear Miss Hsiao-Yu, Thank you for your letter. After a tibial fracture is stabilized with a cast, it is common to experience joint stiffness and muscle atrophy. However, with rehabilitation, function can typically be restored within two to four weeks. As for the swelling, it wil...[Read More] Understanding Rehabilitation After Tibia Fracture: Recovery Timeline and Tips
Understanding Recovery from Tibia and Fibula Fractures After Surgery
Tibial and fibular fracture of the lower leg? Hello, Doctor Shi: I would like to ask you a few questions. Two months ago, I was involved in a car accident that resulted in a fracture of my tibia and fibula. I underwent surgery on the same day to insert a metal rod, which only sta...
Dr. Shi Qiming Reply:
Hello: It is common to experience pain at the site where the tibial nail is inserted (below the knee). As for the wound, it requires time for observation; if there is inflammation, redness, swelling, heat, or even pus, medication treatment will be necessary.[Read More] Understanding Recovery from Tibia and Fibula Fractures After Surgery
Understanding Post-Surgery Infection and Healing in Canine Fractures
Infection of the surgical wound following a tibial and fibular fracture surgery? On December 30, 1993, my puppy and I were involved in a motorcycle accident where we were hit by a car. This resulted in fractures of the right tibia and fibula of my puppy. The doctor performed surg...
Dr. Shi Guozheng Reply:
Wound inflammation requires debridement surgery, and the sutures that need to be removed will not affect the appearance of the scar. Whether to apply ice after discharge depends on the situation; if there is inflammation and swelling, cold compresses should be used. Wound infecti...[Read More] Understanding Post-Surgery Infection and Healing in Canine Fractures
Height Questions: Morning vs. Evening Measurements and Growth Myths
Questions about height? I have a few questions to ask. 1. It seems that my height measured in the morning is taller than in the evening. If I am still taller in the morning, does that mean I might still grow taller? 2. I heard that wearing canvas shoes can affect growth. Is t...
Dr. Yang Nanping Reply:
Hello: Whether one will grow taller depends on whether the growth plates of the long bones in the lower limbs (femur and tibia/fibula) have fused, which can be assessed through X-ray imaging. Drinking milk to supplement calcium can contribute to bone health, but it is not the sol...[Read More] Height Questions: Morning vs. Evening Measurements and Growth Myths
Managing Patellar Chondromalacia: Beyond Supplements for Runners
I am a long-distance runner and often participate in various road races, with my longest distance being a half marathon. I mostly train on asphalt surfaces, but I have been experiencing pain in my right knee? I am a long-distance runner and often participate in various road races...
Dr. Li Wenlin Reply:
Hello: In response to your question... The main significance of patellar chondromalacia lies in the structural changes of the patella due to injury or other non-injury-related inflammatory responses. The mechanisms involved include not only structural alterations but also an incr...[Read More] Managing Patellar Chondromalacia: Beyond Supplements for Runners
Understanding Patellar Chondromalacia: Symptoms, Causes, and Concerns
Patellar chondromalacia I am 20 years old and currently serving in the military. In my childhood, I experienced impacts to both knees and received treatment at a martial arts clinic. At that time, there were no significant issues, just occasional discomfort similar to rheumatism....
Dr. Shi Qiming Reply:
Dear netizens: Patellar chondromalacia is a type of patellofemoral pain syndrome characterized by widespread anterior knee pain when the patient uses the patellofemoral joint. This pain is particularly exacerbated during activities such as climbing stairs, running, squatting, or ...[Read More] Understanding Patellar Chondromalacia: Symptoms, Causes, and Concerns
Understanding Swelling in the Right Leg After Ankle Surgery: Recovery Insights
Swelling of the right foot? Hello Dr. Lee, I would like to ask you: I have a fracture of the tibia and fibula in my right calf, and a rupture of the medial ligament in my right ankle. I underwent surgery nine weeks ago. May I ask: 1. I am currently walking about 15-20 minutes to ...
Dr. Li Wenlin Reply:
Hello, in response to your question... 1. Based on your description, the swelling in your calves after walking, which improves with heat therapy and elevation at night, is normal. If there are no other factors involved (such as pre-existing heart or kidney issues, or incomplete t...[Read More] Understanding Swelling in the Right Leg After Ankle Surgery: Recovery Insights
Understanding Chondromas: Causes, Treatment, and Risks Explained
What is a chondroma? Hello Dr. Lin, after the car accident, I had an X-ray taken and learned that I have chondromas in my ankle and knee. I would like to inquire about the causes, treatment options, and potential risks associated with this condition.
Dr. Lin Gengxiao Reply:
Hello~ 1. "Osteochondroma" is most commonly found in children and adolescents and is a benign bone tumor that can be either solitary or multiple. Most osteochondromas are asymptomatic and are often discovered during routine examinations. The most common clinical symptom...[Read More] Understanding Chondromas: Causes, Treatment, and Risks Explained
Understanding Popping Sounds in the Hip Joint: Causes and Solutions
Bone Over the past year, I have frequently experienced a popping sound in the area where my thigh bone connects to my torso whenever I move. I'm not sure what it could be. Could you please help me understand this? Thank you for your assistance!
Dr. Lin Gengxiao Reply:
Hello, 1. The symptoms you mentioned may be related to muscle or ligament issues, but it is still recommended to consult with an orthopedic or rehabilitation specialist for a proper diagnosis. 2. If the physician orders an X-ray examination, it is to rule out any fractures or...[Read More] Understanding Popping Sounds in the Hip Joint: Causes and Solutions
Understanding Calf Pain: Causes and Solutions for Athletes
Regarding the calf region? Hello Doctor, I am a college student. Every time I finish exercising, I experience pain in my calf bones. I consulted a traditional Chinese medicine practitioner who said it was related to soreness in a specific muscle. However, after treatment, I felt ...
Dr. Lin Gengxiao Reply:
1. The pain you refer to in the lower leg bones likely pertains to the anterior border of the tibia. 2. The anterior border and medial side of the tibia have muscle attachments, and pain is commonly seen after intense or prolonged running and jumping activities, but there are als...[Read More] Understanding Calf Pain: Causes and Solutions for Athletes
Understanding Cervical Degeneration and Its Impact on Health
Cervical degeneration First of all, thank you for answering my previous question. This time I would like to ask: (1) What are the potential harms to the body from degeneration of the fifth and sixth cervical vertebrae? (2) If a tibial osteotomy has been performed and pain persist...
Dr. Shi Guozheng Reply:
If there are bone spurs on the cervical spine but they do not compress the nerves, then there is no concern. However, if there are symptoms of nerve compression, treatment is necessary. If tibial osteotomy is ineffective, one may consider undergoing joint replacement surgery when...[Read More] Understanding Cervical Degeneration and Its Impact on Health
Understanding Tibial Osteotomy: Risks and Recovery Time Explained
Regarding tibial osteotomy surgery? I have patellar chondromalacia and underwent arthroscopic debridement and lavage two years ago, but the results were unsatisfactory. Therefore, my doctor has recommended a tibial osteotomy. I would like to inquire about (1) the potential compli...
Dr. Shi Guozheng Reply:
The effectiveness of tibial osteotomy for chondromalacia needs to be thoroughly evaluated; if it proves ineffective after the procedure, it could be problematic. Additionally, there are potential postoperative complications: one is the change in bone alignment, which may complica...[Read More] Understanding Tibial Osteotomy: Risks and Recovery Time Explained
Understanding ACL Reconstruction Surgery: Key Questions Answered
Anterior cruciate ligament reconstruction surgery Hello Dr. Li, I injured my right knee while playing basketball. I have undergone X-rays and an MRI, and the sports medicine doctor has diagnosed me with a torn anterior cruciate ligament (ACL) and a torn medial collateral ligament...
Dr. Li Wenlin Reply:
Hello, in response to your question... Based on your description, if you have a rupture of the anterior cruciate ligament (ACL) and a rupture of the medial collateral ligament (MCL) in your right knee, the following treatment considerations should be prioritized: 1. First and f...[Read More] Understanding ACL Reconstruction Surgery: Key Questions Answered
Understanding Patellar Chondromalacia: Seeking Answers for Knee Discomfort
Patellar chondromalacia When I try to fully extend my knee, it feels like the bones are getting stuck, but I never feel any pain. I have seen a traditional Chinese medicine practitioner who diagnosed me with patellar degeneration. He performed acupuncture and tui na (Chinese ther...
Dr. Shi Qiming Reply:
Dear netizen: If multiple treatments and diagnoses from various hospitals, including examinations at National Taiwan University Hospital, show no abnormalities, it is recommended to observe the situation before proceeding with further treatment. Orthopedics, Hsinchu Hospital, Dep...[Read More] Understanding Patellar Chondromalacia: Seeking Answers for Knee Discomfort
Post-Surgery Care and Nutrition for Complex Leg Fractures
Complex fractures of the leg! My father recently suffered a complex (comminuted) fracture of the tibia and ankle due to a fall at work. He is currently undergoing treatment, and I would like to understand how to provide proper postoperative care and nutritional support for patien...
Dr. Li Wenlin Reply:
Hello, in response to your question about fracture healing, there are several factors to consider: 1. Mechanism of injury: Comminuted, high-energy, periarticular, and open fractures generally have a poorer healing outcome compared to simple fractures. 2. Individual factors: O...[Read More] Post-Surgery Care and Nutrition for Complex Leg Fractures
Understanding Patellar Malalignment: Risks and Recovery from Surgery
Regarding patellar valgus...??? Hello Dr. Lin: I have had knee problems for several years now. I have seen many doctors, some of whom said it was "osteoarthritis," while others mentioned "meniscal wear and tear." During this time, I followed the doctors' ...
Dr. Lin Gengxiao Reply:
1. Knee pain is commonly seen in middle-aged women, with various potential causes such as degeneration of the articular cartilage (femur, tibia, and patella), osteoarthritis, and injuries to the surrounding ligaments and soft tissues of the knee joint. 2. Conventional medicatio...[Read More] Understanding Patellar Malalignment: Risks and Recovery from Surgery
Understanding Open Fractures of the Fibula and Tibia: Recovery Insights
Open fractures of the fibula and tibia? Dear Dr. Chen, I have a few questions to ask you. Last month, I suffered an open fracture of the fibula and tibia in my left lower leg due to a car accident, with the tibia having a comminuted fracture. Additionally, there is a V-shaped im...
Dr. Chen Xingyuan Reply:
Dear Mr. Didi, After an injury and fracture, poor blood circulation is a common phenomenon. In principle, elevating the affected area, performing muscle contraction exercises in the legs, and practicing walking can help improve circulation. Initially, during walking practice, yo...[Read More] Understanding Open Fractures of the Fibula and Tibia: Recovery Insights
Understanding Post-ACL Reconstruction: Concerns About Stability and Recovery
Post-Operative Care After Anterior Cruciate Ligament Reconstruction Surgery Hello Dr. Hong: The surgeon who performed my operation told me that one-third of the patellar ligament was used to reconstruct the posterior cruciate ligament (PCL). I remember that before the surgery, wh...
Dr. Hong Ximing Reply:
Hello Mark, thank you for your message. After anterior cruciate ligament reconstruction, there may still be some forward movement of the tibia, which could be due to the differing tightness of the anterior and posterior cruciate ligaments. If it is mild, it should be manageable, ...[Read More] Understanding Post-ACL Reconstruction: Concerns About Stability and Recovery
Understanding the Small White Spot on Your X-Ray: Possible Causes
The small white spots on an X-ray? Recently, I have been experiencing some pain in the inner side of my left calf. I went to the hospital for a consultation, and after an X-ray, the doctor mentioned that there is a small white spot on the bone of my left calf. The doctor advised ...
Dr. Li Wenlin Reply:
Hello: In response to your question, based on your description, the small white spot on the left tibia of a 34-year-old male may not be concerning. It is most likely a bone island, which is an area of increased bone density, or it could be an artifact from overlapping images or o...[Read More] Understanding the Small White Spot on Your X-Ray: Possible Causes
Understanding Recovery from Knee Joint Fractures: Key Considerations
Fracture of the lower limb of the knee joint? Dear Director, I have a fracture in the lower part of my knee joint, and I have had a cast on for almost six weeks. The doctor originally suggested surgery, but since there was no open wound, I chose to go with the cast fixation. I w...
Dr. Shi Guozheng Reply:
Are you referring to a fracture of the tibial plateau in the knee joint? After the fracture heals, you can gradually apply some weight, but you should slowly increase the load while walking. You should only discontinue the use of crutches once there is no pain at all. As for the ...[Read More] Understanding Recovery from Knee Joint Fractures: Key Considerations