Managing Complex Knee Issues After ACL Reconstruction: Pain and Solutions
How to address complex knee issues? Hello, doctor. I underwent a posterior cruciate ligament (PCL) reconstruction surgery last October, which was my second reconstruction. The first surgery resulted in ligament laxity after a year, leading to the need for a second operation. Init...
Dr. Chen Bochen Reply:
Hello, your issue is indeed complex and requires a meticulous and skilled physician along with a good rehabilitation team to assist you long-term. I recommend you consult with Dr. Luo Jian-Sheng, the orthopedic specialist at Chung Shan Medical University Hospital. He is an expert...[Read More] Managing Complex Knee Issues After ACL Reconstruction: Pain and Solutions
Post-Tibia Fracture Recovery: Pain, Swelling, and Return to Work
Postoperative care for tibial fracture? Hello, doctor. I fractured my left ankle's tibia in early February this year, and it has been over six months since then. My foot is still swollen, painful, and numb. Is this normal? Additionally, I would like to ask how long I would n...
Dr. Chen Yongxue Reply:
Hello, it has been over six months since the fracture surgery, and my foot is still swollen, painful, and numb. Should I consult a physician to check if the metal screws need to be removed? The screws would only be removed after confirming that the fracture has healed. Generally,...[Read More] Post-Tibia Fracture Recovery: Pain, Swelling, and Return to Work
Do You Need to Remove Plates and Screws After High Tibial Osteotomy?
High tibial osteotomy Hello, after undergoing high tibial osteotomy approximately two years ago, is it necessary to have another surgery to remove the plates and screws? What are the potential consequences if they are not removed? Thank you.
Dr. Wang Shouji Reply:
Hello, if it has healed, you may consider removal, as current internal fixation devices are made of titanium alloy. If you choose not to remove it, there is no significant issue. Changhua Hospital cares about your health. Sincerely, Dr. Wang Shou-ji.[Read More] Do You Need to Remove Plates and Screws After High Tibial Osteotomy?
Managing Post-Surgery Pain: Tips for Recovery After Tibia Fracture
Third week post-operation? It has been three weeks since my tibial fracture surgery, and I am currently resting at home. Recently, I have been particularly troubled by something. While I can tolerate the boredom of just resting at home, I find it increasingly difficult due to fre...
Dr. Wang Shouji Reply:
Hello, if it has been confirmed that there are no specific issues with the ankle, it is recommended to engage in non-weight-bearing activities for the ankle and to use anti-inflammatory and analgesic medications, which can often alleviate symptoms. Heat therapy can be applied, pr...[Read More] Managing Post-Surgery Pain: Tips for Recovery After Tibia Fracture
Managing Post-Surgical Discomfort After Tibial Plateau Fracture Repair
Postoperative pain after comminuted fracture of the tibial plateau? Hello Dr. Wang, I apologize for the interruption. I sustained a comminuted fracture of the left tibial plateau in a car accident on July 10 and underwent emergency surgery. Six weeks post-surgery, the cast was re...
Dr. Wang Jiacheng Reply:
Pain typically does not persist permanently; it usually diminishes gradually after the healing of wounds or fractures. Currently, you can apply heat or take some pain relievers to alleviate the discomfort. Additionally, undergoing rehabilitation therapy may provide some benefit.[Read More] Managing Post-Surgical Discomfort After Tibial Plateau Fracture Repair
Managing Post-Surgery Discomfort After Tibial Plateau Fracture Repair
Postoperative pain after comminuted fracture of the tibial plateau? Hello, doctor. I apologize for the interruption. I suffered a comminuted fracture of the left tibial plateau in a car accident on July 10 and underwent emergency surgery. Six weeks post-surgery, my cast was remov...
Dr. Shi Guozheng Reply:
Pain typically does not persist permanently; it usually diminishes gradually after the healing of wounds or fractures. Currently, you can apply heat or take some pain relievers to alleviate the discomfort. Additionally, undergoing rehabilitation therapy may provide some benefit.[Read More] Managing Post-Surgery Discomfort After Tibial Plateau Fracture Repair
Understanding Recovery After a Tibia Fracture: Pain and Mobility Concerns
Fracture of the left femur due to a car accident? Hello, doctor. I was in a car accident on September 21 and fractured my left femur. I underwent surgery on September 22, where titanium alloy intramedullary nails were used for support. As of now, my knee still cannot bend normall...
Dr. Wang Shouji Reply:
Hello, the intramedullary nail for the femur, due to the presence of distal locking screws, can commonly affect knee joint mobility. However, this usually alleviates over time. It is advisable to perform knee flexion and extension exercises, and avoid weight-bearing until the X-r...[Read More] Understanding Recovery After a Tibia Fracture: Pain and Mobility Concerns
Delayed Wound Healing After Surgery: When to Seek Further Medical Attention?
The wound has not healed two weeks after surgery? Two weeks ago, I was involved in a car accident and sustained a tibial fracture, with some comminution of the adjacent small bone, and there was a puncture wound through the skin. Surgery was performed on the day of the accident, ...
Dr. Chen Bochen Reply:
1. Comminuted fractures and open fractures typically have a slower healing process due to the nature of the wounds. 2. If there are concerns about wound infection, it is advisable to change the dressings two to three times a day. 3. If you feel that the wound is worsening, co...[Read More] Delayed Wound Healing After Surgery: When to Seek Further Medical Attention?
Understanding Tibial Fractures: Recovery Tips and Exercises
Tibia fracture Hello Doctor, I was in a car accident on August 18 and went to the emergency room where an X-ray was taken. The doctor diagnosed me with a closed fracture of the proximal tibia. That day, I received a removable L-shaped cast, which was changed to a non-removable ca...
Dr. Wang Shouji Reply:
Hello, if a tibial fracture is treated with a cast, the immobilized joint will inevitably experience stiffness. Once the cast is removed, applying heat can help soften the tissues, followed by rehabilitation exercises. The recovery time will depend on the severity of the fracture...[Read More] Understanding Tibial Fractures: Recovery Tips and Exercises
Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?
Swelling after tibial plateau fracture surgery in mid-April? Hello, I would like to ask about my condition. I had an internal fixation with steel nails and plates for a tibial plateau fracture, along with bone grafting and arthroscopy, and it has been almost six months since the ...
Dr. Wang Shouji Reply:
Hello, tibial plateau fractures are intra-articular fractures that carry a risk of developing post-traumatic arthritis. It is important to monitor for any intra-articular irregularities or the presence of arthritis. Resting and staying in bed usually helps reduce swelling, but on...[Read More] Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?
Understanding Tibial Tuberosity Bumps: Osgood-Schlatter Disease Insights
Proximal tibial prominence below the knee? Hello, doctor. I started noticing a hard bump near the proximal left tibia, just below the knee, around the age of 13, specifically near the tibial tuberosity. There is no swelling, and it does not hurt when pressed; I can run and jump n...
Dr. Chen Bochen Reply:
1. Your medical history and symptoms are consistent with Osgood-Schlatter Disease, but a diagnosis should be confirmed with X-rays. However, Osgood-Schlatter Disease does not always cause pain. 2. It typically does not occur after puberty, and there could be various reasons for t...[Read More] Understanding Tibial Tuberosity Bumps: Osgood-Schlatter Disease Insights
Understanding Tibial Tuberosity Pain: Causes and Treatment Options
The area of the tibia near the knee joint? Hello, doctor. I previously started doing some weight training, such as barbell squats, but later I noticed a small bump on my right knee. It doesn't bother me much in daily life, but it hurts when I press on it or exert myself too ...
Dr. Chen Yongxue Reply:
Hello, tibial tuberosity chondritis is essentially inflammation of the ligament where the patellar tendon attaches to the tibia. This condition can be triggered by excessive knee flexion activities in a short period, such as deep squats, stair climbing, and jumping. It is advisab...[Read More] Understanding Tibial Tuberosity Pain: Causes and Treatment Options
Can You Walk Without Crutches After Tibial Fracture Surgery?
Comminuted complete fracture of the tibia? After a month following a comminuted complete fracture of the tibia, treated with surgical intervention and plate fixation along with the addition of bone graft, is it possible to walk slowly without crutches?
Dr. Chen Bochen Reply:
You need to use crutches after the surgery to protect yourself properly and have regular follow-up X-rays. When it's time to start using crutches, your attending physician should remind you. Do not be overly brave; breaking the metal plate and needing another surgery is defi...[Read More] Can You Walk Without Crutches After Tibial Fracture Surgery?
Post-Tibial Screw Removal: Essential Care Tips and Precautions
Post-removal care for tibial screws should be noted? Hello, I would like to ask what precautions should be taken after removing the tibial screws. If I accidentally bump into the bone, will it break? Thank you.
Dr. Chen Bochen Reply:
Hello, whether or not to remove the intramedullary nail and the associated risks can only be accurately assessed with a physical examination and X-rays. However, I can share some general information: 1. Intramedullary nails in the tibia can typically be removed after the fracture...[Read More] Post-Tibial Screw Removal: Essential Care Tips and Precautions
Do You Need a Knee Brace After Tibia Screw Removal?
Is a knee brace necessary after tibial screw removal? Hello, I am going to have my tibial screws removed soon. Do I need to wear a knee brace after the removal? Thank you.
Dr. Chen Bochen Reply:
Hello, generally speaking, it is not necessary to wear a knee brace after the procedure. However, some patients may experience pain at the knee incision site, and in such cases, wearing a knee brace can be helpful.[Read More] Do You Need a Knee Brace After Tibia Screw Removal?
Managing Pain and Discomfort After Tibial Fracture Surgery
Postoperative care for tibial fractures? Hello doctor, in February of this year, I had a tibial fracture in my left ankle and underwent surgery for internal fixation with a plate. It has been six months since the surgery, but my foot still experiences persistent soreness and numb...
Dr. Chen Yongxue Reply:
Hello, fractures typically allow for full weight-bearing approximately three months after surgery. In your case, it is possible that a lack of weight-bearing for some time has led to stiffness in the tendons and joints. Please visit an orthopedic outpatient clinic for further eva...[Read More] Managing Pain and Discomfort After Tibial Fracture Surgery
Managing Bone Thickening and Skin Issues After Tibia Fracture
Wound after a fracture? I have a question about my right tibia. It was fractured in a car accident over a decade ago, and now that area of the bone has become very thick. Is there any way to restore the bone to its original thickness? Additionally, the surgical scar has become ve...
Dr. Zhan Xian Reply:
Hello, A-Ting. Based on your description, it is necessary to conduct relevant examinations such as physical therapy and imaging studies to rule out issues related to osteomyelitis or bone protrusions causing the wound problem. Please visit the orthopedic outpatient clinic![Read More] Managing Bone Thickening and Skin Issues After Tibia Fracture
Can You Return to Running and Jumping After Tibial Fracture Surgery?
Tibial fracture After undergoing surgery for a tibial fracture with the implantation of an intramedullary nail, and having had six months of recovery during which you can walk normally and experience slight weakness when climbing stairs, you may be wondering if you are suitable f...
Dr. Chen Bochen Reply:
Yes, engaging in more exercise can lead to a more complete recovery and improve symptoms of fatigue.[Read More] Can You Return to Running and Jumping After Tibial Fracture Surgery?
Understanding Tibial Impact Injuries: Symptoms and Recovery Insights
Impact to the tibia? Hello Dr. Chen, I recently sustained an impact to my tibia. The area of impact is painful when pressed, and while I have no issues walking short distances, the area swells slightly and causes mild pain after walking for an extended period (there is also a ver...
Dr. Chen Bochen Reply:
Hello Mr. You, when the muscle is still inflamed, walking for a longer period can cause swelling. Applying ice frequently will help. If there were a fracture in the bone, the pain would be so severe that you wouldn't be able to walk, so your condition doesn't seem to in...[Read More] Understanding Tibial Impact Injuries: Symptoms and Recovery Insights
Understanding Labral Tears of the Hip: Symptoms, Treatment, and Recovery
Left acetabular labrum injury Hello, Dr. Chen. Since I started weight training last September, I initially experienced lower back pain and frequent soreness in my left piriformis muscle. Rehabilitation therapy provided some relief, but when I resumed exercising in October, I sudd...
Dr. Chen Yongxue Reply:
Hello, since your condition has undergone surgery, it would be best to consult your attending physician for answers.[Read More] Understanding Labral Tears of the Hip: Symptoms, Treatment, and Recovery