Dr. Jiwu Chen

Dr. Jiwu Chen
Patient education

Sports Medicine Q&A

Brief, easy-to-understand answers to common sports injury, treatment, and rehabilitation questions.

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Rotator cuff injury

Does a rotator cuff tear always require surgery?

Many rotator cuff tears do not require immediate surgery. Rehabilitation may be tried for mild or degenerative symptoms. Acute traumatic tears, marked weakness, or symptoms that persist despite treatment warrant surgical assessment.

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Cartilage injury

Can damaged articular cartilage heal on its own?

Articular cartilage has limited capacity to heal. Treatment depends on the size, location, and depth of the defect, as well as age and activity needs, and may include rehabilitation, load modification, or cartilage restoration surgery.

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Patellar instability

Does a first kneecap dislocation require surgery?

Most first-time dislocations can initially be treated with bracing and rehabilitation. Surgery may be considered when there is substantial osteochondral injury, major structural abnormality, or a high risk of recurrence.

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Meniscus injury

Does a meniscus tear always require surgery?

Not always. Treatment depends on the tear pattern and location, symptoms, age, and activity goals. Activity modification and structured rehabilitation may be tried first when there is no significant locking or persistent pain.

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Return to sport

When can contact sport resume after ACL surgery?

Return to unrestricted pivoting or contact sport requires an individual assessment of healing, strength, movement control and psychological readiness. Rehabilitation often takes 9 to 12 months or longer. In young athletes, return before 9 months has been associated with a higher reinjury rate; passing strength tests alone does not guarantee safety. Controlled training and unrestricted competition are different stages, and clearance must come from the treating team.

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