Understanding Insurance Coverage for Bone Cement in Spinal Fractures
Is bone cement covered by health insurance? Due to a family member being diagnosed with a compression fracture of the 12th vertebra, which has resulted in that vertebra being shorter and also having osteoporosis, the doctor did not inform us whether health insurance would cover t...
Dr. Wang Shouji Reply:
Hello, the vertebral body jack procedure is not covered by health insurance. Generally, bone cement mainly serves to stabilize the fracture site, and to achieve pain relief, it may be necessary to correct the shape, which might still require elevating the fracture site. Changhua ...[Read More] Understanding Insurance Coverage for Bone Cement in Spinal Fractures
Post-Surgery Recovery Tips for Hand Fractures: Managing Pain and Rehabilitation
Postoperative care for hand fractures? On April 11, I underwent surgery to fix my third and fourth metacarpals with a self-funded titanium alloy plate due to a car accident, which occurred two days prior to the surgery. During my follow-up appointment on April 17, the doctor said...
Dr. Wang Shouji Reply:
Hello, most plates used for metacarpal fractures are positioned close to the joint, which can affect hand mobility. However, if there is stable fixation, movement is still possible. This may impact function for several weeks, but swelling will gradually improve with increased act...[Read More] Post-Surgery Recovery Tips for Hand Fractures: Managing Pain and Rehabilitation
Post-Patellar Fracture Surgery: Can I Climb Stairs Safely?
Postoperative Issues Following Patellar Fracture Surgery Dear Dr. Zhan, I sustained a patellar fracture from a fall and it has been nearly 50 days since my surgery. I would like to ask if it is safe for me to occasionally go up and down about two flights of stairs, as my knee ca...
Dr. Zhan Xian Reply:
Hello Ms. Wang, whether you can climb stairs depends on the judgment of your surgeon. It is important to consider the stability of the fracture fixation and the quality of your bone. Please ask your doctor during your follow-up appointment. Wishing you a safe recovery![Read More] Post-Patellar Fracture Surgery: Can I Climb Stairs Safely?
Understanding Protruding Shoulder Blade: Causes and Concerns
Protrusion of the scapula? Hello, a small bone protrusion was found on the right scapula, parallel to the shoulder, which is visible to the naked eye and quite noticeable when wearing clothes. I went to see a doctor and had an X-ray, but the doctor said that there was no noticeab...
Dr. You Dianqi Reply:
Hello, it is recommended to consult a physician in person. Thank you.[Read More] Understanding Protruding Shoulder Blade: Causes and Concerns
Understanding Bumps on the Heel: Causes and Treatments
Swelling in the heel? Hello doctor, about a week ago I noticed a lump on the outer side of my right heel. It is approximately one centimeter in diameter and feels hard to the touch, similar to bone. It does not hurt under normal circumstances, but there is some sensation when it ...
Dr. You Dianqi Reply:
Hello, it is recommended to seek medical evaluation. Thank you.[Read More] Understanding Bumps on the Heel: Causes and Treatments
Understanding Triangular Fibrocartilage Injuries: Treatment Options Explained
Triangular fibrocartilage My older brother has been a long-term excavator driver. About a year and a half ago, he reported pain in his wrist. He underwent several examinations at hospitals in the Yilan area, including X-rays and MRI scans. Different doctors diagnosed him with a t...
Dr. You Dianqi Reply:
Hello, in the case of a triangular fibrocartilage complex (TFCC) injury, it is recommended to temporarily suspend wrist activities during the acute phase. After the acute phase, rehabilitation therapy can begin. If the results are unsatisfactory, surgical options such as traditio...[Read More] Understanding Triangular Fibrocartilage Injuries: Treatment Options Explained
Managing Sacroiliac Joint Pain in Ankylosing Spondylitis: Weather Sensitivity Solutions
Can the pain in the sacroiliac joint due to sudden weather changes (in patients with ankylosing spondylitis) be treated? Hello Dr. Shi, I am a 20-year-old patient with ankylosing spondylitis, and I have been experiencing symptoms for 3.5 years. Currently, under the treatment of a...
Dr. Shi Guozheng Reply:
1. If it is ankylosing spondylitis, it will not improve, but if there are symptoms, medication can be used for treatment, which can still lead to some improvement. 2. When symptoms appear, it is important to rest more and reduce activity; local heat application may have some eff...[Read More] Managing Sacroiliac Joint Pain in Ankylosing Spondylitis: Weather Sensitivity Solutions
Overcoming Knee Flexibility Challenges After Meniscus Surgery
Knee flexion area Hello doctor, I have been experiencing the aftereffects of a car accident. It seems that I only discovered a large tear in the medial meniscus of my knee over the past 2-3 years. I underwent surgery at the end of September last year and rested for three months b...
Dr. Chen Bochen Reply:
Hello, Xiao Wei. In addition to the methods you have already used, you can also consider: 1. Surgical intervention under anesthesia 2. Arthroscopic adhesiolysis and tendon-ligament release surgery 3. Manual therapy by a physical therapist combined with self-stretching. Wishing yo...[Read More] Overcoming Knee Flexibility Challenges After Meniscus Surgery
Should My Child See an Orthopedist After a Stair Fall?
Fell down the stairs? My daughter is in the first year of junior high school. A couple of days ago, she went to a friend's house and accidentally slipped on the stairs due to her slippery socks, falling from a height of about two to three steps. I would like to ask the docto...
Dr. Shen Boquan Reply:
Hello, if you have fallen and sustained an injury, the extent of the damage may vary depending on the force of impact and the area affected. The duration of rest needed can also differ. If there is no pain or if the condition gradually improves, that is a good sign. However, if t...[Read More] Should My Child See an Orthopedist After a Stair Fall?
Expert Tips for Finger Flexibility Recovery After Orthopedic Surgery
Regarding #195391 finger issues? Due to occupational requirements, it is necessary to have a normal bending angle of the fingers (not overlapping the middle finger). What recommendations do you have, doctor? Can rehabilitation help return to the original condition, or would it be...
Dr. Wang Shouji Reply:
Hello, limited joint mobility after a finger fracture is a common sequela. Incomplete reduction of a rotationally displaced fracture may cause the finger to deviate, but it is generally not a significant issue. Most patients can adapt through occupational rehabilitation. Removal ...[Read More] Expert Tips for Finger Flexibility Recovery After Orthopedic Surgery
Understanding Inner Knee Swelling: Degeneration or Malignancy?
Swelling on the inner side of both knees? Hello, doctor. My left knee has approximately grade 2 degeneration, while my right knee is around grade 3 to 4. There is a protruding mass on the inner side of both knees; the swelling on the left knee is smaller, and the right knee is la...
Dr. Wang Shouji Reply:
Hello, based on your statement, the likelihood of knee arthritis is higher and has been present for several years, while the chance of a malignant bone tumor is low. If you have any questions, please consult the orthopedic outpatient clinic. Changhua Hospital cares about your hea...[Read More] Understanding Inner Knee Swelling: Degeneration or Malignancy?
Meniscus Injury: Choosing Between Arthroscopy and PRP Treatment Options
Meniscus injury: choosing between arthroscopic surgery or PRP therapy? On March 23, I was involved in a car accident. After undergoing an MRI this week, the doctor diagnosed me with an outer meniscus tear and injuries to the anterior cruciate ligament (ACL) and medial collateral ...
Dr. Chen Yongxue Reply:
1. Is it only during the arthroscopic examination that we can determine whether the meniscus can heal on its own? 2. If the arthroscopic examination indicates that it can heal on its own, will no repair surgery be performed? (Is it just sutured?) If it is merely an examination, ...[Read More] Meniscus Injury: Choosing Between Arthroscopy and PRP Treatment Options
Hyaluronic Acid Injections and Rehab Tips for Osteoarthritis Relief
Hyaluronic acid injection and rehabilitation recommendations for osteoarthritis? Hello Doctor, my mother is nearly 74 years old. In 2015, she received hyaluronic acid injections in her right knee due to osteoarthritis, which improved her condition. She hasn't had any special...
Dr. Shi Guozheng Reply:
1. Arthritis can cause pain. 2. In cases of severe pain, medication treatment should be prioritized. 3. The severity of arthritis needs to be assessed through X-rays. If it is very severe, hyaluronic acid injections are not recommended; if it is mild, medication treatment can...[Read More] Hyaluronic Acid Injections and Rehab Tips for Osteoarthritis Relief
Understanding Pain and Mobility Issues After Absorbable Bone Graft Surgery
Biodegradable bone substitute materials Previously, due to a car accident, I suffered a fracture, and X-rays revealed that there was non-bony tissue in the middle phalanx of the fifth finger. After it was removed, absorbable bone substitute material was used to fill the area. Now...
Dr. Shi Guozheng Reply:
After a fracture surgery, if the fixation is stable, it is important to start rehabilitation as soon as possible to prevent joint immobility. The inability to move the joint may be due to pain or joint stiffness, so early rehabilitation is essential.[Read More] Understanding Pain and Mobility Issues After Absorbable Bone Graft Surgery
Should I Consider Surgery for My Knee Issues? Expert Insights
Is surgery necessary? Dear Dr. Shih, I am 41 years old. 1. Background: About six months ago, after a badminton practice, I first experienced pain on the inner side of my left knee. Two weeks later, my left knee swelled with fluid, and 30 ml was aspirated at that time. I was un...
Dr. Shi Guozheng Reply:
If the meniscus is torn, undergoing arthroscopic surgery can indeed improve the condition, while PRP (platelet-rich plasma) injections may not lead to complete healing.[Read More] Should I Consider Surgery for My Knee Issues? Expert Insights
Understanding the Progression of Osteoarthritis: When to Seek Further Treatment
Degenerative arthritis My degenerative arthritis started in the soles of my feet. Why did it spread to other joints? It has moved to my knee joints, cervical spine joints, temporomandibular joints, and finger joints. I am receiving formal treatment at a large hospital, where the ...
Dr. Shi Guozheng Reply:
If taking the medication improves the symptoms, continue the medication and return for a follow-up appointment after finishing it. If there is a sudden worsening of the condition, seek medical attention promptly.[Read More] Understanding the Progression of Osteoarthritis: When to Seek Further Treatment
Understanding Knee Fractures: Recovery Tips for Community Workers
Knee ligament tear I would like to ask, I fell while climbing stairs half a month ago, causing a horizontal fracture in my left knee while in a kneeling position. An X-ray showed that the bone is fractured; it's a small bone below the knee joint that is cracked. I work as a ...
Dr. Zhan Xian Reply:
Hello, if there is a non-displaced patellar fracture, a knee brace can be worn to prevent displacement. If you have any questions or uncertainties, please visit the orthopedic outpatient clinic.[Read More] Understanding Knee Fractures: Recovery Tips for Community Workers
Understanding Toe Injuries: When to Ice and Seek Further Treatment
Stubbed toe? The patient reported that they stubbed their left little toe against the corner of a bed and immediately felt that the toe was misaligned. They visited an orthopedic clinic for an X-ray, which showed no fractures. However, the physician did not perform a physical exa...
Dr. Shi Guozheng Reply:
A bruise without a fracture only requires rest and ice application. If there is significant pain, a small dose of pain reliever can be taken to alleviate discomfort.[Read More] Understanding Toe Injuries: When to Ice and Seek Further Treatment
Managing Pediatric Distal Radius Fractures: Non-Surgical Options for Healing
Distal radius fracture I would like to consult a doctor about my 5-year-old child. Four weeks ago, he fell while rollerblading and braced himself with his hand, resulting in a distal radius fracture. He has been in a cast for four weeks, and the doctor mentioned that the bone has...
Dr. Li Wenhong Reply:
Hello: If a five-year-old has a fracture at the distal radius, the growth potential in that area is relatively strong. Although there is a 30-degree angulation, there is still a chance for natural growth to correct it. It is recommended to observe first (with a cast for six weeks...[Read More] Managing Pediatric Distal Radius Fractures: Non-Surgical Options for Healing
Understanding Patellar Dislocation Recovery: Tips for Knee Rehabilitation
Patellar dislocation Hello Doctor, I have a question for you. I went to the emergency room half a month ago due to a patellar dislocation. After my follow-up appointment yesterday, the doctor said I could remove the cast. However, when I tried to bend my knee, I couldn't do ...
Dr. Shi Guozheng Reply:
Soft tissue healing takes about six weeks, so you can gradually start bending it around that time.[Read More] Understanding Patellar Dislocation Recovery: Tips for Knee Rehabilitation