Understanding Bone Density: Insights on Heel Ultrasound Results and Nutrition
Heel bone density check: -1.3 Hello Doctor: Recently, during a health check-up, my heel bone density was measured at -1.3. I came across various responses stating that bones are at their strongest around the age of 35, which startled me a bit. I would like to ask: 1. I usually dr...
Dr. Cai Shanglin reply Orthopedics
It is unclear whether your -1.3 refers to a Z-score or a T-score. Regarding calcium, if dietary supplementation is challenging, you can directly take calcium supplements. In terms of exercise, focus primarily on weight-bearing activities. Ultrasound diagnostics are mainly used fo...[Read More] Understanding Bone Density: Insights on Heel Ultrasound Results and Nutrition
Understanding Lower Spine and Right Lower Back Pain: Causes and Solutions
Lower spine and right lower back pain? In the past, if I kept my back straight, my lower spine would hurt. Pressing down on my spine also causes pain. Recently, I started doing some stretching, including lying on my stomach and lifting my head back. This movement causes significa...
Dr. Cai Shanglin reply Orthopedics
Online diagnosis is not possible; it is recommended to visit a hospital or clinic for a physical examination and X-ray. It is advisable to consult an orthopedic specialist.[Read More] Understanding Lower Spine and Right Lower Back Pain: Causes and Solutions
Understanding Recurrent Meniscus Tears: Causes and Treatment Options
Repeated meniscal tears? Hello, doctor. I am 32 years old and have undergone five surgeries on my left knee, including two for ligament repair and five for meniscus tears. All meniscus treatments have involved suturing rather than removal, and each tear has occurred in different ...
Dr. Cai Shanglin reply Orthopedics
I haven't heard of this saying; the meniscus itself has a certain level of difficulty in healing due to the lack of blood supply.[Read More] Understanding Recurrent Meniscus Tears: Causes and Treatment Options
Recovery Insights for Severe Clavicle and Rib Fractures After an Accident
Clavicle fracture with multiple rib fractures and posterior scoliosis? Hello Dr. Tsai: My family member was involved in a car accident and fell to the ground, resulting in a comminuted fracture of the left clavicle and three broken ribs on the left side (the hospital did not pe...
Dr. Cai Shanglin reply Orthopedics
1. It is quite common for multiple fractures to require three months of rest. 2. The fastest recovery time is six months, while the longest may not result in full recovery. 3. It is difficult to determine; please consult the treating physician during your follow-up appointmen...[Read More] Recovery Insights for Severe Clavicle and Rib Fractures After an Accident
Understanding Vitamin D Needs and Bone Health Risks for Indoor Lifestyle
Dual-energy X-ray absorptiometry (DEXA) T-score 1.8, Z-score -1.4; bilateral femoral T-score -2.2, Z-score -2.0, all indicating the worst results? I stay indoors from 10:00 AM to 4:00 PM to avoid sun exposure, although the indoor lighting is decent and I still get some UV exposur...
Dr. Cai Shanglin reply Orthopedics
1. 800 IU. 2. It's unlikely, but it's recommended to rule out the possibility of secondary osteoporosis (suggested to visit an osteoporosis clinic).[Read More] Understanding Vitamin D Needs and Bone Health Risks for Indoor Lifestyle
Understanding Osteoporosis Treatment Options for Young Diabetic Patients
The lowest T-score for bone mineral density in the spine is -1.8, while the lowest T-score for both femurs is -2.2? Dual-energy X-ray absorptiometry (DEXA) bone density examination shows a worst T-score of -1.8 for the spine and -2.2 for both femurs. This examination was conducte...
Dr. Cai Shanglin reply Orthopedics
1. Based on your age, DXA should be assessed using Z-scores. Additionally, the National Health Insurance provides coverage for osteoporosis medications under specific conditions (such as fractures in certain sites combined with osteoporosis). 2. I am not aware of your Z-score. 3....[Read More] Understanding Osteoporosis Treatment Options for Young Diabetic Patients
Understanding Post-Surgery Complications: Broken Screws in Spinal Fusion
Postoperative screw fracture after spinal spondylolisthesis surgery? Hello, doctor. I previously underwent surgery for spondylolisthesis, during which four steel screws were inserted for stabilization. Post-surgery, everything seemed normal until six months later when an X-ray re...
Dr. Cai Shanglin reply Orthopedics
1. No matter how strong the bone screws are, they will eventually break if the bone does not heal. 2. Whether it helps or not depends on the severity of your symptoms; if the symptoms are unbearable, a second surgery may be necessary. 3. The term "not touching nearby ner...[Read More] Understanding Post-Surgery Complications: Broken Screws in Spinal Fusion
Understanding Left Knee Pain: Causes and Treatment Options
There is some pain in the left knee, accompanied by a feeling of it being locked? Hello doctor, about ten years ago, I sustained a bruise on my left knee from a car accident, but examinations showed no abnormalities. After the wound healed, I occasionally felt coldness in my left...
Dr. Cai Shanglin reply Orthopedics
It is recommended to undergo an ultrasound examination at a hospital or clinic.[Read More] Understanding Left Knee Pain: Causes and Treatment Options
Understanding Recovery Issues After a Leg Injury from Heavy Object
Recovery issues from crush injuries? Hello, doctor. Two years ago, I sustained a contusion on the front side of my lower leg from a heavy object. I had an X-ray taken, and the bones were fine. However, the injured area still has slight swelling, and it feels like there is a layer...
Dr. Cai Shanglin reply Orthopedics
It is recommended to consult a rehabilitation specialist, as there may be soft tissue damage and fibrosis. Physical therapy could be beneficial.[Read More] Understanding Recovery Issues After a Leg Injury from Heavy Object
Understanding Ankle Sprains: Recovery, Treatment, and Recurrence
Ankle sprain In February of this year, I sprained the inner side of my ankle. At that time, I had an X-ray taken, which showed no fractures. The doctor only prescribed a topical analgesic ointment. Later, I also consulted a traditional Chinese medicine practitioner and took herba...
Dr. Cai Shanglin reply Orthopedics
It is recommended to visit an orthopedic outpatient clinic for treatment.[Read More] Understanding Ankle Sprains: Recovery, Treatment, and Recurrence
Effective Treatment Options for Compression Fractures and Osteoporosis in Seniors
What are the treatment options for lumbar vertebral fractures? Doctor: My father is 92 years old. A CT scan on October 8, 2023, revealed compression fractures of the thoracolumbar spine due to osteoporotic changes at T11 and T12, as well as severe lumbar scoliosis. What are the t...
Dr. Cai Shanglin reply Orthopedics
Currently, for compression fractures, minimally invasive vertebroplasty can be selected. As for osteoporosis, it is necessary to first check bone mineral density before proceeding with further treatment.[Read More] Effective Treatment Options for Compression Fractures and Osteoporosis in Seniors
Post-Surgery Infection in Knee Replacement: Understanding Antibiotic Options and Treatment Challenges
Postoperative Infection after Total Knee Arthroplasty My father has undergone three total knee replacements and two debridement surgeries on his left knee. I have some concerns and would like to seek clarification from the physician. 1. Do antibiotic prescriptions for Staphyloc...
Dr. Cai Shanglin reply Orthopedics
1. Different hospitals have varying medication protocols; it is advisable to choose a trusted institution for treatment. 2. Infections in artificial joints sometimes do not yield detectable bacteria; at this stage, treatment options include antibiotics and further debridement. ...[Read More] Post-Surgery Infection in Knee Replacement: Understanding Antibiotic Options and Treatment Challenges
Understanding Baker's Cyst: Symptoms, Treatment, and Concerns Explained
Baker's cyst During the ultrasound, the doctor mentioned that there was blood inside. At that moment, I didn't think much of it, but later I wondered what that meant. 1. Will this affect the aspiration procedure? 2. It seems that if the mass is too small, aspiration ...
Dr. Cai Shanglin reply Orthopedics
The primary cause of a Baker's cyst is related to inflammation and injury of the knee joint. Inflammatory fluid accumulates, continuously increasing and forcing joint fluid into the cyst, leading to joint swelling and difficulty in bending. On ultrasound, a common finding is...[Read More] Understanding Baker's Cyst: Symptoms, Treatment, and Concerns Explained
Should You Be Concerned About a Bump on Your Clavicle?
Clavicular bone prominence Hello, doctor. I have a bony protrusion at the junction of my clavicle and sternum on one side. It feels like a round bone with a diameter of about one centimeter. Should I get this checked?
Dr. Cai Shanglin reply Orthopedics
Clavicle area: If there are any concerns, it is recommended to consult an orthopedic physician for examination.[Read More] Should You Be Concerned About a Bump on Your Clavicle?
Understanding Bilateral Hip Dysplasia: Surgery, Pregnancy, and Exercise Tips
Bilateral hip joint dysplasia Hello, I am currently 33 years old and I have bilateral hip dysplasia, which is currently in a subluxated state. I would like to know if surgery will affect my future ability to conceive. My doctor did not provide a solution, and a few years ago, whe...
Dr. Cai Shanglin reply Orthopedics
Hip joint section: If there are currently no difficulties in daily activities, it may not be necessary to undergo joint replacement (this is determined by X-rays and symptoms). As for the relationship between surgery and pregnancy, there should be no significant concerns.[Read More] Understanding Bilateral Hip Dysplasia: Surgery, Pregnancy, and Exercise Tips
Concerns About Exposed Screws in Foot Fracture Recovery
The exposed steel nail is becoming more embedded? Due to a fracture in the foot, the doctor fixed three exposed pins in the sole. While walking, I accidentally stepped on something, causing the exposed pins to penetrate further into the tissue, but there is no pain. Doctor, will ...
Dr. Cai Shanglin reply Orthopedics
It is recommended to return for a follow-up appointment for the most accurate X-ray results.[Read More] Concerns About Exposed Screws in Foot Fracture Recovery
Should You Be Concerned About a Bruised Rib After a Sports Injury?
Hit in the chest while playing ball? Your son has been experiencing swelling in the left rib area for a week after getting hit in the chest while playing basketball, but he does not have any pain. Is any treatment necessary?
Dr. Cai Shanglin reply Orthopedics
It is recommended to return for a follow-up appointment for the most accurate X-ray results.[Read More] Should You Be Concerned About a Bruised Rib After a Sports Injury?
Understanding Hip Joint Pain After a Motorcycle Accident
Hip joint issues after a car accident? Hello doctor, I had a minor accident in mid-June last year. I was riding my scooter when suddenly another scooter came out in front of me. I couldn't brake in time and collided with it, then fell to the right. At that moment, my right k...
Dr. Cai Shanglin reply Orthopedics
If pain develops some time after a car accident, it can be inferred that there may not be any significant bone issues. It is advisable to seek an initial assessment at a rehabilitation clinic and consider receiving medication or physical therapy.[Read More] Understanding Hip Joint Pain After a Motorcycle Accident
Understanding Ligament Injuries: Insights on MRI Reports and Treatment Options
Regarding ligament injury issues (and MRI report) Hello, I am inquiring about the case of student Lin regarding ligament damage. If it is indeed a ligament injury (as I seem to have misremembered; the doctor mentioned ligaments rather than tendons), is PRP therapy still not recom...
Dr. Cai Shanglin reply Orthopedics
According to the MRI report, it states that most of the major tendons and ligaments are intact, but some lesions require contrast agents to be visualized.[Read More] Understanding Ligament Injuries: Insights on MRI Reports and Treatment Options
Is Regenerative Therapy Effective for Partial Ligament Tears After a Year?
Is self-funded regenerative therapy effective for partial ligament tears one year after the injury? Hello Doctor, my thumb was injured at the end of November last year while playing tennis when I tried to save a ball, causing it to bend backward. It was extremely painful at the t...
Dr. Cai Shanglin reply Orthopedics
If the diagnosis is a tendon rupture, early surgical treatment should be undertaken, and prolotherapy is not recommended.[Read More] Is Regenerative Therapy Effective for Partial Ligament Tears After a Year?