Effective Treatment Options for Plantar Fasciitis in Older Adults
Plantar fasciitis What treatment options are available for elderly patients, and is it possible for them to fully recover? Should pain relief injections be administered?
Dr. Chen Xingyuan reply Orthopedics
Dear Readers, The occurrence of plantar fasciitis is related to age, physical condition, and usage patterns, making it difficult to completely cure. Since age and physical condition cannot be changed, we can only focus on careful usage to reduce the chances and intensity of its ...[Read More] Effective Treatment Options for Plantar Fasciitis in Older Adults
Understanding Crush Fractures of the Ring Finger: Recovery and Concerns
Crush fracture of the ring finger? Hello Doctor: I have a comminuted fracture in the second phalanx of my ring finger. The attending physician said that the upper half of the joint is fine, but the lower half is broken into three pieces. They performed surgery and inserted two st...
Dr. Chen Xingyuan reply Orthopedics
Dear Reader, Using steel pins for the fixation of finger fractures is a common and widely accepted surgical method. Its advantages include less tissue disruption and easier removal of the pins. However, its fixation strength is relatively weak, and appropriate protection is nece...[Read More] Understanding Crush Fractures of the Ring Finger: Recovery and Concerns
Understanding L2 Compression Fractures: Recovery and Management Tips
Compression fracture of the second lumbar vertebra? Hello Dr. Chen, I slipped and fell while walking to work in early November. I had an X-ray taken in the emergency room, but the doctor diagnosed me with a lumbar contusion. Later, during a follow-up visit, the outpatient doctor...
Dr. Chen Xingyuan reply Orthopedics
Dear Readers: Lumbar compression fractures will definitely cause back pain, with the most discomfort typically occurring in the first week after the fracture. Symptoms should gradually improve thereafter. Important considerations after a lumbar compression fracture include: 1. Av...[Read More] Understanding L2 Compression Fractures: Recovery and Management Tips
Understanding Antibiotic Efficacy and Surgical Infections in Orthopedics
Antibiotic Efficacy and Surgical Infections I would like to consult a physician: 1. If normal flora enters the bloodstream and causes an infection, is this considered bacteremia? 2. Blood test results show Coagulase-negative Staphylococcus with inflammatory markers: WBC 13.5, ESR...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: There are many types of bacteria that can cause chronic osteomyelitis, and the specific bacterial infection primarily depends on the results of bacterial cultures. Administering antibiotic treatment based on the cultured bacteria can achieve the best therapeutic out...[Read More] Understanding Antibiotic Efficacy and Surgical Infections in Orthopedics
Understanding Left Rib Pain After a Baseball Injury: When to See a Doctor
Left rib cage? Hello! Today while playing baseball, I was hit in the lower left side of my chest by a strong ground ball that bounced irregularly. There are no visible injuries on the skin, and there is no redness or bruising. However, I experience pain in the impacted area when ...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: This is primarily a chest wall contusion, but severe external force could also potentially cause rib fractures or even lung injuries. If there is no improvement after rest or if you experience difficulty breathing, it is essential to seek medical attention at a hosp...[Read More] Understanding Left Rib Pain After a Baseball Injury: When to See a Doctor
Understanding Hip Joint Pain: When to See an Orthopedic Specialist
Hip joint pain Recently, when I wake up in the morning and try to turn over, I experience significant pain in the left hip joint area that prevents me from turning over. However, after a few minutes, the pain subsides, and I do not experience pain while walking. Which specialist ...
Dr. Chen Xingyuan reply Orthopedics
Dear User: I recommend that you visit an orthopedic clinic for an examination to determine the cause of your condition. Wishing you health and safety! Sincerely, Dr. Chen[Read More] Understanding Hip Joint Pain: When to See an Orthopedic Specialist
Understanding Wrist Ligament Injuries: Diagnosis, Treatment, and Risks
Wrist ligament tear Hello, how can I determine if there is an injury to the wrist ligaments, and what tests should I undergo? What is the difference between a complete ligament tear and a partial tear? What are the different treatment options? If surgery is not performed, what po...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizens, Wrist ligament injuries are very common in the wrist area, but making an accurate diagnosis clinically can be quite challenging. This is due to the complex structure of wrist ligaments, which consist of many ligaments of various sizes. Among wrist ligament injurie...[Read More] Understanding Wrist Ligament Injuries: Diagnosis, Treatment, and Risks
Side Effects of Bone Strengthening Injections: Should You Continue?
What are the side effects of receiving a bone-strengthening injection? Hello, doctor: I received a bone-strengthening injection last year, but I didn't notice any improvement. Instead, I've been experiencing frequent bone pain, lower back pain, nausea, and headaches, an...
Dr. Chen Xingyuan reply Orthopedics
Dear Online Friends, Every medication has its indications and side effects. The Bone Strength injection is primarily used for the treatment of osteoporosis, aimed at reducing bone loss and consequently lowering the incidence of fractures. Acute phase reactions following Bone Str...[Read More] Side Effects of Bone Strengthening Injections: Should You Continue?
Understanding Non-Union Fractures: Definition and Implications
The term "non-union fracture" refers to a type of bone fracture that has not healed properly, resulting in the bone ends not connecting or fusing together as expected? What is the definition of "nonunion fracture"? A fracture that has not healed and still show...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: A fracture refers to the discontinuity of a bone. If, after a period of time following the fracture, there is no significant callus formation or if the gap between the fracture ends increases (indicating bone resorption), it may result in nonunion or malunion of the...[Read More] Understanding Non-Union Fractures: Definition and Implications
Understanding Post-Accident Knee Swelling: Causes and Treatment Options
Knee contusion after a car accident with swelling and pain during the healing process? I had a car accident on February 2nd, during which I sustained abrasions on my knee. After an X-ray at the orthopedic clinic, the doctor confirmed that there were no fractures or breaks in the ...
Dr. Chen Xingyuan reply Orthopedics
Dear User: The course of your condition resembles Prepatellar Bursitis, but it is important to first determine the possibility of infection. Bursae can become inflamed or infected due to overuse or injury. Injuries may result from direct impact or chronic irritation, such as exce...[Read More] Understanding Post-Accident Knee Swelling: Causes and Treatment Options
Understanding Orthopedic Injuries: When to Seek Medical Attention
Orthopedic Medical Knowledge Director Chen: Hello! I have the following medical question: I am a 62-year-old retired woman. Last year, during the summer, I fell off my bicycle, landing on my right side and pressing against the bike. After returning home, I noticed a bruise near m...
Dr. Chen Xingyuan reply Orthopedics
Dear Ms. Chang, The fall and subsequent injury are merely the initial causes. After the injury, it may gradually lead to a herniated disc that compresses the nerves, or it may exacerbate the narrowing of the spinal canal due to degeneration, further compressing the nerves and ca...[Read More] Understanding Orthopedic Injuries: When to Seek Medical Attention
Managing Hand Injuries from Dough Machine: Symptoms and Treatment
The palm was injured by a dough press? I accidentally got my hand caught in a dough sheeter, causing my entire palm to be pulled into the rollers. Despite my efforts to pull my hand out, it was firmly trapped until I turned off the power. It has been a month since the incident. A...
Dr. Chen Xingyuan reply Orthopedics
Dear Mr. Jiang, After a crush injury to the hand, the tissues in the hand may swell and become painful. In addition to medication, it is crucial to undergo proper rehabilitation therapy to prevent stiffness in the hand tissues or joints. I recommend that you promptly visit the r...[Read More] Managing Hand Injuries from Dough Machine: Symptoms and Treatment
Understanding Swelling and Pain in Finger Joints: Possible Causes
My palm feels a bit strange? Hello doctor, about a week ago, the metacarpophalangeal joints of my left hand's index and middle fingers became swollen and slightly painful when pressed. This week, the swollen area has hardened, and the pain when pressed has decreased. There i...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: It is possible that you have tenosynovitis, but a definitive diagnosis still requires a physical examination for confirmation. Tenosynovitis is often related to overuse of the hand, and in more severe cases, it may progress to trigger finger. Wishing you health and ...[Read More] Understanding Swelling and Pain in Finger Joints: Possible Causes
Understanding Clavicle and Rib Fractures: Diagnosis, Treatment, and Recovery
Diagnosis: Fractured ribs and locked joint? Hello, Doctor. I would like to ask you a few questions. In a diagnosis report, it states "right clavicle fracture, right 3rd to 7th rib fractures." 1. If the patient claims to have a comminuted fracture of the right clavicle...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen, 1. Fractures can be classified as simple or comminuted fractures, closed or open fractures, transverse or oblique fractures, and displaced or non-displaced fractures. If it is only a minor comminuted fracture that does not significantly affect future recovery, it m...[Read More] Understanding Clavicle and Rib Fractures: Diagnosis, Treatment, and Recovery
Understanding Knee Weakness After an Injury: When to Seek Further Evaluation
Knee weakness Hello Doctor: I was in a car accident on September 28 of this year, and my left knee directly hit the ground and scraped against it. The pain was so intense that I couldn't stand up. After returning home and examining the injury, I noticed that my left knee was...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: The X-ray examination is primarily used to determine if there are any fractures or dislocations. Some injuries, such as damage to the articular cartilage, ligaments, or meniscus, may not be visible on X-rays. After an injury, it is common to experience swelling, pai...[Read More] Understanding Knee Weakness After an Injury: When to Seek Further Evaluation
Cost of Comprehensive Full-Body Skeletal Examination: What to Expect
Comprehensive skeletal examination? Hello, Director: I would like to inquire about the cost of a complete and detailed full-body skeletal examination. Thank you for your response!
Dr. Chen Xingyuan reply Orthopedics
Dear Online Friends: There are many examinations related to the bones, such as X-rays, computed tomography (CT), magnetic resonance imaging (MRI), bone density tests, bone scans, and blood tests. Not all of these tests need to be performed to be considered thorough. The appropria...[Read More] Cost of Comprehensive Full-Body Skeletal Examination: What to Expect
Can Calcium Intake Cause a Hump Nose After Nasal Fracture?
Nasal bone fracture I sustained a nasal bone fracture while playing basketball. If I continue to consume soy milk, cow's milk, yogurt, and calcium supplements, will this lead to bone overgrowth and the development of a hump on my nose? Thank you, doctor.
Dr. Chen Xingyuan reply Orthopedics
Nasal bone fractures fall under the scope of plastic surgery, and it is advisable to consult a plastic surgeon. Wishing you peace and health! Sincerely, Dr. Chen.[Read More] Can Calcium Intake Cause a Hump Nose After Nasal Fracture?
Understanding Swollen and Painful Wrist Joints in Elderly Patients
Swelling and pain in the wrist joint? Dear Dr. Chen, I apologize for bothering you. I would like to consult you through the Taiwan e-Hospital regarding a medical issue. The situation is as follows: My grandmother is 85 years old and has been suffering from a long-standing hand i...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: Based on your description, your grandmother may have an old fracture that has healed improperly, and due to her age, she may also be experiencing degeneration and arthritis. These issues can lead to swelling and pain in the joints or tendons, making it difficult for...[Read More] Understanding Swollen and Painful Wrist Joints in Elderly Patients
Managing Osteoporosis and Fractures in Elderly Patients: A Guide
Fractures and Osteoporosis My mother, who is 85 years old, suffered a fall and underwent surgery for a fracture near her thigh. After examination, she was diagnosed with osteoporosis. Currently, she has weakness in her legs and is unable to walk or get up on her own. She has been...
Dr. Chen Xingyuan reply Orthopedics
Dear User: Calcium and Fosamax are primarily used to treat osteoporosis to prevent further fractures. If there are no specific issues such as medication side effects or worsening kidney function, it is currently recommended to take it for five years and then check bone mineral de...[Read More] Managing Osteoporosis and Fractures in Elderly Patients: A Guide
Clavicle Fracture Surgery: Insurance Coverage vs. Out-of-Pocket Costs
Clavicle fracture surgical materials. Covered by health insurance or out-of-pocket expenses? Hello, doctor: I have a fracture in the middle of my clavicle. The doctor believes surgery is necessary and has provided two options. If I use insurance, I will need to have the hardware ...
Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: Most of the medical devices covered by health insurance are sufficient for use, unless there are some more specific fractures that require special out-of-pocket medical devices to reduce surgical complications. Although new out-of-pocket medical devices may have new...[Read More] Clavicle Fracture Surgery: Insurance Coverage vs. Out-of-Pocket Costs