Do You Need Osteoporosis Injections for a -2.7 Bone Density?
The health check revealed osteoporosis; do I need to receive the so-called osteoporosis injection? Hello Doctor: My health check report indicates that my bone density is -2.7. Do I need to receive osteoporosis injections or take medication? Or how should I take care of my bone he...
Dr. Chen Bochen Reply:
Hello: The current definition of osteoporosis, with a T-score of less than or equal to -2.5, applies specifically to postmenopausal women and elderly men. Therefore, strictly speaking, you do not have osteoporosis, and it is not recommended to start injections or medications at t...[Read More] Do You Need Osteoporosis Injections for a -2.7 Bone Density?
Understanding Clavicle Fracture Recovery: Symptoms and Concerns
Comminuted clavicle fracture Hello Doctor, I was in a car accident on May 7th and suffered a comminuted fracture of my left clavicle. After undergoing surgery, I was discharged for recovery. About a month later, while lying down and adjusting my position, I heard two "click&...
Dr. Shi Guozheng Reply:
The situation you described may require a visit to the hospital for an X-ray to confirm whether there is a fracture and if it is displaced. After surgery for a fracture, it is important to take precautions, as it typically takes two to three months for the bone to heal properly.[Read More] Understanding Clavicle Fracture Recovery: Symptoms and Concerns
Understanding Growth Plate Injuries in Young Athletes: Risks and Treatments
Growth plate injury Hello Dr. Lee, Today I took my 13-year-old son for a knee examination due to recurring pain for the past two to three months. The X-ray revealed some bone growth on the growth plate of his right knee, which is quite noticeable to the touch. Since my son loves...
Dr. Li Wenhong Reply:
Hello Mr. Li: The bony prominence you are feeling is likely the tibial tuberosity. In adolescents aged 13 to 15, excessive physical activity can lead to prominence and pain in this area, but it typically does not hurt when not engaging in strenuous activities. Therefore, it is im...[Read More] Understanding Growth Plate Injuries in Young Athletes: Risks and Treatments
Can I Still Grow Taller at 13? Understanding Growth Potential
Will it grow back? I am currently in the first year of junior high school and I am 152 cm tall. I usually go to bed between 11 PM and 1 AM. I have a good appetite and I would like to know if I can still grow taller.
Dr. Shi Guozheng Reply:
It is possible to grow a little taller if the growth plates in the bones have not yet closed. An individual's height is highly correlated with the height of their parents, indicating that genetic factors determine the height of offspring.[Read More] Can I Still Grow Taller at 13? Understanding Growth Potential
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:
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 Joint and Cartilage Development: Key Growth Milestones
Issues related to height development? Hello, Doctor. Thank you very much for taking the time to answer my questions despite your busy schedule. I have two questions to ask you: 1. At what age do the joints and cartilage in a normal person typically reach maturity and stop growi...
Dr. Xie Hongjia Reply:
Ms. Cindy: Hello, the thickness of the cartilage is not significant, being less than 0.5 cm, which has a minimal impact on height and can be considered negligible. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Joint and Cartilage Development: Key Growth Milestones
Post-Fracture Follow-Up Concerns for Leg Injury Recovery
Follow-up concerns after recovery from a comminuted fracture of the lower leg? Hello, Dr. Shih. In August 2018, I accidentally had a car accident that resulted in a comminuted fracture of my left calf. I underwent surgery at Taipei Veterans General Hospital, where a 22 cm titaniu...
Dr. Shi Guozheng Reply:
1. Not returning for a follow-up appointment on time is not a major concern for the moment. 2. If there are metal objects in the body, it is advisable to take some antibiotics as a precaution before seeing a dentist. 3. There are no contraindications for the medication.[Read More] Post-Fracture Follow-Up Concerns for Leg Injury Recovery
Understanding Bone Growth Below the Inner Ankle: Causes and Solutions
A bony prominence beneath the medial malleolus? Both of my feet have a bony prominence below the inner ankle, with the right side being slightly larger. Two years ago, my right foot underwent eversion, and the doctor at that time mentioned it was due to bone impingement, but no s...
Dr. Chen Yongxue Reply:
Hello, based on your letter, it is possible that you have a condition related to flatfoot affecting the navicular bone. You may want to consult an orthopedic clinic for further evaluation. Thank you.[Read More] Understanding Bone Growth Below the Inner Ankle: Causes and Solutions
Can a Deformed Toe Joint Be Corrected After a Fracture?
Toe fracture Hello, doctor. The second joint of my second toe has a gap and is misaligned. However, I did not seek medical attention immediately and only had an X-ray taken after a month. At that time, the orthopedic doctor advised me not to move it and to let the bone heal on it...
Dr. Shi Guozheng Reply:
Toe fractures typically heal within two months. If there is no pain, surgical treatment is not necessary. Surgical intervention may not restore the toe to its original condition prior to the fracture.[Read More] Can a Deformed Toe Joint Be Corrected After a Fracture?
Understanding Bone Spurs on the Little Toe: Causes and Treatment Options
Bunionette (Tailor's bunion) In recent months, I have experienced pain in the bone about 1 cm below the outer side of my little toe whenever I wear shoes and walk. I have tried wide-toed shoes, but the pain persists, causing significant discomfort. I visited a clinic for an ...
Dr. Shi Guozheng Reply:
1. Degeneration of bones and joints may lead to hyperplasia. 2. Reduce pressure on the affected area by minimizing walking and standing. 3. Decrease stimulation; if there is pain, rest is necessary. 4. If the pain has lessened, walking or brisk walking can be resumed.[Read More] Understanding Bone Spurs on the Little Toe: Causes and Treatment Options
Experiencing Foreign Body Sensation After Bone Pin Surgery: When to Seek Help?
Nail problems I have a fractured left little toe with a pin inserted, and recently I've been experiencing an unusual foreign body sensation. Should I schedule a follow-up appointment?
Dr. Wang Jiacheng Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Experiencing Foreign Body Sensation After Bone Pin Surgery: When to Seek Help?
Understanding Fifth Metatarsal Fractures: Treatment Options and Recovery
Fifth metatarsal fracture On December 26, 2019, I sustained a fifth metatarsal fracture. The original doctor opted for conservative treatment with a cast, but the recovery was not as expected. Below is the X-ray taken during a follow-up visit on May 20, 2020. The current doctor h...
Dr. Chen Yongxue Reply:
Hello, a fifth metatarsal fracture usually does not require surgery, but your fracture is healing slowly, which may be due to inadequate stabilization in the early stages of the injury. If you are currently walking without symptoms, you can continue with conservative treatment an...[Read More] Understanding Fifth Metatarsal Fractures: Treatment Options and Recovery
Post-Operative Concerns After Distal Radius Fracture Surgery
Postoperative Issues Following Distal Radius Fracture Surgery Hello, Doctor. I underwent a remote distal radius fracture surgery on May 9th (initially a comminuted fracture) using self-funded plates and screws along with artificial bone. I had follow-up X-ray examinations on May ...
Dr. Shi Guozheng Reply:
If the fracture in this area is properly reduced and well stabilized through surgery, rehabilitation exercises can begin. These may include flexion and extension of the fingers, as well as dorsal and palmar flexion of the wrist, following the principle of not causing excessive pa...[Read More] Post-Operative Concerns After Distal Radius Fracture Surgery
Managing Avascular Necrosis: Exercise, Hip Replacement Success, and Pain Relief
Issues related to ischemic necrosis of the hip joint and postoperative outcomes of secondary or tertiary hip arthroplasty? 1. Due to previously being ill and taking a large amount of corticosteroids, I am now suffering from avascular necrosis (stage II to III, with slight collaps...
Dr. Shi Guozheng Reply:
1. You can choose low-impact exercises, such as swimming. 2. Current technology allows for the use of better materials, which may last around 30 years; however, the survival rate for subsequent replacements decreases to about 85%. 3. Typically, patients will almost return to ...[Read More] Managing Avascular Necrosis: Exercise, Hip Replacement Success, and Pain Relief
Understanding Coccyx Dislocation: Treatment Options and Risks
Coccygeal displacement Dear Doctor, I was in a car accident on May 13, 2020, and since then, I have been experiencing pain in my coccyx. On May 19, 2020, I returned to my original hospital for an X-ray, and the doctor informed me that my coccyx was slightly displaced and that s...
Dr. Shi Guozheng Reply:
It is not possible to realign the bone using only the attachments, and there is no necessity for that. Typically, surgery is not required; the family's statement seems to be incorrect. Since the injury is only two weeks old, some pain is expected. Conservative treatment will...[Read More] Understanding Coccyx Dislocation: Treatment Options and Risks
Post-Fracture Surgery: Recovery Questions and Bone Healing Insights
Post-fracture surgery Hello Doctor: I was in a car accident in October 2019, resulting in a fracture of the ulna, dislocation of the distal radioulnar joint, and associated injury to the interosseous nerve. After surgery to install a plate, the ulna did not heal for six months, s...
Dr. You Dianqi Reply:
Hello: It seems that your condition is quite complex. The following responses are based solely on your written information and are intended to provide you with some general advice. Since medical conditions are highly individual, I must honestly state that my answers are for refer...[Read More] Post-Fracture Surgery: Recovery Questions and Bone Healing Insights
Can Surgery Restore Dislocated Radius After Delayed Treatment?
Radial bone issues Hello, doctor! I would like to ask about a radial head dislocation. Previously, an X-ray did not reveal it, and timely treatment was not administered, resulting in the radial head remaining dislocated but fixed in place. I am experiencing symptoms such as soren...
Dr. Ye Qingnian Reply:
Dear Mr. Jie: Based on your description, it is difficult to assess the current displacement status. I recommend that you return to the outpatient clinic to discuss with your attending physician the differences and necessity of medication versus surgical treatment, as well as your...[Read More] Can Surgery Restore Dislocated Radius After Delayed Treatment?
Understanding Finger Fractures: Treatment Options for Your Injured Pinky
The car accident resulted in a fracture of the right little finger? On April 21, I was involved in a collision while riding my scooter with a car. I sustained an injury and swelling to my right pinky finger. At that time, I had an X-ray taken, and the doctor said the bones were f...
Dr. Wang Shouji Reply:
Hello, fractures have a specific healing time. If a fracture is unstable, doctors often recommend surgery or splint fixation. After about a month of slight healing, rehabilitation exercises will begin. It typically takes at least three months for a fracture to heal. Changhua Hosp...[Read More] Understanding Finger Fractures: Treatment Options for Your Injured Pinky
Recovery Challenges After Car Accident: Managing Multiple Bone Injuries
Car accident resulting in a comminuted clavicle fracture, multiple rib fractures, and posterior spinal scoliosis? Dear Dr. Wang, Hello. 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 fract...
Dr. Wang Shouji Reply:
Hello, it is possible for elderly patients with osteoporosis to require assistance for three to six months after multiple fractures. The scoliosis should not be attributed to this injury; rather, if the patient is elderly and has been engaged in weight-bearing work, degeneration ...[Read More] Recovery Challenges After Car Accident: Managing Multiple Bone Injuries
Is Elevated Temperature Normal After Bone Surgery Recovery?
After wound healing, the temperature at the surgical site is elevated? At the end of March, I suffered a distal tibial fracture in my left lower leg due to a car accident. I underwent intramedullary nailing surgery, and it has been about 40 days since the procedure. The wound had...
Dr. Li Wenhong Reply:
Hello: During the healing process, increased local blood flow is normal, resulting in higher local temperatures. Please discuss the details with your attending physician during your follow-up visit. If you experience a systemic fever along with noticeable redness, swelling, heat,...[Read More] Is Elevated Temperature Normal After Bone Surgery Recovery?