Should You Consider Minimally Invasive Surgery for Shoulder Adhesions?
Is minimally invasive surgery necessary for shoulder muscle adhesion? Six months ago, I had an accident abroad where I fell in the bathroom and landed on my right hand. Since then, I have been experiencing severe pain in my right shoulder and arm. Two months after the fall, the p...
Dr. Shi Guozheng Reply:
Surgery is usually not necessary for your symptoms, which may be adhesive capsulitis of the shoulder joint. Treatment options include physical therapy or corticosteroid injections into the joint. Recovery typically takes about six months to a year. Clinical reports also indicate ...[Read More] Should You Consider Minimally Invasive Surgery for Shoulder Adhesions?
Dealing with Triangular Fibrocartilage Complex Injury: Pain and Treatment Options
Triangular fibrocartilage displacement Hello, doctor. Last year during the New Year, I injured my wrist while moving things, and I couldn't even rotate it without pain. Over the past year and a half, I've visited four different clinics and continuously underwent rehabil...
Dr. Chen Yongxue Reply:
Is the diagnosis of triangular fibrocartilage complex (TFCC) displacement a definitive diagnosis by the physician? It seems to not align well with your complaints. If possible, please consult a hand surgery specialist. Thank you.[Read More] Dealing with Triangular Fibrocartilage Complex Injury: Pain and Treatment Options
Understanding Growth Plate Closure and Cartilage Development in Orthopedics
Developmental issues Hello, Doctor. Thank you for your patience. I have a few questions to ask you. The first question is: If the growth plates of the bones have closed, can we also conclude that the cartilage between the joints (such as the cartilage in the knee and spine) wil...
Dr. Wang Shouji Reply:
Hello, cartilage is an elastic structure that does not have a significant impact on height; the length of the bones is the primary factor affecting height. The thickest part of the articular cartilage is less than 0.5 cm, which has little effect on height. Changhua Hospital cares...[Read More] Understanding Growth Plate Closure and Cartilage Development in Orthopedics
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:
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 Unexplained Limb Pain: Possible Causes and Concerns
Unexplained pain in the limbs? Five days ago, I started experiencing unexplained pain in the bones of my hands and feet, including the palms and backs of my hands and feet. The pain feels similar to a tightness sensation. Other joints also experience pain, and sometimes when I mo...
Dr. Shi Guozheng Reply:
It could be due to overuse if there are symptoms of redness, swelling, heat, and pain. This may indicate rheumatism or arthritis, so it would be advisable to consult a physician.[Read More] Understanding Unexplained Limb Pain: Possible Causes and Concerns
Challenges After ACL Reconstruction: Knee Stiffness and Pain Management
Knee issues after posterior cruciate ligament reconstruction? Hello Doctor: I underwent a second anterior cruciate ligament (ACL) reconstruction surgery last October because the autograft used in the first surgery had loosened. This time, an artificial ligament was used, but I ha...
Dr. Shi Guozheng Reply:
Joint adhesions are inevitable after multiple surgeries. Under anesthesia, performing knee surgery can improve some conditions, but it is impossible to return to the pre-injury state. Achieving a range of motion of 120 or 135 degrees is already considered good. To determine wheth...[Read More] Challenges After ACL Reconstruction: Knee Stiffness and Pain Management
Sun Exposure and Calcium: Essential Tips for Bone Health
Sun exposure and bone health? I went to the hospital for a check-up and found out that my bone density has reached the level of osteoporosis. I haven't had children and I'm unmarried. The doctor advised me to take calcium supplements and get sunlight exposure. What time...
Dr. You Dianqi Reply:
Hello: To increase the conversion of vitamin D3 in the body through appropriate sun exposure, it is generally recommended to spend time in the sun before 10 AM or after 2 PM, when the sunlight is not at its strongest. Avoid using sunscreen during this time and sunbathe for 10 to ...[Read More] Sun Exposure and Calcium: Essential Tips for Bone Health
Understanding Post-Surgery Bone Pain: Causes and Solutions
Bone pain Since the surgery on January 5th, I have been experiencing pain in my left leg since this afternoon when I started to move around. What could be the cause of this pain?
Dr. Wang Shouji Reply:
Hello, if you have undergone surgery for a fracture and it has completely healed, experiencing slight pain during initial weight-bearing is considered normal. This is mostly due to the surrounding muscles and soft tissues of the fracture. You can apply heat therapy and engage in ...[Read More] Understanding Post-Surgery Bone Pain: Causes and Solutions
Understanding Pubic Bone Fractures: Recovery, Pain, and Future Pregnancy
Pubic bone fracture Hello Dr. Wang, I had a car accident last October and suffered a pubic bone fracture. I was initially unable to get out of bed or walk, but now I can walk normally. However, whenever the weather gets cold, the fracture site becomes sore and painful. Is this no...
Dr. Wang Shouji Reply:
Hello, this is related to individual constitution. It usually decreases gradually over one to two years. If there is no severe pelvic deformity, it will not affect delivery. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Understanding Pubic Bone Fractures: Recovery, Pain, and Future Pregnancy
Understanding Unexplained Joint Pain and Swelling: A Comprehensive Guide
Knee and fingertip heat, swelling, and pain? Hello Doctor, if there are multiple areas of the body that frequently experience unexplained swelling and pain, along with fever, and there is a feeling of swelling in the knees (both inner and outer sides), fingertips, toes, behind th...
Dr. Wang Shouji Reply:
Hello, if you experience swelling, pain, and fever in your joints that migrates to multiple areas, it is important to first consider potential issues with the immune system. Musculoskeletal pain is often more prevalent and tends to worsen with activity. In cases of rheumatic pain...[Read More] Understanding Unexplained Joint Pain and Swelling: A Comprehensive Guide
Post-Surgery Concerns: Understanding Recovery After Humerus Fracture Repair
Postoperative care for humeral fracture? Hello Doctor: I have a right humeral fracture and just had surgery on April 10th of this month. Since the surgery, the mobility of my arm is still very limited. I asked my orthopedic surgeon about it, but his response was somewhat vague. I...
Dr. Shi Guozheng Reply:
1. You must personally consult your attending physician about your post-operative condition. 2. With rehabilitation, there is hope for recovery. 3. Typically, you can schedule an appointment with the rehabilitation department to adjust your progress based on your post-fracture su...[Read More] Post-Surgery Concerns: Understanding Recovery After Humerus Fracture Repair
Understanding Bone Protrusion Above the Buttocks: Causes and Solutions
Prominent bone above the buttocks? The protrusion of the bone above the buttock could be related to several conditions, such as a bony prominence or a condition like sacral or coccygeal pain. The discomfort you experience when lying on a hard surface, like a wooden board, may ind...
Dr. Chen Yongxue Reply:
Hello, what is the protruding bone above the buttock crease? ==> It is the coccyx; it is not a disease. When I sleep on a soft bed, I don't feel it, but if I sleep on a wooden board without a mattress, the bone above my buttocks presses down, making it impossible to lie f...[Read More] Understanding Bone Protrusion Above the Buttocks: Causes and Solutions
Persistent Left Shoulder Dislocation: Understanding Symptoms and Next Steps
Repeated dislocations of the left shoulder, with abnormal sensations after reduction? Hello Dr. Chen, I have experienced multiple dislocations of my left shoulder over the years, all of which have reduced spontaneously. Recently, due to attention to my posture and training, I hav...
Dr. Chen Yongxue Reply:
Hello, based on your letter, it seems that you may be experiencing a subluxation due to a loose shoulder joint. A complete shoulder dislocation cannot self-reduce, but if it is a subluxation, prolonged episodes can lead to joint damage. It is advisable to engage in shoulder muscl...[Read More] Persistent Left Shoulder Dislocation: Understanding Symptoms and Next Steps
Understanding Osteoporosis Treatment: DXA Results and Vitamin D Needs
DXA spine shows the lowest T-score of -1.8, and both femurs have a T-score of -2.2 (report from December 2012)? DXA results show a lumbar spine T-score of -1.8 and a bilateral femur T-score of -2.2 (report from December 2012). Dr. Chen Yong-hsueh's recommendations are as fol...
Dr. Chen Yongxue Reply:
If you have any questions, please visit the outpatient clinic for a blood test. Thank you.[Read More] Understanding Osteoporosis Treatment: DXA Results and Vitamin D Needs
Understanding Strains and Fractures: When to Seek Orthopedic Advice
Inquire about the possibility of a strain or fracture? Hello, Doctor. While I was mopping the floor, I accidentally slipped a bit, but I didn't fall; I just twisted my body and spread my legs. I'm not sure if this could have caused a strain in my lower back or a fractur...
Dr. Shi Guozheng Reply:
It is normal to hear sounds; a strain is possible, but it is not easy for a bone to dislocate.[Read More] Understanding Strains and Fractures: When to Seek Orthopedic Advice
Post-ACL Surgery: When Can I Stop Using Crutches?
What are the issues related to crutches after surgery for a torn posterior cruciate ligament? I had two metal screws inserted, and my attending physician told me that it was a posterior cruciate ligament (PCL) laxity, but the paperwork states that it is a posterior cruciate ligam...
Dr. Shi Guozheng Reply:
Typically, bones or ligaments heal after six weeks.[Read More] Post-ACL Surgery: When Can I Stop Using Crutches?
Recovery Timeline After Fibula Nail Removal: When Can You Walk Without Crutches?
A steel pin was fixed next to the fibula? I would like to ask, I have had my metal rod for a year, and I plan to have it removed this summer. After the removal, how long will it take before I can walk without crutches? How long will it take to fully recover?
Dr. You Dianqi Reply:
If you are already back to normal, I believe that removing the bone screws will not add any extra difficulty to your walking. Thank you.[Read More] Recovery Timeline After Fibula Nail Removal: When Can You Walk Without Crutches?
Am I at Risk of Fractures Due to Osteoporosis and Medication?
Am I at risk of fracturing my bones at any time? Currently, I am taking the following medications: LEEYO (Escitalopram) 10mg, Doxepin 25mg twice daily, Lyrica 75mg twice daily, Metformin 500mg, Tamsulosin 0.2mg, Ativan 0.5mg four times daily, and Zolpidem twice at bedtime (all of...
Dr. Wang Shouji Reply:
Hello, osteoporosis indicates that the risk of fractures due to trauma is higher than that of normal individuals, but it does not mean that spontaneous fractures will occur. Supplementing with calcium and vitamin D3, along with regular exercise, can help maintain bone density. Re...[Read More] Am I at Risk of Fractures Due to Osteoporosis and Medication?
Understanding Fifth Metatarsal Fractures: Recovery Tips and FAQs
Fracture of the fifth metatarsal bone? 1. When sitting, can the affected limb touch the ground? Will it affect bone healing? 2. How long will it take for the swelling to completely subside? The dorsum of the injured foot is still swollen. 3. Can I drive if there is no pain? M...
Dr. Shi Guozheng Reply:
1. Weight-bearing is allowed and will not affect the healing of the fracture. 2. Approximately four weeks. 3. It is permissible. 4. It will not.[Read More] Understanding Fifth Metatarsal Fractures: Recovery Tips and FAQs
Post-Surgery Recovery: When Can I Stop Using Crutches After ACL Injury?
Post-operative issues following a left knee contusion with a left posterior cruciate ligament tear and fracture? I was injured in a car accident on March 31st, and after an MRI examination, it was confirmed that I have a torn anterior cruciate ligament and a fracture in my left f...
Dr. Wang Shouji Reply:
Hello, for anterior cruciate ligament reconstruction, tunnels are drilled into the bone and secured with screws. It is advisable to wait at least two months before attempting full weight-bearing to ensure safety; avoid premature excessive loading that could lead to fixation loose...[Read More] Post-Surgery Recovery: When Can I Stop Using Crutches After ACL Injury?