Understanding Osteoporosis Treatment and Calcium Needs After DEXA Scan Results
DEXA bone mineral density: spinal T-score -1.8, bilateral femoral T-score -2.2? Your questions: Currently taking medications include LEEYO (Escitalopram) 10mg, Doxepin 25mg *2, LYRICA 75mg *2, Metformin 500mg, Tamsulosin 0.2mg, Ativan 0.5mg *4, Zolpidem *2 at bedtime (all taken l...
Dr. Chen Yongxue Reply:
It is still advisable to get moderate sun exposure. If there are other circumstances that prevent the normal synthesis of vitamin D, please consider getting a blood test to check vitamin D levels and adjust accordingly. Generally, a daily intake of about 600 IU is recommended.[Read More] Understanding Osteoporosis Treatment and Calcium Needs After DEXA Scan Results
Understanding DEXA Results: Osteoporosis Treatment Options and Supplements
The DEXA scan shows a worst T-score of -1.8 for the spine and a worst T-score of -2.2 for both femurs? 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 f...
Dr. Chen Yongxue Reply:
1. If I have never had a fracture, does that mean that health insurance will not cover osteoporosis medication? Yes, health insurance cannot provide unlimited coverage. Currently, coverage is available only for individuals who are at least 60 years old, have a bone mineral densit...[Read More] Understanding DEXA Results: Osteoporosis Treatment Options and Supplements
Understanding DEXA Results: Osteoporosis Treatment and Vitamin D Needs
DEXA (DXA) bone mineral density results show a T-score of -1.8 for the spine and a T-score of -2.2 for both femurs? Dual-energy X-ray absorptiometry (DEXA) bone mineral density examination results show a T-score of -1.8 for the spine and -2.2 for both femurs. This examination was...
Dr. Shi Guozheng Reply:
Your bone mineral density has not yet reached below -2.5, so you do not have osteoporosis. Those medications must be purchased out of pocket. Vitamin D3 should be taken at a dosage of 1000-2000 IU per day.[Read More] Understanding DEXA Results: Osteoporosis Treatment and Vitamin D Needs
Understanding Foot Pain: When to Worry About Potential Fractures
Inquiry about the bones of the foot? Hello Doctor, today while I was cleaning at home, I was trying to reach a higher place and jumped a bit to see and wipe it down. After I jumped down, the bones in the front of my foot started to hurt, but the pain went away after about an hour...
Dr. Shi Guozheng Reply:
If a bone is impacted and causes pain, it is likely that a fracture may have occurred. It is advisable to get an X-ray to confirm the diagnosis.[Read More] Understanding Foot Pain: When to Worry About Potential Fractures
Understanding Swollen and Painful Finger Joints: Causes and Treatments
Swollen and painful finger joints that cannot bend? Hello Doctor: Three days ago, I felt stiffness (a clicking sensation) in the joints of my left index finger (the distal and middle joints), which was different from the normal movement of my other finger joints. I used to occasi...
Dr. Shi Guozheng Reply:
1. If rheumatoid arthritis is suspected, it is appropriate to check for rheumatoid factor (RF) in the blood. 2. This approach is correct. 3. If necessary, X-rays can be taken. 4. If there is redness, swelling, heat, and pain, ice packs can be applied, but heat should not be...[Read More] Understanding Swollen and Painful Finger Joints: Causes and Treatments
Can Hanging from a Bar Help Increase Height After Growth Plate Closure?
Growth plate fusion? Hello, doctor. I am a high school sophomore. Recently, I had an X-ray of my growth plates, and the doctor said that my growth plates are almost fused, making it very difficult for me to grow taller. However, if I do pull-ups every day and supplement with prot...
Dr. Chen Yongxue Reply:
Hello, the timing of growth plate closure varies for each bone. Generally, the bones related to height, primarily the femur and tibia in the lower limbs, have four growth plates. In males, these growth plates typically close around the age of 18, while in females, they close arou...[Read More] Can Hanging from a Bar Help Increase Height After Growth Plate Closure?
Why Is My Left Collarbone More Prominent? Causes and Solutions
There is a small bony prominence on the left clavicle, while the right clavicle does not have this feature? Why is the bone on the left side below the neck particularly prominent? Is it due to lymph nodes or a developmental abnormality? What can be done to improve this?
Dr. Xie Hongjia Reply:
Ms. Ming Ming: Hello, it is not possible to determine the issue based solely on your description. I recommend that you take the time to visit a hospital for further examination. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Why Is My Left Collarbone More Prominent? Causes and Solutions
Post-Fracture Pain: Understanding Sharp Sensations After Light Exercise
After a fracture, experiencing a tingling sensation in the affected area after slight movement? Hello Doctor, my right ankle was fractured last October due to a fall from a height. At that time, I had a plate inserted and needed to rely on a walker to move around. In January of t...
Dr. Chen Yongxue Reply:
Hello, if it has been more than six weeks after a fracture surgery and with the approval of the attending physician, it is generally acceptable to begin weight-bearing training. Once training starts, there may be some initial discomfort, which will gradually improve over time. If...[Read More] Post-Fracture Pain: Understanding Sharp Sensations After Light Exercise
Post-Surgery Finger Issues: Bone Bump and Nail Growth Problems Explained
After finger surgery, there is a bone protrusion and the nail is not growing back? Around January, I underwent surgery on my ring finger's first phalanx due to a neuroma. Now, there is a slight protrusion on the back of the first phalanx where it connects to the nail, and th...
Dr. Chen Yongxue Reply:
It may be related to the surgery; it is advisable to consult the attending physician for further information.[Read More] Post-Surgery Finger Issues: Bone Bump and Nail Growth Problems Explained
Understanding Hip Replacement: Addressing Uneven Angles and Recovery
Artificial joint Hello, Doctor! My mother had a hip replacement on her right leg six months ago, but now the angles of her legs are different. The leg with the artificial hip has an external rotation of about 140 to 150 degrees. A week after the surgery, she experienced significa...
Dr. Shi Guozheng Reply:
The primary purpose of joint replacement surgery is to relieve pain. If there is a slight valgus deformity, it may be related to the angle at which the artificial joint was placed. Rehabilitation can help improve this condition to some extent.[Read More] Understanding Hip Replacement: Addressing Uneven Angles and Recovery
Understanding Ulnar Deformity: Do You Need Correction?
Ulnar bone of the wrist One day I noticed that the bone in my wrist was protruding. I went to see a chiropractor who said that the bone was misaligned and needed to be corrected. Later, since it wasn't painful, I didn't pay much attention to it. However, I recently noti...
Dr. Wang Jiacheng Reply:
It is recommended that you visit an orthopedic outpatient clinic to determine if any relevant examinations are necessary. Thank you, and wish you good health![Read More] Understanding Ulnar Deformity: Do You Need Correction?
Understanding Thigh Fractures: Healing Concerns and Recovery Tips
Femoral fracture Hello, doctor! I had a car accident on February 14th and fractured both of my femurs. My right leg is more severely injured with three fractures, while my left leg has two. I have been able to get out of bed and use crutches to go to the bathroom. However, on Mar...
Dr. Shi Guozheng Reply:
It may just be a sprain, but to confirm whether there is any bone displacement, an X-ray is necessary.[Read More] Understanding Thigh Fractures: Healing Concerns and Recovery Tips
Understanding Human Cartilage Development and Its Changes After Puberty
Development of Human Cartilage Hello, Doctor. I have two questions to ask. 1. At what age does the development of human cartilage typically stop? 2. I understand that once the growth plates close, the development of hard bone ceases. Does this mean that after the completion of...
Dr. Chen Yongxue Reply:
1. Cartilage can be classified into three main types: hyaline cartilage, fibrocartilage, and elastic cartilage. The cartilage found in the joints of the limbs is hyaline cartilage, which generally ceases to grow after adulthood. 2. Yes.[Read More] Understanding Human Cartilage Development and Its Changes After Puberty
When Does Cartilage Thickness Stop Increasing? Understanding Orthopedic Development
Developmental issues Hello, doctor. I would like to ask when the thickness of human cartilage stops increasing. I have read articles stating that the thickness of cartilage does not change after birth; it only widens and expands with the growth of bone, maintaining a balance of w...
Dr. Shi Guozheng Reply:
What you said is correct; the thickness of cartilage can gradually decrease due to degeneration and wear.[Read More] When Does Cartilage Thickness Stop Increasing? Understanding Orthopedic Development
Understanding Slow Healing After L5S1 Fusion Surgery: Concerns and Solutions
L5-S1 vertebral arch fracture has been surgically treated? Hello Doctor, I underwent L5-S1 spinal fusion and internal fixation surgery due to a vertebral fracture at the end of last year. It has been three months since the surgery, and during my follow-up X-ray, it was found that...
Dr. Wang Shouji Reply:
Hello, if healing is not complete, continuous monitoring is necessary. With the current surgical techniques, the likelihood of completely removing intervertebral tissue is quite high. However, spinal fusion surgery can lead to early degeneration of adjacent joints, which is diffi...[Read More] Understanding Slow Healing After L5S1 Fusion Surgery: Concerns and Solutions
Understanding Growth Plate Fractures: Recovery After Knee Surgery
Growth plate fracture Hello, I recently fractured my tibia near the knee while playing basketball. Is it normal for my knee to get stuck when bending? It has been one month since my surgery.
Dr. Shen Boquan Reply:
Hello, you inquired about a recent injury where you fractured your tibia near the knee while playing basketball, and now your knee bends and gets stuck. Could you please provide more details about the injury? Did you have surgery, and was a plate inserted? Bone fractures typicall...[Read More] Understanding Growth Plate Fractures: Recovery After Knee Surgery
Neck Pain After Cervical Impact: Seeking Solutions for Recovery
Cervical spine impact pain issues? Hello, Doctor. In mid-December 2019, I performed a backflip catch during a cheerleading competition, and my cervical spine directly hit the ground. At that moment, I experienced symptoms such as chest tightness and nausea. Due to the neck pain, ...
Dr. Shi Guozheng Reply:
Injuries to the cervical spine may not involve fractures of the bones, but there is a possibility of damage to the surrounding soft tissues, which typically requires more than three months to heal. Continued rehabilitation is necessary and may lead to improvement.[Read More] Neck Pain After Cervical Impact: Seeking Solutions for Recovery
Can Frequent Neck Stretching Cause Bone Spurs and Shorten Neck?
Bone spur issues? Hello, doctor. I often experience stiffness in my head while using the computer, and I have a habit of turning my head to relax my neck. Will this cause bone spurs in my neck and lead to a shortening of the neck? Thank you.
Dr. Shi Guozheng Reply:
The growth of bone spurs is related to age; as people get older, bone spurs may develop. However, there is no literature reporting that neck rotation increases the formation of bone spurs.[Read More] Can Frequent Neck Stretching Cause Bone Spurs and Shorten Neck?
Recovery Timeline and Long-Term Effects of Open Tibia and Fibula Fractures
Open fractures of the tibia and fibula, and when one can resume walking, as well as the potential for long-term complications? I would like to ask the doctor about my condition. I suffered an open fracture of the left tibia and fibula due to a car accident, and I also underwent a...
Dr. Xie Hongjia Reply:
Mr. Abo: Hello, regarding the issue you raised, it is difficult to determine the severity of the injury based solely on your description, and it is also not possible to predict the healing process accurately. It is recommended that you consult the hospital where the surgery was p...[Read More] Recovery Timeline and Long-Term Effects of Open Tibia and Fibula Fractures
Knee Injury After Car Accident: Loss of Temperature Sensation Explained
Knee loss of temperature sensation due to car accident injury? I previously sustained a knee injury from a car accident and had an X-ray taken. The emergency physician indicated that there was no bone damage. It has been over three months, and I experience pressure and pain in my...
Dr. Shi Guozheng Reply:
After a knee joint contusion, it is possible that the superficial nerves in the skin have been injured, which can lead to sensory abnormalities in the skin. It is advisable to continue monitoring the condition, as sometimes recovery may occur gradually over six months to a year. ...[Read More] Knee Injury After Car Accident: Loss of Temperature Sensation Explained