Understanding Bone Cement Injection: Risks and Alternatives for Elderly Patients
Bone cement injection Hello, Doctor. My grandmother is 93 years old. Recently, she experienced pain near the sacral area on the left side of her buttocks and in her left thigh (with no history of falls) and sought medical attention. She is able to walk independently. The doctor p...
Dr. Shi Guozheng Reply:
1. It is essential to confirm that the pain is caused by a compression fracture; only then will the injection of bone cement into the fracture site be effective. 2. X-rays or other imaging studies such as MRI or CT scans. 3. Unable to determine.[Read More] Understanding Bone Cement Injection: Risks and Alternatives for Elderly Patients
Managing Coccyx Fractures and Osteoporosis in Seniors: Key Insights
Coccygeal fracture, osteoporosis? My grandmother is 78 years old. During the 228 holiday last year, she fell while walking to collect something and landed on her buttocks. After going to the hospital, the doctor diagnosed her with a coccyx fracture and ordered a bone density test...
Dr. Shi Guozheng Reply:
Coccydynia, or pain in the coccyx, is typically caused by trauma and is not necessarily related to osteoporosis. Fractures resulting from osteoporosis usually occur in the thoracic and lumbar vertebrae, often leading to compression fractures from minor falls. Caltrate seems to he...[Read More] Managing Coccyx Fractures and Osteoporosis in Seniors: Key Insights
Understanding Temporary Leg Weakness After a Motorcycle Accident
Car accident injuries? Today, I slipped while riding my bike in the rain and fell to the left side. At the moment of the fall, I was still able to walk. However, while waiting for an examination at the hospital, I discovered that I could not lift my left foot on its own when sitt...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it appears to be an acute strain. As long as you are not experiencing weakness or numbness at the moment, there should be no major issues.[Read More] Understanding Temporary Leg Weakness After a Motorcycle Accident
Can Surgery Correct a Deformed Finger Years After a Fracture?
Can a finger fracture that occurred many years ago be surgically corrected? Hello doctor, my right hand's little finger was fractured when I was a child while playing basketball due to a fall. At that time, I did not receive timely treatment and let it heal on its own. Now, ...
Dr. Shi Guozheng Reply:
Surgical methods can be used for correction, but it requires evaluation by a physician. It is recommended that you consult a specialist in hand surgery for treatment, which is usually covered by health insurance.[Read More] Can Surgery Correct a Deformed Finger Years After a Fracture?
Understanding Lumbar Spine Issues: When to Consider Surgery for Pain Relief
Vertebral arch issues Last November, I experienced lower back pain due to a fall and sought medical attention. The physician and neurosurgeon indicated that there were no significant issues and prescribed pain medication. However, on February 25th of this year, I experienced seve...
Dr. Li Yongheng Reply:
Hello, if there is a fracture of the vertebral arch with associated nerve root compression, and symptoms of persistent pain continue despite medication treatment, surgical intervention is recommended. The surgical approach often involves vertebral arch screw fixation combined wit...[Read More] Understanding Lumbar Spine Issues: When to Consider Surgery for Pain Relief
Persistent Knee Pain After Injury: Understanding Your Options
Persistent knee pain that does not heal? A year ago, I had a fall, and at that time, an X-ray showed no issues. Six months ago, my knee started making noises when bending and straightening, and I began experiencing intermittent pain on the outer side of the back of my knee. I had...
Dr. Shi Guozheng Reply:
After a knee joint injury, both soft tissues and bones can be bruised. Although X-rays may not reveal these injuries, pain can persist for a long time. If there is only noise during movement without pain, it may not be a concern. However, if pain continues or if there is swelling...[Read More] Persistent Knee Pain After Injury: Understanding Your Options
Understanding Neck Injuries: What to Do After a Basketball Impact
Neck issues Hello doctor, I was playing basketball today and got hit in the neck area by a falling ball. It was very painful at first, but later I didn't feel much discomfort. Is there still a possibility of a neck injury?
Dr. Shi Guozheng Reply:
It is possible that you have sustained a bruise from the impact. If the pain has subsided, it is generally less concerning, but you should continue to monitor for any numbness or tingling in the neck or limbs. If you experience any of these symptoms, you must seek medical attenti...[Read More] Understanding Neck Injuries: What to Do After a Basketball Impact
Post-Surgery Concerns: Managing Complications After Knee Surgery
Postoperative issues Hello Doctor, I would like to ask you some questions regarding post-operative issues concerning my father (59 years old). He suffered a comminuted fracture of the right knee on January 8th of this year and underwent surgery at 804. While recovering at home, h...
Dr. You Dianqi Reply:
Hello: First of all, I must express my highest admiration for your filial piety; your writing reveals a deep love for your father. Regarding your father's fracture, it is in the knee, but could you provide me with a more precise location? For example: Is it the patella (knee...[Read More] Post-Surgery Concerns: Managing Complications After Knee Surgery
Understanding Titanium Alloy Fixation for Pediatric Femur Fractures
Femoral fracture treated with self-funded titanium alloy fixation? Hello Doctor: My 4.5-year-old child has suffered a femoral shaft fracture due to a fall and has had a titanium alloy plate inserted for stabilization. I have several questions to ask you (the child is too young to...
Dr. Li Yongheng Reply:
Hello: 1. There will be no foreign body sensation. 2. The fractured limb may experience overgrowth. 3. It may affect skeletal development. 4. It will not impact mobility. I still recommend that you have the bone plate removed after the fracture has healed.[Read More] Understanding Titanium Alloy Fixation for Pediatric Femur Fractures
Assessing Tailbone Pain After Snowboarding: When to Seek Medical Attention
Pain near the coccyx after skiing? Hello, doctor. I am currently working and vacationing at a ski resort in Japan. Eight days ago, I attempted snowboarding for the first time and had a significant fall landing on my back. I think I may have injured my coccyx or the area just abov...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, as long as there is no severe pain or numbness and weakness in the lower limbs, it is mostly harmless, and you can continue to monitor the situation. As long as you do not experience pain during daily activities, you should be able to r...[Read More] Assessing Tailbone Pain After Snowboarding: When to Seek Medical Attention
Assessing Tailbone Pain After Snowboarding: When to Seek Medical Help
Pain near the coccyx after skiing? Hello, doctor. I am currently working and vacationing at a ski resort in Japan. Eight days ago, I attempted snowboarding for the first time and had a significant fall, landing on my back. I think I may have injured my coccyx or the area just abo...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, as long as there is no severe pain or numbness and weakness in the lower limbs, it is generally not a concern, and you can continue to monitor your condition. As long as you do not experience pain during daily activities, you should be ...[Read More] Assessing Tailbone Pain After Snowboarding: When to Seek Medical Help
Should You Remove Titanium Screws After Fifth Metatarsal Fracture Surgery?
Should the titanium alloy screw be removed after a fifth metatarsal fracture? Hello, on November 14, I suffered a fracture of the fifth metatarsal in my left foot due to a fall. I visited an orthopedic outpatient clinic nearby, where they advised me to use a brace and undergo reh...
Dr. Shi Guozheng Reply:
If the bone has healed and the bone screws have not shifted, there is no need to remove them. The deterioration of bone quality typically occurs in long bones (such as the femur or tibia), while in the metatarsal bones of the foot, the screws can often be left in place without re...[Read More] Should You Remove Titanium Screws After Fifth Metatarsal Fracture Surgery?
Understanding Tailbone Pain: Causes, Symptoms, and Treatment Options
Pain in the lumbar region when lying flat or bending forward? Hello, Doctor: I would like to ask you about some symptoms I've been experiencing. For the past two weeks, I've been feeling pain near the left side of my coccyx when lying flat or bending over. I often wake ...
Dr. Shi Guozheng Reply:
Pain near the coccyx may be due to inflammation of the periosteum, which can cause pain when touched or pressed. If there is also a sensation of numbness, it may indicate nerve compression, and it is advisable to visit a hospital for evaluation. This will help determine the diagn...[Read More] Understanding Tailbone Pain: Causes, Symptoms, and Treatment Options
Concerns About Healing After Fifth Metatarsal Fracture Surgery
Fifth metatarsal bone healing issues? Hello, doctor! I suffered a fifth metatarsal fracture from a fall on September 10th and underwent surgery to have a plate inserted for stabilization. I had a follow-up appointment a few days ago, and the doctor said it is healing well, but I ...
Dr. Li Yongheng Reply:
Hello, it has been two months since your fifth metatarsal fracture surgery. You accidentally exerted yourself yesterday and experienced some pain. I recommend that you return for a follow-up appointment to get an X-ray, as it is generally safer to assess the fracture after three ...[Read More] Concerns About Healing After Fifth Metatarsal Fracture Surgery
Tailbone Injury After a Fall: When to Seek Medical Attention
Coccygeal injury due to a fall? Hello, doctor! I have a question. I slipped on a puddle and fell hard, hearing a crack when I hit my coccyx, and I ended up lying on the ground in so much pain that I couldn't speak. My friend helped me up, and I could only stand after the pai...
Dr. Xie Hongjia Reply:
Dear Miss Hsiao-Lin, regarding the issue you raised, since we cannot clearly determine the nature of your injury, we recommend that you visit a hospital for evaluation. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Tailbone Injury After a Fall: When to Seek Medical Attention
Knee Pain After Motorcycle Fall: Is It a Cruciate Ligament Injury?
Knee injury from a motorcycle accident? I fell off my motorcycle and landed on my right knee. There is no obvious swelling in the knee, but when I stand and lift my right leg (with the calf vertical to the ground and not exerting force), I experience pain on the outer side of the...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have an injury to the lateral meniscus and the anterior cruciate ligament. You should undergo an MRI to confirm the diagnosis. Wishing you a speedy recovery.[Read More] Knee Pain After Motorcycle Fall: Is It a Cruciate Ligament Injury?
Laser Treatment for Bone Spurs: Is It Safe for Elderly Patients?
Bone spur laser treatment Dr. Li: Good day. My father is 81 years old and has suffered several falls recently, resulting in a coccyx injury and the formation of bone spurs (which have swollen). He needs to use a cane to walk. The doctor has suggested laser treatment for a permane...
Dr. Li Yongheng Reply:
Hello, it is uncommon for a coccyx injury to result in bone spurs that require laser treatment. Therefore, it is advisable to consult with other physicians for their opinions before making a decision.[Read More] Laser Treatment for Bone Spurs: Is It Safe for Elderly Patients?
Tailbone Pain After a Fall: When to Seek Medical Attention?
Occasional pain in the coccyx after a slip and fall? I wore high-heeled shoes for the first time on Monday and slipped on a gravel slope, falling hard and landing on my back with my feet in the air. I hit my buttocks and coccyx, and about an hour later, my coccyx started to hurt....
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, it is possible that you have a coccygeal contusion or fracture. I recommend that you visit an orthopedic clinic for an X-ray examination. If it is a simple contusion, recovery may take about two weeks; if it is a fracture, it may take s...[Read More] Tailbone Pain After a Fall: When to Seek Medical Attention?
Understanding Achilles Tendon Contracture and Its Impact on Military Service
Achilles tendon contracture syndrome Dr. Shih previously examined you regarding the issue where you cannot touch the ground with your feet while performing a full squat, and if you do, you tend to fall backward. You were diagnosed with Achilles tendon contracture. However, during...
Dr. Shi Guozheng Reply:
Frog leg syndrome refers to the spasm of the gluteus maximus and the spasm of the Achilles tendon, which are different conditions. However, both can result in an inability to squat or cause the individual to fall backward when attempting to squat. Generally, non-orthopedic specia...[Read More] Understanding Achilles Tendon Contracture and Its Impact on Military Service
Understanding Neck Stiffness: When to See an Orthopedic or Neurosurgeon
Stiff neck Hello, last week I accidentally slipped and fell backward, and I'm not sure if I hit the back of my head. Since then, I've been experiencing mild dizziness, but in the last two days, I've started to feel tingling in my scalp and soreness in my shoulders ...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, if your symptoms persist, it is recommended that you consult a neurosurgeon, as dizziness and head and neck injuries fall within the scope of neurosurgery. Wishing you a speedy recovery.[Read More] Understanding Neck Stiffness: When to See an Orthopedic or Neurosurgeon