Understanding Osteomyelitis: Treatment, Precautions, and Surgery Risks
Osteomyelitis A few days ago, I accompanied a friend to see an orthopedic doctor, and he said my friend has osteomyelitis. Could you please tell me how this condition can be treated? Are there any special precautions to take in daily life? The doctor mentioned that in severe case...
Dr. Chu Baijun Reply:
Hello: Osteomyelitis may have different treatment methods and prognoses depending on factors such as location, severity, and age. Please consult an orthopedic outpatient clinic for detailed inquiries. Sincerely, Dr. Chou from the Orthopedic Department.[Read More] Understanding Osteomyelitis: Treatment, Precautions, and Surgery Risks
Understanding the Use of Acetic Acid Wet Dressings for Osteomyelitis
What type of osteomyelitis requires wet dressing with acetic acid? Acetic acid is used in wet dressings for its antimicrobial properties. It helps to lower the pH of the wound environment, which can inhibit the growth of bacteria and promote healing. Additionally, acetic acid can...
Dr. Xu Zhaoren Reply:
You may have been infected with Pseudomonas aeruginosa, so vinegar compresses are used to inhibit bacterial growth.[Read More] Understanding the Use of Acetic Acid Wet Dressings for Osteomyelitis
Managing Open Fractures: Risks, Treatments, and Infection Prevention
Open fracture Hello Dr. Lee, My sister was in a car accident on April 18, resulting in a severe open (comminuted) fracture of her left lower leg. She is currently receiving treatment at Kaohsiung Chang Gung Memorial Hospital. Due to the loss of both skin and bone tissue in her l...
Dr. Li Wenlin Reply:
Hello: In response to your question, your sister's condition indeed requires an experienced orthopedic surgeon with expertise in osteomyelitis treatment and soft tissue reconstruction. Generally, orthopedic surgery has various subspecialties, and each attending physician has...[Read More] Managing Open Fractures: Risks, Treatments, and Infection Prevention
Understanding Patellar Dislocation: Pain Management and Treatment Options
Patella Hello Doctor: Here’s the situation. Occasionally, my right knee joint hurts when I bend it. I went to the hospital for an examination; one doctor said it was gout, while another said it was a sports injury, so I left it unresolved. Two days ago, my left foot suddenly made...
Dr. Shi Qiming Reply:
Hello: Misalignment of the knee (patella) can lead to knee pain, including recurrent subluxation and dislocation. Sometimes the appearance may not be obvious, and a detailed examination is necessary to determine whether it is caused by muscle asymmetry or skeletal abnormalities. ...[Read More] Understanding Patellar Dislocation: Pain Management and Treatment Options
Understanding Short and Long Legs: Risks of Surgery and Aftermath
Leg length discrepancy? Hello, Dr. Lee! Thank you very much for your response to my previous question. However, you mentioned that due to my history of osteomyelitis, you personally do not recommend surgical intervention (does this mean my life is over?). You indicated that the r...
Dr. Li Wenlin Reply:
Hello: In response to your question... the frightening sequelae... mainly include several points: 1. Nerve injury: The most concerning issue with limb lengthening is the potential for nerve injury due to the stretching of nerves. If the limb is lengthened but there is no sensatio...[Read More] Understanding Short and Long Legs: Risks of Surgery and Aftermath
From Car Accident to Limb Length Discrepancy: Seeking Solutions
The car accident resulted in a leg length discrepancy? Hello Dr. Lee: Three years ago, I had a car accident that resulted in an open and comminuted fracture of my right femur (the bone shattered into several pieces). I was hospitalized for two weeks and then discharged, but three...
Dr. Li Wenlin Reply:
Hello A-Ding, In response to your question... the treatment of osteomyelitis is not easy. Although there is a three-centimeter difference in the length of your legs, I would like to congratulate you on overcoming the issue of osteomyelitis. Despite the long duration and the suff...[Read More] From Car Accident to Limb Length Discrepancy: Seeking Solutions
Understanding Osteomyelitis After Knee Replacement Surgery: A Patient's Journey
Osteomyelitis Hello Dr. Yang: My father-in-law is 66 years old. He underwent knee replacement surgery in March, but 1 to 2 months after the surgery, he reported experiencing significant pain in his knee while walking. However, during his follow-up appointment at the hospital, the...
Dr. Yang Zhengfan Reply:
Dear Zijing, if you are concerned about osteomyelitis, a nuclear medicine scan, which has over 90% accuracy, is a more precise examination than blood tests and X-rays. I recommend you consider trying it.[Read More] Understanding Osteomyelitis After Knee Replacement Surgery: A Patient's Journey
Understanding Shoulder Blade Pain: Causes and Treatment Options
Please inquire about scapula issues? Dear Dr. Su, I have been experiencing pain in the lower left side of my neck and upper back since mid-August of this year. After consulting a doctor, I was advised to apply heat and was prescribed oral medication, but the doctor did not speci...
Dr. Su Yiren Reply:
Hello Cathy, 1. If there is persistent pain in specific areas of the body, it should be thoroughly examined. The most basic step is to perform an X-ray to check for any acromioclavicular joint pathology or cervical spine nerve compression. There have been cases where individual...[Read More] Understanding Shoulder Blade Pain: Causes and Treatment Options
Effective Treatments and Rehabilitation Exercises for Osteomyelitis Recovery
Bone marrow inflammation!! I have a relative who is currently being treated for osteomyelitis. It has been some time since the treatment began. What methods can help them recover faster? Are there any rehabilitation exercises they can do?
Dr. Xu Zhaoren Reply:
The difficulty of curing chronic osteomyelitis is extremely high; it requires surgical removal of the infected bone followed by an appropriate course of antibiotics for a period of time to achieve healing. There are no other viable methods.[Read More] Effective Treatments and Rehabilitation Exercises for Osteomyelitis Recovery
Understanding Osteomyelitis and Cellulitis: Symptoms, Recovery, and Foot Care Tips
Could you please provide more specific information or context regarding the medical terminology and conditions related to bones? Dear Doctor: My mother has been diagnosed with "osteomyelitis" in her ankle, but recently, after suffering from a severe cold, one of her cal...
Dr. Shi Qiming Reply:
Dear Sir/Madam, The term "periostitis" mentioned by your esteemed mother is a broad term that encompasses inflammation of the periosteum, fascia, and ligaments. Ankle joint pain may be due to ankle joint degeneration, plantar fasciitis, or Achilles tendinitis, with dif...[Read More] Understanding Osteomyelitis and Cellulitis: Symptoms, Recovery, and Foot Care Tips
Is Surgery Safe for Patients with a History of Tuberculosis?
Is there any risk associated with surgery? Dear Dr. Chen, I previously consulted you regarding some issues, and I appreciate the advice you provided! Now my father still has some questions, so I would like to ask for your assistance once again. My father is considering surgical ...
Dr. Chen Xingyuan Reply:
Dear Miss Hsiao-Chiu: You need not worry; the chance of tuberculosis bacteria infecting directly through the bloodstream is extremely low, especially since your father's pulmonary tuberculosis is well-controlled. Wishing you health and peace! Sincerely, Dr. Chen[Read More] Is Surgery Safe for Patients with a History of Tuberculosis?
Managing Osteomyelitis After Knee Replacement: Risks and Solutions
Osteomyelitis is difficult to treat and is said to pose life-threatening risks. What should I do? Hello Dr. Lin! I underwent a knee replacement surgery on April 3rd last year, which led to an infection and osteomyelitis: ESR 70; CRP 5.35. I was hospitalized for treatment for six ...
Dr. Lin Gengxiao Reply:
1. The condition referred to as periostitis in the letter is likely a miscommunication; it should refer to a wound with prolonged poor healing accompanied by inflammation. 2. Due to the lack of detailed clinical information, it is difficult to determine the condition; however, ba...[Read More] Managing Osteomyelitis After Knee Replacement: Risks and Solutions
Effective Treatment Options for Osteomyelitis After Knee Replacement
Treatment of osteomyelitis? I have developed osteomyelitis due to an infection following knee replacement surgery. What should I do?
Dr. Yang Zhengfan Reply:
Dear Dawei, osteomyelitis is a troublesome disease that requires different treatment approaches depending on its severity. A thorough examination at the hospital is necessary to determine the appropriate course of action. I recommend that you seek medical attention promptly to av...[Read More] Effective Treatment Options for Osteomyelitis After Knee Replacement
Understanding Spinal Surgery: Insights on Artificial Bones and Recovery
Spinal surgery Dear Dr. Yang, My father is seventy years old. A month ago, he was diagnosed with a liver abscess and received treatment at Kaohsiung Veterans General Hospital. The bacteria have since infected his spinal cord and eroded a vertebra. He underwent surgery a week ago...
Dr. Yang Zhengfan Reply:
Dear Kitty, Liver abscess combined with spinal osteomyelitis is a challenging condition to treat. If it leads to spinal instability, surgical intervention, as you mentioned, is necessary. The typical approach involves two surgeries: first, a posterior approach to place spinal sc...[Read More] Understanding Spinal Surgery: Insights on Artificial Bones and Recovery
Caring for Open Fractures: Nutrition and Recovery Tips for Healing
Care for Open Fractures My father suffered an open fracture of the ankle due to a work accident. Although it has been six months and he has undergone three surgeries, he still frequently experiences redness, swelling, and discharge, and he walks with a limp. What should I do to c...
Dr. Luo Zhaozhong Reply:
Hello! Based on the correspondence, it can be inferred that this is an open fracture complicated by osteomyelitis. Therefore, general dietary control and nutritional supplementation may not be effective. Instead, it is necessary to seek treatment from a specialized orthopedic sur...[Read More] Caring for Open Fractures: Nutrition and Recovery Tips for Healing
When to Remove Surgical Rods After Fracture Surgery?
When should the metal rod be removed after a fracture surgery? Dr. Chen: Hello. My older sister is 52 years old. Three years ago, she suffered an open fracture of the right tibia and fibula, which led to osteomyelitis. She underwent surgery and had a metal rod implanted (from jus...
Dr. Chen Xingyuan Reply:
Dear Ms. Chen, The complication of fracture with osteomyelitis is quite a troublesome issue, as osteomyelitis is difficult to control and can affect the healing of the bone. Whether the steel pin can be removed depends on confirming if the fracture has healed, which can be deter...[Read More] When to Remove Surgical Rods After Fracture Surgery?
Understanding Osteomyelitis: Causes, Symptoms, and Treatment Options
Osteomyelitis What is osteomyelitis?
Dr. Zhang Shengben Reply:
Hello, Xiao Ming: Infection of the bone by pyogenic bacteria is referred to as osteomyelitis. There are two types of acute osteomyelitis: 1. Hematogenous osteomyelitis, which primarily occurs in children, is caused by infection spreading to the bone through the bloodstream. 2. Mo...[Read More] Understanding Osteomyelitis: Causes, Symptoms, and Treatment Options
Understanding Complications of Osteomyelitis: What You Need to Know
Emergency!!! Can osteomyelitis have complications?
Dr. Xu Zhaoren Reply:
1. If osteomyelitis is caused by a traumatic fracture, it can lead to delayed wound healing and nonunion at the fracture site. 2. In cases of chronic osteomyelitis, the following complications may arise: a. The formation of malignant tumors at the site of osteomyelitis. b. Squamo...[Read More] Understanding Complications of Osteomyelitis: What You Need to Know
Can Chronic Osteomyelitis Cause White Blood Cell Count to Exceed 100,000?
Osteomyelitis Is it possible for chronic osteomyelitis to cause white blood cell counts to exceed 100,000?
Dr. Su Yiren Reply:
Hello, Nell: A white blood cell count exceeding 100,000 is considered abnormal. Typically, the total white blood cell count in inflammatory conditions rarely exceeds 30,000. If the count is significantly higher, the following possibilities should be considered: 1. Testing error, ...[Read More] Can Chronic Osteomyelitis Cause White Blood Cell Count to Exceed 100,000?