Understanding Body Aches: When Bone Discomfort Isn't Pain
Generalized bone soreness, not pain, but a feeling of soreness? Three months ago, I started experiencing severe pain in all my bones, including my facial bones, which feel like they're being shocked whenever I touch them. I have a history of depression, insomnia, and severe ...
Dr. You Dianqi Reply:
Hello! It is recommended to visit the outpatient clinic for evaluation. Thank you![Read More] Understanding Body Aches: When Bone Discomfort Isn't Pain
Managing Acute Compression Fractures of the Lumbar Spine: A Patient's Guide
Acute compression fracture of the first lumbar vertebra? About six months ago, I was hit on the head by a fallen tree trunk. After taking only pain relief and anti-inflammatory medication, I experienced persistent lower back pain for three months. After examination, I was diagnos...
Dr. Chen Bochen Reply:
Hello Mr. Lin, if follow-up X-rays show that the compression fracture has healed three months after the injury and you do not experience any pain during movement, you can gradually discontinue the use of the back brace and return to normal activities. However, it is important to ...[Read More] Managing Acute Compression Fractures of the Lumbar Spine: A Patient's Guide
Is It Safe to Stop Osteoporosis Treatment After Two Doses?
After receiving two doses of Gardasil, is it possible to skip the remaining doses? Hello, doctor. I have already received two doses of Prolia. If I do not continue with the injections, will I quickly experience bone loss? The doctor who administered it mentioned that this treatme...
Dr. You Dianqi Reply:
Hello! Please discuss this with your attending physician. Thank you.[Read More] Is It Safe to Stop Osteoporosis Treatment After Two Doses?
Can You Safely Administer Osteoporosis and Shingles Vaccines Together?
Osteoporosis prevention vaccine and shingles vaccine? Hello Doctor: My mother received her first dose of the Shingrix vaccine for shingles on the evening of September 23rd. She is scheduled to receive her regular Prolia injection (for osteoporosis treatment) on the morning of Oct...
Dr. Chen Bochen Reply:
Hello, it is generally recommended to have a 7-day interval between receiving the Shingrix vaccine and other vaccines.[Read More] Can You Safely Administer Osteoporosis and Shingles Vaccines Together?
Understanding Forteo: Efficacy in Bone Regeneration and Osteoporosis Treatment
The efficacy of bone formation with Forteo (teriparatide)? I underwent lumbar fusion surgery (with screws and Romeo) on July 11 due to rheumatoid arthritis, after a previous surgery in June resulted in bone collapse. An X-ray on August 19 showed that the surgery was successful, b...
Dr. You Dianqi Reply:
Hello Amin! Each person's health condition is different, so it is advisable to discuss the subsequent treatment options with your attending (surgeon) physician. Thank you.[Read More] Understanding Forteo: Efficacy in Bone Regeneration and Osteoporosis Treatment
Post-Surgery Rehabilitation Tips for Patellar Fracture Recovery
Rehabilitation Issues After Patellar Fracture Surgery My mother is 77 years old and fractured her patella into four pieces due to a fall. It has been seven weeks since her surgery, and yesterday she returned for a follow-up appointment where her cast was removed and replaced with...
Dr. Li Wenhong Reply:
Hello: Based on your description, your mother's patellar fracture is comminuted, and she also has osteoporosis. Therefore, the postoperative cast fixation is required for a longer duration. The transition to a knee brace is made when the attending physician determines that s...[Read More] Post-Surgery Rehabilitation Tips for Patellar Fracture Recovery
Can Calcium Supplements Prevent Osteoporosis from Long-term Medication?
Osteoporosis and Calcium Supplementation Issues Hello, doctor. After undergoing an upper gastrointestinal endoscopy, I took the medication "Dexilant." The gastroenterologist mentioned that long-term use could lead to osteoporosis. I have been taking it for about three m...
Dr. Chen Yongxue Reply:
Hello, osteoporosis is not as simple as just supplementing calcium. Long-term use of medications like gastric motility agents can not only contribute to osteoporosis but also harm the kidneys and cause low magnesium levels. Therefore, if your gastric condition improves, please di...[Read More] Can Calcium Supplements Prevent Osteoporosis from Long-term Medication?
Post-Surgery Leg Pain: Understanding Complications After Bone Cement Procedure
After bone cement surgery, there is soreness in the right thigh? Hello, doctor. My father (height 170 cm, weight 104 kg) was involved in a car accident last month, resulting in a spinal fracture (I believe it was the twelfth vertebra). After being examined at the hospital, he und...
Dr. Chen Bochen Reply:
Hello, common issues after bone cement surgery, aside from cement leakage, include further deterioration of pre-existing degenerative areas due to injury. However, the management of spinal issues heavily relies on imaging studies. It is recommended that you consult with the physi...[Read More] Post-Surgery Leg Pain: Understanding Complications After Bone Cement Procedure
Understanding Hip Fractures in Elderly Patients: A Caregiver's Guide
Hip fractures in the elderly? I would like to ask the doctor: My mother is 75 years old and has osteoporosis. On April 15, 2022, she fell down the stairs after missing a step. She landed on her right side and was unable to get up by herself. After I helped her up, she said she wa...
Dr. Wang Shouji Reply:
Hello, hip fractures in the elderly can be categorized into two main types. If it is a femoral head fracture, it is often treated with a partial hip arthroplasty combined with bone cement, allowing for quicker recovery, and patients can usually bear weight and walk almost immedia...[Read More] Understanding Hip Fractures in Elderly Patients: A Caregiver's Guide
Impact of T12 Compression Fractures and Cement Augmentation on Daily Life
Compression fracture of the twelfth thoracic vertebra? The impact of a compression fracture at the twelfth thoracic vertebra and the subsequent vertebroplasty on daily life and work includes limitations in chosen physical activities and considerations regarding the nature of work...
Dr. You Dianqi Reply:
Hello: It appears that this is a fracture of the twelfth thoracic vertebra, and a vertebroplasty has been performed. The main focus afterward should be on managing osteoporosis to reduce the risk of other fractures. Regarding exercise, it is recommended to strengthen the core, wh...[Read More] Impact of T12 Compression Fractures and Cement Augmentation on Daily Life
Optimal Supplementation for Osteoporosis: Calcium, Fish Oil, and Vitamins
Health supplement consultation Hello, thank you for your valuable time in reviewing and responding. My mother is 63 years old and has been taking calcium supplements to help with osteoporosis. She is using the 500mg calcium with D3 and K2 from Life Extension. After exercising, sh...
Dr. Chen Bochen Reply:
Hello, regarding your question, I found online that fish oil and calcium supplements may have interactions. How should I supplement them properly? >>> It is recommended to take them at least two hours apart. Is it okay to take a multivitamin like Centrum after breakfast ...[Read More] Optimal Supplementation for Osteoporosis: Calcium, Fish Oil, and Vitamins
Understanding Lumbar Compression Fractures: Symptoms, Care, and Recovery Tips
Lumbar vertebral fracture Hello doctor, the patient has a compression fracture of the second lumbar vertebra and has been resting for 6 weeks. However, he experiences mild soreness in the right thigh and hip while walking. What could be the reason for this? Is it appropriate to w...
Dr. Chen Bochen Reply:
Hello. 1. Spinal fractures can sometimes be accompanied by partial nerve compression, leading to leg pain, but they may also result from contusions of the thigh or hip at the time of the spinal injury. 2. A back brace typically needs to be worn for 2-3 months; it does not need to...[Read More] Understanding Lumbar Compression Fractures: Symptoms, Care, and Recovery Tips
Understanding Rib Pain: Causes, Symptoms, and Treatment Options
Rib pain issues? Hello, doctor. Recently, I have been experiencing pain in my left rib area, just below the chest, extending to the sides and back. The pain started after I had a cold and cough for a week. It becomes very painful whenever I cough or sneeze. I returned to the clin...
Dr. Chen Bochen Reply:
Rib fractures typically occur due to a clear impact, unless there are conditions such as metastatic cancer or severe osteoporosis, which may cause fractures from coughing or minor bumps. Rib pain caused by coughing is mostly due to "costochondritis," which usually impro...[Read More] Understanding Rib Pain: Causes, Symptoms, and Treatment Options
Calcium Supplementation After Fracture: Is Procal Right for You?
Issues with taking Procal after a fracture? Director Chen: I suffered a proximal humeral fracture in a car accident last year, and five months later, the bone has not healed properly. The doctor prescribed one Prolia injection in the morning and one in the evening, and I underwen...
Dr. Chen Bochen Reply:
1. Calcium propionate is calcium acetate, which has poor absorption and a strong odor. It is generally used for patients with kidney issues to help eliminate phosphate ions (as calcium binds with phosphate to precipitate and subsequently excrete it). It is usually recommended to ...[Read More] Calcium Supplementation After Fracture: Is Procal Right for You?
Understanding Osteoporosis: Lifestyle Factors Affecting Bone Health
Osteoporosis-related issues Hello Doctor, I would like to ask about osteoporosis. For the past two years, my health check reports have shown that I have mild bone loss (this year it has reached -1.6). However, I have many questions. I work as a lifeguard at an outdoor swimming po...
Dr. Cai Shanglin Reply:
Hello, Yang. A 31-year-old active male is unlikely to have osteoporosis. I'm not sure which measurement method you used, but the currently recognized most accurate method is Dual-Energy X-ray Absorptiometry (DEXA). Using ultrasound to measure heel bone density is generally l...[Read More] Understanding Osteoporosis: Lifestyle Factors Affecting Bone Health
Treatment Options for Coccyx Fracture in Seniors: Rehab vs Surgery
Fracture of the first coccygeal vertebra (coccyx) - what treatment is recommended? Hello, doctor. My mother is in her 70s and generally mobile, but recently she fell backward while standing at home in the morning (suspected due to low blood pressure and dizziness; her blood press...
Dr. Chen Bochen Reply:
1. The fracture of the first lumbar vertebra seen on X-ray may not necessarily be an acute fracture; it could also be an old injury or a chronic deformity due to osteoporosis. 2. To determine whether the fracture was caused by the recent fall, an MRI is needed, which can also ass...[Read More] Treatment Options for Coccyx Fracture in Seniors: Rehab vs Surgery
Post-Humerus Fracture: Addressing Complications and Rehabilitation Strategies
Post-fracture complications of the humerus? Dr. Chen, I apologize for the questions I asked a few days ago, but I have a few more things I would like to inquire about. 1. Last time, you mentioned that a bone fragment in the shoulder joint might be the reason for the inability t...
Dr. Chen Yongxue Reply:
Hello, 1. Last time we mentioned that a bone fragment in the shoulder joint might be the reason for the inability to raise the arm. Is there a way to improve this condition? ANS: If so, it would require another surgery. Additionally, if osteoporosis is present, would increasin...[Read More] Post-Humerus Fracture: Addressing Complications and Rehabilitation Strategies
Post-Operative Care and Rehabilitation for Humerus Fractures: Key Insights
Postoperative care for humeral fracture? I apologize, but Dr. Chen has some questions to ask. My mother (around 60 years old) was in a car accident in mid-September 2020, and she was taken to the emergency room and underwent surgery. Currently, the doctor has advised aggressive r...
Dr. Chen Yongxue Reply:
1. The X-ray taken at the end of December 2020 shows a bone fragment in the shoulder joint, which likely corresponds to the attachment site of the supraspinatus muscle. This could be a primary reason for the inability to raise the arm. Such findings can occasionally be seen in pa...[Read More] Post-Operative Care and Rehabilitation for Humerus Fractures: Key Insights
Understanding Fourth Toe Fractures: Healing, Pain, and Recovery Insights
Fourth toe fracture with slight displacement? Hello, Doctor. I apologize for bothering you. I thought I had a minor sprain on October 20, but after an X-ray on November 6, I discovered a fracture and began conservative treatment. Here is the X-ray showing a small displacement fra...
Dr. Chen Bochen Reply:
1. The assessment of whether a fracture has healed should be based on clinical symptoms, not solely on X-rays. From the single angle you provided, it appears to be healed (but X-rays should not be interpreted from just one angle). 2. Your attending physician has indicated that y...[Read More] Understanding Fourth Toe Fractures: Healing, Pain, and Recovery Insights
Post-Operative Concerns After Hip Replacement Surgery in Osteoporosis
Postoperative care after total hip arthroplasty? Hello, doctor! My mother is 60 years old and has osteoporosis. Last year, she underwent a total hip arthroplasty on her left leg. However, less than two weeks post-surgery, she accidentally fell, causing the artificial hip joint to...
Dr. Chen Yongxue Reply:
Hello, if an injury occurs shortly after surgery, causing a change in the angle of the artificial hip joint, it is still recommended to undergo revision surgery. However, repeating surgery in a short period increases the risk of infection. Whether the revision surgery can restore...[Read More] Post-Operative Concerns After Hip Replacement Surgery in Osteoporosis