Can Knee Replacement Help Reduce Hunchback in Seniors?
Many years after total knee arthroplasty and kyphosis? Hello, Doctor. Happy New Year! I apologize for the interruption. My mother underwent bilateral knee arthroplasty at the China Post Hospital in Taipei in 2011, likely using titanium alloy. She lives in Changhua and is currentl...
Dr. Wang Shouji Reply:
Hello: The severity of the above conditions must be considered. If an elderly person has been unable to squat for several years, it is quite challenging to regain that ability. Kyphosis is often related to osteoporosis and compression fractures, and a proper assessment requires s...[Read More] Can Knee Replacement Help Reduce Hunchback in Seniors?
Does Drinking Fresh Milk Help with Osteoporosis and Joint Health?
Does drinking fresh milk help with bone health? Recently, I visited an orthopedic doctor because I felt a strange sensation in my knee (a slight discomfort while walking). After an X-ray, the doctor informed me that I have mild osteoporosis. I am considering drinking fresh milk t...
Dr. Ye Qingnian Reply:
A 34-year-old male is unlikely to have osteoporosis unless there are other metabolic or endocrine disorders involved. Some people believe that milk is not a good source of calcium, but most still consider it an excellent calcium supplement. To address cartilage wear, it is advisa...[Read More] Does Drinking Fresh Milk Help with Osteoporosis and Joint Health?
Can Bone Cement Treatment Improve Spinal Slippage in Elderly Patients?
Inquiry about bone cement treatment? Hello, doctor. My mother is 73 years old and previously reported back pain. After a diagnosis, it was determined that she has a spondylolisthesis at the L4-L5 level, leading to surgery for stabilization. However, her pain has not improved over...
Dr. Cai Shanglin Reply:
If the bone screw has become loose, it is necessary to determine whether the pain is caused by lumbar instability or if there are other vertebral fractures in order to decide the next steps for management.[Read More] Can Bone Cement Treatment Improve Spinal Slippage in Elderly Patients?
Understanding Bone Pain: Causes, Symptoms, and Calcium Supplementation
Bone pain Since early April, I've been experiencing some discomfort in my bones, with pain points that are not fixed. I've had discomfort in my wrists, fingers, and shins, among other areas. The pain is not continuous; it comes and goes. I also feel uncomfortable during...
Dr. Chen Yongxue Reply:
Hello, are you concerned about calcium deficiency? If hormone levels are normal, the age of 35 is typically the peak bone mass in a person's life. Given your age, worrying about osteoporosis might be premature. I recommend consulting an orthopedic specialist. Thank you.[Read More] Understanding Bone Pain: Causes, Symptoms, and Calcium Supplementation
Post-Hip Replacement Weakness: Understanding Causes and Disability Assessment
After hip joint replacement, there may be weakness in the leg, causing difficulty in standing and a feeling of instability? The mother is nearly 80 years old and has severe osteoporosis. Last February, she suffered a fracture of the left femur and underwent surgery in the hospita...
Dr. You Dianqi Reply:
Dear Ms. Chen, Regarding your mother's condition, a detailed examination and an in-person assessment of the patient's overall situation are necessary before providing more accurate recommendations and evaluations of her condition. As for the assessment of disabilities,...[Read More] Post-Hip Replacement Weakness: Understanding Causes and Disability Assessment
Is It Necessary to Use Bone Growth Injection for Clavicle Fracture Recovery?
Clavicle fracture I would like to ask about a 65-year-old elderly person who suffered a clavicle fracture in a car accident in mid-March. After seeking medical attention, the doctor stated that surgery is not currently necessary and that a brace should be worn. The frequency of f...
Dr. Wang Shouji Reply:
Hello: If a clavicle fracture does not require surgery, it can be protected with a triangular sling and figure-eight bandage for monitoring. Forteo (teriparatide) is originally used to stimulate bone growth in osteoporosis, but there is no evidence to support that it accelerates ...[Read More] Is It Necessary to Use Bone Growth Injection for Clavicle Fracture Recovery?
Understanding Congenital Thoracic Spine Abnormalities and Their Implications
Congenital thoracic vertebral anomalies Hello, doctor. I would like to ask a few questions. During my high school years, an X-ray revealed that my thoracic vertebrae T4-6 are not developing normally (the doctor diagnosed it as mild scoliosis). Recently, I went to National Taiwan ...
Dr. Chen Yongxue Reply:
Hello, I'm not sure what the correct diagnosis for the "thoracic spine structural abnormality" you mentioned is. I wouldn't want to jump to conclusions, so please visit an orthopedic clinic for an examination. Thank you.[Read More] Understanding Congenital Thoracic Spine Abnormalities and Their Implications
Understanding Compression Fractures: Are They Congenital or Tumor-Related?
Congenital spinal development issues? Compression fractures? Hello, Doctor. I am a 28-year-old male. Recently, I experienced chest and back pain for several months, which led me to visit a hospital and consult a neurologist. The doctor ordered an X-ray of my lumbar spine, and dur...
Dr. Li Yongheng Reply:
Hello, your spine may have developed naturally, so there is no need to worry too much. However, there is indeed a possibility of a tumor causing a vertebral fracture. Therefore, it is still recommended that you undergo an MRI examination.[Read More] Understanding Compression Fractures: Are They Congenital or Tumor-Related?
Preventive Vertebroplasty: Is It Right for Your Osteoporosis Risk?
Preventive bone cement injection Dear Dr. Lee, My mother is currently 68 years old. Recently, she underwent a bone density test, which revealed an average lumbar spine bone density value of -3.2 (T score). Aside from mild hypertension, she does not have any other medical conditi...
Dr. Li Yongheng Reply:
Hello, I do not recommend performing prophylactic vertebroplasty. This procedure is still considered invasive and carries risks, such as infection and cement leakage leading to nerve compression. Denosumab (Prolia) is commonly used in clinical practice and is effective for treati...[Read More] Preventive Vertebroplasty: Is It Right for Your Osteoporosis Risk?
Challenges in Healing: Right Ulnar Fracture and Radial Head Dislocation
Right ulnar fracture with radial head dislocation, postoperative nonunion? Dear Dr. Chen, I sustained an injury while attending a meeting on February 10 of this year, resulting in an open fracture: a fracture of the right ulnar bone accompanied by a dislocation of the radial hea...
Dr. Chen Yongxue Reply:
1. The described unusual sensation is likely primarily related to a bone issue. 2. To promote bone development and healing, immobilization is essential in the initial phase, and calcium supplementation is also very important. Additionally, there are reports that ultrasound may ...[Read More] Challenges in Healing: Right Ulnar Fracture and Radial Head Dislocation
Understanding Height Growth and Changes in Adulthood
Height issues If a 26-year-old male's growth plates have closed, it indicates that he will not experience any further increase in height, not even by 0.1 centimeters (excluding temporary height increases from activities like yoga that stretch the spine). However, as individu...
Dr. Li Yongheng Reply:
If a 26-year-old male has closed growth plates, it indicates that he will not grow taller. As he ages, factors such as osteoporosis and kyphosis may gradually decrease his height. The age at which height reduction begins varies from person to person.[Read More] Understanding Height Growth and Changes in Adulthood
Understanding Osteoporosis: Calcium and Vitamin D Intake for Joint Health
Hip joint - Osteopenia Hello, doctor. I underwent a bone density test this year and found that I have osteopenia in the hip joint with a score of -2.1. The doctor recommended that I take calcium supplements. I have some questions regarding a calcium supplement I purchased, which ...
Dr. Li Yongheng Reply:
Hello, based on your age, your intake of calcium and vitamin D should be sufficient. Chewing calcium tablets before swallowing can enhance absorption. Additionally, spending 5 to 10 minutes in the sun daily is adequate, so there is no need to purchase additional vitamin D supplem...[Read More] Understanding Osteoporosis: Calcium and Vitamin D Intake for Joint Health
Post-Menopausal Bone Health: Calcium, Vitamin D, and Fracture Recovery Tips
Postmenopausal fractures, with a bone mineral density of -0.4, how should calcium be supplemented and how can bone loss be slowed? Dear Dr. Lee, I suffered a metatarsal fracture and a crack on August 6 of this year, resulting in two wounds: one complete fracture and one lacerati...
Dr. Li Yongheng Reply:
Hello: Based on your age, it is recommended that you consume 1000 mg of calcium and 800 IU of vitamin D3 daily. Bone mineral density testing should be performed using dual-energy X-ray absorptiometry (DXA) rather than standard X-ray imaging. A T-score of less than -2.5 from the D...[Read More] Post-Menopausal Bone Health: Calcium, Vitamin D, and Fracture Recovery Tips
Understanding Artificial Knee Loosening: Causes, Solutions, and Recovery
What are the subsequent actions after a knee prosthesis loosens? 1) The postoperative X-rays initially showed normal alignment, but the loosening after one year could be attributed to inadequate bonding agents or suboptimal material quality between the artificial knee and the tib...
Dr. Shi Guozheng Reply:
1. There are many reasons for loosening within a year, and poor bone quality is one of them. It is usually unrelated to the material. 2. It is not related to posture. 3. It can only be reopened. 4. There is a possibility that it may occur.[Read More] Understanding Artificial Knee Loosening: Causes, Solutions, and Recovery
Slow Recovery from Fifth Metatarsal Fracture: Tips and Insights
Slow recovery from metatarsal fractures? 1. How much longer is the normal recovery time? Are there any ways to expedite the healing process? 2. Is it necessary to wear a brace 24 hours a day? 3. How can I strengthen my bone density? 4. The doctor suggested an out-of-pocket ...
Dr. Wang Shouji Reply:
Hello: If there is a metatarsal fracture in the foot without pain, and due to osteoporosis the callus formation is not significant, observation may be considered. Follow-up with self-paid osteoporosis injections can be pursued, as clinically they do not provide significant help f...[Read More] Slow Recovery from Fifth Metatarsal Fracture: Tips and Insights
Managing Complications After Hip Fracture Surgery in Elderly Patients
The steel pins have shifted due to fractures caused by osteoporosis? My mother is 90 years old and suffered a greater trochanter fracture due to a fall. After surgery, her leg became swollen like an elephant's leg. Subsequently, she received treatment from a vascular special...
Dr. Wang Shouji Reply:
Hello: It is not uncommon for osteoporosis to cause the displacement of metal pins clinically. If the fracture reduction is acceptable, some cases can be assisted with plaster casting. However, if the pattern of bone displacement is unacceptable, it is necessary to re-lay the pat...[Read More] Managing Complications After Hip Fracture Surgery in Elderly Patients
Is Surgery Necessary for Wrist Fractures After a Month? Expert Insights
Wrist surgery On April 2, the patient fell forward and injured their right hand. X-rays showed fractures in the distal phalanx of the thumb, as well as in the ulnar and radial bones near the joint, with the radial head being particularly severe, showing a clear fissure approximat...
Dr. Li Yongheng Reply:
If the fracture is displaced, surgery may be considered; however, if there is no significant displacement, it is recommended to continue with cast immobilization. You may also seek a second opinion at another hospital. Wishing you a speedy recovery.[Read More] Is Surgery Necessary for Wrist Fractures After a Month? Expert Insights
Managing Pain After Broken Femur Surgery: Solutions for Your Loved One
After a femoral fracture surgery where the metal screws have broken, what should be done? A year ago, my mother fell and suffered a femoral fracture. After the doctor inserted a steel nail, she gradually started learning to walk again over the course of six months. However, three...
Dr. Chen Yongxue Reply:
Hello, generally speaking, if a steel nail fractures, it indicates that there is a problem with bone healing. This is often seen in patients with osteoporosis. If the fracture site is unable to heal, it may be necessary to undergo surgery again to reposition the steel nail and to...[Read More] Managing Pain After Broken Femur Surgery: Solutions for Your Loved One
Impact of Thyroid Medication on Bone Healing After Fracture
Simultaneous use of Ontruzant and osteoporosis medications? Hello Dr. Tsai, my mother is 63 years old. She had a femur fracture from a car accident six months ago. Recently, during a follow-up appointment, the doctor mentioned that after six months, she should not be walking with...
Dr. Cai Shanglin Reply:
Hello: There is a certain percentage of poor healing associated with femoral fractures, and the prognosis depends on the location of the fracture, the degree of comminution, and the surgical approach used, so it may not necessarily be related to thyroid medication. There are seve...[Read More] Impact of Thyroid Medication on Bone Healing After Fracture
Managing Pain After Pelvic Fracture: Tips for Recovery
A fall resulted in a pelvic fracture. After three months of recovery, there is still pain while walking? I have diabetes and osteoporosis. Three months ago, I fell and sustained a pelvic fracture, which has since healed, but I still experience pain while walking. At night, I can ...
Dr. Shi Guozheng Reply:
Pelvic fractures typically heal within three months, but it is possible to experience pain during this time. Pain relief can be managed with analgesics, and it is advisable to avoid excessive movement. Applying heat can also help alleviate discomfort.[Read More] Managing Pain After Pelvic Fracture: Tips for Recovery