Morning Finger Stiffness: Understanding Possible Causes and Concerns
Finger joints Hello Doctor, for the past couple of days, I have noticed that my fingers feel a bit stiff and slightly painful when I wake up, but this sensation disappears within two minutes of getting out of bed. Upon examining my fingers, I noticed a slight swelling at the join...
Dr. Shi Guozheng Reply:
Typically, if the finger joints are overused, they may feel stiff in the morning upon waking, but if it is not arthritis, this stiffness usually resolves within a few minutes and is not a significant concern. Rheumatoid arthritis (RA) is an autoimmune disorder that occurs symmetr...[Read More] Morning Finger Stiffness: Understanding Possible Causes and Concerns
Managing Disuse Osteoporosis After a Fracture: Treatment and Dietary Tips
Disuse osteoporosis after fracture? Hello doctor, I have had a foot fracture for over two months. Recent X-rays show that the fracture has healed, but there is a significant presence of osteoporosis. What treatment do you recommend? What dietary considerations should I keep in mi...
Dr. Shi Guozheng Reply:
After a fracture has healed, it is generally safe to walk or bear weight. Normal weight-bearing activities can stimulate bone density increase. Additionally, it is important to supplement with vitamin D and calcium, and to maintain regular exercise to promote recovery.[Read More] Managing Disuse Osteoporosis After a Fracture: Treatment and Dietary Tips
Understanding Post-Fracture Care: Activity, Healing, and Nutrition
Fracture issues Hello, my family member had a fracture in their arm last week and has already undergone surgery. The surgeon placed a steel pin (the kind that doesn't need to be removed), but they mentioned that it's important to move the hand frequently to reduce swell...
Dr. Shi Guozheng Reply:
Humeral fractures typically heal about three months after surgical fixation with bone screws. During this period, it is important to maintain appropriate movement in the elbow and shoulder joints. If the joints are immobilized for too long, it can lead to contractures and joint s...[Read More] Understanding Post-Fracture Care: Activity, Healing, and Nutrition
Understanding Post-Operative Swelling After Knee Osteotomy Surgery
Hello, doctor. I would like to discuss knee osteotomy surgery? Hello Doctor, due to a car accident many years ago, I did not receive proper treatment at the time, which has led to a deformity of 17 to 19 degrees of valgus in my right knee (X-shaped leg, but only on the right side...
Dr. Wang Shouji Reply:
Hello: It is not necessarily a problem if the swelling has not subsided more than a month after surgery. Just be sure to monitor for any signs of surgical infection (such as: tingling, fever). If there is severe osteoporosis, be cautious with movements to avoid falls and do not e...[Read More] Understanding Post-Operative Swelling After Knee Osteotomy Surgery
Understanding Osteoporosis Treatments: Risks of Bisphosphonates vs. Alternatives
Osteoporosis treatment Thank you for the doctor's response regarding osteoporosis. I would like to ask if the injection is also a bisphosphonate medication? Does it carry the same risk of osteonecrosis? I discussed this with my dentist, and he strongly opposes bisphosphonate...
Dr. Shi Guozheng Reply:
Raloxifene (Evista) is a selective estrogen receptor modulator that can inhibit bone resorption. Its side effect may include a slight increase in the risk of thrombosis, but this risk is not considered high. It can be used in individuals without coronary heart disease or hyperlip...[Read More] Understanding Osteoporosis Treatments: Risks of Bisphosphonates vs. Alternatives
Understanding Osteoporosis X-Ray Checks: Key Areas and Treatment Options
Bone density test How many points should be examined in an X-ray for osteoporosis to be sufficient? Previously, someone went to Chang Gung Memorial Hospital and had their wrist and foot examined, but when I had it done at Taipei Medical University two years ago, only the hip and ...
Dr. Shi Guozheng Reply:
Bone density testing typically measures the lumbar spine and hip. A T-score of -1.8 indicates osteopenia, which is not yet at the level of osteoporosis, and the risk of fractures is relatively low. Generally, increasing physical activity and supplementing with calcium and vitamin...[Read More] Understanding Osteoporosis X-Ray Checks: Key Areas and Treatment Options
Can Patients with Low Bone Density Undergo Orthognathic Surgery?
Low bone density surgery Hello, Director... I have had low bone density for many years, and this year it was measured at -2.1. However, due to my medical condition, I need to undergo a bimaxillary advancement surgery (MMA). I would like to ask if patients with low bone density or...
Dr. Shi Guozheng Reply:
BMD, or bone mineral density, is commonly assessed using a dual-energy X-ray absorptiometry (DEXA) scanner, which provides a more accurate measurement. A T-score of -2.5 or lower indicates osteoporosis, which is associated with a higher risk of fractures. A T-score between -2.5 a...[Read More] Can Patients with Low Bone Density Undergo Orthognathic Surgery?
Can Patients with Low Bone Density Safely Undergo Jaw Surgery?
Surgical issues in patients with low bone density? Hello, doctor. My bone density measured -2.1 on an X-ray, and I am currently taking calcium supplements. I would like to ask if it is possible to undergo orthognathic surgery that requires bone screws with low bone density. Will ...
Dr. Huang Minxu Reply:
Hello, there are many factors that affect bone healing. From a physiological perspective, for example, patients with diabetes, and from a lifestyle perspective, factors such as smoking, alcohol consumption, and the use of steroids. The key issue with osteoporosis affecting bone h...[Read More] Can Patients with Low Bone Density Safely Undergo Jaw Surgery?
Vertebral Compression Fractures in Osteoporosis: Is Cement Surgery Effective for Seniors?
Compression fractures of the first and second vertebrae due to a fall caused by osteoporosis? My mother is currently 84 years old and has suffered compression fractures of the first and second vertebrae due to osteoporosis after a fall. She no longer experiences much pain, but sh...
Dr. Shi Guozheng Reply:
Typically, after a spinal injury, the pain will decrease within one to two weeks, and the patient may gradually be able to sit up. However, complete recovery may take two to three months. The use of bone cement in surgical procedures has shown excellent results, providing immedia...[Read More] Vertebral Compression Fractures in Osteoporosis: Is Cement Surgery Effective for Seniors?
Understanding Avascular Necrosis After Fractures: Treatment and Recovery Insights
Avascular necrosis of the femoral head due to fracture of the wide joint? Is it necessary to replace the hip joint with an artificial joint for avascular necrosis of the femoral head due to closed fracture? If detected and treated early, will a replacement still be needed? How lo...
Dr. Shi Guozheng Reply:
Avascular necrosis of the femoral head requires assessment of its severity; only severe cases necessitate surgical intervention. In the early stages, surgery is not required, but close monitoring is essential. Typically, recovery from a total hip replacement takes about 6 to 12 w...[Read More] Understanding Avascular Necrosis After Fractures: Treatment and Recovery Insights
Impact of Surgery on Osteoporosis: Concerns and Considerations
Surgical Impact Dear Director, I previously underwent an ultrasound bone density test, which indicated that I have osteoporosis. You suggested that I get a more accurate measurement of my hip joint or spine through a full-body lying down scan. Additionally, I have a question reg...
Dr. Shi Guozheng Reply:
If the bone is too osteoporotic, the screws may not be able to secure properly during surgery. The physician should assess the condition, and if the bone is too fragile, it may not be suitable for this method. There are also other surgical options available to address the issue.[Read More] Impact of Surgery on Osteoporosis: Concerns and Considerations
Managing Wrist Fractures in Osteoporosis Patients: Key Considerations
Medical management of fractures in patients with osteoporosis? Hello Dr. Chang, I would like to ask you a question. If an elderly person at home has a fracture in their arm (approximately between the wrist and elbow, closer to the wrist), if we choose to apply a cast for treatmen...
Dr. Zhang Jiahao Reply:
Hello: Theoretically, if a fracture has significant displacement and the patient's physical condition allows, it should be reduced and then stabilized, as this can promote better functional outcomes after bone healing. Thank you![Read More] Managing Wrist Fractures in Osteoporosis Patients: Key Considerations
Understanding Low Bone Density: Concerns and Next Steps for Young Adults
Low bone density? Hello Doctor: Thank you for your prompt response. I am undergoing a company health check-up, where nurses from the hospital set up equipment at the company for examinations. The device used is a small machine where I remove my shoes and socks and place my right ...
Dr. Shi Guozheng Reply:
You can go to a large hospital for more sophisticated examinations using whole-body instruments, which tend to be more accurate. It's unlikely for someone as young as you to have severe osteoporosis. After the tests, you can feel more at ease when reviewing the results. A Bo...[Read More] Understanding Low Bone Density: Concerns and Next Steps for Young Adults
Understanding Bone Density -2.5: Concerns and Calcium Solutions for Young Women
Bone mineral density -2.5 Hello Doctor: I am 25 years old, female, and I usually enjoy exercising and often eat fruits and vegetables. I wonder if it’s because I get less sun exposure... Yesterday, my bone density test result was -2.5, which is close to the threshold for osteopor...
Dr. Shi Guozheng Reply:
May I ask which type of machine was used for your examination? Generally, a DEXA scan, specifically a whole-body dual-energy X-ray absorptiometry (DXA) scan, is more accurate than an ultrasound. Was the examination performed on the spine or the hip? If the results are indeed accu...[Read More] Understanding Bone Density -2.5: Concerns and Calcium Solutions for Young Women
Side Effects of Bone Strengthening Injections: Should You Continue?
What are the side effects of receiving a bone-strengthening injection? Hello, doctor: I received a bone-strengthening injection last year, but I didn't notice any improvement. Instead, I've been experiencing frequent bone pain, lower back pain, nausea, and headaches, an...
Dr. Chen Xingyuan Reply:
Dear Online Friends, Every medication has its indications and side effects. The Bone Strength injection is primarily used for the treatment of osteoporosis, aimed at reducing bone loss and consequently lowering the incidence of fractures. Acute phase reactions following Bone Str...[Read More] Side Effects of Bone Strengthening Injections: Should You Continue?
Sudden Weakness in One Leg: Causes and Concerns Explained
The legs may suddenly become weak and give way? Doctor, I sometimes experience sudden weakness in my legs while walking, where my leg feels like it gives out for a moment, but then it returns to normal quickly. I have never fallen because of this; it is always momentary. Could th...
Dr. Shi Guozheng Reply:
It is likely that the issue is related to muscle weakness, as osteoporosis typically has no warning signs. To determine if osteoporosis is present, a bone density test is necessary. Based on your age, you are not yet at the age where osteoporosis is expected.[Read More] Sudden Weakness in One Leg: Causes and Concerns Explained
Should I See an Orthopedist After a Deep Tissue Massage?
Please ask about spine issues again? Hello: Thank you for your response. I had a Thai massage the day before yesterday, and the massage therapist applied a lot of pressure on my back. I heard cracking sounds from my bones, and although I specifically reminded the therapist not to...
Dr. Li Wenhong Reply:
Hello Mark: At your age, you should not have osteoporosis. If there is no significant pain or limitation in movement after the massage, there is no need to worry, and you do not need to see a doctor for now. Dr. Li Wen-Hong, Orthopedics, Changhua Hospital.[Read More] Should I See an Orthopedist After a Deep Tissue Massage?
Understanding Osteoporosis: Key Insights from Bone Density Testing
Bone density test Hello Dr. Chang, I recently underwent a health check-up and had a bone density test, which revealed that I have osteoporosis. The detailed report of the bone density test is as follows: http://ppt.cc/VYZp. I do not have dietary restrictions, except for fresh mi...
Dr. Zhang Jiahao Reply:
Hello: Standard bone density measurements should assess the lumbar spine and hip. Therefore, you should first undergo proper bone density testing and then take necessary actions based on the results. Thank you![Read More] Understanding Osteoporosis: Key Insights from Bone Density Testing
Managing Osteoporosis and Fractures in Elderly Patients: A Guide
Fractures and Osteoporosis My mother, who is 85 years old, suffered a fall and underwent surgery for a fracture near her thigh. After examination, she was diagnosed with osteoporosis. Currently, she has weakness in her legs and is unable to walk or get up on her own. She has been...
Dr. Chen Xingyuan Reply:
Dear User: Calcium and Fosamax are primarily used to treat osteoporosis to prevent further fractures. If there are no specific issues such as medication side effects or worsening kidney function, it is currently recommended to take it for five years and then check bone mineral de...[Read More] Managing Osteoporosis and Fractures in Elderly Patients: A Guide
Understanding Osteoporosis: Side Effects of Bone Strength Injections
The issue of osteoporosis? Hello Doctor: My mother is 65 years old. Recently, she underwent a bone density test and was found to have severe osteoporosis. The doctor recommended a medication called "Bone Strength," produced by Novartis, which only requires an injection ...
Dr. Zhang Jiahao Reply:
Hello: This condition is relatively uncommon. It is advisable to first visit an outpatient clinic to check if there are any other issues with the knee or foot for safety.[Read More] Understanding Osteoporosis: Side Effects of Bone Strength Injections