Understanding Bone Healing: Why Is My Fracture Gap Increasing?
The fracture site is enlarging? Hello Dr. Chang, I had a bicycle accident on January 31 of this year, resulting in fractures of both bones in my left calf. The larger bone was broken into three segments, and the smaller bone was shattered. I have been diabetic for 20 years and ha...
Dr. Zhang Jiahao Reply:
Hello: After a bone fracture, it is normal for the body to absorb the bone around the fracture site and regenerate new bone, which may cause the gap to widen. If the small fracture is located farther away from the ankle (more proximal), it is not a concern. After a fracture, it i...[Read More] Understanding Bone Healing: Why Is My Fracture Gap Increasing?
Understanding Right Knee and Ankle Pain: Causes and Solutions
Right ankle and knee pain? Hello Dr. Wang, I experience soreness and pain in my right knee and right ankle whenever I sit down. When I stand, my knee feels okay, but my right ankle still hurts a lot. There is no swelling, but I have to use pain relief patches every day. Could yo...
Dr. Wang Shouji Reply:
This issue involves whether there is a history of injury, what type of work is usually performed, and whether there is a need for prolonged standing or walking. This is not significantly related to osteoporosis; whether there is a leg length discrepancy should be evaluated by a p...[Read More] Understanding Right Knee and Ankle Pain: Causes and Solutions
Understanding Hip Dislocation After Total Hip Replacement Surgery
The patient experienced a dislocation three days after total hip arthroplasty? Hello, Dr. Shi. Recently, my mother dislocated her hip joint three days after undergoing total hip replacement surgery. It's been over a month now, and she has had closed reduction surgeries six o...
Dr. Shi Guozheng Reply:
Dislocation and stability after total hip arthroplasty are closely related to the positioning of the acetabulum, which is the most critical factor. If the acetabulum is positioned too steeply, it increases the risk of dislocation. Additionally, if the femoral neck is too short, i...[Read More] Understanding Hip Dislocation After Total Hip Replacement Surgery
Should Surgery Be Urgent for a Humerus Fracture in Elderly Patients?
Is surgery urgently needed for a humeral fracture? Hello, Doctor: My mother is 64 years old and has Parkinson's disease. She underwent surgery on her left elbow due to an injury from a fall two years ago, but because of an infection, she had to undergo a debridement surgery....
Dr. Shi Guozheng Reply:
Because there are no visible changes in the imaging, it is difficult to make a judgment. However, after receiving a joint replacement, if the fracture is unstable, surgery is usually required. If it is a stable fracture, conservative treatment may be an option. You may consider c...[Read More] Should Surgery Be Urgent for a Humerus Fracture in Elderly Patients?
Understanding Spinal Compression Fractures: Recovery and Treatment Options
Vertebral compression fracture? My grandmother has an osteoporotic fracture. The doctor mentioned that recovery time depends on the individual, and she has been lying down for three months. Will she recover? It has already been over a month. She suffers from pain every day, which...
Dr. Chen Liangqing Reply:
Hello, sister: Most vertebral compression fractures are caused by osteoporosis, so they commonly occur in older adults. As a result, patients often experience extreme pain and are bedridden at the time of injury. Over time, the pain gradually decreases. If the pain is unbearable,...[Read More] Understanding Spinal Compression Fractures: Recovery and Treatment Options
Understanding ACL and Meniscus Injuries: Treatment Options and Recovery
Anterior cruciate ligament tear and meniscus tear? Hello Doctor: Three years ago, I had a rupture of the right posterior cruciate ligament (PCL) (MRI was done but no surgery was performed). In July or August, an MRI showed a tear in the medial meniscus of the right knee (in a hea...
Dr. Shi Guozheng Reply:
Follow the physician's instructions regarding the fixed schedule, and discuss any detailed circumstances with your attending physician.[Read More] Understanding ACL and Meniscus Injuries: Treatment Options and Recovery
Understanding ACL Tears and Meniscus Injuries: Treatment Options Explained
Anterior cruciate ligament tear and meniscus tear? Hello Doctor: Three years ago, I suffered a rupture of the right posterior cruciate ligament (PCL) (MRI was done but no surgery was performed). In July or August, an MRI showed a tear in the medial meniscus of the right knee (in ...
Dr. Shi Guozheng Reply:
Injuries can result in different areas of tearing, and if the ligament is not completely torn, it can heal to a certain extent with immobilization in a cast. It is normal for the foot to swell after weight-bearing; elevating the foot can help reduce the swelling.[Read More] Understanding ACL Tears and Meniscus Injuries: Treatment Options Explained
Understanding Scoliosis and Osteoporosis Surgery Options for Seniors
The mother has scoliosis and osteoporosis, and the doctor recommends surgery? Hello Doctor: My mother has severe scoliosis combined with osteoporosis. She has visited two hospitals, Tongji Hospital and Taichung Renai Hospital, where doctors have recommended surgery. However, afte...
Dr. Shi Guozheng Reply:
The reasons for spinal surgery are typically due to nerve compression or pain that cannot be managed with medication. In adults with scoliosis, surgery is only necessary if there is compression affecting cardiac or pulmonary function. As for severe osteoporosis, surgery is requir...[Read More] Understanding Scoliosis and Osteoporosis Surgery Options for Seniors
Understanding Vertebral Compression Fractures and Bone Cement Treatment
Regarding the issue of vertebroplasty? Dear Director, 1. How long is medication typically administered for vertebral compression fractures before deciding whether to perform vertebroplasty? 2. Is it necessary to conduct a bone density test or any other preoperative evaluations b...
Dr. Shi Guozheng Reply:
Medication treatment is aimed at alleviating pain symptoms. There is no requirement to administer medication before performing vertebroplasty. Generally, a bone density test is not necessary beforehand. For cost-related inquiries, it is best to ask the specific hospital you plan ...[Read More] Understanding Vertebral Compression Fractures and Bone Cement Treatment
Do You Really Need Cement Injection for Lumbar Compression Fractures?
Is it necessary to use bone cement for lumbar compression fractures? Dear Director, My mother is 70 years old. She has a habit of exercising regularly and has been learning belly dancing for over two years. Last November, she performed at the Flower Expo. After her performance, ...
Dr. Shi Guozheng Reply:
Vertebral compression fractures can be effectively treated with vertebroplasty using bone cement, which can quickly alleviate pain. To improve or restore bone quality or bone density, medication and calcium supplements are necessary. If pain persists, analgesics can be used for t...[Read More] Do You Really Need Cement Injection for Lumbar Compression Fractures?
Understanding Osteoporosis and Treatment Options for Spinal Fractures
The bone's structure is nearly hollow? My father-in-law is eighty years old. After being grazed by a motorcycle last year, he started experiencing unusual pain in his lumbar spine. Over the past year, he has intermittently visited both traditional and Western medicine clinic...
Dr. Chen Xingyuan Reply:
Dear Netizen, Your father-in-law's issue is primarily due to osteoporotic compression fractures of the lumbar spine, which is a common condition in the elderly. The treatment during the acute phase focuses on pain management, including the use of analgesics, back support, c...[Read More] Understanding Osteoporosis and Treatment Options for Spinal Fractures
Effective Solutions for Shoulder Stiffness and Lower Back Pain
Shoulder stiffness, lower back pain, and discomfort in the back! Dear Director Shih, My mother has been experiencing stiffness and pain in her shoulders, as well as soreness in her lower back, due to work-related fatigue. Although she has consulted an orthopedic physician, the e...
Dr. Shi Guozheng Reply:
Shoulder pain in middle-aged individuals is most commonly caused by arthritis and shoulder bursitis, which can lead to joint stiffness or limited mobility. Lower back pain is often associated with aging or osteoporosis of the vertebrae, which can result in fractures. Treatment ca...[Read More] Effective Solutions for Shoulder Stiffness and Lower Back Pain
Understanding Osteoporosis Risks and Calcium Absorption in Young Adults
Osteoporosis Hello Dr. Chang, I am 29 years old. After undergoing a specialized bone density examination using X-ray equipment at a major hospital, my T-score and Z-score were both close to -2.5. My elders have osteoporosis, and I have a small bone structure, which seems to plac...
Dr. Zhang Jiahao Reply:
Hello: Osteoporosis is indeed related to the absorption and metabolism of calcium. Our bone mass is in a dynamic balance, meaning that old bone is constantly being resorbed while new bone is being formed. If you have not excessively sunbathed, and maintain moderate exercise and a...[Read More] Understanding Osteoporosis Risks and Calcium Absorption in Young Adults
Effective Treatments and Tips to Increase Bone Density in Osteoporosis
Osteoporosis My sister is thirty-two years old and has been diagnosed with osteoporosis. I would like to know if there are any methods to increase her bone density and if there are any medications available for this condition.
Dr. Zhang Jiahao Reply:
Hello: Regarding the issue you raised, it is important to first confirm whether osteoporosis is indeed present. The likelihood of severe osteoporosis in premenopausal women is relatively low unless there are other comorbidities. The diagnosis of osteoporosis should be made using ...[Read More] Effective Treatments and Tips to Increase Bone Density in Osteoporosis
Understanding Hip Replacement Materials and Longevity: Key Insights
Artificial hip joints... materials inquiry? Hello, Doctor... Thank you for taking the time to address my questions... 1. I had a total hip arthroplasty at Linkou Chang Gung Memorial Hospital in January 2008, using a metal ball head and a polyethylene (PE) liner. Could the plastic...
Dr. Zhou Lizhi Reply:
Dear netizens: 1. Generally, artificial hip joints consist of metal balls and polymer liners, and there are also ceramic balls and liners. The ultra-durable liners cannot be identified through X-rays; this information will be documented in the surgical records. 2. Typically, ...[Read More] Understanding Hip Replacement Materials and Longevity: Key Insights
Understanding Knee Pain: Is There Really an Extra Ligament?
Is there an extra tendon on the inner side of the knee? Hello Doctor: I have been experiencing knee pain for a long time. I had a car accident during middle school, but it wasn't serious, so I didn't pay much attention to it. However, in recent years, every winter or wh...
Dr. Shi Qiming Reply:
In the case of knee joint injuries that have not healed over a long period or are unresponsive to medication, a thorough examination should be conducted, such as arthroscopy or MRI. It is recommended to seek treatment at an orthopedic outpatient clinic.[Read More] Understanding Knee Pain: Is There Really an Extra Ligament?
Choosing Between Plates and Pins for Colles Fracture Treatment: A Guide
Colles' Fracture (Distal Radius Fracture) Hello Director Chen, I have a closed fracture of the radius due to a car accident, and I have osteoporosis. Currently, my doctor has recommended using a plate for fixation because the bone is somewhat fragmented. If I manage my house...
Dr. Chen Xingyuan Reply:
Dear Readers: Distal radius fractures are commonly seen in postmenopausal women due to falls, resulting in osteoporotic fractures. Treatment options include closed reduction with cast immobilization, closed reduction with percutaneous pinning and cast immobilization, closed reduc...[Read More] Choosing Between Plates and Pins for Colles Fracture Treatment: A Guide
Understanding Thigh Noises: Causes and Concerns in Orthopedics
Is there a sound coming from the thigh? Hello Doctor, I recently noticed that after sitting in one position for a long time, when I stand up, I hear a cracking sound in the inner thigh. If I sit with my knees apart, I can also hear the sound (it's more pronounced on the righ...
Dr. Zhou Lizhi Reply:
Dear user, First of all, you are a 32-year-old male. Generally speaking, unless there are specific diseases, osteoporosis should not be a concern at your age. When your joints (hip and knee) make sounds during position changes, there are typically two issues to consider: one is...[Read More] Understanding Thigh Noises: Causes and Concerns in Orthopedics
Understanding Treatment Options for Scapular Neck Fractures
Scapular neck fracture Hello, my mother-in-law suffered a neck fracture of the scapula due to a car accident. Initially, the deputy director (orthopedic surgeon) at Taoyuan Lixin Hospital informed us that surgery was not an option, but he did not provide any further instructions....
Dr. Shi Qiming Reply:
In the case of a neck fracture of the scapula, if there is no severe displacement or impact on the joint surface, surgical intervention is generally not necessary. However, due to its impact on shoulder joint mobility, it is recommended to undergo rehabilitation treatment for sev...[Read More] Understanding Treatment Options for Scapular Neck Fractures
Understanding Pain Management After L1 Compression Fracture Recovery
Compression fracture of the first lumbar vertebra? Hello Doctor: I suffered a compression fracture of the first lumbar vertebra a week ago. I am currently recovering at home with medication and wearing a back brace, but I often feel a lot of soreness in my lower back. Is this a n...
Dr. Luo Zhongwei Reply:
Hi! I don't know your age, so I'm unsure whether your compression fracture is due to osteoporosis or a high-impact type. Some compression fractures can be burst fractures, so it's important to confirm the correct diagnosis. Compression fractures typically take at l...[Read More] Understanding Pain Management After L1 Compression Fracture Recovery