Guidelines for Assisting Patients with Spinal Fractures and Cancer
Care for Spinal Fractures Hello Doctor, my family member has osteoporosis and fractures in the fourth and fifth lumbar vertebrae due to cancer, which also affects the thoracic spine and hip joints. The pain has made it impossible for them to get up or lie down independently, requ...
Dr. Wang Jiacheng Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or dietitian.[Read More] Guidelines for Assisting Patients with Spinal Fractures and Cancer
Can You Climb Stairs After a Year of Lumbar Spine Fracture?
"Is it safe to climb stairs regularly one year after a burst fracture of the third vertebra?" Hello Dr. Shen, I sustained a burst fracture of the third lumbar vertebra due to a car accident, with a compression of 0.4 cm at the third lumbar vertebra. I have been undergoi...
Dr. Shen Boquan Reply:
Hello, netizen. You have a fracture of the third lumbar vertebra that has healed for a year without pain. Climbing stairs can put a significant strain on your knees. If you do not experience noticeable knee pain or back pain, it should not have a major impact. However, if you exp...[Read More] Can You Climb Stairs After a Year of Lumbar Spine Fracture?
Recovery Tips for Burst Fractures: Safe Mobility After Spinal Injury
Vertebral fracture Dear Doctor, I hope this message finds you well! I was involved in a car accident that resulted in a "burst fracture of the third cervical vertebra" (with vertebral body collapse of 0.3-0.4 cm). I have been resting at home for 7 weeks now. Most of th...
Dr. Shi Guozheng Reply:
Vertebral fractures typically develop callus around eight weeks and usually heal completely by twelve weeks. Before that, some movement is allowed, as activity can promote faster recovery. You can have an X-ray at eight weeks to check on the healing progress of the fracture.[Read More] Recovery Tips for Burst Fractures: Safe Mobility After Spinal Injury
Concerns About Spinal Screw Loosening After Minimally Invasive Surgery
The spinal fixation screws fell out two weeks after surgery? Hello, doctor. I suffered a spinal fracture from lifting heavy objects, and the doctor said he would only perform minimally invasive surgery, which would cost about 210,000 NTD out of pocket. The doctor mentioned that a...
Dr. Wang Shouji Reply:
Hello, generally speaking, it is important to be cautious with activities until complete bone healing occurs before the removal of the bone screws. The surgery for the removal of bone screws is covered by health insurance and does not require additional out-of-pocket expenses. Ch...[Read More] Concerns About Spinal Screw Loosening After Minimally Invasive Surgery
Understanding Spinal Fractures: Recovery Tips and Common Concerns
Vertebral fracture Hello, Doctor! I was in a car accident on the highway, rear-ended by another vehicle, and was taken to the emergency room. After a CT scan and X-rays, the doctor diagnosed me with a "burst fracture of the third vertebra," with a vertebral body depress...
Dr. Shi Guozheng Reply:
1. Pain caused by vertebral fractures. 2. It may be due to lying down for too long, leading to compression. 3. If there are no neurological symptoms, an MRI is not necessary. 4. Both upper and lower limbs should be mobilized, ensuring every joint is moved.[Read More] Understanding Spinal Fractures: Recovery Tips and Common Concerns
Understanding Insurance Coverage for Bone Cement in Spinal Fractures
Is bone cement covered by health insurance? Due to a family member being diagnosed with a compression fracture of the 12th vertebra, which has resulted in that vertebra being shorter and also having osteoporosis, the doctor did not inform us whether health insurance would cover t...
Dr. Wang Shouji Reply:
Hello, the vertebral body jack procedure is not covered by health insurance. Generally, bone cement mainly serves to stabilize the fracture site, and to achieve pain relief, it may be necessary to correct the shape, which might still require elevating the fracture site. Changhua ...[Read More] Understanding Insurance Coverage for Bone Cement in Spinal Fractures
Could My Symptoms Indicate a Potential Spinal Fracture?
Is there a high possibility that my symptoms indicate a spinal fracture? Hello Dr. Lee: I am 19 years old and have ankylosing spondylitis. Previously, I only experienced pain in my buttocks, and I am currently taking Salazopyrin to stabilize my condition. However, in the past six...
Dr. Li Wenhong Reply:
Hello: Typically, fractures of the vertebral arch caused by acute trauma present with significant pain symptoms. Since you did not experience acute back pain after your motorcycle accident 1.5 months ago, it is unlikely that you have a vertebral arch fracture. Commonly, vertebral...[Read More] Could My Symptoms Indicate a Potential Spinal Fracture?
Could I Have a Spinal Fracture After a Motorcycle Accident?
Could I have a spinal fracture? Hello Dr. Chen: I am 19 years old. Three months ago, I fell off my motorcycle while turning in the rain, as the road was slippery with leaves. I was traveling at about 40 kilometers per hour and did not hit anything; I just slid for a short distanc...
Dr. Chen Bochen Reply:
Hello, 1. Spondylolysis is a common condition, and most individuals are asymptomatic during their youth; symptoms may gradually appear due to injury. 2. Spondylolysis can often be managed through rehabilitation and strengthening of core muscles to alleviate symptoms, but over ...[Read More] Could I Have a Spinal Fracture After a Motorcycle Accident?
Can I Have Sex After Pelvic and Spinal Fractures?
Can I have sex with a fracture? I have a pelvic fracture, as well as compression fractures of the 11th and 12th thoracic vertebrae, and burst fractures of the 1st, 2nd, and 3rd lumbar vertebrae. I underwent pelvic reduction and fixation surgery, as well as minimally invasive spin...
Dr. Wang Shouji Reply:
Hello, based on what you mentioned about multiple fractures, it is necessary to wait for the initial healing of the fractures, which typically takes at least two to three months before considering recovery. Changhua Hospital cares about your health. Sincerely, Wang Shou-ji.[Read More] Can I Have Sex After Pelvic and Spinal Fractures?
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 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
Managing Spinal Fractures: Safe Exercises and Recovery Tips
Vertebral fracture Hello doctor, I have been experiencing lower back pain for over three years. In March, I was diagnosed with a vertebral fracture. My physician has advised me to wear a brace and to avoid intense physical activities, suggesting surgery only if the pain becomes u...
Dr. Chen Bochen Reply:
Hello Ahua: The exercises you mentioned are all doable, but they are somewhat advanced. I recommend building a solid foundation for about two months before gradually engaging in the activities you mentioned. Foundation: Weeks 1-2: Fast walking for 20 minutes (you should be slig...[Read More] Managing Spinal Fractures: Safe Exercises and Recovery Tips
Risks of Heart Surgery in Patients with Ankylosing Spondylitis
Surgical Issues in Patients with Ankylosing Spondylitis Dear Doctor, My father is 72 years old and has suffered from ankylosing spondylitis since his teenage years, which is an autoimmune disease. He has previously taken immunomodulators. His cervical spine is completely rigid a...
Dr. Shi Guozheng Reply:
1. The risk of spinal fractures is higher, but with careful attention, surgery is still possible. 2. Bone healing is generally satisfactory, and many patients have undergone total hip arthroplasty with good outcomes. 3. Endotracheal intubation for anesthesia can be more compl...[Read More] Risks of Heart Surgery in Patients with Ankylosing Spondylitis
Should You Seek Medical Attention After a Stair Fall Injury?
Fell down the stairs? Hello, Doctor. This morning, I accidentally fell down the stairs (about 3 or 4 steps) and hit my spine (approximately 5 centimeters above the pelvis). The area where I hit my spine is about 5 to 7 centimeters in size, slightly red and bruised, and a bit pain...
Dr. Shi Guozheng Reply:
If the pain persists and affects the lower back, it is advisable to suspect a spinal fracture and go to the hospital for an X-ray to observe the condition.[Read More] Should You Seek Medical Attention After a Stair Fall Injury?
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?
Understanding Spinal Fractures: When Surgery is Necessary
Vertebral fracture Doctor, I'm sorry to bother you. A few days ago, I had an X-ray at Mackay Memorial Hospital, which revealed a fracture in my spine. I had previously undergone an X-ray at another hospital, but they did not detect the fracture; they only mentioned bone spur...
Dr. Wang Shouji Reply:
Hello: If there is a fracture in the vertebrae without trauma, it is necessary to consider whether it is due to congenital joint space deficiency or spina bifida, in which case urgent surgery may not be required. If the acute fracture is caused by trauma and does not affect spina...[Read More] Understanding Spinal Fractures: When Surgery is Necessary
Forteo for Severe Osteoporosis: Insurance Coverage and Optimal Usage Duration
Bone stability Forteo Forteo for severe osteoporosis. Is it covered by health insurance? What is the optimal duration of use for the best effect?
Dr. Li Yongheng Reply:
Health insurance coverage is provided for spinal fractures or hip fractures at two or more sites, with a bone mineral density of less than -2.5, and is expected to be used for one and a half years. Thank you for your inquiry.[Read More] Forteo for Severe Osteoporosis: Insurance Coverage and Optimal Usage Duration
Post-Spinal Fracture: Can I Switch to a Different Back Brace?
Issues with back braces after lumbar vertebral fractures? Hello, I was involved in a car accident in mid-May that resulted in a comminuted fracture of the twelfth thoracic vertebra and the first lumbar vertebra, which compressed my nerves. I underwent surgery the day after the ac...
Dr. Wang Shouji Reply:
Hello: The fixation point of this type of back brace is too low, making it more suitable for fractures below the second lumbar vertebra. It is advisable to return for a follow-up consultation with your physician. Thank you![Read More] Post-Spinal Fracture: Can I Switch to a Different Back Brace?
Is Vertebroplasty Safe for Osteoporotic Spinal Fractures?
Is it suitable to use bone cement? 1. The T-score of L1-L4 was measured at approximately -2.84, and the Z-score of L1-L4 was measured at approximately -0.06. Is it appropriate to use vertebroplasty with bone cement for treatment, or are there safer treatment options available? 2...
Dr. Hong Ximing Reply:
Hello Ms. Chang: The decision for vertebroplasty for vertebral compression fractures should not rely solely on bone mineral density. Other indications should also be considered, so please consult a spine specialist. Additionally, for the vertebral body injection part, please inqu...[Read More] Is Vertebroplasty Safe for Osteoporotic Spinal 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