Post-Surgery Recovery: When Can I Stop Using Crutches After ACL Injury?
Post-operative issues following a left knee contusion with a left posterior cruciate ligament tear and fracture? I was injured in a car accident on March 31st, and after an MRI examination, it was confirmed that I have a torn anterior cruciate ligament and a fracture in my left f...
Dr. Wang Shouji Reply:
Hello, for anterior cruciate ligament reconstruction, tunnels are drilled into the bone and secured with screws. It is advisable to wait at least two months before attempting full weight-bearing to ensure safety; avoid premature excessive loading that could lead to fixation loose...[Read More] Post-Surgery Recovery: When Can I Stop Using Crutches After ACL Injury?
Understanding Osteoporosis Treatment and Calcium Needs After DEXA Scan Results
DEXA bone mineral density: spinal T-score -1.8, bilateral femoral T-score -2.2? Your questions: Currently taking medications include LEEYO (Escitalopram) 10mg, Doxepin 25mg *2, LYRICA 75mg *2, Metformin 500mg, Tamsulosin 0.2mg, Ativan 0.5mg *4, Zolpidem *2 at bedtime (all taken l...
Dr. Chen Yongxue Reply:
It is still advisable to get moderate sun exposure. If there are other circumstances that prevent the normal synthesis of vitamin D, please consider getting a blood test to check vitamin D levels and adjust accordingly. Generally, a daily intake of about 600 IU is recommended.[Read More] Understanding Osteoporosis Treatment and Calcium Needs After DEXA Scan Results
Understanding DEXA Results: Osteoporosis Treatment Options and Supplements
The DEXA scan shows a worst T-score of -1.8 for the spine and a worst T-score of -2.2 for both femurs? Currently, I am taking the following medications: LEEYO (Escitalopram) 10mg, Doxepin 25mg twice daily, Lyrica 75mg twice daily, Metformin 500mg, Tamsulosin 0.2mg, Ativan 0.5mg f...
Dr. Chen Yongxue Reply:
1. If I have never had a fracture, does that mean that health insurance will not cover osteoporosis medication? Yes, health insurance cannot provide unlimited coverage. Currently, coverage is available only for individuals who are at least 60 years old, have a bone mineral densit...[Read More] Understanding DEXA Results: Osteoporosis Treatment Options and Supplements
Understanding DEXA Results: Osteoporosis Treatment and Vitamin D Needs
DEXA (DXA) bone mineral density results show a T-score of -1.8 for the spine and a T-score of -2.2 for both femurs? Dual-energy X-ray absorptiometry (DEXA) bone mineral density examination results show a T-score of -1.8 for the spine and -2.2 for both femurs. This examination was...
Dr. Shi Guozheng Reply:
Your bone mineral density has not yet reached below -2.5, so you do not have osteoporosis. Those medications must be purchased out of pocket. Vitamin D3 should be taken at a dosage of 1000-2000 IU per day.[Read More] Understanding DEXA Results: Osteoporosis Treatment and Vitamin D Needs
Understanding Foot Pain: When to Worry About Potential Fractures
Inquiry about the bones of the foot? Hello Doctor, today while I was cleaning at home, I was trying to reach a higher place and jumped a bit to see and wipe it down. After I jumped down, the bones in the front of my foot started to hurt, but the pain went away after about an hour...
Dr. Shi Guozheng Reply:
If a bone is impacted and causes pain, it is likely that a fracture may have occurred. It is advisable to get an X-ray to confirm the diagnosis.[Read More] Understanding Foot Pain: When to Worry About Potential Fractures
Understanding Swollen and Painful Finger Joints: Causes and Treatments
Swollen and painful finger joints that cannot bend? Hello Doctor: Three days ago, I felt stiffness (a clicking sensation) in the joints of my left index finger (the distal and middle joints), which was different from the normal movement of my other finger joints. I used to occasi...
Dr. Shi Guozheng Reply:
1. If rheumatoid arthritis is suspected, it is appropriate to check for rheumatoid factor (RF) in the blood. 2. This approach is correct. 3. If necessary, X-rays can be taken. 4. If there is redness, swelling, heat, and pain, ice packs can be applied, but heat should not be...[Read More] Understanding Swollen and Painful Finger Joints: Causes and Treatments
Can Hanging from a Bar Help Increase Height After Growth Plate Closure?
Growth plate fusion? Hello, doctor. I am a high school sophomore. Recently, I had an X-ray of my growth plates, and the doctor said that my growth plates are almost fused, making it very difficult for me to grow taller. However, if I do pull-ups every day and supplement with prot...
Dr. Chen Yongxue Reply:
Hello, the timing of growth plate closure varies for each bone. Generally, the bones related to height, primarily the femur and tibia in the lower limbs, have four growth plates. In males, these growth plates typically close around the age of 18, while in females, they close arou...[Read More] Can Hanging from a Bar Help Increase Height After Growth Plate Closure?
Post-Fracture Pain: Understanding Sharp Sensations After Light Exercise
After a fracture, experiencing a tingling sensation in the affected area after slight movement? Hello Doctor, my right ankle was fractured last October due to a fall from a height. At that time, I had a plate inserted and needed to rely on a walker to move around. In January of t...
Dr. Chen Yongxue Reply:
Hello, if it has been more than six weeks after a fracture surgery and with the approval of the attending physician, it is generally acceptable to begin weight-bearing training. Once training starts, there may be some initial discomfort, which will gradually improve over time. If...[Read More] Post-Fracture Pain: Understanding Sharp Sensations After Light Exercise
Managing Fifth Metatarsal Fractures: Pain Relief and Recovery Tips
Fifth metatarsal fracture Hello, last week I accidentally twisted my ankle while walking, and an X-ray revealed a slight displacement of the proximal fifth metatarsal in my left foot. A few days ago, during a follow-up visit, the doctor said I could remove the cast and no longer ...
Dr. Xie Hongjia Reply:
Hello Ms. Lin: Regarding the issue you raised, it cannot be determined based solely on your description. We recommend that you take the time to visit the outpatient clinic for a consultation. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Managing Fifth Metatarsal Fractures: Pain Relief and Recovery Tips
Post-Traction Care for Neck Injuries: What You Need to Know
Cervical traction rehabilitation? Hello, doctor. When I was 6 years old, I suffered a displacement of the first and second cervical vertebrae due to a fall. I was hospitalized several times for traction and eventually recovered. I would like to know if I am more prone to neck wea...
Dr. Shi Guozheng Reply:
You can consult a physician for an examination and get an X-ray to check for any instability in the cervical spine. If there is no instability, you can proceed with the activities you mentioned.[Read More] Post-Traction Care for Neck Injuries: What You Need to Know
Understanding Thigh Fractures: Healing Concerns and Recovery Tips
Femoral fracture Hello, doctor! I had a car accident on February 14th and fractured both of my femurs. My right leg is more severely injured with three fractures, while my left leg has two. I have been able to get out of bed and use crutches to go to the bathroom. However, on Mar...
Dr. Shi Guozheng Reply:
It may just be a sprain, but to confirm whether there is any bone displacement, an X-ray is necessary.[Read More] Understanding Thigh Fractures: Healing Concerns and Recovery Tips
Understanding ACL Tears: Symptoms, Diagnosis, and Treatment Options
Anterior cruciate ligament tear Hello Doctor: I am currently a freshman at National Taiwan Sports University. This past Chinese New Year, I suddenly experienced pain in my right knee. However, after the winter break, I did not engage in any physical activity, and the pain starts ...
Dr. You Dianqi Reply:
Hello: I recommend that you undergo further imaging studies for your knee, such as an MRI. Currently, if walking is painful, it may indicate that the injured knee cannot bear full weight without causing you discomfort. In the initial stages, using crutches can provide some assist...[Read More] Understanding ACL Tears: Symptoms, Diagnosis, and Treatment Options
Understanding Slow Healing After L5S1 Fusion Surgery: Concerns and Solutions
L5-S1 vertebral arch fracture has been surgically treated? Hello Doctor, I underwent L5-S1 spinal fusion and internal fixation surgery due to a vertebral fracture at the end of last year. It has been three months since the surgery, and during my follow-up X-ray, it was found that...
Dr. Wang Shouji Reply:
Hello, if healing is not complete, continuous monitoring is necessary. With the current surgical techniques, the likelihood of completely removing intervertebral tissue is quite high. However, spinal fusion surgery can lead to early degeneration of adjacent joints, which is diffi...[Read More] Understanding Slow Healing After L5S1 Fusion Surgery: Concerns and Solutions
Understanding Hip Joint Pain: Causes, Symptoms, and Treatment Options
(Hip joint issues suspected due to stretching) Hello, doctor. Around July 2019, I first experienced pain in the area where my left thigh connects to my buttock while walking, which sometimes radiated to the front of my thigh, but I didn't have much lower back pain. When the ...
Dr. Wang Shouji Reply:
Hello, sciatica at your age is often associated with trauma or sports injuries. If there is no numbness or pain in the lower limbs, it is less likely to be a sciatica issue. If there is a noticeable pain point at the upper buttocks near the femoral joint, then piriformis syndrome...[Read More] Understanding Hip Joint Pain: Causes, Symptoms, and Treatment Options
Neck Pain After Cervical Impact: Seeking Solutions for Recovery
Cervical spine impact pain issues? Hello, Doctor. In mid-December 2019, I performed a backflip catch during a cheerleading competition, and my cervical spine directly hit the ground. At that moment, I experienced symptoms such as chest tightness and nausea. Due to the neck pain, ...
Dr. Shi Guozheng Reply:
Injuries to the cervical spine may not involve fractures of the bones, but there is a possibility of damage to the surrounding soft tissues, which typically requires more than three months to heal. Continued rehabilitation is necessary and may lead to improvement.[Read More] Neck Pain After Cervical Impact: Seeking Solutions for Recovery
Knee Injury After Car Accident: Loss of Temperature Sensation Explained
Knee loss of temperature sensation due to car accident injury? I previously sustained a knee injury from a car accident and had an X-ray taken. The emergency physician indicated that there was no bone damage. It has been over three months, and I experience pressure and pain in my...
Dr. Shi Guozheng Reply:
After a knee joint contusion, it is possible that the superficial nerves in the skin have been injured, which can lead to sensory abnormalities in the skin. It is advisable to continue monitoring the condition, as sometimes recovery may occur gradually over six months to a year. ...[Read More] Knee Injury After Car Accident: Loss of Temperature Sensation Explained
Loss of Sensation in Knee After Motorcycle Accident: What to Know
Loss of tactile sensation in the knee after a car accident? In mid-January, I had a motorcycle accident where my right knee hit something hard, causing immediate and intense pain that made my legs feel weak and unable to support my body. However, I didn't feel any pain at th...
Dr. Wang Jiacheng Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or dietitian.[Read More] Loss of Sensation in Knee After Motorcycle Accident: What to Know
Understanding Post-Surgery Complications: Titanium Rod Deformation in Pediatric Fractures
Postoperative heterotopic ossification after fracture surgery? I would like to inquire about an incident on February 16, where my child fell off a bicycle and suffered a fracture of the left tibia (specifically in the middle of the tibia). The surgery involved the use of titanium...
Dr. Shi Guozheng Reply:
1. The healing of the bone after tibial fracture surgery occurs at a certain rate. 2. Typically, it takes one to two months for callus formation to begin. 3. It is necessary to wait until the bone becomes very hard, which usually takes about three to six months. 4. If the i...[Read More] Understanding Post-Surgery Complications: Titanium Rod Deformation in Pediatric Fractures
Facial Injury from Car Accident: Healing Time and Treatment Options
Car accident injuries? Hello Doctor: 1. Due to a car accident, I have a bruise near my right cheekbone (it looks like a bruise on the surface), but it has been over a month, and the area around the right cheekbone still has a sharp pain when lightly touched. I feel like the che...
Dr. Chen Yongxue Reply:
Hello, if the zygomatic bone is fractured, it can lead to occlusal issues. For safety reasons, it is advisable to have an X-ray examination. You can consult either an orthopedic or a plastic surgeon. If the zygomatic bone is intact, a subperiosteal hematoma can still be very pain...[Read More] Facial Injury from Car Accident: Healing Time and Treatment Options
Fibula Fracture and Ligament Injury: Understanding Your Treatment Options
Fibular fracture with ligament damage? Hello Doctor: On February 9th, after work, I had a motorcycle accident. My left leg was very painful, and after an X-ray, it was found that I had a fracture on the lateral side of my left fibula. The doctor who examined me at that time sugge...
Dr. Zhan Xian Reply:
Hello, if X-rays confirm a distal tibiofibular joint separation, it may increase the risk of ankle joint arthritis, and surgical treatment is recommended.[Read More] Fibula Fracture and Ligament Injury: Understanding Your Treatment Options