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MaxGlu 1500 - ends bone and joint pain in just 7 days, Manila (2025)

18/07/2022

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$Can I exercise after conservative treatment of rib fracture?AskHi doctor,I had an accident that broke some ribs and coll...$

15/07/2022

Can I exercise after conservative treatment of rib fracture?
Ask
Hi doctor,
I had an accident that broke some ribs and collapsed D8 (less than 50/100 subsidence), broken transverse fascia D8 (March 2021). After conservative treatment, I can now walk normally, but when I lie down, I still feel pain when I sit up, I still feel pain when I sit for a long time. Can I exercise after conservative treatment of rib fracture? What actions should I avoid? How long does it take to finish? When sitting on the back, do you know what it is? Ask your doctor for advice. Thank you.
Answer
Hello,
To the question "Can I exercise after conservative treatment of rib fractures?", the doctor would like to answer as follows:
After a fixed period of time to help the broken bone heal firmly, there must be a rehabilitation exercise program developed and designated by a doctor or by a doctor of the Department of Rehabilitation.
If, after conservative treatment, you still feel pain when sitting for a long time, depending on the severity, you should see your doctor again for advice and specify the next rehabilitation exercise program accordingly.

$What medical techniques help diagnose shoulder blade fractures?The shoulder blade connects the arm bone to the collarbon...$

15/07/2022

What medical techniques help diagnose shoulder blade fractures?
The shoulder blade connects the arm bone to the collarbone and chest wall, which is a triangular bone. There are many muscles around the shoulder blades, which protect, strengthen, and help move the bones. In fact, a shoulder blade fracture is very unlikely, only major trauma such as a traffic accident, sports injury or a fall can cause this condition.
1. Signs of shoulder blade fracture
When you break a bone, the main symptom that you often experience is swelling, pain, and bruising in the shoulder blade. Besides, you may have some other signs, such as:
- Injured to the arm, closer to the body than usual
- When moving the arm, the pain increases
- Can't raise my arm
- Due to the movement of the chest wall, the shoulder blades move and cause pain, so the patient feels pain after every deep breath
- Shoulder flattened or deformed
You should see your doctor if you experience the following symptoms:
- Feeling pain when moving the shoulder
- Shoulders are swollen
- There are bruises around the shoulder
- Within 3 to 5 days, shoulder pain does not improve
- Serious injuries to the shoulder, chest wall, back or neck can cause serious problems, so you need to go to the emergency room right away in these cases.
Contact an emergency room right away if you develop the following symptoms:
- The injured hand doesn't feel as good as before
- Shallow breathing
- Stomachache
- Shoulder deformity or severe pain
- In the injured arm, there is persistent tingling or weakness, numbness
Usually, a shoulder blade fracture occurs only when there is a serious injury with great force to the shoulder blade that causes the bone to break. Chest wall, lung, and shoulder injuries are involved in 80% of shoulder blade fractures. Some specific causes of shoulder blade fractures include:
- Motorcycle or car accident
- Fall and shoulder hit the ground hard
- Falling with arms outstretched
- Shoulder affected by a strong blow
2. Medical techniques to help diagnose shoulder blade fractures
The doctor will conduct a sensory examination in the affected area of the fracture to assess swelling, pain, deformity, open wound or not during examination. Then, the severity of the fracture will be determined and the location of the fracture will be marked to check for joint and nerve damage.
Your doctor will order a physical exam to see if your shoulder blades are misaligned if a broken shoulder blade is suspected. To diagnose this condition, your doctor will apply a number of medical techniques, such as:
- X-ray of shoulder joints and thorax
- Evaluation of other lesions through CT scan of the chest and abdomen
- Diagnosis of shoulder blade fracture through MRI or CT
3. Treatment of shoulder blade fracture
Treatments will be given depending on the severity and deviation of the fracture line.
- Conservative Treatment: Most shoulder blade fractures can be treated without surgery. In order for the bone to heal, the doctor will immobilize the shoulder by wearing an 8 collar that holds the collarbone for a while. However, the treatment of shoulder blade fractures has changed a lot in the past 10 years. For the conservative treatment of shoulder blade fractures, there are still some problems such as prolonged immobilization time, about 15 to 20% of cases do not heal the clavicle, about 15-20% of cases of bone healing. bad after conservative treatment, shoulder imbalance, raised shoulder blades, unsightly.
- Additionally, to help increase shoulder mobility and reduce stiffness and pain, your doctor will also recommend physical therapy. Until your doctor orders physical therapy, you'll also need to rest before that. You will need physical therapy until your shoulder is fully functional.
- Surgical treatment: You will be anesthetized during the surgery. Using specialized metal plates, screws, or wires, the surgeon will bring the bones back into alignment and possibly reattach them. You will also need rest and physical therapy until your shoulder is fully functional again after surgery. Only a few cases of shoulder blade fractures are indicated for surgery, including: Combined with displaced lateral clavicle fractures, broken clavicle shaft fractures with displaced fragment, complicated clavicle fractures (open fracture, vascular injury...) or after conservative treatment of shoulder blade fracture without bone healing. Today, surgical indications are expanded, along with the development of anesthesia, surgical instruments and tools, as well as surgical techniques. The doctor will make appropriate considerations based on the patient (age, occupation, mobility needs, comorbidities...) as well as fracture status (osteoporosis, characteristics of fracture area, fracture area) displacement, local software damage, coordination damage, etc.). Therefore, in order to examine and receive appropriate treatment, patients need to go to the trauma department of the hospital.
You rarely have unwanted risks with non-surgical treatment. However, you may experience some minor complications with surgical treatment, such as:
- Undesirable reactions to anesthetics
- Severe bleeding
- Infection
- Errors may occur during surgery
- Nerve injury
After 6 months to 1 year, people with successful shoulder blade fracture treatment can return to their daily activities.
Broken bones can heal but may not stay in place if left untreated. This causes pain, stiffness or difficulty in movement, a bump on the back of the shoulder blade.

$Why is femoral neck fracture common in the elderly?Fracture of the femoral neck is a common injury in the elderly. The t...$

15/07/2022

Why is femoral neck fracture common in the elderly?
Fracture of the femoral neck is a common injury in the elderly. The treatment of femoral neck fractures depends on the type of fracture, the patient's age, and the degree of osteoporosis.
1. Why is femoral neck fracture common in the elderly?
A femoral neck fracture is a fracture between the femoral head and the transverse trochanter of the femur. Fracture of femoral neck is common in the elderly because of osteoporosis, so it is common to fall.... Fracture of femoral neck in the elderly is often difficult to predict and is quite severe due to complications of head necrosis, joint degeneration. hip, prosthetic joint. One of the most common causes of femoral neck fractures in the elderly is bone cysts, osteomyelitis, cancer metastasis, bone tumors, etc.
When the femoral neck fracture is not treated promptly, it can lead to death in the elderly, causing pain, the patient can't move the broken leg, lying still, a skin ulcer on the back, pneumonia, infection. Urinary tract infection.... Femoral neck fractures include the following classifications:
Break line location:
- Fracture of the lower head: Has the worst prognosis, because of the ease of prosthetic joints, neck and vertebral resorption.
- Trans-neck fracture: Poor prognosis is also due to the ease of prosthetic joints, neck resorption, and capillary resorption.
- Broken neck background
Based on the deflection of the broken line relative to the horizontal line:
- P1 : alph angle < 30 degrees
- P2 : 30

$How to treat femur fractures in the elderly?AskHi doctor,An 85-year-old woman fell and fractured the hip and left femur,...$

15/07/2022

How to treat femur fractures in the elderly?
Ask
Hi doctor,
An 85-year-old woman fell and fractured the hip and left femur, a history of diabetes. The old lady is in a lot of pain right now. Doctor tell me, how to treat femur fractures in the elderly? Can she have surgery?
Answer
Hello,
To the question "How to treat femur fractures in the elderly?", the doctor would like to answer as follows:
Your grandmother needs surgery to fix the left femur. She needs to be consulted for diabetes screening with the endocrinology department to stabilize blood sugar and have surgery. You should take her to see a specialist for diagnosis, detailed advice and the most appropriate treatment.
To prevent femoral neck fracture, the elderly can apply the following measures:
- Stay physically active
- Maintain adequate nutrition of calcium and vitamins
- Reduce unnecessary use of psychiatric medications
- Get used to crutches
- Eliminate home fall hazards like slippery floors...
- Treatment of vision disorders
- Early detection, prevention and treatment of osteoporosis
- Instructions for the elderly on how to prevent falls in daily activities

15/07/2022

5 alternatives in knee cartilage treatment
Damage to the cartilage of the knee joint is the most common reason for knee pain. The 5 cutting-edge treatments below can repair or restore damaged cartilage to relieve your knee cartilage pain.
1. Injury to knee joint cartilage
Cartilage is a shiny white material that cushions and covers the area where bones come in contact with each other. It acts as a lubricating surface as well as a shock absorber.
Cartilage damage can be seen as a hole or cavity in the smooth surface of the joint. If left untreated, joints can become stiff, swollen, and painful. It can even progress to a stage where it requires replacing the entire joint with metal and plastic components. Cartilage reconstruction is a procedure that attempts to restore damaged cartilage by harnessing the body's own cells to regenerate or replace lost cartilage.
Most treatments can be performed with arthroscopy, which offers the benefits of less pain, less bleeding, and faster recovery. However, some trauma cases will still require traditional open surgery to expose damaged cartilage.
The knee contains two types of cartilage: articular cartilage and meniscus. Cartilage allows the knee joint to move freely. The meniscus acts as a cushion or shock absorber between the bones. Sports injuries, accidents, and wear and tear of the knee joint over many years can damage both types of cartilage in the knee, thus requiring repair or replacement of the lost cartilage. The wear and tear of cartilage is called knee osteoarthritis.
2. 5 alternatives in the treatment of knee cartilage wear
Advances in orthopedic medicine provide many options for treating knee injuries. Some age-old approaches include surgery to repair torn cartilage or replace the knee joint.
In addition to these methods, there are now minimally invasive treatments using cartilage taken from elsewhere in the body or regenerated from the patient's own cells.
2.1. Physical therapy
If your knee cartilage wears down and your symptoms are mild, you may not need surgery or other interventions, but rather physical therapy.
The primary goal of physical therapy is to improve the strength and flexibility of the muscles surrounding the knee joint to reduce the burden on the joint itself and limit wear and tear on the cartilage of the knee joint. A 2018 study found that physical therapy helped reduce pain, not only in mild cases of knee osteoarthritis but also in people who were experiencing moderate pain.
The benefit of physical therapy for people with severe knee osteoarthritis pain is negligible, suggesting that pain intensity can be considered a major factor in deciding whether to pursue physical therapy as a treatment option or not.
A separate study in the Arthritis and Rheumatology Workshop also noted that weight loss achieved through exercise and diet can often help alleviate knee arthritis symptoms in overweight and obese individuals.
In a 2005 study, it was found that losing 1 pound of weight removed 4 pounds of pressure on the joints in people with osteoarthritis of the knee. So if a person loses 5 pounds, that is equivalent to removing 20 pounds of pressure from the knee joint.
2.2. Micro crack
One way to stimulate new cartilage growth during knee wear is through microfractures. In this procedure, small holes are drilled in one or more bony sites in the knee joint to stimulate greater blood flow and release new cartilage-forming cells.
Microfissures are best suited for people who:
- Under 40 years old
- Have suffered a recent knee injury
- There are small areas of cartilage degeneration.
Microfractures are not recommended for older adults with severe osteoarthritis or to repair large lesions.
After the procedure, you'll need to remove weight from your knee for about 6 weeks and use a continuous passive movement machine (CPM) for several hours a day to flex and straighten your knee. It can take up to 9 months to resume playing sports or other vigorous activities.
Microfissure surgery is usually less expensive than some other knee repair procedures. Another advantage of this surgical approach is the relatively low risk of infection or other complications. However, in some cases, the procedure is not successful in producing enough cartilage to replace worn-out knee cartilage, meaning a different form of treatment may be needed in the long run.
2.3. Autologous cell-based cartilage resurfacing
The new cartilage growth procedure, also known as matrix-induced autologous chondrocyte transplantation (MACI), is a two-step process. It begins with a cartilage biopsy of the knee.
The biopsied tissue is then sent to a laboratory, where the cartilage cells are nurtured to begin growing. When the new cartilage is ready for implantation, the surgeon will shape it to match the natural cartilage that needs replacing.
The most suitable cases for the MACI method are those:
- Young and has good regenerative capacity.
- There are symptoms of cartilage injury.
- There are isolated lesions smaller than the size of a dime.
A 2015 study found that MACI is a safe and effective method of cartilage replacement for most people. MACI is usually an outpatient procedure, although you may need to wear a knee brace for about 6 weeks while your knee restores strength and stability.
In addition to the high cost and the need to perform two separate surgeries, the other major disadvantage of MACI is the risk of cartilage overgrowth, which may require a third surgery to treat.
The main arguments for MACI are that it is an effective treatment for small areas of cartilage repair and that it uses a person's own cells, reducing the risk of rejection by the body.
2.4. Osteochondral autograft
Autologous osteochondrosis, also known as mosaic arthroplasty, uses healthy cartilage from elsewhere in the knee to replace significant wear and tear in the knee joint.
A similar procedure, called allogeneic bone grafting, is performed using donor tissue. During surgery, the surgeon removes damaged cartilage and part of the bone underneath. Then, a replacement, made of bone and cartilage from another part of the body or the donor's knee, is used to fill in the damage or wear and tear of the knee joint. Usually, no screws or devices are needed to secure the replacement tissue.
Like other knee procedures, all surgical procedures require about 4 to 6 weeks of recovery before the knee can begin to bear weight. With the help of rehabilitation, you can fully return to sports or other activities within 6 to 9 months.
The cost of this treatment is usually quite high. Other disadvantages include the limited availability of donated tissue and the risk that the body may reject the transplant.
Ideal candidates for this approach must be young to have regenerative cells available for transplantation. In addition, this method is commonly used to repair areas of knee cartilage wear that are no larger than a dime.
However, because autologous surgery involves removing healthy substances from elsewhere in the body, it is a more invasive surgical procedure. Some people are also hesitant about the risk of problems from taking healthy cartilage and bones.
2.5. Knee replacement
When other less invasive approaches fail to improve pain and limit knee motion, severe knee arthritis may require knee replacement.
The procedure begins with an incision from above the knee down through the knee joint. Then, all or part of the damaged knee joint is removed and replaced with a prosthetic knee so that the joint can have the movement and function of the natural knee. Knee wear is also resurfacing with metal, plastic and ceramic materials to create new sliding surfaces..
The cost of knee replacement surgery depends on the type of surgery, the hospital, and other factors. That's why it's so important to discuss your costs with your insurance provider and understand exactly how much the procedure will cover.
By attending physical therapy after surgery, most people can resume normal daily activities within 6 weeks, although full recovery can take several months.
On the plus side, a knee replacement can eventually restore full function of the knee joint and relieve pain that can make it difficult to walk or even stand.
As such, with any surgery, a knee replacement carries the potential for infection or other complications. Since the knee is a complex joint, there is a chance that a prosthetic knee joint may not fully live up to your expectations. As a result, you may need to consider a second surgery or adjust to life with your new knee as it was.
3. Benefits of knee cartilage replacement
Knee cartilage can cause everyday pain and reduced mobility when it is severely injured or worn down to the point where it can no longer help bones move smoothly within the joint or cushion between bones. It is not a condition that can improve on its own.
Repairing or replacing damaged knee cartilage can help:
- Pain relief
- Improve mobility of the knee joint
- Delay or prevent osteoarthritis or other complications.
If you are experiencing knee pain, discuss it with your primary care doctor. They may refer you to a physical therapist or an orthopedist who specializes in knee health. Surgery is not always the solution, although for severe knee cartilage damage some invasive interventions may be possible.
Your age and activity level are two key factors in determining which approach is best for you. The nature and extent of damage to the cartilage in your knee is another factor.
Be sure to talk to your doctor about what's involved with the different methods and recovery time. It is important to find out the cost of a method and how much that will be covered by your insurance.
Regardless of your knee meniscus treatment, you should be prepared for an extended period of rehabilitation and rehab. A study in the World Journal of Orthopedics notes that rehabilitation following any cartilage resurfacing procedure is necessary for the treatment to be successful.

15/07/2022

Risk of disability due to bone and joint diseases
Many people often think that musculoskeletal diseases are not as worrisome as other diseases, so they often have a subjective mentality and buy drugs by themselves. However, in fact, ignoring or ignoring the warning signs of bones and joints can lead to the risk of disability.
1. Some musculoskeletal diseases pose a risk of disability
1.1. Aseptic femoral head degeneration
Aseptic femoral head degeneration is a disease that occurs mainly in young people, in working age, from 40 to 50 years old and can occur in both femoral heads with mild severity. difference. More and more people are now getting this disease, but not because of an infection, but because of harmful habits, such as smoking and drinking a lot of alcohol.
The main cause leading to degeneration/necrosis of the femoral head is due to insufficient blood supply to the bone in this area. The gradual or sudden blockage of blood vessels is related to atherosclerosis, dyslipidemia, gout, diabetes, overweight - obesity... In people who drink a lot of alcohol, Smoking will make the process of atherosclerosis take place faster, more serious, so the consequences are more serious.
1.2. Hip and knee osteoarthritis
Osteoarthritis of the hip and knee osteoarthritis are quite common diseases, the older they get, the more severe the disease progresses. After the age of 40, 50 patients will begin to have symptoms of the disease, in which women are twice as likely to have it as men.
Over time, the ability to reproduce and regenerate joint cartilage in adults will decline and completely. The cartilage cells of the joints will gradually age, the quality of the cartilage will gradually decrease, the elastic and load-bearing properties will decrease. In the long term, cartilage is destroyed, which can cause sharp pain, deformity, crooked inward, stiffness, muscle atrophy, loss of movement and reduced bone function of the patient. Completely damaged cartilage can also cause disability to walk or break a bone due to unsteadiness from a fall.
Musculoskeletal diseases, in addition to causing deformity, reduced mobility, and disability, are also the cause of other dangerous diseases such as: 4-fold increased risk of cardiovascular disease, making it difficult to conceive. in women...
2. Orientation for treatment of disability due to musculoskeletal disease
For patients with femoral head necrosis causing hip osteoarthritis, artificial hip replacement is the method that brings optimal results for the patient. Artificial joint replacement is the replacement of the damaged part of the joint (in the pelvis, femur or the entire hip) with an artificial joint made of biological materials that is highly compatible with the body, capable of bearing loads. It helps restore the structure and function of joints.
Artificial hip replacement surgery is a major surgery that requires careful preparation on the part of the patient, family, and medical team. After surgery, the patient was treated to relieve pain with antibiotics, instructions on wound care, nutrition and exercise rehabilitation.
In general, doctors warn that joint disability does not wait until old age, but all people with high factors such as diabetes, atherosclerosis, dyslipidemia, smoking... should go. early diagnosis and treatment as soon as symptoms appear. If you already have musculoskeletal disease but are subjective and treat it late, the treatment effect will be difficult to be as desired.

15/07/2022

When is ankylosing spondylitis surgery needed?
Ankylosing spondylitis often has no specific disease symptoms, so it is easy to be confused with other spinal diseases. This is a dangerous disease, but if detected early and treated promptly, the condition can be significantly improved. Ankylosing spondylitis surgery is one of the methods to help doctors treat this disease. So when does a patient need surgery for ankylosing spondylitis?
1. What is ankylosing spondylitis?
Ankylosing Spondylitis (AS) is a typical disease of the group of diseases of the joints - spine. Inflammation occurs at each joint between the vertebrae of the spine, or between the spine and the pelvis. Sometimes inflammation is also noted in other joint locations such as neck joints, wrist joints, ankles, ...
Ankylosing spondylitis is more common in men than women with a 2-3 times higher rate. Although the disease develops slowly, but if not treated early and properly, it will progress to inflammation, adhesion of spinal and peripheral joints, causing kyphosis, loss of function and disability.
2.Causes and symptoms of ankylosing spondylitis
2.1. The cause to the illness
To date, researchers have not found the exact cause of ankylosing spondylitis. However, researchers have identified genetic factors and environmental factors that have a relationship with ankylosing spondylitis.
The main features of the disease are inflammation and fibrosis, calcification of ligaments, joint capsule (especially at spinal position), tendon attachment points.
2.2. Symptoms of the disease
Although ankylosing spondylitis is not a rare disease, it is easy to ignore because the symptoms are not too specific, so patients often ignore the symptoms of ankylosing spondylitis. Here are the symptoms of the disease that patients should pay attention to so that they can go to the doctor and receive timely treatment:
- The initial symptom is usually pain in the lumbar spine or back - lumbar region. Patients will find that the spine is prone to pain and fatigue, when movement is not flexible. If the pain persists for more than 3 months, you need to see a doctor immediately for a timely examination.
- In some cases, there are isolated peripheral arthritis manifestations such as persistent painful swelling of a large joint in young people, but no axial manifestations of the skeleton.
- Standing posture gradually appeared abnormal: increased cervical spine, increased hunchback, loss of lumbar spine curvature leading to forward stooping.
Besides, there are other less common peripheral symptoms such as osteoporosis, iritis, aortic valve inflammation.
Basically, the symptoms in the early stages of the disease are quite vague and unclear, so it is easy for patients to subjectively miss. Therefore, as soon as the body is detected with the above symptoms, the patient should go to a medical facility specialized in musculoskeletal examination or clinical immunology to be examined and receive treatment for ankylosing spondylitis. timely.
3. Treatment protocol for ankylosing spondylitis
After combining the types of diagnosis (clinical, subclinical, definite, differential) and conclude that the patient has ankylosing spondylitis, the doctor will base on factors such as disease status, level of disease, and level of disease. disease severity, current manifestations of the disease, general clinical status,... in order to develop an appropriate treatment regimen.
In general, the treatment regimen for ankylosing spondylitis includes medical treatment, physical therapy and surgery. The aim of this treatment is anti-inflammatory, anti-pain; maintaining joint mobility, especially preventing stiffness in bad posture and overcoming ankylosing spondylitis (if any).
There are 3 treatment methods for ankylosing spondylitis:
3.1. Drug treatment
- Symptomatic treatment: non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants.
- Specific treatment: If the patient has damage to the tendons and peripheral joints, use sulfasalazine.
In the absence of response to NSAIDs and sulfasalazine, biologic agents that inhibit TNF will be indicated.
In addition, because patients with ankylosing spondylitis have a higher risk of bone mineral loss than the general population, it is necessary to supplement with calcium and vitamin D3.
3.2. Non-drug treatment
Exercise, physical therapy and maintaining an upright body posture when walking, standing, sitting, lying down are essential for patients with ankylosing spondylitis. The above drug therapies can only help reduce pain and control inflammation, but are not able to completely reverse the disease. Therefore, if there is no exercise regimen, the disease will still progress silently.
3.3. Surgical treatment
If the patient's use of the above measures does not work, the doctor may prescribe a suitable knee or hip replacement.
4. When is surgery needed for ankylosing spondylitis?
Surgery for ankylosing spondylitis is one of the treatment methods. Basically, most cases of ankylosing spondylitis do not need to use this method during treatment. However, for special cases such as severe pain, severe joint damage or the need for an artificial hip replacement (in ankylosing spondylitis) and medical treatment is also ineffective, surgery for spondyloarthritis is recommended. Ankylosing spondylitis will be selected by doctors.
This method is chosen to prevent the disease from developing too badly, directly affecting the spine or hip area, which can cause disability to the patient.
While this treatment for ankylosing spondylitis can be more expensive than the other two, the success rate and recovery rate is also faster.
There are two surgical methods to correct the disease: laparoscopic surgery and balloon surgery. The doctor will base on the condition and extent of the disease to decide on the more optimal method.
In summary, spondylitis surgery is a very effective method, helping patients restore joint function and integrate back into daily life. However, to achieve high results, patients should go to medical centers with modern facilities and standard medical equipment to perform.

MaxGlu 1500 - ends bone and joint pain in just 7 days

18/07/2022

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