蔡文鐘 醫師

Wen-Chung Tsai

肌肉骨骼超音波先驅

肌肉骨骼超音波、關節炎復健、肌膜疼痛症

林口長庚醫院復健科居世界復健醫學的領先地位。對腦中風、腦外傷及脊髓損傷病人提供高品質的住院復健醫療。並對各種運動傷害、關節炎、等各類疼痛的病人提供復健治療。同時對發育遲緩的兒童我們也提供跨團隊的早期療育。我們的肌肉骨骼超音波團隊,是國際上該領域的領航者。使用肌肉骨骼超音波清楚檢查出軟組織病灶並引導注射及抽液;診斷並治療了許多久治不癒之運動傷害、肌肉酸痛及關節疼痛患者。甚至可正確引導肉毒桿菌注射。在此領域我們發表了數十篇國際重要論文;並於許多國家舉辦相關教育學程(如印尼、泰國、大陸地區等),訓練當地醫師。我們無論在臨床治療、國內外教學及學術研究上都居領先的地位。


專長

肌肉骨骼超音波、關節炎復健、肌膜疼痛症


治療經驗

超過 10,000 例超音波檢查及治療案例

學歷 

長庚大學臨床醫學博士


經歷

台大醫院復健部住院醫師,總醫師 

日本東京大學復健醫學部研究員 

日本琦玉縣國立復健中心研究員

美國加州大學聖地牙哥校區(UC, San Diego)生物工程學系(Department of bioengineering)訪問學者


現任

長庚醫院林口總院復健科系主任 

長庚大學醫學系教授 

台灣復健醫學會學術委員會主任委員 

台灣復健醫學會雜誌主編

超音波醫學會肌肉骨骼超音波指導教師


演說經驗

多次應邀國際醫學會為演講者(invited speaker)


致力研究

血小板豐富血漿(platelet rich plasma)對肌腱、肌肉癒合的影響及相關分子生物學機制。


媒體採訪:【華人健康網】 蔡文鐘醫師─預防骨鬆多做戶外運動

http://www.youtube.com/watch?v=U0ax46Hen2I

  1. WC Tsai, TG Wang*, HW Liang, JS Lai: Cerebral amyloid angiopathy: A common cause of intracerebral hemorrhage in the elderly-A case report. Journal of Rehab Med Assoc ROC, 1995;23(1):91-96.
  2. WC Tsai, JS Lai, TG Wang*: Treatment of emotionalism with fluoxetine during rehabilitation. Scand J Rehab Med 1998;30:145-149. (已改名為J REHABIL MED) (SCI; IF=1.882; Sports science 20/72)
  3. TC Hsu, CL Wang*, WC Tsai, JK Kuo, FT Tang. Comparison of the mechanical properties of the heel pad between young and elderly adults. Arch Phys Med Rehabil 1998;79:1101-1104. (SCI; IF=2.184; Sports science 13/72)
  4. WC Tsai, TG Wang, CZ Hong*: The myofascial trigger points in the ipsilateral gluteal muscles associated with pyogenic sacroiliitis-A case report. J Musculoskel pain 1999;7:73-82. (SCI; IF=0.327; Rehabilitation 30/33)
  5. WC Tsai, CL Wang*, TC Hsu, FT Tang, FJ Hsieh: The mechanical properties of the heel pads in plantar heel pain syndrome. Foot Ankle Int 1999;20:663-668. (SCI; IF=1.101; Orthopedics 33/56)
  6. WC Tsai, CL Wang, FT Tang*, TC Hsu, KH Hsu, MK Wong. Treatment of proximal plantar fasciitis with ultrasound-guided steroid injection. Arch Phys Med Rehabil. 2000;81:1416-1421. (SCI; IF=2.184; Sports science 13/72)
  7. WC Tsai, MF Chiu, CL Wang, FT Tang*, MK Wong. Ultrasound evaluation of plantar fasciitis. Scand J Rheumatol 2000;29:255-259. (SCI; IF=2.507; Rheumatology 14/22)
  8. PhD thesis. The effect of dexamethasone on tendinofascial tissue: form clinical practice to molecular mechanism. 2002
  9. WC Tsai, FT Tang, MK Wong, HC Yen, JH S. Pang*. Decreased expression of proliferating cell nuclear antigen is associated with dexamethasone inhibition of the proliferation of rat tendon fibroblasts. J Rheumatol 2002;29:2397-2402. (SCI ; IF=3.854; Rheumatology 10/26)
  10. WC Tsai, FT Tang, Mk Wong, JH S. Pang*. Inhibition of tendon cell migration by dexamethasone is correlated with reduced alpha-smooth actin gene expression: a potential mechanism of delayed tendon healing. J Orthop Res 2003;21:265-271. (SCI; IF=3.112; Orthopedics 4/56)
  11. Wong AMK, Leong CP, Su TY, Yu SW, Tsai WC, Chen CPC. Clinical Trial of acupuncture for patients with spinal cord injuries. Am J Phys Med Rehabil 2003;82:21-27 (SCI; IF=1.556; Sport sciences 32/72) 
  12. WC Tsai, FT Tang, CC Hsu, YH Hsu, JH S. Pang*, CC Shiue. Ibuprofen inhibition of tendon cell proliferation and upregulation of the cyclin kinase inhibitor p21CIP1 J Orthop Res 2004;22:586-591. (SCI; IF=3.112; Orthopedics 4/56)
  13. CPC Chen, SFT Tang, TZ Hsu, WC Tsai, HP Liu, MJ Chen*, Date E, HL. Lew. Ultrasound guidance in caudal epidural needle placement. Anesthesiology 2004;101:181-184. (SCI; IF=5.124; Anesthesiology 2/22)
  14. SFT Tang, CPC Chen, MJL Chen, WH Hong, TY Yu, WC Tsai*, Improvement of muscle strength in osteoarthritic knee patients after intraarticular knee injection of hyaluronon. Am J Phys Med Rehabil 2005;84:274-277. (SCI; IF=1.556; Sport sciences 32/72)
  15. WC Tsai, CC Hsu, FT Tang, SW Chou, YJ Chen, JH S. Pang*. Ultrasound stimulation of tendon cell proliferation and upregulation of proliferating cell nuclear antigen. Journal of Orhtopedic Research 2005 Jul;23(4):970-6.  (SCI; IF=3.112; Orthopedics 4/56)
  16. Hsu CC, Tsai WC, Chen CPC, Yeh WL, Tang SFT*, Kuo JK. Ultrasonographic examination of the normal and injured posterior cruciate ligament. J Clin Ultrasound. 2005;33:277-282. (SCI; IF=0.910; Acoustics 13/28)
  17. CC Hsu, WC Tsai, CPC Chen, TH Shau, CL Wang*, MJL Chen, KJ Chang. Effects of aging on the plantar soft tissue properties under the metatarsal heads at different impact velocities. Ultrasound Med Biol 2005;31:1423-1429. (SCI; IF=2.169; Acoustics 4/28)
  18. WC Tsai, CC Hsu, CPC Chen, MJL Chen, MS Lin, JH S. Pang*. Ibuprofen inhibition of tendon cell migration and down-regulation of paxillin expression. J Orthop Res 2006;24:551-558. (SCI; IF=3.112; Orthopedics 4/56)
  19. MJL Chen, HL Lew, TC Hsu, WC Tsai, WC Lin, SFT Tang, YC Lee, RCH Hsu, CPC Chen*. Ultrasound-guided shoulder injections in the treatment of subacromial bursitis. Am J Phys Med Rehabil 2006;85:31–35. (SCI; IF=1.556; Sport sciences 32/72)
  20. WC Tsai*, CC Hsu, CPC Chen, MJL Chen, TY Yu, YJ Chen. Plantar fasciitis treated with local steroid injection: Comparison between sonographic and palpation guidance. J Clin Ultrasound 2006;34:12-16. (SCI; IF=0.910; Acoustics 13/28)
  21. WC Tsai*, JH S. Pang, CC Hsu, FT Tang, MS Lin, CF Hu. Ultrasound stimulation of types I and III collagen expression of tendon cell and upregulation of transforming growth factor-β. J Orthop Res 2006;24:1310-1316. (SCI; IF=3.112; Orthopedics 4/56)
  22. HC Chen, FL Chang, JF Rachel Lu, NK Chu, WC Tsai, LN Shih, YC Lau, FT Tang*. The Impact of NHI Co-payment Policy on the Utilization Pattern of Hospital Outpatient Rehabilitation Services. Tw J Phys Med Rehabil 2006;34:73-80.
  23. Hsu CC*, Tsai WC, Chen CPC, Chen MJL, Tang SFT, Shih L: Ultrasonographic examination for inversion ankle sprains associated with osseous injuries. Am J Phys Med Rehabil 2006;85:785-792. (SCI; IF=1.556; Sport sciences 32/72)
  24. WC Tsai*, JH S. Pang, CC Hsu, SW Chou, CY Chung, J Chen. The effects of celecoxib on migration, proliferation and collagen expression of tendon cells. Connective Tissue Research 2007;48:46-51. (SCI; IF=1.552; Orthopedics 25/56)
  25. Hsu CC, Tsai WC, Shau YW*, Lee KL, Hu CF. Altered Energy Dissipation Ratio of the Plantar Soft Tissues under the Metatarsal Heads in Patients with Type 2 Diabetes Mellitus: A Pilot Study. Clinical Biomechanics 2007;22:67-73. (SCI; IF=1.759 ; Sport sciences 21/56)
  26. WC Tsai, CC Hsu, CY Chung, MS Lin, SL Li, JHS Pang*. The pentapeptide KTTKS promoting the expressions of type I collagen and transforming growth factor-β of tendon cells. J Orthop Res 2007;25:1629-1634. (SCI; IF=3.112; Orthopedics 4/56)
  27. JW Cheng, Simon FT Tang, TY Yu, SW Chou, Alice MK Wong, WC Tsai*, Sonographic features of soft tissue tumors in the hand and forearm. Chang Gung Med J 2007;30:547-554. 
  28. SC Huang, WC Tsai, SW Chou, CM Wang*, Alice MK Wong. Autonomic dysreflexia in ankylosing spondylitis with double spinal cord injuries: a case report. Tw J Phys Med Rehabil 2007;35:171-177.
  29. Wu CY, Chen CL, Tsai WC, Lin KC*, Chou SH. A randomized controlled trial of modified constraint-induced movement therapy for elderly stroke survivors: changes in motor impairment, daily functioning, and quality of life. Arch Phys Med Rehabil 2007;88:273-278. (SCI; IF=2.184; Sports science 13/72)
  30. Hsu CC, WC Tsai, CL Wang, SH Pao, YW Shau*, YS Chuan. Microchambers and Macrochambers in heel pads: are they functionally different? J Appl Physiol 2007;102:2227-2231. (SCI; IF=3.658; Sport sciences 1/71)
  31. WC Tsai, Hsu CC, FT Tang, Alice, MK Wong, YC Chen, JHS Pang*. Ciprofloxacin mediated cell proliferation inhibition and G2/M cell cycle arrest in rat tendon cells. Arthritis & Rheumatism 2008;58:1657-1663. (SCI; IF=7.332; Rheumatology 2/26)
  32. WC Tsai*, Jannie YS Chen, JHS Pang, CC Hsu, MS Lin, LW Chieh. Therapeutic ultrasound stimulation of tendon cell migration. Connective Tissue Research 2008;49:367-373. (SCI; IF=1.552; Orthopedics 25/56)
  33. WM Chang, SW Chou, WH Hong, WC Tsai, JY Ke, MK Wong*. The comparison of volunteer work and regular exercise for the promotion of health among the aged. Tw J Phys Med Rehabil 2008;36:45-51.
  34. WC Tsai, CC Hsu, HC Chen, YH Hsu, MS Lin, CW Wu, JHS Pang*. Ciprofloxacin-mediated inhibition of tenocyte migration and down-regulation of focal adhesion kinase phosphorylation. European Journal of Pharmacology 2009;607:23-26. (SCI; IF=2.585; Pharmacology & Pharmacy 102/236)
  35. YF Chang, WC Tsai, CY Chung, YC Lin, YT Chen, CY Wu*, KC Lin. Effects of modified constraint-induced therapy versus bilateral Movement training on upper extremity performance in patients with chronic stroke: a kinematic analysis. Tw J Phys Med Rehabil 2009; 37(1): 19-30.
  36. CC Hsu, WC Tsai, TY Hsiao, FY Tseng, YW Shau, CL Wang*, SJ Lin. Diabetic effects on microchambers and macrochambers tissue properties in human heel pads. Clinical Biomechanics 2009;24:682-686. (SCI; IF=1.759; Sport sciences 21/56)
  37. Jannie YS Chen, TM Chiang, YC Wu, CY Huang, CC Hsu, WC Tsai*. Pre-operative localization before removal of a chest wall needle by ultrasonography. Tw J Phys Med Rehabil 2009;37:201-206.
  38. WC Tsai, CC Hsu, HN Chang, YC Lin, MS Lin, JH S. Pang*. Ibuprofen Up-regulates Expressions of Matrix Metalloproteinase-1, -8, -9 and -13 without Affecting Expressions of Types I and III Collagen in Tendon Cells. J Orthop Res 2010;28:487-91. (SCI; IF=3.112; Orthopedics 4/56)
  39. CC Hsu, WC Tsai, CPC Chen, YM Lu, JS Wang. Effects of negative pressures on epithelial tight junctions and migration in wound healing. Am J Physiol Cell Physiol 2010;299:528-34.
  40. CP Chen, AM Wong, CC Hsu, WC Tsai, CN Chang, SC Lin, YC Huang, CH Chang, SF Tang. Ultrasound as a screening tool for proceeding with caudal epidural injections. Arch Phys Med Rehabil 2010;91:358-63.
  41. WC Tsai, CC Hsu, CPC Chen, HN Chang, Alice MK Wong, MS Lin, JHS Pang*. Ciprofloxacin up-regulates tendon cells to express matrix metalloproteinase-2 with degradation of type I collagen. J Orthop Res 2011;29:67-73.(SCI; IF=3.112; Orthopedics 4/56)
  42. Clement SH Yang, HC Chen, CC Liang, TY Yu, David Hung, TC Tseng, WC Tsai*. Sonographic measurements of the thickness of the soft tissues of the interscapular region in a population of normal young adults. J Clin Ultrasound 2011;39:78-82. (SCI; IF=0.910; Acoustics 13/28)
  43. WC Tsai, HN Chang, TY Yu, CH Chien, LF Fu, FC Liang, JHS Pang*. Decreased proliferation of ageing tenocytes is associated with down-regulation of cellular senescence-inhibited gene and up-regulation of p27. J Orthop Res 2011:29;1598-1603 (SCI; IF=3.112; Orthopedics 4/56)
  44. WC Tsai*, Simon FT Tang, FC Liang. Effect of therapeutic ultrasound on tendons-An   
  45. invited review. Am J Phys Med Rehabil 2011;90-68-73.(SCI)
  46. WC Tsai*, YM Yang. Fluoroquinolone-asssociated tendinopathy. Chang Gung Med J 2011;34:461-465.
  47. Chen CP, Lew HL, Tsai WC, Hung YT, Hsu CC. Ultrasound-guided injection techniques for the low back and hip joint. Am J Phys Med Rehabil. 2011 Oct;90(10):860-7. (SCI)
  48. CH Chang, WC Tsai, MS Lin, YH Hsu, JH Su Pang. The promoting effect of pentadecapeptide BPC 157 on tendon healing involves tendon outgrowth, cell survival, and cell migration.  n J Appl Physiol 110:774-780, 2011. (SCI) 
  49. JW Cheng, WC Tsai, TY Yu, KY Huang. Reproducibility of sonographic measurement of thickness and echogenicity of the plantar fascia. J Clin Ultrasound 2012;40:14-19.(SCI)
  50. Chang HN, Pang JH, Chen CP, Ko PC, Lin MS, Tsai WC*, Yang YM. The effect of aging on migration, proliferation, and collagen expression of tenocytes in response to ciprofloxacin. J Orthop Res. 2012;30:764-8.(SCI)(*correspondent)
  51. WC Tsai, CC Hsu, JH S. Pang, MS Lin, YH Chen, FC Liang. Low-level laser irradiation stimulates tenocyte migration with up-regulation of   dynamin II expression. PLoS ONE. May 2012 | Volume 7 | Issue 5 | e38235
  52. CF Hu, Carl PC Chen, WC Tsai, LL Hu, CC Hsu, ST Tseng, YW Shau. Quantification of skeletal muscle fibrosis at different healing stages using sonography: a morphologic and histologic study in an animal model. J Ultrasound Med 2012; 31:43–48.
  53. TY Yu, JHS Pang, KPH Wu, MJL Chen, CH Chen, WC Tsai*. Aging is associated with increased activities of matrix metalloproteinase-2 and -9 in tenocytes. BMC Musculoskeletal Disorders 2013, 14:2 (*correspondent)
  54. Chen CM, Chen JS, Tsai WC*, Hsu HC, Chen KH, Lin CH. Effectiveness of device-assisted ultrasound-guided Steroid Injection for Treating Plantar Fasciitis. Am J Phys Med Rehabil. 2012 Dec 6. [Epub ahead of print]

出版書籍

  1. 「做個骨氣十足的女人」,董氏基金會; 2002。p138-145,預防骨質疏鬆症運動原則。
  2. 「骨骼肌肉超音波」,2003、2010,力大圖書公司。
  3. 2010(5th ed)英文復健醫學教科書Physical Medicine and Rehabilitation:   Principles and Practice (by Delisa):Chapter 7: Diagnotic ultrasound.
  4. 「復健及物理醫學」: 合記圖書出版社, 2013編輯委員。