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Wang Cheng Lin
Orthopedics
About me
Having worked in orthopedic clinical practice for over ten years, he is a committee member for the Asia-Pacific Foot and Ankle Chinese District.
Proficient in diseases
Specializes in treating foot and ankle injuries and diseases.
Voices
Can osteoarthritis be treated with moxibustion?
The primary cause of osteoarthritis is degeneration, which can lead to damage, wear, and tear of cartilage within the joints, as well as the formation of excessive osteophytes and bone spurs around the joints. These changes cause symptoms such as knee pain, swelling, and difficulty walking. There are many treatment methods available, the most common of which include oral medication, rest, physical therapy, and moxibustion, all of which can help alleviate symptoms. However, these treatments only provide relief from the symptoms of osteoarthritis and do not cure the condition. If a cure is needed, surgical treatment, such as total knee replacement, may be necessary to fully recover. Conservative treatments like moxibustion can help relieve pain and reduce swelling, but they only offer relief and do not cure the condition. Therefore, while moxibustion can alleviate pain from knee arthritis, it cannot cure it.
Symptoms of a fractured ankle
For patients with ankle fractures, the main symptoms are swelling, pain, limited mobility, and significant tenderness upon pressing. There may also be a sensation and sound of bone rubbing together. Typically, a straightforward X-ray is sufficient to make a clear diagnosis. In cases of ankle fractures without displacement, an active conservative treatment is generally recommended. This usually involves strict immobilization with a plaster cast, elevating the affected limb to facilitate venous return and reduce swelling. Medications that improve blood circulation and promote bone healing are used in treatment. Normally, the treatment period is about one and a half months. With follow-up X-rays showing bone callus formation, the plaster can be removed and exercises to strengthen the ankle joint can be commenced.
Which department should I register for plantar fasciitis?
To register for plantar fasciitis at a hospital, you need to visit two departments. The first is the orthopedics department, where the primary goal is to determine the cause of your plantar fasciitis. Firstly, it is necessary to check for the presence of heel spurs by taking an X-ray of the foot. Secondly, an MRI of the foot may be required to ascertain whether there is significant congestion and edema in your plantar fascia. As for treatment, you can seek help from the pain management department. The pain management department can provide local physical therapy and local blockade treatment to alleviate your pain. If this pain does not improve or worsens after more than six months of conservative treatment, severely affecting your daily life, you might need to return to the orthopedics department for surgical treatment. The surgery involves loosening the plantar fascia to help relieve the pain.
How to cure plantar fasciitis?
In clinical practice, there are currently two methods for treating plantar fasciitis. The first method is the most commonly seen conservative treatment, such as using rest, wearing orthotic shoes, and utilizing acupuncture, massage, electrotherapy, magnetotherapy, and local infiltration therapy to alleviate the symptoms of foot pain caused by the plantar fascia while walking. However, if conservative treatment does not yield results after six months or if the pain intensifies and severely affects weight-bearing walking, then it may become necessary to proceed with the second method of treatment, which is surgical intervention. The goals of surgical treatment include, firstly, loosening the plantar fascia and, secondly, removing bone spurs, as a significant number of patients with plantar fasciitis also develop bone spurs. Therefore, along with loosening the fascia, it is necessary to excise the bone spurs to relieve the symptoms of foot pain.
How to treat an old fracture?
The concept of a bone fissure refers to a condition where the bone is not completely broken but is partially cracked, known as a fissure. The treatment for a bone fissure generally involves plaster fixation, typically for a duration of four to six weeks. However, an old injury refers to a chronic fissure that has been present for three weeks or more. If the fissure is three weeks old, it should continue to be immobilized with plaster, avoiding weight-bearing walking and activities. Plaster fixation can gradually allow the fracture ends to heal. If after four to six weeks, or even two months, the fracture ends have not healed, further surgical treatment may be required.
Post-syndrome of comminuted femoral fracture
The main sequelae of comminuted femoral fractures are as follows: The first is a delay in healing and nonunion of the fracture ends. Due to the comminuted nature of the fracture, local blood circulation has been damaged, and even with surgery, it is difficult to restore circulation. This can lead to delayed healing and nonunion of the fracture ends, generally requiring observation for around one year. If fracture lines are still clearly visible after a year, this confirms a nonunion, necessitating further surgery and bone grafting to restore the healing of the fracture. The second, in cases of nonunion, is the possibility of plate fracture. Many patients, unable to endure extended bed rest, need to start weight-bearing walking. If the fracture ends have not healed and weight-bearing occurs, the body's full weight concentrates on the plate, leading to stress fractures of the plate and screws. Should such stress fractures occur, immediate surgical intervention is needed to replace the internal fixation.
How should plantar fasciitis be treated?
For the treatment of plantar fasciitis, there are currently two approaches used in clinical practice: The first is conservative treatment, which mainly includes rest, local injections, electrotherapy, magnet therapy, and the use of topical non-steroidal anti-inflammatory and analgesic plasters, as well as plasters that activate blood circulation and remove blood stasis to alleviate pain in the sole of the foot. Additionally, foot muscle stretching exercises can be performed at home to help relieve the symptoms of plantar fascia pain. However, if conservative treatment is ineffective for over six months, or if the pain worsens progressively and severely affects your daily weight-bearing activities, then surgical treatment may be necessary. The goals of surgical treatment are to release the plantar fascia, reduce chronic inflammation in the area, and possibly remove heel spurs, thereby alleviating the pain in the sole of the foot.
Can you run with plantar fasciitis?
Patients with plantar fasciitis should absolutely avoid running, as running can increase the pressure on the sole of the foot, leading to a worsening of the symptoms of plantar fasciitis. If you want to exercise while suffering from plantar fasciitis, it is recommended to go swimming, as swimming does not put pressure on the feet. Additionally, swimming can provide proper stretching of the plantar fascia, which can help alleviate pain symptoms and aid in the treatment of plantar fasciitis. Currently, there are two main clinical treatments: the first is conservative treatment, such as rest, massage, acupuncture, and injection therapy to alleviate local pain. If these treatments are ineffective or if the pain gradually worsens, surgical treatment may be necessary. The goals of surgery are to release the plantar fascia and to remove bone spurs to help relieve pain.
Is moxibustion okay for osteoarthritis?
Moxibustion for osteoarthritis is feasible; it can alleviate local symptoms of pain and swelling in osteoarthritis. Currently, there are two methods of treatment for osteoarthritis: The first is conservative treatment, which includes physical therapy, rehabilitation, moxibustion, acupuncture, oral medication, and injections of sodium hyaluronate, all of which can relieve symptoms of joint pain, swelling, and discomfort during movement. The second method is surgical treatment, which is considered when conservative treatment is ineffective, or when symptoms worsen after conservative treatment. Presently, there are two approaches to surgical treatment: The first involves arthroscopic minimally invasive cleaning of the joint, followed by further cleaning of the meniscus and synovium; the second method is joint replacement, with total knee replacement being the most common.
The difference between osteoarthritis and rheumatoid arthritis.
Osteoarthritis and rheumatoid arthritis have distinct differences. Osteoarthritis commonly occurs in middle-aged and elderly women and is caused by the wear, degeneration, and rupture of joint cartilage, leading to swelling and pain due to friction during joint movement. On the other hand, rheumatoid arthritis is caused by bacterial infections leading to the proliferation of synovium in the joints, causing swelling and pain. Over time, this condition can damage the joint's cartilage and meniscus, severely affecting joint mobility. The treatments for these two diseases are different. Osteoarthritis can be alleviated through rest, oral medication, and physical therapy to ease local pain. If these methods are ineffective after more than six months, surgical treatment may be necessary, mainly total knee replacement. However, the treatment for rheumatoid arthritis primarily relies on medication to relieve local pain by removing rheumatism. (The use of medication should be under the guidance of a doctor.)