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Cheng Bin
Orthopedics
About me
Practicing in the field of orthopedics for over ten years, has pursued advanced studies at a provincial hospital and in Beijing. Has authored over ten papers, and won a second prize in scientific research at the municipal level. Holds two patents.
Proficient in diseases
Diagnosis and treatment of bone trauma, multiple bone fractures, bone arthritis, cervical spondylosis, lumbar disc herniation, femoral head necrosis, cervical spondylosis, frozen shoulder, as well as onychomycosis, limb reattachment, etc.
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Symptoms of clavicle fracture
Typically, patients with a clavicle fracture will exhibit localized swelling and pain, along with subcutaneous bruising. There is limited shoulder lifting ability and pressing on the area can cause severe tenderness. There may also be palpable grinding or sensation of the bones rubbing together, and abnormal movement at the fracture site. These are common clinical symptoms of a clavicle fracture, and a diagnosis can be confirmed with a standard X-ray. In cases of severe misalignment of a clavicle fracture where manual reduction fails, it is necessary to actively pursue surgical treatment with open reduction and internal fixation, typically using Kirschner wires or steel plate screws for internal fixation.
How to alleviate pain from lumbar muscle strain?
For patients with severe pain, topical ointments that activate blood circulation to dissipate blood stasis and reduce swelling and pain can be effectively used to alleviate the symptoms of pain caused by lumbar muscle strain. Additionally, local heat application or massage can be actively performed to effectively promote local blood circulation and the absorption of creatine kinase, improving the symptoms of lumbar muscle strain. Furthermore, oral administration of non-steroidal anti-inflammatory drugs and drugs that activate blood circulation to dissipate blood stasis can be used for treatment. It is important to rest and protect the affected area, wear a lumbar belt for protection, avoid sitting or standing for long periods, and refrain from bending over to lift heavy items or heavy lifting. (Please use medications under the guidance of a doctor.)
How to diagnose osteophyte formation?
To accurately diagnose osteophyte formation, it is necessary to consider the patient's clinical symptoms and signs, and actively cooperate with some auxiliary examinations. For example, if a patient has obvious pain in a specific area, which swells over time, it may lead to joint deformities in severe cases, severely affecting the patient's normal functions. Additionally, some patients may experience spinal nerve compression. To make a definitive diagnosis, it is essential to actively take radiographs, and when necessary, conduct CT scans and MRI examinations. These can confirm the presence of osteophytes and the severity of the condition, thereby determining the appropriate treatment plan.
Causes of Plantar Fasciitis
The main causes of plantar fasciitis are usually due to local trauma, prolonged overexertion, chronic irritation, or exposure to cold, which can lead to aseptic inflammation of the plantar fascia, resulting in plantar fasciitis. This causes pain symptoms, and in severe cases, it may affect the patient's ability to walk and engage in normal activities. Patients with plantar fasciitis must pay attention to rest and protection for a recent period of time, try to minimize local irritation, and absolutely avoid exposure to cold. Persist in actively applying warm compresses to the area every day, use topical ointments that activate blood circulation and remove blood stasis, and take oral non-steroidal anti-inflammatory and pain-relieving drugs along with drugs that promote blood circulation and remove stasis. With consistent treatment, recovery will gradually occur.
Hot compress method for cervical spondylosis
Regarding the method of hot compress for cervical spondylosis, there are many methods used clinically. For example, one can actively use a salt bag or a hot water bottle for hot compresses, or use stir-fried bran for hot compresses twice a day, each time for half an hour or more to achieve more obvious effects. The main purpose of hot compress is to promote local blood circulation, thereby effectively improving the clinical symptoms of the patient's cervical spondylosis. Additionally, apart from hot compresses, patients with cervical spondylosis should also avoid bowing their heads for long periods and keep their necks from staying in one position for too long. Try to keep the neck muscles relaxed. Regular activities like swimming, flying kites, or playing badminton can help strengthen the neck muscles, thus better protecting the cervical spine and alleviating the clinical symptoms of cervical spondylosis.
Late-stage symptoms of osteoarthritis
In clinical settings, the symptoms of late-stage osteoarthritis are primarily characterized by severe joint swelling and pain, and the joints are prone to deformity, which affects the patient's ability to work or carry on with daily activities. For late-stage osteoarthritis, surgical intervention is often necessary. It requires thorough preoperative examinations to rule out surgical contraindications, followed by prosthetic joint replacement surgery. Postoperatively, it is crucial to actively manage the surgical site by changing dressings and disinfecting to prevent infection, typically every two to three days. Additionally, anticoagulant medications are needed to prevent the occurrence of thrombosis.
The difference between osteoarthritis and rheumatoid arthritis
The so-called osteoarthritis often occurs as the patient ages, featuring localized bone hyperplasia and degenerative changes, leading to the destruction of cartilage. This results in congested and swollen synovium, manifesting as clear local symptoms of swelling and pain. Rheumatoid arthritis, on the other hand, mainly occurs due to a streptococcal infection, causing localized pain and swelling, thus forming rheumatoid arthritis. This is the difference between the two. There are also differences in treatment. Early osteoarthritis can be treated with oral non-steroidal anti-inflammatory and analgesic drugs, as well as medications that nourish the cartilage. For rheumatoid arthritis, symptomatic treatment is often necessary, and active anti-rheumatic treatment can be completely effective.
What should be noted about traction for lumbar disc herniation?
The main points are reflected in the following two aspects: First, during traction, it is essential to pay attention to the force and duration of the traction. Second, it is best to undergo traction at the acupuncture and massage department of a formal hospital. Formal hospitals are more professional, have a better grasp of indications, and the effects should be more satisfactory. You must not undergo traction in outside massage parlors. Sometimes, excessive force or prolonged duration can cause lumbar spine injuries in patients. For patients with lumbar disc herniation, besides traction, combining acupuncture, massage, electrical therapy, and cupping can effectively alleviate the clinical symptoms of lumbar disc herniation.
How to determine cervical spondylosis
The diagnosis is mainly based on the patient's clinical symptoms, physical signs, and auxiliary examinations. If the patient presents with neck pain, discomfort, or a stiff sensation, along with dizziness, headache, blurred vision, decreased hearing, numbness in the arms, weakness, swelling pain, unsteady walking, a feeling of stepping on cotton, and even symptoms like palpitations, chest tightness, loss of appetite, and profuse sweating, cervical spondylosis is highly suspected. To confirm whether it is cervical spondylosis, further auxiliary examinations are needed, such as CT scans and MRI of the cervical spine.
Sequelae of comminuted fracture of the humerus
Regarding the sequelae of comminuted fractures of the humerus, in clinical practice, if treatment for humerus comminuted fractures is proactive and patients diligently engage in functional exercises without any nerve damage, most patients will not experience any sequelae. However, if treatment is improper, a series of sequelae can often occur, mainly reflected in the following aspects: First, if there is accompanying nerve damage that is very severe, it can cause patients to experience sensory disturbances or motor function impairments. Second, poor repositioning of comminuted fractures can lead to nonunion or malunion of the fracture, affecting normal functions of the patient. Third, long-term immobilization in the later stages can cause joint stiffness. When patients eventually start exercising, fear of pain may lead to insufficient exercise, resulting in very poor joint mobility, thereby affecting normal functions.