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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.
Voices
Treatment of Chronic Low Back Pain Due to Lumbar Disc Herniation
For the treatment of chronic lower back pain caused by lumbar disc herniation, the following methods need to be applied: 1. It is necessary to strengthen the patient's lower back muscle strength through exercise, which can better protect the lumbar spine and effectively relieve the patient's lower back pain symptoms. For example, exercises like the "small swallow fly", swimming, and lifting the buttocks while lying on the bed can be performed; 2. Avoid sitting or standing for long periods, avoid bending over to lift heavy objects excessively, and it is best to wear a lumbar support belt to protect the lumbar spine, and sleep on a hard bed; 3. Actively perform local hot compresses, and combine them with therapeutic methods such as acupuncture, electrotherapy, cupping, and massage; 4. Apply topical ointments that activate blood circulation and remove blood stasis, and take oral non-steroidal drugs like pain relievers and drugs that improve blood circulation and remove blood stasis for treatment, which can be very effective.
Principles of Fracture Treatment
Usually, the treatment principles for patients after a fracture are mainly reflected in the following aspects: First, it is necessary to actively reposition displaced fractures, as continuously misplaced fractures can easily lead to nonunion or malunion later on. It is crucial to actively perform manual repositioning or consider open reduction and internal fixation surgery. Second, strict rest and immobilization must be adhered to, as these provide the best conditions for fracture healing. During the treatment period, patients can take non-steroidal anti-inflammatory analgesics and medications that promote fracture healing. Third, once callus formation begins in the later stages, diligent functional exercises are necessary. (Please use medications under the guidance of a doctor)
Osteoarthritis physical therapy methods
In clinical practice, there are various physical therapy methods for osteoarthritis patients, such as actively engaging in acupuncture, massage, moxibustion, cupping, and other therapies, which can effectively promote local blood circulation, facilitate the absorption of inflammatory exudates, and effectively alleviate the clinical symptoms of osteoarthritis in patients, with very good results. In addition, for osteoarthritis patients, besides physical therapy, it is necessary to reduce physical activity, strictly observe rest and protection, avoid cold exposure and apply heat locally, or wash with hot water. Intra-articular injections of sodium hyaluronate, oral non-steroidal anti-inflammatory and analgesic drugs, and nutritional cartilage medications can be completely adequate. (Specific medications should be taken under the guidance of a physician.)
Tendinitis, cold compress or hot compress?
First of all, it must be affirmed that patients with tenosynovitis need to actively apply heat. The condition known as tenosynovitis is mainly caused by local excessive irritation and friction, leading to the proliferation of connective tissue and resulting in aseptic inflammation. Therefore, active heat application is necessary. The main purpose of heat application is to promote local blood circulation and the absorption of inflammatory exudates, which can effectively alleviate the clinical symptoms of the patient's tenosynovitis. Additionally, patients with tenosynovitis need to actively rest and protect the affected area. For those with severe pain, local injection treatment can also be considered.
Is lumbar muscle strain serious?
For severe lumbar muscle strain, in cases where the strain is not very severe, it usually manifests as the patient primarily experiencing symptoms of soreness and pain in the lower back. For such patients, full recovery is still possible with active cooperation in treatment. First, it is necessary to reduce local irritation by strictly resting and protecting the affected area, which is the best condition for patient recovery. It is important to avoid prolonged sitting or standing, excessive bending or lifting heavy objects. It is advisable to wear a lumbar support belt to protect the lower back and actively apply local treatments such as heat application, massage, acupuncture, and cupping. Additionally, topical application of ointments that invigorate the blood and dispel stasis can also be used. Most patients will gradually recover through these active treatment methods.
Symptoms of secondary lumbar vertebral fracture
It usually manifests as the patient experiencing significant lower back pain symptoms, and limited mobility in the lower back area, inhibiting walking. When the fracture is severe, it can cause damage to the patient's spinal nerves or cauda equina nerves, resulting in numbness, weakness, and pain in one or both lower limbs, and even weakness in extending the big toe or the ankle. The patient may feel a sensation of heat in the perineal region, and abnormalities in urination and defecation may occur, which in severe cases can lead to complete paralysis. These are common clinical symptoms of secondary lumbar spine fractures. Usually, a diagnosis can be confirmed with a regular X-ray, a local CT scan, and magnetic resonance imaging.
Symptoms of periarthritis of the shoulder
Patients with periarthritis of the shoulder typically exhibit symptoms of pain around the shoulder joint, which may affect their ability to lift their arms normally. This can interfere with daily activities such as washing the face or combing hair, which are common clinical symptoms of periarthritis of the shoulder. Once periarthritis of the shoulder is diagnosed, it is necessary to actively treat it. Treatments can include using topical plasters that activate blood circulation and relieve stasis, and taking oral non-steroidal anti-inflammatory and analgesic medications to alleviate pain. In cases with significant pain points, localized injections can be administered, and combined with physiotherapy methods such as acupuncture, electrotherapy, and cupping. It is also important to actively engage in exercises like wall climbing to improve shoulder joint function. (Medication should be used under the guidance of a doctor.)
Pre-symptoms of sciatica
For the early symptoms of sciatica, it is usually manifested as obvious pain in the area where the sciatic nerve enters and distributes. The main symptom is radiating pain, especially under circumstances such as catching a cold, strenuous exercise, fatigue, or suffering from trauma, where the pain will be more pronounced. There are many causes of sciatica in clinical practice. Common causes include issues with the lumbar spine, such as disc herniation, lumbar spondylolisthesis, and spinal stenosis, which can compress the spinal nerves and result in symptoms of sciatic nerve pain.
How to exercise with frozen shoulder
In clinical practice, there are various exercise methods for patients with periarthritis of the shoulder. The main purpose of these exercises is to restore the normal range of motion of the shoulder joint, thereby fully restoring the patient's normal functions. Patients with periarthritis can perform exercises like climbing walls by touching the wall or gradually pulling up on a horizontal bar to strengthen shoulder functions. Additionally, it is necessary to actively apply local heat, minimize local irritation, persistently use topical ointments that activate blood circulation and remove blood stasis, and take oral non-steroidal anti-inflammatory and blood-activating drugs to treat and improve the symptoms of shoulder pain effectively. (Specific medications should be used under the guidance of a doctor.)
Is it good to use heat therapy for osteoarthritis?
First of all, it should be positively affirmed that electrothermal therapy has a very good effect on patients with osteoarthritis, and it is very effective. Electrothermal therapy can promote local blood circulation and thereby facilitate the absorption of local inflammatory exudates, which can effectively alleviate the pain symptoms caused by osteoarthritis. Additionally, for osteoarthritis patients, besides electrothermal therapy, they can also take oral non-steroidal anti-inflammatory and analgesic drugs and drugs that nourish cartilage for treatment. Moreover, it is necessary to reduce the amount of exercise, minimize local irritation as much as possible, and persist in applying local heat compresses or hot washing daily. During hot washing, Sichuan peppercorn and salt could be added to the hot water for the treatment.