Subscribe
91
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
Can a fracture be moved?
First, it is important to clarify that once a fracture is detected, it is absolutely imperative not to move. Because if you engage in activities too soon, it might affect the growth of the fracture and could even lead to misalignment at the fracture site, so it is absolutely crucial for patients with fractures not to move. To promote quick recovery of the fracture, it is vital to strictly rest, immobilize the affected area, and protect it. Typically, treatment involves actively using plaster casts or splints for external fixation, applying non-steroidal anti-inflammatory painkillers, and using medications that promote fracture healing. Dietary needs should include appropriately enhanced nutrition, and it is necessary to refrain from smoking and drinking alcohol, and avoid spicy and stimulating foods. (Specific medication use should be carried out under the guidance of a doctor.)
Can a second surgery be performed for lumbar disc herniation?
Firstly, it should be clarified that for patients with lumbar disc herniation, if the condition recurs after surgery, a second operation is completely feasible. This is because there are many intervertebral discs involved, including L3-L4, L4-L5, and L5-S1, all of which can lead to lumbar disc herniation and subsequently cause symptoms of back and leg pain. Even if the patient has already undergone surgery for L4-L5, it cannot be guaranteed that L3-L4 or L5-S1 will not develop disc herniation. Therefore, it is possible for patients with lumbar disc herniation to undergo a second surgical treatment.
How to exercise for frozen shoulder
Typically, there are several methods for exercising with patients suffering from periarthritis of the shoulder. For example, wall climbing motions can be performed to exercise the mobility of the shoulder joint. Exercises can also be done on horizontal bars. The objective is to restore normal joint mobility and prevent joint stiffness. Additionally, patients with periarthritis of the shoulder often experience severe pain. Local pain points can be treated with an injection block, or topical plasters that invigorate the blood and break up stasis can be used. Treatment also includes oral non-steroidal anti-inflammatory drugs and drugs that invigorate the blood and break up stasis. Furthermore, it is necessary to reduce physical activity, avoid exposure to cold, apply local heat, and use acupuncture and electrotherapy. Gradually, recovery will be achieved.
Lumbar disc herniation symptom exercise
There are many exercises for lumbar disc herniation, such as the "little swallow" exercise, practicing lifting the buttocks while lying in bed, performing the bridge pose, supporting your body with three and a half points, and actively engaging in swimming. These exercises can strengthen the patient's lower back muscles, thereby better protecting the lumbar spine and alleviating symptoms of lumbar disc herniation. Additionally, for patients with lumbar disc herniation, besides exercise, it is important to keep warm. Avoid prolonged sitting or standing, avoid excessive bending to pick up heavy objects or lifting heavy weights. It is best to use a lumbar support belt, protect the lumbar spine, sleep on a firm bed. Also, locally apply heat actively, combined with acupuncture, electric heating, cupping, massage, traction, and other physical therapies.
Causes of Plantar Fasciitis
Regarding the causes of plantar fasciitis, the most common cause observed clinically is prolonged and excessive weight-bearing walking. Local excessive stimulation, exposure to cold, or trauma can also trigger plantar fasciitis. The main symptom of plantar fasciitis is pain in the sole of the foot. The methods to manage it include reducing local stimuli. For a period of time in the near future, try to avoid weight-bearing walking as much as possible, persist in using topical Chinese herbal medicines that invigorate the blood and dispel stasis which are boiled and then used for fumigation washing daily. Oral non-steroidal anti-inflammatory and pain relief medications, and blood-activating stasis-dispelling medications should be taken for treatment. Topical plasters that invigorate the blood and dispel stasis can also be used locally. Gradually, recovery will be achieved.
Is plantar fasciitis prone to recurrence?
First of all, it is necessary to explain that patients with plantar fasciitis, even after recovery, can easily relapse if they overuse their feet for a long time, or are exposed to prolonged cold and damp conditions. Therefore, plantar fasciitis is prone to recurrence. It is important to avoid long periods of weight-bearing walking, minimize local irritation, and never let the feet become cold. It is essential to persistently perform hot washes daily. During the hot wash, peppercorns and salt can be added to the hot water for washing, or external use of traditional Chinese herbs that activate blood circulation and remove blood stasis can be boiled and used for fumigation washes. Additionally, taking non-steroidal anti-inflammatory and pain-relieving drugs orally along with drugs that activate blood circulation and remove blood stasis can effectively treat plantar fasciitis. (Please follow the doctor's prescription for medication use.)
How to treat cervical spondylosis?
The treatment plan primarily depends on the severity of the patient's cervical spondylosis. If the cervical spondylosis is very severe and there is significant compression on the spinal nerve roots, resulting in symptoms such as pain, numbness, and weakness in the legs, numbness and swelling pain in the arms, abnormal bladder and bowel functions, and evident spinal stenosis, then it is necessary to aggressively pursue surgical treatment. This usually involves the removal of the intervertebral disc, decompression and expansion of the spinal canal, and surgical treatment with intervertebral bone grafting and internal fixation. For cases where the disc herniation is not very large and the neck pain is not very severe, conservative treatment may be chosen. This includes measures like rest and protection, local heat application, and combining therapies such as acupuncture, electrotherapy, cupping, and traction.
What sleeping position should be used for lumbar disc herniation?
If the patient simply presents primarily with symptoms of back pain, it is advisable to lie on the back and sleep on a firm mattress. It is best to wear a lumbar support belt to protect the lumbar spine. If the patient's lumbar disc herniation is quite severe, causing sciatic nerve pain, it is better to sleep in a lateral position during sleep. When lying on the side, actively flexing the knees and hips can reduce the traction on the sciatic nerve, thereby effectively alleviating the patient's leg pain symptoms. Additionally, for patients with disc herniation, it is necessary to avoid prolonged sitting or standing, avoid excessive bending to lift heavy objects, and avoid lifting heavy items. Actively cooperating with acupuncture, electric therapy, cupping, traction, massage, and other physical therapy methods can further improve the patient’s clinical symptoms.
How long before a rib fracture stops hurting?
Regarding the question of how long it takes for rib fractures to stop hurting, usually, for patients with rib fractures, the pain gradually subsides after about two weeks. This is because around two weeks is the period when the fracture site reaches the fibrous connection stage, making it relatively stable, which therefore alleviates the pain. For patients with rib fractures in the early stages, if the diagnosis is clear, severe pain can be relieved by orally taking non-steroidal anti-inflammatory drugs or by receiving pain relief injections. Additionally, it is crucial to closely monitor the vital signs of patients with rib fractures, as rib fractures often occur alongside lung contusions and the accumulation of fluid or air in the chest cavity. (Please use medication under the guidance of a doctor.)
How long does an intercostal neuralgia attack last?
Under normal circumstances, an episode of intercostal neuralgia usually requires about a week to improve. During this period, actively cooperating with treatment can lead to a quick recovery. Treatment typically involves orally administered non-steroidal anti-inflammatory and nerve-nourishing drugs, and it is necessary to reduce physical activity and minimize local irritation. It is crucial not to be exposed to the cold; local heat application is recommended. Commonly, a salt bag or toasted bran is used for heat application, which is quite sufficient. Applying heat twice a day, each time for more than half an hour, can enhance the effects significantly. Moreover, combining this with some physiotherapy methods, such as acupuncture, infrared therapy, and cupping, can yield very good results.