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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
symptoms of bone hyperplasia
Under normal circumstances, in the early stages of osteophyte formation, the condition mainly manifests as localized pain in patients, especially during periods of increased activity or exposure to cold, when the pain is more pronounced. If the osteophyte formation progressively worsens over time and occurs in the spine, it may lead to conditions such as cervical or lumbar spine diseases. This, in turn, causes patients to experience neck pain, back pain, and in severe cases, symptoms such as dizziness, numbness in the arms, unsteady walking, a sensation of walking on cotton, and even abnormalities in urination and defecation. Additionally, if the osteophyte formation occurs in the joints, it often leads to joint deformities.
Post-fracture sequelae
For the sequelae of bone fractures, usually, patients who have sustained a fracture will not have sequelae if they actively cooperate with treatment. However, if treatment is improper, a series of sequelae can easily occur, with the most common manifestations being the following. First, after the fracture, if there is no active and strict attention to rest, protection, and immobilization, later muscle traction can cause displacement at the site of the fracture, leading to deformity healing and affecting the patient's normal function. Second, after a fracture, due to prolonged inactivity, the joints may become stiff and the muscles may contract. When it becomes possible to exercise later, patients may exercise insufficiently due to fear of pain, resulting in very poor joint mobility, which affects the normal function of the patient. Third, for fractures in some special areas, such as a femoral tibial fracture, this may lead to avascular necrosis of the femoral head in patients.
What should I do about osteoarthritis?
For the treatment of osteoarthritis, the main approach is still based on the severity of the patient's osteoarthritis to determine the corresponding treatment plan. If the osteoarthritis is very severe, severely affecting the patient's normal function, causing joint deformity, and affecting the patient's normal work or life, it is necessary to actively pursue joint replacement surgery. For cases where the symptoms of osteoarthritis are not very severe, choosing active conservative treatment is completely adequate. The most important thing is still to reduce the amount of exercise, pay attention to protecting the local joints, never let them get cold, often apply heat, and combine some medical treatments, such as using pain relief and cartilage-nourishing drugs. Common drugs like Nimodipine capsules and Glucosamine Hydrochloride have very good effects.
How is tenosynovitis treated?
There are various treatment methods for tenosynovitis, mainly based on the severity of the patient's condition. If the tenosynovitis is very severe, such as the occurrence of triggering or local limb flexion and extension limitations, it is necessary to actively pursue surgical treatment. The surgery can be performed under local anesthesia, typically involving either cutting open the tendon sheath or partially removing it. Post-surgery, it is crucial to actively engage in functional exercises, change dressings, and disinfect the wound to prevent infection. For less severe tenosynovitis, local injection treatments can be an option. Additionally, persistently applying local heat treatments daily can help alleviate symptoms.
Is a pelvic comminuted fracture serious?
For comminuted pelvic fractures, the condition is very serious, demonstrating that the external force involved was quite significant. It causes a disruption in the continuity and integrity of the bone. The patient will exhibit localized pain and swelling, and restricted movement in the affected area. Pressing on the area will produce a distinct bone crepitus or feel, and there might be extensive subcutaneous bruising. For comminuted pelvic fractures, the primary treatment is usually surgical. It is essential to conduct thorough preoperative examinations to exclude any surgical contraindications, and then proceed with the open reduction and internal fixation surgery under general anesthesia.
Osteosarcoma is malignant.
Regarding whether osteosarcoma is benign or malignant, it is certain that osteosarcoma is a malignant tumor with a very high degree of malignancy. Once osteosarcoma is definitively diagnosed, aggressive treatment is necessary. Surgery is the main treatment approach, aiming to perform as extensive a resection as possible, or amputation may be required when necessary. After surgery, the resected specimen must be sent for pathological examination. Based on the type of pathology, the next step in treatment, either radiotherapy or chemotherapy, will be determined to minimize the recurrence of osteosarcoma, as a recurrence can endanger the patient's life.
Can tendinitis be treated with hot compresses?
Can hot compresses be used for tenosynovitis? Yes, patients with tenosynovitis can undergo hot compresses. The primary purpose of hot compresses is to promote the absorption of local inflammatory exudates, which can effectively alleviate the symptoms of pain associated with tenosynovitis. Therefore, patients with tenosynovitis can undergo hot compresses. Additionally, it is crucial to strictly ensure rest and protection in the early stages, reducing stimulation to the affected area, which is more beneficial for the improvement of clinical symptoms of tenosynovitis. Topical applications of ointments that invigorate blood circulation and dispel blood stasis can also be used. However, in cases of severe tenosynovitis where there is a snapping sound and the patient's local flexion and extension movements are restricted, it is necessary to actively pursue surgical treatment, which usually involves tenosynovectomy or partial excision surgery.
The Harm of Cervical Spondylosis
The harm caused by cervical spondylosis is quite significant. Typically, patients with cervical spondylosis will experience pain, discomfort, or stiffness in their necks. When the vertebral artery is compressed, patients might exhibit a range of clinical symptoms, including dizziness, headaches, nausea, and vomiting. Furthermore, some patients may experience blurred vision, decreased hearing, numbness, weakness, and distension pain in either or both upper limbs. Some patients also suffer from symptoms like profuse sweating, loss of appetite, palpitations, instability while walking, and a sensation as if stepping on cotton, and in severe cases, they may experience abnormalities in urination and bowel movements.
How long will a bone fracture hurt?
Regarding the question of how long the pain from a fracture lasts, in general, patients with fractures are usually in the fibrous connection phase about two weeks after the incident, at which point the fracture ends become relatively stable. This means there is no longer movement at the fracture ends that can irritate nearby nerves. Therefore, the pain usually starts to alleviate after about two weeks. Additionally, for early intense pain from the fracture, oral pain relievers can be taken to ease the patient's symptoms. Furthermore, it is crucial to ensure that the fracture site is well-rested and protected, as this is the best condition for the healing of the fracture. If immobilization is not strictly adhered to, premature activity or local muscle strain might occur, which could potentially lead to a misalignment at the fracture site.
How to exercise for cervical spondylosis
In general, for patients with cervical spondylosis, exercises such as swimming, playing badminton, flying kites, or performing "Mi Zi" exercises can effectively strengthen the neck muscles and thereby better protect the cervical spine. These are the exercise methods for cervical spondylosis. Additionally, patients should also pay attention to rest and protection, apply local heat, and combine treatments such as acupuncture, massage, traction, electrical stimulation, and cupping. For severe pain, topical ointments that invigorate blood and remove stasis can be used, along with oral non-steroidal anti-inflammatory drugs, drugs that invigorate blood and remove stasis, and drugs that nourish the nerves. (Specific medications should be taken under the guidance of a physician.)