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Lv Yao
Orthopedics
About me
Shandong First Medical University Second Affiliated Hospital, Orthopedics, Attending Physician, has been engaged in clinical work in the field of orthopedics for many years, with rich clinical experience in the diagnosis and treatment of orthopedic systemic diseases.
Proficient in diseases
Specializes in common conditions such as muscle injuries, muscle ruptures, tendon injuries, and bone damage.
Voices
How should a fracture be treated?
A fracture refers to the damage to the integrity and continuity of the bone, which can cause symptoms such as pain, swelling, and limited mobility. When a fracture occurs, it is important to analyze and manage the situation based on the displacement of the fracture, whether there is associated damage to important blood vessels or nerves, and whether the fracture could cause shock. If it is a simple fracture, conservative treatment such as plaster cast immobilization or brace fixation can be used. If the fracture is accompanied by significant damage to blood vessels, nerves, or organs, or even symptoms of shock, the first step is to treat the shock, and then further manage the fracture to save the patient's life.
What should I do if osteoporosis is severe?
The severity of osteoporosis manifests as fractures, which are caused by increased brittleness. The principle of treatment varies based on the location of the fracture. Different methods are chosen accordingly. However, it is important to first reposition the fracture and then strengthen internal fixation. After fixation, patients should be advised to engage in appropriate functional exercises. During these exercises, medications for treating osteoporosis should be administered, such as increasing the intake of calcium or vitamin D. Additionally, medications that promote bone absorption and inhibit bone loss should be used for symptomatic treatment.
What to eat for a bone fracture?
A bone fissure is actually a type of fracture, which refers to a crack in the cortex of the bone. However, the stability of the bone is maintained, so bone fissures should be treated as fractures, with appropriate immobilization and rest. In terms of diet, one can choose foods rich in proteins and trace elements such as calcium and phosphorus to promote the healing of fractures. Foods like beef, eggs, bean products, shrimp chips, and so on can be beneficial for the recovery from a bone fissure.
What should be supplemented for osteoporosis?
Osteoporosis is a systemic disease characterized by decreased bone density, loss of bone mass, and increased bone fragility, which can lead to an increased risk of fractures. It is divided into primary and secondary types. The primary type primarily affects postmenopausal women and is caused by age-related degeneration. Adolescents can also be affected, though it is mainly postmenopausal women and age-related degeneration that lead to osteoporosis. Managing osteoporosis involves not only supplementing with calcium but also with vitamin D, as hormonal levels in postmenopausal women decrease, leading to lower calcium absorption. This could result in bone destruction exceeding bone formation. Therefore, it is important to maintain high levels of calcium and increase vitamin D absorption to prevent the onset of osteoporosis.
Tendinitis mild and severe symptoms
Tendon sheath inflammation refers to the exudation and adhesion between the tendon and tendon sheath caused by excessive flexion and extension activities, resulting in a sterile inflammatory response with symptoms of localized pain and limited mobility. In the early stages of adhesive inflammation, there is severe pain in the affected area along with limited flexion and mobility. As the condition progresses and with increasing age, severe proliferation of the tendon sheath may cause compression on the tendon, leading to symptoms of constrictive tendon sheath inflammation, particularly in the extensor tendons of the index and thumb fingers, commonly known as trigger finger.
What should you pay attention to with a bone fracture?
A bone fissure is actually a type of fracture, characterized by a crack in the cortical bone, yet the overall stability of the bone remains intact. Even with a fissure, treatment similar to that for fractures should be implemented: immobilization and appropriate cold therapy in the early stages to aid in healing. After immobilization, it is crucial to limit excessive movement to prevent the stable fracture from becoming unstable. During immobilization, attention must be paid to the circulation around the fracture site and the mobility of joints in adjacent areas of the limb. If severe swelling occurs, along with restricted movement of neighboring limbs, symptoms of compartment syndrome may be present. Therefore, it is essential to be vigilant about circulation and sensory changes in the affected area.
How to rest with a rib fracture
Rib fractures are generally caused by trauma. A rib fracture can lead to localized pain and symptoms such as restricted breathing and movement. After a rib fracture, it is necessary to choose the appropriate treatment method based on the degree of displacement of the fracture, the number of ribs fractured, and whether there is associated hemothorax or pleural effusion. Treatment options may include rest, wearing a chest brace, and using antibacterial drugs to treat symptoms and prevent infections in the chest or lungs. Additionally, in daily life, excessive bending and flexing activities should be avoided to prevent further injury to the ribs. It is recommended to primarily lie flat. If breathing difficulties occur, it is advised to seek medical treatment at a formal hospital's orthopedics department. (Medication should be used under the guidance of a doctor.)
How to treat tenosynovitis of the wrist?
Tenosynovitis of the wrist occurs when excessive flexing and extending movements lead to an inflammatory reaction between the tendons and the tendon sheaths. This can cause adhesion, fibrosis, and even sterile inflammation, leading to symptoms of pain and restricted movement. For tenosynovitis, it is first recommended to rest and reduce flexing and extending movements. Physical therapy, such as infrared therapy, can be used to alleviate the local inflammatory response. If necessary, non-steroidal anti-inflammatory pain medications can be used for symptomatic treatment. If the above treatments are not effective, local injections may be recommended for management.
How to diagnose a lumbar disc herniation?
Lumbar disc herniation often occurs due to degeneration of the lumbar spine, where the nucleus of the disc protrudes through the ruptured annulus fibrosus backward, compressing the spinal cord or nerve roots. This results in pain in the lower back, limited mobility of the lumbar region, and symptoms such as numbness, pain, and weakness in the lower limbs. For lumbar disc herniation, it is recommended to visit the orthopedic or spine surgery clinic of a standard hospital. Diagnosis should be confirmed with a physical examination by a doctor, along with imaging tests such as CT or MRI. These tests help determine the presence and extent of the disc herniation, and the affected segments. The treatment approach should be chosen based on the severity of the herniation.
How is periarthritis of the shoulder treated?
Periarthritis of the shoulder refers to the symptoms of local pain and restricted movement caused by aseptic chronic inflammatory reactions in the tendons, ligaments, and joint capsules around the shoulder joint. Appropriate immobilization and rest are necessary when periarthritis of the shoulder occurs, and physical therapy methods such as infrared lamps and physiotherapy can be used to alleviate the local inflammatory response. It is also important to perform appropriate functional exercises to prevent the shoulder joint from becoming stiff due to prolonged immobilization. If the pain symptoms are severe, non-steroidal anti-inflammatory pain relief medications can be chosen for symptomatic treatment to relieve pain. (Medications should be used under the guidance of a doctor.)