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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
Lumbar disc herniation nursing measures
Herniated lumbar discs require attention to several aspects during treatment, First, it is important to advise patients to sleep on a hard bed as much as possible, avoiding soft beds to facilitate the exercise of the lower back muscles; Second, try to minimize sitting and actions such as bending over and picking things up, as these can reduce the load on the lumbar spine, thus alleviating the condition caused by the disc herniation; Third, appropriate functional exercises can be performed, such as the small bird flying exercise and lower back muscle training; Fourth, in terms of diet, opt for plain and less stimulating foods, avoiding the consumption of high-protein, highly nutritious foods, which can increase body weight and thus increase the load on the waist, aggravating the herniated disc situation.
Can you drink alcohol with a bone fracture?
A bone fissure is a type of fracture, clinically known as a hairline fracture. It refers to a situation where there is a crack in the cortical bone, but the stability of the bone is maintained. In cases of bone fissures, besides immobilizing and resting to reduce activity and prevent the worsening of fracture displacement, one should choose a diet rich in protein, calcium, phosphorus, and other trace elements. It is advised not to consume alcohol after a bone fissure, as alcohol needs to be metabolized by the liver, and the absorption and synthesis of trace elements like calcium and phosphorus also occur in the liver. Consuming alcohol can increase the burden on the liver and significantly impact the absorption of these inorganic ions, which is detrimental to the healing of the fracture, hence it is recommended not to drink alcohol after a bone fissure.
Can a lumbar disc herniation heal by itself?
Lumbar disc herniation cannot heal on its own. The protrusion of the disc is due to degeneration of the nucleus pulposus, which herniates through a ruptured annulus fibrosus, compressing the nerves behind it and causing symptoms such as pain, numbness, and weakness when walking. In the early stages or upon the first occurrence of lumbar disc herniation, symptoms can be alleviated through conservative treatment, such as strengthening the muscles in the lower back, appropriately applying traction, and wearing a lumbar support to reduce symptoms and prevent the herniated disc from further compressing the nerves. If the herniation is severe and it is not the first occurrence of this condition, surgical treatment is recommended. Therefore, lumbar disc herniation cannot heal on its own.
When does new bone grow after a fracture?
A fracture refers to the destruction of the integrity and continuity of bone, presenting symptoms such as localized pain, swelling, restricted movement, and deformity. Appropriate treatment should be chosen based on the extent of displacement and whether there is associated damage to significant blood vessels or nerves. Bone healing is a prolonged process. About two weeks post-injury, there will be an increase in osteoclast activity at the site, clearing away the necrotic ends of the fractured bone, thereby stimulating the formation of new bone. Approximately four to six weeks later, there will be a significant proliferation of osteoblasts, leading to the formation of new bone callus. Thus, new bone growth begins around four to six weeks after the fracture.
Symptoms of patellar fracture
Patella fractures often occur due to direct trauma, such as a sudden fall that can result in a fracture of the patella, and symptoms include localized pain, swelling, and limited flexion and extension of the knee joint. If the patella fracture is widely separated, the presence of a hollow state anterior to the patella can be used to diagnose the fracture. The treatment of a patella fracture should be chosen based on a comprehensive analysis of the displacement of the fracture and the displacement of the joint surface.
The difference between osteoarthritis and rheumatism
Osteoarthritis is caused by degeneration in old age that damages the cartilage, resulting in pain during joint movement due to the friction between the bones beneath the cartilage, as well as restricted mobility and even deformity. Rheumatoid arthritis, on the other hand, is typically caused by joint cartilage damage from rheumatic diseases, leading to the destruction of the cartilage. This disease is due to abnormalities in the immune system causing elevated anti-O and rheumatoid factors, and can be definitively diagnosed through etiological examination, physical examination, or blood tests.
Where to go for sciatica treatment
The sciatic nerve is the largest nerve in the human lower limb. If symptoms of sciatic nerve pain occur, it is first necessary to determine the cause of this pain. Sometimes, the pain is caused by degeneration of the intervertebral disc, leading to a ruptured nucleus pulposus protruding from the annulus fibrosus, which compresses the nerve root canal, causing this nerve pain. In such cases, it is recommended to visit an orthopedic or spinal surgery department. If there is no degeneration of the lumbar intervertebral discs or the condition of spinal stenosis, and only this pain occurs, it is advisable to visit a pain management department.
Will a bone fracture be painful?
A bone fissure is actually a type of fracture, which refers to a fracture where there is a crack in the cortical bone, but the stability of the bone remains intact. Symptoms of a bone fissure include pain, swelling, and limited mobility. Treatment for a bone fissure should follow the same protocols as for fractures, such as appropriate immobilization, early local cold compresses to reduce swelling, and alleviating the severity of pain and swelling. Therefore, pain is present when a bone fissure occurs, as it is a type of fracture. During treatment, it is important to monitor for disturbances in sensory and blood circulation in the limbs, particularly the extremities. Sometimes, a bone fissure can cause increased local swelling, leading to sensory and circulation disturbances in the extremities. In such cases, observation is crucial, and it is advisable to seek treatment at an orthopedic department in a reputable hospital if a bone fissure occurs.
How to exercise for frozen shoulder
Periarthritis, also known as frozen shoulder in clinical terms, is generally caused by chronic strain leading to aseptic inflammation of tendons, ligaments, and joint capsules around the shoulder joint. This results in symptoms of pain and limited mobility, particularly pain at night, with both active and passive movements likely to be restricted. In such cases, besides rest and physiotherapy, and the use of topical non-steroidal anti-inflammatory and analgesic medications, it is also essential to engage in appropriate functional exercises for the shoulder joint to avoid with the goal of restoring its function. For instance, the shoulder joint should perform active bending, stretching, and abduction movements, as well as circumduction movements of the shoulder joint. These exercises aim to restore the function of the ligaments and tendons surrounding the shoulder joint.
Can you move with a rib fracture?
The rib has suffered a fracture. Depending on the displacement of the fracture, whether it's a single rib or multiple ribs in multiple locations, and whether breathing is affected or there is a presence of blood or fluid in the chest cavity, a comprehensive analysis is required. If the fracture is a single rib or multiple ribs with hairline fractures, it is possible to move around, but rest is also important to avoid turning a stable fracture into one with significant displacement. If there are fractures in multiple ribs at multiple locations and a large amount of blood or fluid in the chest cavity, along with flail chest that significantly impacts breathing, it is not recommended to continue activities. Rest should be prioritized, and, if necessary, joint cavity puncture drainage may be performed to relieve symptoms.