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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
What to do with osteoporosis?
When osteoporosis occurs, it is first important to determine the cause of the osteoporosis, whether it's due to postmenopausal women, overuse injuries, or osteoporosis caused by long periods of immobilization following trauma. If such osteoporosis occurs, it is advisable to appropriately supplement with calcium and vitamin D, especially for postmenopausal women and elderly individuals affected by degenerative changes. These supplements can be taken orally, and appropriate physical exercise can be incorporated to increase bone strength and achieve recovery. In cases of disuse osteoporosis, appropriate functional exercises should be performed to allow for active muscle contractions and slight weight-bearing by the bones, which promotes circulation around the bones and reduces the risk of osteoporosis.
How to massage tendinitis?
Tendon sheath inflammation is caused by chronic strain and repeated activity, leading to a sterile inflammation of the tendon sheath surrounding the tendon. This results in impairment of tendon movement, causing symptoms such as pain and restricted movement. Tendon sheath inflammation primarily arises from repetitive activity and chronic strain. It can be relieved by appropriate resting, topical non-steroidal anti-inflammatory drugs, and physical therapy. In severe cases where tendon impingement occurs, surgery is required to alleviate the symptoms. Massage therapy is not recommended for this type of sterile inflammation, as it does not have a significant effect.
What are the symptoms of osteoporosis?
The main symptom of osteoporosis is pain, including pain in the limbs, spine, and pelvic area. Sometimes, the pain may worsen during activities such as walking. Even light activities like climbing stairs, hiking, or even sneezing can cause fractures due to osteoporosis, leading to increased pain.
What medicine should I take for tendinitis?
Tendonitis is an aseptic inflammatory reaction that occurs at the endpoint of a tendon due to chronic overuse or injury, causing localized pain and restricted movement. For tendonitis, non-steroidal anti-inflammatory drugs can be administered for symptomatic treatment. These drugs can reduce edema in surrounding tissues and decrease the inflammatory response, thus alleviating pain symptoms. Additionally, drugs that promote blood circulation and remove blood stasis can also be used for treatment.
What are the symptoms of a rib fracture?
When a rib fracture occurs, there is initially localized pain, particularly exacerbated during breathing, and increased pain during pressing on the ribcage. Early on, there may be no respiratory or pulmonary inflammation, but if there is no systematic treatment and no rest, this could lead to breathing difficulties and signs of inflammation in the chest cavity. Additionally, if multiple ribs are fractured at multiple sites, a condition known as flail chest may occur.
How is osteoporosis treated?
Osteoporosis refers to a decline in bone density and quality, increasing brittleness and potentially leading to systemic skeletal diseases. Once osteoporosis occurs, it is crucial to appropriately supplement inorganic salts that promote bone formation, as the structure composed of inorganic salts and collagen in the bones changes. Dietary intake should be enhanced with foods rich in calcium, and it is equally important to supplement with Vitamin D, as the absorption of calcium is facilitated by Vitamin D. Therefore, not only should calcium be supplemented, but also Vitamin D should be appropriately added. Alongside supplementing calcium and Vitamin D, proper exercise is important, as increased physical activity can help strengthen the bones. If these measures do not alleviate the condition, it may be necessary to investigate whether the issue stems from an obstruction in bone formation or from a problem with bone loss. Determining the cause of osteoporosis in this way, there are also medications available that can alleviate bone loss and promote bone formation, allowing for targeted treatment.
Can I run with lumbar muscle strain?
The occurrence of lumbar muscle strain is mainly due to chronic injury causing excessive fatigue of the muscles, resulting in muscle fiber strain. Lumbar muscle strain is primarily a type of chronic aseptic inflammation, characterized by symptoms such as pain and restricted movement. When lumbar muscle strain occurs, it is not advisable to continue running; instead, it is recommended to apply heat and rest. This is because running can exacerbate the load on the lumbar region, which is not very beneficial for lumbar muscle strain. Therefore, when lumbar muscle strain occurs, rest and appropriate physical therapy should be the main focus.
The difference between tendinitis and tendon sheath cyst.
Tendinitis refers to the inflammation of a sheath surrounding the tendon, known as the tendon sheath, caused by chronic strain. This results in a sterile inflammatory response between the tendon and its sheath, leading to symptoms such as pain and limited mobility. Meanwhile, a tendon sheath cyst is a cystic change occurring within the tendon sheath due to various reasons, characterized by a small amount of fluid or gel-like tissue within the cyst. When tendinitis occurs, it can be managed with conservative treatment, rest, and physical therapy to alleviate symptoms. On the other hand, a tendon sheath cyst might not show evident symptoms initially, but as the condition progresses and the cyst grows, it may compress local blood vessels or nerves causing symptoms, necessitating surgical intervention at this stage.
How to recover from collateral ligament injury of the knee joint
The knee joint has important ligaments on both the inner and outer sides, known as the medial collateral ligament and the lateral collateral ligament. In sports injuries, collateral ligament damage of the knee is very common. If there is an injury, the first step is to conduct a series of examinations to determine the stability of the knee joint. The damage to these ligaments can range from tears to complete ruptures. If there is only a contusion or a tear, the knee can recover its function through the use of supportive braces and the natural healing of the ligament. However, if the collateral ligament is completely ruptured, surgery is necessary for repair. The specific extent of the damage needs to be determined by MRI and physical examinations to decide the best treatment approach for the patient's recovery.
Post-traumatic sequelae of femoral head comminuted fracture
A comminuted fracture generally refers to a fracture with more than three fragments. When a comminuted fracture occurs in the femoral head, it is also a type of intra-articular comminuted fracture. Generally speaking, after the fracture is reduced and stabilized, there can be some damage to the joint surface as well, leading to unevenness of the joint surface and a higher chance of developing postoperative traumatic arthritis. There is also a possibility that the comminution of the femoral head fracture could affect the blood supply to the femoral head, leading to ischemic necrosis of the femoral head. After treatment for the fracture injury, there will inevitably be some impact on postoperative function. Therefore, after a comminuted fracture of the femoral head, the first sequelae to appear is usually traumatic arthritis, followed by ischemic necrosis of the femoral head, and thirdly, symptoms of restricted movement in the hip joint may occur.