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Li Jie
Orthopedics
About me
Male, graduated from the Department of Orthopedics, Beijing University of Traditional Chinese Medicine in July 2003. Holds a bachelor's degree. Has been working in the Department of Orthopedics at Laiwu Traditional Chinese Medicine Hospital in Shandong Province since graduation. Engaged in clinical work in orthopedics for 12 years. Possesses comprehensive theoretical knowledge and clinical experience in orthopedics.
Proficient in diseases
Treatment of complex traumatic fractures, repair of soft tissue defects and injuries, diagnosis and treatment of hip and knee joint diseases, unique insights in minimally invasive joint treatment and joint replacement, and rich clinical experience have been accumulated.
Voices
How is cervical spondylosis treated?
Cervical spondylosis is very common in clinical settings. The pathological changes mainly involve local muscle tension, spasms, and adhesions in the cervical area, combined with disturbances in the small joints of the cervical spine, as well as straightening or reverse curvature of the cervical spine. Sometimes, there may also be cervical disc herniation or cervical osteophyte formation. Once these pathological changes occur, a comprehensive conservative treatment needs to be implemented. Conservative treatment measures include massage, acupuncture, moxibustion, electrotherapy, wax therapy, etc. At the same time, some non-steroidal anti-inflammatory and analgesic medications can be taken orally. These medications can significantly alleviate pain and reduce symptoms. Additionally, some proprietary Chinese medicines that activate blood circulation, remove blood stasis, and relax tendons, as well as topical plasters with similar effects, can be taken or used. These constitute what we refer to as comprehensive conservative treatment. If the symptoms of cervical spondylosis still cannot be alleviated after these comprehensive conservative treatments and there are clear indications for surgery, surgical treatment may be necessary. (The use of medications should be under the guidance of a doctor.)
How to diagnose cervical spondylosis?
Cervical spondylosis is a very common clinical disease. The pathological changes mainly include local muscle tension, spasm, and adhesion in the cervical spine, accompanied by disturbances in the cervical facet joints, straightening or kyphosis of the cervical curvature, as well as herniated cervical discs, or local osteophyte formation in the cervical area. To diagnose, a comprehensive examination is generally required. Common tests include the following: firstly, taking anteroposterior and lateral X-rays of the cervical spine in both flexed and extended positions. These tests can clarify the curvature of the cervical spine, check for osteophyte formation, and assess any disturbances in the small joints of the cervical spine. If there is a need to examine the cervical spinal cord or nerve roots, a CT scan or MRI of the cervical spine is necessary. This examination can determine whether the nerves or spinal cord are compressed, and whether there are any disc herniations.
Causes of cervical spondylosis
It is currently believed that the fundamental cause of cervical spondylosis is due to degenerative changes in the cervical spine caused by aging, poor life postures, and work habits. These degenerative changes lead to instability between the vertebrae, resulting in cervical disc herniation or localized bone hyperplasia. The herniated discs and bone growth compress nearby nerve roots, the spinal cord, and vertebral arteries, causing symptoms of compression in these structures and leading to cervical spondylosis. There are also some factors that trigger cervical spondylosis, with common ones being exposure to cold, excessive fatigue, and poor lifestyle and work habits. Paying attention to these factors can generally prevent the onset of cervical spondylosis.
Is cervical spondylosis nauseating?
Cervical spondylosis is a very common disease clinically and has a variety of pathological types. Generally, we classify it into several types including localized cervical spondylosis, nerve root type cervical spondylosis, spinal cord type cervical spondylosis, vertebral artery type cervical spondylosis, sympathetic nerve type cervical spondylosis, mixed type cervical spondylosis, and esophageal type cervical spondylosis. One type can present symptoms such as nausea, called vertebral artery type cervical spondylosis. Due to the compression of the vertebral artery in patients, symptoms may appear such as headache, dizziness, tinnitus, blurred vision, memory decline, and even nausea and vomiting. In such cases, we recommend patients to use medicines that relax muscles and improve microcirculation. Once the symptoms of vertebral artery compression are alleviated, symptoms such as dizziness and nausea will also be relieved. Note: Medication should be used under the guidance of a doctor.
What to do if cervical spondylosis causes vomiting?
Vertebral artery type cervical spondylosis may cause nausea and vomiting. This is because the vertebral artery runs through the transverse foramen in the cervical spine. If the patient has cervical disc herniation or cervical hyperostosis that compresses the vertebral artery in the transverse foramen, it can cause spasm of the vertebral artery. This leads to insufficient blood supply to the brain, resulting in symptoms such as headaches, dizziness, nausea, vomiting, and blurred vision. Once these symptoms occur, we recommend that patients first limit the movement of the cervical spine. Secondly, some drugs that improve microcirculation and alleviate cerebral ischemia can be used. Thirdly, antiemetic medications, which are also commonly used clinically, can be employed. If conservative treatment is ineffective and the condition recurs frequently, surgical treatment should be considered. (Specific medications should be used under the guidance of a doctor.)
Can tendinitis be treated with acupuncture?
The occurrence of tendinitis is mostly due to local overuse and trauma, which causes local stagnation of qi and blood, and blockage of the meridians. As a result, there may be adhesion and pain in the tendons. Acupuncture is particularly effective in dredging meridians, activating blood circulation, and relieving pain quickly. Therefore, acupuncture can be very effective for tendinitis. We can perform acupuncture treatment by needling the painful area and selecting points along the meridian. Generally, the effects of acupuncture are favorable. If combined with other conservative treatment methods, it can produce significant results.
Can tendinitis heal on its own without treatment?
Tendinitis is a sterile inflammation of the tendon, manifested as localized fatigue damage to the tendon, which may involve tension, spasm, and adhesion of the tendon. Generally, there is some sterile exudation, and there may be some edema and swelling. Generally, patients with tendinitis are advised to rest initially. Some patients with milder conditions may heal on their own after resting, without treatment. However, for more severe cases, recovery may be slow and less effective if they only rest without treatment. In such cases, treatments like acupuncture, moxibustion, electrotherapy, and application of medicated plasters along with immobilization can generally achieve good results.
How long does a rib fracture hurt?
Rib fractures are indeed quite painful because there are abundant intercostal nerves around the rib cage. Once a fracture occurs, if it is not effectively immobilized and treated promptly, the pain is very noticeable. If treated effectively, such as applying external fixation with a rib belt or chest band, and addressing any pneumothorax or hemothorax with targeted treatments, along with using medications that activate blood circulation, reduce swelling, and relieve pain, proactive treatment can usually significantly alleviate the pain of rib fractures within about a week. Typically, by around two weeks, the pain can essentially disappear. However, if not treated actively, the duration of pain may significantly increase.
Does cervical spondylosis hurt?
Cervical spondylosis is a very common disease in clinical practice, and it has many pathological types. Generally, we divide it into nerve root type cervical spondylosis, spinal cord type cervical spondylosis, local type cervical spondylosis, vertebral artery type cervical spondylosis, sympathetic nerve type cervical spondylosis, and mixed type cervical spondylosis. Pain is a major symptom in these types of cervical spondylosis, but some cervical spondylosis do not primarily present with pain, and the pain experienced can vary widely. For example, the pain in local type cervical spondylosis primarily manifests as localized pain in the cervical region; in nerve root type cervical spondylosis, the pain is typically a shooting pain in the extremities, particularly radiating pain in the upper limbs; in spinal cord type cervical spondylosis, the pain is not very typical and mainly presents as weakness in the limbs; in vertebral artery type and sympathetic nerve type cervical spondylosis, the primary manifestation is pain in the head, with less noticeable pain in the limbs. Thus, while pain is a common symptom in patients with cervical spondylosis, the characteristics of the pain vary.
Can tendinitis be treated with moxibustion?
Tendonitis occurs commonly due to two reasons: overuse, which means excessive local activity, and trauma. Both causes lead to local aseptic inflammation of the tendon, resulting in edema, exudation, swelling, and pain. Moxibustion can be effective in this situation because it helps in activating blood circulation, reducing stasis, relieving swelling, and alleviating pain. The specific locations for applying moxibustion include the painful tendon area, and since the tendon is an extension of the muscle, not only the painful tendon area should be treated with moxibustion, but the entire muscle bundle can also be treated to help relieve overall muscle and tendon spasms and reduce pain.