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13
Su Zhen Bo
Orthopedics
About me
Graduated from Heilongjiang University of Chinese Medicine in 1987. In August of the same year, started working at Harbin Orthopedic Hospital, specializing in clinical orthopedics. Currently serving as a member of the Medical Malpractice Appraisal Expert Database of Harbin Medical Association.
Proficient in diseases
Conservative and surgical treatment for fractures of the limbs, conservative and surgical treatment for cervical and lumbar spine diseases, total hip and knee replacement surgeries.
Voices
How to determine if it is plantar fasciitis?
Plantar fasciitis is a type of aseptic inflammation. In diagnosis, there is usually a history of chronic strain in the plantar area, or frequent exposure to cold. Patients may feel stabbing pain in the plantar area, swelling in the plantar muscles and fascia tissues, widespread tenderness, and some exhibit definite tender points, affecting normal plantar activity. There is fascial tissue adhesion; when touching the plantar area, the skin may also feel hard and tight. Ultrasonography and MRI can be conducted, and combined with physical examination, a definitive diagnosis can be made. In treatment, conservative methods are used. Often soaking feet in warm water, applying external ointments that invigorate blood circulation and reduce stasis, performing acupuncture and moxibustion, strengthening exercises for the plantar muscle tissues, and taking oral nonsteroidal anti-inflammatory and analgesic drugs.
Is a grade two lumbar disc herniation serious?
Lumbar disc herniation level II is a moderate condition, primarily characterized by self-perceived pain in the lower back and legs, numbness in the skin of the lower limbs, and weakened muscle strength. Clinically, positive findings include tenderness in the lower back, percussion pain, and a positive straight leg raise test. Some may experience weakened dorsiflexor muscles of the big toe. Diagnosis can be confirmed through electromyography, CT scans, and MRI of the lumbar region. Treatment options include conservative care, lying on a hard bed, wearing lumbar support, using pelvic traction, and applying therapies such as lumbar massage, physiotherapy, diathermy, and acupuncture.
Early symptoms of frozen shoulder
The patient is suffering from periarthritis of the shoulder, which is a type of aseptic inflammation. In the early stages, the primary symptom is a subjective feeling of pain in the shoulder, which tends to worsen at night. The skin and muscle tissues around the shoulder become adhesive and hardened, and touching the area can distinctly feel stiffness and hardening. At the same time, the range of motion in the shoulder joint decreases, and moving the joint can intensify the pain. Diagnostic clarity can be achieved through MRI scans and ultrasound examinations. In the early stages, topical plasters that reduce swelling and relieve pain can be used, along with acupuncture and moxibustion, and the application of analgesic medications. It is also necessary to strengthen shoulder joint function training under the guidance of a rehabilitation physician. Pendulum movements of the shoulder joint and arc movements can help alleviate pain and increase the range of motion of the shoulder joint.
Can lumbar disc herniation heal itself?
In clinical practice, patients with lumbar disc herniation often cannot heal on their own. It requires early diagnosis and the correct treatment methods. Patients may lie flat on a hard bed, use lumbar traction, and combine this with heat therapy, physiotherapy, acupuncture, and moxibustion. Regularly using orthopedic herbal fumigation to treat the waist area can unblock the muscle meridians, accelerate metabolism within the muscles, enhance the strength of the waist muscles, stabilize the lumbar spine, and reduce irritation to the dural sac and nerve roots, which can alleviate clinical symptoms. After conservative treatment, if the condition recurs, the next step can involve minimally invasive surgery at the lumbar region, using techniques like discoscopy or foraminoscopy to perform simple nucleotomy. Post-surgery, functional exercises for the waist can be performed.
How to treat osteophyte growth?
After the occurrence of bone hyperplasia, if the patient exhibits clinical symptoms, appropriate treatment can be undertaken. For instance, it is advisable to reduce local load-bearing activities, avoid repeated external forces, keep warm, and avoid exposure to cold. Regular soaking in warm water, or choosing orthopedic medicinal fumigation, and treatment using spectrum instruments, microwave devices, and infrared lamps can be used. These methods can accelerate the circulation of qi and blood within local muscles, clear the meridians, and can delay the progression and aging of bone hyperplasia, preventing the loss of calcium, protein, and other substances from the bone. Additionally, under the guidance of a rehabilitation doctor, correct local exercise can be carried out, such as local muscle tissue contraction and relaxation training, which can increase bone strength and density, all of which aid in symptom relief.
What should I do about calcific tendinitis?
In cases of calcific tendinitis, which is a relatively severe form of tendinitis, conservative treatment should initially be considered. It is important to reduce repeated external forces on the tendon area, ensure the area is kept warm, and treatments like small needle-knife loosening, orthopedic herbal fumigation soaking, or combined with physical therapy and electric heating can be used to soften the calcified tendon tissue, which can alleviate clinical symptoms. If the condition does not improve after conservative treatment, or if it recurs, surgical intervention may be considered as the next step. This could involve tendon release surgery or sheathectomy. Early joint movement is necessary after the surgery to avoid joint adhesion.
How to determine if it is cervical spondylosis
In clinical settings, cervical spondylosis can be diagnosed by evaluating the patient's subjective symptoms, medical history, and physical examination, combined with corresponding auxiliary examinations. Patients with cervical spondylosis often have a history of long-term chronic strain or injury in the neck. Patients may experience increased muscle tone in the limbs, muscle weakness, and sensations of tingling and numbness in the upper limbs. There may also be difficulties in walking involving the lower limbs, with sensations like walking on cotton; accompanying symptoms can include dizziness, nausea, vomiting, unstable blood pressure, and blurred vision. Electromyography, cervical spine X-rays, CT scans, and MRI can be taken to confirm the diagnosis. In terms of treatment, conservative treatments are primarily used in the early stages of the disease. Patients are advised to rest in bed, wear cervical collars for stabilization, and use a chin strap for traction. Acupuncture and moxibustion are used on the neck, along with enhanced functional training and the administration of neurotrophic medications.
How is calcific tendinitis treated?
The patient suffers from calcific tendinitis, and conservative treatment can be the first choice. It is necessary to reduce the external stimulus on the local lesion and keep it warm. Apply heat treatments, frequently use spectrum meters for electrotherapy, physiotherapy devices, infrared therapy devices, and lamp treatments. Use traditional Chinese medicine washes that activate blood circulation, relieve stasis, and alleviate muscle pain for steaming and soaking. Increasing the local temperature can unblock normal circulation of Qi and blood, soften the local tendon tissues, and alleviate symptoms such as pain and swelling, and also improve the range of motion locally. If there is a clear pain point locally, closed injection techniques can be used, and small needle knife treatments can be utilized to pry and loosen the area. Alternatively, oral non-steroidal anti-inflammatory and analgesic drugs, along with strengthening functional exercises at the lesion site, can help in the recovery of the condition.
How to treat cervical spondylosis
The patient has cervical spondylosis and can be treated using traditional Chinese medicine methods. For instance, firstly, it's important to advise the patient to minimize the loading activities on the head and neck area and to keep warm. Regular bed rest is beneficial, and local treatment can be applied to the neck using traditional Chinese herbal medicine ion penetration, acupuncture, and moxibustion. These therapies stimulate effective acupuncture points in the neck, which can unblock the muscle meridians, restore normal circulation of qi and blood, and help the neck muscles absorb nutrients, increasing their strength, toughness, and elasticity. These treatments can also enhance the strength and density of the cervical vertebrae, reduce irritation to the spinal cord, nerves, and blood vessels, and alleviate the patient's clinical symptoms. Under the guidance of traditional Chinese medicine methods, manual therapies like massage can significantly relieve clinical symptoms.
Which part to massage for lumbar muscle strain?
After experiencing lumbar muscle strain, massage therapy can be used for treatment. During the massage, focus on the kidney area on both sides of the lumbar spine. Techniques such as muscle lifting and pinching, local elbow pressing, and massage methods like rubbing, kneading, and rolling can be used. Stimulate effective acupoints in the waist to restore normal circulation of qi and blood in the lumbar muscles, promote the muscle tissues to absorb nutrients, enhance the strength, toughness, and elasticity of lumbar muscles, and reduce symptoms such as pain and swelling, as well as increase the range of motion in the lumbar spine area. Additionally, support with lumbar acupuncture, moxibustion, electrotherapy, and physical therapy. Under the guidance of a rehabilitation doctor, strengthen lumbar functional exercises to accelerate recovery. In terms of diet, consume more fresh fruits and foods rich in calcium.