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18
Guan Jing Tao
Orthopedics
About me
Master's graduate, attending physician. Has been working in the field of orthopedic clinical practice since graduation.
Proficient in diseases
Diagnosis and treatment of common orthopedic diseases such as cervical and lumbar spondylosis, osteoarthritis, tenosynovitis stenosis, limb fractures, femoral head necrosis, chronic musculoskeletal diseases, etc.
Voices
Does osteosarcoma spread through blood?
As far as we know, osteosarcoma is not transmitted through blood or infectious. If osteosarcoma had such infectious characteristics, it would be transmitted in the same way as AIDS or other sexually transmitted diseases and would be classified as a contagious disease. However, there has been no notification or relevant guidelines to date indicating that osteosarcoma can be transmitted through blood. Therefore, normal contact with patients with osteosarcoma, or caring for patients with osteosarcoma, including sharing the same food or coming into contact with their blood, generally does not lead to the transmission or contraction of osteosarcoma.
Where to perform moxibustion for sciatica
Typical sciatica, in addition to soreness and numbness in the buttocks, is accompanied by sensory abnormalities in the back of the thigh, the back of the calf, the lateral muscles, and the foot. Thus, the location for moxibustion treatment spans from the buttocks to the thigh and calf, targeting corresponding traditional Chinese medicine acupoints progressively. This can alleviate, to some extent, the sensory abnormalities in the buttocks and lower limbs caused by sciatica. It is recommended to concurrently take oral medications that nourish the nerves to collectively reduce symptoms and shorten the duration of the illness. If there is no significant relief after two to four weeks of treatment, it is advised to revisit the hospital for further examination and treatment. Hospitalization for systematic treatment may be necessary.
How is tenosynovitis diagnosed?
Tendinitis mostly occurs in the wrist joints that frequently flex and extend, as well as in the thumb and corresponding metacarpophalangeal joints. It is largely due to the repetitive flexion and extension movements of the fingers and wrist joints, such as those performed by noodle makers in restaurants, vegetable cutters, and some handcraft laborers. Repeated movements irritate the local tendon sheaths causing inflammation, leading to relative narrowing, which prevents the tendons from flexing and moving normally. This results in a condition known as stenosing tendinitis. These are the common causes and symptoms of the condition, enabling a clear diagnosis.
What injection is used for bone hyperplasia?
Patients with bone hyperplasia, especially the middle-aged and elderly, are advised to take nutritional medications for bones annually, including calcium supplements and bone peptides, etc. These can help suppress the abnormal growth of bones and nourish the local bone tissue, while also preventing the progressive worsening of osteoporosis. It is also recommended to get appropriate sunlight exposure, but avoid overexposure to strong sunlight to prevent adverse reactions. Additionally, engaging in appropriate exercise and maintaining a balanced diet, especially consuming calcium-rich foods, can help in the comprehensive treatment of bone hyperplasia and osteoporosis.
Is physiotherapy good for osteoarthritis?
The answer is affirmative. For osteoarthritis, especially that caused by chronic diseases, local physiotherapy helps promote the dissipation of inflammation, the reduction of joint effusion, and the improvement of local tissue inflammation. Moreover, for some patients with osteophyte formation, consistent daily physiotherapy also aids in improving local pain and swelling, joint effusion, and other symptoms. It helps in promoting regional recovery and alleviating the further aggravation of local effusion and swelling.
Will plantar fasciitis cause pain on the top of the foot?
Generally speaking, it is not the case. Plantar fasciitis is mostly characterized by distinct pain at the point where the muscles and fascia on the bottom of the foot connect with the bones, especially during walking or other activities, where a clear pain point can be observed. Top-of-the-foot pain should not be ruled out as being caused by other reasons, such as soft tissue injuries on the top of the foot, gout, or local tissue damage due to accidental strains. Therefore, plantar fasciitis does not induce pain on the top of the foot, unless there are soft tissue injuries and inflammation in both the plantar and dorsal areas of the foot, which would result in corresponding pain in both areas.
Can hot compresses relieve pain for osteosarcoma?
Osteosarcoma has very limited pain relief effects through simple or pure hot compresses. As the lesion progresses, hot compresses can become completely ineffective or have very unclear effects. Clinical manifestations include pain and swelling, with local formation of lumps or tumor-like appearances. It can also affect the joint mobility around it, and even cause atrophy of limbs and muscles. In terms of treatment, it still relies on early surgical excision, but the prognosis is still not very optimistic.
Lumbar disc herniation L5-S1 symptoms
You may experience abnormal sensations in the buttocks, lower limbs, and soles of the feet, such as numbness, soreness, and even reduced muscle strength. Additionally, mild to moderate lumbar disc herniation can cause soreness and abnormal sensations in the buttocks, and even abnormal sensations in the perineal region. It is recommended that when symptoms of nerve compression in the lower limbs and buttocks occur, strict bed rest should be enforced, especially on a hard bed, and exposure to cold should be avoided. Consider lumbar traction if appropriate, but if symptoms worsen during traction, it should be stopped immediately. Also, if the disc herniation is localized to a single segment, minimally invasive surgery may be considered.
How to sleep with a rib fracture
For rib fractures requiring bed rest, wearing a chest brace for protection is advisable. During the initial 2 to 4 weeks, sleeping positions should be such that they do not cause pain. In cases of multiple rib fractures, pain might occur irrespective of whether the patient is lying on their back or side. Therefore, there are no special requirements for sleeping positions; it should be whatever position causes the least pain locally. A chest brace can also be used to help minimize the pain caused by friction between the fractured ends of the bones. In addition, it is recommended to consume foods rich in calcium and take oral bone-healing calcium supplements to promote fracture healing, as this is the fundamental way to alleviate pain.
Is a comminuted fracture of the hip bone serious?
The answer is definitely yes. A comminuted fracture of the hip bone can affect the stability of the pelvic ring, thus absolute bed rest is necessary, and surgical treatment may be needed when required. Especially in middle-aged and elderly people, early ambulation after surgery can help avoid various complications that can arise from prolonged bed rest, such as three to six months, or even more than half a year, which could exacerbate complications in the elderly and even be life-threatening. Therefore, comminuted fractures of the hip are relatively severe and require active surgical treatment. Post-surgery, appropriate bed rest is also needed, and it is advisable to use a pulsating air mattress to prevent potential complications like pressure sores, and appropriate body massages should be performed to prevent the occurrence of lower limb venous thrombosis. Additionally, turning and patting on the back should be performed to prevent dependent lung pneumonia.