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Guan Yu Hua
Orthopedic Surgery
About me
Graduated from Yanbian University, with a postgraduate degree, engaged in orthopedic work. Has rich experience in joint replacement, common limb fractures, and joint dislocations. Has performed over 500 surgeries of different sizes in a year.
Proficient in diseases
Common fractures of the limbs, joint dislocation, hip and knee joint replacement, skin flap transfer, nerve and vessel anastomosis, limb reattachment.
Voices
Is soaking feet good for osteoarthritis?
Osteoarthritis can benefit from soaking the feet in warm water, slightly hotter if possible, as the feet have numerous nerves. This can promote blood circulation and facilitate metabolism, such as the elimination of bodily waste, which is beneficial, especially for middle-aged and elderly people, in preventing cardiovascular and cerebrovascular diseases. Osteoarthritis depends on the location and is a chronic joint disease. Its primary pathological change is the degenerative alteration of the joint cartilage. Typically, this condition affects middle-aged and older individuals, more so women than men. Early changes include the deterioration of the joint cartilage, leading to the exposure of the subchondral bone, which can then cause periostitis, changes in the joint capsule, and surrounding muscles. Usually, it presents as rest pain, which may decrease with light activity. Treatment often involves nonsteroidal anti-inflammatory drugs or intra-articular injections of sodium hyaluronate for lubrication and joint protection. In severe cases, joint replacement, such as knee replacement, may be necessary. Thus, soaking the feet can be beneficial for those with osteoarthritis.
How to treat osteophyte growth?
Bone hyperplasia mostly occurs in people over the age of 45, with symptoms becoming more apparent as age increases. It represents degenerative, hyperplastic, and aging changes in bone. Bone hyperplasia commonly affects major joints such as the cervical spine, lumbar spine, knee joint, heel, etc. Radiographic examinations are typically used to clearly diagnose the location of hyperplasia, which characteristically shows pointed changes on X-rays, and may stimulate surrounding nerves, blood vessels, and muscles to varying degrees. In cases like the knee joint, it is prone to synovitis, and symptoms become more noticeable when walking, climbing, or descending stairs. Upon diagnosis, treatment may involve anti-bone hyperplasia medications, and strict bed rest is recommended to avoid vigorous exercise. Application of local heat to the joints, and performing some traction treatments on the cervical or lumbar spine can help restore the normal physiological curvature of the spine and effectively alleviate symptoms.
How to exercise for frozen shoulder
Periarthritis of the shoulder, commonly presents with shoulder pain, stiffness, or worsening of pain with movement. This condition is frequently seen in individuals around 50 years old, more often in women than men, and commonly among physical laborers. Without timely treatment, it can exacerbate the functional mobility of the shoulder joint, making everyday tasks like combing hair, dressing, washing the face, or placing hands on hips difficult. In severe cases, it could even affect elbow mobility. Early intervention typically involves exercise; despite discomfort, it is essential to persist and may require analgesics or drugs that promote blood circulation and stop bleeding. Exercises like "wall climbing," using horizontal bars, or stretching within doorframes aim to equalize the range of motion between the affected limb and a healthy shoulder joint. Both active and passive movements, such as swinging the arms forward and backward for 50 repetitions each morning, can provide relief. The process should be gradual and progressively intensified. If self-directed exercise proves ineffective, interventions like injections can be administered by a physician, which relieve pain by detaching the sticky interactions among ligaments, muscles, and tendons in the shoulder area, thereby easing the symptoms over time. Continuous pain may persist for a while; alternatively, brachial plexus or cervical plexus anesthesia followed by manual reduction can significantly reduce pain and gradually alleviate symptoms.
Osteosarcoma Causes
Osteosarcoma is the most common malignant tumor of the bone and typically presents without symptoms in its early stages. The cause of osteosarcoma is unknown, and it often goes undetected until it has reached a moderate or advanced stage. It commonly develops at the distal end of the femur near the knee joint, at the proximal end of the tibia, or at the proximal end of the humerus, primarily at the end of the growth plate. The pain associated with osteosarcoma is usually persistent, especially severe at night, and can lead to symptoms such as anemia or general wasting. The tumor's surface may be warm to the touch, with prominent veins visible, and radiographic imaging might show a Codman's triangle, indicative of sunlight-like radiation patterns, as well as bone destruction and clear periosteal reaction. Surgical treatment is typically pursued, with amputation being the most common procedure, though limb-sparing surgeries are possible if the tumor is detected early enough. Some cases metastasize, most commonly to the lungs, requiring continued high-dose chemotherapy post-surgery to prolong survival. Generally, the five-year survival rate for osteosarcoma can exceed 50% with early diagnosis and treatment. The chances of survival heavily depend on the individual’s constitution, the timing of tumor detection, and the surgical intervention. The exact causes of osteosarcoma are unclear, and the potential for metastasis complicates treatment. Therefore, early surgical intervention is crucial for improving survival rates and enabling patients to maintain a normal life and work activities.