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Wang Cheng Lin
Orthopedics
About me
Having worked in orthopedic clinical practice for over ten years, he is a committee member for the Asia-Pacific Foot and Ankle Chinese District.
Proficient in diseases
Specializes in treating foot and ankle injuries and diseases.
Voices
Does shoulder pain mean lung cancer?
The most common cause of shoulder pain is chronic strain of the ligaments and muscles in the shoulder, not lung cancer. Lung cancer accounts for only a small portion of the reasons. If a patient has lung cancer, it can spread to the shoulder, or the lung cancer itself can produce a type of referred pain, which can cause shoulder pain. To determine the cause, it is necessary to go to the hospital for an X-ray of the shoulder joint or a plain chest film, as well as an MRI of the shoulder joint, to clarify the cause of the shoulder pain. If the pain is solely due to the muscles or ligaments in the shoulder, it can be relieved through conservative treatments such as massage, acupuncture, electrotherapy, and magnetotherapy.
How to exercise with lumbar spondylosis?
For patients with lumbar spondylosis, it is recommended to exercise through swimming. Swimming exercises the muscles in the lower back and since the body is in a non-weight-bearing position during swimming, it does not aggravate the symptoms of lumbar spondylosis. Remember not to engage in exercises that put weight on the waist, such as playing ball, running, or participating in marathons. These activities should be avoided as they can increase the burden on the waist, exacerbating the degree of spondylosis. They may also lead to complications such as lumbar disc herniation and spinal stenosis, causing gradual increase in lower back pain and symptoms of numbness in the lower limbs.
How is a herniated lumbar disc treated?
The treatment methods for lumbar disc herniation currently fall into two categories in clinical practice. The first is conservative treatment, which primarily involves methods like massage, acupuncture, electrotherapy, magnetic therapy, and traction to alleviate symptoms of pain and restricted movement in the lower back. If conservative treatment proves ineffective and the patient's condition worsens, accompanied by radiating pain and numbness in both legs, it indicates that the herniated disc has severely compressed the nerve roots. At this point, the effectiveness of conservative treatment becomes very poor, and the only option may be to undergo surgical treatment. The primary goal of surgery is to remove the herniated disc, and if the patient has spinal instability, it also involves the use of screws and plates to restore spinal stability.
Symptoms of fibular ligament injury
The symptoms of fibular ligament damage include, first, pain, especially noticeable tenderness or pain around the fibula when bearing weight, which can further affect weight-bearing walking. Second, swelling can occur, particularly after prolonged weight-bearing walking, leading to localized swelling that gradually subsides with rest. Third, joint instability can also occur as the stability of the entire joint deteriorates after ligament damage, resulting in instability during prolonged weight-bearing activities, and in severe cases, affecting joint mobility and damaging the joint cartilage.
Symptoms of the early stage of bone hyperplasia
The early symptoms of osteophyte formation mainly include pain and limited local movement. If these symptoms occur in the early stage of osteophyte formation and there is no further protection of the affected area, or if vigorous exercise or injury occurs, it can lead to a gradual worsening of the symptoms. Patients may develop conditions such as lumbar disc herniation, cervical disc herniation, and osteoarthritis, which can worsen the symptoms. Therefore, it's crucial to take early symptoms of osteophyte growth seriously and manage them carefully. For instance, first and foremost, rest is important to avoid strenuous activity. Secondly, the local application of non-steroidal anti-inflammatory and analgesic medications, as well as medications that promote blood circulation and remove blood stasis, can be used to alleviate local pain.
Can osteophytes be massaged?
Osteophyte, or bone spur, symptoms such as localized pain can be alleviated through massage. However, massage only serves as a relief and does not aim to treat the bone spur itself. Clinically, the treatment for bone spurs also focuses merely on symptomatic relief; it is impossible to completely eliminate bone spurs through oral medications or other physical therapies. Besides massage, options such as acupuncture, physiotherapy, oral non-steroidal anti-inflammatory and pain-relieving medications, as well as medications that promote blood circulation and remove blood stasis, can be used to relieve pain. Additionally, local injections, such as block injections, can also provide relief. However, it is important to remember that the dosage and frequency of block injections are limited; generally, one to two injections per month is the maximum. Excessive use of block injections can damage local muscles and ligaments, worsening the symptoms of bone spurs. (Please consult your doctor before using any medications and do not self-medicate.)
How long does it take for a comminuted tibial fracture to heal?
The healing time for comminuted fractures of the tibia generally takes about three months, but it still depends on the method of treatment. Generally, there are two methods for treating a comminuted fracture of the tibia: The first method is conservative treatment, which involves using casts or braces to immobilize the affected limb. Generally, the healing time for this method is about three months. The second method is used when there is significant displacement at the fracture site, such as obvious shortening, rotation, or deformity, which then requires surgical treatment. After surgery, the healing time may take about three to four months. Additionally, severe comminuted fractures can disrupt the blood circulation at the fracture site, leading to poor local circulation and a condition called delayed union, where healing might take about six months. Another scenario involves extremely severe disruption of the blood circulation at the fracture site, leading to nonunion where the fracture ends do not heal together at all. Generally, this requires about a year of observation. If after one year the fracture ends still haven't healed, a second surgery might be necessary. However, for most comminuted fractures of the tibia, the general healing time is about three to four months.
How long does it take to recover after surgery for a comminuted fracture of the humerus?
Generally speaking, the recovery time after surgery for a comminuted fracture of the humerus is about three months, but this can vary from person to person. If the patient is young, the healing of the fracture ends might be quicker, potentially achieving bony union within two to three months. However, if the patient is elderly, their healing might be slower, possibly requiring three to four months to achieve bony union. Therefore, it is necessary for patients with fractures to regularly take X-rays to observe whether the fracture ends have achieved bony union. Typically, they should visit the hospital to get an X-ray about every two weeks to check on the growth of the fracture ends.
How long does it take to recover from plantar fasciitis?
For the disease of plantar fasciitis, if treated under normal conventional methods, the recovery time is generally around four to six weeks. However, during the treatment period, it is crucial to strictly follow the treatment principles, such as prohibiting excessive weight-bearing walking, strenuous exercise, and overworking. At the same time, some physical therapy methods should be coordinated, such as massage, acupuncture, electrotherapy, and magnetotherapy. In more severe cases, occlusion methods can be used to alleviate local pain. Generally, the time frame is four to six weeks. If the results from regular conservative treatment are not satisfactory, surgical treatment may be required later on.
How to diagnose frozen shoulder
How is periarthritis of shoulder diagnosed? Periarthritis of shoulder is a self-limiting disease that mainly affects middle-aged and elderly women. The primary symptoms are pain in the shoulder accompanied by limited mobility of the shoulder joint. So how is periarthritis of shoulder diagnosed? Firstly, medical history is very important. Diagnosis is determined based on the medical history. Additionally, an MRI of the shoulder joint can be performed to clarify whether there is adhesion of the muscles and tendons within the joint, which causes limited mobility of the shoulder joint, in order to further confirm the diagnosis. Thus, the diagnosis of periarthritis of shoulder is based first on the medical history and the characteristics of the onset of the disease, and also on the MRI of the shoulder joint to confirm the diagnosis.