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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
Do osteosarcomas hurt?
The early symptoms of osteosarcoma include pain, which initially is intermittent. As the condition progresses, this intermittent pain gradually becomes constant, and the intensity of the pain is parallel to the severity of the osteosarcoma, meaning the more severe the osteosarcoma, the more intense the pain. Additionally, you can also feel a lump forming on the affected limb, and this lump is clearly tender to touch. The third symptom is the occurrence of a limp. This limp is due to pain, which prevents the patient from bearing weight and walking for extended periods. Lastly, all osteosarcomas present symptoms such as anemia, pathologic fractures, and a low-grade fever.
Can osteophytes be treated by taking calcium supplements?
Bone hyperplasia should not be treated with calcium supplementation. This is because bone hyperplasia is caused by the hardening of bone tissue near the joints due to degeneration and wear and tear. Therefore, clinically, only patients with osteoporosis need calcium supplementation. How do we treat bone hyperplasia? The main approach is symptomatic treatment, such as using massage, acupuncture, electrotherapy, and magnetotherapy to relieve local pain and symptoms of restricted movement. Additionally, injection therapy can be used to immediately alleviate local pain, but the number of injection treatments is clearly limited to once or twice a month at most. Excessive use can damage local muscles and ligaments.
Rib fractures are divided into several types.
The most common types of rib fractures in clinical practice are: The first is pathological fractures, the second is spontaneous rib fractures, the third is a single rib fracture, and the fourth is multiple rib fractures. Pathological rib fractures are due to inherent diseases, such as tumors leading to rib fractures. The second type, spontaneous fractures, occur due to intense activities or movements of the patient, such as severe coughing and sneezing, or sudden severe contraction of the chest muscles, causing the ribs to break due to tensile forces; this is called a spontaneous rib fracture. The third type is a single rib fracture, and the fourth type involves multiple rib fractures, both of which are commonly seen in rib fractures caused by trauma. These are the most common types of rib fractures currently seen in clinical practice.
Osteosarcoma can exhibit which symptoms?
The symptoms of osteosarcoma, first of all, include pain. The severity of the tumor varies, and so does the accompanying pain. If the tumor significantly damages the bone, causing stimulation to the nerve endings of the periosteum, it will lead to increased pain; Secondly, there is a lump. A lump can be felt on the limb, but this lump also comes with significant tenderness. The growth rate of this lump depends on the condition; Third, there is limping. This limping is also due to limb pain, which causes progressive limping symptoms when walking, and prolonged limping can also lead to joint stiffness and muscle atrophy; Fourth, there are systemic symptoms. Any patient with malignant tumors will experience weight loss, anemia, and multi-organ failure, and may even suffer from pathological fractures.
The difference between arthritis and rheumatoid arthritis
The difference between arthritis and rheumatoid arthritis is significant. Arthritis is a degenerative lesion caused by factors such as obesity, overuse, and trauma, which lead to the degeneration of joint cartilage. Rheumatoid arthritis is caused by acute or chronic inflammation of the connective tissue, commonly referred to as rheumatic fever. Clinically, it is mainly characterized by migratory pain, redness and swelling in the joints and muscles. The cause of rheumatoid arthritis is not yet definite in clinical practice, and the treatments are different. Osteoarthritis mainly results from cartilage degeneration and can be managed with conservative treatment in its early stages, while surgery might be required in the later stages. The treatment for rheumatoid arthritis primarily relies on medications to alleviate symptoms, and this condition may eventually lead to significant deformities of the hands and feet. Therefore, the differences between these two diseases are considerable.
Will osteosarcoma cause the skin to turn red?
Patients with osteosarcoma will not have red skin. The early symptoms of osteosarcoma are generally not obvious, primarily involving localized swelling, with pain around the joints leading to limited joint mobility. As the condition progresses, this pain may shift from intermittent to constant, and the severity of the pain will increase as the disease worsens. The second patient will exhibit a noticeable lump that can be felt; this lump is usually accompanied by significant tenderness. The third symptom is intermittent limping, caused by pain from the tumor during walking, which prevents the patient from bearing weight for extended periods. The fourth aspect involves systemic symptoms common to patients with tumors, such as anemia, mild fever, and even pathological fractures.
What tests are done to diagnose osteosarcoma?
The most accurate diagnostic method for osteosarcoma is biopsy, where live tissue is extracted and sent for pathological examination. The positive rate of this method can reach over 90%. Besides biopsy, there are several other methods to examine such conditions. For example, X-rays can be taken to observe significant damage to the bone structure. Secondly, CT scans and MRI can be used to determine whether the bone tumor has infiltrated surrounding tissues. MRI can also detect if there are metastases to organs outside the lungs. The third method is radionuclide bone scanning, which primarily aims to check for distant metastases of osteosarcoma.
Conservative treatment methods for lumbar disc herniation
The conservative treatment methods for lumbar disc herniation primarily include the following approaches. First, absolute rest is essential, and one should sleep on a hard bed rather than a soft one. Second, traction is used to alleviate pain symptoms. Third, massage and acupuncture are employed to relieve lower back pain and restricted mobility. Fourth, oral administration of non-steroidal anti-inflammatory and pain-relieving drugs, as well as drugs that promote blood circulation and remove blood stasis, are used to alleviate local pain. These drugs primarily function by reducing local inflammatory responses and decreasing the release of inflammatory factors, thereby easing pain. Fifth, electotherapy and magnetotherapy can also be used to relieve local pain. These are the conservative treatment methods for lumbar disc herniation.
Osteosarcoma etiology
Currently, in clinical practice, the pathogenesis of osteosarcoma is not fully understood. However, it may be related to genetics, exposure to radioactive materials, and viral infections. It can also be secondary to other deformative osteitis, fibrous dysplasia, and some benign tumors transforming into malignant bone tumors. Osteosarcoma primarily occurs in the metaphysis of long bones. The tumor spreads along the marrow cavity, extending towards both the metaphysis of the long bones and the diaphysis of the bones. Once the tumor breaks through the bone shaft, it rapidly destroys the cortical bone, spreads under the periosteum, and invades the surrounding soft tissues outside the eardrum, damaging the surrounding muscles and soft tissues.
What should I do if I have a lumbar muscle strain?
The recurrence of lumbar muscle strain primarily requires rest as the first measure; it is essential to rest in bed and avoid exerting the muscles in the lower back. Secondly, some external plasters can be applied, such as non-steroidal anti-inflammatory and analgesic plasters, as well as plasters that promote blood circulation and remove blood stasis, to alleviate pain in the lower back. Thirdly, some physical therapy methods can be used, such as massage, acupuncture, electrotherapy, and magnet therapy to relieve the pain in the muscles of the lower back. However, among these methods, rest is the most important, including being cautious with methods of exercise and training. For instance, some people prefer running, while others enjoy playing ball sports; generally, patients with lumbar muscle strain should absolutely avoid these kinds of activities. If they engage in strenuous activities even once, the lumbar muscle strain will recur. It is recommended for patients with lumbar muscle strain who enjoy exercise to consider swimming; swimming is a non-weight-bearing form of exercise that does not aggravate the condition but can strengthen the muscles in the lower back, alleviating the symptoms of lumbar muscle strain. (Please use medication under the guidance of a professional physician.)