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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
How is plantar fasciitis treated?
For the treatment of plantar fasciitis, there are currently two approaches clinically. The first is conservative treatment, which includes the following options: The first is rest, meaning to minimize weight-bearing walking and rest as much as possible. The second is to use heat application, such as applying a hot towel to the sole of the foot for 10-20 minutes each day, twice a day, which can help increase local blood circulation and alleviate pain. The third is the use of oral non-steroidal anti-inflammatory and pain-relief medications, as well as medications that promote blood circulation and remove blood stasis to relieve local pain. The fourth is extracorporeal shock wave therapy for relief. The fifth, and most commonly used, is injection therapy, but it is important to note that there are clear limits on the number of times injection therapy can be used. If conservative treatment does not work for over six months, or if the symptoms of plantar fasciitis progressively worsen, surgical treatment may be necessary.
Can you still exercise with plantar fasciitis?
Patients with plantar fasciitis can exercise, but there are definite restrictions on the type of exercise. For instance, it is best to avoid weight-bearing exercises such as running, weightlifting, or mountain climbing. For patients with plantar fasciitis, we recommend swimming because it involves limb, muscle, and fascia activities in a non-weight-bearing situation, which is greatly beneficial and not harmful to the fascia. Swimming is our recommended approach, as it can also appropriately stretch the plantar fascia during the process, thereby helping to alleviate foot pain.
How to treat a fracture?
Patients with bone fractures, due to the force applied causing partial fractures in the bone, do not necessarily represent a complete break and won’t exhibit noticeable symptoms of displacement or misalignment. Generally, patients with bone fractures only require a plaster cast for immobilization, typically for about four weeks. After a month, you can visit the hospital to get an X-ray to check for osseous union at the fracture ends. If the fracture ends have achieved osseous union, then normal activities and weight-bearing walking can be resumed. Thus, for bone fractures, simply applying a plaster cast for immobilization for four weeks is sufficient.
How many days will it take for a lumbar muscle strain to heal by itself?
Lumbar muscle strain is a chronic condition, not an acute onset. It is caused by fatigue, overexertion, trauma, and vigorous exercise, leading to prolonged and repeated strain, pulling, rupture, and damage of the lumbar muscles, resulting in scar formation and lumbar muscle strain. Therefore, this disease is essentially a chronic ailment, and its healing mainly relies on rest to promote recovery. If muscle damage occurs in the lumbar region and one does not rest, continuing to work and bear loads as usual, the muscles will not heal and will eventually become scarred. Thus, the duration for the healing of lumbar muscle strain depends not on the number of days, but whether adequate and proper rest has been taken. Additionally, applying medications that invigorate blood circulation and disperse blood stasis can assist in recovery. Generally, if care is taken to rest adequately, avoid carrying heavy loads, prevent fatigue, and avoid vigorous exercise, while also using oral medications or plasters that invigorate blood and dispel stasis, healing can gradually occur. However, the condition may recur under fatigue and strain in the future, as it is a chronic disease and complete healing is very difficult to achieve. (Note: This answer is for reference only. Medication should be administered under the guidance of a professional physician, and medications should not be used blindly.)
Causes of lumbar vertebral hyperostosis
The first reason is aging of the human body. As the body ages, the lumbar spine inevitably exhibits degenerative changes due to wear and tear from movement, and the majority of people over 60 show the formation of bone spurs in X-ray images. The second reason is injury caused by overexertion. Overexertion, due to excessive workload and excessive activity, aggravates the degeneration of the lumbar spine, leading to the formation of bone spurs. The third reason is a history of trauma. Trauma to the lumbar area during one's youth can lead to bone proliferation in the lumbar spine in middle and old age. The fourth reason is improper posture. Bone proliferation in the lumbar spine in young patients is mainly due to maintaining the same posture for long periods, improper posture, and sleeping on soft beds, all of which can lead to bone proliferation over time. These are the main reasons for bone proliferation in the lumbar spine currently observed in clinical settings.
Does osteosarcoma require amputation?
Do osteosarcomas require amputation? In the past, the likelihood of amputation for treating osteosarcoma was very high. However, currently, the rate of amputation is very low, and the limb-salvage rate is very high. This is due to a new chemotherapy protocol in medical practice, which involves initial chemotherapy followed by surgery, and then continued chemotherapy post-operatively. The limb-salvage rate with this treatment plan can reach about 75% to 80%. Therefore, currently, most osteosarcoma patients do not require amputation. Unlike the past, where amputation rates were very high, today's medical approach is very advanced, generally resulting in a very high rate of limb preservation for osteosarcoma patients.