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Cheng Bin
Orthopedics
About me
Practicing in the field of orthopedics for over ten years, has pursued advanced studies at a provincial hospital and in Beijing. Has authored over ten papers, and won a second prize in scientific research at the municipal level. Holds two patents.
Proficient in diseases
Diagnosis and treatment of bone trauma, multiple bone fractures, bone arthritis, cervical spondylosis, lumbar disc herniation, femoral head necrosis, cervical spondylosis, frozen shoulder, as well as onychomycosis, limb reattachment, etc.
Voices
What are the massage techniques for lumbar disc herniation?
In clinical practice for patients with lumbar disc herniation, there are many massage techniques available. For example, active kneading, pinching, and rolling techniques can be used. The primary purpose of the massage is to relax the local muscles and promote local blood circulation, thereby easing the tension in the patient's lower back, protecting the lumbar spine better, and alleviating the clinical symptoms of lumbar disc herniation. It is best to go to the acupuncture and massage department of a formal hospital for treatment, as formal hospitals are more professional, have a better grasp of indications, and the effects are likely to be more satisfactory. Try to avoid getting massages at outside massage parlors, as excessive force or incorrect techniques can sometimes aggravate the patient's clinical symptoms.
Symptoms of fractures
Patients with fractures typically exhibit marked pain symptoms locally, accompanied by local swelling and limited movement. Some patients may also present with fever as a clinical symptom. There might be clear signs of bone crepitus and a sensation of bone rubbing on palpation. In severe cases, deformities or abnormal movement may occur, which are common clinical symptoms of fractures. For the diagnosis of fractures, it is necessary to actively take a regular X-ray. For some occult fractures, it is essential to conduct a CT scan and three-dimensional reconstructive CT to confirm the diagnosis.
How to treat tendon sheathitis?
This mainly depends on the severity of the patient's tendinitis, which determines the proactive treatment plan. For instance, if the tendinitis is very severe, with local snapping and limited flexion and extension movements, it is necessary to actively carry out treatments such as small-needle-knife surgery, tenosynovectomy, or partial excision surgery. However, for tendinitis that merely presents as pain symptoms, conservative treatment can still be chosen. For example, local injection, reducing physical activity, and insisting on daily local hot washing. Using some topical ointments that promote blood circulation and remove blood stasis, many patients will gradually recover through these active treatment methods.
Osteoarthritis complications
In clinical practice, there are many complications associated with osteoarthritis, mainly reflected in the following aspects. First, the presence of osteoarthritis causes the joints to exhibit obvious symptoms of swelling and pain. Often due to the pain and swelling, patients are reluctant to move, and prolonged inactivity can lead to joint stiffness and significant muscle atrophy in the affected areas. Second, osteoarthritis often leads to the extensive detachment of joint cartilage, making it easy for free bodies to form within the joint. Third, the presence of osteoarthritis may lead to the development of bursitis in patients. Fourth, osteoarthritis can also cause damage to the meniscus.
Symptoms of femoral head ligament injury
The clinical symptoms of a femoral head ligament injury mainly manifest as significant local pain. Severe cases may affect the patient's joint mobility and normal ability to move about, which are the clinical manifestations of a femoral head ligament injury. Usually, within a recent period, it is necessary to strictly rest in bed to protect the area, reducing local stimulation, which is the best condition for patient recovery. If the patient is not allergic to plasters, topical plasters that invigorate blood and dissolve stasis can be used, along with oral non-steroidal anti-inflammatory and pain-relieving drugs, and drugs that invigorate blood and dissolve stasis for treatment. After 48 hours post-injury, local heat application should be actively performed. Most patients will gradually recover through these active treatment methods. (The use of medications should be under the guidance of a professional doctor.)
Can a fracture be moved?
First, it is important to clarify that once a fracture is detected, it is absolutely imperative not to move. Because if you engage in activities too soon, it might affect the growth of the fracture and could even lead to misalignment at the fracture site, so it is absolutely crucial for patients with fractures not to move. To promote quick recovery of the fracture, it is vital to strictly rest, immobilize the affected area, and protect it. Typically, treatment involves actively using plaster casts or splints for external fixation, applying non-steroidal anti-inflammatory painkillers, and using medications that promote fracture healing. Dietary needs should include appropriately enhanced nutrition, and it is necessary to refrain from smoking and drinking alcohol, and avoid spicy and stimulating foods. (Specific medication use should be carried out under the guidance of a doctor.)
Can a second surgery be performed for lumbar disc herniation?
Firstly, it should be clarified that for patients with lumbar disc herniation, if the condition recurs after surgery, a second operation is completely feasible. This is because there are many intervertebral discs involved, including L3-L4, L4-L5, and L5-S1, all of which can lead to lumbar disc herniation and subsequently cause symptoms of back and leg pain. Even if the patient has already undergone surgery for L4-L5, it cannot be guaranteed that L3-L4 or L5-S1 will not develop disc herniation. Therefore, it is possible for patients with lumbar disc herniation to undergo a second surgical treatment.
How to exercise for frozen shoulder
Typically, there are several methods for exercising with patients suffering from periarthritis of the shoulder. For example, wall climbing motions can be performed to exercise the mobility of the shoulder joint. Exercises can also be done on horizontal bars. The objective is to restore normal joint mobility and prevent joint stiffness. Additionally, patients with periarthritis of the shoulder often experience severe pain. Local pain points can be treated with an injection block, or topical plasters that invigorate the blood and break up stasis can be used. Treatment also includes oral non-steroidal anti-inflammatory drugs and drugs that invigorate the blood and break up stasis. Furthermore, it is necessary to reduce physical activity, avoid exposure to cold, apply local heat, and use acupuncture and electrotherapy. Gradually, recovery will be achieved.
Lumbar disc herniation symptom exercise
There are many exercises for lumbar disc herniation, such as the "little swallow" exercise, practicing lifting the buttocks while lying in bed, performing the bridge pose, supporting your body with three and a half points, and actively engaging in swimming. These exercises can strengthen the patient's lower back muscles, thereby better protecting the lumbar spine and alleviating symptoms of lumbar disc herniation. Additionally, for patients with lumbar disc herniation, besides exercise, it is important to keep warm. Avoid prolonged sitting or standing, avoid excessive bending to pick up heavy objects or lifting heavy weights. It is best to use a lumbar support belt, protect the lumbar spine, sleep on a firm bed. Also, locally apply heat actively, combined with acupuncture, electric heating, cupping, massage, traction, and other physical therapies.
Causes of Plantar Fasciitis
Regarding the causes of plantar fasciitis, the most common cause observed clinically is prolonged and excessive weight-bearing walking. Local excessive stimulation, exposure to cold, or trauma can also trigger plantar fasciitis. The main symptom of plantar fasciitis is pain in the sole of the foot. The methods to manage it include reducing local stimuli. For a period of time in the near future, try to avoid weight-bearing walking as much as possible, persist in using topical Chinese herbal medicines that invigorate the blood and dispel stasis which are boiled and then used for fumigation washing daily. Oral non-steroidal anti-inflammatory and pain relief medications, and blood-activating stasis-dispelling medications should be taken for treatment. Topical plasters that invigorate the blood and dispel stasis can also be used locally. Gradually, recovery will be achieved.