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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
How is cervical spondylosis treated?
The treatment plan is primarily determined by the severity of the patient's cervical spondylosis. If the cervical spondylosis is very severe, for instance, if the patient suffers from leg pain, numbness, and instability while walking, and conservative treatment fails to improve these symptoms, significantly affecting the patient's normal functions, it is essential to actively conduct CT and MRI scans. If the patient has a significant disc herniation and severe spinal canal stenosis, surgical treatment becomes necessary. Typically, the surgery requires general anesthesia and is performed either from the anterior or posterior approach of the cervical spine. The procedure involves the removal of the disc and decompression of the spinal canal, followed by intervertebral bone grafting and fusion surgery.
Is intercostal neuralgia severe?
First, it should be noted that intercostal neuralgia is not a very serious disease; it is a chronic condition but can be recovered from with long-term treatment as long as treatment is consistently followed. Commonly, treatment for intercostal neuralgia can be supplemented with physiotherapy methods such as acupuncture, massage, and cupping, which are very effective. Additionally, topical application of ointments that invigorate the blood and dispel stasis, or oral administration of non-steroidal anti-inflammatory and neuro-nourishing medications, can be completely adequate. For cases where the symptoms of intercostal neuralgia are particularly severe, local block injections may be performed. Furthermore, it is important to rest and protect the affected area, avoid cold exposure, and minimize irritation to the area to facilitate recovery.
Where does periarthritis of the shoulder hurt?
Usually, patients with periarthritis of the shoulder mainly exhibit pain around the shoulder joint area, and severe cases may affect the normal function of lifting the shoulder. This is mainly due to long periods of excessive fatigue, friction, and irritation, causing aseptic inflammation around the shoulder area, which manifests as pain. Common treatments aim to alleviate the patient's pain symptoms. For instance, topical ointments that promote blood circulation and remove blood stasis can be used, as well as oral non-steroidal anti-inflammatory pain relief medications to ease patient's pain. For cases with specific pain points, localized injections can also be performed, along with functional exercises such as wall climbing actions to exercise the mobility of the shoulder joint and prevent joint stiffness.
Exercises for Periarthritis of the Shoulder
For the exercise methods of periarthritis of the shoulder, there are various exercise methods for patients with periarthritis of the shoulder in clinical practice. For instance, it is appropriate to gradually perform exercises such as pull-ups, but it is important to progress slowly and not be too vigorous at once, as this may cause potential damage to the shoulder joint capsule. Another exercise involves the "wall-crawling" movement to enhance the mobility of the shoulder joint and prevent stiffness. Additionally, for patients with severe pain from periarthritis of the shoulder, some medical treatments can be combined, such as using topical plasters that activate blood circulation and relieve stasis, oral non-steroidal anti-inflammatory and blood-activating drugs, as well as local treatments like heat application, small needle knife therapy, or injection therapy.
Is hot compress good for osteoarthritis?
For patients with osteoarthritis, hot compresses are very effective. Hot compresses can promote local blood circulation, which can effectively alleviate the clinical symptoms of osteoarthritis. Usually, hot compresses are applied using hot water bottles, or by heating bran or salt, which are very effective. Typically, apply the hot compress twice a day, each time for more than half an hour. Additionally, aside from hot compresses, it is important to protect the affected area in patients with osteoarthritis, avoid exposure to cold, and reduce irritation to the area. When necessary, treatment may also need to be supplemented with medications, such as pain relievers and drugs that nourish the cartilage.
Is electrothermal therapy effective for tendinitis?
Regarding the question of whether electrothermal therapy is effective for tenosynovitis. First, it needs to be affirmed that electrothermal therapy is beneficial for patients with tenosynovitis. The primary purpose of electrothermal therapy is to promote local blood circulation and facilitate the absorption of inflammatory exudates, which can effectively alleviate the clinical symptoms of the patient's tenosynovitis, and the results are quite good. Therefore, patients with tenosynovitis can undergo electrothermal therapy. In addition, for patients with tenosynovitis, local injections, topical plasters that activate blood circulation and remove blood stasis, and daily local hot washing can also be performed. Hot washing with Sichuan pepper and salt in hot water is usually sufficient. For patients with severe tenosynovitis, it is necessary to actively pursue surgical treatment.
How to care for a bone fracture?
For patients with bone fractures, it is fortunate if there is no displacement. They must strictly use orthopedic casts or splints for external fixation. This effectively prevents the possibility of displacement at the fracture site and aids in the healing of the fracture. For patients with significant swelling, try to elevate the affected limb to facilitate venous return and reduce swelling. Use of non-steroidal anti-inflammatory and pain-relieving drugs, drugs that promote blood circulation and remove blood stasis, and drugs that promote fracture healing is appropriate. In terms of diet, nutrition should be enhanced, and spicy and irritating foods should be avoided, as well as smoking and alcohol, as these can affect the healing of fractures.
What should I do about cervical spondylosis?
In clinical practice, the incidence of cervical spondylosis is relatively high, including vertebral artery type cervical spondylosis. Usually, for such patients, it is necessary to actively apply treatments such as cervical hot compresses, acupuncture, massage, traction, massages, and electrotherapy. Additionally, it is necessary to use vasodilator drugs to improve the blood supply to the vertebral artery. Furthermore, cervical spondylosis of the spinal nerve root type also has a high incidence. Patients often experience numbness in the limbs, making it necessary to actively apply nutritional neurotrophic drugs and nonsteroidal anti-inflammatory analgesics for treatment. When cervical spondylosis is severe and cannot be improved through conservative treatment, it becomes necessary to proceed with surgical treatment actively.
Symptoms of rib fracture and pneumothorax
Patients who have suffered a rib fracture typically experience localized pain which affects their ability to turn, bend, or perform normal movements such as breathing and coughing. If the rib fracture is accompanied by a pneumothorax, symptoms like chest tightness and breathlessness often occur. Diagnosing a rib fracture with pneumothorax requires an assessment of the patient's clinical symptoms along with various supportive examinations. For example, a chest CT scan can confirm the presence of a pneumothorax and determine the severity of the condition. In cases where the pneumothorax is severe and the lung compression exceeds one-third, it is necessary to actively pursue thoracic closed drainage surgery as treatment.
Is it good to lie flat with lumbar hyperostosis?
In general, for patients with lumbar spondylosis, if there are no symptoms of sciatic nerve pain, lying flat is usually very effective, but it's best to sleep on a hard bed. If the patient's lumbar spondylosis has caused spinal nerve compression resulting in sciatic nerve pain, it is best for such patients to lie on their side. Side lying allows the knees and hips to bend, thereby reducing the tension on the sciatic nerve and effectively alleviating the symptoms of sciatic nerve pain. Additionally, for those with painful symptoms due to lumbar spondylosis, it is advisable to wear a lumbar support belt to protect the area.