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11
Xie Yi Song
Orthopedics
About me
Professor Sun Dawu, a renowned national TCM orthopedic expert, is a member of the Orthopedics Specialty Committee of the Hunan Provincial Association of Traditional Chinese Medicine. He has undertaken further studies in spinal surgery at numerous hospitals both domestically and internationally. Professor Sun has published over 20 academic medical papers and led 3 research projects.
Proficient in diseases
Minimally invasive surgical treatment of lumbar disc herniation, cervical spondylosis, thoracolumbar fractures, lumbar spinal stenosis, lumbar spondylolisthesis, and other diseases using endoscopic techniques has rich clinical experience in traditional Chinese medicine diagnosis and treatment of orthopedic diseases such as osteoporosis in the elderly and ankylosing spondylitis.
Voices
What to do if osteoporosis causes leg pain?
To alleviate leg pain caused by osteoporosis, it is important to pay attention to a reasonable diet and regular exercise. Maintaining a balanced diet to ensure sufficient intake of calcium and vitamin D is crucial, with options such as high-calcium, low-fat fresh milk, cheese, cow milk, and dark green vegetables being the best choices. Based on the imbalance of yin and yang in the body, regularly taking kidney-nourishing products can to a certain extent stabilize and enhance the level of human sex hormones, indirectly inhibiting the bone-resorbing activity of osteoclasts. Smoking should be avoided, excessive drinking should be prevented, and timely prevention of systemic metabolic diseases such as hypertension, diabetes, and gout is essential. Elderly individuals with leg pain should persist with gradual and progressive exercise, such as swimming, practicing health exercises, Tai Chi, and walking. These activities not only can alleviate the loss of bone mass but also significantly increase the content of bone salts and promote the activity of bone cells. However, engaging in intense physical activities, especially those that cause excessive muscle soreness, should be avoided. If continual leg pain is experienced, it is advisable to visit a hospital for examination to determine if it is caused by osteoporosis.
Symptoms of cervical spondylosis
Many people think that cervical spondylosis is just neck pain, but actually, after developing cervical spondylosis, there can be other symptoms. For example, the early symptoms of cervical spondylosis are generally diverse and complex. Most patients initially experience mild symptoms, which gradually worsen over time. Some patients have severe symptoms, and clinically, it is generally divided into five major types. The first type is cervical cervical spondylosis, where the main symptoms are soreness and swelling in the head, neck, shoulders, back, and arms, neck stiffness, and limited movement. The soreness in the neck and shoulders can radiate to the suboccipital area and upper limbs. The second type is vertebral artery type, where patients generally experience dizziness, a sensation that the room is spinning, and severe cases may include nausea, vomiting, and bedrest, with a few instances of vertigo and sudden collapse. The third, and most common, is spinal cervical spondylosis, where it is particularly strenuous to hold objects, which often fall to the ground, instability in walking, as well as spasms in the neck and shoulder muscles, increased muscle tone in the limbs, and even paralysis. The fourth type is radicular cervical spondylosis, with neck pain, acid swelling and distension pain in the unilateral or bilateral upper limbs, numbness, and sometimes intense pain that is unbearable. The fifth most common type is sympathetic nerve cervical spondylosis, where patients may experience blurred vision, dizziness, abnormal sweating, persistent low-grade fever, palpitations, chest tightness, rapid heartbeat, often with insomnia and frequent dreaming. The sixth type is the mixed type, which may present a combination of symptoms from the types mentioned above.
Can osteoporosis be cured?
We cannot generalize about this issue. For instance, osteoporosis caused by certain medications can be cured after stopping the medication and then undergoing treatment for osteoporosis. If the osteoporosis is caused by a certain disease, it can also be cured after the disease is treated. However, for some chronic long-term diseases that inherently cannot be cured, osteoporosis caused by these diseases is difficult to cure. Then there are many patients with primary osteoporosis who, after comprehensive treatment that includes supplements of calcium and vitamin D3 and regular use of anti-osteoporotic pain medications, can completely lose their symptoms after several years. When bone density tests are performed, these patients' bone density has moved out of the osteoporosis range. This can also be considered a clinical cure.
Is osteoporosis easy to treat?
Osteoporosis is characterized by low bone mass and destruction of bone tissue microstructure, resulting in increased bone fragility, decreased bone strength, and susceptibility to fractures. It is a systemic metabolic disease. Its treatment includes the following aspects: supplementation with calcium and Vitamin D, and the use of medications that inhibit the activity of osteoclasts. Firstly, calcium supplementation is essential, along with Vitamin D, which promotes the absorption of calcium. Based on the severity of osteoporosis, stronger medications might be necessary, such as bisphosphonates or calcitonin. The choice of treatment plan depends on the severity of the patient's condition. Both bisphosphonates and calcitonin are used to inhibit the activity of osteoclasts. The specific duration of treatment for osteoporosis depends on the patient's condition; additionally, patients need to regularly check their bone density. If the bone density is up to standard, they may stop the medication as per the doctor’s advice and undergo regular check-ups. If a relapse occurs, prompt medical treatment is necessary. Thus, the duration of treatment for osteoporosis is relatively long, generally from six months to a year, or even longer.
Shoulder periarthritis symptoms
In daily life, periarthritis of the shoulder often has the following symptoms and manifestations: The first is movement impairment. This is manifested as limited movement in various directions of the shoulder joint, including outward extension of the upper limbs, actions such as chest-expanding, taking off clothes, as well as significant difficulties in lifting and rotating. This can present as an inability to flexibly comb hair, wash face, and dress or undress. This is a key point in distinguishing frozen shoulder from other shoulder disorders. The second is pain. It manifests as pain in one shoulder joint without obvious trauma, which can be a dull pain or sharp, knife-like pain, often worsening at night and even causing awakening due to pain. The pain can radiate to the neck, back, forearm, and hand. The third is tenderness. Most patients with the condition widely experience tender points upon pressing around the affected joint. Muscle stiffness and atrophy may occur. The muscles around the shoulder, such as the deltoid and supraspinatus, can become stiff during the onset, and disuse atrophy may occur in the later stages.
How to exercise with osteoporosis
How should people with osteoporosis exercise? Many patients with osteoporosis believe that exercising could lead to fractures. In fact, by exercising, muscles can develop more fully, which not only protects the bones but also indirectly provides better support for bone metabolism. As long as scientific exercise methods are used and accidents and injuries are avoided, fractures will not occur. The following exercises are very suitable for osteoporosis patients to practice regularly. The first type is Tai Chi. Tai Chi can be considered a national treasure of China. It is a slow and elegant exercise that emphasizes coordination of the body and mind, and has functions that strengthen bones. Tai Chi can slow the rate of bone loss. The second type is Yoga. Research has found that women who regularly practice yoga have significant increases in spinal bone density. This slow and delicate exercise can increase the bone density in the hips, spine, and wrists. However, patients with osteoporosis should exercise within their limits. Excessive exercise or improper physical activity can be a burden on the patient's body and may cause adverse consequences. It is recommended to consult a doctor and choose an appropriate exercise method.
What to eat for osteoporosis
Osteoporosis is commonly seen in elderly people and mainly refers to a reduction in bone tissue per unit volume, which affects the structure and function of bones. To prevent and treat osteoporosis, it is important to supplement various nutritional elements in daily life, such as calcium, phosphorus, protein, fats, and vitamin D. So, what is good to eat for osteoporosis? Foods rich in calcium are recommended, including milk, milk powder, oysters, eggs, soybeans and soy products, pork bone soup, fish, shrimp, and dried scallops, and should be consumed more frequently. Additionally, foods like carrots, Chinese cabbage, celery, rapeseed, garlic sprouts, leeks, jujube, persimmons, and olives also contain a good amount of calcium and should be included in the diet. Supplementing vitamin D: Vitamin D, after being exposed to ultraviolet sunlight, is an essential substance that promotes the calcification of bones. Taking vitamin D can increase the intestinal absorption of calcium and help in its deposition in the bones, making them stronger. Therefore, patients with osteoporosis should regularly take vitamin D and frequently sunbathe.
How to check for osteoporosis?
How is osteoporosis diagnosed? There are several methods currently used for the diagnosis of osteoporosis. One method is X-ray examination, which usually only detects severe cases of osteoporosis and also depends on the amount of radiation used, making it seldom used in clinical settings. Another method is ultrasound testing, referred to as ultrasound bone density testing. It typically examines areas like the heel or the wrist. However, ultrasound bone density can have significant inaccuracies, so it is used more as a screening tool rather than for precise diagnosis. The third method is a bone density scanner. This is currently the simplest and most effective method to diagnose osteoporosis. It involves measuring the Relative Vertebral Density (RVD), where a normal value of 1 indicates that the vertebral body density is higher than that of the intervertebral disc. An RVD value of 0 indicates that the vertebral body density is the same as the intervertebral disc density, which signifies osteoporosis. If the RVD is less than 0, it shows that the vertebral body density is less than that of the intervertebral disc, pointing to severe osteoporosis. The bone density scanning method is very straightforward. The patient simply places a foot or arm inside the machine, and the computer quickly provides the bone density measurement, which is more accurate and cost-effective compared to other diagnostic methods.
What are the symptoms of sciatica?
Sciatica refers to the pain caused by the sciatic nerve due to various reasons, such as compression from spinal diseases or simply sciatica itself, and it is inherently a symptom. What are the characteristics of this symptom? Sciatica can occur on one side or both sides simultaneously. When it occurs, the pain is usually continuous and can have episodic exacerbations. The pain is often dull, stabbing, burning, or like a knife-cutting sensation. It radiates from the buttocks along the back of the thigh and the outer back of the lower leg toward the foot. Clinically, sciatica is divided into secondary and primary types. Secondary pain is due to compression of the sciatic nerve root, commonly seen in conditions like lumbar disc herniation and other spinal disorders. It often accompanies percussion pain in the lumbar spine, and the pain may worsen with coughing, sneezing, or bending, and severe cases may experience numbness in the skin of the lower limbs. Primary sciatica refers to simple inflammation of the sciatic nerve. This type generally presents pain in the buttocks and back of the thigh and usually does not involve percussion pain in the lumbar spine.
Can people with osteoporosis eat vinegar?
Although vinegar is acidic, the human body has a strong fluid buffering system, so as long as it is not consumed in excess, there is no need to worry that vinegar will disrupt the body's acid-base balance. There is also no evidence to suggest that osteoporosis patients cannot consume vinegar. Osteoporosis patients can consume vinegar normally as long as they do not have contraindications like gastrointestinal ulcers. Similarly, the external use of vinegar will not affect the body's acid-base balance, nor will it lead to osteoporosis. Vinegar, as a food or medicine, not only does not cause osteoporosis, but moderate amounts can also promote the absorption and utilization of calcium. This is because vinegar reacts chemically with calcium in food, forming calcium acetate, which is soluble in water and easily absorbed by the human body.