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Lv Yao
Orthopedics
About me
Shandong First Medical University Second Affiliated Hospital, Orthopedics, Attending Physician, has been engaged in clinical work in the field of orthopedics for many years, with rich clinical experience in the diagnosis and treatment of orthopedic systemic diseases.
Proficient in diseases
Specializes in common conditions such as muscle injuries, muscle ruptures, tendon injuries, and bone damage.
Voices
Where to go for sciatica treatment
The sciatic nerve is the largest nerve in the human lower limb. If symptoms of sciatic nerve pain occur, it is first necessary to determine the cause of this pain. Sometimes, the pain is caused by degeneration of the intervertebral disc, leading to a ruptured nucleus pulposus protruding from the annulus fibrosus, which compresses the nerve root canal, causing this nerve pain. In such cases, it is recommended to visit an orthopedic or spinal surgery department. If there is no degeneration of the lumbar intervertebral discs or the condition of spinal stenosis, and only this pain occurs, it is advisable to visit a pain management department.
Will a bone fracture be painful?
A bone fissure is actually a type of fracture, which refers to a fracture where there is a crack in the cortical bone, but the stability of the bone remains intact. Symptoms of a bone fissure include pain, swelling, and limited mobility. Treatment for a bone fissure should follow the same protocols as for fractures, such as appropriate immobilization, early local cold compresses to reduce swelling, and alleviating the severity of pain and swelling. Therefore, pain is present when a bone fissure occurs, as it is a type of fracture. During treatment, it is important to monitor for disturbances in sensory and blood circulation in the limbs, particularly the extremities. Sometimes, a bone fissure can cause increased local swelling, leading to sensory and circulation disturbances in the extremities. In such cases, observation is crucial, and it is advisable to seek treatment at an orthopedic department in a reputable hospital if a bone fissure occurs.
How to exercise for frozen shoulder
Periarthritis, also known as frozen shoulder in clinical terms, is generally caused by chronic strain leading to aseptic inflammation of tendons, ligaments, and joint capsules around the shoulder joint. This results in symptoms of pain and limited mobility, particularly pain at night, with both active and passive movements likely to be restricted. In such cases, besides rest and physiotherapy, and the use of topical non-steroidal anti-inflammatory and analgesic medications, it is also essential to engage in appropriate functional exercises for the shoulder joint to avoid with the goal of restoring its function. For instance, the shoulder joint should perform active bending, stretching, and abduction movements, as well as circumduction movements of the shoulder joint. These exercises aim to restore the function of the ligaments and tendons surrounding the shoulder joint.
Can you move with a rib fracture?
The rib has suffered a fracture. Depending on the displacement of the fracture, whether it's a single rib or multiple ribs in multiple locations, and whether breathing is affected or there is a presence of blood or fluid in the chest cavity, a comprehensive analysis is required. If the fracture is a single rib or multiple ribs with hairline fractures, it is possible to move around, but rest is also important to avoid turning a stable fracture into one with significant displacement. If there are fractures in multiple ribs at multiple locations and a large amount of blood or fluid in the chest cavity, along with flail chest that significantly impacts breathing, it is not recommended to continue activities. Rest should be prioritized, and, if necessary, joint cavity puncture drainage may be performed to relieve symptoms.
Rib fracture complications
Rib fractures often result from trauma and can involve a single fracture or multiple fractures in one rib. In severe cases, there might be multiple fractures across several ribs, causing a flail chest condition. Rib fractures initially lead to localized bleeding and swelling, making breathing difficult. This situation might also result in increased pleural effusion or hemothorax. In severe cases, it leads to significant breathing difficulties. Therefore, if a rib fracture occurs, it is advisable to visit the thoracic department of a formal hospital for medical consultation.
Where does periarthritis of the shoulder hurt?
Periarthritis of the shoulder generally refers to a sterile inflammatory response due to chronic strain in the tendons, ligaments, and joint capsule around the shoulder joint, commonly seen in middle-aged and elderly women, and is a self-limiting disease. Clinically, it is referred to as frozen shoulder, or fifty shoulder. With the occurrence of periarthritis of the shoulder, there will be pain around the shoulder joint, particularly where the tendons and ligaments attach, with the pain covering a wide area and notably manifesting as resting pain at night. In the early stages of periarthritis, it should be managed with rest and appropriate physical therapies, including infrared therapy, among others, to alleviate inflammation and relieve pain. When necessary, oral non-steroidal anti-inflammatory and pain relief medications may be used to ease the symptoms, along with appropriate functional exercises to prevent shoulder joint stiffness due to prolonged immobility. (Specific medications should be taken under the guidance of a physician.)
Can a bone fracture heal by itself?
A bone fissure is actually a type of fracture where there is a crack in the cortical bone, but the stability of the bone is maintained. Symptoms of a bone fissure can include pain, swelling, and limited mobility. Therefore, it should be treated like a fracture, for example, by properly immobilizing and resting the area which can promote the healing of the fracture. As long as proper immobilization and rest are ensured, a bone fissure can heal on its own. However, it is crucial to monitor the blood supply around the fracture and the swelling to avoid symptoms of compartment syndrome. It is also important to pay attention to the joints at the distal end of the affected limb to prevent joint stiffness after prolonged immobilization.
Is the fracture serious?
A fracture is when the integrity and continuity of the bone is compromised, resulting in symptoms such as pain, swelling, limited mobility, and deformity. The severity of a fracture depends on the extent of bone displacement, the location of the fracture, and whether there is associated damage to vital organs, blood vessels, or nerves. If the fracture is a simple one with minor displacement, it generally is not very serious. Appropriate repositioning can be selected, followed by brace support or plaster cast external fixation to facilitate bone healing. If the fracture is accompanied by significant damage to important blood vessels, nerves, or organs, and there are multiple fractures, this type of fracture is considered more serious. It could lead to shock from bleeding caused by the fracture, which can be life-threatening.
Is periarthritis of the shoulder serious?
Periarthritis of the shoulder refers to the aseptic inflammation of soft tissues such as tendons, ligaments, and joint capsules around the shoulder joint due to chronic strain, which results in symptoms like pain and limited mobility of the shoulder joint. It is commonly seen in middle-aged and elderly women. Therefore, the severity of shoulder arthritis should be analyzed based on specific symptoms and the extent of functional impact. It is recommended to visit the orthopedics department of a reputable hospital for consultation. Treatment should be chosen based on the pain level and the extent of joint impact, in order to alleviate pain and restore function.
Osteoporosis lacks what element?
Osteoporosis refers to a systemic skeletal disease characterized by decreased bone density and strength, resulting in increased bone fragility and potential fractures. There are primarily two types of osteoporosis: primary and secondary. Primary osteoporosis commonly occurs in postmenopausal women and as a result of aging and degenerative changes; secondary osteoporosis sometimes refers to the condition developing after fractures due to prolonged immobilization. Osteoporosis mainly arises from a deficiency in the trace elements calcium and phosphorus, which are crucial components of bone. A lack of these substances can alter bone structure and lead to osteoporosis.