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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
Is a comminuted fracture of the tibia serious?
A comminuted fracture of the tibia is defined as a fracture where there are three or more fracture fragments, termed a comminuted fracture. The severity of a comminuted fracture of the tibia depends on the location of the fracture. If the fracture is located at the epiphyseal end, where there is abundant blood supply, healing may occur more quickly. However, if the fracture is accompanied by surrounding soft tissue injuries, the healing process can be very slow. If the fracture occurs in the middle to distal third of the bone, where the blood supply is more limited, healing can be slower compared to simple transverse fractures, and the prognosis may vary depending on the choice of treatment method.
How should tenosynovitis be treated?
Tendon sheath inflammation refers to chronic aseptic inflammation caused by excessive and frequent flexing and extending motions during labor, where the tendon is subjected to repeated friction and compression within the fibrous tunnel of the tendon sheath. This results in local exudation, swelling, and fibrosis, leading to a narrowing of the sheath canal and hindering normal tendon movements. For mild symptoms of tendon sheath inflammation, treatment can include rest, immobilization, physical therapy, and topical non-steroidal anti-inflammatory and analgesic medications, as well as anti-inflammatory and pain-relieving plasters. If symptoms do not improve, local injection therapy may be employed. If symptoms persist and conservative treatment is ineffective, surgical removal of the narrowed tendon sheath may be necessary. (Please use medications under the guidance of a doctor.)
Post-fracture sequelae
After a fracture, the potential sequelae depend on the location of the fracture and the chosen treatment method. For example, fractures involving joint surfaces can lead to traumatic arthritis after treatment. Similarly, femur fractures can lead to the formation of lower limb thrombosis after surgery and the fracture itself. Some fractures near joints might also affect the range of joint motion after treatment. Therefore, the type of sequelae after treating a fracture depends on both the location of the fracture and the treatment approach chosen.
What department should I go to for plantar fasciitis?
Plantar fasciitis refers to the aseptic inflammatory reaction of the plantar fascia caused by prolonged exercise or activity, which results in pain and restricted movement. If plantar fasciitis occurs, it is recommended to seek treatment in the orthopedics department of a formal hospital. Based on the symptoms, an appropriate treatment method should be chosen. Initially, it is important to rest and avoid excessive activities. Additionally, the application of non-steroidal anti-inflammatory drugs can help relieve symptoms and reduce inflammation, facilitating the restoration of walking and functional abilities.
How to deal with tenosynovitis?
Tendinitis refers to the condition where the tendon sheath around a tendon becomes inflamed due to chronic strain, resulting in a sterile inflammation that affects the movement of the tendon sheath and causes localized pain symptoms. If the symptoms of tendinitis are mild, one can opt for topical non-steroidal anti-inflammatory drugs and pay attention to rest to alleviate the symptoms. If the symptoms are severe and cause restricted movement, surgery is recommended to clean and remove the severely affected sheath to relieve symptoms.
What should I do if I have a fracture?
When a fracture occurs, temporary immobilization is needed to alleviate local pain and prevent further fractures during transfer. If there is an open wound, it should be bandaged and isolated from the external environment to prevent infection. If there are injuries to vital organs, life-saving measures should be administered immediately, followed by treatment of the fracture. Therefore, appropriate immobilization is necessary when a fracture occurs.
The difference between osteoarthritis and rheumatoid arthritis.
Osteoarthritis refers to the damage of joint cartilage due to degeneration in old age, which can cause symptoms such as joint pain, limited mobility, and deformity. Rheumatoid arthritis, on the other hand, involves the destruction of joint cartilage solely due to rheumatic diseases, particularly accompanied by abnormal proliferation of the synovium, causing pain and local heating, and resulting in limited joint mobility. Rheumatic diseases feature migrating joint pain, which worsens when exposed to cold. Additionally, diagnostic indicators such as positive rheumatoid factor will show increased levels, thus making it relatively easy to distinguish between osteoarthritis and rheumatoid arthritis.
Can osteoarthritis exercise?
Osteoarthritis often occurs due to the degeneration associated with aging, causing damage to the essential cartilage, leading to symptoms such as joint pain and deformities during movement. In the case of osteoarthritis, it is crucial to keep warm and rest, avoid exposure to cold, and minimize knee-joint load-bearing activities such as mountain climbing and stair climbing. Instead, choosing activities like Tai Chi and swimming, which cause less joint wear, can help alleviate symptoms and prevent accelerated cartilage damage.
What to eat for osteoporosis
Osteoporosis refers to decreased bone density and bone mass, which increases the fragility of bones and can lead to fractures and other systemic skeletal diseases. It commonly occurs in postmenopausal women or arises due to degenerative changes in the elderly. To prevent osteoporosis, one can start with dietary adjustments by increasing the intake of calcium-rich foods such as milk, shrimp crackers, kelp, and legumes. It is also important to engage in appropriate physical activities to enhance bone strength, thereby helping to prevent the exacerbation of osteoporosis. However, merely supplementing with calcium might not be very effective; it is also appropriate to supplement with Vitamin D. If adding calcium alone does not alleviate the symptoms, it might be necessary to use medications that reduce the loss of calcium to prevent and treat osteoporosis.
Which department should I go to for sciatica?
For sciatic nerve pain, it is recommended to first consult an orthopedic or spinal surgery specialist. Initially, it is important to determine the cause of the pain, such as whether it is caused by a herniated disc pressing on the nerve root. If it is confirmed that the pain is not caused by a herniated disc pressing on the nerve root, and it is purely sciatic nerve pain, you can then visit a pain management clinic to check for potential issues like piriformis syndrome. In essence, start with an orthopedic consultation to rule out orthopedic conditions. If no orthopedic issues are found, then consult a pain management specialist.