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Li Jie
Orthopedics
About me
Male, graduated from the Department of Orthopedics, Beijing University of Traditional Chinese Medicine in July 2003. Holds a bachelor's degree. Has been working in the Department of Orthopedics at Laiwu Traditional Chinese Medicine Hospital in Shandong Province since graduation. Engaged in clinical work in orthopedics for 12 years. Possesses comprehensive theoretical knowledge and clinical experience in orthopedics.
Proficient in diseases
Treatment of complex traumatic fractures, repair of soft tissue defects and injuries, diagnosis and treatment of hip and knee joint diseases, unique insights in minimally invasive joint treatment and joint replacement, and rich clinical experience have been accumulated.
Voices
Does a rib fracture hurt?
The rib area is rich in nerves, and the human body has a total of 24 ribs, so there are more than 20 intercostal nerves. Therefore, the local pain is very obvious after a rib fracture. The pain may become apparent with breathing and movements of the thoracic cage. Sometimes, especially when changing body positions, the pain can be very significant. Occasionally, coughing, sneezing, or performing other actions that increase abdominal pressure can cause marked pain. Thus, the pain from a rib fracture is quite pronounced and very severe.
Is calcium supplementation effective for bone proliferation?
Strictly speaking, bone hyperplasia is not a disease diagnosis but rather a radiographic manifestation of a condition, as seen in some middle-aged and elderly individuals or patients who have engaged in heavy physical labor for a long time. If such individuals were to undergo an X-ray, it would definitely show clear signs of bone hyperplasia. However, this bone hyperplasia does not necessarily cause symptoms. If the patient does not experience symptoms, then there is no need to treat the bone hyperplasia. Additionally, calcium supplementation does not have a therapeutic effect on bone hyperplasia. Once the bone has hyperplasia, it cannot be eliminated or gradually degraded by taking medication or calcium supplements; this expectation is unrealistic. Therefore, calcium supplementation has no significant effect on bone hyperplasia.
What foods should be eaten for osteoarthritis?
Osteoarthritis in Traditional Chinese Medicine (TCM) is generally divided into two main categories. The first category is liver and kidney deficiency, commonly seen in older adults. For this condition, it is advocated to consume foods that nourish the liver and kidney. Black foods are considered to benefit the kidneys, such as black rice, black beans, black goat, and black pork. Other foods like He Shou Wu (Polygonum multiflorum), Rehmannia glutinosa, Coix seed, and Chinese yam also help nourish the liver and kidney and can be beneficial for the condition. The second category is Qi stagnation and blood stasis type, where it is recommended to eat foods that promote blood circulation and remove blood stasis. In Western medicine, there are no specific dietary recommendations for treating osteoarthritis, except for general advice for elderly women to consume calcium-rich foods to prevent bone-related issues. Foods recommended include milk, eggs, and lean meat, which are rich in protein and calcium, and it is encouraged to consume more of these.
How is a fracture treated?
The treatment of fractures involves three main principles: reduction, fixation, and functional exercise. First and foremost, a perfect reduction is required after a fracture. If the alignment of the fracture is not satisfactory, the fracture may require either closed or open reduction. After a successful closed reduction, if the fracture position is stable, fixation should be considered. Generally, following a successful closed reduction, a local application of a cast or splint can be done for external fixation. If the results of closed reduction are not satisfactory, surgical open reduction may be needed. In such cases, internal fixation, possibly with steel plates, steel pins, or intramedullary nails among other methods, is necessary. These first two points cover the need for reduction and effective fixation—including both external and internal fixation. After proper fixation, the fracture can gradually heal. During the healing process, active functional exercises are needed to prevent muscle atrophy and joint adhesion. To avoid disuse of the limb, muscle atrophy after removing the cast, whether it be a leg or an arm, functional exercises are imperative. Thus, the three principles of fracture treatment are reduction, fixation, and functional exercise, requiring professional care by medical experts in accredited hospitals.
What to eat with a rib fracture
The diet for patients with rib fractures is not much different from that for general fracture patients. It is advisable to eat more high-nutrition, high-protein, low-fat, and easily digestible foods, which can facilitate the healing of fractures. Additionally, consumption of calcium-rich foods, such as eggs, milk, fish, or shrimp shells, can be beneficial. At the same time, taking calcium tablets and vitamin D can also promote the healing of fractures. Furthermore, according to Traditional Chinese Medicine, there is a belief in "like cures like," so for rib fractures, consuming ribs, such as pork ribs, could theoretically help in the healing process according to this theory.
What foods are eaten for osteoarthritis?
First, it should be clear that food does not play a significant role in the treatment of osteoarthritis. It neither has particularly good effects nor particularly bad effects, so the goal should be to maintain a balanced diet. For some elderly men, it is important to maintain a healthy, balanced diet and avoid being overweight. For elderly women, osteoarthritis patients often also suffer from osteoporosis; in such cases, it is necessary to pay attention to calcium supplementation in the diet to prevent osteoporosis. These measures are feasible, but relying on any specific food to treat osteoarthritis is not very realistic.
Osteoarthritis exercise time
We say that all exercise must have a limit, and it should be within the patient’s tolerance. Walking exercises for osteoarthritis are permissible, but we do not advocate excessive exercise. Instead, it is best to focus primarily on rest. We say that life depends on movement, but joints rely on stillness. What does this mean? We do not advocate excessive activity in the joints. What is considered excessive activity? For example, if an osteoarthritis patient finishes a day of walking exercise and feels no pain, swelling, or discomfort in the joints, then the degree and amount of exercise they undertook are acceptable. However, if the patient finishes exercising and experiences significant pain, swelling, or discomfort in the joints by the evening, this indicates that the exercise was too much, and it was not suitable for them. They must rest and avoid such intense activities, indicating that walking exercises are not suitable. Thus, whether walking exercises are appropriate for patients with arthritis needs a balanced view, especially for patients in the acute phase of osteoarthritis. The mindset of exercising through the pain, regardless of discomfort, is absolutely incorrect. During the acute phase of osteoarthritis, we recommend resting as much as possible. During the remission phase of osteoarthritis, whether and how much walking exercise one should engage in also needs to be determined based on the severity of the patient’s condition and their subjective feelings. It cannot be generalized.
Can a fracture be moved?
Bone fractures, as the name suggests, refers to a crack-like fracture in a bone. Although it is a simple fracture and the bones are not obviously displaced, maintaining proper alignment is still important. However, a fracture does represent a change in the continuity of the bone. If effective repositioning and fixation are not carried out, displacement of the fracture can occur. Therefore, it is generally advised for patients to use a cast or a brace for external fixation. If the patient moves frequently without effective fixation, the crack fracture may develop into a displaced fracture. Once a displacement occurs, it can become complicated, potentially requiring surgical treatment. Therefore, patients with bone fractures are advised to rest and avoid vigorous activities, and to ensure effective repositioning and fixation.
Lumbar muscle strain is which part?
Lumbar muscle strain, as the name suggests, refers to a group of symptoms of muscle pain in the lumbar region caused by strain. Typically, it occurs in the waist area, around where we usually wear a belt. Generally, the pain is located about 10 to 20 centimeters above the belt area and about 10 centimeters below it. The pain on either side of the lumbar spine in this area is called lumbar muscle strain, which is usually caused by strain in the muscles of the lumbar spine. If the pain is in the central part of the lumbar spine, this type of pain is generally due to inflammation of the supraspinous ligament or tendonitis. Sometimes, it is caused by a herniated lumbar disc, which may not be closely related to lumbar muscle strain. Therefore, we say that pain in the muscles on either side of the waist is called lumbar muscle strain.
Can I take calcium tablets for a fracture?
After a fracture, there are generally several stages a person will go through. These can typically be divided into the following stages: hematoma organization stage, fibrous connection stage, initial callus stage, mature callus stage, and then the remodeling stage. During these periods, the area of the bone is undergoing a metabolic process involving both osteoclasts and osteoblasts. During this metabolic process, calcium is required, and a deficiency in calcium can affect the healing of the fracture. Therefore, it is advised that patients with fractures should take calcium supplements. Along with calcium, it is also recommended to supplement with vitamin D, which can enhance bone absorption and calcium absorption, aiding in the healing of fractures. Thus, the conclusion is that fracture patients can indeed take calcium tablets.