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Na Hong Wei
Orthopedics
About me
Yanshou County People's Hospital, Orthopedics Department, Chief Physician, engaged in clinical work in orthopedics for many years.
Proficient in diseases
Specializes in: Orthopedics, general surgery, and minimally invasive treatment.
Voices
Treatment methods for lumbar muscle strain
Firstly, some non-surgical treatments, namely conservative treatments, should be carried out. The majority of patients can see significant relief in their symptoms after conservative treatment, and some of them may even be cured. Conservative treatment begins with general treatment. Primarily, it involves bed rest after the onset of lumbar muscle strain symptoms, ceasing work, and minimizing bending activities. Additionally, wearing a lumbar support is advised to prevent further injury. Secondly, it is appropriate to exercise the muscles of the lower back. If the strength of these muscles is increased, not only can it enhance the stability of the lumbar spine, but it can also reduce pressure inside the intervertebral discs and delay the aging and degeneration of the spine. Thirdly, physical and rehabilitation therapies should be employed. This mainly includes traction, physiotherapy, massage, acupuncture, and external application of traditional Chinese medicine. The goal is primarily to relax spasmodic back muscles. At the same time, it can alleviate pressure within the intervertebral discs and reduce the inflammation around the nerve roots. Fourthly, if the pain is extremely severe and significantly affects everyday life and work, consideration may be given to taking non-steroidal anti-inflammatory pain medications, along with muscle relaxants. This can result in very effective pain relief. If the outcome of standardized conservative treatment is unsatisfactory, surgical treatment can be considered. However, for lumbar muscle strain, non-surgical treatment is generally preferred, with only a few patients requiring surgery.
Can osteosarcoma be felt?
Osteosarcoma can be felt by touch, and its main clinical manifestations include persistent progressive pain, which intensifies at night. Secondly, there are local lumps, commonly located at the distal femur, proximal tibia, and proximal humerus, which are high incidence areas for osteosarcoma. In such cases, you don't even need to touch it; you can see it with the naked eye because the swelling is quite severe. Additionally, the surrounding skin may appear reddened and warm, and superficial veins may become prominently swollen, indicating that the skin over the affected area looks different from normal skin. Moreover, in the area affected by osteosarcoma, the bone may show a spindle-shaped enlargement, looking like a spindle-shaped lump, causing the joint area and the surrounding normal joints to be clearly abnormal. Therefore, in cases of obvious symptoms of osteosarcoma, not only can you see the tumor, but you can also feel it. However, patients often will not let you touch it, as touching can cause pain and even force the joint and surrounding muscles into a forced state. This forced condition helps alleviate pain in the joint and surrounding areas. Thus, osteosarcoma can indeed be felt by touch.
Fractures are categorized into several types.
In short, fractures can be classified into the following types: First, based on the integrity of the skin and mucous membrane at the fracture site, it can be classified into closed fractures and open fractures. Second, based on the shape and degree of the fracture. It can be categorized into oblique fractures, transverse fractures, spiral fractures, comminuted fractures, greenstick fractures, impacted fractures, compression fractures, and bone injuries. Third, based on the stability of the fracture ends, it can be classified into stable fractures and unstable fractures. Among unstable fractures, these include oblique fractures, spiral fractures, and comminuted fractures. Thus, fracture classification fundamentally falls into these major categories.
What should I do if I have a lumbar disc herniation flare-up?
Once a herniated disc occurs, the first step should be general treatment, which involves rest and lying on a hard bed. A soft pillow should be placed under the waist and a soft pad behind the knee joints to help with triangular support recovery and reduce spinal pressure. Second, treatment with traditional Chinese medicine and herbs can be considered, which includes both oral and topical medications and usually has good effects. Third, traction and massage therapy can be considered. Traction is notably effective during the acute phase of a herniated disc. It mainly helps by reducing the pressure on the intervertebral discs, adjusting the gaps in the intervertebral foramina, and thus alleviating the irritation and compression on the nerve roots. Fourth, acupuncture and massage can also be considered, as acupuncture is particularly effective in alleviating symptoms of a herniated disc. Other treatments include small-needle scalpel therapy, target disc decompression through radiofrequency, disc intra-injections, or epidural block. If these treatments do not show significant results, or if there is no improvement and symptoms of cauda equina syndrome appear, then surgical treatment may be necessary.
Which department should I visit for a lumbar disc herniation?
Lumbar disc herniation can be treated in five different departments. First, since lumbar disc herniation is a spinal surgical disease, the primary choice is to consult the Department of Spinal Surgery. Second, lumbar disc herniation is also a common orthopedic condition, and almost all orthopedic doctors are familiar with this disease, so you can also consult the Department of Orthopedics. Third, current traditional Chinese medicine has very good conservative treatment effects for lumbar disc herniation, so you can also consult the Department of Traditional Chinese Medicine. Fourth, lumbar disc herniation is a long-term chronic disease, and its treatment process often involves rehabilitation, so the Department of Rehabilitation can also be considered. Finally, since the main symptoms of lumbar disc herniation are pain and limited mobility, many hospitals have established pain clinics or even specialized pain departments to address the pain issues associated with lumbar disc herniation. Therefore, you can also consult the Department of Pain Management. Thus, lumbar disc herniation can be treated in these five departments, with Spinal Surgery being the primary choice.
Treatment of Cervical Spondylosis
The treatment of cervical spondylosis includes two aspects. The first is non-surgical treatment, which mainly involves immobilization of the neck, followed by physical therapy for the neck, including massage, acupuncture, and treatments with microwaves or shock waves, as well as cervical traction. Prevention is also important, which includes correcting poor work postures and sleeping positions. If the pain is very severe, one might consider taking some non-steroidal anti-inflammatory painkillers, etc. Secondly, if there is severe pain due to nerve root type or spinal cord type cervical spondylosis, and there is evident neurological dysfunction, or if the symptoms of cervical spondylosis usually do not alleviate or even worsen after systematic and conservative treatment, surgery is often required. Therefore, the treatment of cervical spondylosis generally includes both non-surgical and surgical treatments, and the specific method used depends on the condition of the disease.
How to alleviate pain from lumbar disc herniation?
How to alleviate the pain of a herniated lumbar disc. First, once the pain occurs, you should rest initially, lie on a hard bed. You can place a thin pad under your lower back and a soft pillow beneath your knees to keep the knees and hips slightly bent. This helps fully relax the back muscles. Second, take some non-steroidal drugs, specifically non-steroidal anti-inflammatory drugs (NSAIDs). Third, consider using traditional Chinese medicine and herbs. Traditional Chinese medicine has shown significant effects in treating herniated lumbar discs, containing many components that alleviate pain. Additionally, topical application of Chinese herbal medicines, or their plasters, can improve local blood circulation, reduce the release of inflammatory factors, and thereby relieve pain. Fourth, traction, which can be manual or mechanical, aims to reduce pressure on the lumbar discs by stretching them and enlarging the intervertebral foramen, thus alleviating nerve root irritation. Fifth, consider undergoing some physiotherapy treatments, such as heat therapy, shockwave therapy, microwave therapy, and transdermal drug delivery. These methods usually show good results. Finally, it is crucial to wear a lumbar support belt, as it is very important for patients with herniated discs. It can restrict movement of the lumbar spine, controlling the range of lumbar activity and increasing the stability of the lumbar spine, thus reducing the pressure and irritation on the discs. Generally, following the above treatments should significantly relieve the pain—should the pain persist, consider a nerve root block as a further treatment option.
How is osteosarcoma diagnosed?
Currently, the diagnosis of osteosarcoma in clinical settings primarily relies on a combination of clinical symptoms, imaging studies, and pathological findings. Clinically, osteosarcomas commonly occur in the distal femur, proximal tibia, and lower end of the humerus, manifesting as localized persistent pain, nocturnal pain, and swelling, often accompanied by superficial venous engorgement and increased skin temperature. Systemic symptoms of cachexia may appear, and even pathological fractures. Imaging is indispensable, revealing osteoblastic, osteolytic, or mixed osteolytic lesions, usually with a pronounced periosteal reaction, Codman's triangle (a common sign of malignancy), or sunburst patterns. Magnetic resonance imaging (MRI) is very important for diagnosing bone tumors as it can indicate the tumor's boundaries and the extent of erosion. Additionally, PET-CT and radioactive isotope scanning are considered crucial for tumor diagnosis. Pathological examination is currently regarded as the gold standard for diagnosing osteosarcoma. This involves a biopsy, usually taking a small part of the tumor for examination from a molecular biology perspective. However, when performing a biopsy, it is important to note two things: first, it is preferable to take the biopsy intraoperatively; second, if there is no plan for systematic treatment of osteosarcoma, it is best not to proceed with a biopsy to avoid potentially accelerating the spread or even hastening metastasis. Therefore, the diagnosis of osteosarcoma must be approached with caution, requiring a combination of clinical symptoms, necessary auxiliary examinations, and pathological analysis.
Can a herniated lumbar disc be massaged?
Lumbar disc herniation can be treated with massage and is a very important conservative treatment method. The first benefit of this massage is that it can relieve muscle spasms in the lower back. Secondly, through massage, it can dilate blood vessels, increase the speed of blood circulation, and then promote the metabolism of surrounding soft tissues. The treatment techniques primarily include rolling and pushing-grinding methods, supplemented by grasping and grinding methods, avoiding violent pressure. The main acupoints used are the Jiaji points, along with other matching points such as the Yaoyangguan, Mingmen, Shenshu, Huantiao, Yinmen, Chengfu, Weizhong, Chengshan, and Yanglingquan points, mainly selected according to the different conditions of the patients. Many patients experience significant relief in symptoms of lumbar disc herniation after massage therapy.
What is osteosarcoma?
Osteosarcoma is a type of malignant tumor that occurs in the bones, generally classified as stage IIb. Common sites for osteosarcoma include the distal part of the bone, the proximal tibia, and the proximal humerus. It most commonly affects adolescents. Clinically, it primarily presents as persistent pain, including nighttime pain. Swelling and limited joint function typically occur around the common sites. Additionally, there are general symptoms associated with cachexia, such as malnutrition, anemia, mild or high fever, or weight loss. Fourthly, it is very prone to causing pathological fractures. Many osteosarcoma patients seek medical attention due to these fractures. Thus, osteosarcoma is a serious malignancy in the bones with a generally poor prognosis. Diagnosis and treatment of osteosarcoma are crucial; upon confirmation, timely treatment is necessary. The primary treatment approach is a combination therapy centered around surgery, typically involving preoperative chemotherapy, followed by surgical treatment and postoperative chemotherapy. Currently, the five-year survival rate for osteosarcoma has significantly improved, reaching approximately 70% to over 80%.