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105
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
What are the symptoms of osteoporosis?
What are the symptoms of osteoporosis? Previously there were three categories, but the latest 2017 treatment guidelines have changed it to four categories: First, pain. This mainly manifests as pain in the lower back or pain throughout the bones of the body. Second, spinal deformation. Severe osteoporosis can cause a person to stoop and hunchback, and it can even lead to a decrease in a person's height and cause limited spinal mobility. Third, fractures. Fractures due to osteoporosis belong to the category of fragile fractures. These are fractures that can occur with very low energy or minor trauma. Common sites include the thoracic and lumbar vertebrae, hip fractures, the distal radius and ulna, as well as the humerus and tibia, so sometimes, just a simple fall or being bumped by a door can result in a fracture. Fourth, impacts on psychological states and quality of life. Sometimes after developing osteoporosis, a person may experience fear, anxiety, depression, and loss of self-confidence, which directly leads to reduced contact with the outside world and a decline in the quality of independent living.
Symptoms of tendonitis
The symptoms of tendonitis basically come down to three points. First, pain or a fixed tender point, generally located around joints or nearby areas, with severe cases possibly exhibiting numbness or tingling. Second, dysfunction, which is due to the stiffness of the joint associated with pain which limits joint movement, and occasionally there is mild swelling of the joint. Furthermore, if the tendon pain reoccurs from the originally damaged site and continues for a long time or recurs, it can lead to stiffness in the joint, subsequently resulting in limited joint mobility. The third point is the inflammatory response; tendonitis has specific signs of inflammation, including redness, swelling, heat, pain, and dysfunction.
How to relieve pain from lumbar muscle strain?
Lumbar muscle strain, if the pain is severe, can usually be alleviated using the following methods. First and foremost, during the acute phase, what is primarily needed? First, you need to rest and immobilize, mainly ceasing some activities and ideally lying on a hard bed in a supine position with hips and knees flexed. Secondly, for the painful area, you can apply appropriate physiotherapy. This includes traditional Chinese massage and acupuncture. Thirdly, if there are specific fixed painful points, you might consider blockade therapy. Fourthly, when the pain is particularly severe and affects your work and rest, you can take some non-steroidal anti-inflammatory drugs (NSAIDs). Additionally, use some stimulating medicines or stimulating liniments. If the pain severely impacts your mood and work, you might also consider some sedatives. Fifthly, you can use some external or internal traditional Chinese medicine, which is usually very effective in managing pain.
Is osteosarcoma serious?
Osteosarcoma is a fairly serious condition. It is a type of malignant bone tumor and is classified as stage II according to the Eric staging system. Regardless of the treatment method used for osteosarcoma, the first issue is that it metastasizes quickly, and the second is that it tends to recur frequently. Therefore, once someone has osteosarcoma, it poses significant challenges, not only being difficult to treat but also involving considerable treatment costs. However, thanks to the efforts of researchers, a new adjuvant chemotherapy has been developed which has increased the five-year survival rate of osteosarcoma from 47% to about 80%, which is quite remarkable. Moreover, with this new adjuvant chemotherapy, patients first undergo chemotherapy, followed by surgery, during which chemotherapy is administered again, not only improving the five-year survival rate but also enhancing the quality of life for patients. Therefore, osteosarcoma is a very serious disease. In the past, amputation was common, followed by distal metastasis, so it didn't take long for metastases to appear in the lungs or brain. Thus, osteosarcoma is an extremely serious disease.
Cervical spondylosis treatment
The treatment of cervical spondylosis firstly requires identifying the specific type of the condition, as treatment is determined based on the classification. The first type, cervical type cervical spondylosis, generally is asymptomatic, merely presenting as degeneration at the edges of the cervical spine. Even if symptoms are present, satisfactory effects can generally be obtained through conservative treatment, so cervical type cervical spondylosis does not require surgical treatment. The second type, nerve root type cervical spondylosis, is the most common type. The vast majority can be cured through conservative treatment, with approximately ninety-five percent achieving cure, leaving only about five percent who require surgery due to very clear nerve damage sites which have not improved with conservative treatment and worsened nerve compression symptoms. The third type, spinal cord type cervical spondylosis, basically requires surgical treatment, and it is better to perform the surgery sooner rather than later. The fourth type, vertebral artery type cervical spondylosis, is usually treated conservatively, mainly focusing on immobilization, anti-inflammatory, and pain relief treatments, while also addressing arteriosclerosis concurrently. The fifth type, sympathetic nerve type cervical spondylosis, requires coordinated treatment with internal medicine while treating this type of cervical spondylosis. Thus, the treatment of cervical spondylosis is actually not complicated. First, ascertain which type of cervical spondylosis you have, and then, treat accordingly.
Osteosarcoma bone metastasis symptoms
The symptoms of osteosarcoma metastasis, osteosarcoma most commonly metastasizes to the lungs. If pulmonary metastasis occurs, there are at least two prominent characteristics. The first is that most metastatic tumors are located on the surface of the lungs and are rarely within the lung parenchyma, thus, they are not difficult to detect. The second point is that most metastatic tumors predominantly present as multiple bilateral lung metastases. Isolated unilateral lung metastasis is very rare. Therefore, this characteristic determines that osteosarcoma lung metastasis can only be managed with local wedge-shaped or segmental lung resections as the basic comfort measure. In fact, this simple surgical approach often allows for complete removal of the metastatic tumors while preserving most of the normal lung tissue.
Causes of Lumbar Muscle Strain
The causes of lumbar muscle strain generally include two points: First, after an acute lumbar injury, such as a sprain or trauma, proper treatment is not administered, and sufficient rest is not taken when needed, leading to improper treatment and eventually resulting in chronic lumbar muscle strain. The second point, which is also the main reason, is due to the lumbar region being in a state of continuous tension during prolonged work. This causes the muscles in the lumbar region to be under constant stress, then compressing the small blood vessels, leading to insufficient oxygen supply to the lumbar muscles, and causing metabolic byproducts like lactic acid to accumulate. This eventually stimulates local inflammatory responses that contribute to injury. Initially, the muscles themselves can make some compensatory adjustments. However, as the condition worsens, this ability to regulate increasingly diminishes until it can no longer adjust, leading then to compensatory regulation, also known as serial compensatory adjustment. Thus, if lumbar muscle strain is not treated properly or in a timely manner, the condition will progressively worsen, eventually causing the lumbar muscles to lose their original function and potentially leading to a deformity in the lumbar region. Therefore, the main reasons for lumbar muscle strain are firstly, improper treatment during the acute phase that transitions into chronic lumbar muscle strain, and secondly, the lumbar muscles being in a state of long-term overload, ultimately leading to strain.
Can a herniated lumbar disc be massaged?
Lumbar disc herniation can be treated with massage, and as a part of conservative treatment, massage is a very important method with generally good effects. Its role is to relieve muscle spasms, expand blood vessels, increase local blood circulation, and promote cellular metabolism of soft tissues. The techniques primarily include rolling and rubbing, supplemented by grasping and grinding methods. The main acupuncture point targeted is the Jiaji point, centered on the lesion between the two vertebral bodies. Other auxiliary acupuncture points include Yaoyangguan, Mingmen, Shenshu, Bahui, Huanjiao, Yinmen, Fucheng, Weizhong, Chengshan, and Yanglingquan.
What are the massage techniques for osteoporosis?
Osteoporosis is not suitable for massage because if the force is not controlled properly, it can cause fractures. This is due to the fact that fragile bones have a very low stress tolerance, and sometimes even a small external force can cause fractures. Moreover, the spine is the most common site of fractures. If massage is necessary, then only gentle techniques should be used, such as light kneading, pressing, or rolling. Do not apply heavy pressure or manipulate joints, and certainly do not perform bone-setting on others unnecessarily, as this can easily cause fragile fractures, resulting in more harm than good and bringing trouble. Therefore, it is generally best to avoid massages for those with osteoporosis.
Treatment methods for lumbar muscle strain
Firstly, general treatment is necessary, which mainly includes rest, or regularly changing posture, and avoiding bending over to lift objects. This is primarily to alleviate symptoms and prevent recurrence. Additionally, using a lumbar support belt at work can limit the range of motion of the waist and is very effective for lumbar muscle strain. Moreover, after entering the remission phase, when the pain has subsided, it is important to strengthen the muscles of the lower back. If the strength of the lower back muscles is improved, the stability of the lumbar spine will also improve, making lumbar muscle strain less likely to occur. Secondly, some physiotherapy can be applied to the painful area, including massage, manipulation, or acupuncture. Thirdly, if there are specific tender points, localized treatment around these points can be considered, which is highly effective. Fourthly, if the pain is particularly severe, affecting work and rest, or causing patient anxiety, consideration can be given to using some non-steroidal anti-inflammatory painkillers, muscle relaxants, or sedatives like diazepam. Therefore, treatment of lumbar muscle strain is essential and must be correctly administered. (Medications should be used under a doctor's guidance based on specific conditions.)