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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
How long after a patellar comminuted fracture can one start walking?
Patellar comminuted fractures generally require surgical treatment. If the surgery goes well, patients can start moving around with the aid of crutches one week after the surgery. Initially, changing positions is not allowed. Generally, patients can start by placing the toes on the ground two weeks post-surgery, followed by the middle part of the foot, and finally the heel. This progression occurs from two to six weeks after the surgery.
How to treat cervical spondylosis?
The treatment of cervical spondylosis is symptomatic, and it is first necessary to determine the type of cervical spondylosis, and then treat it according to its classification. Cervical type cervical spondylosis usually does not require surgery and can be managed with conservative treatment. Nerve root type cervical spondylosis is the most common type seen in clinical practice and responds particularly well to traction therapy. Additionally, oral non-steroidal anti-inflammatory drugs and nerve nutrients can also be used. Spinal cord type cervical spondylosis usually cannot be managed conservatively, or may require surgery after a short period of conservative treatment. This type is the most frequently operated on in clinical practice for cervical spondylosis. The fourth type is the sympathetic nerve type cervical spondylosis, which is very complex to diagnose. It often causes some internal system diseases, such as high blood pressure or heart disease. However, these conditions often improve as the cervical spondylosis improves. The fifth type is vertebral artery type cervical spondylosis, which typically causes symptoms of insufficient cerebral blood supply. Therefore, treatment of cervical spondylosis also requires addressing arteriosclerosis. Mixed type cervical spondylosis refers to the simultaneous occurrence of two types of cervical spondylosis, and treatment involves managing both types concurrently. Thus, the treatment of cervical spondylosis first requires determining the specific type you have and then carrying out symptomatic treatment for that specific type.
Can tendinitis be treated with a cortisone injection?
Can a cortisone injection be used for tendinitis? From a clinical perspective, for tendinitis, other conservative treatments such as physical therapy, massage, and oral medications can be used. When treatments like phototherapy are ineffective or not yielding results, a cortisone injection is certainly an option. As long as it is accurately targeted, the results of a cortisone injection are very satisfactory. In some cases of tendinitis, a cortisone injection can even achieve a curative effect. Thus, after tendinitis, a cortisone injection can definitely be used for treatment.
How to relieve tendonitis pain?
Tendonitis pain can usually be alleviated through the following methods: First, during the acute strain period, the RICE principle can be applied, which stands for Rest, Ice, Compression, and Elevation of the affected limb. Second, you can take some non-steroidal anti-inflammatory painkillers. Third, you can consider undergoing injection therapy. Fourth, treatment with traditional Chinese medicine can also be considered, as it is very effective in treating tendonitis. Fifth, some physical therapies can also be considered, such as heat therapy, microwave therapy, and transdermal drug delivery. It is worth mentioning shockwave therapy, which has been extensively verified clinically and is very effective in treating tendonitis. Therefore, tendonitis pain is not to be feared, as the above methods can be tried for treatment.
How to treat sciatica
Sciatica typically has two treatment methods. One is non-surgical treatment, which is currently the first and most commonly used approach. The first step is general treatment, meaning that once symptoms of sciatica occur, one should rest on a hard board bed. Second, one can combine this with some heat applications to the lumbar area, physical therapy, and acupuncture; all of these are options. The third is traction therapy, which is very effective for discogenic sciatica, as it can reduce the pressure on the intervertebral disc, thereby increasing the volume of the spinal canal and enlarging the area of the intervertebral foramen, thus reducing stimulation to the nerve. Fourth, one can consider undergoing sacral canal injections, or using papain or collagenase for chemical dissolution of the nucleus pulposus, which usually can also achieve a good effect. The fifth point is that when symptoms are reduced, one should start exercising the lumbar and back muscles to increase their strength and enhance the stability of the lumbar spine, thereby ensuring the stability of the intervertebral disc. It should be mentioned that massage and manipulation are quite effective for herniation of the disc nucleus pulposus, but if there is already obvious osteophyte formation, narrowing of the intervertebral space, or disorder of the facet joints, or even lumbar spinal stenosis, then massage and manipulation are not recommended. If the aforementioned treatments prove ineffective, the condition does not relieve or even worsens, or if there is central herniation of the lumbar disc, or if the patient shows significant cauda equina nerve stimulation symptoms, then surgical treatment is required.
Which department should I go to for osteoporosis?
What department should I go to for osteoporosis? According to the latest osteoporosis treatment guidelines, osteoporosis is classified as a chronic, frequently occurring disease in orthopedics. Generally, hospitals rated Grade IIIA or above have specialized clinics for osteoporosis. Therefore, if you suspect you have osteoporosis, you can first visit the orthopedics department. If there is a specialized osteoporosis clinic, you can go there directly. Both departments can treat this disease, but the specialized osteoporosis clinic is relatively more professional.
How to treat tenosynovitis?
In clinical practice, the treatment of stenosing tenosynovitis is divided into three stages. The first stage involves general treatments, including early immobilization, followed by localized heat therapy, microwave therapy, and shock wave therapy, as well as the topical application of anti-inflammatory and pain-relieving medications. If there is no improvement after one week of conservative treatment, the second stage is initiated. The second stage involves an injection treatment, which is quite effective for this type of tenosynovitis in clinical practice. Generally, one or two injections can significantly alleviate symptoms, and some people may even fully recover. However, if after three injections the symptoms do not improve or worsen, further injections should be avoided, as this method is not beneficial for you, and you would then proceed to the third stage. The third stage involves surgical treatment. There are two types of surgical treatments: one involves a minor procedure using a small needle knife in traditional Chinese medicine, and the other involves conventional surgery. However, for radial styloid stenosing tenosynovitis, surgery is generally recommended due to the proximity of the radial nerve, which could be at risk of damage.
Lumbar disc herniation has what manifestations?
Lumbar disc herniation has the following clinical manifestations. First, lower back pain accompanied by unilateral radiating pain in the lower limbs. Second, numbness in the localized area. Third, weakness in the toes. Fourth, decreased temperature in the affected limb. Upon examination, the first finding is a reduced natural anterior curve of the lumbar spine, which we refer to as a flat or board-like back. Second, it can also cause the lumbar spine to bend to one side, possibly toward the affected side or the healthy side, depending on the location of the herniation. Third, there is a fixed tender point beside the lumbar spine, which plays an active role in diagnosis and treatment. Fourth, due to pain, there is a limitation in the movement of the lower back; normally, the lumbar spine can flex 45 degrees forward, extend 20 degrees backward, and bend 30 degrees to each side. If these ranges of motion are not achievable, it indicates a significant limitation in lumbar activity. Fifth is the neurological localization examination, which primarily involves different sensory disturbances, motor disturbances, or muscle atrophy depending on the site of compression. There are also some special tests, like the straight leg raise test, reinforcement test, healthy side leg raise test, as well as the neck flexion test and femoral nerve stretch test. Lastly, additional diagnostic tests like CT or MRI can provide specific information on the location and stage of the lumbar disc herniation.
Nasal bone fracture, nasal septum fracture, what kind of injury is this?
What type of injury is a nasal bone fracture and a nasal septum fracture? According to the forensic appraisal regulations concerning the nasal area, there are three situations that can be identified as minor injuries and two situations that can be identified as slight injuries. The three situations for minor injuries are: first, comminuted fracture of the nasal bone; second, linear fracture of the nasal bone where the displacement is very obvious; third, nasal trauma that significantly changes the appearance and function of the nose, which can be identified as a minor injury. The two situations for slight injuries are: first, a simple, nondisplaced nasal bone fracture; second, nasal bleeding after trauma. Therefore, if a nasal bone fracture is combined with a nasal septum fracture, it should be a comminuted fracture and can be identified as a minor injury. If it is solely a nasal septum fracture, it depends on whether it is a comminuted fracture or whether the displacement is obvious. Additionally, the impact of the nasal septum fracture on nasal function must also be considered. Thus, nasal bone fractures and nasal septum fractures require specific analysis based on the details of the injury to determine the type of harm. A slight injury can definitely be determined, but whether it qualifies as a minor injury depends on the specific circumstances.
What are the symptoms of osteosarcoma?
The main symptom of osteosarcoma is localized pain, primarily at the distal end of the femur, the proximal end of the tibia, and the proximal end of the humerus. This pain tends to worsen continuously, with nighttime pain often more severe than during the day, which is a significant characteristic of osteosarcoma. The second symptom is the presence of a local mass, which is often spindle-shaped and generally located near a joint. This mass often leads to limited joint mobility, and the skin over the mass typically has a high temperature. Sometimes, it may also be accompanied by visible swelling of superficial veins. The third symptom involves systemic cachexia, which includes unexplained weight loss, generalized weakness, and even an anemic condition. The fourth point pertains to osteolytic osteosarcoma, which often leads to bone destruction, reduced bone strength, and consequently, even minor external forces can cause fractures. These are called pathological fractures. Thus, the symptoms of osteosarcoma generally include these four points.