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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
Can ankylosing spondylitis be cured?
Based on the current situation, it is very difficult to cure ankylosing spondylitis. Ankylosing spondylitis is a chronic disease primarily affecting the spine. It mainly involves the sacroiliac joints and spine, eventually causing spinal stiffness and restricted movement. Additionally, it can cause varying degrees of damage to multiple organs such as the eyes, lungs, cardiovascular system, and kidneys. Ankylosing spondylitis is commonly referred to as AS, where 'A' stands for fusion and 'S' for spine, hence the term means spinal fusion. Currently, the cause of the disease is unknown, and there are no specific clinical treatments. The basic treatment principle involves alleviating pain, preventing spinal deformities, and strengthening the back muscles. Typically, conservative treatment is used during the early or middle stages, while surgical correction may be considered in the later stages when significant spinal deformities occur. Generally, ankylosing spondylitis is very difficult to cure.
What is tendinitis?
Tendonitis refers to an inflammatory reaction caused by various factors such as over-fatigue, fiber tearing, or other injuries to the tendon and its surrounding tissues. Therefore, tendonitis usually has a cause, commonly seen in acute injuries or chronic strain. The main symptoms are: first, pain, which is often related to movement, intensifies during physical activity and alleviates during rest. Second, there is occasional slight swelling of the joint. Third, persistent pain occurs in bouts. This indicates that after the tendon recovers from an initial injury, persistent pain appears, which eases after rest or treatment but is prone to recurrence. Thus, tendonitis is an inflammation of the tendon and its surrounding tissues, usually a non-bacterial inflammation. If conservative treatment does not improve the condition after 7-10 days, it is recommended to seek medical treatment at a hospital.
How to completely cure tenosynovitis?
The only definitive treatment for tenosynovitis is surgery, because the clinical treatment of tenosynovitis is divided into three steps. The first step is general treatment, which mainly involves immobilization, medication, and topical application of analgesic and anti-inflammatory drugs; the second step is injection therapy; if these two methods do not work, then surgery is the only option. Therefore, surgery is the only way to completely cure tenosynovitis.
Lumbar disc herniation is where?
Where does lumbar disc herniation occur? Let's first discuss what a lumbar disc is. A lumbar disc is a fibrous pad located between the upper and lower vertebrae, which can be understood as a joint between the two vertebrae. Its outer layer is made up of a dense fibrous ring, formed in different combinations and arrangements, with a nucleus pulposus in the middle, which primarily functions to bear pressure from various directions and disperse it. Lumbar disc herniation occurs when, for various reasons such as aging, trauma, or pathological changes, the lumbar disc protrudes. If the protrusion does not break through the fibrous ring, it is called bulging. If it compresses and causes the fibrous ring to rupture, it is called herniation. Thus, the herniation can protrude backward, upward, or forward; however, it is mostly the backward protrusion that can cause symptoms by compressing nearby tissues, such as the spinal cord, blood vessels, and nerve roots.
What should be paid attention to for tendinitis?
Things to pay attention to for tendinitis, which occurs due to overuse of muscle fibers or repeated intense pulling. It involves internal factors, which are your own factors, and external factors. This includes the incorrect intensity of training increase, which not only brings about technical fatigue, but the training environment is also very important. Therefore, after getting tendinitis, you need to start addressing both intrinsic and extrinsic factors. Intrinsic factors mean finding a suitable exercise method based on your own situation, and not doing things you are incapable of. Extrinsic factors mean that you must pay attention to your exercise intensity, and specifically, the techniques and training environment, mainly to prevent injuries during training.
How to treat tendinitis?
If it is an acute onset of tendinitis, urgent treatment is recommended. This involves the use of RICE therapy, which is the internationally renowned "rice therapy," including four points: rest, ice, compression, and elevation of the affected limb. Secondly, you can take some non-steroidal anti-inflammatory drugs to reduce inflammation and pain. Thirdly, consider undergoing physical therapy, mainly including heat therapy, shockwave therapy, and microwave therapy, aimed at improving blood circulation and promoting healing. If the pain is particularly severe, you might also consider block therapy, but try to avoid it as it could potentially damage the tendon. Fifth, rehabilitation therapy can be conducted, which should be performed under the guidance of a physiotherapist and rehabilitation therapist. Thus, conservative treatment for tendinitis includes these methods. If some patients, especially those for whom conservative treatment is ineffective or even worsens symptoms, consider surgical treatment. However, surgical treatment should be strictly reserved for appropriate cases because it involves significant pain, potential complications, and a longer recovery time.
How to treat sciatica?
For sciatica, conservative treatment methods should first be adopted, which include the following five points: The first is general treatment; as soon as sciatica appears, immediately rest in bed, and the bed should be relatively hard. Second, you can apply heat to the lumbar area, use physical therapy, or acupuncture. Third, lumbar traction can be performed, which has a very clear effect in alleviating sciatica. Fourth, consider performing an intradiscal injection or sacral injection therapy, and chemical nucleolysis can also be performed. After the above treatments, if the symptoms and pain are reduced, you can start functional exercises for the lower back muscles. Functional exercises of the lower back muscles play a significant role in enhancing the stability of the lumbar spine. If the effect of the aforementioned treatments is not significant, or if the symptoms worsen, then surgical treatment may be necessary at this time.
Where to apply moxibustion for lumbar disc herniation
If moxibustion is used to treat a lumbar disc herniation, the main acupoint is the Jiaji acupoint located on both sides of the herniated disc, along with the Jiaji acupoints immediately above and below it. For example, if you have a herniation between the 3rd and 4th lumbar discs, you should moxibust the 2nd, 3rd, and 4th Jiaji acupoints, and so on. In addition to the main acupoint, there are auxiliary acupoints chosen based on the different symptoms of different patients. Generally, if there is significant back pain, the acupoint on the affected side is the Yaoyan. If there is muscle tension and tenderness in the buttocks, match with Huanjiao and Yibian. If there is muscle tension on the back of the thigh, match with Chengfu, Yinmen, and Weizhong. If there is numbness on the outer side of the thigh, match with Fengshi, and for calf numbness, match with Weiyang, Chengshan, and Yanglingquan. If there is numbness on the top of the foot, followed by weakness in the foot or toe region, match with Taixi, Jiexi, and Xiexi.
Is a comminuted patellar fracture serious?
Patellar comminuted fractures are usually quite severe because once the patella is shattered, it can no longer guarantee a smooth cartilage surface. Moreover, the more severe the fragmentation, the harder it is to restore smoothness. If the smooth surface is not well restored, certain conditions can arise. The first is post-traumatic arthritis, the second is patellar chondromalacia, and the third is patellofemoral arthritis. Therefore, patellar comminuted fractures usually require open reduction and internal fixation surgery. In this surgery, it is crucial to align the cartilage surface of the patella as accurately as possible, making the joint surface as smooth as possible, and then fasten it securely with wire loops or tension bands. If the patellar fragmentation is particularly severe, and it's impossible to restore the integrity of the cartilage surface, it may be considered to remove the patella. If feasible, a prosthetic patella can be installed. If not, the ligaments and joint should be repaired, and then functional exercises should begin three to four weeks post-surgery, although this method of surgery typically results in weakness in extending the knee on the affected side.
How to treat tendonitis and strains?
How to treat tendinitis and strain? That is, in cases with tendinitis that have also resulted in acute injury, the approach should align with treating acute injuries associated with tendinitis. Firstly, rest and immobilization. Resting helps to prevent further injury, and immobilization allows joints or tendons time to relax, rest, and repair. Secondly, apply ice. Ice should be applied to the injured area immediately after the injury. Typically, the first icing lasts for half an hour, followed by subsequent half-hour sessions every three hours, continuing up to 48 hours, after which it should switch to heat application. Thirdly, immobilize the joint or tendon. Immobilization serves two purposes: first, to prevent the injury from worsening; second, to help prevent further swelling. Fourthly, the injured limb should be elevated, raised above the level of the heart by 30 degrees. This is the internationally renowned RICE principle for treating tendon strains and injuries, focusing primarily on four aspects: rest, ice, compression, and elevation.