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Guan Jing Tao
Orthopedics
About me
Master's graduate, attending physician. Has been working in the field of orthopedic clinical practice since graduation.
Proficient in diseases
Diagnosis and treatment of common orthopedic diseases such as cervical and lumbar spondylosis, osteoarthritis, tenosynovitis stenosis, limb fractures, femoral head necrosis, chronic musculoskeletal diseases, etc.
Voices
Can people with lumbar disc herniation have sexual intercourse?
Appropriate and occasional sexual activity is permissible. During the acute phase of lumbar disc herniation, it is strictly prohibited to engage in excessive physical activities, including sexual activity, as it may trigger or exacerbate symptoms such as increased herniation, nerve compression, and resultant numbness or painful sensations in the lower limbs. However, during the chronic phase of disc herniation, after systematic treatment and significant symptom improvement, sexual activity can be resumed appropriately and occasionally, such as once every two to three weeks, or adjusted according to different age groups to a normal frequency. Additionally, it is important to avoid excessive bending and heavy lifting to prevent worsening the pain and discomfort associated with lumbar disc herniation.
Consequences of the deterioration of tenosynovitis
If tenosynovitis recurs repeatedly and is not given enough attention, it can become quite persistent and may not significantly improve with appropriate treatment. In such cases, surgery may be necessary. When tenosynovitis worsens, it leads to local pain, limited movement, and even noticeable swelling. Generally, there is no malignant transformation in the local tissues of tenosynovitis. The underlying mechanism of tenosynovitis involves aseptic inflammation due to the tendons' load-bearing activities. Long-term recurrence can lead to local scar hyperplasia. Post-surgical treatment should avoid repeated load-bearing activities to reduce recurrence.
Does sciatica cause numbness in the legs?
Sciatica can cause sensory abnormalities in one lower limb and even lead to muscle weakness. It can also cause numbness and sensory abnormalities on the dorsum or sole of the foot. However, foot numbness should first exclude causes like exposure to cold or poor blood circulation in the lower limbs. After excluding other causes of foot numbness, it can be diagnosed as sciatica-induced symptoms such as foot numbness. At this time, it is advisable to actively nourish the nerves and avoid certain postures that may aggravate sciatica. Additionally, sciatica can also be caused by lumbar disc herniation, or simply by the local compression of the sciatic nerve in its course.
Is it useful to take calcium supplements for sciatica?
Generally speaking, supplementing calcium has very limited effects on sciatica. Sciatica is typically caused by compression at the location where the nerves deviate, or by herniated lumbar discs, leading to compression of the sciatic nerve. This means that different compression sites require different treatment methods. For sciatica, if it is caused by a herniated lumbar disc compressing the nerve, minimally invasive surgery can be performed when necessary to remove the protruding disc tissue. If the sciatic nerve is compressed near the buttocks or the piriformis, surgery may be required to remove part of the tissue to relieve or loosen the compressed sciatic nerve. In terms of medication, oral nutritional supplements for nerves, anti-inflammatory and blood-activating drugs can be used to improve the condition of the compressed sciatic nerve. This can further alleviate corresponding symptoms such as pain and sensory abnormalities, while the role of calcium supplementation is very limited or ineffective. (The use of medication should be under the guidance of a professional doctor.)
Can lumbar disc herniation sleep on a latex mattress?
Generally speaking, for lumbar disc herniation, it is recommended to use a firm bed and avoid exposure to cold conditions, which helps alleviate symptoms and prevents further aggravation. Latex mattresses, as advertised and if of good quality, can also be used. Firstly, a quality latex mattress can conform well to the natural physiological curvature of the entire spine. This means that the latex mattress can accommodate the normal curvature of the waist without exacerbating issues, unlike overly soft mattresses which can lead to increased back pain and other symptoms. However, it is still necessary to use qualified products and assess them carefully.
How to treat folliculitis in the buttocks area?
Folliculitis in the buttocks should first avoid continued exposure to damp environments, keeping the area dry, and applying topical medications such as Rifan and potassium permanganate solution. Apply these topically twice a day, in the morning and evening, along with oral anti-inflammatory and antibacterial medication. Topical application of traditional Chinese medicine plasters, such as those promoting tissue regrowth and pus discharge, can also be used to break open and heal the pus-filled abscesses formed after folliculitis. Alternatively, using Western medicine approaches, after the acute inflammation and redness subside and significant abscesses form, incision and drainage can be performed. Both of these methods are viable, but avoid incisions and surgical treatments during the acute phase.
Apply heat to the lumbar muscles area for lumbar muscle strain.
Mostly, the affected areas with definite tender points are recommended for appropriate hot compresses, which can effectively improve lumbar muscle strain. In addition, lumbar muscle strain may be accompanied by definite local tender points, especially at the locations where muscle damage is clear. Applying hot compresses there can also effectively alleviate back pain and symptoms of restricted movement. It is recommended to persist with hot compresses, use heating pads, or apply some medicated plasters daily. Use heating pads once or twice a day, each session lasting 10 to 20 minutes. If using medicated plasters, follow the instructions, continuing for one to two weeks. Moreover, during the recovery period, avoid prolonged sitting, standing, and heavy lifting activities. (The use of medications should be carried out under the guidance of a professional doctor.)
How to alleviate the pain of osteosarcoma?
Pain in osteosarcoma patients is mostly caused by the cancer invading local bone tissue and other tissues, leading to pain, tenderness, and even sleeplessness. Therefore, the pain management follows a certain hierarchy, starting with non-steroidal anti-inflammatory drugs, followed by weak opioids, and finally strong opioids such as morphine. However, this only alleviates the pain and does not help with treatment. For early-stage osteosarcoma patients, pain management primarily involves surgery when necessary. For advanced-stage patients, it involves gradually increasing the dose of effective pain-relief medications to alleviate temporary pain. (Controlled drugs must be strictly used under the supervision of relevant physicians.)
Does osteosarcoma spread through blood?
As far as we know, osteosarcoma is not transmitted through blood or infectious. If osteosarcoma had such infectious characteristics, it would be transmitted in the same way as AIDS or other sexually transmitted diseases and would be classified as a contagious disease. However, there has been no notification or relevant guidelines to date indicating that osteosarcoma can be transmitted through blood. Therefore, normal contact with patients with osteosarcoma, or caring for patients with osteosarcoma, including sharing the same food or coming into contact with their blood, generally does not lead to the transmission or contraction of osteosarcoma.
Where to perform moxibustion for sciatica
Typical sciatica, in addition to soreness and numbness in the buttocks, is accompanied by sensory abnormalities in the back of the thigh, the back of the calf, the lateral muscles, and the foot. Thus, the location for moxibustion treatment spans from the buttocks to the thigh and calf, targeting corresponding traditional Chinese medicine acupoints progressively. This can alleviate, to some extent, the sensory abnormalities in the buttocks and lower limbs caused by sciatica. It is recommended to concurrently take oral medications that nourish the nerves to collectively reduce symptoms and shorten the duration of the illness. If there is no significant relief after two to four weeks of treatment, it is advised to revisit the hospital for further examination and treatment. Hospitalization for systematic treatment may be necessary.