Preview of lecture: "ideas and exploration on treatment of back pain" – InfraredHeatingTherapy | back pain/backache/lumbar disc herniation

Ideas and exploration of treatment for backache

Time: 15:00 ~ 15:30, September 10, 2019

Location: room no.4, building no.1, dianchi academy

Content: back pain is a common clinical symptom, often involving the chest, upper limbs, the traditional medical department is cardiovascular, respiratory, but most of the back pain because muscle contracture, trauma, or spinal deformation, is not a medical disease, the public lecture introduces yunnan province hospital of traditional Chinese medicine massage on muscle contracture, trauma, cause of back pain or spinal deformation method of conservative treatment, let backache patients know more about the disease basic train of thought, understanding &experience backache in the matters of attention in the daily life, ill cure, no disease prevention, welcome the masses of friends to actively participate in!

Speaker: wang ang, attending physician, good at diseases: good at the use of traditional Chinese medicine manipulation, the treatment of spine and spine related diseases. We have rich experience in treating diseases such as spinal facet joint disorder, cervical spondylosis, lumbar disc herniation, lumbar degenerative diseases, sacroiliac joint syndrome, periarthritis of shoulder and osteoarthritis of knee joint.

Best care for patients with lumbar disc herniation: do these things to avoid surgery – InfraredHeatingTherapy | herniated disc/lumbar spine/lumbar disc herniation

One, the mind scheduling

The person's mental activity is the root that allocates human body whole activity, need mental state only steep, we just adjust correct treat the disease of the body, make correct choice, so mental dispatch is crucial. The first thing to the right state of mind to bear their own sick practice, to be quiet face. Lumbar disc protrusion more than 90% preservation treatment can be restored, the real need to do surgery only 10%, do not worry too much.

Second, the diet arrangement

Lumbar disc herniation patients due to disease and reduce the certain amount of activity, so the intake of food should also be appropriate to reduce, gastrointestinal activities slow, digestion function decline, it should be reasonable arrangements for food.

back surgery

Careful eat more meals, eat more fruits and vegetables and beans food, eat some high calcium content of food, such as milk, dairy products, shrimp, seaweed, sesame paste, soy products, is conducive to calcium compensation, but the lumbar spine has grown bone spur (bone hyperplasia) patients should not cause too much calcium. Eat meat as far as possible little reach adipose amount taller food, because its easy cause defecate drab, defecate is forced and bring about disease condition aggravation.

back surgery

3. Daily maintenance

More than 1, lie

Bed rest is the most radical treatment for lumbar disc herniation. Lie in bed when having a rest, lumbar intervertebral disc just is relaxed condition, lie flat still can reduce nerve inflammatory material, stimulative toxin is absorbed, be helpful for inflammation appendicitis and restore, together, also can prevent the occurrence of nerve root adhesion. Posture can lie flat also can lie on the side, comfortable to the patient as appropriate, but should be careful when turning the body can not "twist twist", can not turn the upper body first, the lower body after turning, such changes may harm the waist dish, it is best to turn the upper and lower body together.

back surgery

2. Keep warm:

A protrusion of the disc causes inflammation in the area, which is active in cold, moist air. Has been suffering from lumbar disc herniation patients to do a good job of cold preservation, especially season replacement time, can choose both braking and thermal insulation, breathable, not sweat high performance recovery to protect the waist, this is also an important way to prevent the recurrence of lumbar disc herniation.

back surgery

3, daily exercise careful:

Patients who already have a herniated disc may not be unable to practice, but it is important to prevent vigorous and excessive exercise. In daily life, as far as possible to take less weight, patients with lumbar disc herniation to move things as far as possible close to their body, not too far away from the body, choose squat bending posture, as far as possible to do not bend, in order to reduce the pressure on the back of the disc. When getting up in the morning, want to pass to stand waist, carry the action such as leg to loosen waist first, lie on the side next with arm support body gets up.

back surgery

Do not stand for too long, and do proper in-situ activities, especially lower-back activities, to eliminate lower-back muscle fatigue. When necessary, a small pillow or cushion can be placed at the back of the waist to maintain the normal physiological curvature of the lumbar spine and reduce the waist muscle fatigue. In insisting on the suitable method, the correct posture, the complacent principle, perseverance, carries on the proper restoration gymnastics movement according to the waist.

back surgery

4. Weight loss:

Many patients with lumbar disc herniation are overweight, but the increase in weight will increase the pressure of the disc, so weight loss is an important way to prevent lumbar disc herniation.

back surgery

Between lumbar dish has protrusion, do not want an operation to come in, minute let you know how to do – InfraredHeatingTherapy | lumbar spine

1. Rest: a basic condition for recovery from any injury, especially for the affected vertebral segment. According to the condition can take the following measure: lie wooden plank bed to rest absolutely: apply to the condition is more serious person.

back surgery

2. Promote the return of nucleus pulposus: the main ways are as follows:

A. Pelvic band traction: 24h all-day continuous traction is the best, with an effective rate of more than 60%, especially for nucleus pulposus protrusion. It usually lasts for 3 weeks, and the cast is replaced after 3 weeks.

B. mechanical traction: use various traction devices, including mechanical or electric traction bed for intermittent traction. Applicable to acute protrusion, the effective rate is slightly lower than the former.

C. manipulation: the operator will apply manipulation to the lumbar spine under traction (pull) with bare hands to restore the protruding nucleus pulposus. Efficiency depends on the operator.

back surgery

3, eliminate reactive edema: root sleeve edema is not only cause one of the main causes of acute root pain, and easy to cause secondary arachnoid adhesion, therefore, should try to make its early resolution. What a lot of people choose at present is the jing gu kang on tao ** treasure sticks this kind of external apply means, reaction is beautiful.

back surgery

The following is to introduce to you, in the daily life diet, also need to pay more attention to:

In the daily diet of food, medicine, food combination to quite a lot, such as lamb, sheep kidney, pig kidney, eel, turtle, turtle meat, sparrows, snake meat, lobster, cuttlefish, sword bean, black beans, sesame, medlar, mulberry son, dogwood, schisandra fruit, raspberry, cortex periplocae, coix seed, Chinese yam, mushrooms, fragrant, dried tangerine or orange peel, tokay, dangshen, eucommia bark, rhizoma ligustici wallichii, etc. The dish between the waist protrusion benefit eats some more, above food has certain temperature to raise, adjust fill qi blood, can raise the action of immunity.

back surgery

In addition to the choice of therapy, the requirements of diet in daily life is also the most important, must avoid food, the choice of the eat, nutrition balance, food therapy collocation therapy can make the disease faster relief rehabilitation, follow the dietary principles to eat health, also be careful "disaster from the mouth into"! Finally, I wish you get rid of the trouble as soon as possible!

A lazy posture is good for the back, scientists have claimed – InfraredHeatingTherapy | lower back pain/back pain/neck pain

This article was compiled by the daily mail and reference news

Since childhood, teachers and parents have asked us to "sit up straight", not hunched over or slumped on the sofa.

But new evidence suggests that sitting down with your whole body relaxed may be good for your back. Is it true?

back surgery

Sit up straight! Stop slouching! It's a familiar order barked at us since school days — and it remains the golden rule of how to sit.

Sit up straight! Don't slouch! It's a command we've been familiar with since school days, and it's been the standard rule for proper sitting.

It 's been balancing a book on your head, or imagining a piece of string pulling your shoulders forward the between, we' ve tried all the methods to practise good posture.

Whether it's balancing a book on your head or imagining a rope connecting your shoulders to the roof of your house, we've tried all sorts of ways to practice "good" sitting.

back surgery

"The best of us" stills source: douban

Health officials have long warned that slumping, whether at a computer or in front of the television, is aSure – the fireRoute to crippling back and neck pain — or worse.

Health officials have long warned that whether you're sitting in front of a computer or a television, slouching in a posture can lead to shoulder and back pain or worse.

back surgery

Our dedication to a perfect seated position has fuelled the an – industry, geared to getting us to sit up straight, we spend billions of pounds each year on posture correcting chairs, Apps and even clothing — but emerging evidence suggests thatSlouching may not be so evil after all.

Our obsession with the perfect sitting position has driven the industry, and it has also driven us to sit up straight. We spend billions of pounds a year on chairs, apps and even clothes to correct our posture, but new evidence suggests slouching may not be so bad after all.

In fact, with research indicating thatSlumping may help to keep our spines in shape, experts are starting to advise against sitting up straight.

In fact, studies have shown that slouch helps maintain the shape of the spine, and experts are beginning to advise against sitting so straight.

back surgery

A lazy posture relieves joint and muscle pain

It has had been thought that sitting slumped, with the shoulders hunched and back arched, can put excess strain on thevertebraeIn the spine.

It is thought that sitting hunched – with shoulders hunched and the back arched – puts excessive pressure on the spine.

This is because as the upper body leans forward, the weight of the brain and head -, forcing the spine to carry a heavier load.

This is because, as the upper body leans forward, pressure from the brain and head increases, forcing the spine to bear a heavier load.

But a slew of studies now suggests this is unlikely to cause thecascadeOf back troubles previously predicted.

But now there is a body of research suggesting that this pose is unlikely to cause the chain of events previously predicted.

In fact, sitting slumped can keep the spine intact and even ease to be and muscle pain.

In fact, sitting hunched over your back can protect your spine from injury and even relieve joint and muscle pain.

In one 2018 paper, slump – sitting postures were seen to help the to happens the amount of fluid in between spinal discs, reducing stiffness. The posture was also seen to happens spinal height over time.

In a 2018 paper, researchers concluded that hunched posture helps increase lubrication between the discs and relieve stiffness. This position also increases the height of the spine over time.

Physiotherapists at the university hospital of north tees in stockton – on – tees who carried out the study concluded that some slouching can dojo.provide a valuable alternative to upright sitting "in Patients with lower back pain.

Physiotherapists at northtees university hospital in stockton, UK, who carried out the study, concluded that for patients with low back pain, sometimes slouching "is a good alternative to sitting straight".

In addition, Australian studies have found thatThe when interspersed with periods of sitting upright, slouching can relax strained Muscles in the core and legs.

In addition, Australian studies have shown that alternating a slouchy sitting position with a straight one relaxes tense muscles in the core trunk and legs.

back surgery

Source: douban

London – -basedosteopathGavin Smith explains:"While sitting straight activates muscles in the abdomen and pelvis and back, slump – sitting relaxes them."

"Sitting up straight activates the muscles in the abdomen, pelvis and back, while slouching relaxes the muscles," explains Gavin Smith, a London orthopaedic surgeon.

"Because these muscles are chronically over – active in people with lower back pain, some periodic relaxation of them is helpful."

"Because these muscles are chronically overactive in patients with low back pain, regular relaxation can be helpful."

"Alternating between comfortable and relaxed upright and slumped postures is probably the best way to sit at your desk."

'switching between a comfortable, relaxed upright position and a slouchy sitting position is probably the best way to sit at a desk.'

Trying too hard to sit as we are told to 5 – feet flat on the floor, the back straight and shoulders back with an s – shape curve to the spine – can backfire, More bugs are found in the middle back and breathing problems over time.

At work we are told to sit up straight, with our feet flat on the ground, our backs straight, our shoulders back and our spine curved in an s-shape. But sitting too hard in a straight posture can backfire, leading to tension in the middle of the back and breathing problems over time.

Solve back pain? Stand and sit

"According to some experts, providing you a get up and walk around every now and then, slumping is harmless.

Some experts say slouching is harmless as long as you get up and move around from time to time.

Gavin Smith explains:"Sitting or standing in any position for prolonged periods is unwise."And let's say that" slumping in itself is no worse for us than sitting up straight, provided we don't do it all the time."

Gavin Smith explains: 'it is unwise to sit or stand in any position for long periods of time. As long as we're not slouching all the time, the posture itself is no worse than sitting up straight."

In studies published in the journal spine, Australian researchers found a combination of slumping and sitting upright was far superior to sitting in one position for maintaining a stable spine and strong muscles.

In some studies published in the journal spine, Australian researchers found that a combination of slouching and sitting up straight is much better than holding one position when it comes to keeping the spine stable and muscular.

Another study, published in the journal ergonomics supports the benefits of switching positions throughout the day.

Another study, published in the journal ergonomics, supports the benefits of switching your posture throughout the day.

Please answer 1988 stills source: douban

The researchers found that those only using "standing desks" had significantly more legs and back pain. The adjustable desks that allow some sitting and some standing are better, But Smith says they are not aCure -all.

The researchers found that leg and back pain was significantly worse in those who used only standing desks. Adjustable desks work better when you can sit or stand. But it's not a panacea, Smith says.

"If you are relaxed at a standing desk for an hour, then that is fine," he says. "but you should try not be in any one position for longer than an hour or so."

'if you stand at a standing desk for an hour, relaxed, that's fine,' he says. But try not to stay in any position for more than an hour."

Prolonged sitting eventually causes theglutealmuscles in thebuttocksTo become lazy and the hamstrings in the backs of the thighs to shorten and tighten.

Sitting for long periods of time will eventually result in lazy gluteal muscles in the buttocks and shorter and tighter hamstrings in the back of the thighs.

It – the risk of the back and shoulder pain as well as strains the when you get up to move immediately after sitting.

Sitting for long periods of time increases the risk of back and shoulder pain and increases the muscle tension you feel when you get up and move immediately after sitting.

This is according to most physiotherapists now warn against long periods of continuous sitting – but not slumping.

So instead of warning people not to slouch, most physiotherapists now warn people not to sit for too long.

What matters more than correct sitting posture is that you simply fidget, move around and change position regularly.

More important than the right posture is that you move around, move around, and change your posture.

[waist and back rehabilitation] ventilate blood for 10 minutes, once a day, instantly relieve back pain (GIF guide) – InfraredHeatingTherapy | back pain

Practice:Stand up straight and find a towel; With palms facing down, grab both ends of the towel (shoulder-width apart) and slowly lift your arms over your head, continuing back to your limit.

Stretch the spine to relieve fatigue

back doctor

Practice:Stretch your legs straight and together in front of you, tightening your muscles; Tip of the foot back toward the direction of the body hook (feel calf belly stretch), heel pedal ground;

At the same time, the hands ten fingers interlock, palm toward the sky direction flip, arm straight, as far as possible fully stretch up, find the spine was pulled feeling.

Hold this position for 10 seconds, relax and do it again.

Lift shoulder loose shoulder neck protection

back doctor

Practice:Stand up straight, lift your shoulders, and feel the tension of your shoulders. Hold this feeling for 15 seconds, relax your shoulders and do it again.

If you find that stretching prevents you from breathing naturally, then it's not really relaxing. Remember to turn your body back a bit.

Roll out shoulder acid

back doctor

Practice:Buy a rolling pin and roll it back and forth under your feet for 10 to 15 minutes a day.

If you have discomfort in your shoulders and neck, the area of your feet will feel painful and grainy.

Yoga butterfly promotes blood circulation

back doctor

Practice:Bend your legs, feet facing each other. Hold the toes with both hands, knees open to the sides, as far as possible to the ground, the waist should be straight, knees rhythm to the floor vibration.

Two legs one minute repair liver and kidney

back doctor

Practice:Keep your legs straight and apart, tip your toes back, grab your toes in your hands, and slowly press your body down.

Note:When practicing, as long as the big hamstring after the leg has a stretch on it.

Retract the toe to comb the bladder passage

back doctor

Practice:Legs straight and together, toes back hook, both hands holding the toes, slowly press down to the back of the thigh to have the feeling of stretch.

Roll and knead houxi cave to relieve eye fatigue

back doctor

Practice:The eye that sees screen everyday is dry? You can put your hands on the edge of the table and use your wrist to move your hands and roll them back and forth easily.

It has a slight ache as it rolls. Stick to come down, have very good protection to cervical vertebra and eyesight.

Did you get it?

Click on the"nice"Let's practice together!

Shanghai otolaryngology department, breast surgery, spinal surgery, hepatobiliary surgery, gastrointestinal surgery experts sit – InfraredHeatingTherapy | lumbar disc herniation/spinal stenosis/lumbar spinal stenosis

June

On the morning of Saturday, June 29,Department of otolaryngology, the first affiliated hospital of Shanghai jiaotong universityProfessor wangjieConsultation room 316, area c, floor 3, louqiao hospital

Booking hotline:

13957738518 (deputy chief physician zhang yu)

0577-88059166, 88883131,

In July

On Saturday, July 6,Shanghai ruijin hospital breast centerProfessor li yafen"Shanghai famous hospital", area c, floor 5, louqiao hospital

13506663311 (deputy chief physician zeng yong)

Sunday, July 14,Department of spinal surgery, Shanghai huashan hospitalProfessor shaxinlei"Shanghai famous hospital", area c, 5th floor, louqiao hospital

13806540909 (deputy chief physician wang fengfeng)

13777780201 (deputy chief physician zheng yuanbo)

On Saturday, July 20,Shanghai ruijin hospital breast centerThe professor huang"Shanghai famous hospital", area c, 5th floor, louqiao hospital

On the morning of Saturday, July 20,Shanghai Oriental hepatobiliary hospitalProfessor cheng shu-qun"Shanghai famous hospital", area c, 5th floor, louqiao hospital

(deputy chief physician hu yiren)

On Tuesday, July 23,Department of gastrointestinal surgery, Shanghai ruijin hospitalProfessor zheng minhua"Shanghai famous hospital", area c, 5th floor, louqiao hospital

(chief physician tong xiaochun)

Expert introduction

back specialist

wangjie

Chief physician

1984.6 graduated from the medical department of Shanghai second medical university

1984.7 worked in the department of otolaryngology of Shanghai first people's hospital

1992.4-1994.3 studied in the department of otolaryngology of suogu hospital affiliated to Japan independent association medical university.

Administrative position:

Shanghai first people's hospital; Shanghai first people's hospital otolaryngology head and neck surgery deputy director

Social part-time job:

Member of otolaryngology head and neck surgery committee of China association of non-public medical institutions

Chinese traditional and western medicine otolaryngology professional committee member tinnitus expert committee member

Member of vertigo medicine committee of Chinese research hospital association

Standing member of otolaryngology professional committee of Shanghai integrated traditional Chinese and western medicine

Specializes in: ear microsurgery, ear endoscope surgery, facial nerve microsurgery, nasal endoscope surgery, traumatic optic nerve contusion treatment, minimally invasive treatment of lacrimal duct obstruction.

back specialist

Ya-feng li

Chief physician, deputy director of breast disease diagnosis and treatment center of ruijin hospital affiliated to Shanghai jiao tong university medical college. Chinese anti-cancer association of professional committee of the breast cancer, 5, 6 Olympic committee, Shanghai expert member of technical appraisal for medical accident dispute, the Shanghai association of breast cancer, deputy director of professional committee members, the Chinese medical doctor association surgeon branch breast surgeon committee, the third session of the theory and practice of surgery magazine editors. Good at breast disease diagnosis and treatment.

back specialist

Amoi ray

The Chinese medical doctor association members, the orthopedic surgeon branch of minimally invasive spine branch of the Chinese medical doctor association member of the orthopedic surgeon branch of spinal pain branch, Shanghai medical association branch of orthopedic specialist of the minimally invasive group members, the Chinese medical association branch of bone science youth commissions minimally invasive and intelligence committee members, the Chinese research society of orthopaedic hospital innovation and transformation of the professional committee of digital minimally invasive spinal surgery group members, the standing committee and the of Shanghai association of traditional Chinese and western medicine combined with spinal branch of the minimally invasive spine group deputy head, of Shanghai association of traditional Chinese and western medicine combined with minimally invasive bone of the spine group deputy head, spinal cord branch of Shanghai rehabilitation medical association member, Aospine domestic lecturer.

Engaged in orthopedic clinical work for decades, familiar with the diagnosis and treatment of various diseases in spinal surgery, especially good at minimally invasive spinal surgery.

back specialist

Yellow o

Doctor of surgery, master of oncology, senior chief surgeon. In 2004, I began to receive clinical and skill training of breast diseases in the affiliated tumor hospital of fudan university. In 2009, I participated in the preparation of the present breast disease diagnosis and treatment center of ruijin hospital. Now he is the senior deputy chief physician of the surgery department of the center, and now he is employed by professor li yafen as the leader of the third group. She is good at radical surgery for breast cancer, breast cancer reservation surgery, breast plastic reconstruction after breast cancer surgery, minimally invasive breast surgery, breast cancer axillary surgery, and systemic treatment and follow-up after breast cancer surgery. Participated in the compilation of 7 monographs on mammary glands. From 2009 to 2010, she was engaged in the research of breast cancer drugs and basic theoretical exploration in the "state key laboratory" of Shanghai institute of materia medica, Chinese Academy of Sciences. Presided over three national projects, Shanghai projects and academy projects, and participated in 7 other national and major projects. He has published more than 30 articles in domestic journals and more than 20 sci papers in international journals, among which 11 articles have been published as the first author in breast cancer research and treatment, BMC cancer and other internationally renowned journals. Participated in Shanghai medical aid to yunnan (nujiang lisu autonomous prefecture, yunnan, 2011-2012). Every year regularly in the national breast disease training class conference lecture "breast cancer surgical treatment progress" and "breast cancer chemotherapy", and the national breast cosmetic minimally invasive surgery training class to do surgery presentation and lectures. At present, there are more than 1800 minimally invasive surgeries and 1000 breast cancer surgeries. It has rich clinical experience in adjuvant chemotherapy, endocrine therapy and targeted therapy.

back specialist

Cheng woodlot

Chief physician, professor, doctoral supervisor, special professor of cheungkong scholars of the Ministry of Education, winner of national outstanding youth fund, special allowance of the State Council, "young and middle-aged experts with outstanding contributions" of national talent project, leading medical talents in Shanghai. Currently, he is the director of the sixth department of extrahepatic surgery of Oriental hepatobiliary surgery hospital affiliated to the second military medical university, the director of the diagnosis and treatment center of portal vein thrombous cancer and the innovation team of portal vein thrombous cancer of the second military medical university. Selected "national outstanding youth fund", "top talent of military innovative talent project", "Shanghai new 100 people plan", "Shanghai outstanding academic leader", "Shanghai shuguang scholar" and other talent projects.

Long engaged in liver surgery and liver metastasis tumor clinical and basic medical research, especially for diagnosis and treatment of hepatic carcinoma with portal venous tumor emboli with unique technology and experience, for complicated and difficulty of huge hepatocellular carcinoma, with portal venous trunk/inferior vena cava tumor emboli liver, caudate lobe of liver cancer, liver mun resection of liver cancer high success rate in China.

back specialist

corder

Chief physician, professor, doctoral supervisor, the incumbent ruijin hospital affiliated to Shanghai jiaotong university school of medicine, director of gastrointestinal surgery, endoscopic surgical world union director, the chairman of the Asian endoscopic and laparoscopic surgeons, laparoscopic and endoscopic surgical surgery branch of Chinese medical association, director of the committee members, the China association of professional committee of laparoscopic colorectal cancer surgery group leader, Shanghai minimally invasive surgical director of the center for clinical medicine. He is also the editorial board member and deputy editor of important academic journals such as Chinese journal of surgery, Chinese journal of general surgery, Chinese journal of practical surgery, Chinese journal of gastrointestinal surgery, Chinese journal of minimally invasive surgery, journal of surgical theory and practice, and journal of laparoscopic surgery.

Professor corder pioneered in east China area for laparoscopic cholecystectomy, and in the domestic leader in laparoscopic colorectal surgery, laparoscopic adrenalectomy, laparoscopic hernia repair and so on, has conducted more than 15000 cases, more than 40 laparoscopic surgery, laparoscopic surgical treatment of biliary disease and colorectal cancer in the international advanced level. He has published more than 90 papers, edited three monographs and participated in the compilation of six. The project "clinical and basic research on laparoscopic colorectal surgery" led by him won the second prize of science and technology progress of Shanghai, and the project "clinical and basic research on laparoscopic surgery" won the third prize of science and technology progress of Shanghai. He was awarded the title of Shanghai top ten outstanding youth and the silver snake award of Shanghai health system. Enjoy special subsidies from the State Council.

back specialist

alyson

Wenzhou people's hospital

Wenzhou women and children's hospital

Zhejiang otolaryngology – head and neck surgery branch, Chinese medical association

Graduated from wenzhou medical university in 1994, studied in the department of otolaryngology of the second affiliated hospital of zhejiang medical university in 1997, attended the study class of endoscopy of zhongshan medical university in 1998, and the study class of allergic rhinitis of fudan university in 2005

Scientific research achievements: scientific research project of wenzhou science and technology bureau (y20060283) "dust mite drops" for the treatment of allergic rhinitis caused by dust mites, 2007-2008, presided over, the project has been concluded; Participated in many scientific research projects of wenzhou science and technology bureau, wrote and published more than 10 medical papers.

Expertise: individualized treatment of allergic rhinitis: immunotherapy (desensitization therapy), selective pterygial nerve blocking therapy, anterior sieve nerve blocking therapy and drug therapy; Endoscopic minimally invasive surgery for chronic rhinitis, sinusitis, nasal polyps, benign nasal tumors, nasal septum deviation, refractory epistaxis, chronic dacryocystitis, etc. Minimally invasive surgical treatment of tonsils, adenoids, epiglottis cysts and osahs was performed by low temperature plasma technique. The vocal nodules and vocal polyps were operated by microsurgery. Treatment of sudden deafness, vertigo and tinnitus.

Louqiao courtyard: all day on Monday

Xinhe courtyard: all day on Tuesday

Special outpatient service: room 316, area c, floor 3, louqiao hospital district, Saturday morning

back specialist

jamesd

Wenzhou people's hospital

Wenzhou maternal and child health care hospital

Deputy director of breast surgery, deputy director of tumor surgery, deputy chief physician. Member of tumor committee of wenzhou branch of Chinese medical association, member of wenzhou branch of zhejiang anti-cancer association, member of oncology branch of wenzhou association of integrated Chinese and western medicine. He studied further in the cancer hospital affiliated to fudan university and the second affiliated hospital affiliated to the medical college of zhejiang university. Introduce Shanghai ruijin hospital breast center team, jointly set up wenzhou people's hospital breast diagnosis and treatment center. Presided over 2 municipal level projects, participated in the completion of a number of municipal science and technology bureau projects, published more than 10 papers in national, provincial and above journals.

Specializes in: breast, thyroid, parathyroid disease and the treatment of soft tissue tumors.

Outpatient service:

Xinhe courtyard: all day on Monday

Louqiao courtyard: all day on Tuesday

back specialist

Wang Dafeng

Orthopedic deputy director, deputy chief physician

Good at: cervical spondylosis, lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, spinal fracture and other diseases of the treatment of the spine minimally invasive surgery has certain experience

Xinhe courtyard: all day on Wednesday

back specialist

Zheng Yuanbo

Associate chief orthopaedic physician

Good at: diagnosis and treatment of spinal injury fracture, cervical spondylosis, disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, spinal tumors and other spinal diseases. Especially the lumbar minimally invasive surgery has more experience.

Louqiao courtyard: all day on Friday

back specialist

Hu Yi people

Wenzhou people's hospital

Liver cancer comprehensive diagnosis and treatment center, deputy director, deputy director of general surgery, deputy chief physician. Member of hepatocellular carcinoma committee of Chinese medical doctor association, won the award of zhejiang provincial new medical star, and was selected to wenzhou 551 talent project. He studied further in Cleveland medical center, Shanghai changhai hospital and Oriental hepatobiliary surgery hospital, and introduced professor cheng shuqun's team from Shanghai Oriental hepatobiliary surgery hospital to jointly establish the comprehensive diagnosis and treatment center of liver cancer in wenzhou people's hospital. Published 6 sci papers as the first author or corresponding author, hosted 1 national natural science foundation project and 3 municipal department-level projects, won the third prize for scientific and technological progress in wenzhou, and obtained 5 invention patents.

Specialize in:

Xinhe hospital: Wednesday morning

Louqiao courtyard: Monday morning

TongXiaoChun

Wenzhou people's hospital

Specializes in: gastrointestinal tumors, hepatobiliary surgery diseases, abdominal hernia and other minimally invasive and comprehensive treatment.

Advanced study hospital: Shanghai changhai hospital, Shanghai 8th five hospital, Shanghai ruijin hospital

What can save your back pain? The first OLIF operation was carried out in jinjiang hospital – InfraredHeatingTherapy | back pain/lumbar spine/spinal stenosis

back surgery

Bring aboutPreoperative lumbar spine anterior and lateral radiographs

Jinjiang hospital contacted zhang yuzhu, director of shulan medical consultation. Zhang is a famous expert in spinal surgery from the first affiliated hospital of zhejiang university school of medicine. After detailed analysis of case data, zhang suggested performing oblique lateral lumbar interbody fusion plus posterior lumbar pedicle screw fixation.

back surgery

back surgery

Under the guidance of director zhang yuzhu, director wang xudong's team of the second department of bone surgery successfully performed oblique lateral lumbar interbody fusion (olif)+ posterior lumbar pedicle screw fixation system for the patients as planned. This is also the first case of olif operation in our hospital. The day after the operation, the patient could walk on the ground.

back surgery

back surgery

Bring aboutPostoperative lumbar spine anterior and lateral radiographs

The power of medical technology can be seen in the relieved smiles of patients and their families. We would also like to express our sincere gratitude to zhang yuzhu and other experts from shulan medical for their strong technical support for the construction of orthopedic department in our hospital. Their exquisite technique and rigorous attitude will surely promote our department of orthopaedics to keep pace with The Times, realize rapid and leap-forward development and benefit the people of jinjiang.

Lumbar interbody fusionInterbody fusion (lif) is a classic operation for the treatment of degenerative disease of the lumbar spine. Anterior lumbar interbody fusion (alif) was the earliest application, while posterior lumbar interbody fusion (plif) was the most classic and widely used. In recent years, with the development of surgical techniques towards precision and minimally invasive, a number of minimally invasive intervertebral fusion surgery methods have emerged, mainly including minimally invasive transforaminal lumbar interbody fusion (mis-tlif), extremely lateral lumbar interbody fusion (xlif) and oblique lateral lumbar interbody fusion (olif).

Various lumbar interbody fusion procedures

back surgery

Each lumbar fusion approach

back surgery

Inclined lateral lumbar intervertebral bone graft fusion (oblique has interbody fusion, olif) recently, the international application is more a way of new minimally invasive lumbar spinal fusion surgery. A small incision similar to appThe endicitis operation was made on the side of the abdomen, generally about 5cm. The operation was carried out in this area by placing a working passage between psoas major and abdominal aorta through the intermuscular Spaces of the external oblique, internal oblique and transverse abdominal muscles into the extraperitoneal space.

The advantages of olif

It does not enter the peritoneal cavity, thus greatly reducing the incidence of complications such as abdominal organ injury, peritoneal adhesion and vascular injury.

The operation area is in front of the spinal canal, without exposing the spinal canal, thus avoiding the interference of the spinal membrane and spinal cord in the spinal canal.

During the operation, the facet joint, spinous process, interspinous process ligament and posterior longitudinal ligament were not destroyed, the psoas were not stripped, and the psoas major was not incised. These structures play an important role in maintaining the physiological and mechanical stability of the lumbar spine.

The complication rate of olif nerve injury was low.

Larger intervertebral fusion apparatus can be used to improve the height of intervertebral space and the balance of sagittal position.

The operation time is short, the bleeding is little, the pain is light, the hospitalization time is short, the postoperative recovery is fast.

Indications for olif mainly include

Degenerative lumbar spondylolisthesis, discogenic low back pain, lumbar spinal stenosis, lumbar segmental instability, adjacent segmental degeneration after lumbar surgery, degenerative scoliosis, revision of lumbar surgery, intervertebral infection, trauma, tumor, etc.

1

end

Text b b 0 bone 2 family shen zhengqing

Lingcheng district people's hospital successfully cured patients with traumatic kyphosis – InfraredHeatingTherapy | back pain/spinal decompression/lumbar spine

Dazhong · poster news September 17, Texas (Correspondent section chang yong) recently, the second department of bone department of lingcheng district people's hospital of dezhou successfully cured a case of traumatic kyphosis of the spine and paralysis of both lower limbs.

On July 26, 2019, lingcheng district people's hospital bone department 2 admitted a "troublesome" patient. The 67-year-old woman has been suffering from alzheimer's disease, high blood pressure and severe senile osteoporosis for several years. She developed back pain, inability to get out of bed and standing and walking three weeks ago. Two team bone to ask medical history, physical examination and imaging examination, diagnosis of the lumbar spine pathological compression fracture, senile severe osteoporosis and lumbar spinal stenosis disease, incomplete double lower limbs paralysis, protruding after traumatic spinal deformity, hypertension, alzheimer's disease and other diseases, can only live life lie in bed, not surgery could no longer stand up. In addition, deep vein thrombosis, lung infection, bedsores and other complications can lead to death. Lingcheng people's hospital recommended posterior spinal decompression, bone graft fusion and orthopedic internal fixation.

The old man suffered from alzheimer's disease, commonly known as dementia, and was unable to communicate with others. Surgery is a challenge for both the elderly and the doctor. After repeated consultation from family members and consultation from outpatient departments of several hospitals, we finally decided to give up the conservative treatment of surgery and was discharged on July 28, 2019.

Ling cheng district people's hospital, director of the second department of bone Yang zhenlei carefully examine the patient image results show

On August 21, 2019, the elderly man's eldest son appeared again in the office of Yang zhenlei, director of the second department of bone science. Classics inquiry is informed old person can lie in bed only after coming home, a variety of methods such as plaster are of no help, eat reduce body worse and worse with each passing day. The three sons finally decided to operate on the old man. < / p > < p > lingcheng district people's courtyard bone team in the face of such a patient, know that life is a great responsibility. After admission, the old man had a low blood potassium level of 2.69mmol/l, and his general condition was poor. Therefore, he adjusted various physiological indicators actively, conducted preoperative case discussion, invited multi-disciplinary consultation, and made full preoperative preparation. On August 28, 2019, the patient was subjected to posterior spinal lamina decompression, bone graft fusion and orthopedic internal fixation under general anesthesia.

After the attending physician duan changyong and the chief nurse sun yuting led the nursing team of meticulous care, lie in bed for more than 2 months of the elderly miraculously stood up. Looking at the old man who has functional exercise in the corridor, the family showed the long-lost smile. Exclamation ground say: "know operation result is so good, did an operation to the old man early! My sincere thanks go to the medical staff of lingcheng district people's hospital."

Responsible editor: wang xiubo

A new weapon for the treatment of cervical spondylotic myelopathy :centerpiece titanium plate – InfraredHeatingTherapy | neck pain/spinal stenosis/cervical spinal stenosis

Multiple segmental cervical spondylotic myelopathy (MCM) is a common type of cervical spondylosis and often requires surgical treatment. The main cause of its onset is cervical spine trauma, chronic strain, degenerative changes and congenital developmental abnormalities caused by spinal stenosis and posterior longitudinal ligament ossification. Clinical manifestations: limb numbness, weakness, walking instability, clumsy gait (cotton sense), hands fine movement decline.

Experts from the department of bone spine of qianfoshan hospital in shandong province said that the single open cervical canal expanded plasty has been recognized as one of the most effective methods for the treatment of cervical spinal stenosis, but there are shortcomings such as postoperative spinal canal restenosis and stubborn axial symptoms, limiting its promotion. Centerpiece titanium plate is a kind of micro-titanium plate of posterior cervical laminoplasty internal fixation system. It can expand and decompress the spinal canal, relieve the compression of nerves and spinal cord, and maintain the cervical vertebra motion after surgery. Compared with the traditional single-door expanded cervical laminoplasty, it has its advantages:

1. Minimally invasive, reducing excessive dissection and exposure of paravertebral muscle, and reducing intraoperative bleeding; The physiological structure of the posterior column of the cervical spine is retained, which is more consistent with the physiological characteristics from the biomechanics and reduces the postoperative cervical instability.

2. Support. As a supporting titanium plate, it can provide more stable support, reduce the pressure of scar tissue, effectively prevent the re-closing of the door, and avoid adhesion between the dural sac and surrounding tissues.

3, safe, centerpiece titanium plate, screw does not need to enter the spinal canal, reduce the risk of injury to the dural sac and spinal cord, high safety.

4. Early activity. In the past, long-term cervical braking after posterior cervical surgery often caused discomfort such as neck pain and stiffness.

Typical case: male, 42 years old, admitted to the department of bone and spinal column of qianfo hospital, shandong province for 4 months due to numbness and weakness of limbs. Imaging examination suggested ossification of posterior longitudinal ligament of cervical spine with obvious stenosis of cervical spinal canal. Hospital diagnosis of multiple segmental myelopathic type was longitudinal ligament ossification after the merger of cervical vertebra disease, cervical spondylosis the division director Zhang Kaining professor team after discussion, decisions for patients with cervical posterior single door vertebral canal expanded keratoplasty (centerpiece miniature titanium plate), postoperative patients with limb symptoms eased significantly, on the third day after normal activities on fields, 6 days after discharge.

(qilu evening news · qilu one point reporter Chen xiaoli correspondent xiao xing)

Does lumbar back ache old bad? Beware of multiple myeloma – InfraredHeatingTherapy | backache

Grandpa wang suffered from backache recently. After going to the hospital for examination, he found a big tumor on his spine. What kind of tumor targets the bone? What effect does this tumor have after it invades the bone? What should we do about it? Today, we're going to unearth multiple myeloma, the most common primary tumor of the spine.

What are the common symptoms of multiple myeloma?

Bone pain is the most common initial symptom of multiple myeloma. Multiple myeloma can produce osteolytic lesions in the bone, and about 70% of patients experience significant pain at the site of the lesion. Bone pain is more than the body of the spine, skull, ribs, bone proximal end. As the lesion develops, it leads to pathological fracture, and patients usually have symptoms of local pain. About 8-10% of patients will result in compression of the spinal cord and nerves due to pathological fracture of the spine or growth of solid tumors, as well as neurological impairment, defecation and urination disorders and even paraplegia. Therefore, a series of clinical complications, such as pathological fracture, spinal cord and nerve root compression, osteoporosis, hypercalcemia and bone pain, are called multiple myeloma osteopathy.

Currently, effective hematologic treatment and health guidance have enabled more than half of myeloma patients with lysotic disease to live longer than 5 years. But these treatments are still not effective in curing bone lesions. Patients who have been diagnosed with multiple myeloma are at risk of fracture and related events even if they are treated as planned. Broken bones, paralysis and other events bring physical pain, a diminished quality of life, and the risk of surgery and death.

So how do orthopedic surgeons diagnose multiple myeloma?

A complete diagnosis of osteopathy usually requires a clear history of multiple myeloma, typical clinical manifestations of osteopathy, and appropriate imaging results. Patients with multiple myeloma who have been diagnosed in the hematology department, the diagnosis process is relatively simple. For patients with bone pain, pathological fracture, bone destruction, nerve compression and soft tissue mass first diagnosed in the orthopedic department, the orthopedic doctor will confirm the diagnosis of multiple myeloma through the detection of immunoglobulin in bone marrow, blood and urine. Next, the orthopedic surgeon performs x-rays, ct, mri, and even pet/ct to determine the extent of the lesion, tumor cell proliferation activity, and compression of the spinal cord and nerve roots. When necessary, the orthopedic surgeon will cooperate with the hematologist to select the appropriate site for the first biopsy to confirm the diagnosis.

What circumstance needs orthopedic operation to intervene?

The current view is that surgical intervention is only an auxiliary way to treat multiple myeloma. The purpose of the surgery is not to eradicate multiple myeloma, but to improve the quality of life of patients and create conditions for continuing radiotherapy and chemotherapy. At present, domestic experts generally believe that the following conditions can be treated by surgery: 1. Multiple myeloma combined with spinal instability or pathological fracture; 2. 2. Multiple myeloma spinal lesions compress the spinal cord and nerve roots, resulting in progressive impairment of nerve function; 3. The location of intractable pain was clear and consistent with the location of multiple myeloma osteopathy; Pathologic or potential pathologic fractures of the extremities: 5. Puncture or open biopsy to provide pathological diagnosis. However, if the patient is in poor general condition, unable to tolerate surgery, or heart, lung and renal failure cannot be controlled, or severe coagulation dysfunction cannot be corrected, or severe infection cannot be controlled, surgical treatment is not appropriate. At the same time, patients should be subjected to rigorous evaluation by a hematologist prior to surgical treatment, and prognosis should be assessed with reference to staging and risk stratification (expected survival time > 3 months). The latest evidence-based medicine view holds that surgery should be performed as soon as possible when paraplegia or pathologic fracture of long bone develops rapidly in a short period of time. In other cases, it is recommended to first receive more than one course of systemic hematology-led treatment before assessing the need for surgery.

How do orthopedic surgeons intervene in multiple myeloma?

Orthopedic surgeons generally select the appropriate type of surgery according to the tumor growth site and carry out targeted surgery to create conditions for the follow-up treatment of patients. Depending on the lesion site, surgery generally includes minimally invasive vertebroplasty (PVP/PKP) of the spine, open resection of the tumor, decompression, and internal fixation. Excision or curettage of the long bones of the extremities and pelvis and cementing of the bone; Artificial femoral head replacement for pathologic fracture of femoral neck; Partial sacral or total sacral resection of the sacrum. If continuity is involved in the destruction of bone, local continuity reconstruction is required. In addition to multiple myeloma caused by systemic spread of neoplastic plasma cells, there are two other types of plasma cell tumors. These include extramedullary plasmacytomas of soft tissue and solitary plasmacytomas of bone. Both are locally neoplastic growths of plasma cells, and although they may eventually develop into multiple myeloma, they have the potential to be cured if detected early and excised.

What else should be done after the operation?

In addition to standard chemotherapy, targeted therapy and autologous stem cell transplantation in hematology department, it is also an important part of the treatment of multiple myeloma osteopathy. Patients with creatinine clearance ≥30 ml/min should be treated with bisphosphonates in addition to systemic anti-myeloma therapy. After surgical treatment, in addition to routine hematologic examination, imaging evaluation of the surgical site should be performed regularly. Currently, imaging examination is recommended every 6 to 12 months.

Early detection is the key to the treatment of myeloma. If life is similar to local bone pain old bad symptoms, should be timely to the hospital diagnosis.

This article is scientifically checked by dong jian, director of orthopedics department of zhongshan hospital affiliated to fudan university.

(coordinating editor: intern yu Yang, wang yanhua)

More Pain Releif Information

Bitnami