Analysis of the medical history of “Pain on the right shoulder and back aggravated for 20 days with right upper limb weakness for 3 days”

Medical record analysis: This patient is a middle-aged and elderly woman with a long history of strain (playing mahjong), right shoulder and back pain, soreness, reflex, aggravated with right upper limb weakness, and the degree of cervical spine degeneration is generally seen from X-ray, C5/6 segment Vertebral foramen stenosis; MRI showed: C3/4, C5/6 intervertebral disc protrusion was obvious, and the dura sac compression was obvious, C6 vertebral endplate inflammation was present, and the sum was consistent with the diagnosis of cervical spondylopathy, but in the end it was nerve Root type or spinal type? The patient’s symptoms are mainly shoulder and back pain on the right side, and radiological symptoms exist. Combining X-ray and MRI have C5/6 segment and intervertebral foramina symptoms. Therefore, cervical spondylotic radiculopathy should be considered more, although C3/4 , C5/6 segment disc herniation, dural sac compression notch exists, but we can see the structure of the spinal cord is clear, there is no circuitous phenomenon and ischemic degeneration, although there are symptoms of weakness in lifting, but it does not rule out the aggravation of pain, and C6 vertebral endplate inflammation also exists, comprehensive analysis considers: cervical spondylotic radiculopathy. Therefore, conservative treatment such as dehydration and nutritional neurotherapy should be effective!

Why the herniated disc makes you so painful

&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Causes of pain caused by lumbar disc herniation: Leg pain is a common symptom of lumbar disc herniation. The reason why patients with lumbar disc herniation may have leg pain is due to the increased pressure in the disc. The nucleus pulposus protrudes, which is caused by nerve compression. Lumbar disc herniation is a series of clinical symptoms and signs manifested by lumbar disc degeneration, fibrous ring rupture, nucleus pulposus protrusion stimulation or compression of nerve roots, cauda equina nerve, commonly known as “lumbar process”, is a common clinical disease and cause The main cause of low back and leg pain often brings a lot of pain to patients’ lives and work, and even causes disability and loss of labor capacity. Lumbar disc herniation is the main cause of low back and leg pain. It is one of the most common clinical diseases in orthopedics, accounting for 10%-15% of patients with low back pain in orthopedics clinics, and 25%-40% of hospitalized patients with low back pain.  The most common symptom of patients with lumbar disc herniation is pain, which can be manifested as low back pain and sciatica. Typical sciatica is radiation pain from the buttocks, the back of the thigh, the outside of the lower leg to the heel or the back of the foot. According to clinical statistics, about 95% of patients with lumbar process have different degrees of low back pain, and 80% of patients have lower limb pain. Low back pain, in particular, is not only the most common symptom of lumbar disc herniation, but also one of the earliest symptoms. The pain is mainly caused by the stimulation and compression of the protruding and degenerated nucleus pulposus to the adjacent tissues (mainly the sinus vertebrae nerve and spinal nerve root), and the biological substances such as glycoproteins in the nucleus pulposus overflow, releasing histamine and causing local chemical inflammation Caused by chemical and mechanical radiculitis, causing mild or severe chronic low back pain. Moreover, the degeneration of the lumbar spine often occurs at the same time in other tissues of the waist, such as facet joints, ligaments, lumbar muscles, etc., causing chronic inflammation of these tissues and causing pain. The two factors interact and aggravate each other, making the waist and leg pain develop progressively.

Self-judgment of flat feet

&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Flat feet are the most frequently concerned foot shape abnormalities of parents, which causes parents to worry about anxiety and is the most common reason for children’s visits during childhood. Flat feet account for outpatient visits 90% of the Ministry’s questions. There are three arches on the foot. 1) Medial arch function: shock absorption, absorb the impact of the ground; disability-lead to flat feet, easy to spread the impact to the calf, even the pelvis. 2) lateral arch function: when walking, it is responsible for supporting and changing the center of gravity; disability-causing walking is not smooth. 3) Crossbow function: the power of the body to move forward; disability-easy forefoot pain, small pace, tight calf. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.Flat feet refer to the fact that because the medial longitudinal arch collapses and the medial sole fits the ground, it cannot absorb body weight and the reaction force of the ground, so it will increase exercise time. The impact of gravity on joints. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. How to judge flat feet? You can observe the line between the Achilles tendon and the heel from the back and side in the standing position, and observe the relationship between the inside of the foot and the ground from the side. As shown in the figure below, you may have a flat foot. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. And flat feet are often not just the collapse of the medial arch, often accompanied by the loss of the lateral arch and the transverse arch. Therefore, the flat feet need attention, how to judge the recoverable flat feet or stiff flat feet? How to check flat feet? What rehabilitation needs to be done? These are all important!

Not all low back pain is lumbar disc herniation

Low back pain has become the most common and common disease in the outpatient orthopedics department, and the outpatient auxiliary examinations with the most low back pain are usually magnetic resonance imaging and CT, and the most test results are lumbar disc herniation or bulging. The most diagnoses made by doctors are also low back Disc herniation, but many patients undergo massage, physiotherapy, acupuncture and other treatments; even after surgical treatment, the symptoms of low back pain are still the same as before, so is our back pain really caused by lumbar disc herniation? Lumbar disc herniation must meet the following elements: First, there must be radioactive pain in the lower back and lower extremities, and this pain must be radiated along the nerve, if not 80% is not lumbar disc herniation. Second, the typical pain of lumbar disc herniation is central pain, which means that the pain must come from within the spinal canal, so when coughing, holding your breath, sneezing to increase abdominal pressure, the pain must be aggravated, and the physical examination of the chest and abdomen is positive. 80% are not lumbar disc herniation. Third, lumbar disc herniation must be supported by imaging, which means that MRI and CT must support lumbar disc herniation, and the image must be consistent with clinical symptoms. However, there is no clinical symptom and diagnosis of lumbar disc herniation without image support alone. Fourth, typical lumbar disc herniation is more painful in the legs than lower back pain, with or without numbness. Old lumbar disc herniation should also be accompanied by neuromuscular atrophy, or cauda equina syndrome. So, what other diseases does lumbago have besides not lumbar disc herniation? There are many diseases that cause low back pain, such as: lumbar facet joint disorder, third lumbar transverse process syndrome, lumbar muscle strain, dorsal fasciitis, sciatica, sacroiliac arthritis, kidney stones, gynecological diseases, etc., causes of low back pain Many, so not all low back pain is lumbar disc herniation. Case 1: A 56-year-old male patient who complained of radioactive pain in the waist and left lower extremity for 3 months, mildly restricted movement, passive posture, body leaning forward, and inability to stand upright. MRI prompt of the external hospital: lumbar disc herniation, diagnosis of the external hospital: lumbar disc herniation, After three months of minimally invasive treatment, massage and physiotherapy, the relief was not obvious. Examination: Straight leg raising test positive, lumbar 4/5 intervertebral space tenderness positive, preliminary consideration is lumbar disc herniation, but careful examination of the lumbar trilateral process marked local tenderness, given a local pain block test, the patient immediately relieved pain He was able to walk upright, and he was given local anesthesia for the treatment of the lumbar trilateral transverse needle demobilization. After the operation, the patient felt 90% of the pain disappeared, and he did not relapse after six months of follow-up. Postoperative diagnosis: lumbar trilateral process syndrome. Medical record 2. The patient is an elderly female, 63 years old, who complains of lumbar pain, pain increases after sitting for a long time, the pain radiates to the buttocks, and improves after activity. The magnetic resonance examination of the external hospital prompts: lumbar disc herniation. The diagnosis of the external hospital: lumbar disc herniation. After giving massage therapy for three months, it was good or bad. Questioning history after coming to the clinic: The pain is characterized by low back pain, pain after sitting for a long time and standing for a long time, and the pain is radiated to both hips but not over the knee. Although MRI showed lumbar disc herniation, X-rays showed that the facet joints of the lumbar vertebrae were significantly degenerated and hardened. After the facet block experiment was given, the pain was relieved and the facet joint disorder was diagnosed. After local anesthesia, a posterior branch of the spinal nerve of the lumbar vertebral joint was treated with needle release, and the patient was instructed to exercise the lower back muscles after surgery. He was followed up for three months without recurrence. The effect is satisfactory.

After squatting, get up and hurt behind the right knee (patella)

Someone asked me online today: Duration of illness: 2-3 months, Symptom description: Get up behind the right knee after squatting, hospital examination: Bone marrow edema, cartilage injury under the articular surface of the right distal femur. Right knee joint cavity And a small amount of fluid in the upper patella. This patient’s medical history is very accurate and describes the characteristics of this disease, which is the pain behind the knee knee (patella) standing upright. The film is also very clear (see the picture), so the diagnosis is relatively clear, and now the patellofemoral joint is worn. If there is no bone marrow edema, it is the pain behind the right knee that gets up after squatting. That is patellar softening, which is reversible. Now there is bone marrow edema, which means it is a bit serious. The cartilage is worn out, so the bleeding in the bone is bone marrow edema. Because of his youth, there is still a reversible opportunity. If you don’t pay attention, then continue to wear, patella arthritis, it is irreversible. This is the different stages of patellofemoral articular cartilage wear. It’s still early and mid-term. Give up exercise and reduce activity within three months of treatment. For at least one month, the knee joint should be straightened as much as possible without flexion, and knee flexion actions such as up and down stairs, squatting and standing up should not be done. Take some non-steroidal anti-inflammatory drugs such as Celebrex and nutritive cartilage drugs such as glucosamine capsules. Review the magnetic resonance in about a month and a half. If the bone marrow edema is absorbed, it is good. In the future, do less exercise to bend your knees. If you have similar symptoms, do it like this in time. If this does not recover, there is arthroscopic surgery for microfracture treatment, or higher-end stem cell treatment. Stem cell treatment of cartilage injury is a feature of our department. It is one of the few legal clinical experimental units in China. It has made breakthrough progress in the field of cartilage injury repair. &nbsp.

Cervical spondylosis type

Types of cervical spondylosis (1) Cervical spondylosis mainly manifests as discomfort in the neck, such as soreness, pain, and swelling. The neck muscles are tense, tender, and the points of tenderness are often in the muscular joints, ligaments, etc. There are no obvious obstacles to the range of activities. (2) Cervical spondylotic radiculopathy is mainly manifested as cervical nerve root pain, accompanied by abnormal sensations in the cervical nerve root distribution area, such as numbness, pain, etc. The patient begins to suffer from neck and shoulder pain, and then gradually increases in the short term, and Radiation conduction to the upper limb or both upper limbs, weakened or allergic skin in the innervation area of ​​the cervical nerve root, decreased or atrophic muscle strength, restricted neck movement, tenderness in the spinous process and upper scapular angle, positive brachial plexus nerve stretch test, Neck pressure test was positive. (3) Spinal cord type mainly manifests as limb paralysis, tightness, clumsy hands and feet, upper limbs can not do fine movements, poor grip, poor lower limbs, unstable gait, easy to fall, walking on cotton, belt and chest feeling , The lighter affects life, and the severer cause paralysis, often accompanied by autonomic dysfunction, defecation and urination and sexual dysfunction. (4) Cervical spondylosis of vertebral artery type mainly manifests as symptoms of headache and dizziness. Other symptoms such as migraine, tinnitus, hearing loss, memory loss, insomnia and many dreams, etc., can be severely cataplexy, and have short-term consciousness. May be accompanied by symptoms such as occipital pain and limited neck movement after neck pain. (5) Sympathetic cervical spondylosis can be manifested by decreased vision, weakness of the eyelids, dizziness, tinnitus, palpitations, palpitation, unstable blood pressure, abdominal pain, bowel and other sympathetic nerve excitation or suppression symptoms. (6) Mixed cervical spondylosis refers to the simultaneous existence of more than two types of cervical spondylosis.

Pay attention to muscle training and keep away from cervical and lumbar disease

&nbsp.&nbsp.&nbsp. Faced with cervical spine problems, in fact, the most simple and effective health care action is to expand the chest and raise the head. Fully expanding the chest and raising the head can play the role of stretching muscles, which can fundamentally restore the cervical spine sequence and relieve the neck. , Shoulder and back muscle fatigue. If you are a long-term desk worker, it is recommended that you take a few minutes every hour to fully expand your chest and raise your head once to prevent cervical spondylosis; if you have neck, shoulder, and back pain with dizziness, it is recommended that you go to the hospital Film check. Cervical spine does have lesions. Adhere to chest expansion and head-up therapy can treat cervical spondylosis. Of course, if it cooperates with the regular doctor’s “right ridge” technique, it can play a multiplier effect.  For female friends, a chic thin scarf can protect the cervical spine. Men with bad cervical spine can prepare more turtlenecks.  Make more muscle training away from cervical spondylosis. Cervical spine and lumbar spine diseases are a type of diseases based on degenerative pathological changes. With the increase of age, the incidence rate gradually increases. Coupled with modern people, including teachers, there are fewer and fewer opportunities for outdoor exercise, but it usually takes a long time to sit and work at a desk, so this degradation process is accelerated.  Prevent cervical and lumbar spine diseases, it is important to strengthen the stability of the neck and waist muscles to achieve the purpose of prevention. If you don’t have time to participate in physical exercise in daily life, you can do some simple and easy muscle exercise gymnastics anytime, anywhere. However, once the cervical and lumbar spine diseases have developed more seriously, it is better to go to a specialist hospital for symptomatic treatment and choose surgery if necessary. Cervical spondylosis: sympathetic cervical spondylosis is not easy to diagnose Cervical spondylosis originates from degenerative changes of the cervical intervertebral disc, which in turn causes hyperplasia of the intervertebral joints, cervical spinal canal or intervertebral foramen stenosis, stimulation, compression of the cervical spinal cord, nerve roots, sympathetic nerves or vertebral arteries , Causing the corresponding clinical symptoms. According to different types of onset, it is divided into 5 categories. Cervical spondylotic myelopathy “Among all cervical spondylopathy, cervical spondylotic myelopathy is the most serious, and it is not easy to fully recover after treatment.” Li Zhongshi said that patients with cervical spondylotic myelopathy mainly have the following symptoms: First, the object is unstable. Improper writing, poor hand flexibility; second, unsteady walking, patients have a cotton-like feeling; third, chest and abdomen may have a sense of banding; fourth, limb numbness often occurs, usually starting from the tip of the finger It gradually develops toward the palm, forearm, and upper arm, and is clinically known as ascending sensory disorder. Fifth, the function of urination and defecation in serious patients will be problematic. “General patients with cervical spondylotic myelopathy can find spinal cord compression by cervical MRI examination. In severe cases, the spinal cord signal changes, indicating inflammation, edema, and necrosis of the spinal cord tissue. Once the spinal cord tissue is degenerated and necrotic, it is often irreversible. Yes, we will recommend direct surgery for severe patients.” Sympathetic cervical spondylosis Sympathetic cervical spondylosis is a complex clinical symptom caused by abnormal stimulation of the cervical sympathetic nerve. Its main manifestations are dizziness, tinnitus, blurred vision, accompanied by dry, swollen eyes, astringency and neck discomfort. Severe patients will experience nausea, vomiting, sweating, and changes in blood pressure. Some people call it cervical vertigo. “The onset of cervical vertigo is often related to changes in posture. It usually occurs when you bow your head, back your head, turn your head, or get up in bed, and you will feel a dizzy turn.” Li Zhongshi said that in clinical terms, cervical vertigo Patients usually go to the emergency department first. If nausea, vomiting, etc. occur, the emergency doctor will generally recommend the patient to have a CT scan of the brain to see if there is cerebral hemorrhage or cerebral infarction. Cervical spondylotic radiculopathy “is caused by hypertrophic osteophytes or protruding intervertebral disc compression caused by cervical nerve roots, and there are sensory and motor dysfunctions distributed along the nerve roots. This is a special type of cervical spondylosis.” Cervical spondylotic radiculopathy The main symptom is the radial pain distributed along the nerve root to the tip of the finger, which should not be relieved, and often worsens at night, even affecting sleep. Clinically, conservative treatment generally includes cervical traction, anti-inflammatory and edema, and cervical brace brake. Surgical treatment can be used for those who have severe compression and severe pain and conservative treatment is not effective.  Vertebral artery type cervical spondylosis  Vertebral artery type cervical spondylosis is caused by vertebral artery stimulation, obstruction, stenosis symptoms, signs and symptoms are similar to sympathetic cervical spondylosis, but the shadow

The child’s multi-finger deformity, should it be removed?

Laohou is thirty-eight this year. His feet have always been a mystery among our group of buddies. When we used to study, we ran in physical education class. When he started running, he said that he had no foot pain and could not run. Everyone went to the hot spring. He even came into the water wearing thick socks. Everyone went to travel and stayed in the hotel at night. I didn’t see him take off the thick socks on his feet. Later, many years later, everyone came out to drink and reminisce about the old, and accidentally talked about the mysterious “foot” of Laohou. He is also afraid that others will ask questions, so he will wear thick socks at any time except for taking a bath. We feel weird: Isn’t it just the six-toed, how big is something, just cut it off with a minor operation. The old man shook his head: the old people in his hometown said “more children (toe) and more blessings”, so my father and mother wouldn’t let me get rid of them. I have been used to it for so many years, forget it. The old man’s sentence “Forget it,” actually made me uncomfortable. Suddenly recalling how the old man had been hiding in front of other people for so many years, he must have a low self-esteem. In order not to make the atmosphere seem too heavy, I quickly made a joke: Old man, your multi-toed is not ugly, you let him see someone later, mainly because you don’t want to smell your smelly thick socks! In fact, when it comes to polydactyly, there is indeed a concept of “more children (toe) more blessings” in some places before, but now it is much better. Parents often find that they have polydactyly after they are born, and they are very worried. They rushed over and wanted to be treated as soon as possible, so as not to affect the future development of their hands and feet and their psychology. But regarding the treatment of polydactyly (toe) deformity, it is still necessary to make a science popularization for parents: the treatment of polydactyly depends on the growth of the phalanx and joints. For simple skin tags with multiple fingers, surgical resection is possible after 1 to 3 months of birth. But for complex multi-finger including joint bone connection, it can be surgically removed from June to 3 years old, try not to exceed 6 years old, otherwise it is easy to be laughed at by children and cause abnormal psychological development after going to kindergarten. Finally, if polydactyly affects your life, can you still think of it as a “blessing”? Doctor Yao Jinghui, the Third Affiliated Hospital of Southern Medical University (Guangdong Orthopedic Hospital, Guangdong Orthopedic Research Institute), hopes to help everyone’s health!

To what extent is weight loss considered thin? Just look at these 3 parts, you can judge your weight loss results

As the epidemic is gradually under effective control, a large number of practitioners are now returning to work and will meet with leaders and colleagues who have not seen for many days. In addition to wearing the necessary protective masks, if you can have a pair of envious people The figure is more perfect. In today’s society, everyone has a “quote slender dream” in mind. Women want to be slim, while men want to be in the wind. However, during this period of home epidemic prevention, many people still unconsciously let themselves go, hoarding fat and becoming “quote the most annoying self”. Do you have such an invisible “quote”? If you want to lose weight, you first need to understand what is “quote”. Some people will say, is it fat or thin, can you tell at a glance, why study? In fact, each of us has different body composition characteristics, so the manifestation of obesity may also be different. Among Asian-Americans, body composition characteristics of low muscle mass and small fat reserves generally exist. It is not so professional to measure whether obesity is based on body weight and appearance. If you usually eat lazy, but normal weight, then you may have high body fat and very little muscle, this is a typical muscle-deficient obesity. And the fat hidden in the stomach, liver and muscles will also pose a great health threat to us. These parts are too thin and will harm health. In the era of thinness and beauty, thin shoulders, narrow waists and thin legs have become the aesthetic criteria of contemporary women. While pursuing thinness, do not forget that these parts have their specific functions and blindly pursue thinness. ‘S views are open to question. Take the shoulder as an example, exposing the collarbone is the sexy label of the moment, but if you make your shoulders too narrow or even thin in the process of weight loss, then naturally it runs counter to the original intention of pursuing beauty; on the other hand, the thin shoulders are also difficult to support The weight of the head and neck can easily cause headaches, lack of energy and other health problems. In terms of weight reduction and shaping of shoulders, we can refer to the shoulders of female tennis players, which not only have visual beauty, but also lack of health and vitality. The waist is the core of our body. While we lose weight and reduce the waist circumference, we should also ensure that the waist is firm and stable. In the story of King Chu’s slim waist, the minister and the maid, in order to cater to Chu’s hobby of thin waists, dieted thin waists, and finally the weak could only stand against the wall. The hungry "A4 waist" muscles are weak and weak. During exercise and strength, the weak core will make the trunk and lower limbs feel disconnected; and functional training or strength training can also reduce the waist circumference. It can also burn fat to increase muscles, enhance core strength, and make us more athletic and beautiful. Everyone wants to have slender and slender legs. Slenderness has a lot to do with height. It is not easy to change, but most people can fight for slenderness. In the pursuit of thin legs, it is also necessary to avoid thin without principles, such as the currently popular stalk legs and chopstick legs. Pay attention to the thickness of the thighs and calves. However, this type of leg lacks coordination during exercise, and it also causes low back pain and fatigue. It is not worth advocating for other health problems; the most ideal leg shape should be big buttocks, moderate thighs, and thin calves. Burning leg fat through reasonable exercise and functional training during weight loss will increase muscle strength. &quot.type&quot., and useful. What kind of thinness is healthy? If you sum up healthy thinness in one sentence, then “quote dressing is thin, and undressing has meat” is appropriate. In layman’s terms, one of the main goals of weight loss is to be beautiful. In the process of pursuing beauty, weight losers often only care about the change in weight, while ignoring the positive effects of sports training on the body. Our body has its own metabolic law. At the beginning of exercise, the body will tend to burn fat while adding some muscles. In this way, we will find that our body weight often does not change significantly. Don’t be in a hurry to be disappointed. At this time, our body composition is changing, the proportion of muscle is gradually increasing, and the proportion of fat is gradually decreasing. Persevere, and your purpose of becoming good-looking can be achieved. It is worth noting that another important purpose of weight loss is often overlooked, that is, the health of the body. &quot.Undressing has meat&quot. But it doesn’t mean fat, but muscle. Weight loss is to make us look thin, not really

The knee is always “clicking”, what is going on?

I often hear similar questions: My knees always “click”, what’s going on? Is the joint damaged, or is it calcium-deficient? Many people are worried, so they go to the hospital for consultation. What is going on? Today, let’s talk about the common causes of knee bounce. Knee bounce, there is a professional term called “bounce the knee”, which refers to the sound and vibration of the knee when the flexion and extension activity, the tendon around the joint sliding or joint impact. Knee joint bounces can be divided into physiological bounces and pathological bounces: as the name implies, physiological bounces are normal when normal people sit for a long time and stand up or squat or go upstairs, the knee may be There will be a clicking sound. Physiological bounce generally only occurs when the joint is suddenly pulled or flexed, and the sound is crisp, single, and not repeated; it often takes a period of rest after a sudden movement to be induced again. This kind of simple knee joint bounce is not accompanied by any pain and discomfort, it is a normal phenomenon, so you don’t need to worry about it or worry about it. Not only the knee joint, but also other joints will make this sound when they are stretched or flexed, such as the common snapping sound of pulling fingers and breaking fingers. Pathological snapping is pathological, there is a lesion, you need to pay attention! If the articulation of the joints occurs repeatedly and does not require a rest period, or is accompanied by discomfort or pain at the same time, then you must pay attention to this kind of elasticity is pathological. This snapping may indicate a change in the structure within the joint. Many diseases of the knee joint are related to it and need attention. Meniscus injury is the most common cause of pathological bounce in young people. The meniscus is a pair of half-moon-shaped cushions in the middle of the knee joint. Under normal circumstances, it is smooth and Flexible. If the meniscus is torn, it may be stuck between the joints, there will be a noise when the knee joint is flexed and extended, and sometimes it is accompanied by pain or interlocking (the so-called interlocking is to feel the knee joint is stuck and must be active. In order to stretch again). In addition to meniscus injury, some congenital developmental abnormalities of the knee joint structure such as discoid meniscus, patella dysplasia, etc.; aging and degeneration of the knee joint; free body in the knee joint; old ligament damage can cause snapping. Combined with the above description of physiological bounce, if you suspect that the bounce is pathological, then you should pay attention to it, go to the hospital in time, and do further processing based on the results of the doctor’s physical examination. How to protect joints and prevent pathological snapping? 1. Scientific training to avoid injury; 2. Strengthen the muscle strength around the knee joint. The muscle strength is strengthened, which can improve joint stability and further protect the joint. Commonly used simple training method: Isometric contraction training of quadriceps: In short, isometric contraction exercises of quadriceps are the stretching exercises of muscle groups in front of thighs. Straight leg raising to strengthen quadriceps training: supine, knee extension, ankle back extension, raise the patient, 30-50° from the bed surface, insist for 10 seconds each time, 30 times per group, 6 per day group.

Can the walking posture show the health status? If you have these 6 situations, you need to be careful

Walking is the most common form of exercise, and it has already begun to walk around one and a half years old. Each person’s age and physique are different, and the walking gait and speed are also very different. In fact, walking can reveal health signals. When the following six conditions occur during walking, it means that the disease is coming. Is your body good? Just look at the posture? 1. The sole of the foot touches the ground under normal circumstances. If the sole of the foot touches the ground, it is caused by the poor muscle control of the body, especially after suffering from intervertebral disc herniation and stroke. People walk abnormally. 2. Walking on tiptoes when the spine or brain is injured will make the muscles of the legs and feet excessively tense and unable to stretch effectively, will walk on tiptoes, and the heel will not touch the ground at all. Some children will temporarily show this gait when they first start learning to walk, and they will generally improve when they grow up. In addition, children with congenital cerebral palsy can also walk on their toes when they walk, and timely rehabilitation training is needed to facilitate the recovery of walking posture. 3. Small walking pace With age, the knee bones will degenerate, and the walking pace of middle-aged and elderly people will shrink. Normally, when the heel touches the ground, the knee is straight. If it is not straight, it is generally related to abnormal hip extension or limited movement of the knee bone. It needs to be paid attention to. You can choose regular hospital massage or massage to relieve it. 4. When you are drunk, you can’t walk in a straight line like you are drunk. It is obviously shaking and easy to fall when walking, which may be a phenomenon of cerebellar supply disorder. When suffering from cerebrovascular diseases such as cerebellar atrophy, stroke, brain tumors or Parkinson, etc., it will cause people to walk abnormally. Need to choose a regular hospital for brain CT examination, determine the cause before treatment. 5. Inner bazi gait walking posture showing inner bazi, or rheumatoid arthritis. This type of patient looks awkward when walking, with both knees together and ankle valgus, which is called knee valgus or foot valgus. 6. Walking like a duck, hip dislocation and congenital hip dysplasia, and children with rickets and severe calcium deficiency, when walking, they will stretch their waists and bulge their stomachs, buttocks swing left and right, and they look like ducks walking. At this time, parents should take their children to the hospital for regular examination and treatment. Tips: You can see whether you are in good health by walking posture. Once the above 6 abnormalities are found, you should choose a regular hospital for examination without delay. Only early detection and early treatment can improve the condition in time and reduce the harm to the body. In addition, it is necessary to balance the intake of nutrients for the body, to avoid the lack of minerals in the body and affect bone development.

Inversion of foot after cerebral infarction? Bad gait! What should patients do? Experts recommend this method

We all know that humans are animals that walk upright, and all weight and load will eventually be borne by the feet, so many injuries and pains have a very big relationship with our feet. For patients with cerebral infarction, after the onset, more than 70% of them may have deformities of foot varus and unsightly gait if they have not undergone early standard rehabilitation treatment. Inversion of the foot as a common sequelae of cerebral infarction makes patients suffer. Why is there inversion after foot infarction? How should patients with cerebral infarction be prevented and treated? Inversion of the foot in patients with cerebral infarction The inversion of the foot in patients with cerebral infarction is caused by increased tension in the extensor muscles of the lower extremities and imbalance of the muscle tension in the extremities. Due to the imbalance of tension, the patient has obvious muscle contraction, and the lateral ability is relatively weaker, so it is easy to cause abnormal gait such as foot droop and foot inversion in patients with cerebral infarction. Then further lead to problems with the contact between the foot and the ground of the patient with cerebral infarction, the body’s center of gravity is unstable, it is difficult to move, the stride and stride frequency and pace decrease, and the typical long and short leg hemiplegic gait appears. Patients with cerebral infarction are bedridden for a long time, the joints are braked, and the ligaments are automatically shortened because they are not stretched, they lose their elasticity, and muscle spasm, so that the biomechanics of the joints between the tibia and calcaneus are changed. Impaired balance of ligaments leads to inversion of the foot. If the patient with cerebral infarction walks prematurely, it can further increase the muscle tension of the lower limbs of the hemiplegic patient, resulting in increased spasm and inversion of the foot, which seriously affects the recovery of the patient’s walking ability. Then, there will be a problem here: the inversion is due to premature practice of walking. Many doctors do not allow patients to walk prematurely. The onset is one month, two months or even longer. But without walking training, lack of training can easily reduce muscle strength, and the overall recovery speed is slow! Everyone is very embarrassed at this time, then it is not right to go, nor is it wrong to go, then what should patients do? At this time, it is particularly important to find a treatment method to relieve hemiplegic lower limb spasm in a short period of time and inhibit foot inversion. Rehabilitation training can be used to suppress foot varus. On the issue of how to suppress foot varus, experts from the Rehabilitation Department of Yamagata University in Japan have given the following methods: Initially use the ankle dorsiflexion valgus method. The patient takes the supine position, and the lower limbs are straightened naturally. The hands of the doctor or family members hold the heels of the affected limbs and the front of the soles, and do slow foot dorsiflexion and valgus. After they are in place, they pause for 5 to 8 seconds, and then slowly recover . Repeat the operation 15 to 20 times. In the middle and late period, the dorsiflexion and valgus method of pulling the heel and ankle joint was adopted. The patient was placed in a supine position. The doctor held the affected limb above the ankle joint in one hand, the heel in the other, and the forearm against the front of the plantar. Both hands exerted relative strength. After being in place, the patient paused for 5 to 8 seconds. Then slowly recovered. Repeat the operation 15 to 20 times. If the spasm of the plantar flexion and varus muscles is obvious, the spasm can be relieved first by massage; if the spasm of the plantar flexion and varus muscles is severe, the spasm muscles of the ankle joint correction plate can be pulled first, and then passive rehabilitation is performed. . After the inversion of the foot occurs, the patient should also be instructed to perform the following active functional exercises: Abduction of the foot: adduction of the patient: the patient sits in a sitting position and the knee joints are at 90°. Flex and relax naturally. Inhale, lift the affected toe, slowly do abduction exercise, pause for 3 to 5 seconds after being in place; exhale, slowly adduct and then return to the starting position. Repeat the exercise 10 to 20 times. Heel lift after the foot: the patient sits in the end position and the knees are at 90°. Flex and relax naturally. Inhale, bend the knee of the affected limb as far as possible and pull the foot back and lift the heel, then pause for 3 to 5 seconds after being in place; exhale, slowly lower the heel, and restore the foot to the starting position steadily. Repeat the exercise 10 to 20 times. In addition to the above methods, we can use various types of assistive devices and orthotics to help patients better support the body, correct posture, and prevent joint deformation and muscle contracture in the case of insufficient physical ability. For example, elastic bands, wedge plates, footrests, etc. For patients with cerebral infarction, how to prevent the occurrence of foot varus? 1. Changing posture during bed rest, maintaining good limb position has the effect of preventing muscle spasm hyperactivity, and then using rehabilitation medicine to maintain good limb position to suppress abnormal muscle tension and prevent specific limb position due to spasm. 2. The active and passive movement of the limbs can prevent the contraction of the foot joints and the shortening of the muscles. 3. Wheelchair training and sitting training during bed leaving period can inhibit joint movement and expand the range of joint movement. 4. Passive training of the foot joint during walking.

What should I do if my shoulder joint is stiff?

Shoulder joint stiffness is also called “freezing shoulder” in medicine. As the name implies, our shoulder joints are as stiff as frozen and unable to move. The name is derived from the English “FrozenShoulder”, also known as “shoulder joint adhesion” in clinical medicine. Shoulder joint stiffness generally occurs around 50 years of age, and shoulder pain, stiffness, and restricted mobility occur without obvious incentives. Therefore, some people call it “fifty shoulders”, but clinically found that patients with “frozen shoulders” aged 40 to 60 years old are actually very common. Whether it is encountered in our doctor’s usual clinical work or seen in relatives and friends around us, the incidence of shoulder stiffness is indeed relatively high. Why is the shoulder joint suddenly stiff? Most stiff shoulders have no cause and are called primary. Part of the shoulder joint stiffness is caused by trauma, surgery, braking, other inflammation and other factors, called secondary. What should I do if my shoulder is stiff? Before understanding the treatment of shoulder stiffness, let’s first understand the pathogenesis and characteristics of shoulder stiffness. Shoulder stiffness is a very special kind of disease that is self-healing, which means it can slowly improve without any treatment. It is divided into three periods in the course of disease, namely pain period, stiffness period, and remission period. “Frozen shoulder” is a very special kind of disease, which is self-healing, which means that it can slowly improve without treatment. This disease is generally divided into three periods in the course of disease, namely pain period, stiffness period, and remission period. The pain period mainly manifests as shoulder pain. The pain increases during shoulder movement, which usually lasts about 6 to 9 months. In the stiff period, the pain will gradually ease, but the shoulder joint movement is obviously limited, many actions cannot be completed, and the shoulder joint is serious Stiffness, this kind of stiffness often lasts 9-12 months; after the end of the stiffness period, it enters a remission period of 9-12 months. The stiffness of the shoulder joint gradually improves, and the hand can be raised again, just like the ice melted. Generally, the symptoms will be relieved in 2~3 years. Now that I have a frozen shoulder, I can recover by myself. Does it still need treatment? We said that although the “frozen shoulder” can recover itself, the recovery time is very long, and the patient needs to endure a long period of pain, during which normal life will also be significantly affected. Even if it lasted for 2 to 3 years, although the symptoms have improved, there will still be certain sequelae. For example, muscle atrophy causes difficulty in exertion, and the shoulder joint still cannot lift to a normal height, leaving a certain degree of disability. Therefore, in today’s developed medicine, this kind of “suffering” is really too backward. So what are the treatments for shoulder stiffness? We say that there can be two methods of conservative and surgical treatment. Scientific conservative treatment methods include: oral medication, local physical therapy with appropriate rehabilitation exercises, and local injection of shoulder joints. Oral drugs cannot be taken for a long time, generally no more than 1 month, otherwise it will cause damage to our gastrointestinal tract; physical therapy is generally not more than 30 times, and it is meaningless to continue treatment if 30 times have not been effective; local injection of the shoulder joint is the most No more than 5 times. If the above conservative treatment is still ineffective, only shoulder arthroscopy surgery can be used. Shoulder arthroscopy surgery, less invasive (only 3 incisions of about 5mm, see picture), the operation itself is basically painless, and the inflammation in the shoulder joint can be completely eliminated during the operation (see picture), shoulder pain is obvious after surgery Relief, stiffness symptoms improved significantly, and recovery was rapid. With some simple and easy home rehabilitation after the operation, the overall treatment effect is very good and it is a good choice. But whether it is possible to operate, and when it can be operated, all these require the professional advice of sports medicine experts. Shoulder arthroscopic surgery “mini” incision arthroscopic surgery shows obvious inflammation in the shoulder joints Arthroscope surgery completely eliminates inflammation

Suture or excision after tearing the meniscus? Which is better? See if this position hurts

&nbsp. The two milky half circles in the middle are the meniscus 1. What is the meniscus? what’s the effect? The meniscus is composed of fibrous cartilage, with a piece inside and outside, located in the middle of the knee joint and connected to the ligament. The structure of the meniscus is a semi-annular shape, with a thick outer periphery, a thin and sharp inner edge, a concave top, which is compatible with the femoral condyle, and a flat bottom which is compatible with the tibial plateau. &nbsp. Because of the meniscus, the knee joint is divided into two groups: thigh-meniscus and meniscus-tibia. The meniscus can increase the stability of the joint and prevent the surrounding soft tissue from being squeezed into the joint. The color of the meniscus is off-white, smooth and shiny, tough and has a certain elasticity, can cushion the impact of two bone surfaces, absorb shock, spread synovial fluid, increase lubrication, reduce friction, and protect joints. 2. Why did the meniscus tear? Meniscal tears are divided into: chronic degeneration tears and acute traumatic tears. The former is related to aging and repeated chronic injuries. As the human body grows older, the cartilage becomes weaker and gradually thins. Aged, worn tissue is more likely to tear. When the meniscus weakens with age and may stand up from the chair, only a slight turn is enough to cause a tear. The latter is related to sports injuries. More common in young people, when the joints suddenly rotate and violent movements cause tears. Sudden rotation of the femur makes the meniscus move to the center and causes edge tears. The knee joint is flexed and flexed so that the posterior angle and body of the meniscus are compressed between the tibial joints, causing tearing. 3. What is the impact after the meniscus tears? When the meniscus is torn, you may feel a bang. Most people can still walk with injured knees after being injured. Many athletes can still engage in sports after tearing. After 2-3 days, your knees will gradually become stiff and swollen. The most common symptoms of meniscal tears are: pain, stiffness, swelling, soft legs, and limited mobility. 4. Can meniscus tears be treated non-surgically? If your rift is small and is on the outer edge of the meniscus, it may not require surgical repair. As long as your symptoms do not persist and your knees remain stable, non-surgical treatment may be all you need. RICE procedure: For most sports-related injuries, the RICE procedure is effective. RICE is the first letter of the four English words for rest, ice compress, pressure bandaging and raising the affected limb. Rest: Stop the exercise that caused the injury. Your doctor may recommend that you use crutches to avoid increasing the burden on your legs. Ice pack: Use an ice pack for 20 minutes each time, several times a day. Do not apply ice directly to the skin. Compression bandage: To prevent additional swelling and blood loss, elastic bandages can be used. Raise the affected limb: To reduce swelling, when you rest, you have to lie down and raise your leg above the heart. The use of non-steroidal anti-inflammatory drugs can reduce pain and swelling. If your symptoms are not relieved by non-surgical treatment, your doctor may recommend arthroscopic surgery. Method: Knee arthroscopy is one of the most common surgical procedures. Inside it, a miniature camera is inserted through a small incision. This can clearly observe the internal structure of the knee joint. Your orthopedist inserts micro-surgical instruments through other entrances to trim or repair the split. 4. How to treat meniscus tear surgery? Resection or suture? How to treat the meniscus depends on whether the red area of ​​the meniscus is injured or not. From the meniscus blood supply (referring to the blood supply, the nutrients can only be sent to the cells of the tissues), the meniscus is divided into white area, red area and red-white junction area. The white area is the innermost, without blood supply, once the injury can not repair itself; the red area is the outermost, there is blood supply, the synovium is covered after the injury, and has a certain repair ability. 1. Suitable for suture If the torn part of the meniscus is in the red zone, the healing rate of the meniscus after our suture is very high, so we should try to sew it. 2. Suitable for resection. If tearing in the white area of ​​the meniscus, sutures are generally not recommended, because after timely suture, it cannot absorb nutrients and will continue to be damaged. At the same time, resection is not complete resection. What we do is meniscus forming. Cut off the meniscus on both sides of the split, reshape the meniscus edge into a half-moon arc, and restore the anatomical shape of the meniscus. Basically, its function is still reserved, so don’t think that the knee joint is very good after the meniscus is removed. It will soon be abandoned. 5. Comprehensive meniscus tear is a very common knee injury. With proper diagnosis, treatment and rehabilitation, patients can often recover

Children should be alert for hip dysplasia when walking lamely!

Today, Corey came to a 6-year-old girl who was admitted to the hospital for congenital dislocation of the hip. Because she is so cute, the children in the ward like her. Once the child asked her: “Sister is so strange, why is her sister jumping all over her?” The little girl’s eyes were red, and we were very distressed when we met. Because her hip was dislocated, her leg was so painful that she could not walk normally. When I saw the child’s parents taking her to see the doctor in the outpatient clinic, I was shocked to ask the child’s parents: “Why did the child walk so limp so seriously that you brought it to the hospital?” Finally, I learned that the little girl was right when she was pregnant The foot was crushed and the ankle joint valgus a little, causing the little girl’s right foot to be unstressed. Previously, the doctor’s focus was on the ankle, so her mother has always attributed this to this problem. It went to the hospital to check the ankle. There was no problem, and she didn’t care much. Now it is because the child’s right foot is already in pain and he cannot walk normally, only to find that the root cause is congenital dislocation of the hip. In fact, there are still many obvious clinical manifestations for children with congenital hip dislocation during infancy, but many people may say that we are not doctors, how to see it. For patients with congenital hip dislocation, the affected limb is shortened, that is, the affected femoral head is dislocated posteriorly and upwards. The corresponding lower limb shortening and the asymmetry of the skin folds of the hip and inner thigh are common. Perceived it. As shown below: Although the 6-year-old girl grows up, the asymmetry of the skin folds on the buttocks and thighs may not be too obvious, but it can still be seen. It will be more obvious when she was a child. It is now found that the left and right hips of the little girl are different in size, and the muscles on the right hip have shrunk. As shown below: For older children, if the hip joint is dislocated, there is a more important check is whether the lower limbs are the same length, whether there is lameness when walking! Here I remind you all new parents, pay more attention to the child’s physical condition, discuss with other experienced parents to discuss the child’s situation, see if there are any abnormalities in your child, if you find anything, it is recommended to consult Take a look at the doctor, don’t find out when the condition is serious, and delay the best time for treatment. Early diagnosis and treatment of congenital hip dislocation! Doctor Yao Jinghui, the Third Affiliated Hospital of Southern Medical University (Guangdong Orthopedic Hospital, Guangdong Orthopedic Research Institute), hopes to help everyone’s health!

Choose shoes for children

There are so many kinds of shoes on the market now, there are all kinds of them. Parents always have a little choice when they choose. However, improperly worn shoes are very harmful to the ankles, so parents often consult me. How should children choose their shoes? So today I will give you a detailed explanation of the precautions for shoe selection. Many parents have their own set of theories when choosing shoes, but in fact many of them are unscientific. First of all, let’s talk about the common misunderstandings of parents in choosing shoes: First, soft shoes are better, and the baby’s feet are very delicate. Many parents think that hard shoes may abrade the baby’s feet, so they will pinch the upper and sole when choosing shoes. The softer the better. In fact, if the upper is too soft to protect the baby’s foot, there is no way to play a supporting role, the child’s foot is easy to move inside. When choosing shoes, pay attention to pinch the toe and heel, these two pieces are better to be harder. Too soft soles are detrimental to the formation of the baby’s foot arch and may cause flat feet. For details, please see https://item.taobao.com/item.htm?spm=a1z10.3-cs.w4002-21706967765.9.4bfa2d9dj737s0&amp.id=603344347192 Second, buy a small or buy a freshman size Many parents with female babies at home I think that wearing appropriate or larger shoes will make your baby’s feet crazy, and you need to control it a little, so you will choose a little smaller when choosing shoes. In fact, this is very harmful to your baby’s feet. Not conducive to children’s foot development, at the same time will affect children’s walking, running and other sports. Buying a new size of shoes will cause the baby’s feet to move back and forth in the shoes, but the shoes do not follow the foot, affecting the child’s gait. The most suitable size is that after putting on the shoes, parents can insert a finger in the gap between the heel and the foot, so that it can be worn for a long time without being too large or too small. In addition, for the little feet of the babies, many parents will be very anxious and feel that the soles of the feet are too flat, whether they will be flat feet in the future. In fact, before the age of 3, the baby’s soles have more fat on the soles of the feet, and the arch of the feet has not yet formed, so it will appear flat. This period does not require special correction, but you can wear shoes and do more feet through science Exercise to help your baby’s feet develop. Doctor Yao Jinghui, the Third Affiliated Hospital of Southern Medical University (Guangdong Orthopedic Hospital, Guangdong Orthopedic Research Institute), hopes to help everyone’s health!

After sitting for a long time, the back pain is unbearable, I dare not straighten my waist, and I can get better after a while. What is the situation?

Most people working at desks may suffer from painful waist pain when sitting for a long period of time, especially when they stand up after sitting for a long time, as if they feel that their waists cannot stand up, and serious patients will have Obvious pain, but the symptoms disappeared after a period of activity. Why? In fact, most of the reasons for this situation are when people work at the desk, sitting for too long, and the sitting position is not particularly correct, resulting in obvious changes in the tension of the peripheral muscles and fascia of the lumbar spine. After the fascia is excessively stretched, small tears are prone to occur. An inflammatory reaction will occur around these small tears, which will cause pain when changing position, and over time, these small tears will slowly Scar tissue is formed, and some patients can even feel some lumps when touching the painful area, and it is very painful to press hard. This situation is called a knot, which is called a trigger point or a pain point in Western medicine. Some trigger points are relatively shallow, such as in the fascia layer, some are deep, and are located in deep muscles, which are often difficult to reach on their own. Trigger points at different positions can induce different pains, and sometimes even Symptoms of suspected lumbar disc herniation or sciatica may be induced, which often requires careful physical examination and corresponding examinations to better help patients determine the diagnosis. How to diagnose the presence of a trigger point in the waist? For the trigger point that exists in the waist, if it is superficial, you can confirm the diagnosis by musculoskeletal ultrasound. Under the ultrasound, you can see the nodular changes of structural disorder. It may be necessary for the doctor to perform a detailed physical examination combined with the symptoms to judge, depending on the doctor’s experience may be greater. Of course, you can also carry out related examinations, such as lumbar magnetic resonance examination, to determine whether the patient has lumbar disc herniation. However, the judgment of the source of lumbar spine symptoms is actually very complicated. It does not mean that the patient has been examined. If there is lumbar disc herniation, it will definitely be lumbar disc herniation. Sometimes, although there is pain in the waist, according to the doctor Judging by physical examination and experience, it is most likely not caused by lumbar disc herniation. In this case, it can be treated according to the problems of muscles and fascia. Observe whether it can help patients relieve symptoms without having to worry about whether it exists in Obvious lumbar disc herniation. So what should I do when my back pain does not dare to straighten up after sitting for a long time, but the activity is relieved for a period of time? Is it possible to perform some waist rehabilitation exercises to help myself solve problems? How to deal with problems with waist muscles and fascia? ●If the symptoms are obvious and have caused some troubles to work and life, you can take some relatively quick methods to help yourself control the symptoms. Rest, pay attention to sitting and standing. Many people actually have problems with standing and sitting positions. Some people like to tilt their legs or lean to the side of the lumbar spine when they sit for a long time. This will cause the lumbar vertebrae to rotate or even bend over time. Changes, increase the muscle fascia tension of the lumbar spine, leading to symptoms. Therefore, it is recommended that people who have problems have to do positive work and life, especially when sitting for a long time, and a small waist support can be properly placed behind the lumbar spine to better help the lumbar spine to maintain a normal curvature and reduce The pressure on the muscles and fascia, and after sitting for 1~2 hours, try to stand up for 10~15 minutes to relax the tense muscles and fascia. Acupuncture and manual therapy. For the muscle and fascia problems that occur in the lumbar spine, acupuncture and manual therapists can help patients relax their tense muscles and fascia and relieve pain control symptoms. Friends with more obvious symptoms can choose these two treatments. It is better to use two kinds, and the combined effect will be better. If the pain is particularly disturbing to daily life, and you don’t have time to acupuncture or manual therapy, you can consider topical non-steroidal anti-inflammatory analgesics in areas where the pain is more obvious, of course, you can also take non-steroidal anti-inflammatory analgesics Pain medicine, but it is recommended not to take oral or topical for more than 10 days. Shockwave treatment. Now there is a very good technique for alleviating the problem of the muscle fascia of the waist. The effect is very good. It is called shock wave treatment. This treatment technique mainly uses shock waves to reach the affected area.

The child has a little chicken breast, how can it be improved by fitness?

Today, a parent came to the outpatient clinic with a 6- to 7-year-old boy. When the parents came, they lifted up the child’s clothes and said: “Doctor, is my son a chicken breast? Didn’t pay attention to it? A recent physical examination revealed that his chest Other children are different. The medical examiner said it was chicken breast. I don’t understand. I want to ask what is the disease of the chicken breast. Does it matter?” I carefully checked the child’s condition. It is indeed a typical mild chicken breast, chicken breast and funnel breast. The same, and genetic. I asked his parents if there was anyone with such a rib cage. She said that his father’s rib cage was the same, but it was not uncomfortable to eat and sleep. There are two factors in the formation of chicken breasts: one is the innate factor. It was during the fetal period that the uneven development of the ribs, spine, and sternum caused the deformity of the rib cage. This kind of chicken breast child will be born at birth, but it is not as easy to find as the funnel chest. The second is acquired factors, such as pediatric rickets, which can affect the development of the sternum and cause thoracic deformities. There are also some diseases that are secondary to the chest cavity, such as certain congenital heart diseases, and some that are secondary to heart or chest surgery. Mild chicken breasts have no effect on cardiopulmonary function, and there is no discomfort. Severe chicken breasts can cause children to have repeated upper respiratory tract infections and asthma, poor activity endurance, and fatigue. Most patients suffer from low self-esteem and lack of self-confidence because of their breasts. They walk and sit to cover the raised breasts, causing hunchbacks and unwilling to swim and participate in outdoor activities. Abnormal posture and lack of exercise will aggravate the chicken breast. This child is a mild chicken breast, so no special treatment is required. Letting the child do hundreds of chest expansion exercises every day will help the recovery of the rib cage. However, since the bones have been deformed, it is impossible to recover completely. It is okay to enlighten the child. , Do not have a psychological burden. Doctor Yao Jinghui, the Third Affiliated Hospital of Southern Medical University (Guangdong Orthopedics Hospital, Guangdong Orthopedics Research Institute), hopes to help everyone’s health!

Don’t neglect your fingers being caught by the door

“You have to look forward to your brother. Mom will cook for you.” “Good…” Rice replied casually. He does not want to take care of his younger brother. Since his younger brother Xiaomi was born, his mother has been busy taking care of his younger brother. He feels that his younger brother has taken away his mother’s love. So just after my mother left her sight, the naughty brother started to turn around and let himself go. Rice didn’t want to ignore him, so he played with his own toys. Suddenly, “Wow~”, my brother burst into tears. My mother rushed to hear the sound. It turned out that my younger brother was caught by the cabinet door while playing. Rice was shocked, and her mother was so anxious that she didn’t know what to do… Then, what should I do if my baby’s hand is injured? First, appease the baby. Mother must first do not panic, carefully comfort the injured baby, if only scratched the skin, bleeding, you can first use iodophor disinfection, and then gauze bandage. Secondly, disinfect the cold compress if necessary. If there is a wound, you can disinfect it first. If your baby feels very painful, you can use a cold towel or use a cold towel to wrap the ice on the squeezed area to reduce the pain. Third, if the wound is fixed more seriously, first use cardboard or other things that can be used to fix it, fix the clipped part, and send it to the hospital in time. Finally, if there is any swelling, bleeding, or whitening of the finger immediately after being clamped, you must consult a doctor in time and ask a doctor for treatment. Doctor Yao Jinghui, the Third Affiliated Hospital of Southern Medical University (Guangdong Orthopedics Hospital, Guangdong Orthopedics Research Institute), hopes to help everyone’s health!

What should I do if the baby’s head always likes to lean to one side?

Many babies will have their heads crooked after birth, mainly because the babies were born without too much autonomy, and many of them are just what the parents posed. If the needles or quilts are crooked, the child’s head will be biased On one side, it may be suspected of being sideways when the time is long. At this time, we should observe the baby to see where the child’s head is skewed. If it is sometimes skewed to the left, sometimes skewed to the right, and sometimes it is normal, then this is a normal phenomenon. After recovery, the treasure moms can rest assured. But if the child does not return to normal after a period of time, it may be caused by other reasons, then we should take the child to the hospital immediately. So what are the possible causes of the child’s head tilt? 1. Common diseases include congenital muscular torticollis, neurological torticollis, skeletal torticollis, inflammatory torticollis, etc. The child’s head has been tilted to the side. If it does not return to normal for a period of time, you should take your baby The hospital carries out professional treatment. 2. Dysplasia of the cervical spine, loss of part of the vertebral body, deformity of the vertebral body, etc., can also cause the head to be skewed all the time, you can find a professional orthopedist for treatment, and also wear a neck brace for protection. 3. Strabismus, if the baby’s eyes have strabismus problems, it will also cause the child’s head to only turn to one side, and need to be treated by an ophthalmologist. 4. Because the baby sleeps in a posture for a long time while sleeping, it will cause the muscle development on both sides of the neck to be asymmetric and also cause the neck to skew. Doctor Yao Jinghui, the Third Affiliated Hospital of Southern Medical University (Guangdong Orthopedics Hospital, Guangdong Orthopedics Research Institute), hopes to help everyone’s health!