What should I do if I have cervical spondylosis? Step treatment!

On the Internet, many friends left messages asking: Director Liao, what should I do with cervical spondylosis? In fact, there is no answer to this question! In the treatment of cervical spondylosis, spine surgeons first need to clarify three questions: 1. Is it really cervical spondylosis? 2. What type of cervical spondylosis? 3. How far has the cervical spondylosis progressed? Many friends think it is cervical spondylosis when they have neck and shoulder pain, and they ask how to treat it. In fact, only a comprehensive judgment combined with auxiliary examinations, physical signs and patient symptoms, single evidence cannot be considered as cervical spondylosis! After confirming that it is cervical spondylosis, doctors need to clarify the type of cervical spondylosis of the patient. Different types of cervical spondylopathy also have a large gap in treatment. For example, cervical spondylotic myelopathy is recommended to undergo surgery as soon as possible, while other types of cervical spondylosis should be treated conservatively. To clarify the severity of cervical spondylosis is to give patients scientific treatment. In the treatment of cervical spondylosis, doctors generally give corresponding treatment recommendations according to the severity of the patient’s condition, that is, stepwise treatment. The most important purpose of stepwise treatment is to neither allow the development of the disease nor over-treatment, and to give patients of different degrees a treatment plan that best suits their own condition! To give a simple example, the first consideration for most patients with cervical spondylosis is drug treatment or a closed treatment. Although these two are important contents in the stepped treatment of cervical spondylosis, they are not suitable for all If the patient has severe nerve or spinal cord compression at this time, surgery is the most suitable treatment option for the patient. In the same way, if the patient is only at the initial stage of cervical spondylosis and the symptoms are not serious, then although surgery can solve the patient’s hidden dangers in the long term, surgery is not a suitable choice for the patient, and excessive medical treatment is not the purpose of treatment! Stepped treatment is to ensure that patients receive effective and not excessive treatment! In the stepwise treatment of cervical spondylosis, you must first correctly understand the changes in your body. For example, office workers have to lower their heads and work overtime for a long time before the quarterly assessment. As a result, they have neck muscle soreness. Then they should change their posture and do some exercises. Strengthen the neck muscles, avoid further development of neck muscle strain, cervical spine physical curvature straightening, etc., and even the development of cervical spondylosis. If rest and exercise cannot be relieved, then you may need to go to the hospital in time to clarify what is the cause. If it is cervical spondylosis, what type of cervical spondylosis is it? If it is not cervical spondylosis, what is the cause, and treat it symptomatically. After clarifying the type of cervical spondylosis and the severity of the disease, the most important thing as a patient is to cooperate with the doctor’s diagnosis and treatment plan to carry out treatment. Whether it is traction, physical therapy, massage, or surgery, what patients have to do is to correctly understand the stepwise treatment of cervical spondylosis, cooperate with doctors in professional medical institutions, and control the condition as soon as possible!

Posterior cruciate ligament reconstruction and rehabilitation guide

Posterior Cruciate Ligament Reconstruction and Rehabilitation Guidelines 1. Posterior Cruciate Ligament Reconstruction: Preoperative Objectives: ●Patient education ●Recover to normal ROM ●Recover to normal gait ●Maximize strength/function and be able to go up and down stairs without assisting tools ●Complete the operation independently Rehabilitation training plan ●Able to walk independently with crutches and toes on various planes with weight-bearing treatment measures: ●Knee ligament laxity measurement ●Appropriate isokinetic/function/balance test ●Book a postoperative brace and give guidance on putting on and off ●Cold Therapeutic guidance ●Gait training: Walking with crutches on the toes, with the brace locked at 0°●Therapeutic training guidance: ●Passive (pillow under the calf) knee extension&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.●Quadriceps contraction Practice&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp .&nbsp.&nbsp.&nbsp.&nbsp.●Raise the leg straight (the brace is locked at 0°)&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp .&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.●patella loosing surgery&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp .&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.●Assisted active knee extension/passive knee bending Training (ROM0°-70°) 2. The first postoperative stage (0-6 weeks) goals: ●Control postoperative pain/swelling ●ROM reaches 0°-90°●Prevent quadriceps suppression● Improve patella mobility ●Independently carry out family rehabilitation training program. Points to note: ●Avoid active knee bending ●Avoid hot compresses ●The brace should be locked at 0° while walking ●Limit weight bearing and avoid excessive ROM ●Avoid pain during treatment and functional activities Measures: ●Knee extension passively with calf cushion ●Quadriceps retraining [Apply electrical muscle stimulation (EMS) or electromyography (EMG) during muscle training] ●Gait: lock the brace at 0° and touch the toes with crutches Weight-bearing walking ●Gradually load-bearing to 75% in 2-6 weeks after surgery ●Patellar mobilization ●Assisted active knee extension/passive knee flexion (ROM 0°-70°)&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp .&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. ●As long as it can be tolerated, it will gradually increase to 90% in 4-6 weeks ●The brace is locked at 0°, the supine/prone position is straight up the leg ● Straight leg raises in all directions, progressive resistance exercises ●Multi-angle quadriceps isometric contraction (ROM 60°-20°) ● Pedal exercises (bilateral) (ROM 60°-0°) ● Proximal (Hip) progressive resistance

How can cancer patients relieve pain? One article teaches you to solve it?

I often see patients asking for help: what happened to the leg pain after the treatment? Stomach pain how to do? How to relieve the pain around the umbilical cord? Today we will talk about pain. &nbsp. Everyone knows that the pain is very unbearable, just like Sun Wukong got into the monster’s belly, it makes people suffer and lingering. For cancer patients, various kinds of pain may occur in the middle and late stages, especially severe pain, which consumes the patient’s body, causing a psychological burden and seriously affecting the quality of life. &nbsp. First, the causes of pain. Cancer patients often have the following types of pain. The causes of pain related to tumors are as follows: 1. Pelvic pain: When the size of the tumor increases, it presses the adjacent tissues, organs, or the tumor continues to infiltrate or destroy. Adjacent tissues and organs can cause pelvic pain; another more serious reason is that the tumor pedicle is twisted, ruptured, or degenerated. 2. Abdominal pain: This may be due to the omentum dissemination of the tumor, causing intestinal dysfunction, complete or incomplete intestinal obstruction; it may also be due to intra-abdominal metastasis, leading to the metastasis of retroperitoneal lymph nodes, which in turn violates the retroperitoneum Nerve plexus; 3. Leg pain: If the tumor metastases distantly (for example, to the liver), it causes fluid accumulation in the abdominal cavity, which compresses the blood circulation of the lower limbs, which can cause leg pain; if the pelvic nerve is violated, even bone metastasis occurs. Can cause persistent, unbearable pain in the legs. 4. Back pain: When the tumor invades the surrounding tissues or even metastasizes, pressing on the sensory nerves, there will also be back pain. Of course, the causes of pain are many and not necessarily caused by tumors. The medicines you may eat, some physiological stress reactions or other diseases and discomforts, and even the psychological burden are too heavy, may cause pain. If the symptoms persist, they should go to the hospital for examination in time to determine the cause of the disease and make the right medicine. Cancer pain can be generally divided into four categories according to the cause: 1. Pain directly caused by cancer (most common); 2. Pain related to cancer; 3. Pain related to cancer treatment; 4. Pain not related to cancer. &nbsp. Among them, Class 1 and 2 pains can be relieved to a certain extent by anti-tumor treatment; while Class 3 and 4 pains require analgesia and other related adjuvant treatments. Of course, no matter what kind of pain, as long as it interferes with the patient’s life, it needs to be treated. The treatment of pain depends on the degree of pain. &nbsp. Second, the degree of pain. To see patients, they must first understand the degree of their pain. You can use the VAS pain score scale: (Practice: draw a 10cm long line segment on the paper, the nearest end of the line segment is 0 points, and the far end is 10 points, an increase of 1 point per 1 cm; 0 points for no pain, 10 points for severe pain, used to indicate the degree of pain.)&nbsp.&nbsp.0 grade (0 points): painless grade 1 (1-3 points) : Mild pain, pain can be tolerated, can live a normal life, sleep normally. Grade 2 (4-6 points): Moderate pain, obvious pain, unbearable, requires analgesics, and poor sleep. Grade 3 (7-10 points): Severe pain, severe pain, intolerable, analgesics required, and severely poor sleep. &nbsp. Maybe some patients still can’t judge the degree of their pain according to this scoring standard. After all, the text is somewhat abstract, and there is a way to judge it by looking at the expression, which is more simple and intuitive. &nbsp. Image source: Internet (invasion and deletion) &nbsp. Looking at the pain level corresponding to the above expression, is it clearer? &nbsp. 3. Pain management In this way, for pain management, when plasters, hot compresses, massages and other common physiotherapy methods can’t stop the pain, it is necessary to consider medication or other methods of treatment. According to the cause and severity of pain, the three-step analgesic method can be used for medical treatment. &nbsp. The three-step analgesic method is recommended by the World Health Organization (WHO). With this method, more than 90% of cancer patients’ pain can be relieved. When the pain is resolved, the patient’s psychological burden is reduced, the pain is reduced, the patient smiles and self-confidence, the quality of life is improved, and life is prolonged. Therefore, how important is the treatment of pain. The specific application of the three-step analgesic method is as follows: first step: mild pain, use of non-opioid analgesics ± auxiliary drugs second step: moderate pain, use of weak opioids ± non-opioids ± auxiliary drugs third step: Severe

How can cancer patients relieve pain? One article teaches you to solve it?

I often see patients asking for help: what happened to the leg pain after the treatment? Stomach pain how to do? How to relieve the pain around the umbilical cord? Today we will talk about pain. & nbsp. Everyone knows that the pain is very unbearable, just like Sun Wukong got into the monster’s belly, it makes people suffer and lingering. For cancer patients, various kinds of pain may occur in the middle and late stages, especially severe pain, which consumes the patient’s body, causing a psychological burden and seriously affecting the quality of life. & nbsp. First, the causes of pain. Cancer patients often have the following types of pain. The causes of pain related to tumors are as follows: 1. Pelvic pain: When the size of the tumor increases, it presses the adjacent tissues, organs, or the tumor continues to infiltrate or destroy. Adjacent tissues and organs can cause pelvic pain; another more serious reason is that the tumor pedicle is twisted, ruptured, or degenerated. 2. Abdominal pain: This may be due to the omentum dissemination of the tumor, causing intestinal dysfunction, complete or incomplete intestinal obstruction; it may also be due to intra-abdominal metastasis, leading to the metastasis of retroperitoneal lymph nodes, which in turn violates the retroperitoneum Nerve plexus; 3. Leg pain: If the tumor metastases distantly (for example, to the liver), it causes fluid accumulation in the abdominal cavity, which compresses the blood circulation of the lower limbs, which can cause leg pain; if the pelvic nerve is violated, even bone metastasis occurs. Can cause persistent, unbearable pain in the legs. 4. Back pain: When the tumor invades the surrounding tissues or even metastasizes, pressing on the sensory nerves, there will also be back pain. Of course, the causes of pain are many and not necessarily caused by tumors. The medicines you may eat, some physiological stress reactions or other diseases and discomforts, and even the psychological burden are too heavy, may cause pain. If the symptoms persist, they should go to the hospital for examination in time to determine the cause of the disease and make the right medicine. Cancer pain can be generally divided into four categories according to the cause: 1. Pain directly caused by cancer (most common); 2. Pain related to cancer; 3. Pain related to cancer treatment; 4. Pain not related to cancer. & nbsp. Among them, Class 1 and 2 pains can be relieved to a certain extent by anti-tumor treatment; while Class 3 and 4 pains require analgesia and other related adjuvant treatments. Of course, no matter what kind of pain, as long as it interferes with the patient’s life, it needs to be treated. The treatment of pain depends on the degree of pain. & nbsp. Second, the degree of pain. To see patients, they must first understand the degree of their pain. You can use the VAS pain score scale: (Practice: draw a 10cm long line segment on the paper, the nearest end of the line segment is 0 points, and the far end is 10 points, 1 point per 1 cm; 0 points for no pain, 10 points for severe pain, used to indicate the degree of pain.) Grade 0 (0 points): painless grade 1 (1-3 points): mild pain , Pain can be tolerated, can live a normal life, sleep normally. Grade 2 (4-6 points): Moderate pain, obvious pain, unbearable, requires analgesics, and poor sleep. Grade 3 (7-10 points): Severe pain, severe pain, intolerable, analgesics required, and severely poor sleep. & nbsp. Maybe some patients still can’t judge the degree of their pain according to this scoring standard. After all, the text is somewhat abstract, and there is a way to judge it by looking at the expression, which is more simple and intuitive. & nbsp. Image source: Internet (invasion and deletion) & nbsp. Looking at the pain level corresponding to the above expression, is it clearer? 3. Pain management In this way, for the treatment of pain, when plaster, hot compress, massage and other common physiotherapy methods can’t stop the pain, it is necessary to consider the treatment of drugs or other methods. According to the cause and severity of pain, the three-step analgesic method can be used for medical treatment. & nbsp. The three-step analgesic method is recommended by the World Health Organization (WHO). With this method, more than 90% of cancer patients’ pain can be relieved. When the pain is resolved, the patient’s psychological burden is reduced, the pain is reduced, the patient smiles and self-confidence, the quality of life is improved, and life is prolonged. Therefore, how important is the treatment of pain. The specific application of the three-step analgesic method is as follows: first step: mild pain, use of non-opioid analgesics ± auxiliary drugs second step: moderate pain, use of weak opioids ± non-opioids ± auxiliary drugs third step: Severe pain, strong opioids ± non-opioids ± auxiliary drugs &

What is ladder therapy for obesity?

Obesity is a disease and a potential risk factor for diabetes, cardiovascular disease and other metabolic diseases and tumors. After the weight loss treatment, as the BMI decreases and the body weight decreases, the risk of cardiovascular and other diseases will also decrease. Not only is the spirit of the person, but also upstairs. Some friends may suddenly realize that their hands are raised high: ah! I know! Ladder therapy is to lose weight by climbing stairs! Faced with such a smart partner, I can only say: sit down! Listen carefully to Dr. Lian. Weight loss treatment requires science, and international and domestic guidelines recommend step therapy. What is ladder therapy? It is based on different BMIs and related comorbidities, taking different levels of weight loss strategies, which is often said to be “medication”. After reading this picture, do you understand? Specifically: for obese people with BMI ≥ 32.5 or although 27.5 ≤ BMI <32.5, but have metabolic syndrome components (hyperlipidemia, hypertension, etc.) or related comorbidities (diabetes, obstructive sleep apnea hypopnea Syndrome, non-alcoholic steatohepatitis, endocrine dysfunction, hyperuricemia, male sexual dysfunction, polycystic ovary syndrome, deformable arthritis, abnormal renal function, etc., weight loss surgery is recommended , Post-operative lifestyle intervention (strengthening physical exercise, strengthening nutrition counseling, behavior education, psychological counseling and group support). For 27.5≤BMI <32.5, obese people without metabolic syndrome components or related comorbidities, first adopt basic therapies including diet, exercise, psychotherapy, behavioral intervention, health education, if they are not effective, add drugs and Lifestyle intervention therapy. The most commonly used drugs are orlistat (lipase inhibitor) and liraglutide (GLP-1 receptor agonist). For the population with 24≤BMI <27.5, basic therapies including diet, exercise, psychotherapy, behavior intervention and health education are mainly used. Friends, this is the ladder therapy for obesity treatment. Did you get it?