bone disease
Introduction
Introduction to bone disease Osteopathy is "skeletal disease" from a professional point of view. It is one of the three major diseases of orthopedic diseases. The other two are "orthotomy" and "rib injury". Osteopathic disease is also the most common disease in orthopedic diseases. It is mainly divided into: congenital bone disease, metabolic bone disease, osteonecrosis, occupational bone disease, endemic bone disease, joint degenerative bone disease, bone tumor, osteophyte , bone tuberculosis, bone and joint sputum syndrome, sputum syndrome, tendons and other major pieces. What readers are reminded here is that the "bone disease" we usually say is not correct in terms of technical terms. It can be said to be "orthopaedic disease" or a more specific disease. basic knowledge Proportion of disease: according to different bone diseases, the proportion of illness is different Susceptible people: no specific population Mode of infection: non-infectious Complications: Osteoarthritis
Cause
Cause of bone disease
1, primary osteoarthrosis
Due to age and long-term fatigue, the degenerative changes of the bones and joints, the ligaments are slack, the muscle strength is reduced, the stability of the joints is affected, and bone spurs are formed around the joints, causing arthritis.
2, secondary osteoarthrosis
Due to joint trauma, developmental deformity, etc., the joint surface is uneven and the force is uneven.
Prevention
Osteopathic prevention
1. Avoid long-term strenuous exercise
Long-term, excessive, intense exercise or activity is one of the basic causes of bone disease. Especially for heavy joints (such as knee joints and hip joints), excessive movement increases the joint surface and increases wear. Long-term intense exercise can also cause excessive stress and traction on the bones and surrounding soft tissues, resulting in local soft tissue damage and uneven force on the epiphysis, leading to bone disease.
2, appropriate physical exercise
Avoiding long-term intense exercise is not inactive. On the contrary, proper physical exercise is one of the best ways to prevent bone disease. Because the nutrition of articular cartilage comes from joint fluid, and the joint fluid can only enter the cartilage by "squeezing", promoting the metabolism of cartilage. Proper exercise, especially joint movement, can increase the pressure in the joint cavity, facilitate the penetration of joint fluid into the cartilage, reduce the degenerative changes of articular cartilage, thereby reducing or preventing bone disease, especially the proliferation and regression of articular cartilage. Sexual change. Therefore, the method of rehabilitation of bone hyperplasia is exercise, the significance is to eliminate or reduce the pain of the hyperplasia site and the resulting dysfunction, to maximize the recovery of their living and labor ability, improve and improve the quality of life of patients.
3, timely treatment of joint damage
Joint damage includes soft tissue damage and bone damage. Due to incomplete fracture reduction, the articular cartilage surface is not flat, resulting in traumatic arthritis. For patients with intra-articular fractures, if they can be treated in time, anatomic reduction can completely avoid the occurrence of traumatic arthritis and joint hyperosteogeny.
Complication
Osteopathic complications Complications Osteoarthritis
Failure to get timely and effective treatment in the early stage will cause the femoral head to collapse, the joint space to narrow, and finally lead to osteoarthritis, which can cause paralysis of the hip joint and cause disability.
Symptom
Symptoms of bone disease Common symptoms Joint pain Joint stiffness Joint swelling and pain Joint swelling Joint tonic joints Hard bone cyst intermittent dysphagia
1. Rheumatoid arthritis:
Rheumatoid arthritis is a common acute or chronic connective tissue inflammation. It can recur and affect the heart. Clinically, it is characterized by joint and muscle migratory sorrow, sorrow, and pain. It is an allergic disease. It is one of the main manifestations of rheumatic fever, mostly caused by acute fever and joint pain.
2, ankylosing spondylitis:
Ankylosing spondylitis is a type of rheumatism, a type of seronegative spondyloarthropathy. The cause is still unclear. The chronic disease with the spine as the main lesion, involving the ankle joint, causing spinal rigidity and fibrosis, causing different degrees of eye, lung, muscle and bone lesions, is an autoimmune disease. In recent years, the use of traditional Chinese medicine in the clinical breakthrough breakthrough, TCM quadruple repair regenerative therapy - through the qi and blood, kidney, phlegm, repair four effects, from the internal and external overall conditioning treatment, regulation of functional disturbance Such system treatment has achieved obvious results, regardless of the length of the disease, the age of the disease, can be effective in 15-30 days, the symptoms gradually disappear, and it is not easy to relapse after the cure. Results The clinical application of 25605 cases, ranging from 2-3 cycles, the symptoms basically disappeared, 6 months to 3 years follow-up, no case of recurrence.
3, cervical spondylosis:
Cervical spondylosis, also known as cervical vertebra syndrome, is a general term for cervical osteoarthritis, proliferative cervical spondylitis, cervical nerve root syndrome, and cervical disc herniation. It is a disease based on degenerative pathological changes. Mainly due to long-term strain of the cervical spine, bone hyperplasia, or disc herniation, ligament thickening, resulting in compression of the cervical spinal cord, nerve root or vertebral artery, leading to a series of clinical syndromes of dysfunction. The manifestations of cervical disc degeneration and its secondary pathological changes, such as vertebral instability, loosening; nucleus protruding or prolapse; spur formation; ligament hypertrophy and secondary spinal stenosis, etc., stimulated or oppressed Adjacent nerve roots, spinal cord, vertebral artery, and cervical sympathetic nerves, and cause a variety of symptoms and signs of the syndrome.
4, lumbar spondylosis:
Medically speaking, lumbar spondylosis covers "lumbar disc herniation, lumbar vertebrae hyperplasia, lumbar muscle strain, lumbar sprain, lumbar degenerative disease, rheumatism or rheumatoid low back pain, lumbar tuberculosis, cold and damp low back pain, bloody low back pain, Dampness, low back pain, kidney deficiency, low back pain, cervical spondylosis and other diseases.
5, shoulder inflammation:
Periarthritis of the shoulder is a common condition characterized by shoulder pain and inconvenient movement. The prevalence of this disease is around 50 years old, and the incidence rate of women is slightly higher than that of men, which is more common in manual workers. If effective treatment is not available, it may seriously affect the functional activities of the shoulder joint. According to clinical observation, the hospital commonly used medicine He Shengtangzong to treat, the early shoulder joint of this disease showed paroxysmal pain, often induced by weather changes and fatigue, and gradually developed into persistent pain, and gradually increased, light night weight The active and passive activities of the shoulder joint in all directions are limited. When the shoulder is pulled, it can cause severe pain. The shoulder joint can be extensively tender and radiate to the neck and elbow, and there can be varying degrees of deltoid atrophy.
6, bone hyperplasia:
Osteoproliferation, also known as proliferative osteoarthritis, osteoarthritis (OA), degenerative joint disease, senile arthritis, hypertrophic arthritis, is due to the soft tissue degeneration of cartilage, intervertebral disc, ligament, etc. Degeneration, formation of bone spurs at the edge of the joint, changes in synovial hypertrophy, and bone destruction, causing secondary bone hyperplasia, resulting in joint deformation, a disease that causes joint pain, limited mobility, etc. when subjected to abnormal load . Bone hyperplasia is divided into primary and secondary.
7, femoral head necrosis:
Femoral head necrosis, also known as avascular necrosis of the femoral head, is one of the common osteoarthrosis. Most of them are caused by diseases such as rheumatism, blood diseases, diving diseases, burns, etc., and firstly destroy the blood supply to the adjacent articular surface tissue, thereby causing necrosis. The main symptoms range from intermittent pain to persistent pain, which is caused by pain, muscle spasm, limited joint activity, and eventually severe disability. Hormonal drugs can also cause this disease to occur. Chinese medicine believes that the cause of the disease is external and internal causes, and the internal and external factors interact to make the human body yin and yang lose balance, and the blood and blood are inconsistent and sick, also known as "", "bone ", "bone wilting".
Examine
Osteopathic examination
Laboratory tests are:
1, X line;
2, CT;
3. Nuclear magnetic resonance;
4, other, such as erythrocyte sedimentation rate, rheumatoid factor.
The auxiliary inspection method has:
1. "4" word test;
2, straight leg raising test;
3, floating test, etc.
Diagnosis
Diagnosis and diagnosis of bone disease
diagnosis
The disease can be clearly diagnosed based on its clinical manifestations and X-ray examination.
Differential diagnosis
Rheumatoid arthritis, ankylosing spondylitis, cervical spondylosis, lumbar spondylosis, frozen shoulder, femoral head necrosis, and bone hyperplasia.
