hyperosteogeny
With the increase of age, the elasticity of human articular cartilage will weaken, cartilage collagen fibers will be exposed, and the middle part of the joint will be easily worn during exercise, and the lateral articular cartilage will be metabolically proliferated and thickened, eventually ossifying and forming bone spurs. Occupational persistent exertion, long-term forced posture, chronic or mechanical stimulation and traumatic injury are important inducing factors. The naming of this disease is not uniform at home and abroad.
hyperosteogeny
Foreign countries are mainly named osteoarthropathy, osteoarthritis, proliferative osteoarthritis and degenerative osteoarthritis; The main names of this disease in traditional Chinese medicine are osteoarthropathy, intervertebral disc degeneration, proliferative arthritis, degenerative diseases of bone and joint, etc.
Traditional Chinese medicine believes that this disease belongs to arthralgia. Whatever its name, the essence of this disease is the degeneration of articular cartilage. A joint disease secondary to hyperplasia of articular margin and subchondral bone. Once the hyperplastic bone carving stimulates adjacent tissues and compresses nerve roots, local or radioactive pain will occur. The main manifestations are upper limb paralysis, shoulder and back pain, stiff neck, dizziness, chest tightness and discomfort, palpitation, sciatica, lower limb paralysis and pain, fear of cold, knee joint swelling and pain, difficulty in going up and down stairs, inability to squat and a series of other diseases. If symptoms are not treated in time, it will aggravate the condition and increase the difficulty of treatment.
Self-diagnosis of hyperosteogeny
Osteoproliferation is a frequently-occurring and common disease, with the highest incidence among people over 60 years old.
To diagnose hyperosteogeny, you can usually go to the hospital to take an X-ray film (CT film is not necessarily). How to make self-diagnosis before filming can be judged from personal feelings. Bone hyperplasia mostly occurs in cervical vertebra, lumbar vertebra, knee joint and heel, but it can also occur in other parts, but it is relatively rare. Symptoms of cervical hyperplasia mostly appear in the head and upper limbs. There are no obvious symptoms in this part of cervical vertebra, but obvious symptoms in upper limbs. Generally, hyperplasia occurs on one side (left or right), from the shoulder joint to the upper and lower arms together with the muscles of the fingers, and there may be pain, swelling and numbness on one side. When this symptom appears in the right arm, if the head leans to the right, the symptom will be aggravated. Symptoms in muscles have nothing to do with weather changes, but only with activities. When the hyperplastic site is in the waist, the symptoms are not necessarily in the waist, but start from the sciatic nerve of the hip and reflect down the sciatic nerve to the heel, especially the calf muscles. This shows that the symptoms are caused by hyperosteogeny and nerve compression, which can basically be diagnosed.
If it appears at a local point, especially only at the joints, it should not be regarded as hyperplasia (except knee joint hyperplasia), and it is best to do rheumatism examination first. Pain in other muscle parts is different from that caused by hyperosteogeny. Other pains may have symptoms of redness and fever at the same time, while the pain of hyperosteogeny does not produce any other symptoms, but only mild pain and numbness. , sometimes heavy and sometimes light, the course of disease is long, and it has become heavier and heavier over the years. The diagnosis of hyperosteogeny should also exclude disc herniation, because the symptoms of prolapse and hyperplasia are that bone spurs will regrow or even recur after surgery. Therefore, calcaneal spur is not the inevitable cause of heel pain. The common causes of heel pain are actually fatty degeneration or atrophy of the foot, fasciitis neonatorum, calcaneal bursitis, calcaneal hypertension and so on. Osteoproliferation cannot be eradicated without surgery.
Calcaneal spur
Many patients with hyperosteogeny often ask doctors if they can eliminate hyperosteogeny through drugs and get rid of hyperosteogeny through more activities. Did it go well? It is believed that the disappearance of hyperosteogeny is the radical cure. The patient's mood is understandable, but it is impossible to make the bone spur that has grown out disappear without surgery, and the hyperosteogeny will not become smooth because of more activities. Although hyperosteogeny cannot disappear, it does not mean that it is incurable.
The reason why hyperosteogeny causes joint swelling and pain is that the joint tissue and surrounding tissue of hyperosteogeny are aseptic inflammation. Therefore, as long as properly handled, aseptic inflammation will be completely controlled. Once the inflammation disappears, even if there is still bone hyperplasia in the joint, the joint swelling and pain will be completely controlled. Therefore, patients with hyperosteogeny don't have to run around to make bone carvings disappear. More importantly, you don't have to be depressed because the spur can't disappear. You should be assured of treatment, so that the aseptic inflammation of joints and joints of Ruta can be cured as soon as possible.
Treatment of hyperosteogeny with traditional Chinese medicine
I. Oral administration of traditional Chinese medicine
Duhuo Jisheng decoction consists of Duhuo 15g, Taxilli 15g, Saposhnikovia divaricata 0g, Asari 3g, Radix Cyathulae 10g, Ramulus Cinnamomi 10g, Eucommia ulmoides Oliv. 10g, Angelica sinensis 15g and Paeonia Rubra/kloc.
Decoct with water, one dose per day, and 10 is a course of treatment.
Second, massage therapy.
1) The patient is prone, and the doctor repeatedly massages both sides of the lumbosacral spine from top to bottom around the patient for 3 to 5 times.
2) The doctor points Shenshu, Mingmen, Qihai Shu and Guanyuan Shu with both thumbs, and points Huantiao, Weizhong, Chengshan and Yanglingquan with leg pain.
3) The patient holds the bedside with both hands, and the doctor pulls the patient's distal leg for 2~3min after holding it with both hands, and then shakes it up and down for 5~ 10 times.
4) The patient lies on his side, and the doctor stands in front and moves the lumbar spine by oblique pulling, left and right 1 time. The above manipulations are performed three times a week, and 10 is a course of treatment.
Third, cupping therapy.
Take Weizhong point, Shenshu point and Yaoashi point, cupping 15~20min each time, 1 time every day, and 1 time is1course of treatment.
Fourth, the hot compress method of medicine bag
Caulis et folium Gaultheriae Yunnanensis 12g, Cortex Acanthopanacis 15g, Fructus Schisandrae Chinensis 15g, Pericarpium Citri Reticulatae 12g, Radix Angelicae Sinensis 12g, Flos Carthami 10g, Radix Rehmanniae 12g, Notopterygii Rhizoma.
Five, filiform needle acupuncture therapy
Take Shenshu point, Weizhong point and Ashi point, keep the needle for 65,438+05 min each time, and insert the needle three times in the middle, and acupuncture 65,438+0 times a day, 65,438+00 times as a course of treatment.
Six, external paste method
Radix Aconiti 15g, Radix Aconiti Kusnezoffii 10g, Asari 20g, Eucommiae Cortex 10g, Herba Artemisiae Scopariae 10g, Olibanum 10g, Myrrha 10g, and Radix et Rhizoma Rhei 10g.
Made of ancient wood, covered with plaster cloth, the plaster cloth is a special pure cotton cloth with double layers inside and outside, then put it into the cooked and warm thin batter, wet it while it is hot, and then put it on a high place to dry the noodles. The cloth paved with this kind of cloth is airtight, itchy and breathable, ensuring excellent breathability. At the same time, it has drug permeability and skin permeability not inferior to that of dog skin medicine. After the ginger is skinned, the medicine is directly attached to the use part or the tender point. The patch can be applied for six days, and five patches are a course of treatment. It is best to replace the spots with two stickers every three days, and the effect is better.
There are several methods for self-treatment of cervical hyperosteogeny.
cervical bone hyperplasia
1. Strengthen neck exercise, often do cervical exercises to move the cervical spine and correct bad posture. It is best to exercise in the morning and after long work, and the movements and activities should be gentle.
2. Self-massage the trapezius muscles and shoulders on both sides of the cervical spine twice a day for 3 to 5 minutes each time.
3. Stir-fry with hot salt every day and put it in a cloth pocket to bake the neck, so as to promote blood circulation in the neck and relieve symptoms.
4. Should the pillow be suitable when sleeping? Relax on your back. Try to lower the pillow and raise the neck to keep the neck in a natural state without affecting your sleep habits.
5. Prevent the neck from catching cold due to wind and eliminate the inducement of chronic neck strain.
6. Early diagnosis and proper treatment to prevent the evolution from light to heavy.
Self-treatment of hyperosteogeny of knee joint After suffering from hyperosteogeny of knee joint, besides medication, the following knee joint exercises should be done.
Knee joint hyperosteogeny
1. You can walk outdoors for half an hour every day.
2. Insist on actively contracting quadriceps femoris (anterior thigh muscle), 4-5 times a day, 10-20 times each time. Just change your legs and lift them.
3. Lie on your back, bend your knees and do bicycle-like movements, 2~3 times a day, 50 times each time.
4. Massage around the knee joint 3-4 times a day to promote blood circulation of the knee joint. When pressing, the technique should be gentle, and the comfort after pressing should be degree.
5. prevent large-scale exercise, such as running, high jump, long jump, etc., so as not to aggravate the condition.
Self-treatment of lumbar hyperosteogeny After suffering from lumbar hyperosteogeny, in addition to cooperating with doctors, we should also carry out self-rehabilitation from the following aspects.
1. Fitness exercise. The rehabilitation of lumbar hyperosteogeny mainly depends on long-term various fitness exercises, which is very beneficial to the rehabilitation of hyperosteogeny. Exercise methods include walking, aerobics, Tai Ji Chuan, Taijijian and long-distance running. Pay special attention to the gentle and large-scale movements of the waist.
2. Health massage. You can massage your waist from top to bottom with your palms and fingers in a sitting or standing position, with the intensity from light to heavy until you have local fever, and then massage your waist with your hands for 2~3 minutes to promote the blood circulation of your waist and relieve the pain caused by it.
3. Always keep a good sitting posture. People who work and study in a sitting position for a long time should choose an adjustable armchair so that their waist can lean on when sitting in order to reduce the burden on their waist. Those who sit for more than 1 hour should stand up and exercise their waist to prevent muscle strain and facet joint displacement.
4. Choose a good bed. Patients with hyperosteogeny should sleep on a hard bed or a semi-hard bed, and soft spring beds are not recommended. Soft bed can change the physiological curvature of lumbar spine when lying on your back and scoliosis when lying on your side, thus increasing the incidence of lumbar hyperosteogeny.
5. Avoiding back injury and catching cold will directly induce back pain, aggravate the condition and pay attention to protection.
Diet conditioning of hyperosteogeny Objectively speaking, the relationship between rehabilitation of hyperosteogeny and diet is not as close as that between hyperlipidemia and atherosclerosis, but diet should also be paid attention to.
The elderly with hyperosteogeny should pay attention to a balanced diet and eat more foods rich in antioxidants to prevent the destruction of free radicals, slow down the inflammatory reaction and strengthen the formation of bone glue. It is recognized that foods with good antioxidant properties include mango, papaya, melon, grape, orange, pineapple, fragrant swallow, strawberry, tomato, cabbage and potato. As we all know, calcium deficiency in the elderly is often manifested as osteoporosis, compression fracture, scapulohumeral periarthritis and so on. But what is often overlooked is that hyperosteogeny is also a manifestation of calcium deficiency. Therefore, the elderly with hyperosteogeny should also actively supplement calcium. Drinking milk is a simple and effective method to supplement calcium. At the same time, eating more foods containing more calcium, such as pork bones, dairy products, bean products, shrimp skin, eggs, fish, etc., can increase calcium, and leafy vegetables can also supplement calcium. At the same time, we should get more sunshine to promote the absorption of calcium.
Lumbar hyperosteogeny
What does Chinese medicine think? Kidney governs bone and produces marrow; Sufficient kidney essence, then bone biochemistry is active? That is, the bones are fully nourished by kidney essence and firmly fastened, so the elderly need to tonify the kidney to achieve the purpose of strengthening bones. Walnut, Radix Rehmanniae, Black Sesame, Donkey, Oyster, Shrimp, Animal Kidney, Black Bean, etc. It has strong kidney tonifying effect and can be eaten by patients with hyperosteogeny. Clinically, it is found that obese patients are prone to hyperosteogeny in the knee joint, and the treatment time is longer and the recovery is slower than that of patients with similar conditions and weight standards. The reason is very simple, that is, the weight of obese patients increases the burden on the knee joint, and the wear and damage of the joint is greater. Therefore, it is an important link for the elderly to pay attention to a balanced diet and maintain a standard weight to prevent hyperosteogeny. Bone hyperplasia and physical exercise One of the most concerned questions for the elderly with bone hyperplasia is: Can you exercise after getting this disease, and how?
Affirmative and responsible answer: patients with hyperosteogeny also need exercise, but must this kind of exercise? Appropriate quantity? Don't be too intense. In practice, many patients with hyperosteogeny have no symptoms, which is mostly related to their regular labor and exercise. People who regularly exercise and take part in physical exercise can make their bones strong, and even if they have bone rest, they can reduce the mechanical stimulation to the affected joints, which not only effectively prevents the deterioration of symptoms, but also creates good conditions for the dissipation of inflammation.
In the recovery period, it is necessary to avoid the stimulation of environmental factors such as humidity and cold, because these adverse environmental factors can induce inflammation of joints, muscles, nerves and other tissues. If the patient works in a certain posture for a long time, he should pay attention to changing his posture during rest.