”I’m singing about the difficulties of old age with my hands and feet. Listen to me from the beginning. It is hard to talk to people when you are deaf, and you are annoyed by the diversions. It is hard to sleep with my legs stretched out, hard to turn over, and I have pain all over my body. I can’t sleep in the hope of brightness, and I have to urinate seven or eight times a night. Fear of long nights, fear of wind and cold, often suffer from wind sickness. My feet are numb, my legs are sore, and it is really hard to sit and lie down. I have to walk a mile or two with my cane, and going to bed is like climbing a mountain. Everyone has difficulties in old age.” Decades ago, the song “It’s Hard to Grow Old” made millions of people cry. The main reason why it is difficult to grow old is that the “body and bones” are not strong anymore.
”After half a century, the bones and muscles will decline”. Why do the tendons and bones will age. Chinese medicine says that the kidney is the main bone, the liver is the main tendon. After middle age, as we grow older, the human liver and kidneys will appear aging phenomenon, and with it, the tendons and bones of the disease will come to the door. A common symptom is “soreness and weakness of the waist and knees and inconvenience of the legs and feet”. National people will make the correct self-diagnosis: “that is kidney deficiency, need to drink Huiren Kidney Bao, drink it, I am good he is also good.” But the reality is that many people do not drink Huiren Kidney Bao, good or not. The main reason is that the price of the drug is not appropriate, the average person does not want to eat. Huiren Kidney Treasure (snake bed seeds, Chuanxiong, cuscuta, bone marrow, poria, red ginseng, cumin, Wu Wei Zi, cherry, atractylodes, angelica, raspberry, system He Shou Wu, psyllium, rehmannia, wolfberry, yam, Epimedium, fenugreek, astragalus, cistanches, roasted licorice.) The prescription is really quite good. The men and women before and after the pre-menopause can take, the effect of strengthening the body is certainly very good. The young people should not drink, drink this kind of medicine, the liver and kidneys will be more deficient, the body will get collapsed, you know the reason. The same people, why some people can take it, and some people can not? The principle established by the medical sage Zhong Jing, the first teacher: the evidence-based treatment.
Geriatric osteoarthrosis is a common disease, especially in the knee joint, and almost 80% of people over 60 years old suffer from this disease. The main external cause is overwork. Urbanites believe that “life is exercise”. However, although strong wine is good, do not be greedy. Exercise is a habit that can easily become addictive. Not the more the better, too much is not enough. Various ball games and jumping movements may cause joint injuries. Many patients are seen in the clinic due to over-exercise. Exercise must be scientific, “regular exercise, but not strain, relaxed body not old.” Rural elderly patients are generally manual laborers, young people have gone out to work, crop work and child care work to the elderly. The age when they should have spent their twilight years in peace, but are served by various kinds of pressure. “It is not easy to live and die. In addition to proper exercise, elderly people with osteoarthrosis can take some Chinese herbal medicines to strengthen the kidneys and bones, which can play a role in delaying aging. Liu Wei Di Huang Wan is a good choice.
There is even a kind of osteoarthritis, named self-seeking osteoarthrosis. The economy is strong and the children and grandchildren are filial, but the old man is stubborn. Heavy physical labor must be engaged, not for money, but only for fun. This type of patient needs emotional treatment. Tell the patient that “good health is the greatest understanding and support for the children and grandchildren”. With proper communication and no more joint-damaging sports, the symptoms will soon be controlled. Older adults need more care and communication. Some elderly people are so lonely and their children and grandchildren are so busy that they do not see them for a whole week. Sometimes the desperate movement of the joints leads to joint pain, and the children and grandchildren surround them to treat them, which is indescribably happy, really painful and happy. Perhaps this is a social disease.
For joint replacement, if the family is financially well off, if the age reaches a certain standard, and if the joint pain is not relieved by systematic conservative treatment. I suggest that joint replacement can be considered. Although money is not everything, but at present, the treatment is not possible without money, and the choice of treatment method, first of all, should be linked to money. To put it bluntly, spend wisely and not blindly follow the trend. Otherwise, sometimes, it will be worse than death.
A patient in the clinic, male, 60 years old, 3 years after knee replacement, is currently red, swollen and hot. Radiographs show: loosening of the joint after replacement. Needs to be admitted to the hospital for reoperation. The expected cost of the surgery is in the tens of thousands of dollars. The elderly man has to fight for his life with the surgeon who performed the original replacement. Is there a quality problem with the surgeon’s surgery in this case? No. Was the old man wrong? Yes.
It turns out that this patient lives in the mountainous region of west Henan, his wife is paraplegic, his two sons are mentally retarded, and the burden of life of the family is on his shoulders. He suffered from osteoarthritis of the knee joint due to years of strain. When he went to the hospital, he met a doctor who said that surgery could cure the disease. He thought that if he could be cured by surgery, his joints would be pain-free and he could do more work, plant some land and serve his partner and son. He gritted his teeth and raised several tens of thousands of yuan, and soon his joints stopped hurting. From the post-operative film, the doctor’s surgery was so beautiful that it could be used as a textbook film for knee replacement. The old man sent a banner to the doctor, saying, “Hua Tuo is alive and well, he has relieved my pain”. When the old man went home, his joints really didn’t hurt anymore. The old man went home and the joint was really painless.
The doctor’s surgery was beautiful, and the composition could not be medical malpractice. The joints can generally be used for 20 years is conditional, if every day walk, swim, walk the dog, sit in the bus, etc., certainly not three years in the problem. The old man’s family condition is not suitable for joint replacement, joint fusion is a hundred times better than replacement. Now there is a problem, nearly 100,000 medical costs to sell the person also useless. If the financial situation does not allow it, and the family conditions do not allow it, I suggest that it is better not to replace the joint.
Another person was admitted to our hospital with an infection after a joint replacement. The patient had medical insurance and was in a good family situation. After spending a lot of money, the disease was cured.
Another patient, who did not have medical insurance, had to pay for the first surgery with the help of her 5 children, who were not well off. Unfortunately, 1 year after the operation, the infection was caused by the high cost of the operation. The children could not reach a consensus. They had to delay. The patient was in great pain.
Joint replacement, first of all, it is best to go to a regular specialist hospital for treatment. Secondly, the replacement should have enough financial strength to bear the extra expenses in case of an accident. Thirdly, after joint replacement, you need to live in comfortable conditions and if you still need to do heavy work, it is better not to replace the joint. If you do not have the financial means to do so, it is recommended that older patients with osteoarthrosis choose conservative treatment.
Elderly patients with osteoarthrosis often have a combination of osteoporosis, hypertension, and heart disease. It is necessary to prescribe medication, develop functional exercise prescriptions and manage bone and joint health under the premise of overall identification. Prevention is better than cure.
Based on more than 200 years of experience in treating injuries, Pingle Orthopaedics has clinically divided elderly knee osteoarthritis into six types and prescribed different prescriptions, receiving good results.
A. Liver and kidney yin deficiency: soreness or hidden pain in the knee, deformation of the joint for a long time, unfavorable movement, soreness and weakness of the waist and knees, feverishness of the five hearts, weakness of the limbs, dizziness, tinnitus and forgetfulness, dry mouth, insomnia and dreaminess, night sweats and red cheeks, low menstrual flow in women, red tongue with little coating, thin and counted pulse.
B. Qi stagnation and blood stasis: distension or stabbing pain in the knee, joint deformity, swelling, painful areas that do not move or painful points that wander, pain at night, local pressure pain is obvious, sallow complexion, light purple tongue or petechiae, thin white moss, sunken thin pulse or stringiness.
C. Dampness and heat: burning pain in the knee, increasing when hot, localized burning when touched, relieved when cold, joint swelling and fluid accumulation, dry and bitter mouth, short and red urine, red tongue, yellow and greasy moss, smooth and numbered pulse.
D. Wind-cold damp paralysis: cold pain in the knee, heavy flexion and extension are unfavorable, pain increases when cold is encountered, localized cold fear, cold extremities, relieved by warmth, obvious when weather changes, light tongue, white smooth or moist coating, sunken pulse.
E. Spleen and kidney yang deficiency: hidden pain in the knee or cold pain in the waist and knee, cold form and limbs, morning stiffness, swelling of the knee, white face, dizziness, dullness, clear and long urine, frequent night urination, swollen form, loose discharge, pale and fat tongue, white slippery coating, sunken and weak pulse.
F. Phlegm and stasis intertwined evidence: knee diffuse swelling for a long time, stiffness and deformation, restricted flexion and extension, swelling and pain, pain fixed, pain like cone, light day and heavy night, obese shape, dry mouth and gargling water without swallowing, purple and dark tongue, white or yellowish greasy moss, thin and astringent or slippery pulse.
The world is so big, I want to go, if the body is not good, where can not go. For the doctor to be a bright doctor, only seek name not seek bright, figure has a false name. The so-called bright doctor, is to understand the medical theory, medicine, social personnel, astronomy and geography, understand the true meaning of life, understanding of medical theory, in practice and can be used skillfully, clinical experience, high moral, medical skills, visionary in the unemergent, long in treating the untreated.