The clinic has a front and back door, and the back door is mainly to the place where the water is received, so Professor Xu didn't meet this acquaintance, otherwise Lu Cheng wouldn't be able to see it at all.

Liu Lao looked tough, looked at Lu Cheng, and didn't say it thoroughly, just jokingly: "Say that I can catch up and come to you directly? ”

"But I didn't expect that you were now caught by me for 'dereliction of duty', and it was still on my head. ”

"I hung up your number seriously, but you didn't show it to me. ”

Regarding Liu Lao's words, Professor Xu's face did not change, put the water cup on the table, and asked lightly: "What's the matter? I didn't hear you mention it last time I played chess." ”

Professor Xu also knows.

Old children and old children are all very strong people, and in front of their peers, the more careful they are to pretend that they are fine.

As far as he is concerned, he actually has a little problem, he has lumbar spondylosis, when he sits, it will be very painful, although he continues to receive physical therapy, but the effect is not good, but it has not yet reached the point of going to surgery, just think about it.

"Hehe, I'm just coming to talk to you. ”

"This foot, when a man is old, he is also old. Some don't listen. Liu Lao said with a smile.

Liu Lao didn't mention whether what Lu Cheng said just now was right or wrong, and re-laid out the film: "It hurts when you walk, and it hurts even more when you step on a stone." You can show me by the way, eh, I still specially picked the point that is about to get off work, and I will wait for you to finish reading it and go out for a yo together. ”

"But you seem to have an opinion about me. In front of Professor Xu, Liu Lao was also very joking.

Professor Xu read the film carefully, because he was an acquaintance, and he knew very well how this old Liu's illness fell.

But with his level, no matter how careful he was, he finished reading it in a minute, but he didn't rush to speak, but looked at Lu Cheng and asked:

"Xiao Lu, what do you think of me, an old fellow?"

Hearing this, Liu Lao and the others hurriedly looked at Lu Cheng again.

Professor Xu is a major orthopedic doctor in the entire Hunan Province, and most of the reputation of the current Hunan University Hospital is earned by him from all over the country.

With his level, he naturally didn't look bad, but he first asked Lu Cheng's opinion.

There are two purposes, first, in order to protect Lu Cheng, even in front of him, an old acquaintance, he must be defended.

Second, this young man must also have some ability, and he is also a little interesting.

Otherwise, with Professor Xu's experience, he would not be so protective of a junior.

What kind of national or even worldwide academic conferences did Professor Xu never fly over to speak?

What level of professor, or even academician, he has never heard of? Even, many of the previous textbooks were compiled by them.

Lu Chengdi's heart was naturally panicked at first.

When I saw the outpatient clinic, I saw Professor Xu's acquaintance, if he was beaten by him, it must be his luck, and he couldn't say that he deserved it.

However, since Professor Xu asked, Lu Cheng naturally couldn't help but answer.

Lu Cheng organized his language a little, and it took longer than last time, about twenty seconds later, before he spoke:

"Professor Xu, that's what I think. ”

"Liu Lao's foot pain should be heel pain, and it is also heel pain. ”

"Heel pain is divided into heel pain and back heel pain, and the causes are different. ”

"Posterior heel pain can be divided into Achilles tendon insertion and non-insertion. ”

"It mainly involves lesions of the Achilles tendon. ”

But Liu Lao's symptoms and physical examination are not heel pain, but heel pain. Although the difference between the two is only one word, there are still differences, and the diagnosis and treatment methods are also slightly different. ”

Speaking of this, Lu Cheng continued to recall what he had read in the books.

Then he elaborated: "Heel pain can occur in people who exercise or sedentary people, there is no gender difference. Key risk factors include range of motion, body mass index, and work-related. ”

"Liu Lao's mobility is acceptable, and his body mass index is on the thin side, so his triggers should be related to work. ”

Then Lu Chengcheng did not continue to elaborate in this regard, but changed slightly: "At present, most studies and understandings at home and abroad support that pain comes from myofascial pain syndrome, plantar fasciitis or heel bone spurs. ”

"With the current examination, it is naturally impossible to determine the specific source of the pain. ”

"But by reading the film, we can rule out heel bone spurs. Professor Xu, you see here, we don't see any obvious bone spurs on the X-ray. ”

"Since there is no obvious symptom of bone spur entrapment, but only chronic damage to the soft tissues, the current general treatment methods are divided into the following categories. ”

"One, non-steroidal drug therapy. That is, painkillers, Liu Lao said that he had taken them before, but after taking them for a while, he would relapse. ”

"And the current general knowledge also realizes that the pathological examination results of calcaneal pain are not eosinophilic granulomas, so it is not caused by chronic inflammation. Nonsteroidal drugs inhibit the inflammatory process and do not control symptoms. So I don't recommend using NSAIDs. ”

"Second, the small needle knife. or dry needling. ”

"This is a smaller treatment than minimally invasive minor surgery, and most of them are intervened by means of traditional Chinese medicine to release the tendons and fascia. ”

"Between 2000 and 2010, this kind of small needle knife and dry needling was very popular. ”

But at the last follow-up, someone noticed that after the above two treatments, the doctor would tell the patient to remove the trigger and wear softer shoes instead. This reduces the chance of symptoms recurring. ”

Later, someone did another study. ”

"There is no difference between someone who has dry needling and wears soft-soled shoes, and who wears soft-soled shoes without any intervention, and when FHSQ and VAS are followed up to assess foot health and pain, respectively, and to assess quality of life with EQ-5D scores. ”

Therefore, the current treatment of heel pain has once again fallen into heated discussions. ”

Based on this understanding and experience, I gave Liu Lao advice to ask him to buy more pairs of soft-soled shoes, and did not recommend oral non-steroidal drugs. ”

"I'm done. Lu Cheng thought about it for a while, although there are still some details that have not been fully described, but he is not in class, and it is enough to say this.

Lu Cheng finished speaking, but Liu Lao and the others were blinded, where did they understand this.

But the structural and theoretical support that Lu Cheng said also let them know, what was excluded, and what was left in the end, and it was the latest understanding and experience.

It's awesome.

Liu Lao first felt that in front of him and Professor Xu, this young man could not be surprised and say these words in detail and reasonably, this young man was definitely not bad.

After hearing this, Professor Xu's brows first frowned slightly, and then he suddenly sighed.

said to Liu Lao: "Lao Liu, if it weren't for Xiao Lu's explanations, I would definitely suggest that you go for dry needling." ”

"However, although people run in the times, the times will eventually eliminate people. ”

"Xiao Lu said that according to the classification of heel pain and various treatment methods, I feel that I have fallen behind. ”

After speaking, Professor Xu suddenly glanced at Lu Cheng and asked, "When did you read these documents?"

He was a little skeptical, whether Lu Cheng was a freak after all, at such a young age, had he finished reading the book?

Lu Cheng knew that he must have passed Professor Xu's level, and hurriedly said: "My master recommended me to read Campbell, and asked me not to read books, so I saw a disease, and after knowing the basic theory, I would browse the relevant literature. ”

"Heel pain, in fact, also belongs to the category of ankle joints. ”

"If Professor Xu wants to ask about the rest, I definitely don't understand. ”

"I've only looked at the hips, knees and ankles so far. The joints of the upper limbs, not yet had time, to see where to go. ”

Solid foundation, honesty, pragmatism, and pursuit of the new......

Professor Xu and Liu Lao gave Lu Cheng such a few labels.

Liu Lao smiled and joked: "Then I got a small knife free today, and I earned it?"