Medical Needs: Addressing Common Discomforts in Family Medicine - Family Medicine

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What type of medical care is needed?


I can read for a while with the book on my abdomen, but when it's on the desk, I don't know where to place my hands.
It feels like I'm exerting effort when it's on the desk, and I also have a habit of shaking my legs and crossing my toes, which seems to indicate tension.
Please give me some advice.

u, 30~39 year old female. Ask Date: 2015/12/31

Dr. Chen Bozhang reply Family Medicine


Dear Mr.
U,
In your letter, you mentioned that you are unsure how to position your hands while placing a book on your desk, and that you have a habit of shaking your legs and crossing your toes with tension, which seems to indicate nervousness.
Since I am not fully aware of your reading environment and comfort level, I suggest that before you read, you take a moment to relax and calm your emotions.
Ensure that you have bright lighting and a quiet, distraction-free indoor space.
Additionally, adopt an ergonomic arrangement of your desk and chair, as well as a proper sitting posture.
If you continue to feel discomfort, consider consulting a physician in the field of family medicine.
I hope this response is helpful to you.
Dr.
Chen Bozhang
Department of Family Medicine
Keelung Hospital, Ministry of Health and Welfare

Reply Date: 2015/12/31

More Info


When it comes to addressing common discomforts in family medicine, it’s essential to recognize that many patients experience a range of physical and emotional symptoms that can significantly impact their quality of life. Your description of discomfort while reading and the associated feelings of tension and anxiety may be indicative of several underlying issues that could benefit from a thorough evaluation by a healthcare professional.

Firstly, let’s break down the symptoms you’ve described. You mentioned placing a book on your abdomen while reading, which may suggest a need for comfort or support. However, when you attempt to read at a desk, you feel discomfort in your hands and experience a sense of tension, particularly in your legs, as you describe shaking your legs and crossing your toes. This could be a manifestation of anxiety or restlessness, which is not uncommon in individuals who may be feeling overwhelmed or stressed.

From a medical perspective, several factors could contribute to these sensations. For instance, poor posture while reading can lead to musculoskeletal discomfort. If you are sitting at a desk for extended periods without proper ergonomic support, it can strain your back, neck, and shoulders, leading to discomfort. It’s advisable to ensure that your reading environment is conducive to good posture. Consider using a chair that supports your lower back and keeping your feet flat on the ground or on a footrest to alleviate tension in your legs.

Additionally, the feelings of tension and the habit of shaking your legs may indicate underlying anxiety or restlessness. Anxiety can manifest physically in various ways, including muscle tension, restlessness, and difficulty concentrating. If you find that these feelings are persistent and affecting your daily life, it may be beneficial to speak with a healthcare provider about your symptoms. They can help assess whether you might be experiencing generalized anxiety disorder or another related condition.

In family medicine, it’s crucial to adopt a holistic approach to treatment. This means not only addressing the physical symptoms but also considering emotional and psychological well-being. Techniques such as mindfulness, deep breathing exercises, or even cognitive-behavioral therapy (CBT) can be effective in managing anxiety and improving overall comfort. Engaging in regular physical activity can also help reduce tension and improve mood, as exercise is known to release endorphins, which are natural mood lifters.

Moreover, if you find that your discomfort persists despite making adjustments to your reading environment and incorporating relaxation techniques, it may be worth exploring other potential medical issues. Conditions such as restless leg syndrome or even nutritional deficiencies (like magnesium or vitamin D) can contribute to feelings of restlessness and discomfort. A comprehensive evaluation by a family physician can help rule out these possibilities and guide you toward appropriate treatment options.

In conclusion, addressing common discomforts in family medicine requires a multifaceted approach. It’s essential to evaluate your physical environment, consider your emotional health, and seek professional guidance if necessary. By doing so, you can work towards alleviating discomfort and improving your overall well-being. If you continue to experience these symptoms, I encourage you to reach out to a family physician who can provide personalized care and support tailored to your needs.

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