Understanding Neck Noises: Are They Normal or a Cause for Concern?
There is a crackling sound in the back of the neck? Hello, doctor. I would like to ask about a sound I’ve been experiencing in the back of my neck when I move or even when I’m still. It sounds like a rustling noise, similar to the sound of hands rubbing against hair, and it is es...
Dr. Lin Ruixiang Reply:
Hello Ms. Wu: Based on your description, this is not a normal phenomenon. It is caused by the uneven sliding of tissues during movement. Generally, it should not be painful; however, if there is pain or associated weakness, medical attention is necessary. The Hualien Hospital of ...[Read More] Understanding Neck Noises: Are They Normal or a Cause for Concern?
Understanding Left Lower Back Tightness and Swelling: Causes and Remedies
Tightness and swelling in the lower left back? Hello, in the past few weeks, I have been experiencing a tight and swollen sensation in my lower left back. At times, this discomfort extends to my upper left back as well. Additionally, there is a tingling and painful sensation from...
Dr. Wang Zhaomin Reply:
Musculoskeletal or neurological disorders can lead to discomfort symptoms. It is important to maintain proper posture, engage in moderate stretching, and develop a regular exercise habit. Sitting cross-legged is not an ideal sitting position; if unavoidable, one should keep the c...[Read More] Understanding Left Lower Back Tightness and Swelling: Causes and Remedies
Understanding Lower Back Pain When Lying Down: Causes and Solutions
Experiencing lower back pain when lying down? Hello Doctor: Recently (about a week), I have been experiencing severe lower back pain when lying down. I have to curl my body to the side or elevate my legs for a while, and only after repeating these movements does it feel somewhat ...
Dr. Li Yanheng Reply:
Based on the description, it appears to be a lumbar muscle strain, likely caused by insufficient core strength during tug-of-war. The pain in the buttocks and knees may be referred pain. It is recommended to consult a rehabilitation specialist or an orthopedic doctor.[Read More] Understanding Lower Back Pain When Lying Down: Causes and Solutions
Understanding Muscle Stiffness After Knee Injury: When to Seek Rehab
Muscle stiffness I had a motorcycle accident on October 14, and my right knee was sutured. The stitches have not been removed yet. When I walk, I feel a lot of pain and tightness in the muscles on the outer side of my knee. Bending my knee also causes significant pain, but it doe...
Dr. Wang Zhaomin Reply:
Delayed wound healing, reduced activity, or muscle contusions and tears can all contribute to tightness and pain in the legs. Online consultations cannot replace an in-person evaluation of your condition. Please visit an orthopedic or rehabilitation specialist for an accurate dia...[Read More] Understanding Muscle Stiffness After Knee Injury: When to Seek Rehab
Understanding Chest Pain: When to Seek Medical Attention
Chest pain in the center? Hello, Dr. Wang. Over the past two days, I have experienced sudden pain in the center of my chest, slightly偏左 (to the left). I have not engaged in any physical activity or experienced any trauma. There is a noticeable tender point, and the pain becomes q...
Dr. Wang Zhaomin Reply:
Musculoskeletal or neurological disorders can lead to discomfort symptoms. Online consultations cannot replace an actual clinical evaluation of your condition. Please visit a neurology, orthopedic, or rehabilitation specialist for an accurate diagnosis and appropriate follow-up t...[Read More] Understanding Chest Pain: When to Seek Medical Attention
Rehabilitation Tips for Walking After a Calf Injury from a Motorcycle Accident
Rehabilitation after a calf injury from a car accident? Hello doctor, I was hit head-on by a motorcycle traveling at approximately 30-40 km/h while walking five weeks ago. The muscles on the front outer side of my right calf were torn. After surgery, my calf was swollen for a wee...
Dr. Wang Zhaomin Reply:
Prolonged bed rest can lead to muscle atrophy, requiring subsequent rehabilitation to gradually recover. However, it is essential to allow the related tissues to heal to a certain extent before engaging in active rehabilitation. Each individual's rehabilitation plan varies b...[Read More] Rehabilitation Tips for Walking After a Calf Injury from a Motorcycle Accident
Seeking Relief: Rehabilitation Options for Neck and Shoulder Pain
Shoulder and neck pain? Hello Doctor, I had an X-ray taken in the orthopedic department last November, which showed forward tilting of the cervical spine. I've been experiencing intermittent pain in both shoulders, and I've been doing heat therapy and electrical stimula...
Dr. Wang Zhaomin Reply:
The mentioned symptoms may be related to the cervical spine or associated soft tissues. Rehabilitation medicine can provide appropriate physical therapy to improve symptoms. Online consultations cannot replace an actual visit; please go to a rehabilitation clinic for an accurate ...[Read More] Seeking Relief: Rehabilitation Options for Neck and Shoulder Pain
Persistent Hip Muscle Pain: Seeking Solutions After Six Months
The gluteal muscles have been painful for six months? Hello Dr. Li, my mother went hiking in March and may have strained her gluteal muscles. She has undergone MRI and X-ray examinations, and 11 doctors have confirmed that her bones are healthy. Blood tests showed only a slight d...
Dr. Li Yanheng Reply:
This patient has undergone examinations by multiple specialists, and it is difficult to determine the cause online. It may be classified as central pain, and a consultation with a pain management specialist could be considered.[Read More] Persistent Hip Muscle Pain: Seeking Solutions After Six Months
Understanding Hip and Lower Back Discomfort: Causes and Solutions
Discomfort from the hip to the lower back? Hello, I have a dull, occasional mild pain around my left hip joint extending to the lower left back. I usually like to sit cross-legged or elevate my leg, and I tend to shift my weight to the left. Could this be related? Are there any w...
Dr. Wang Zhaomin Reply:
Sitting cross-legged or with legs crossed is not a good sitting posture and may lead to musculoskeletal issues. It is important to adopt a proper sitting posture, use cushions, and choose an appropriate chair to provide adequate support for the lower back. This can help prevent e...[Read More] Understanding Hip and Lower Back Discomfort: Causes and Solutions
Rehabilitation After Tibial Fracture: When to Start Therapy?
Tibial fracture Hello Doctor: I suffered a fracture of the upper tibia in a car accident on August 18th. I did not undergo surgery and only had a cast applied. The cast was removed on September 30th. Currently, I am lightly placing my affected limb on the floor, but I have experi...
Dr. Li Yanheng Reply:
If there is no swelling, you can schedule an evaluation with the rehabilitation department. If you are still unable to bear weight on your leg, you can start with isometric strength training to prevent muscle atrophy.[Read More] Rehabilitation After Tibial Fracture: When to Start Therapy?
Understanding Triceps Development: Muscle Imbalance and Rehabilitation Insights
Triceps brachii Hello Doctor, I recently noticed that the triceps muscle in my left arm is larger than in my right arm (even though my right hand is my dominant hand). I'm concerned about possible muscle atrophy and thought about the activities my left hand does most often. ...
Dr. Wang Zhaomin Reply:
The phenomena mentioned in your letter can occur, but further assessment and examination on-site are necessary for a proper evaluation. Online consultations cannot replace an actual in-person visit. Please consult an orthopedic or rehabilitation specialist for an accurate diagnos...[Read More] Understanding Triceps Development: Muscle Imbalance and Rehabilitation Insights
Exploring rTMS Therapy for Stroke-Induced Limb Weakness in Kaohsiung
Repetitive Transcranial Magnetic Stimulation (rTMS) for the treatment of hemiparesis following stroke? My mother suffered from a stroke in June of this year, resulting in left-sided hemiparesis. She has been discharged from the hospital but continues to attend outpatient rehabili...
Dr. Su Hongci Reply:
Hello: The principle of repetitive transcranial magnetic stimulation (rTMS) is to induce a weak electrical current through magnetic waves to stimulate underactive areas of the brain (such as the left prefrontal cortex), thereby affecting the neural circuits related to emotional r...[Read More] Exploring rTMS Therapy for Stroke-Induced Limb Weakness in Kaohsiung
Rehabilitation Exercises for Fifth Metatarsal Fracture Recovery
Rehabilitation for Metatarsal Fractures Hello, doctor. Five weeks ago, I had a closed fracture of the fifth metatarsal in my left foot. The bone has healed about 85%, and the cast has now been removed. However, my foot is still swollen, and my toes, sole, and ankle are stiff, and...
Dr. Li Yanheng Reply:
Whether you can soak in hot water depends on the condition of the wound. Activity should be assessed based on the healing of the bone and the alignment of the fracture. It is recommended that you visit a clinic or hospital for a direct evaluation by a rehabilitation or orthopedic...[Read More] Rehabilitation Exercises for Fifth Metatarsal Fracture Recovery
Do Sacroiliac Joint Injections and Steroid Injections Overlap in Effectiveness?
Is the injection of proliferative agents into the sacroiliac joint mutually exclusive with steroid injections into the sacral hiatus? Hello, the patient is 67 years old. [Symptoms]: Since undergoing knee surgery last August, pain in the right hip and coccyx has gradually increase...
Dr. Wang Zhaomin Reply:
In general, sacral hiatus steroid injections do not easily spread to the sacroiliac joint, but this may vary depending on the injection technique, anatomical structures, or other treatments. Please discuss your current condition with your treating physician.[Read More] Do Sacroiliac Joint Injections and Steroid Injections Overlap in Effectiveness?
Midnight Knee Pain: Understanding Causes and When to Seek Help
Numbness and pain in the knee at night? At night, my left knee experiences severe pain and stiffness, similar to a stiff neck, making it difficult to bend. However, I can still force it to bend, though this occurs very infrequently. I usually sleep on my back, but I might shift t...
Dr. Wang Zhaomin Reply:
Many factors can cause discomfort in the knee and thigh areas, including damage to soft tissues such as tendons and ligaments, as well as potential nerve-related issues. Online consultations cannot replace an in-person examination. It is advisable to visit an orthopedic or rehabi...[Read More] Midnight Knee Pain: Understanding Causes and When to Seek Help
Understanding Elbow Injuries: Insights on Ligament Damage and Recovery
Elbow issues Hello, doctor. I was in a car accident about five weeks ago, and I have two symptoms: a Colles' fracture in my left hand and a ligament injury in my right hand. Today, I mainly want to ask about the condition of my right hand. The accident occurred in another ci...
Dr. Wang Zhaomin Reply:
Injury to the lateral ligaments of the wrist can indeed lead to limited joint mobility. However, based on the description in your message, it is difficult to understand the true situation. A physical examination on-site, along with relevant physical and clinical assessments, is n...[Read More] Understanding Elbow Injuries: Insights on Ligament Damage and Recovery
Is Prolotherapy Safe After Knee Surgery? Understanding Infection Risks
Does hyperplasia treatment lead to infection or osteomyelitis? Hello Doctor: My knee was injured in a car accident, resulting in a lateral meniscus tear and a tibial avulsion fracture (anterior cruciate ligament tear). The surgical procedures included meniscus repair and fixation...
Dr. Li Yanheng Reply:
If there are sutures inside the knee and there is concern about the risk of infection, it is recommended not to perform regenerative treatment. Even with thorough disinfection, there is still a possibility that trace bacteria on the skin could enter the joint through the needle t...[Read More] Is Prolotherapy Safe After Knee Surgery? Understanding Infection Risks
Understanding Neck Pain and Breathing Issues During Back Rehabilitation
When bending at the waist, I feel pain in my neck as if it is being pulled, and I have difficulty breathing? I strained my lower back while walking. Following my doctor's advice, I underwent rehabilitation for my back injury. However, during the sessions, I constantly feel p...
Dr. Li Yanheng Reply:
To determine if there is a misalignment of the thoracic vertebrae, a physical examination is necessary.[Read More] Understanding Neck Pain and Breathing Issues During Back Rehabilitation
Can a Stiff Neck from Sleeping Cause Numbness in Your Hand?
Can a stiff neck cause hand numbness? Waking up with a stiff neck and experiencing persistent numbness in the left index finger raises the question of whether a stiff neck can cause hand numbness.
Dr. Wang Zhaomin Reply:
A stiff neck can indeed lead to hand numbness, but there may be other causes for the numbness as well. It is advisable to consult a neurologist, orthopedic specialist, or rehabilitation physician for an accurate diagnosis and timely treatment.[Read More] Can a Stiff Neck from Sleeping Cause Numbness in Your Hand?
Understanding Ankle Sprains: Recovery Timeline and Rehabilitation Tips
Ligament ankle sprain Hello Doctor, I would like to ask about an injury I sustained on July 31 while playing basketball. When I jumped for a rebound, I landed on someone else's foot, and I heard two popping sounds from the outside of my ankle. It swelled significantly, and I...
Dr. Wang Zhaomin Reply:
A mild ankle sprain typically heals within one to two weeks. If there is still significant discomfort six weeks after the injury, there may be more severe tissue damage or chronic inflammation. Online consultations cannot replace an in-person visit; please consult an orthopedic o...[Read More] Understanding Ankle Sprains: Recovery Timeline and Rehabilitation Tips