Understanding Ankylosing Spondylitis: Exercise and Rehabilitation Options
Ankylosing Spondylitis I often have trouble getting out of bed in the early morning. Initially, I thought it might be due to the cold weather, and then I considered that playing basketball too vigorously might have caused stiffness in my lower back and spine. Recently, I was diag...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Ankylosing spondylitis is an immune-related condition, and it may be necessary to learn how to manage it. 2. Treatment should differentiate between the acute and chronic phases. If there is signi...[Read More] Understanding Ankylosing Spondylitis: Exercise and Rehabilitation Options
Can Speech Clarity Improve After a Second Stroke? Treatment Options
Second stroke Hello, doctor! After my father had a second stroke, his speech became unclear, and we often have difficulty understanding what he says, leading us to guess, which usually results in misunderstandings. His impatience often makes him very angry. Is there a treatment f...
Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your question. Here are my responses and suggestions: 1. Generally, for a second stroke, it is important to monitor blood pressure, blood sugar, blood lipids, and cholesterol levels, and to take medications as prescribed to maintain control. 2. If vital si...[Read More] Can Speech Clarity Improve After a Second Stroke? Treatment Options
Understanding Sudden Foot Cramping: Possible Causes and Solutions
Foot cramps? My mother's left foot has been unexpectedly rolling over while walking on flat surfaces recently. The moment it rolls, her foot jerks suddenly. The more she pays attention to it, the more it happens. She hasn't sprained it; she's just puzzled as to why...
Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Generally speaking, your family member should see a specialist in rehabilitation medicine or neurology for an examination, as there are many potential underly...[Read More] Understanding Sudden Foot Cramping: Possible Causes and Solutions
Effective Rehabilitation Treatments for Varicose Veins Relief
Varicose veins I have been wearing compression stockings for a while due to varicose veins caused by prolonged standing. The varicose veins have not worsened, but sometimes the compression stockings feel uncomfortable. Is there any equipment treatment available in physical medici...
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Generally speaking, when purchasing compression stockings, it is advisable to choose a more specialized product that comes with a pressure distribution char...[Read More] Effective Rehabilitation Treatments for Varicose Veins Relief
Managing Calf Cramps and Ankle Pain After Hiking: Expert Tips
Calf cramps Hello, Director! My mother walks on a mountain path every day, which is not very steep, but she climbs the stairs at a steady pace and always feels short of breath. She said that while descending today, she suddenly experienced a cramp in her left calf just below the ...
Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. It is possible that you have degenerative arthritis in the knee and ankle, and due to insufficient muscle strength in the elderly, descending requires significantly more strength (at least 25% more...[Read More] Managing Calf Cramps and Ankle Pain After Hiking: Expert Tips
Can Horseback Riding Therapy Help Children with Developmental Delays?
Developmental delay My son experienced developmental delays and at the age of 2, he was still babbling and not speaking. I have made great efforts to take him for speech therapy and sensory integration therapy. Over the past three years, while his verbal expression is still not o...
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Hippotherapy is a treatment that has been introduced from abroad and is used for children with "cerebral palsy," "attention deficit," &q...[Read More] Can Horseback Riding Therapy Help Children with Developmental Delays?
Understanding Wrist Weakness: When to See a Rehabilitation Specialist
Inability to elevate the wrist? My uncle woke up and found that he couldn't lift his left wrist; it has no strength at all. What should he do, and which specialty should he see?
Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. Here are my responses and suggestions: 1. It may be due to damage to the radial nerve (peripheral nerve) or damage to the central nervous system (such as a stroke). It is advisable to visit a rehabilitation or neurology department for an exa...[Read More] Understanding Wrist Weakness: When to See a Rehabilitation Specialist
Can Rehabilitation Help with a Turf Toe Injury?
Thumb sprain? I accidentally injured my right big toe while playing soccer; it is swollen and painful. I first consulted a Traditional Chinese Medicine doctor who mentioned that it could be a ligament injury or a fracture. I would like to ask a rehabilitation physician: can this ...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following recommendations: 1. Generally, I suggest that you first get an X-ray to diagnose whether there is a fracture. 2. You may start by visiting the rehabilitation department for ...[Read More] Can Rehabilitation Help with a Turf Toe Injury?
Understanding Torticollis Treatment and Care for Infants
Regarding the treatment of torticollis? I have a 4-month-old baby who is still quite floppy. Since birth, he has been receiving physical therapy for torticollis for the past 3 months, and it seems to have improved. I would like to know if torticollis might reoccur in the future a...
Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry. Here are my responses to your questions along with some relevant suggestions: 1. Generally speaking, newborns are influenced by "reflexes," which can cause differences in muscle tension on both sides of the body during movements or wh...[Read More] Understanding Torticollis Treatment and Care for Infants
Can Rehabilitation Help with Severe Knee Pain After a Fall?
Knee pain I fell off my motorcycle the day before yesterday, and my knee hit the ground hard. At first, I didn't feel much, so I applied some adhesive bandages myself. However, after two days, the pain in my knee has worsened. It hurts a lot whenever I bend it, walk, or go u...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Generally, I suggest getting an X-ray to determine if there is a fracture in the patella (kneecap). 2. If the pain is severe, it is advisable to limit walking, especially going up and down sta...[Read More] Can Rehabilitation Help with Severe Knee Pain After a Fall?
Do You Need Surgery for Heel Spurs? Exploring Rehab Options
Heel spur? I have been experiencing pain in my right heel for a while, and since there was no injury, I didn't pay much attention to it. Recently, the pain has become so severe that I can’t walk. After getting an X-ray, I found out that I have a bone spur. The orthopedic sur...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Generally speaking, heel bone spurs rarely require surgical intervention unless there are severe complications. 2. You may consider purchasing soft-soled ...[Read More] Do You Need Surgery for Heel Spurs? Exploring Rehab Options
Rehabilitation Options for Patients with Tracheostomy After Severe Illness
Patients with tracheostomy? My cousin was hospitalized for acute encephalitis in the intensive care unit for a long time about a year and a half ago, and then he was transferred to a respiratory unit for treatment. Later, he underwent a tracheostomy. From emergency care to stabil...
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Generally speaking, rehabilitation can assist your cousin in the following areas: a. Respiratory ease, including teaching techniques for chest percuss...[Read More] Rehabilitation Options for Patients with Tracheostomy After Severe Illness
Understanding Tailbone Pain: When It Spreads to the Hips and Thighs
Coccydynia radiating to both sides of the buttocks? Hello, I have been experiencing pain in my coccyx for some time. I first went to an orthopedic doctor for an X-ray, and the doctor said I have four vertebrae instead of five, but the fifth vertebra is under normal stress. Howeve...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. Generally speaking, the coccyx you mentioned may refer to the sacral region. For most people, the coccyx refers to the tailbone. When the doctor mentioned...[Read More] Understanding Tailbone Pain: When It Spreads to the Hips and Thighs
Understanding Rib Pain: Possible Causes and When to Seek Help
Rib pain Waking up in the morning with sudden pain in the left arm and rib area under the armpit, which worsens with slight touch, can be concerning. It can be difficult to distinguish whether the pain is originating from the bones or the muscles. Possible causes of this pain may...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, there are two possible reasons. The first reason may be intercostal neuralgia or thoracic disc herniation compressing the nerves. 2. You can use analgesic patches, topical ointme...[Read More] Understanding Rib Pain: Possible Causes and When to Seek Help
Quick Relief Tips for Sudden Lower Back Pain After Lifting
Lower back pain? If you suddenly experience a sharp pain in your lower back while lifting something and find it difficult to stand up straight, here are some steps you can take to help yourself stand up: 1. **Stay Calm**: Take a moment to breathe deeply and try to relax your bod...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, if you have strained your lower back, do not stand up straight immediately. First, apply ice for ten minutes, use a pain relief patch, and rest as much as possible. 2. You may ma...[Read More] Quick Relief Tips for Sudden Lower Back Pain After Lifting
Understanding Flat Feet: Diagnosis and Treatment Options
Flatfoot angle assessment Several months ago, I learned from the Department of Health's website that flat feet should be evaluated by a rehabilitation specialist. Therefore, I went to Keelung Chang Gung Memorial Hospital to see a rehabilitation physician. Initially, I consul...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, the measurement of flatfoot angles is primarily done using X-rays (lateral view of the foot). The measurement is determined by the angle formed between the line connecting the ...[Read More] Understanding Flat Feet: Diagnosis and Treatment Options
Addressing Emotional Challenges in Young Children: A Parent's Guide
Emotional disorders I have a pair of children, a 7-year-old son and a 2-year-old daughter. However, my son's language expression skills seem to be insufficient; sometimes I have to guess what he wants to say. Recently, I discovered that he has emotional difficulties and occa...
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. I would like to address your questions and provide the following suggestions: 1. Generally speaking, I recommend that you first communicate with the teacher to see if there are any pressures related to social interactions with classmates o...[Read More] Addressing Emotional Challenges in Young Children: A Parent's Guide
Strategies to Help Your Distracted Child Focus and Socialize Better
Easily distracted? My son is four and a half years old. His kindergarten teacher says he is easily distracted and has difficulty interacting with his classmates. Are there any ways to improve this? Thank you.
Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. Generally, I recommend taking your child to a rehabilitation department and a pediatric neurology specialist for an evaluation to check for any brain injurie...[Read More] Strategies to Help Your Distracted Child Focus and Socialize Better
Understanding Foot Bone Depression: Injury Risks and Nerve Damage Concerns
Depression of the foot bones? After falling off a motorcycle, in addition to skin abrasions, a more serious concern is a depression in the bone about 5 centimeters above the right ankle, which appears somewhat deformed. There is redness and swelling, and the pain is severe enough...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following recommendations: 1. Generally speaking, I suggest that you immediately visit a rehabilitation or orthopedic specialist for an examination, including X-rays and nerve condu...[Read More] Understanding Foot Bone Depression: Injury Risks and Nerve Damage Concerns
Understanding Lower Back and Hip Pain: Causes and Recovery Time
Lower back and hip pain? I have been doing heavy lifting work every day, and while I didn't experience any issues when I was younger, after a few years, I often have pain in my lower back, hips, and thighs. Sometimes the pain feels like a knife cutting, and other times it fe...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, you can undergo X-rays, CT scans, MRI, and electromyography at the rehabilitation department. 2. If there are no severe compressive fractures or lumbar spondylolisthesis, cons...[Read More] Understanding Lower Back and Hip Pain: Causes and Recovery Time