How to Prevent Walking Issues After an Open Fracture in Seniors
Fracture Hello Doctor: My mother is 67 years old. Yesterday, on November 10th, she fell off her motorcycle and sustained an open fracture in her left leg. She underwent emergency surgery and is currently hospitalized for recovery. She is very concerned about how this will affect ...
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. Generally speaking, about three days after surgery, you can request a consultation with the rehabilitation department from your attending physician to in...[Read More] How to Prevent Walking Issues After an Open Fracture in Seniors
Rehabilitation Options for Patients with Metastatic Prostate Cancer
Cancer metastasis Hello, Doctor: My father has prostate cancer that has metastasized, causing weakness in both legs. The orthopedic surgeon determined through various examinations that the cancer has spread to the bones and performed a two-stage procedure to insert metal pins in ...
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. In reality, when cancer metastasizes to the bones, it begins to damage the bone structure. Therefore, pain relief medication may be necessary. During rehab...[Read More] Rehabilitation Options for Patients with Metastatic Prostate Cancer
Can Rehabilitation Help After Severe Coma? A Guide for Families
Severe coma My father fell in the shower the day before yesterday, and I only heard a loud "thud." He is currently unconscious. Doctor, if he wakes up, will he be able to undergo rehabilitation? Thank you!
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Whether to proceed with rehabilitation for a comatose patient should be discussed with the attending physician, taking into account vital signs and the potential for muscle rigidity. If necessary...[Read More] Can Rehabilitation Help After Severe Coma? A Guide for Families
Understanding Sedatives: Addressing Unconscious Behaviors in Patients
Regarding sedatives? My father has been taking the sedative Stesolid prescribed by his doctor, and he often engages in activities without being aware of them. For example, he sits in the living room eating raisins and drinking water, then puts the box of raisins in the refrigerat...
Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. I would like to address your questions and provide the following suggestions: 1. In fact, there have been reports of sleepwalking cases associated with the use of Stinol, a sedative. Your father's situation does resemble sleepwalking....[Read More] Understanding Sedatives: Addressing Unconscious Behaviors in Patients
Caring for Mild Hemorrhagic Stroke: Tips to Prevent Deterioration
Mild stroke How to care for a mild hemorrhagic stroke to prevent deterioration? 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 recommendations: 1. It is essential to monitor vital signs daily, including measuring blood pressure at least three times a day, and recording respiratory rate and pulse. ...[Read More] Caring for Mild Hemorrhagic Stroke: Tips to Prevent Deterioration
Understanding Left Knee Issues: Causes and Rehabilitation Tips
Left knee issue? Hello, Doctor: Whenever I sit cross-legged for a few minutes, my left knee cannot straighten immediately and I have to massage it before I can stand up. My right knee has never experienced this. Is there a problem with my left knee? Thank you!
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your question. I would like to respond to your inquiry and provide the following suggestions: 1. In reality, the issue may not be solely related to the knee. Problems with the lateral or medial ligaments (such as sprains or shortening) can certainly c...[Read More] Understanding Left Knee Issues: Causes and Rehabilitation Tips
Trigger Finger: Rehabilitation or Surgery for Quick Relief?
Trigger finger: rehabilitation or surgery? My left finger is bent when I hold things, and after a while, it becomes straightened. Some friends say rehabilitation can help, while others suggest surgery for a quicker solution. Which one is correct? What should I do?
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Whether or not to perform surgery for trigger finger generally depends on the severity of symptoms and their frequency. If the symptoms occur frequently, are severe, or significantly affect da...[Read More] Trigger Finger: Rehabilitation or Surgery for Quick Relief?
Understanding Injury Recovery: When to Switch from Ice to Heat Therapy
Contusion Hello, doctor! I had a motorcycle accident and initially applied ice to the swelling and bruising on my leg. Does the fact that the swelling hasn't continued to increase indicate that I have passed the acute phase? Can I switch to heat therapy now? Thank you!
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. In practice, the determination of the acute phase is primarily based on symptoms, rather than a strict 24-hour timeframe. The acute phase is considered to hav...[Read More] Understanding Injury Recovery: When to Switch from Ice to Heat Therapy
Effective Treatments for Persistent Left Wrist Weakness and Pain
Wrist pain What is the best treatment for persistent weakness and inability to exert force in the left wrist? Thank you!
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. In reality, wrist paralysis should first identify the underlying cause, which may stem from the following points: A. Cervical nerve compression B. Pe...[Read More] Effective Treatments for Persistent Left Wrist Weakness and Pain
Understanding Sharp Pain in the Right Foot: Is It Nerve Pain?
Tingling Hello, Dr. Chen! My mother has been experiencing frequent sharp pains in her right foot lately, as if being pricked by thousands of needles at the same time. Could this be neuropathic pain? Is rehabilitation possible? Thank you!
Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your question. Here are my responses and suggestions: 1. In order to address the issue, it is essential to identify the underlying cause, which may include the following: A. Peripheral neuropathy, including diabetic, alcoholic, and chemical-induced n...[Read More] Understanding Sharp Pain in the Right Foot: Is It Nerve Pain?
Rehabilitation Options for Finger Injury Recovery After Surgery
Laceration My right index finger was nearly severed by a machine three months ago and was surgically repaired by a plastic surgeon. However, it still cannot move normally. I would like to ask the doctor: Is it possible to start rehabilitation? Thank you!
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. In general, after finger suturing surgery, rehabilitation can begin once the acute phase has passed. If the wound sutures are intact, you may also consider starting laser therapy or other light th...[Read More] Rehabilitation Options for Finger Injury Recovery After Surgery
Dealing with Sleep Disruptions: When to See a Rehabilitation Specialist
Sleep disturbances For the past two weeks, I have been waking up in the middle of the night due to numbness in my left palm. After waking up, I have to pat and rub it to regain sensation, and this happens more than three times before dawn. This is quite bothersome. Should I see a...
Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Based on the symptoms, it is possible that you have carpal tunnel syndrome. Given your young age, the likelihood of diabetic neuropathy is low. 2. I recommend visiting a rehabilitation special...[Read More] Dealing with Sleep Disruptions: When to See a Rehabilitation Specialist
How to Treat Blisters from Heat Pack Burns on the Neck?
Burns If you have developed blisters on your neck due to a hot compress burn, it is best to take the following steps for treatment: 1. **Do not pop the blisters**: Allow them to heal naturally to prevent infection. 2. **Keep the area clean**: Gently wash the area with mild soap...
Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. Here are my responses and suggestions: 1. First, stop the heat application and immediately clean the wound. If necessary, apply a layer of antibiotic ointment. 2. When starting the heat application, wrap it with two layers of towels. After a...[Read More] How to Treat Blisters from Heat Pack Burns on the Neck?
Is Lower Back Pain Related to Sciatica Issues?
Lower back pain? Dear Doctor: Is lower back pain an indication of a problem with the sciatic nerve? Thank you!
Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. I would like to address your questions and provide the following suggestions: 1. Most cases of lower back pain and discomfort are due to poor posture, heavy lifting, or prolonged sitting or squatting, which leads to muscle overuse and infl...[Read More] Is Lower Back Pain Related to Sciatica Issues?
Understanding Waist Stretching in Rehabilitation: When and How Much to Lift
Lower back strain Hello, Director! My mother is undergoing rehabilitation and has a lower back stretching program. I would like to ask, what is the basis for determining the starting weight for lower back stretching? At what point in rehabilitation can we consider stopping? Thank...
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, the importance of weight training for the lower back starts at about 1/4 of body weight, increasing by 1 kg every two to three days until reaching 1/2 of body weight. 2. Howe...[Read More] Understanding Waist Stretching in Rehabilitation: When and How Much to Lift
Managing Chronic Knee Pain: Rehabilitation Options and Steroid Injections
Knee swelling and pain? Hello, doctor! A few years ago, my mother fell while standing on a chair to clean the windows, as the chair was unstable. She is unwilling to undergo surgery and has been seeking treatment from a chiropractor for inflammation and pain relief, as well as sp...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. Generally speaking, it is advisable to first conduct X-rays and joint ultrasound examinations to check for any unnoticed small fractures or ligament tears. 2. I...[Read More] Managing Chronic Knee Pain: Rehabilitation Options and Steroid Injections
Understanding Your Toddler's Bouncing Walk: When to Seek Rehab Help
Walking with a hop? My niece is three years old, and she walks with a hopping gait and often walks on her tiptoes. She frequently falls down, and I'm not sure what the issue might be. How should we seek medical attention?
Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. Generally speaking, it is advisable to first consult a rehabilitation specialist for an examination to determine if there is any tightness in the Achilles tend...[Read More] Understanding Your Toddler's Bouncing Walk: When to Seek Rehab Help
Managing Mild Arthritis: Tips to Prevent Knee Deterioration
Arthritis Hello, doctor! I have mild arthritis in my knee. What can I do to prevent it from worsening? Thank you!
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Increase your intake of calcium (such as milk, small dried fish, and calcium supplements) and collagen (such as beef tendons and glucosamine supplements). 2. Engage in rehabilitation, focusing on d...[Read More] Managing Mild Arthritis: Tips to Prevent Knee Deterioration
Effective Recovery Strategies for Sports Injuries in Badminton
Sports injuries Playing badminton has caused soreness in my upper arms, and my leg muscles are fatigued from running around. Doctor, what is the most appropriate way to handle this situation? Thank you!
Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. The soreness in your upper arm caused by playing badminton is generally due to tendonitis of the wrist extensors, while the rapid movements of the leg muscles can lead to lactic acid accumulation, r...[Read More] Effective Recovery Strategies for Sports Injuries in Badminton
Comparing Interferential Therapy and SSP in Rehabilitation: Which Works Faster?
Interference wave therapy Hello, doctor: May I ask which treatment, interferential current therapy or SSP, has a quicker and better effect in rehabilitation therapy? Thank you!
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. The therapeutic effects are quite similar; SSP refers to the sawtooth point electrotherapy, which has a more concentrated action point and provides good analgesic effects through low-frequency elec...[Read More] Comparing Interferential Therapy and SSP in Rehabilitation: Which Works Faster?