Dr. Chen Xianchang reply Rehabilitation Question - Page 18

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Understanding Arm Pain: Rehabilitation Options for Shoulder Discomfort

Arm pain Hello, Doctor! My mother has been experiencing soreness and pain in the muscles on the outer side of her right arm near the shoulder for the past few days. She feels uncomfortable no matter how she sleeps. Is rehabilitation therapy an option? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. It could be due to "biceps brachii pain" or compression of the cervical nerve root at C8. A clear diagnosis is necessary first. Heat therapy and electrical stimulation can be initiated...

[Read More] Understanding Arm Pain: Rehabilitation Options for Shoulder Discomfort


Understanding Cervical Traction: How to Determine Weight Progression in Rehab

Cervical traction The decision on the weight for cervical traction, starting at 7 kilograms and increasing by 1 kilogram every two days until reaching 10 kilograms, is typically based on the patient's tolerance, comfort level, and clinical guidelines. The goal is to graduall...


Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your question. I would like to respond to your inquiry and provide the following suggestions: In practice, if we refer to textbook theoretical values, the weight for cervical traction should range from 1/7 to 1/4 of body weight. However, it is also impor...

[Read More] Understanding Cervical Traction: How to Determine Weight Progression in Rehab


Can Stretching Help Sciatica Pain with a Hernia?

Can a hernia cause back pain? I have sciatica that radiates to my left lower limb, and it has been frequently occurring lately. I've heard that stretching the lower back is effective. However, I have a hernia; is it safe for me to stretch my lower back?


Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Due to lumbar traction, abdominal pressure may increase, which can affect hernias; therefore, lumbar traction is not advisable at this time. Instead, you may consider strengthening deep tissue m...

[Read More] Can Stretching Help Sciatica Pain with a Hernia?


Understanding Nighttime Leg Cramps: Causes and Solutions

Nocturnal leg cramps? I experience painful cramps in my calves at night that wake me up. What could be the problem, and what should I do about it?


Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. Here are the responses to your questions and some suggestions: 1. Possible causes include: A. Muscle exposure to cold leading to poor circulation. B. Electrolyte imbalance, such as deficiencies in calcium or sodium. C. Compression ...

[Read More] Understanding Nighttime Leg Cramps: Causes and Solutions


Preventing Chronic Ankle Sprains: Tips for Basketball Players

Ankle sprain Hello, doctor! I sprained my right ankle while playing basketball two months ago, and after it healed, I sprained it again on the court. Is it possible for this to lead to habitual dislocation? How can I prevent this? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your question. I will first address your inquiry and then provide the following recommendations: 1. The causes of habitual sprains or even subluxations are as follows: A. Previous injuries that have not healed properly, leading to poor circulation. ...

[Read More] Preventing Chronic Ankle Sprains: Tips for Basketball Players


Optimal Timing and Dosage for Taking Calcium and Bone Health Supplements

Regarding glucosamine? When is the best time to take bone-strengthening supplements and calcium tablets? What is the appropriate dosage? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. The absorption of calcium supplements, such as calcium carbonate, is best on an empty stomach. If there are no concerns regarding gastric ulcers or stomach pain, it is advisable to take them before ...

[Read More] Optimal Timing and Dosage for Taking Calcium and Bone Health Supplements


Effective Stretching Techniques for Neck and Shoulder Rehabilitation

Simple exercises Hello, Director! How many times a day should workers perform neck stretches, arm stretches, and shoulder stretches? How should breathing be coordinated for maximum effectiveness? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your question. I would like to respond to your inquiry and provide the following suggestions: 1. Stretching exercises are movements that help to elongate and soften the muscles, with no specific limit on repetitions. As long as the work environment perm...

[Read More] Effective Stretching Techniques for Neck and Shoulder Rehabilitation


Effective Exercises to Correct Uneven Shoulders: A Rehab Guide

Shoulder height discrepancy issue? My shoulders are noticeably uneven, with the right side higher than the left. What exercises can help improve this? Thank you!


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. It is essential to first check for the presence of scoliosis. A preliminary examination involves observing the individual bending forward naturally, while...

[Read More] Effective Exercises to Correct Uneven Shoulders: A Rehab Guide


Effective Strategies to Alleviate Muscle Pain from Prolonged Sitting or Standing

soreness Hello, doctor! My mother says that after standing for a while (about 30 minutes), her legs feel sore, and after sitting for a long time, she experiences back pain. When lying down for an extended period, unless she falls asleep, she still feels uncomfortable. What can be...


Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. This is a phenomenon of muscle aging and shortening, caused by maintaining the same posture for an extended period, which leads to the constriction of local small blood vessels and insufficient bloo...

[Read More] Effective Strategies to Alleviate Muscle Pain from Prolonged Sitting or Standing


Is Yoga Safe for My 60-Year-Old Mom with Back Pain?

Yoga issues? My mother often experiences lower back pain. I have a niece who is a yoga instructor and wants to help her. My 60-year-old mother would like to ask the doctor: Is it advisable for her to try yoga? Thank you for your guidance!


Dr. Chen Xianchang reply Rehabilitation
Hello, ma'am: Thank you for your inquiry. Here are my responses and suggestions: 1. For a 60-year-old woman experiencing lower back pain, it is important to consider issues such as lumbar degeneration, osteoporosis, shortened back muscles, and poor circulation. 2. When p...

[Read More] Is Yoga Safe for My 60-Year-Old Mom with Back Pain?


Managing Foot Bone Contusions: Effective Recovery Tips

Contusion Hello, Dr. Chen! The bones in the sole of my right foot were compressed by a fallen motorcycle. There are no external injuries, but the bone is dented. Fortunately, there are no fractures, just swelling and bruising. I have already applied ice and used an ointment. What...


Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. If it has been confirmed that there are no fractures, then your management during the acute phase is appropriate. In addition to analgesic ointments, there are also topical medications availab...

[Read More] Managing Foot Bone Contusions: Effective Recovery Tips


Which Bone Density Measurement Site is Most Accurate?

Regarding bone density? Hello, doctor: Bone density can be measured at the wrist, lumbar spine, and femur. Which site is the most accurate? Thank you.


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. The most accurate measurement should be obtained through "Quantitative Computed Tomography" (Q-CT), which assesses the average values of the &qu...

[Read More] Which Bone Density Measurement Site is Most Accurate?


How to Alleviate Tightness and Pain in the Thigh Muscle

Tightness in the thigh muscles? Hello, doctor! Recently, I've been experiencing tightness in my left posterior thigh, and there's some pain when I walk. What can I do to avoid this? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. a. The primary muscle on the back of the thigh is the biceps femoris. If there has been a previous strain that was not fully treated, it may lead to muscle spasms. b. Compression of the first sacr...

[Read More] How to Alleviate Tightness and Pain in the Thigh Muscle


Understanding and Treating Unexplained Shoulder Blade Pain: A Rehab Perspective

Shoulder blade pain? Hello Director Chen: I haven't been doing a lot of housework or lifting heavy objects, but I often experience unexplained soreness below my scapula. What could be the issue? Is rehabilitation an option? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. In practical terms, the area on the inner and lower side of the scapula is the attachment point for the rhomboid major muscle. Poor posture is often the primary cause of discomfort in this area. ...

[Read More] Understanding and Treating Unexplained Shoulder Blade Pain: A Rehab Perspective


Managing Rheumatoid Arthritis: Can Rehab Replace Medication?

Rheumatoid Arthritis My sister was diagnosed with rheumatoid arthritis by her doctor, who prescribed corticosteroids and recommended physical therapy. She is currently experiencing less pain. Is it possible for her to only continue with physical therapy and stop taking the medica...


Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. In practical terms, rheumatoid arthritis often involves repetitive movements that can lead to joint damage, which may necessitate the use of corticosteroids, indicating multiple flare-ups. Typical...

[Read More] Managing Rheumatoid Arthritis: Can Rehab Replace Medication?


Understanding Thick Calluses on Feet: Causes and Solutions

Foot calluses Hello, Dr. Chen! My mother has been walking the same route every day for over ten years, wearing the same brand of casual shoes. Recently, in the past year, she has developed thick calluses on the outer side of her big toe and below the toe joint. Could this indicat...


Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. In practical terms, as one ages, the atrophy of the inner thigh muscles, combined with the laxity of the ligaments near the navicular bone, causes a slight downward displacement of the navicular ...

[Read More] Understanding Thick Calluses on Feet: Causes and Solutions


Understanding Chronic Lower Back Pain: When to Seek Medical Attention

Low back pain? I would like to ask: I previously injured my lower back while playing basketball, but it wasn't severe, so I didn't seek medical attention. After a few days, it returned to normal. However, since that incident, I have been experiencing lower back pain eas...


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 practical terms, there are typically two areas that could be injured in the lower back. The first is a strain of the "quadratus lumborum" musc...

[Read More] Understanding Chronic Lower Back Pain: When to Seek Medical Attention


How to Treat Swelling and Pain on the Back of the Hand After Injury

Swelling and pain in the back of the hand? My father injured the back of his left hand while working, resulting in swelling and pain. What should we do? 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 recommendations: 1. A physical examination and X-rays should be performed first to confirm whether there is a fracture. If a fracture is present, consult an orthopedic speciali...

[Read More] How to Treat Swelling and Pain on the Back of the Hand After Injury


Managing Ear Joint Pain: Tips for Relief and Recovery

Preauricular joint pain? I have pain in the joint in front of my right ear, especially when biting down, and I have difficulty opening my mouth. What should I do?


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. It may be due to inflammation of the temporomandibular joint (TMJ) ligaments. Generally, treatment can be sought from a rehabilitation specialist, and ultras...

[Read More] Managing Ear Joint Pain: Tips for Relief and Recovery


Managing Tailbone Pain After a Fall: Effective Recovery Tips

Fall A few days ago, I fell and had an X-ray taken, which seemed normal. The emergency physician advised me to rest for 3 to 4 days, but my coccyx continues to hurt. What can I do to alleviate this pain? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are the answers to your questions and some recommendations: 1. Coccygeal impact can cause localized swelling, pain, and inflammation. In the acute phase, apply ice and reduce inflammation. 2. You may consider visiting a rehabilitat...

[Read More] Managing Tailbone Pain After a Fall: Effective Recovery Tips


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