Dr. Chen Xianchang reply Rehabilitation Question - Page 19

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How to Help Your Parent Manage Knee Pain Without Surgery

Knee pain My father has been experiencing knee pain for over two years, and every orthopedic surgeon has recommended joint replacement surgery. The older generation believes that undergoing surgery will deplete one's vital energy. What can helpless children do to assist him?...


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. If there is significant joint degeneration or wear, and you experience severe pain while walking, surgical intervention should be the primary approach. ...

[Read More] How to Help Your Parent Manage Knee Pain Without Surgery


Understanding Plantar Fasciitis: Causes, Symptoms, and Rehab Options

Foot pain Hello Dr. Chen: My right foot's sole has been hurting lately, whether I wear dress shoes or casual shoes. Could this be plantar fasciitis? If so, can it be treated with physical therapy? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, ma'am: Thank you for your inquiry. Here are my responses and recommendations: 1. The plantar fascia can become inflamed due to activities such as walking on rocky trails, hiking, and running. 2. If you experience pain upon getting out of bed in the morning that improv...

[Read More] Understanding Plantar Fasciitis: Causes, Symptoms, and Rehab Options


Understanding Hand Muscle Atrophy: Symptoms and Treatment for Carpal Tunnel Syndrome

Muscle atrophy in the palm? My palms often feel numb, especially when I hold things or ride a motorcycle. The muscles on the side of my little finger have some atrophy. Is it as the doctor said, carpal tunnel syndrome? How should I manage this?


Dr. Chen Xianchang reply Rehabilitation
Hello, ma'am: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. Carpal tunnel syndrome refers to the compression of the median nerve at the wrist, which can cause numbness in the thumb, index, middle, and ring fingers...

[Read More] Understanding Hand Muscle Atrophy: Symptoms and Treatment for Carpal Tunnel Syndrome


Addressing Writing Difficulties in Young Children: Tips for Parents

Writing issues My son is five years old and has poor control when writing; his letters are crooked and oversized. He struggles to connect circles and triangles, and he is easily distracted in class. The teacher mentioned that he may have a learning delay. What should I do?


Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. You may consider undergoing an evaluation at a facility that offers sensory integration services. This should include assessments of gross and fine motor skills, various reflex actions, hand muscle...

[Read More] Addressing Writing Difficulties in Young Children: Tips for Parents


Managing Pain and Recovery After a Fall: Tips for Rehabilitation

Bruise Hello, doctor! Today I went canyoning and fell, hitting the right side of my lower back against a rock. The pain was so intense that I couldn't get up. The emergency room doctor reviewed the X-rays and said there was no major injury, but I believe I have injured my co...


Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and recommendations: 1. It is important to consider the impact point of the force <magnitude and area of force> and the conduction of the force <up to which lumbar vertebra>, so the management can be div...

[Read More] Managing Pain and Recovery After a Fall: Tips for Rehabilitation


Understanding Leg Swelling: Causes and Rehabilitation Solutions

Leg swelling? Hello Director Chen: Recently, my leg swells and feels very sore whenever I stand for a short time, walk slowly, or sit for more than 30 minutes. Could this be due to embolism? What can I do to improve this? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, ma'am: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. Possible causes include: A. Poor circulation due to aging of the venous or lymphatic valves. B. Lumbar disc herniation or degenerative arthriti...

[Read More] Understanding Leg Swelling: Causes and Rehabilitation Solutions


Understanding Hand Numbness and Muscle Atrophy: Diagnosis and Treatment

Numbness in the back of the hand and muscle atrophy? I have numbness in the back of my left hand, and there is muscle atrophy between my thumb and index finger. It feels very sore when I hold a newspaper or chopsticks, and I even drop them. How should I be examined and treated?


Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your question. Here are my responses and suggestions: 1. The muscles on the back of the hand and between the thumb and index finger are innervated by the radial nerve. The compression point may originate from the sixth cervical nerve root or from the radial ...

[Read More] Understanding Hand Numbness and Muscle Atrophy: Diagnosis and Treatment


Optimal Sleeping Positions for Comfort and Health: A Guide

Healthy sleeping positions Hello, doctor! Could you please advise on how to position my head, arms, and legs while sleeping on my stomach for better comfort and health? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions regarding your question: 1. Sleeping on your stomach can be beneficial for muscle relaxation, but there are two issues that need to be addressed: A. There may be a feeling of pressure on the ches...

[Read More] Optimal Sleeping Positions for Comfort and Health: A Guide


How to Prevent Ankle Pain While Walking: Tips for Rehabilitation

Ankle cramp? Hello Director Chen: How can I avoid experiencing cramping pain on the inner side of my left ankle while walking? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and recommendations regarding your issue: 1. Pain in the inner ankle while walking is typically associated with the deltoid ligament. This may occur if there has been a previous sprain or if there is improper load d...

[Read More] How to Prevent Ankle Pain While Walking: Tips for Rehabilitation


Preventing Chronic Ankle Sprains: Effective Strategies and Tips

Chronic ankle sprains How can I prevent habitual ankle sprains? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry. Here are my responses and suggestions: 1. Strengthen ankle stretching exercises in all directions and muscle workouts. 2. Practice using a balance board or stability disc to enhance instant balance reflexes. 3. If you continue to experience ha...

[Read More] Preventing Chronic Ankle Sprains: Effective Strategies and Tips


Understanding Knee Pain: Is Joint Replacement Necessary for Recovery?

Knee pain The elderly mother is experiencing significant knee pain in both legs, making it very difficult for her to walk. The orthopedic doctor has suggested a joint replacement. Is it absolutely necessary to undergo the surgery? Will rehabilitation not help? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. If the pain is severe, to the point where walking is painful, or if X-rays show that the cartilage space is absent (indicating severe degeneration), then surgical intervention should be considered ...

[Read More] Understanding Knee Pain: Is Joint Replacement Necessary for Recovery?


Understanding Lumbar Rehabilitation: Conditions That Benefit from Stretching

Lower back pain I have very little knowledge about rehabilitation. What conditions can lead to lower back pain? 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. Lumbar traction, referred to as "pulling the lower back," should not be performed solely for back pain; it is indicated when there are symptoms of ...

[Read More] Understanding Lumbar Rehabilitation: Conditions That Benefit from Stretching


Understanding and Addressing In-Toeing and Tip-Toe Walking in Toddlers

In-toeing gait? Dear Doctor: My three-year-old niece tends to walk on her tiptoes, jumps around, and has an inward foot position. What could be the issue? How can it be addressed?


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. First, examine the Achilles tendon to see if it is shortened, and check if the hip rotators are too tight. Shortening can lead to excessive internal rotation of ...

[Read More] Understanding and Addressing In-Toeing and Tip-Toe Walking in Toddlers


Can Acupuncture and Physical Therapy Help with Frozen Shoulder?

Acupuncture for Frozen Shoulder (Adhesive Capsulitis) Is it possible to undergo physical therapy and acupuncture for frozen shoulder, which causes pain and limits the ability to raise the arm? Will there be any side effects? (P.S. My father is 56 years old this year.)


Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Acupuncture generally has analgesic and qi-regulating effects, and it can complement physical therapy. 2. However, when performing acupuncture, it is best to achieve and disperse qi to avoid swellin...

[Read More] Can Acupuncture and Physical Therapy Help with Frozen Shoulder?


Effective Rehabilitation Treatments for Sciatica Pain Relief

Sciatica Hello, Doctor: What rehabilitation treatments are available for sciatica? Is recovery possible? Thank you!


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. Sciatica is usually caused by a herniated disc or bone spurs that compress the nerve. If the compression is excessive, leading to decreased muscle strength...

[Read More] Effective Rehabilitation Treatments for Sciatica Pain Relief


Effective Strategies for Managing Sudden Arm Pain from Elbow to Wrist

Arm pain Doctor, how should I handle this? Thank you! Location: The arm between the left elbow joint and the back of the hand. Condition: Suddenly unable to lift, with pain.


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. Consider the following conditions: A. Elbow tendinitis, commonly known as tennis elbow, is caused by strain or overuse of the wrist extensor muscles and ...

[Read More] Effective Strategies for Managing Sudden Arm Pain from Elbow to Wrist


Can Patients with Artificial Joints Use Hydrotherapy and Hot Tubs?

Artificial joint Dear Director Chen: Can patients with artificial joints undergo hydrotherapy? Is it safe to use a home hot tub? Thank you for your response!


Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. Here are my responses and suggestions: 1. After total joint replacement surgery, wound healing is essential, and hydrotherapy is recommended as it can enhance joint mobility and facilitate strength training. 2. Hydrotherapy often leads to ex...

[Read More] Can Patients with Artificial Joints Use Hydrotherapy and Hot Tubs?


Relief for Swollen Feet and Muscle Pain During Long Train Rides

Swollen feet and muscle pain? Hello, Dr. Chen! My grandfather and mother often take long train rides and frequently mention experiencing pain in the left side of their lower back, sometimes on the right side as well. They have poor blood circulation, which leads to swelling in th...


Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Elderly individuals often experience muscle shortening and poor circulation. Certain movements, such as "bringing the knees to the chest" and "raising the arms while gently twisting ...

[Read More] Relief for Swollen Feet and Muscle Pain During Long Train Rides


Understanding Fibromyalgia: Symptoms, Causes, and Treatment Options

Fibromyalgia Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and often emotional and mental distress. It is believed to involve an abnormal response to pain signals in the brain and nervous system. Common symptoms...


Dr. Chen Xianchang reply Rehabilitation
Hello, ma'am: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. Myofascial pain syndrome is an inflammatory condition affecting the muscle fascia, often associated with numerous tender points and symptoms such as in...

[Read More] Understanding Fibromyalgia: Symptoms, Causes, and Treatment Options


Understanding Left Hip Joint Pain: Causes and Solutions for Relief

Left hip joint pain? Dear Director: I have pain in my left hip joint, which worsens when I walk. I don't recall any injury. What could be the issue, and how can it be resolved?


Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Consider the following conditions: A. Muscle strains around the hip joint, including the externally rotating piriformis and the internally rotating gluteus minimus, can occur not only from rap...

[Read More] Understanding Left Hip Joint Pain: Causes and Solutions for Relief


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