Dr. Chen Xianchang reply Rehabilitation Question - Page 29

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Muscle Strain Recovery: When to Seek Rehabilitation After Injury

Muscle strain Hello Dr. Chen! Intense exercise has caused a muscle strain. A coach once advised to first apply an ice towel or cold spray for cryotherapy, then use an elastic bandage, and elevate the affected area. It has been several days, and the condition has not improved. Is ...


Dr. Chen Xianchang reply Rehabilitation
1. Deep heat therapy and electrical therapy can be added to rehabilitation. 2. During the chronic phase, stretching and strength training should be incorporated.

[Read More] Muscle Strain Recovery: When to Seek Rehabilitation After Injury


Can Rehabilitation Help with Achilles Tendinitis Pain Relief?

Achilles tendonitis Hello Dr. Chen! My heel is unable to perform dorsiflexion due to swelling and pain, and it is very painful even with light pressure. The painful area is located 3 to 4 centimeters from the attachment site of the Achilles tendon. I have seen an orthopedic docto...


Dr. Chen Xianchang reply Rehabilitation
1. You can go to the rehabilitation department for electrical stimulation and ultrasound therapy. 2. Soak in warm water at home. 3. Perform stretching exercises for the hamstrings regularly.

[Read More] Can Rehabilitation Help with Achilles Tendinitis Pain Relief?


Effective Infrared Therapy for Pain Relief: Expert Insights and Guidelines

Infrared therapy for pain relief? Hello Director Chen! According to a report by ETtoday News on December 5th, Dr. Siems, who has over 20 years of experience in physical therapy, has published numerous studies on thermotherapy and infrared therapy. He pointed out that thermotherap...


Dr. Chen Xianchang reply Rehabilitation
1. Infrared therapy is recommended once or twice a day, with each session lasting 10-15 minutes. 2. It is a form of superficial heat therapy, effective for surface circulation (large area), but it does not penetrate deeply.

[Read More] Effective Infrared Therapy for Pain Relief: Expert Insights and Guidelines


Understanding Thoracic Outlet Syndrome: Rehabilitation Solutions and Insights

Thoracic Outlet Syndrome Hello, Director Chen! For the past month and a half, I have been frequently using both hands while driving and managing household chores after home reconstruction, which has led to compression of the C8 and T1 nerves by the clavicle. I am in severe pain, ...


Dr. Chen Xianchang reply Rehabilitation
1. Thoracic Outlet Syndrome is caused by hypertrophy and inflammation of the scalene muscles, which compress the brachial plexus and blood vessels. 2. Generally, stretching exercises can alleviate symptoms, and surgery is rarely needed (to increase space). You can search online f...

[Read More] Understanding Thoracic Outlet Syndrome: Rehabilitation Solutions and Insights


Intercostal Muscle Strain or Rib Injury? Understanding Your Pain

Intercostal muscle strain? Hello, Doctor! I have pain in my left rib area, specifically in the 2nd and 3rd ribs from the waist up, which started after jumping. It hurts when I turn over in bed and when I get up. Could this be an intercostal muscle strain or a rib injury or fractu...


Dr. Chen Xianchang reply Rehabilitation
1. It may be an intercostal muscle or external oblique muscle strain, which can lead to linear rib fractures in severe cases. An X-ray (in lateral and oblique views) can confirm this. 2. Topical ointments and adhesive patches can be applied to the affected area, and rehabilitati...

[Read More] Intercostal Muscle Strain or Rib Injury? Understanding Your Pain


Can Rehabilitation Help Recover from Repetitive Strain Injury?

Repeated strain injury Hello Dr. Chen: I have been experiencing weakness and pain in my wrists due to long-term computer typing. A physician mentioned that I might have developed a repetitive strain injury and that recovery may not be possible in the short term. Can serious rehab...


Dr. Chen Xianchang reply Rehabilitation
1. You should stop typing to avoid further injury. 2. You can visit the rehabilitation department for a splint to protect the wrist joint. 3. Ultrasound and electrical therapy can be beneficial; unless there is tendon calcification, recovery is expected.

[Read More] Can Rehabilitation Help Recover from Repetitive Strain Injury?


Swimming with Herniated Discs: Safe Practices and Precautions

Herniated disc Hello Director Chen! Regarding the issue of herniated discs, may I ask if swimming is permissible in addition to rehabilitation? If so, which swimming styles should be avoided? Thank you!


Dr. Chen Xianchang reply Rehabilitation
1. Cervical disc herniation; swimming is a beneficial exercise, and soaking in warm water in a spa can also be helpful. 2. Breaststroke is recommended, as freestyle requires body rotation, which may not be suitable. 3. Lumbar traction can be beneficial.

[Read More] Swimming with Herniated Discs: Safe Practices and Precautions


Can Rehabilitation Improve Knee Cartilage Degeneration and Muscle Atrophy?

Knee joint cartilage degeneration? Hello, Director Chen. After reviewing the orthopedic evaluation, the physician mentioned that there is cartilage degeneration in the knee joint, which has led to muscle atrophy in the thigh. Can rehabilitation improve this condition? Thank you!


Dr. Chen Xianchang reply Rehabilitation
1. You can go to the rehabilitation department for shortwave and ultrasound therapy. 2. It is necessary to strengthen thigh muscle exercises to prevent atrophy, and electrical stimulation should be performed. 3. You may take medications such as glucosamine to slow down the de...

[Read More] Can Rehabilitation Improve Knee Cartilage Degeneration and Muscle Atrophy?


Is Physical Therapy Necessary After ACL Reconstruction Surgery?

Anterior cruciate ligament reconstruction surgery Hello, Doctor! My family member underwent anterior cruciate ligament reconstruction surgery last week. The doctor advised that they can lie flat and elevate their leg, and gradually start using a cane to lightly touch the ground w...


Dr. Chen Xianchang reply Rehabilitation
1. Rehabilitation therapy should be included to accelerate recovery. 2. Anterior cruciate ligament reconstruction should be monitored using ultrasound and magnetic resonance imaging, as X-rays cannot visualize ligaments. 3. Rehabilitation with electrical stimulation and deep ...

[Read More] Is Physical Therapy Necessary After ACL Reconstruction Surgery?


Sudden Leg Weakness in Elderly: Causes and Rehabilitation Tips

Calf numbness and weakness in standing? Hello: My father is 87 years old and in good health; he can walk around independently. Recently, he has had a cold and cough for a week. Yesterday morning, he suddenly experienced weakness in both legs and was unable to stand. He was urgent...


Dr. Chen Xianchang reply Rehabilitation
1. You may first consult a neurologist or a rehabilitation specialist. Possible causes include: (1) posterior cerebral artery embolism, (2) peripheral neuropathy, (3) Guillain-Barré syndrome, (4) diabetic neuropathy, among others. 2. Physical examination: muscle strength, deep ...

[Read More] Sudden Leg Weakness in Elderly: Causes and Rehabilitation Tips


Can Physical Therapy Help Treat Plantar Fasciitis from Prolonged Standing?

Plantar fasciitis Hello Dr. Chen! I have been suffering from plantar fasciitis due to prolonged standing at work. Can the rehabilitation department provide treatment for this? Thank you!


Dr. Chen Xianchang reply Rehabilitation
1. You can start by using appropriate insoles and soft shoes, and reduce activities such as hiking or intense exercise. 2. Electrical stimulation and ultrasound therapy can be performed. 3. Engage in appropriate stretching exercises for the calf muscles. 4. Soaking in warm ...

[Read More] Can Physical Therapy Help Treat Plantar Fasciitis from Prolonged Standing?


Effective Rehabilitation Strategies After Patellar Fracture Recovery

Patellar injury? Hello, Director Chen! I injured my left knee patella due to a fall and had it in a cast for 6 weeks. After the cast is removed, what would be the best way to rehabilitate? Thank you!


Dr. Chen Xianchang reply Rehabilitation
1. If the wound is not healed, laser and ultrasound therapy (from the outside) can be used initially, along with strengthening exercises for the thigh muscles. 2. Once the wound has healed, hydrotherapy can be added to improve flexibility, gradually increasing weight-bearing on t...

[Read More] Effective Rehabilitation Strategies After Patellar Fracture Recovery


Understanding Tendon and Ligament Pain: Causes and Rehabilitation Options

Tendon and ligament pain Hello Director Chen! I have pain near the tendons and ligaments in my right wrist. I have tried heat therapy and topical ointments, but the symptoms have not changed. Could it be tendon or ligament inflammation? Will rehabilitation help improve the condit...


Dr. Chen Xianchang reply Rehabilitation
1. Sprains of tendons and ligaments require deep heat therapy and electrical therapy for improvement. Topical ointments and hot compresses can be helpful, but they are considered superficial treatments. 2. You can seek treatment from a rehabilitation department for deep heat th...

[Read More] Understanding Tendon and Ligament Pain: Causes and Rehabilitation Options


Effective Rehabilitation Strategies for Right Arm Strain After Swimming

Right arm strain? Hello, Dr. Chen! Swimming has always been my favorite sport, but a month ago, I unexpectedly strained my right arm. X-rays show that the bones are intact, but despite daily heat therapy and applying ointment, there has been no improvement. What would you recomme...


Dr. Chen Xianchang reply Rehabilitation
1. Muscle and tendon strains should be treated with ice during the acute phase. 2. In the chronic phase, deep heat therapies such as ultrasound, electrical stimulation, and laser therapy should be added for improvement. 3. Intense exercise should be temporarily suspended.

[Read More] Effective Rehabilitation Strategies for Right Arm Strain After Swimming


Understanding Sacroiliac Joint Dysfunction: Rehabilitation Options Explained

Sacroiliitis Hello, Dr. Chen! I have lower back pain that comes and goes. The most difficult part is that after sitting for a long time, I can hardly get up due to the pain. I also experience pain when turning over in bed and after walking for a while. A doctor mentioned it could...


Dr. Chen Xianchang reply Rehabilitation
1. It may also be due to lumbar intervertebral disc herniation accompanied by muscle stiffness. 2. A thorough examination should be conducted (X-rays and electromyography or further magnetic resonance imaging) to identify the underlying cause. 3. If the disc herniation is severe,...

[Read More] Understanding Sacroiliac Joint Dysfunction: Rehabilitation Options Explained


Understanding Herniated Discs: Safe Traction Techniques and Precautions

Herniated disc Hello, Director! I am currently undergoing rehabilitation for a herniated disc and would like to ask some related questions. If lumbar traction is not performed correctly, could it cause nerve damage or other side effects? Under what physical conditions should trac...


Dr. Chen Xianchang reply Rehabilitation
1. If the patient has osteoporosis, compression fractures, or free-floating cartilage, it may lead to nerve damage. 2. If there is an increase in numbness or pain in the lower extremities, traction should be discontinued. 3. Activities such as pull-ups are not suitable; lumbar tr...

[Read More] Understanding Herniated Discs: Safe Traction Techniques and Precautions


Preventing Elbow Dislocation: Tips for Safe Recovery and Rehabilitation

Elbow dislocation Hello, Dr. Chen! Two months ago, I dislocated my elbow due to a fall, but fortunately, there were no associated fractures. I used a sling to immobilize my elbow and have rested for several weeks. However, I still have lingering fears. Could you please advise me ...


Dr. Chen Xianchang reply Rehabilitation
(1) After an elbow dislocation, the ligaments may become elongated, increasing the likelihood of future dislocations. (2) Regularly applying heat to the area, stretching the muscles, strengthening the muscle groups above and below the elbow, warming up before exercise, and wearin...

[Read More] Preventing Elbow Dislocation: Tips for Safe Recovery and Rehabilitation


Can Rehabilitation Help Relieve Chronic Lower Back Pain?

Lower back pain Hello, Dr. Chen! I often play basketball, and one time I experienced severe pain in my lower back that made it impossible to stand. A friend took me for several sessions of massage therapy, and after applying some medicated patches for a few days, it seemed to imp...


Dr. Chen Xianchang reply Rehabilitation
(1) Causes of lower back pain include muscle strains and lumbar intervertebral disc herniation. (2) Massage therapy can relax muscles and reduce pain, but it only has localized effects. (3) A thorough examination (such as X-rays, CT scans, or electromyography) should be conducted...

[Read More] Can Rehabilitation Help Relieve Chronic Lower Back Pain?


Understanding William's Exercises for Taekwondo Injury Prevention

Taekwondo Sports Injuries Hello Director Chen! Thank you for your response! 【It is advisable to perform Williams exercises and strength training before exercising.】 May I ask: what are Williams exercises? Thank you! Rosey


Dr. Chen Xianchang reply Rehabilitation
1. Williams exercises are strengthening exercises for the lumbar muscles and stretching exercises for the back muscles. 2. (1) For example, lying down and hugging the knees to the chest (hold for ten seconds), alternating knee hugs, and simultaneously hugging both knees. (2) Pe...

[Read More] Understanding William's Exercises for Taekwondo Injury Prevention


Understanding Casts for Closed Fractures: Recovery and Mobility Insights

Closed fracture? Hello Dr. Chen! Thank you for your response! You mentioned that "a splint fixation can be done in the rehabilitation department using Velcro, which can be easily removed or applied, making it very convenient." May I come to your hospital for this? Will ...


Dr. Chen Xianchang reply Rehabilitation
1. Our rehabilitation department provides splinting services, which are covered by health insurance. We welcome your visit. 2. Splints may slightly restrict movement to prevent further joint injury. 3. Fractures typically heal in about three months.

[Read More] Understanding Casts for Closed Fractures: Recovery and Mobility Insights


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