Understanding Brain Injury: Hope and Rehabilitation After Encephalitis
Brain injury Hello, Dr. Chen! My nephew is 35 years old. One and a half months ago, he suddenly developed a high fever, and two days later, he fell into a coma. During the emergency treatment, a lumbar puncture and a CT scan were performed, and a few days later, it was determined...
Dr. Chen Xianchang reply Rehabilitation
(1) It is difficult to determine if a patient with encephalitis can regain consciousness. With a coma scale of 4, the likelihood may be low. (2) In terms of rehabilitation, passive range of motion exercises can be performed, and a consultation with a rehabilitation physician can ...[Read More] Understanding Brain Injury: Hope and Rehabilitation After Encephalitis
Understanding Leg Swelling: Causes and Solutions for Discomfort
Swollen feet? Hello Dr. Chen! Since elementary school, every time I sit down for a class, my left calf always feels swollen and uncomfortable. After sitting all day, my calf becomes swollen and hard, and it hasn't improved until now. Is this due to poor blood circulation? Wh...
Dr. Chen Xianchang reply Rehabilitation
(1) Elevate your legs with a pillow while sleeping. (2) Perform repetitive movements of bending and straightening your toes and calves. (3) Soak your feet in warm water (up to the knees). (4) If ineffective, consider visiting a rehabilitation specialist for treatment.[Read More] Understanding Leg Swelling: Causes and Solutions for Discomfort
Effective Solutions for Calluses on the Feet: Expert Advice Needed
Calluses on the soles of the feet? Hello, Director Chen! I have calluses on the soles of my feet. I used to not care much about them and would often use nail clippers to trim them and file them down, but there hasn't been any improvement. It seems my methods are quite incorr...
Dr. Chen Xianchang reply Rehabilitation
(1) Uneven weight bearing on the feet can be caused by various factors, including muscle strength imbalances and ligament laxity. (2) You may consider visiting a rehabilitation specialist for deep heat therapy and strength training for the feet, and wearing athletic shoes with ar...[Read More] Effective Solutions for Calluses on the Feet: Expert Advice Needed
Improving Sleep Quality: Rehabilitation Solutions for Sleep Disorders
Sleep disorders Dear Dr. Chen, Since getting older, I have been very troubled by my sleep issues. I am hesitant to take sedatives because I worry that it will only worsen my condition. I am sensitive to light, noise, and any sound can affect my mood. Sometimes, even after finall...
Dr. Chen Xianchang reply Rehabilitation
(1) Simple stretching exercises can be performed before bedtime, focusing on gentle stretches for the neck and lower back. (2) Drinking a glass of milk before bed can help stabilize mood. (3) Rehabilitation may include magnetic field therapy, which can be beneficial for insomnia.[Read More] Improving Sleep Quality: Rehabilitation Solutions for Sleep Disorders
Understanding and Managing Leg Cramps: Tips for Relief and Prevention
Leg cramps Dear Dr. Chen, I occasionally experience sudden cramps in my calves, sometimes in my right leg and sometimes in my left, while I am awake. I have to manually stretch them out and massage them to relieve the discomfort. Additionally, I sometimes wake up at night due to...
Dr. Chen Xianchang reply Rehabilitation
(1) There are several possible causes of muscle cramps. If they occur in the same leg, it may be due to sciatic nerve compression. If they alternate between both legs, it could be a result of muscle fatigue or an electrolyte imbalance (such as insufficient sodium or calcium ions)...[Read More] Understanding and Managing Leg Cramps: Tips for Relief and Prevention
Can Frog Legs in Children Be Corrected with Rehabilitation?
Frog legs Hello, Dr. Chen! My 5-year-old daughter has difficulty squatting down. I have been trying to teach her and demonstrating the movement repeatedly, but she still can't do it. I am starting to wonder if she has "frog legs." Can this condition be corrected th...
Dr. Chen Xianchang reply Rehabilitation
(1) It could be a case of frog leg syndrome. Initially, treatment should involve rehabilitation ultrasound and thermotherapy, followed by stretching exercises for the muscles. (2) If ineffective, surgical intervention may be considered, but rehabilitation will still be necessary ...[Read More] Can Frog Legs in Children Be Corrected with Rehabilitation?
Can Sensory Integration Therapy Help Adults with Coordination Issues?
Sensory integration Hello Dr. Chen: Since I was young, I have always dropped things, regardless of their size. Once I take something in my hands, it inevitably falls. As a result, I often got scolded by my father, who thought I was doing it on purpose or was inattentive and unwil...
Dr. Chen Xianchang reply Rehabilitation
(1) There may be sensory integration issues and poor fine motor coordination. (2) In adulthood, if sensory integration is ineffective, occupational therapy is typically pursued, but the results may be limited. Coordination training can be practiced at home, such as exercises invo...[Read More] Can Sensory Integration Therapy Help Adults with Coordination Issues?
Can Neck Injuries Recur? A Guide to Rehabilitation and Recovery
Cervical spine Hello Doctor! My friend always looks at people from below her chin, which has caused quite a bit of controversy, reminiscent of the proud demeanor of the popular figure Zhao Jianming, who often holds his head at a 45-degree angle. She had a neck injury from a fall ...
Dr. Chen Xianchang reply Rehabilitation
(1) You can visit the rehabilitation department for an examination to check for neck muscle stiffness or intervertebral disc herniation (which can be diagnosed via CT scan). (2) Rehabilitation treatment options include heat therapy, electrical stimulation, and cervical joint mobi...[Read More] Can Neck Injuries Recur? A Guide to Rehabilitation and Recovery
Finding Hope: Can I Stand Again After a Serious Accident?
Stand up again? Hello Director Chen! I had a car accident six months ago, and it was severe enough that I am now in a wheelchair and experiencing urinary incontinence. At such a young age, it feels like everything is over. May I ask if I still have a tomorrow? Will I be able to s...
Dr. Chen Xianchang reply Rehabilitation
(1) For urinary incontinence, first conduct bladder function tests to determine if bladder training in the rehabilitation department is appropriate. (2) For movement training, an assessment of strength, range of motion, balance, and specialized training can be done in the rehabil...[Read More] Finding Hope: Can I Stand Again After a Serious Accident?
Stroke Recovery: Guidance for Families Facing Rehabilitation Challenges
Severe stroke Dear Dr. Chen, My brother is 40 years old and has been managing his hypertension with medication for several years. However, he often disregards advice and drinks alcohol almost daily, thinking he is still young. A year ago, one night he suddenly had a stroke and w...
Dr. Chen Xianchang reply Rehabilitation
(1) Passive joint mobilization of the limbs should be performed daily, and you may seek guidance from a rehabilitation specialist. (2) Attending rehabilitation at the hospital may not necessarily lead to a quicker recovery, but it can reduce the risk of joint stiffness. (3) It is...[Read More] Stroke Recovery: Guidance for Families Facing Rehabilitation Challenges
Can Rehabilitation Help with Heel Spurs? Exploring Non-Surgical Options
Bone spur Hello, Director Chen! I hope you don't mind my inquiry: Several years ago, while playing basketball, I occasionally felt that my heel did not make stable contact with the ground during jumps and runs. Over time, my heel has often hurt to the point where I can'...
Dr. Chen Xianchang reply Rehabilitation
(1) Wear air-cushioned shoes or use specialized insoles. (2) Rehabilitation may include electrical stimulation and ultrasound therapy. (3) Avoid walking on health trails, as they can be too stimulating for the plantar surface. (4) Most cases do not require surgery.[Read More] Can Rehabilitation Help with Heel Spurs? Exploring Non-Surgical Options
Can Rehabilitation Fully Restore Function After Two Strokes?
Two strokes? Hello Dr. Chen, my father’s business collapsed seven years ago, and he has been hiding from debts, which has caused him a lot of stress and anxiety. In a short period, he developed various health issues, the most concerning being a sudden stroke. He collapsed and was...
Dr. Chen Xianchang reply Rehabilitation
(1) It is essential to take medication on time to prevent a recurrent stroke. (2) Rehabilitation includes physical therapy, occupational therapy, and speech therapy, which can enhance walking, limb function, and verbal communication skills. (3) Complete recovery from a stroke occ...[Read More] Can Rehabilitation Fully Restore Function After Two Strokes?
Understanding Hand Numbness During Sleep: Causes and Solutions
Numbness in the hands? Hello, Doctor. I apologize for the intrusion, but I would like to ask you: My left hand often wakes me up during sleep due to numbness, and it usually resolves within a few seconds after I wake up. Sometimes, I wake up with my hand completely numb! Occasion...
Dr. Chen Xianchang reply Rehabilitation
1. It is usually caused by compression of the median nerve at the wrist, known as carpal tunnel syndrome. 2. Generally, avoiding excessive use of the wrist joint can help prevent it. 3. Typically, rehabilitation is attempted first, and surgery is considered only if it is inef...[Read More] Understanding Hand Numbness During Sleep: Causes and Solutions
Understanding Ankle Sprains: Recovery Tips for Seniors
Ankle sprain Hello Director Chen: My aunt visited Sanxia for the full moon at the end of May. She was very careful with every step, but she still sprained her left ankle and the surrounding area of her foot. She has undergone rehabilitation and acupuncture, but she is still in pa...
Dr. Chen Xianchang reply Rehabilitation
1. Recovery is related to age and the severity of the injury. 2. Soaking in warm water can be beneficial. 3. It is important to strengthen ankle joint stretching exercises and muscle training. 4. Wearing athletic shoes reduces the risk of sprains, and warming up is essentia...[Read More] Understanding Ankle Sprains: Recovery Tips for Seniors
Understanding Frozen Shoulder: Causes, Treatments, and Recovery Time
Frozen shoulder Hello Doctor: This morning when I woke up, my shoulder was very painful, and I couldn't lift my right arm, couldn't get dressed, and couldn't ride my motorcycle. I'm feeling quite frustrated. Could this be frozen shoulder? Will it get better? I...
Dr. Chen Xianchang reply Rehabilitation
1. It is usually inflammation of the shoulder joint muscles, which can lead to frozen shoulder if prolonged. 2. Muscle relaxants can only temporarily alleviate the condition. 3. Rehabilitation typically requires one to two months, combined with electrical therapy, ultrasound,...[Read More] Understanding Frozen Shoulder: Causes, Treatments, and Recovery Time
Three Minutes of Mindful Rest After Waking to Prevent Stroke Risks
Sleeping in for three extra minutes is good for your health? Hello, Dr. Chen! I received the following article from a friend and would like to ask for your professional opinion. I apologize for taking up your time! Thank you for your expertise! After waking up, taking three min...
Dr. Chen Xianchang reply Rehabilitation
1. It is best to move your hands and feet a little after waking up before getting out of bed. Sit for about three minutes before standing up. 2. For hypertension medication, you can ask your physician to adjust the timing to ensure effective blood pressure control; it is not al...[Read More] Three Minutes of Mindful Rest After Waking to Prevent Stroke Risks
Understanding Stiff Neck: Causes, Prevention, and Effective Remedies
Stiff neck Hello Dr. Chen! I've been experiencing frequent neck stiffness lately, making it difficult to turn my head comfortably. What should I do about it now? How can I prevent it? A friend suggested using a memory foam pillow; is it effective? Thank you! Xiaoye
Dr. Chen Xianchang reply Rehabilitation
(1) Please apply a warm compress and massage the Jianjing point located between the second and third fingers on the back of the hand. (2) Choose an ergonomic pillow that can adequately support the cervical spine; a memory foam pillow may be effective. (3) Perform isometric exerci...[Read More] Understanding Stiff Neck: Causes, Prevention, and Effective Remedies
Understanding Finger Joint Pain: Causes, Treatments, and Rehab Options
Finger pain Hello Dr. Chen! My ten finger joints are swollen and painful. Could it be due to doing too much housework? Is it arthritis? Will it not get better? Should I consider rehabilitation? Thank you! Jimmy
Dr. Chen Xianchang reply Rehabilitation
(1) It could be osteoarthritis or rheumatoid arthritis, and further diagnosis at a hospital is necessary. (2) If it is osteoarthritis, treatment can be sought in the rehabilitation department, and household activities should be minimized. (3) If it is rheumatoid arthritis, medica...[Read More] Understanding Finger Joint Pain: Causes, Treatments, and Rehab Options
Understanding Trigger Finger: Causes, Treatment Options, and Recovery Tips
Trigger finger Hello Dr. Chen, My little finger has developed trigger finger, and it is quite painful when bending or straightening it. The orthopedic surgeon mentioned that surgery would be a quicker solution. Is surgery to cut the tendon necessary for trigger finger? Can rehab...
Dr. Chen Xianchang reply Rehabilitation
(1) Rehabilitation can be attempted first, including paraffin therapy, ultrasound, and finger massage. If there is no improvement after three weeks, surgery should be considered. (2) The cause is aging and overuse; please be mindful to minimize activities such as wringing towels ...[Read More] Understanding Trigger Finger: Causes, Treatment Options, and Recovery Tips
Understanding Leg Pain: Causes and Tips for Relief
Causes of soreness? Hello Director Chen: I have difficulty standing for long periods on both feet, and they easily become sore. What could be the most likely cause? What should I pay attention to? Thank you!
Dr. Chen Xianchang reply Rehabilitation
(1) Possible causes include a) poor circulation in the legs, such as varicose veins, and b) compression of the sciatic nerve. (2) After standing for a period of time, it is advisable to sit down and rest; at night, elevate the feet and perform exercises that involve bending and s...[Read More] Understanding Leg Pain: Causes and Tips for Relief