Improving Attention in Active Toddlers: Is It ADHD?
Pediatric rehabilitation Hello Director Chen, My son has undergone pediatric rehabilitation at a private hospital, which resolved his speech difficulties. However, he still struggles with attention span and is very active. What can be done to improve this? Does this qualify as ...
Dr. Chen Xianchang reply Rehabilitation
(1) You can go to rehabilitation hospitals or clinics that provide early intervention services for sensory integration assessment and treatment. (2) Children with attention deficit hyperactivity disorder (ADHD) need to excessively alternate between hand-eye activities, and failur...[Read More] Improving Attention in Active Toddlers: Is It ADHD?
Understanding Shoulder Pain: Is It a Herniated Disc?
Herniated disc Hello Director Chen: I have a dull pain extending from my left arm to the scapula, making it difficult to sleep on my left side. Could this be a cartilage herniation? Sometimes, I experience similar pain on the right side as well. Besides taking glucosamine daily, ...
Dr. Chen Xianchang reply Rehabilitation
(1) It may be a cervical disc herniation. (2) Please pay attention to your neck posture and strengthen isometric exercises for the neck. (3) Avoid excessive neck flexion and lifting heavy objects.[Read More] Understanding Shoulder Pain: Is It a Herniated Disc?
Improving Mobility After Knee Replacement: Tips for Rehabilitation
Artificial joint Hello Director Chen, A friend of mine underwent bilateral knee replacement surgery over three years ago, but is still experiencing difficulty walking. What remedies are available? Is it too late for improvement? Thank you! Jimmy
Dr. Chen Xianchang reply Rehabilitation
(1) After knee joint surgery, rehabilitation exercises and therapy are necessary. (2) You can visit a nearby rehabilitation department for enhanced treatments such as ultrasound and laser therapy, as well as to strengthen the thigh muscles.[Read More] Improving Mobility After Knee Replacement: Tips for Rehabilitation
Understanding Elbow Pain: Causes, Recovery Time, and Care Tips
Elbow pain Hello Director Chen: My right elbow is so painful that I can't pick up chopsticks or a pen, especially in the area from the elbow joint to the palm. No matter how I position it, the pain prevents me from sleeping. What could be the issue? If I need rehabilitation,...
Dr. Chen Xianchang reply Rehabilitation
(1) It may be tennis elbow tendinitis, possibly caused by sports injuries or excessive household activities. (2) Rest is necessary, along with soaking in warm water and being mindful of posture. (3) Rehabilitation for about 2 to 3 weeks may alleviate the pain.[Read More] Understanding Elbow Pain: Causes, Recovery Time, and Care Tips
Understanding Knee Pain: Causes, Solutions, and Care Tips
Knee pain Dear Director Chen, I have been experiencing unexplained pain in my right knee recently, to the point where I cannot put weight on my foot or walk. Could you please advise on the possible causes and how to address this issue? Additionally, what are some recommended car...
Dr. Chen Xianchang reply Rehabilitation
(1) It may be an acute condition of patellar tendonitis or ligament inflammation. (2) Ice therapy can be applied within the first 24 hours, followed by heat therapy and topical analgesics; rest and avoid movement. (3) Once pain subsides, strengthen muscle training should be initi...[Read More] Understanding Knee Pain: Causes, Solutions, and Care Tips
Understanding Recovery After ACL Injury: Common Concerns and Solutions
Rehabilitation Hello Doctor: At the end of January this year, I suffered a torn anterior cruciate ligament and a fracture in my right knee due to a car accident. I had a metal plate inserted, and the doctor advised me to keep it immobilized for a month without bending or putting ...
Dr. Chen Xianchang reply Rehabilitation
(1) Generally, at one month post-injury, weight-bearing should be limited to 1/4 to 1/3 of body weight. The popping sound in the knee indicates ligament laxity, and strength training is necessary, focusing on both the anterior and posterior thigh muscles (important). (2) Rehabili...[Read More] Understanding Recovery After ACL Injury: Common Concerns and Solutions
Understanding Isokinetic Training for Fracture Rehabilitation
Fracture rehabilitation issues? Hello Dr. Chen: I previously asked you about rehabilitation for fractures, and you suggested that I use isokinetic exercise training. Could you please explain what isokinetic exercise training is?
Dr. Chen Xianchang reply Rehabilitation
(1) General exercise includes "isometric" exercises (muscle contraction without joint movement) and "isotonic" exercises (knee extension exercises where the joint moves). The new generation includes "isokinetic" exercises, which determine force based...[Read More] Understanding Isokinetic Training for Fracture Rehabilitation
Understanding Pain and Recovery in Calf Rehabilitation After Injury
Rehabilitation for Ligament and Tibial Fractures in the Lower Leg 1. I would like to inquire about the pain I experience in my right knee after performing calf raises on the rehabilitation machine. After completing the exercise, when I attempt to extend my calf upwards, I feel a ...
Dr. Chen Xianchang reply Rehabilitation
1. This is due to insufficient strength of the primary extensor muscle (quadriceps), leading to overuse of the secondary muscles and even the medial ligaments. 2. It is advisable to hold for about five to ten seconds (ten seconds is preferable for younger individuals, but if it i...[Read More] Understanding Pain and Recovery in Calf Rehabilitation After Injury
Relieving Pain in the Right Hand: Tips for Recovery and Rehabilitation
Right hand muscle and joint pain? I have pain in the tendon from my right thumb down to my wrist, and it hurts a lot when I move my thumb. When I'm not moving, there's no pain, but even a light tap can make me cry from the pain, especially in the wrist area. I'm cu...
Dr. Chen Xianchang reply Rehabilitation
1. You may have inflammation of the abductor pollicis longus and extensor pollicis brevis tendons, commonly known as "De Quervain's tenosynovitis." 2. You can apply ice for ten minutes. 3. Movement will only exacerbate the condition and increase inflammation. 4. Yo...[Read More] Relieving Pain in the Right Hand: Tips for Recovery and Rehabilitation
Effective Self-Rehabilitation Strategies for Tennis Shoulder Injuries
Tennis shoulder injuries I have been experiencing shoulder pain since I didn't warm up before exercising. It's not severe enough that I can't lift my arm above 90 degrees, but I can't use it too much. What can I do for self-rehabilitation? If I go to the hospi...
Dr. Chen Xianchang reply Rehabilitation
(1) Shoulder injuries from sports are mostly tendon or ligament sprains. Self-rehabilitation: 1. Massage the Ba Xie points, as well as the junctions of the metacarpals and fingers. 2. Perform pendulum exercises with the arm hanging down (for about ten minutes). 3. Perform isometr...[Read More] Effective Self-Rehabilitation Strategies for Tennis Shoulder Injuries
Understanding Left Shoulder Pain After an Accident: Recovery Insights
Left shoulder pain? Hello Doctor, about six months ago I was in a car accident. Initially, I thought there was only an issue with my left side rib under the armpit (I had an X-ray and there were no fractures), but after three months of recovery, the pain in my left armpit gradual...
Dr. Chen Xianchang reply Rehabilitation
(1) Deep muscle pain in the left shoulder may be diagnosed as follows: 1. Strain of the internal and external rotator muscles, requiring deep heat therapy (shortwave, ultrasound, laser) and deep electrical therapy (interferential current). 2. Adhesive capsulitis (frozen shoulder)...[Read More] Understanding Left Shoulder Pain After an Accident: Recovery Insights
Understanding the Symptoms of Traumatic Brain Injury (TBI)
Traumatic Brain Injury (TBI) What symptoms can occur with traumatic brain injury?
Dr. Chen Xianchang reply Rehabilitation
1. Increased deep tendon reflex (DTR) on the contralateral side, but muscle strength is not affected. 2. Recent memory impairment after the onset of the condition, but the ability to recall long-term memories remains intact. 3. Urinary incontinence or difficulty urinating. ...[Read More] Understanding the Symptoms of Traumatic Brain Injury (TBI)
Understanding Elbow Joint Issues: Rehabilitation Options for Pain Relief
Elbow joint Hello Doctor: Since my right elbow was completely dislocated on March 16, 2004, I have been unable to fully flex it, but it does not hinder my daily life too much. However, my ability to extend it is significantly limited. I feel there are many growths around the join...
Dr. Chen Xianchang reply Rehabilitation
(1) It is recommended to consult a physician in the "Sports Medicine" department at a medical center's orthopedic department, as orthopedic surgeons with this specialization may not be available in general hospitals. (2) There is a possibility of reoperation, but f...[Read More] Understanding Elbow Joint Issues: Rehabilitation Options for Pain Relief
Understanding Calf Weakness: Causes and Solutions for Technicians
Weakness in the calf? I am a technician in a science park and I need to stand for 10 hours at work. For the past month, I have been experiencing weakness in my calves, especially when trying to stand up after squatting. Sometimes, even just after squatting, I find it difficult to...
Dr. Chen Xianchang reply Rehabilitation
1. Prolonged standing can lead to (1) lumbar disc herniation, which may compress nerve roots, causing symptoms, and (2) poor venous and lymphatic return in the lower extremities. 2. Both of these conditions can contribute to the issues you described. 3. Please perform exercises...[Read More] Understanding Calf Weakness: Causes and Solutions for Technicians
Rehabilitation for Spinal Compression: Managing Pain and Treatment Options
Rehabilitation for Vertebral Compression Fractures Hello, Doctor: Two years ago, I lifted a heavy object and accidentally strained my back. I did not seek any medical treatment at that time, but recently I have been actively pursuing treatment. An X-ray revealed that my spine doe...
Dr. Chen Xianchang reply Rehabilitation
1. It is likely a lumbar disc herniation, as coughing increases abdominal pressure, causing the already herniated disc to protrude further and intensifying the pain. 2. Based on the symptoms and X-ray, it may be a herniated disc at the fifth lumbar vertebra; however, the X-ray ...[Read More] Rehabilitation for Spinal Compression: Managing Pain and Treatment Options
Finding Musculoskeletal Ultrasound Facilities in Taichung Rehabilitation Centers
Musculoskeletal ultrasound Could you please tell me where I can find a musculoskeletal ultrasound machine in the rehabilitation department in Taichung?
Dr. Chen Xianchang reply Rehabilitation
(1) China Medical University Hospital (2) Chung Shan Medical University Hospital[Read More] Finding Musculoskeletal Ultrasound Facilities in Taichung Rehabilitation Centers
Can Physical Therapy Help Relieve Computer-Related Hand Pain?
excuse me? Hello Doctor, I would like to ask if I can come to your clinic for rehabilitation, as I experience soreness and muscle pain in my hands from long hours of computer work. I used to frequently receive cupping therapy from a traditional Chinese medicine practitioner, wh...
Dr. Chen Xianchang reply Rehabilitation
(1) What you described may be lateral epicondylitis (commonly known as tennis elbow). (2) Rehabilitation focuses on anti-inflammatory treatment and improving circulation for tendonitis, which has shown good results. (3) If the tendon cannot rest, the rehabilitation department can...[Read More] Can Physical Therapy Help Relieve Computer-Related Hand Pain?
Understanding Knee Pain: Symptoms, Treatment, and Rehabilitation Options
Knee pain Hello Dr. Chen: My knee was injured several years ago, and now every time the weather changes, it acts like a weather station. My knee experiences a dull ache, and I have to push on it with my hand to feel more comfortable. Additionally, there is a soft area in the cent...
Dr. Chen Xianchang reply Rehabilitation
(1) Based on your description, there may be a tear in the knee meniscus. (2) You should visit a large hospital (regional hospital or medical center) to see the rehabilitation department for an ultrasound or MRI to confirm the location, and avoid undergoing arthroscopy initially. ...[Read More] Understanding Knee Pain: Symptoms, Treatment, and Rehabilitation Options
Understanding Knee Pain: When to See a Specialist for Relief
Knee pain I am 45 years old, and recently I have been experiencing sudden knee pain every morning when I wake up. Sometimes the pain radiates down to my calves, but it usually subsides after a while. I have never experienced this before. My family suggests it might be rheumatism,...
Dr. Chen Xianchang reply Rehabilitation
(1) Pain in the knee upon waking may be due to a previous sprain of the collateral ligaments or the beginning of cartilage degeneration, both of which can cause pain symptoms. (2) Pain in the back of the knee (popliteal region) often radiates to the calf and is most commonly asso...[Read More] Understanding Knee Pain: When to See a Specialist for Relief
Can I Volunteer in Rehabilitation at Your Hospital?
Can I volunteer in the rehabilitation department at the hospital? Hello... I am a student from the Department of Special Education at National Taitung University. Due to course requirements, our teacher has asked us to find volunteer opportunities related to rehabilitation during...
Dr. Chen Xianchang reply Rehabilitation
1. Our Rehabilitation Department is available to assist you, welcome. 2. Please register at our Social Services Office first.[Read More] Can I Volunteer in Rehabilitation at Your Hospital?