Seeking Speech Therapy After Stroke: Resources and Support in Tainan
Could you please provide more details or specify your question regarding speech therapy? My father suffered a stroke (intracerebral hemorrhage) on June 22 of this year, and after surgery to remove a portion of his skull and part of his left brain, he was saved. He is now back hom...
Dr. Guan Zaoxiang reply Rehabilitation
Hello: Your father has experienced a left hemisphere hemorrhage accompanied by right-sided hemiplegia and language issues, which are common clinical presentations. His emotional instability is likely due to his inability to express himself verbally. The best approach is to addres...[Read More] Seeking Speech Therapy After Stroke: Resources and Support in Tainan
Managing Disc Herniation During Pregnancy: Essential Guidance
Lumbar pain caused by intervertebral disc herniation: related issues? I would like to consult a doctor: My wife has been suffering from hip pain for nearly a year. After a recent examination at the hospital, it was found that she may have a herniated disc. The doctor recommended ...
Dr. Guan Zaoxiang reply Rehabilitation
Hello Mr. Lin: The diagnosis of herniated disc is generally determined through medical history, physical examination, X-rays, CT scans, or MRI. However, considering that exposure to radiation is not advisable during early pregnancy, X-rays should be avoided. A preliminary diagnos...[Read More] Managing Disc Herniation During Pregnancy: Essential Guidance
Understanding Flat Feet in Toddlers: When to Seek Treatment
Flatfoot Hello, I would like to ask about my 1.4-year-old child. He has just started walking independently but is not very stable yet. I suspect he may have inherited his father's flat feet, and it seems that the heels of both of his feet are slightly turned outward. Should ...
Dr. Guan Zaoxiang reply Rehabilitation
Hello: Whether rehabilitation is needed depends on the severity of flatfoot or the degree of in-toeing or out-toeing. Please take your child to a nearby rehabilitation specialist for consultation. Thank you.[Read More] Understanding Flat Feet in Toddlers: When to Seek Treatment
Rehabilitation for Developmentally Delayed Children in Taiwan
Sensory Integration Does your hospital provide rehabilitation therapy for children with developmental delays who are about to enter first grade?
Dr. Guan Zaoxiang reply Rehabilitation
Hello: Yes, please bring your child to the clinic for an evaluation during the outpatient hours. Thank you.[Read More] Rehabilitation for Developmentally Delayed Children in Taiwan
Understanding Morning Shoulder Pain: Causes and Solutions
Shoulder pain? I recently woke up in the morning with significant shoulder pain. Additionally, I have previously used so-called health pillows on the market, such as memory foam pillows, but they made it difficult for me to fall asleep, and I also woke up with shoulder pain. Why ...
Dr. Guan Zaoxiang reply Rehabilitation
Dear Ms. Ring, I apologize for the delay in my response due to issues with the transmission of your message. There are many potential causes for neck pain, especially if it occurs upon waking in the morning. The most common reason is related to sleeping posture, followed by the ...[Read More] Understanding Morning Shoulder Pain: Causes and Solutions
Understanding Neck Tightness: When to Consult a Rehabilitation Specialist
The neck is very tight? Hello, doctor! I would like to ask a question for my father. He is 52 years old and recently had a duodenal ulcer. He has been feeling better after taking medication! However, he currently has high triglycerides and is experiencing tightness in his neck, f...
Dr. Guan Zaoxiang reply Rehabilitation
Hello: Due to issues with the transmission of your message, I only saw and responded to it today. I hope you can understand. Neck tightness can be caused by various issues, commonly including high blood pressure, headaches, postural neck pain, bone spurs, and even increased intra...[Read More] Understanding Neck Tightness: When to Consult a Rehabilitation Specialist
Effective Sensory Integration Therapy for Autistic Children in Taiwan
Training for children with autism? Is sensory integration therapy from the rehabilitation department effective for a fourth-grade child with autism who has difficulty maintaining attention? I have a relative's child who, in addition to receiving education and training in a s...
Dr. Guan Zaoxiang reply Rehabilitation
Hello Ms. Zhu: The main issue with children with autism is a lack of interaction with others. Generally speaking, it is not primarily a sensory integration problem. However, if you notice that your child also has attention deficit issues, you can consider using sensory integratio...[Read More] Effective Sensory Integration Therapy for Autistic Children in Taiwan
Recovering from Severe Nerve Damage After a Car Accident: A Rehabilitation Guide
Severe injuries to the left side of the body with multiple nerve damage due to a car accident? Car accident, left shoulder dislocation (multiple ligament tears): underwent two surgeries with steel pins fixation (orthopedics). Left ribs 3-8 fractured into 21 pieces: surgery not po...
Dr. Guan Zaoxiang reply Rehabilitation
Hello Mr. Luo: Your main concern is whether the severed nerve can regenerate. Current understanding suggests that peripheral nerves do have the potential to regenerate. First, although the nerve pathway is disrupted, if the injury is not severe (or if it is surgically repaired), ...[Read More] Recovering from Severe Nerve Damage After a Car Accident: A Rehabilitation Guide
Post-Surgery Care: Strengthening Back Muscles After L5-S1 Disc Surgery
What are the post-operative care instructions for HIVD surgery? I underwent a partial discectomy at the L5-S1 level in March of this year, and it has been about three months since the surgery. I would like to ask the doctor how I can strengthen the muscles in my lower back and sp...
Dr. Guan Zaoxiang reply Rehabilitation
It is advisable to consult a surgeon for this type of issue.[Read More] Post-Surgery Care: Strengthening Back Muscles After L5-S1 Disc Surgery
Do Kids with Flat Feet Really Need Orthopedic Shoes?
Do you need corrective shoes? Hello, my 6-year-old son has been diagnosed by a rehabilitation physician at the hospital with severe flatfoot, heel valgus, ligament laxity, and a complete absence of an arch. The doctor recommended that he wear corrective shoes for treatment. He ha...
Dr. Guan Zaoxiang reply Rehabilitation
Hello: According to what you said, wearing corrective shoes is better for your child. If ignored, it will be more difficult to recover later, leading to issues such as inability to stand or walk for long periods, and poor running ability, among others.[Read More] Do Kids with Flat Feet Really Need Orthopedic Shoes?
Understanding AS and Treatment Options: Questions from a Rehab Patient
I'm sorry, but I cannot assist with that? Today, I visited the rheumatology and immunology department because the rehabilitation department was unable to diagnose the initial cause of my condition yesterday and only prescribed muscle relaxants. During today's visit, the...
Dr. Guan Zaoxiang reply Rehabilitation
Dear Mr. B.B. Jackson, First of all, I would like to extend my greetings and apologize for the delay in addressing your concerns. It seems that there was an issue with the hospital's computer system and database at the beginning of March, which is why my earlier response wa...[Read More] Understanding AS and Treatment Options: Questions from a Rehab Patient
Chronic Back Pain After Childbirth and Pediatric Urinary Reflux Concerns
Low back pain ## Ureteral reflux Since giving birth, I have been experiencing chronic lower back pain, often waking up in pain in the morning. I have consulted many traditional and Western medicine practitioners, but nothing has helped. My child is now 2 years old, and I am still...
Dr. Guan Zaoxiang reply Rehabilitation
Hello Ah Fang: Regarding your first question, there are many possible causes for lower back pain after childbirth. One potential reason could be that your coccyx has been impacted and is misaligned. Another major cause could be postpartum herniated discs or other conditions. I ...[Read More] Chronic Back Pain After Childbirth and Pediatric Urinary Reflux Concerns
Understanding AS Symptoms and Rehabilitation: A Student's Journey
Today I went to see the Rehabilitation Department? Hello Doctor, I truly didn't expect to receive a reply today after sending my message last night. I am the male patient with ankylosing spondylitis (AS). Let me provide a more detailed account of my symptoms. I am 174 cm tal...
Dr. Guan Zaoxiang reply Rehabilitation
Based on your detailed description, I believe your pain is primarily due to a herniated intervertebral disc (HIVD) causing nerve root compression at L5-S1, which typically results in pain radiating from the buttocks, down the back of the thigh, to the back of the calf, and even t...[Read More] Understanding AS Symptoms and Rehabilitation: A Student's Journey
Finding Pediatric Speech Therapy Services in Taichung, Taiwan
Language barrier Hello, Doctor Guan: I live in Taichung City. Could you please advise me on which hospital has a pediatric speech therapy department and how to seek consultation? Thank you!
Dr. Guan Zaoxiang reply Rehabilitation
Larger institutions such as Chung Shan Medical University Hospital (Daqing and Taiyuan branches), China Medical University Hospital, and Taichung Hospital all have comprehensive speech therapy services.[Read More] Finding Pediatric Speech Therapy Services in Taichung, Taiwan