Persistent Left Leg Pain and Numbness: Seeking Rehabilitation Solutions
Numbness and pain in the entire left leg? I experience numbness along the entire back of my left leg, from the calf to the thigh, after standing or walking for less than five minutes. This numbness then turns into pain, which only subsides once I sit down. This condition has been...
Dr. Lai Yanting reply Rehabilitation
Your symptoms are suspected to be sciatica. It is recommended that you visit the rehabilitation department of the hospital for further evaluation. Thank you for your inquiry.[Read More] Persistent Left Leg Pain and Numbness: Seeking Rehabilitation Solutions
Understanding Calf Pain: Causes, Treatment, and When to See a Doctor
Calf pain Hello, in the past couple of months, I've been experiencing pain in my calves when I walk up stairs on my toes (similar to climbing stairs on my tiptoes) or when I run quickly. Other than that, I usually don't have any pain. I've been using muscle relaxan...
Dr. Lai Yanting reply Rehabilitation
Hello: Your issue is suspected to be "tennis leg." It is recommended to avoid intense activities (such as basketball or other jumping sports) for about 4 weeks and to undergo rehabilitation treatment for approximately 6 weeks. Thank you for your inquiry![Read More] Understanding Calf Pain: Causes, Treatment, and When to See a Doctor
Understanding Right Back Pain: Causes, Self-Care, and When to See a Doctor
Right back pain..? Hello Doctor: I started working last week, and for the past few days, I've been typing and entering data. I suspect this might be the reason why I've been experiencing pain in my right back since last night. The pain is not constant; it occurs with ce...
Dr. Lai Yanting reply Rehabilitation
Hello: Your issue may be caused by a deep muscle strain in your back. It is recommended that you rest and purchase anti-inflammatory pain medication from the pharmacy to take for 2-3 days. If there is no improvement, it is advisable to visit a hospital and consult with a rehabili...[Read More] Understanding Right Back Pain: Causes, Self-Care, and When to See a Doctor
Understanding Frozen Shoulder: Is Muscle Softness Normal During Rehab?
Frozen shoulder? An elderly family member has been experiencing worsening pain in the left shoulder for the past six months, even waking up at night due to the pain. About a month and a half ago, they visited a rehabilitation clinic where X-rays were taken, and it was diagnosed a...
Dr. Lai Yanting reply Rehabilitation
Hello: 1. The muscles near the left shoulder feel very soft? Softness and hardness are quite subjective and difficult to assess. It is recommended to check if the left shoulder is elevated. If the left shoulder is raised high and strength has not diminished, then there should not...[Read More] Understanding Frozen Shoulder: Is Muscle Softness Normal During Rehab?
Understanding Symptoms of Fibromyalgia: Can Diagnostic Tools Help?
Symptoms of confusion? Dear Doctor, my symptoms extend from both sides of my neck to my shoulders, where I feel a sensation as if a heavy weight is pressing down, accompanied by soreness. There is also pain when I apply pressure, and sometimes I experience a sharp, stabbing pain ...
Dr. Lai Yanting reply Rehabilitation
Hello: Based on your description, it is suspected to be "myofascial pain syndrome." You can search online for related diagnostic information. Generally, a physician's manual physical examination is sufficient for diagnosis without the need for instruments. It is re...[Read More] Understanding Symptoms of Fibromyalgia: Can Diagnostic Tools Help?
Unexplained Knee Pain in Athletes: Seeking Answers and Solutions
Knee pain with no identifiable cause? Hello, Dr. Lai. I am a basketball player. I used to play basketball without any issues, but after running ten laps around the field last October, I started experiencing pain near my right knee. After about an hour of playing basketball, the p...
Dr. Lai Yanting reply Rehabilitation
Hello, based on your description, it seems that you may be experiencing patellar tendinitis. The treatment approach typically involves rest and physical therapy. In some cases, treatment may take up to three weeks to be sufficient. An ultrasound examination can be arranged to con...[Read More] Unexplained Knee Pain in Athletes: Seeking Answers and Solutions
Simple Rehabilitation Exercises for Mild Thoracic Scoliosis
How to rehabilitate and correct mild thoracic scoliosis? This year's health check X-ray shows a slight curvature of the thoracic spine. I am unsure if this is caused by poor posture at work over the past few years. I have a regular exercise routine, and my daily life is not ...
Dr. Lai Yanting reply Rehabilitation
Hello: In adults, thoracic scoliosis cannot be corrected through rehabilitation exercises and can only be treated surgically. Generally, adult spinal curvature less than 40 degrees does not require treatment. Thank you.[Read More] Simple Rehabilitation Exercises for Mild Thoracic Scoliosis
Understanding Spine Pain and Chills Without Fever: A Rehab Perspective
Spinal pain with persistent chills but no fever? I haven't had my period and haven't engaged in any intense exercise, but I've been in pain for about three days. It started around 5 PM the day before yesterday, with a very sore lower back. By 7 or 8 PM, the pain be...
Dr. Lai Yanting reply Rehabilitation
Hello: Based on your description, there should be a high suspicion of a "urinary tract infection (pyelonephritis)." It is recommended to seek further evaluation at a hospital's nephrology or urology department (urinalysis, blood tests, etc.). Thank you for your inq...[Read More] Understanding Spine Pain and Chills Without Fever: A Rehab Perspective
Risks of Excessive Lumbar Traction Weight in Rehabilitation Therapy
Aftereffects of Lumbar Traction Weight (Forwarded from the Director's Mailbox) Dear Director, I would like to inquire about lumbar traction in rehabilitation. If the traction force exceeds one-quarter of the patient's body weight, could it lead to hip joint pain or re...
Dr. Lai Yanting reply Rehabilitation
Dear Ms. Chang, Lumbar traction should not cause the side effects you described. Occasionally, there may be cases of exacerbated back pain, but most of the time, rest will lead to improvement. The traction force limits may vary depending on the model; at our hospital (Hsinchu Ho...[Read More] Risks of Excessive Lumbar Traction Weight in Rehabilitation Therapy
Understanding Plantar Fasciitis: Military Service and Treatment Options
Plantar fasciitis I have plantar fasciitis, which sometimes causes pain so severe that I feel like hitting the floor. This has been ongoing for several years, but I am more concerned about my military service obligations. Can I still serve in the regular military under these circ...
Dr. Lai Yanting reply Rehabilitation
Hello, Xiao P: The treatment for plantar fasciitis is as follows: From a press release by Hsinchu Hospital on December 14, 2006, Dr. Liao Ke-xiu from the Rehabilitation Department reported a case of a middle-aged male patient who sought treatment due to persistent heel pain. Th...[Read More] Understanding Plantar Fasciitis: Military Service and Treatment Options
Is Gout Arthritis Always Sudden and Severe? Understanding the Symptoms
Is arthritis caused by gout always sudden and severe? Is arthritis caused by gout always sudden and severe? If the pain is gradual, does that mean it is not gout? (The patient is a 47-year-old male) Thank you!
Dr. Lai Yanting reply Rehabilitation
Hello: The presentation of gouty arthritis is typically characterized by sudden and severe pain, with the affected joint becoming red, swollen, hot, and painful. If left untreated, the intense pain can last for 12 to 24 hours, after which it gradually subsides. If the pain develo...[Read More] Is Gout Arthritis Always Sudden and Severe? Understanding the Symptoms
Understanding Long-Term Chest Injuries: Treatment and Rehabilitation Options
Chest contusion for over a decade? Hello, doctor. I am a 27-year-old male. When I was in middle school, I collided with someone while playing basketball, and my chest was forcefully compressed by the basketball, resulting in an injury. A few years later, I visited a thoracic surg...
Dr. Lai Yanting reply Rehabilitation
Chronic old injuries may not respond well to anti-inflammatory and pain relief medications. It is recommended to seek further evaluation from a rehabilitation specialist to determine the appropriate treatment. Thank you for your inquiry.[Read More] Understanding Long-Term Chest Injuries: Treatment and Rehabilitation Options
Rehabilitation Strategies for Thigh Muscle Atrophy After Knee Injury
Rehabilitation issues related to thigh atrophy? Hello doctor, I fractured my right patella over a month ago. I did not undergo surgery and currently have a cast that extends from about halfway up my thigh to two-thirds of my foot, leaving only my toes exposed. However, my thigh h...
Dr. Lai Yanting reply Rehabilitation
1. Non-displaced fractures of the patella can be treated conservatively by immobilizing the knee in a straight position with a cast for 4 to 6 weeks. Since the patella does not bear weight, there are generally no weight-bearing restrictions (but you should consult your physician)...[Read More] Rehabilitation Strategies for Thigh Muscle Atrophy After Knee Injury
Understanding Stiff Neck: Causes, Symptoms, and Rehabilitation Options
Stiffness in the posterior neck? Since August or September of last year, I have been experiencing stiffness in my neck, making it difficult to turn my head from side to side. I visited a rehabilitation department at a major hospital, where I underwent X-rays and ultrasound of my ...
Dr. Lai Yanting reply Rehabilitation
Your question -- There are many causes of neck stiffness, including: 1. Incorrect sleeping posture or sudden neck movements leading to neck strain. 2. Life stress --> This can cause neck muscles to tighten, resulting in stiffness. 3. Cervical spine injuries, such as those from...[Read More] Understanding Stiff Neck: Causes, Symptoms, and Rehabilitation Options
Managing Flat Feet in Young Children: When to Seek Help and Solutions
Flatfoot in infants Hello Doctor: My son is currently 6 and a half years old and has flat feet. When viewed from behind, he seems to walk with a slight inward toeing. Last year, we went to Chang Gung Children's Hospital for a bone assessment, and the doctor said his skeletal...
Dr. Lai Yanting reply Rehabilitation
1. Based on your description, your child likely has physiological flatfoot (it is recommended to have a professional physician confirm this). This condition is caused by ligament laxity and typically only presents as flatfoot when weight-bearing. Most children with this condition...[Read More] Managing Flat Feet in Young Children: When to Seek Help and Solutions
Injury Above the Elbow: Understanding Pain and Recovery Tips
The area above the elbow was struck..? Hello, doctor. This afternoon after class, I was writing with my elbow resting on the desk when a classmate playfully hit me hard about 3 centimeters above my elbow joint. It was very painful at that moment, and later I felt heaviness in tha...
Dr. Lai Yanting reply Rehabilitation
Based on your description, it seems that the affected hand has suffered from ulnar nerve neuropraxia, which can recover in a range of hours to several months, with most cases achieving complete recovery. If you are still concerned, you may want to consult a rehabilitation special...[Read More] Injury Above the Elbow: Understanding Pain and Recovery Tips
Understanding Congenital Torticollis: Treatment Options and Disability Benefits
Congenital torticollis Hello, doctor. I am 30 years old this year! I have had congenital torticollis (tilting to the right) since birth. My parents took me for surgery to remove the muscle when I was three years old, but I did not undergo rehabilitation for correction. As a resul...
Dr. Lai Yanting reply Rehabilitation
1. Severe scoliosis greater than 40 degrees should be considered for surgical treatment—please consult an orthopedic surgeon for evaluation. 2. Lower back pain can be improved with good posture and rehabilitation therapy. 3. It is not possible to apply for a disability certif...[Read More] Understanding Congenital Torticollis: Treatment Options and Disability Benefits
Understanding Plantar Fasciitis and Chronic Pain Management
Plantar fasciitis and other pain-related issues? Hello Dr. Lai, About five years ago, I started experiencing knee pain. After seeing a doctor, I was diagnosed with "osteoarthritis" and have been taking related supplements such as glucosamine and other joint health prod...
Dr. Lai Yanting reply Rehabilitation
1. Plantar fasciitis: In the acute phase, management includes ice therapy, rest, and the use of anti-inflammatory and analgesic medications; in the chronic phase, treatment involves wearing shoes with arch support and good shock absorption, local heat therapy, stretching exercise...[Read More] Understanding Plantar Fasciitis and Chronic Pain Management
Botox Treatment for Stroke-Related Spasticity: Is It Effective?
Botulinum toxin improves post-stroke spasticity? I recently read in the newspaper that botulinum toxin can improve post-stroke spasticity and prevent ankle joint varus deformity. Does your hospital offer this botulinum toxin treatment? If my mother has had a stroke for three year...
Dr. Lai Yanting reply Rehabilitation
1. Currently, our rehabilitation department does not offer botulinum toxin injections for post-stroke muscle hypertonicity. 2. If ankle joint valgus deformity is caused by muscle spasms, botulinum toxin injections can be beneficial; however, if the deformity is due to weakness ...[Read More] Botox Treatment for Stroke-Related Spasticity: Is It Effective?
Understanding Right Shoulder Pain and Weakness: Treatment Options and Self-Care
Right shoulder tightness and weakness in the entire right arm? Hello: Several years ago, I had a minor strain in my right shoulder, but I did not experience any discomfort until the end of last year when I developed severe pain in my right shoulder. Initially, it was just pain an...
Dr. Lai Yanting reply Rehabilitation
Hello: There are many causes of right shoulder pain. If the pain radiates down the entire arm causing soreness and weakness, it is important to consider the possibility of cervical radiculopathy (due to herniated disc compression). It is advisable to seek further evaluation from ...[Read More] Understanding Right Shoulder Pain and Weakness: Treatment Options and Self-Care