Understanding Neck Tilt: Treatment Options and Risks Explained
The neck is tilted? Hello, doctor! My neck is slightly tilted to the right, but it doesn't affect my daily life, and I can move my neck freely. However, it doesn't look good in photos. What treatment methods should I consider? Is there any risk associated with using a c...
Dr. Lai Yanting reply Rehabilitation
Hello Mr. Lu: It is recommended to come to the hospital for an evaluation of the condition and causes of your torticollis. In adults, the most common type is Spasmodic Torticollis. 1. For adult Spasmodic Torticollis, options may include botulinum toxin injections, muscle relaxant...[Read More] Understanding Neck Tilt: Treatment Options and Risks Explained
Understanding Neck and Back Pain: Causes, Treatment, and Recovery
Discomfort in the shoulders, neck, and back? Dear Dr. Lai, I am currently writing a thesis and often need to use the computer for long periods. Recently, I experienced discomfort in my shoulders, neck, and back (muscle soreness), so I went to the hospital for an examination. The...
Dr. Lai Yanting reply Rehabilitation
Hello: Thank you for your inquiry. (1) Are the discomforts in the shoulders, neck, and back all caused by cervical spine abnormalities, poor posture, or could there be other underlying causes? The most common reason for shoulder, neck, and back pain is poor posture. However, the ...[Read More] Understanding Neck and Back Pain: Causes, Treatment, and Recovery
Rehabilitation for Knee Flexibility: Is Forceful Bending Necessary?
Is it necessary to apply strong force to bend the knee during rehabilitation treatment when it cannot flex normally? In early July of this year, I suffered a comminuted closed fracture of the tibia below the knee due to a car accident. I began rehabilitation and had my cast remov...
Dr. Lai Yanting reply Rehabilitation
Hello Mr. Chen: Thank you for your questions. (1) During rehabilitation, is it necessary to forcefully bend the knee if it cannot flex normally? This often leads to inflammation and swelling. If the fracture has healed well, knee flexion can be improved through rehabilitation tec...[Read More] Rehabilitation for Knee Flexibility: Is Forceful Bending Necessary?
Stiff Toes and Foot Pain: Seeking Relief from Discomfort
The toes on both feet feel stiff like they are cramping, and the foot arch seems to be inflamed? I'm sorry to hear about your ongoing discomfort. As a busy person, it can be challenging to deal with stiff toes that feel like they're cramping. It sounds like you might be...
Dr. Lai Yanting reply Rehabilitation
Hello: Thank you for your inquiry. Your issue may be due to chronic inflammation in the foot (either tendons or ligaments), but it is advisable to consult a specialist in physical medicine and rehabilitation for further evaluation. I recommend trying a suitable pair of shoes firs...[Read More] Stiff Toes and Foot Pain: Seeking Relief from Discomfort
Understanding Post-Throwing Pain: When to Rest or Continue Training
Experiencing pain while breathing after pitching? Hello Dr. Lai: I have been practicing throwing baseballs at a nearby school playground for five consecutive days (from November 16 to November 20), using both my left and right hands, throwing about 50 pitches each day. I didn...
Dr. Lai Yanting reply Rehabilitation
1. Why does discomfort occur after waking up from sleep? Delayed onset muscle soreness (DOMS) is caused by muscle inflammation and typically begins to manifest symptoms about 12 hours after exercise. 2. It is recommended to continue practicing pitching with equal amounts of pra...[Read More] Understanding Post-Throwing Pain: When to Rest or Continue Training
Understanding Forefoot Pain: Causes and Relief Strategies
Pain at the anterior edge of the sole? Hello Doctor: I am currently serving in the military and need to stand for long periods. Every morning when I get out of bed, I often feel pain at the front edge of my foot, but after 5-10 minutes, the pain gradually eases. What could be the...
Dr. Lai Yanting reply Rehabilitation
Your issue is suspected to be metatarsalgia (but it is recommended to consult a military doctor). The cause may be due to excessive walking or wearing shoes that are too rigid. Treatment options include rest, ice therapy, taking anti-inflammatory medications, and selecting approp...[Read More] Understanding Forefoot Pain: Causes and Relief Strategies
Essential Tips for Managing Neck and Knee Degeneration at Home
Regarding bone degeneration issues? Hello Dr. Lai: I would like to ask about what to pay attention to regarding cervical and knee degeneration. My father experienced dizziness and went to the hospital for an X-ray, which revealed degeneration in the bones of his right cervical sp...
Dr. Lai Yanting reply Rehabilitation
Cervical and knee degeneration --> Everyone will experience degeneration --> Consider treatment only if symptoms arise! 1. Rehabilitation for knee osteoarthritis: - For those with limited time: Leg raises (sitting on a chair, extend the leg [hold for 1-2 seconds] --> ...[Read More] Essential Tips for Managing Neck and Knee Degeneration at Home
Do Kids Need Speech Therapy for Pronunciation Issues? Expert Insights
Speech therapy Hello, Doctor: My child is currently 3 years and 8 months old and is in preschool. The teacher mentioned that my child's pronunciation of the sound "ㄙ" is not good; for example, he pronounces "three" as "one." The teacher suggeste...
Dr. Lai Yanting reply Rehabilitation
Hello: 1. Generally, a 3-year-old should be able to articulate the sounds: b, p, m, f, d, t, n, l, g, k, h. By age 4, they should be able to produce the sounds: j, q, x, z. By age 5, they should be able to articulate the sounds: c, s, and the retroflex sounds: zh, ch, sh, r, etc....[Read More] Do Kids Need Speech Therapy for Pronunciation Issues? Expert Insights
Effective Treatments for Left Hand Numbness and Neck Tension
excuse me? If you are experiencing numbness in your left hand and feel tightness in your neck, which has persisted for several months, it is advisable to consult a healthcare professional. You may consider seeing a neurologist to evaluate potential nerve issues or a physical ther...
Dr. Lai Yanting reply Rehabilitation
Is the left hand numbness due to weakness or a tingling sensation? Did the tightness in the neck and hand numbness occur simultaneously? Common causes include myofascial pain syndrome or nerve compression. It is recommended to consult a rehabilitation specialist for further evalu...[Read More] Effective Treatments for Left Hand Numbness and Neck Tension
Understanding Facial Swelling: Causes, Treatment, and Recovery Tips
The face feels swollen and tender when pressed firmly? I had been busy for a while and ate less, which made my cheekbones appear more prominent. I started pressing on my face, and it noticeably looked strange. I also used my hands to press hard on the inner muscles and pushed the...
Dr. Lai Yanting reply Rehabilitation
Your concern may be related to temporomandibular joint disorder (TMJ disorder). You should visit a hospital for further evaluation to confirm the diagnosis—consider starting with a dental appointment. For more information, please refer to: http://pchome.uho.com.tw/sick.asp?aid=63...[Read More] Understanding Facial Swelling: Causes, Treatment, and Recovery Tips
Best Foods and Supplements to Relieve Muscle Soreness
excuse me? What foods or supplements can help treat or alleviate muscle soreness? Thank you!
Dr. Lai Yanting reply Rehabilitation
Western medicine: Research shows that branched-chain amino acids (BCAAs) or carbohydrate-electrolyte solutions (CES) may be effective in alleviating or recovering from muscle soreness. Traditional Chinese medicine: For muscle soreness, it is recommended to consume more alkaline f...[Read More] Best Foods and Supplements to Relieve Muscle Soreness
Understanding Wrist Pain in Dancers: Causes and Solutions
I have pain in my left wrist. Details..? I am a college student, and my interest is dancing, specifically in the style of breaking. However, about six months ago, while practicing some moves, I fell and tried to catch myself with my left hand. As a result, I injured my left wrist...
Dr. Lai Yanting reply Rehabilitation
Wrist pain caused by trauma (on the side of the little finger) should raise suspicion for 1. triangular fibrocartilage complex (TFCC) tear, 2. wrist arthritis, or 3. ligament sprain. Recommendations include 1. visiting a hospital (orthopedics or rehabilitation department) for fur...[Read More] Understanding Wrist Pain in Dancers: Causes and Solutions
Understanding Flat Feet in Children: When to Seek Treatment and Guidance
Flatfoot issues in children? Hello Doctor: My child is almost four years old and has had a slight outward turning of the feet since birth. This condition persists now that he is four. Recently, I took him to a general orthopedic clinic, and the doctor diagnosed him with flat feet...
Dr. Lai Yanting reply Rehabilitation
Based on your description, your child likely has physiological flatfoot (it is recommended to have a professional physician confirm this). The condition is caused by ligament laxity and typically only presents as flatfoot when weight-bearing. Most children with this condition do ...[Read More] Understanding Flat Feet in Children: When to Seek Treatment and Guidance
Understanding Hip Dysplasia: Rehabilitation and Support Options for Your Child
Hip Dysplasia Hello Dr. Lai, my daughter was diagnosed with developmental dysplasia of the hip and femoral dislocation at just over one year old. She underwent surgical reduction at the age of two, and since then, we have been consistently following up with the hospital for three...
Dr. Lai Yanting reply Rehabilitation
It is recommended to first discuss with the original surgeon. Generally, rehabilitation training for the hip muscles can be considered. Thank you for your question![Read More] Understanding Hip Dysplasia: Rehabilitation and Support Options for Your Child
Understanding Intermittent Elbow Pain: Causes and Solutions
Inner elbow pain? Hello, doctor. Sometimes I experience sharp pain on the inner side of my right elbow (it feels like a tendon issue). I can't recall when this symptom started, and its frequency is inconsistent; sometimes it occurs once a month, while other times it can be o...
Dr. Lai Yanting reply Rehabilitation
Pain on the inner side of the elbow may suggest golfer's elbow, also known as medial epicondylitis. This condition is generally associated with overuse. It is recommended to seek further evaluation at a clinic.[Read More] Understanding Intermittent Elbow Pain: Causes and Solutions
Understanding Unexplained Falls: Potential Causes and When to Seek Help
Unexplained falls? About four or five years ago, one night while I was sleeping, my phone rang. I wanted to get up to answer it, but for some reason, even though my feet should have had sensation, when I stepped onto the floor to walk, one of my feet suddenly felt completely weak...
Dr. Lai Yanting reply Rehabilitation
1. Based on your description, it may be helpful to recall if you took any sleeping pills or sedatives in the days leading up to the fall. This could potentially explain why you experienced a deep sleep and may have had insufficient reaction time when suddenly waking up, or it cou...[Read More] Understanding Unexplained Falls: Potential Causes and When to Seek Help
Understanding Unexplained Falls: Causes and When to Seek Help
Unexplained falls? About four or five years ago, one night while I was sleeping, my phone rang. I wanted to get up to answer it, but for some reason, even though my feet should have had sensation, when I stepped onto the floor to walk, one of my feet suddenly felt completely weak...
Dr. Lai Yanting reply Rehabilitation
1. Based on your description, it may be helpful to recall if you took any sleeping pills or sedatives in the days leading up to the fall. This could potentially explain why you might have been in a deep sleep and suddenly got up during the night, leading to insufficient reaction ...[Read More] Understanding Unexplained Falls: Causes and When to Seek Help
Effective Traction Therapy for Myofascial Pain Syndrome Relief
Traction therapy for myofascial pain syndrome? Myofascial pain syndrome, with tender points located on the right side of the spine in the back and radiating pain deep in the posterior thigh, is said to be treated with "traction." How should traction therapy be performed...
Dr. Lai Yanting reply Rehabilitation
Stretching the muscles that are causing myofascial pain may help improve symptoms (if it is indeed myofascial pain syndrome). For traction treatment methods, you can refer to the following link: http://www.uwhealth.org/healthfacts/B_EXTRANET_HEALTH_INFORMATION-FlexMember-Show_Pub...[Read More] Effective Traction Therapy for Myofascial Pain Syndrome Relief
Understanding Persistent Lower Back and Leg Pain: Possible Causes and Solutions
Low back and leg pain? (1) I have been experiencing pain on the right side of my lower back for six months. During the day, I do not feel any pain, but every morning when I wake up, the pain starts and becomes unbearable. It hurts so much that even turning over in bed is painful....
Dr. Lai Yanting reply Rehabilitation
1. Are you referring to lower back pain? Since it doesn't hurt during the day but only when you get up at night, it is more likely to be caused by spondyloarthritis. However, the exact cause needs to be further evaluated in the clinic. You can refer to the following links fo...[Read More] Understanding Persistent Lower Back and Leg Pain: Possible Causes and Solutions
Understanding Swallowing Difficulties: Causes, Symptoms, and Solutions
Dysphagia Hello Dr. Lai, I have been experiencing difficulty swallowing for five years, but it has recently worsened to the point where I can only eat porridge (previously, I could manage solid and fibrous foods with water). A few months ago, I visited the Rehabilitation Departme...
Dr. Lai Yanting reply Rehabilitation
1. Definition of dysphagia: It is referred to as dysphagia when there are issues perceived in the process of food moving from the mouth to the stomach. 2. There are many causes of oropharyngeal dysphagia: - Iatrogenic (e.g., chemotherapy, postoperative complications) - I...[Read More] Understanding Swallowing Difficulties: Causes, Symptoms, and Solutions