Persistent Pain and Indentation in Calf: Should You See a Rehab Specialist?
The calf injury feels indented to the touch? Due to a previous car accident where I injured the inner side of my calf, I initially only felt pain and thought it was just a soft tissue injury. However, now more than a year has passed, and the injured area still hurts when touched,...
Dr. Lai Yanting reply Rehabilitation
Was there bruising and swelling in the calf at the time of the injury a year ago? -- If there was bruising and swelling, it may indicate a tear in the muscles on the inner side of the calf, resulting in a depression in the leg. -- If there was no bruising or swelling, the depress...[Read More] Persistent Pain and Indentation in Calf: Should You See a Rehab Specialist?
Understanding Chronic Upper Back Pain: Causes and Solutions
Upper back pain lasting for 8 months? Hello Doctor: I have been experiencing upper back pain for eight months. It all started when I began high school; I found the school chairs very uncomfortable. Being a sensitive person, I started to feel pain in my upper back the next day aft...
Dr. Lai Yanting reply Rehabilitation
Approximately 50% of adolescents have experienced back pain. Common causes of back pain in adolescents include poor posture, life stress (leading to muscle tension), anxiety, and lack of sleep. If any of the following symptoms occur, immediate medical attention should be sought, ...[Read More] Understanding Chronic Upper Back Pain: Causes and Solutions
Can Ultrasound or MRI Detect Ligament Damage in Old Shoulder Injuries?
Old shoulder strain I am a baseball coach and I strained my right shoulder while demonstrating a pitch. However, after six months and multiple visits to traditional Chinese medicine clinics, I still haven't recovered. Can an ultrasound or MRI show if there is any damage to t...
Dr. Lai Yanting reply Rehabilitation
1. Ultrasound or MRI can detect tears or inflammation in muscles and tendons. 2. However, to assess whether there is any damage to the shoulder ligaments, especially if the injury occurred more than six months ago, it may not be possible to determine if there was a previous injur...[Read More] Can Ultrasound or MRI Detect Ligament Damage in Old Shoulder Injuries?
Understanding Dry Sciatica: Treatment Options Beyond Electrotherapy and Stretching
Dry sciatica The doctor mentioned that it is not typical sciatica, but rather "sciatica due to nerve root irritation." What are the different treatment options for this type of sciatica? Is it only limited to electrical therapy and lumbar stretching? Are there no other ...
Dr. Lai Yanting reply Rehabilitation
Dry sciatica is a term used in traditional Chinese medicine that refers to pathology affecting the sciatic nerve outside the spinal canal. It is recommended to consult a Western medicine specialist, specifically a rehabilitation physician, to confirm the true cause of your family...[Read More] Understanding Dry Sciatica: Treatment Options Beyond Electrotherapy and Stretching
Understanding Myofascial Pain: Differentiating from Sciatica Symptoms
What exactly is the condition? (It resembles sciatica but seems to be something else.) Hello Doctor: After consulting with two Western medicine doctors, they both said it is not sciatica. Initially, I had lower back pain, and later my thigh started to hurt as well. The pain is lo...
Dr. Lai Yanting reply Rehabilitation
Back pain can have many causes, and understanding the underlying reason is essential for effective treatment. Recommendation 1: Keeping a detailed record of the pain description can aid in diagnosis. The description should include the characteristics of the pain, what activitie...[Read More] Understanding Myofascial Pain: Differentiating from Sciatica Symptoms
Understanding Sciatica: Recovery Time, Exercises, and Treatment Insights
Sciatica issues (including rehabilitation exercises and recovery time) 1. Sciatica has persisted for over three months. The symptoms have improved, but it has not been completely resolved. Is it common for it to last this long? Is it possible that it may never be fully resolved? ...
Dr. Lai Yanting reply Rehabilitation
First, it is essential to confirm whether the patient is indeed experiencing sciatica. The symptom description is possible, but a professional evaluation and examination by a physician in an outpatient setting is necessary. 1. If the condition has not fully improved after three...[Read More] Understanding Sciatica: Recovery Time, Exercises, and Treatment Insights
Understanding Chronic Lower Back and Leg Pain: Causes and Treatment Options
Low back and leg pain? This is not my issue; the patient is a 46-year-old male. 1. Initially, he experienced lower back pain, which later extended to his thigh. The pain is localized to a specific point on the right side of the lower back and affects the entire posterior muscle o...
Dr. Lai Yanting reply Rehabilitation
1. According to the description in the first point, the symptoms resemble myofascial pain syndrome, commonly known as myofascitis. Typically, myofascitis of the iliopsoas muscle manifests as pain in the lower back and thigh. 2. Regarding the second point, I am unclear about wha...[Read More] Understanding Chronic Lower Back and Leg Pain: Causes and Treatment Options
Effective Treatment Options for Chronic Golfer's Elbow: Surgery Considerations
Tendinitis Golfer's elbow I have had golfer's elbow for over three years. I have undergone traditional Chinese medicine rehabilitation, Western medicine rehabilitation, and received injections of corticosteroids. Shockwave therapy has also been ineffective. I am unsur...
Dr. Lai Yanting reply Rehabilitation
Very few patients with golfer's elbow require surgical treatment. The general treatment methods include rehabilitation exercises and modifying daily activities. An elbow brace can also be used to reduce the strain on the injured tendon.[Read More] Effective Treatment Options for Chronic Golfer's Elbow: Surgery Considerations
Understanding the Impact of Straightened Cervical Spine on Health and Military Service
Cervical spine straightening? I had an X-ray taken of my cervical spine, and it shows that my neck is straight without any curvature. I would like to know what impact a straightened cervical spine might have on me. Will it have significant effects? I'm about to enlist in the...
Dr. Lai Yanting reply Rehabilitation
A straightened cervical spine is commonly caused by muscle tension, and it is recommended to seek further evaluation at a clinic.[Read More] Understanding the Impact of Straightened Cervical Spine on Health and Military Service
Understanding Back Pain After Weight Loss: When to Seek Medical Help
Back pain Hello, I responded to the issue on December 19, but I may have had a problem with my URL and did not receive a reply. I only saw the response from December 20 today. I started experiencing these aches and pains after losing weight. If this is an issue related to interna...
Dr. Lai Yanting reply Rehabilitation
Hello: I recommend that you first visit a family medicine physician for a comprehensive evaluation and some physical examinations to determine the exact cause of your pain. Do not overlook any warning signs from your body. If a referral to a specialist is necessary, the family me...[Read More] Understanding Back Pain After Weight Loss: When to Seek Medical Help
Chronic Back Pain: Seeking Solutions for Persistent Discomfort
Back pain Hello, I started experiencing a dull pain in my lower back at the end of October, and the discomfort persisted without much change until December. In mid-December, I began to feel stiffness and soreness in my back, lower back, and neck, making it uncomfortable to mainta...
Dr. Lai Yanting reply Rehabilitation
Did your soreness start after weight loss? There are many causes of back pain, which could range from simple muscle strains to internal issues (such as stones or infections), among others. Additionally, rapid weight loss should prompt a visit to the clinic for a detailed evaluati...[Read More] Chronic Back Pain: Seeking Solutions for Persistent Discomfort
Addressing Attention Deficit in Young Children: Medication vs. Therapy Options
Inattention My child is currently 5 and a half years old and is in kindergarten. The school teacher has repeatedly reported that my son has difficulty concentrating and often seems to be daydreaming. Tasks that other children may complete in 20 minutes may take my son half a day ...
Dr. Lai Yanting reply Rehabilitation
1. The definition of Attention Deficit Hyperactivity Disorder (ADHD) includes clinical symptoms that appear before the age of seven, such as inattention, hyperactivity, and impulsivity. These symptoms must be more severe than those of other children of the same age and must occur...[Read More] Addressing Attention Deficit in Young Children: Medication vs. Therapy Options
Managing Moderate Scoliosis: Next Steps for Rehabilitation and Care
Moderate scoliosis? Hello Dr. Lai, In my health report, the X-ray section indicates that I have moderate scoliosis. What kind of follow-up actions should I take? Thank you!
Dr. Lai Yanting reply Rehabilitation
In adults, scoliosis does not require surgical treatment unless it is severe (greater than 50 degrees). The "moderate scoliosis" you mentioned likely refers to a curvature between 25 and 35 degrees. It is recommended to visit a rehabilitation clinic for an X-ray examina...[Read More] Managing Moderate Scoliosis: Next Steps for Rehabilitation and Care
Understanding Morning Lower Back Pain: Causes and Treatment Options
Lower back pain after waking up? Hello, I've been experiencing pain on both sides of my lower back when I wake up in the past few days. The pain is not very noticeable when I'm standing or moving around, or when I press on my lower back. However, I do feel pain when I b...
Dr. Lai Yanting reply Rehabilitation
Dear Allen: Your issue may be caused by a muscle strain (though further evaluation is needed to confirm this). Common causes include improper posture or overuse of the back muscles. It is advisable for you to consult a rehabilitation specialist for an examination to understand th...[Read More] Understanding Morning Lower Back Pain: Causes and Treatment Options
Rehabilitation After Knee Arthroscopy: Addressing Tightness and Concerns
Rehabilitation after knee joint surgery? Hello: I recently underwent arthroscopic knee surgery, and currently, when I bend my knee, I experience a tight sensation; it feels as if the ligaments might tear if I bend it further. Should I consider rehabilitation for this condition? T...
Dr. Lai Yanting reply Rehabilitation
Common procedures in knee arthroscopy include anterior cruciate ligament (ACL) reconstruction and meniscus repair. Post-operative rehabilitation for ACL reconstruction typically lasts about 6 to 12 weeks (some patients may require rehabilitation for up to a year), while rehabilit...[Read More] Rehabilitation After Knee Arthroscopy: Addressing Tightness and Concerns
Understanding Achilles Tendonitis in Teens: Causes, Symptoms, and Treatment
Achilles tendinitis Hello Dr. Lai, My child is 13 years old, approximately 162 cm tall and weighs 54 kg, which is slightly overweight. He walks somewhat like a duck. I examined his feet and it seems he has some flatfoot characteristics. Due to his wide feet, we have always boug...
Dr. Lai Yanting reply Rehabilitation
Achilles tendinitis has four common causes: 1. Overuse: such as suddenly running too much or increasing exercise intensity. 2. Unsuitable playing surfaces: such as running on slopes or uneven, hard ground. 3. Abnormal foot structure: such as excessive forefoot pronation or flat f...[Read More] Understanding Achilles Tendonitis in Teens: Causes, Symptoms, and Treatment
Understanding Knee Effusion: Long-Term Effects and Care Options
Knee effusion If a family member has been diagnosed with knee effusion and has undergone several aspirations, currently taking medication, it is important to understand the potential long-term consequences of not receiving ongoing care. Chronic knee effusion can lead to joint dam...
Dr. Lai Yanting reply Rehabilitation
Common causes of knee effusion may include trauma, overuse, or arthritis. If left untreated, knee effusion can lead to complications such as pain and stiffness in the knee joint. It is recommended that patients consult a professional rehabilitation physician to investigate the po...[Read More] Understanding Knee Effusion: Long-Term Effects and Care Options
Long-Term Back Pain: Insights and Solutions for Golf Injuries
Chronic low back pain Hello Dr. Lai, First of all, thank you for your enthusiastic response. My lower back pain seems to be caused by a sports injury. I have been an avid golfer since I was about 25 years old, playing around 4 to 5 rounds a week. I started experiencing lower ba...
Dr. Lai Yanting reply Rehabilitation
Lower back pain: Prevention is more important than treatment. Here are 7 simple and easy preventive methods for your reference: 1. Change your lifestyle and work environment that puts strain on the spine. Try to avoid prolonged standing or sitting, and engage in regular movement...[Read More] Long-Term Back Pain: Insights and Solutions for Golf Injuries